diff --git a/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/JsonParser.java b/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/JsonParser.java
index f62e6092dbe..8cc1a40c4ff 100644
--- a/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/JsonParser.java
+++ b/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/JsonParser.java
@@ -233,13 +233,21 @@ public class JsonParser extends BaseParser implements IJsonLikeParser {
 				}
 
 				// check for the common case first - String value types
-				if (value.getValue() instanceof String) {
+				Object valueObj = value.getValue();
+				if (valueObj instanceof String) {
 					if (theChildName != null) {
 						theEventWriter.write(theChildName, valueStr);
 					} else {
 						theEventWriter.write(valueStr);
 					}
 					break;
+				} else if (valueObj instanceof Long) {
+					if (theChildName != null) {
+						theEventWriter.write(theChildName, (long)valueObj);
+					} else {
+						theEventWriter.write((long)valueObj);
+					}
+					break;
 				}
 
 				if (value instanceof IBaseIntegerDatatype) {
diff --git a/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/XmlParser.java b/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/XmlParser.java
index 3ca4f7e9daa..d47934000da 100644
--- a/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/XmlParser.java
+++ b/hapi-fhir-base/src/main/java/ca/uhn/fhir/parser/XmlParser.java
@@ -707,6 +707,12 @@ public class XmlParser extends BaseParser {
 							theEventWriter.writeStartElement(prefix, se.getName().getLocalPart(), namespaceURI);
 							theEventWriter.writeNamespace(prefix, namespaceURI);
 						}
+						for (Iterator<Attribute> iter= se.getAttributes(); iter.hasNext(); ) {
+							Attribute next = iter.next();
+							if ("lang".equals(next.getName().getLocalPart())) {
+								theEventWriter.writeAttribute("", "", next.getName().getLocalPart(), next.getValue());
+							}
+						}
 						firstElement = false;
 					} else {
 						if (isBlank(se.getName().getPrefix())) {
diff --git a/hapi-fhir-base/src/main/java/ca/uhn/fhir/util/AttachmentUtil.java b/hapi-fhir-base/src/main/java/ca/uhn/fhir/util/AttachmentUtil.java
index 272c1a94046..6ad01b5b9e1 100644
--- a/hapi-fhir-base/src/main/java/ca/uhn/fhir/util/AttachmentUtil.java
+++ b/hapi-fhir-base/src/main/java/ca/uhn/fhir/util/AttachmentUtil.java
@@ -85,6 +85,8 @@ public class AttachmentUtil {
 		BaseRuntimeChildDefinition entryChild = getChild(theContext, theAttachment, "size");
 		if (theLength == null) {
 			entryChild.getMutator().setValue(theAttachment, null);
+		} else if (theContext.getVersion().getVersion().isEqualOrNewerThan(FhirVersionEnum.R5)){
+			entryChild.getMutator().setValue(theAttachment, newPrimitive(theContext, "integer64", (long)theLength));
 		} else {
 			entryChild.getMutator().setValue(theAttachment, newPrimitive(theContext, "unsignedInt", theLength));
 		}
diff --git a/hapi-fhir-base/src/main/java/org/hl7/fhir/instance/model/api/IBaseLongDatatype.java b/hapi-fhir-base/src/main/java/org/hl7/fhir/instance/model/api/IBaseLongDatatype.java
new file mode 100644
index 00000000000..fe302b8a76b
--- /dev/null
+++ b/hapi-fhir-base/src/main/java/org/hl7/fhir/instance/model/api/IBaseLongDatatype.java
@@ -0,0 +1,26 @@
+package org.hl7.fhir.instance.model.api;
+
+/*
+ * #%L
+ * HAPI FHIR - Core Library
+ * %%
+ * Copyright (C) 2014 - 2019 University Health Network
+ * %%
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ * #L%
+ */
+
+
+public interface IBaseLongDatatype extends IPrimitiveType<Integer> {
+
+}
diff --git a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/4_2_0/changes.yaml b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/4_2_0/changes.yaml
index 5f2bd2bc036..79336532b05 100644
--- a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/4_2_0/changes.yaml
+++ b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/4_2_0/changes.yaml
@@ -64,6 +64,11 @@
    issue: "1649"
    type: "add"
    title: "Support for LOINC 2.67 file format changes has been added to the JPA Server LOINC uploader. Thanks to Dan Vreeman for reporting!"
+- item:
+   issue: "1658"
+   type: "fix"
+   title: "When parsing HTML Narratives, the `lang` attribute was stripped from the outer DIV tag if present. Thanks to
+Sean McIlvenna for reporting!"
 - item:
    issue: "1655"
    type: "fix"
diff --git a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/introduction/versions.md b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/introduction/versions.md
index 3f2e6726429..27e2f13f6a8 100644
--- a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/introduction/versions.md
+++ b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/introduction/versions.md
@@ -25,6 +25,16 @@ Note also that after the release of the FHIR DSTU2 specification, the FHIR
     </tr>
     </thead>
     <tbody>
+    <tr>
+        <td>HAPI FHIR 4.2.0-SNAPSHOT</td>
+        <td>JDK8</td>
+        <td class="versions-table-cell-empty"></td>
+        <td class="versions-table-cell-draft">1.0.2</td>
+        <td class="versions-table-cell-release">1.4.0</td>
+        <td class="versions-table-cell-draft">3.0.2</td>
+        <td class="versions-table-cell-draft">4.0.1</td>
+        <td class="versions-table-cell-release">4.2.0<span class="download-version-hash"><br/>e0f3f5cc2c</span></td>
+    </tr>
     <tr>
         <td>HAPI FHIR 4.1.0</td>
         <td>JDK8</td>
diff --git a/hapi-fhir-jaxrsserver-base/src/test/java/ca/uhn/fhir/jaxrs/client/GenericJaxRsClientDstu3Test.java b/hapi-fhir-jaxrsserver-base/src/test/java/ca/uhn/fhir/jaxrs/client/GenericJaxRsClientDstu3Test.java
index 48a03513567..ef0512ee1be 100644
--- a/hapi-fhir-jaxrsserver-base/src/test/java/ca/uhn/fhir/jaxrs/client/GenericJaxRsClientDstu3Test.java
+++ b/hapi-fhir-jaxrsserver-base/src/test/java/ca/uhn/fhir/jaxrs/client/GenericJaxRsClientDstu3Test.java
@@ -1356,7 +1356,7 @@ public class GenericJaxRsClientDstu3Test {
 				.execute();
 			fail();
 		} catch (InvalidResponseException e) {
-			assertThat(e.getMessage(), containsString("Unable to Parse HTML - node"));
+			assertThat(e.getMessage(), containsString("Unable to Parse HTML"));
 		}
 		//@formatter:on
 	}
diff --git a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoSubscriptionR5.java b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoSubscriptionR5.java
index f0f48711362..ef7d039337b 100644
--- a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoSubscriptionR5.java
+++ b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoSubscriptionR5.java
@@ -20,29 +20,20 @@ package ca.uhn.fhir.jpa.dao.r5;
  * #L%
  */
 
-import ca.uhn.fhir.context.RuntimeResourceDefinition;
 import ca.uhn.fhir.jpa.dao.BaseHapiFhirResourceDao;
-import ca.uhn.fhir.jpa.dao.IFhirResourceDao;
 import ca.uhn.fhir.jpa.dao.IFhirResourceDaoSubscription;
 import ca.uhn.fhir.jpa.dao.data.ISubscriptionTableDao;
 import ca.uhn.fhir.jpa.entity.SubscriptionTable;
 import ca.uhn.fhir.jpa.model.cross.IBasePersistedResource;
 import ca.uhn.fhir.jpa.model.entity.ResourceTable;
-import ca.uhn.fhir.parser.DataFormatException;
-import ca.uhn.fhir.rest.api.EncodingEnum;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
-import ca.uhn.fhir.rest.server.exceptions.UnprocessableEntityException;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.instance.model.api.IIdType;
 import org.hl7.fhir.r5.model.Subscription;
-import org.hl7.fhir.r5.model.codesystems.SubscriptionChannelType;
 import org.springframework.beans.factory.annotation.Autowired;
 
-import javax.annotation.Nullable;
 import java.util.Date;
 
-import static org.apache.commons.lang3.StringUtils.isBlank;
-
 public class FhirResourceDaoSubscriptionR5 extends BaseHapiFhirResourceDao<Subscription> implements IFhirResourceDaoSubscription<Subscription> {
 
 	@Autowired
diff --git a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoValueSetR5.java b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoValueSetR5.java
index 4214dce1a6f..362558e2459 100644
--- a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoValueSetR5.java
+++ b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/r5/FhirResourceDaoValueSetR5.java
@@ -38,15 +38,18 @@ import org.hl7.fhir.instance.model.api.IPrimitiveType;
 import org.hl7.fhir.r5.hapi.ctx.DefaultProfileValidationSupport;
 import org.hl7.fhir.r5.hapi.ctx.HapiWorkerContext;
 import org.hl7.fhir.r5.hapi.ctx.IValidationSupport;
-import org.hl7.fhir.r5.model.*;
+import org.hl7.fhir.r5.model.CodeSystem;
+import org.hl7.fhir.r5.model.CodeableConcept;
+import org.hl7.fhir.r5.model.Coding;
+import org.hl7.fhir.r5.model.Enumerations;
 import org.hl7.fhir.r5.model.Enumerations.PublicationStatus;
+import org.hl7.fhir.r5.model.IntegerType;
+import org.hl7.fhir.r5.model.ValueSet;
 import org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent;
 import org.hl7.fhir.r5.model.ValueSet.ConceptSetFilterComponent;
-import org.hl7.fhir.r5.model.ValueSet.FilterOperator;
 import org.hl7.fhir.r5.model.ValueSet.ValueSetExpansionContainsComponent;
 import org.hl7.fhir.r5.terminologies.ValueSetExpander.ValueSetExpansionOutcome;
 import org.springframework.beans.factory.annotation.Autowired;
-import org.springframework.beans.factory.annotation.Qualifier;
 
 import java.util.Collections;
 import java.util.Date;
@@ -172,7 +175,7 @@ public class FhirResourceDaoValueSetR5 extends BaseHapiFhirResourceDao<ValueSet>
 			ConceptSetComponent include = source.getCompose().addInclude();
 			ConceptSetFilterComponent filter = include.addFilter();
 			filter.setProperty("display");
-			filter.setOp(FilterOperator.EQUAL);
+			filter.setOp(Enumerations.FilterOperator.EQUAL);
 			filter.setValue(theFilter);
 		}
 
@@ -207,7 +210,7 @@ public class FhirResourceDaoValueSetR5 extends BaseHapiFhirResourceDao<ValueSet>
 			ConceptSetComponent include = source.getCompose().addInclude();
 			ConceptSetFilterComponent filter = include.addFilter();
 			filter.setProperty("display");
-			filter.setOp(FilterOperator.EQUAL);
+			filter.setOp(Enumerations.FilterOperator.EQUAL);
 			filter.setValue(theFilter);
 		}
 
@@ -289,7 +292,7 @@ public class FhirResourceDaoValueSetR5 extends BaseHapiFhirResourceDao<ValueSet>
 	private void addFilterIfPresent(String theFilter, ConceptSetComponent include) {
 		if (ElementUtil.isEmpty(include.getConcept())) {
 			if (isNotBlank(theFilter)) {
-				include.addFilter().setProperty("display").setOp(FilterOperator.EQUAL).setValue(theFilter);
+				include.addFilter().setProperty("display").setOp(Enumerations.FilterOperator.EQUAL).setValue(theFilter);
 			}
 		}
 	}
diff --git a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4ValidateTest.java b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4ValidateTest.java
index 280ce3d021f..74bfa659695 100644
--- a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4ValidateTest.java
+++ b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4ValidateTest.java
@@ -127,7 +127,7 @@ public class FhirResourceDaoR4ValidateTest extends BaseJpaR4Test {
 		obs.getCode().getCodingFirstRep().setSystem("http://loinc.org").setCode("CODE3").setDisplay("Display 3");
 		obs.getCategoryFirstRep().addCoding().setSystem("http://terminology.hl7.org/CodeSystem/observation-category").setCode("FOO");
 		oo = validateAndReturnOutcome(obs);
-		assertEquals(encode(oo), "Unknown code: http://terminology.hl7.org/CodeSystem/observation-category / FOO", oo.getIssueFirstRep().getDiagnostics());
+		assertEquals(encode(oo), "Unknown code[FOO] in system[http://terminology.hl7.org/CodeSystem/observation-category]", oo.getIssueFirstRep().getDiagnostics());
 
 	}
 
@@ -208,7 +208,7 @@ public class FhirResourceDaoR4ValidateTest extends BaseJpaR4Test {
 		obs.getCode().getCodingFirstRep().setSystem("http://loinc.org").setCode("CODE3").setDisplay("Display 3");
 		obs.getCategoryFirstRep().addCoding().setSystem("http://terminology.hl7.org/CodeSystem/observation-category").setCode("FOO");
 		oo = validateAndReturnOutcome(obs);
-		assertEquals(encode(oo), "Unknown code: http://terminology.hl7.org/CodeSystem/observation-category / FOO", oo.getIssueFirstRep().getDiagnostics());
+		assertEquals(encode(oo), "Unknown code[FOO] in system[http://terminology.hl7.org/CodeSystem/observation-category]", oo.getIssueFirstRep().getDiagnostics());
 
 	}
 
diff --git a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/provider/r5/ResourceProviderR5ValueSetTest.java b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/provider/r5/ResourceProviderR5ValueSetTest.java
index de6cd21ce43..346ac91dcf3 100644
--- a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/provider/r5/ResourceProviderR5ValueSetTest.java
+++ b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/provider/r5/ResourceProviderR5ValueSetTest.java
@@ -3,8 +3,13 @@ package ca.uhn.fhir.jpa.provider.r5;
 import ca.uhn.fhir.jpa.dao.DaoConfig;
 import ca.uhn.fhir.jpa.dao.IFhirResourceDao;
 import ca.uhn.fhir.jpa.dao.data.IResourceTableDao;
-import ca.uhn.fhir.jpa.entity.*;
+import ca.uhn.fhir.jpa.entity.TermCodeSystemVersion;
+import ca.uhn.fhir.jpa.entity.TermConcept;
 import ca.uhn.fhir.jpa.entity.TermConceptParentChildLink.RelationshipTypeEnum;
+import ca.uhn.fhir.jpa.entity.TermValueSet;
+import ca.uhn.fhir.jpa.entity.TermValueSetConcept;
+import ca.uhn.fhir.jpa.entity.TermValueSetConceptDesignation;
+import ca.uhn.fhir.jpa.entity.TermValueSetPreExpansionStatusEnum;
 import ca.uhn.fhir.jpa.model.cross.ResourcePersistentId;
 import ca.uhn.fhir.jpa.model.entity.ResourceTable;
 import ca.uhn.fhir.jpa.term.api.ITermCodeSystemStorageSvc;
@@ -23,11 +28,10 @@ import org.apache.http.entity.ContentType;
 import org.apache.http.entity.StringEntity;
 import org.hl7.fhir.instance.model.api.IIdType;
 import org.hl7.fhir.r5.model.*;
+import org.hl7.fhir.r5.model.Bundle.HTTPVerb;
 import org.hl7.fhir.r5.model.CodeSystem.CodeSystemContentMode;
 import org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionComponent;
 import org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent;
-import org.hl7.fhir.r5.model.ValueSet.FilterOperator;
-import org.hl7.fhir.r5.model.codesystems.HttpVerb;
 import org.junit.After;
 import org.junit.AfterClass;
 import org.junit.Test;
@@ -41,8 +45,16 @@ import java.util.Optional;
 
 import static ca.uhn.fhir.jpa.dao.r4.FhirResourceDaoR4TerminologyTest.URL_MY_CODE_SYSTEM;
 import static ca.uhn.fhir.jpa.dao.r4.FhirResourceDaoR4TerminologyTest.URL_MY_VALUE_SET;
-import static org.hamcrest.Matchers.*;
-import static org.junit.Assert.*;
+import static org.hamcrest.Matchers.containsString;
+import static org.hamcrest.Matchers.containsStringIgnoringCase;
+import static org.hamcrest.Matchers.not;
+import static org.hamcrest.Matchers.stringContainsInOrder;
+import static org.junit.Assert.assertEquals;
+import static org.junit.Assert.assertNotNull;
+import static org.junit.Assert.assertSame;
+import static org.junit.Assert.assertThat;
+import static org.junit.Assert.assertTrue;
+import static org.junit.Assert.fail;
 
 public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
@@ -54,35 +66,35 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	private Long myExtensionalVsIdOnResourceTable;
 	private ValueSet myLocalVs;
 
-	private void loadAndPersistCodeSystemAndValueSet(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistCodeSystemAndValueSet(HTTPVerb theVerb) throws IOException {
 		loadAndPersistCodeSystem(theVerb);
 		loadAndPersistValueSet(theVerb);
 	}
 
-	private void loadAndPersistCodeSystemAndValueSetWithDesignations(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistCodeSystemAndValueSetWithDesignations(HTTPVerb theVerb) throws IOException {
 		loadAndPersistCodeSystemWithDesignations(theVerb);
 		loadAndPersistValueSet(theVerb);
 	}
 
-	private void loadAndPersistCodeSystemAndValueSetWithDesignationsAndExclude(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistCodeSystemAndValueSetWithDesignationsAndExclude(HTTPVerb theVerb) throws IOException {
 		loadAndPersistCodeSystemWithDesignations(theVerb);
 		loadAndPersistValueSetWithExclude(theVerb);
 	}
 
-	private void loadAndPersistCodeSystem(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistCodeSystem(HTTPVerb theVerb) throws IOException {
 		CodeSystem codeSystem = loadResourceFromClasspath(CodeSystem.class, "/extensional-case-3-cs.xml");
 		codeSystem.setId("CodeSystem/cs");
 		persistCodeSystem(codeSystem, theVerb);
 	}
 
-	private void loadAndPersistCodeSystemWithDesignations(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistCodeSystemWithDesignations(HTTPVerb theVerb) throws IOException {
 		CodeSystem codeSystem = loadResourceFromClasspath(CodeSystem.class, "/extensional-case-3-cs-with-designations.xml");
 		codeSystem.setId("CodeSystem/cs");
 		persistCodeSystem(codeSystem, theVerb);
 	}
 
 	@SuppressWarnings("EnumSwitchStatementWhichMissesCases")
-	private void persistCodeSystem(CodeSystem theCodeSystem, HttpVerb theVerb) {
+	private void persistCodeSystem(CodeSystem theCodeSystem, HTTPVerb theVerb) {
 		switch (theVerb) {
 			case POST:
 				new TransactionTemplate(myTxManager).execute(new TransactionCallbackWithoutResult() {
@@ -106,20 +118,20 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 		myExtensionalCsIdOnResourceTable = myCodeSystemDao.readEntity(myExtensionalCsId, null).getId();
 	}
 
-	private void loadAndPersistValueSet(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistValueSet(HTTPVerb theVerb) throws IOException {
 		ValueSet valueSet = loadResourceFromClasspath(ValueSet.class, "/extensional-case-3-vs.xml");
 		valueSet.setId("ValueSet/vs");
 		persistValueSet(valueSet, theVerb);
 	}
 
-	private void loadAndPersistValueSetWithExclude(HttpVerb theVerb) throws IOException {
+	private void loadAndPersistValueSetWithExclude(HTTPVerb theVerb) throws IOException {
 		ValueSet valueSet = loadResourceFromClasspath(ValueSet.class, "/extensional-case-3-vs-with-exclude.xml");
 		valueSet.setId("ValueSet/vs");
 		persistValueSet(valueSet, theVerb);
 	}
 
 	@SuppressWarnings("EnumSwitchStatementWhichMissesCases")
-	private void persistValueSet(ValueSet theValueSet, HttpVerb theVerb) {
+	private void persistValueSet(ValueSet theValueSet, HTTPVerb theVerb) {
 		switch (theVerb) {
 			case POST:
 				new TransactionTemplate(myTxManager).execute(new TransactionCallbackWithoutResult() {
@@ -195,7 +207,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 		myLocalVs.setUrl(URL_MY_VALUE_SET);
 		ConceptSetComponent include = myLocalVs.getCompose().addInclude();
 		include.setSystem(codeSystem.getUrl());
-		include.addFilter().setProperty("concept").setOp(FilterOperator.ISA).setValue("ParentA");
+		include.addFilter().setProperty("concept").setOp(Enumerations.FilterOperator.ISA).setValue("ParentA");
 		myLocalValueSetId = myValueSetDao.create(myLocalVs, mySrd).getId().toUnqualifiedVersionless();
 	}
 
@@ -212,13 +224,13 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 		myLocalVs.setUrl(URL_MY_VALUE_SET);
 		ConceptSetComponent include = myLocalVs.getCompose().addInclude();
 		include.setSystem(codeSystem.getUrl());
-		include.addFilter().setProperty("concept").setOp(FilterOperator.ISA).setValue("childFOOOOOOO");
+		include.addFilter().setProperty("concept").setOp(Enumerations.FilterOperator.ISA).setValue("childFOOOOOOO");
 		myLocalValueSetId = myValueSetDao.create(myLocalVs, mySrd).getId().toUnqualifiedVersionless();
 	}
 
 	@Test
 	public void testExpandById() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		Parameters respParam = ourClient
 			.operation()
@@ -250,7 +262,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testExpandByIdWithPreExpansion() throws Exception {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 		myTermSvc.preExpandDeferredValueSetsToTerminologyTables();
 
 		Parameters respParam = ourClient
@@ -281,7 +293,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testExpandByIdWithFilter() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		Parameters respParam = ourClient
 			.operation()
@@ -302,7 +314,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testExpandByIdWithFilterWithPreExpansion() throws Exception {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 		myTermSvc.preExpandDeferredValueSetsToTerminologyTables();
 
 		Parameters respParam = ourClient
@@ -322,7 +334,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testExpandByUrl() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		Parameters respParam = ourClient
 			.operation()
@@ -342,7 +354,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testExpandByUrlWithBogusUrl() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		try {
 			ourClient
@@ -361,7 +373,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testExpandByUrlWithPreExpansion() throws Exception {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 		myTermSvc.preExpandDeferredValueSetsToTerminologyTables();
 
 		Parameters respParam = ourClient
@@ -384,7 +396,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testExpandByUrlWithPreExpansionAndBogusUrl() throws Exception {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 		myTermSvc.preExpandDeferredValueSetsToTerminologyTables();
 
 		try {
@@ -402,7 +414,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testExpandByValueSet() throws IOException {
-		loadAndPersistCodeSystem(HttpVerb.POST);
+		loadAndPersistCodeSystem(HTTPVerb.POST);
 
 		ValueSet toExpand = loadResourceFromClasspath(ValueSet.class, "/extensional-case-3-vs.xml");
 
@@ -426,7 +438,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testExpandByValueSetWithPreExpansion() throws IOException {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystem(HttpVerb.POST);
+		loadAndPersistCodeSystem(HTTPVerb.POST);
 		myTermSvc.preExpandDeferredValueSetsToTerminologyTables();
 
 		ValueSet toExpand = loadResourceFromClasspath(ValueSet.class, "/extensional-case-3-vs.xml");
@@ -491,7 +503,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testExpandInvalidParams() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		try {
 			ourClient
@@ -717,7 +729,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testUpdateValueSetTriggersAnotherPreExpansion() throws Exception {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystemAndValueSetWithDesignations(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSetWithDesignations(HTTPVerb.POST);
 
 		CodeSystem codeSystem = myCodeSystemDao.read(myExtensionalCsId);
 		ourLog.info("CodeSystem:\n" + myFhirCtx.newJsonParser().setPrettyPrint(true).encodeResourceToString(codeSystem));
@@ -732,7 +744,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 		ValueSet updatedValueSet = valueSet;
 		updatedValueSet.setName(valueSet.getName().concat(" - MODIFIED"));
-		persistValueSet(updatedValueSet, HttpVerb.PUT);
+		persistValueSet(updatedValueSet, HTTPVerb.PUT);
 		updatedValueSet = myValueSetDao.read(myExtensionalVsId);
 		ourLog.info("Updated ValueSet:\n" + myFhirCtx.newJsonParser().setPrettyPrint(true).encodeResourceToString(updatedValueSet));
 
@@ -746,7 +758,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 	public void testUpdateValueSetTriggersAnotherPreExpansionUsingTransactionBundle() throws Exception {
 		myDaoConfig.setPreExpandValueSets(true);
 
-		loadAndPersistCodeSystemAndValueSetWithDesignations(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSetWithDesignations(Bundle.HTTPVerb.POST);
 
 		CodeSystem codeSystem = myCodeSystemDao.read(myExtensionalCsId);
 		ourLog.info("CodeSystem:\n" + myFhirCtx.newJsonParser().setPrettyPrint(true).encodeResourceToString(codeSystem));
@@ -877,7 +889,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testValidateCodeOperationByCodeAndSystemInstance() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		Parameters respParam = ourClient
 			.operation()
@@ -938,7 +950,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 
 	@Test
 	public void testValidateCodeOperationByCodeAndSystemType() throws Exception {
-		loadAndPersistCodeSystemAndValueSet(HttpVerb.POST);
+		loadAndPersistCodeSystemAndValueSet(HTTPVerb.POST);
 
 		Parameters respParam = ourClient
 			.operation()
@@ -996,7 +1008,7 @@ public class ResourceProviderR5ValueSetTest extends BaseResourceProviderR5Test {
 			.addInclude()
 			.setSystem("http://mycs")
 			.addFilter()
-			.setOp(FilterOperator.ISA)
+			.setOp(Enumerations.FilterOperator.ISA)
 			.setProperty("concept")
 			.setValue("ParentA");
 		IIdType vsId = myValueSetDao.create(vs).getId().toUnqualifiedVersionless();
diff --git a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/BaseSubscriptionsR5Test.java b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/BaseSubscriptionsR5Test.java
index 97f9814635b..add5808d885 100644
--- a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/BaseSubscriptionsR5Test.java
+++ b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/BaseSubscriptionsR5Test.java
@@ -3,6 +3,7 @@ package ca.uhn.fhir.jpa.subscription;
 import ca.uhn.fhir.context.FhirContext;
 import ca.uhn.fhir.jpa.dao.DaoConfig;
 import ca.uhn.fhir.jpa.provider.r5.BaseResourceProviderR5Test;
+import ca.uhn.fhir.jpa.subscription.module.CanonicalSubscriptionChannelType;
 import ca.uhn.fhir.jpa.subscription.module.LinkedBlockingQueueSubscribableChannel;
 import ca.uhn.fhir.rest.annotation.Create;
 import ca.uhn.fhir.rest.annotation.ResourceParam;
@@ -21,9 +22,19 @@ import org.eclipse.jetty.servlet.ServletContextHandler;
 import org.eclipse.jetty.servlet.ServletHolder;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.instance.model.api.IIdType;
-import org.hl7.fhir.r5.model.*;
-import org.hl7.fhir.r5.model.codesystems.SubscriptionChannelType;
-import org.junit.*;
+import org.hl7.fhir.r5.model.Bundle;
+import org.hl7.fhir.r5.model.CodeableConcept;
+import org.hl7.fhir.r5.model.Coding;
+import org.hl7.fhir.r5.model.Enumerations;
+import org.hl7.fhir.r5.model.IdType;
+import org.hl7.fhir.r5.model.Observation;
+import org.hl7.fhir.r5.model.Subscription;
+import org.hl7.fhir.r5.model.Topic;
+import org.junit.After;
+import org.junit.AfterClass;
+import org.junit.Before;
+import org.junit.BeforeClass;
+import org.junit.Ignore;
 import org.springframework.beans.factory.annotation.Autowired;
 
 import javax.annotation.PostConstruct;
@@ -131,8 +142,8 @@ public abstract class BaseSubscriptionsR5Test extends BaseResourceProviderR5Test
 
 		Subscription.SubscriptionChannelComponent channel = subscription.getChannel();
 		channel.getType().addCoding()
-			.setSystem(SubscriptionChannelType.RESTHOOK.getSystem())
-			.setCode(SubscriptionChannelType.RESTHOOK.toCode());
+			.setSystem(CanonicalSubscriptionChannelType.RESTHOOK.getSystem())
+			.setCode(CanonicalSubscriptionChannelType.RESTHOOK.toCode());
 		channel.getPayload().setContentType(thePayload);
 		channel.setEndpoint(ourListenerServerBase);
 		return subscription;
@@ -158,7 +169,7 @@ public abstract class BaseSubscriptionsR5Test extends BaseResourceProviderR5Test
 		coding.setCode(code);
 		coding.setSystem(system);
 
-		observation.setStatus(Observation.ObservationStatus.FINAL);
+		observation.setStatus(Enumerations.ObservationStatus.FINAL);
 
 		IIdType id = myObservationDao.create(observation).getId();
 		observation.setId(id);
diff --git a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/resthook/RestHookTestR5Test.java b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/resthook/RestHookTestR5Test.java
index 6160165c167..1aa5a058ddb 100644
--- a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/resthook/RestHookTestR5Test.java
+++ b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/subscription/resthook/RestHookTestR5Test.java
@@ -131,7 +131,7 @@ public class RestHookTestR5Test extends BaseSubscriptionsR5Test {
 		Observation observation = new Observation();
 		observation.getIdentifierFirstRep().setSystem("foo").setValue("1");
 		observation.getCode().addCoding().setCode(code).setSystem("SNOMED-CT");
-		observation.setStatus(Observation.ObservationStatus.FINAL);
+		observation.setStatus(Enumerations.ObservationStatus.FINAL);
 		observation.getSubject().setReference(patient.getId());
 		bundle.addEntry().setResource(observation).getRequest().setMethod(Bundle.HTTPVerb.POST).setUrl("Observation");
 
@@ -160,7 +160,7 @@ public class RestHookTestR5Test extends BaseSubscriptionsR5Test {
 		Observation observation = new Observation();
 		observation.getIdentifierFirstRep().setSystem("foo").setValue("1");
 		observation.getCode().addCoding().setCode(code).setSystem("SNOMED-CT");
-		observation.setStatus(Observation.ObservationStatus.FINAL);
+		observation.setStatus(Enumerations.ObservationStatus.FINAL);
 		Bundle bundle = new Bundle();
 		bundle.setType(Bundle.BundleType.TRANSACTION);
 		bundle.addEntry().setResource(observation).getRequest().setMethod(Bundle.HTTPVerb.POST).setUrl("Observation");
@@ -187,7 +187,7 @@ public class RestHookTestR5Test extends BaseSubscriptionsR5Test {
 		observation.setId(obs.getId());
 		observation.getIdentifierFirstRep().setSystem("foo").setValue("2");
 		observation.getCode().addCoding().setCode(code).setSystem("SNOMED-CT");
-		observation.setStatus(Observation.ObservationStatus.FINAL);
+		observation.setStatus(Enumerations.ObservationStatus.FINAL);
 		bundle = new Bundle();
 		bundle.setType(Bundle.BundleType.TRANSACTION);
 		bundle.addEntry().setResource(observation).getRequest().setMethod(Bundle.HTTPVerb.PUT).setUrl(obs.getIdElement().toUnqualifiedVersionless().getValue());
@@ -220,7 +220,7 @@ public class RestHookTestR5Test extends BaseSubscriptionsR5Test {
 			Observation observation = new Observation();
 			observation.getIdentifierFirstRep().setSystem("foo").setValue("ID" + i);
 			observation.getCode().addCoding().setCode(code).setSystem("SNOMED-CT");
-			observation.setStatus(Observation.ObservationStatus.FINAL);
+			observation.setStatus(Enumerations.ObservationStatus.FINAL);
 			myObservationDao.create(observation);
 		}
 
@@ -669,7 +669,7 @@ public class RestHookTestR5Test extends BaseSubscriptionsR5Test {
 		CodeableConcept codeableConcept = new CodeableConcept()
 			.addCoding(new Coding().setCode(code).setSystem("SNOMED-CT"));
 		observation.setCode(codeableConcept);
-		observation.setStatus(Observation.ObservationStatus.FINAL);
+		observation.setStatus(Enumerations.ObservationStatus.FINAL);
 
 		Patient patient = new Patient();
 		patient.addIdentifier().setSystem("foo").setValue("bar2");
@@ -848,7 +848,7 @@ public class RestHookTestR5Test extends BaseSubscriptionsR5Test {
 	@Test(expected = UnprocessableEntityException.class)
 	public void testInvalidProvenanceParam() {
 		String payload = "application/fhir+json";
-		String criteriabad = "Provenance?activity=http://hl7.org/fhir/v3/DocumentCompletion%7CAU";
+		String criteriabad = "Provenance?foo=http://hl7.org/fhir/v3/DocumentCompletion%7CAU";
 		Subscription subscription = newSubscription(criteriabad, payload);
 		ourClient.create().resource(subscription).execute();
 	}
diff --git a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/validator/AttachmentUtilTest.java b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/validator/AttachmentUtilTest.java
index 944ca3395f0..49ce3040de6 100644
--- a/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/validator/AttachmentUtilTest.java
+++ b/hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/validator/AttachmentUtilTest.java
@@ -49,7 +49,7 @@ public class AttachmentUtilTest {
 		AttachmentUtil.setSize(ctx, attachment, 123);
 
 		org.hl7.fhir.r5.model.Communication communication = new org.hl7.fhir.r5.model.Communication();
-		communication.addPayload().setContent((org.hl7.fhir.r5.model.Type) attachment);
+		communication.addPayload().setContent((org.hl7.fhir.r5.model.DataType) attachment);
 		String encoded = ctx.newJsonParser().encodeResourceToString(communication);
 		assertEquals("{\"resourceType\":\"Communication\",\"payload\":[{\"contentAttachment\":{\"contentType\":\"text/plain\",\"data\":\"AAECAw==\",\"url\":\"http://foo\",\"size\":123}}]}", encoded);
 	}
diff --git a/hapi-fhir-jpaserver-model/src/main/java/ca/uhn/fhir/jpa/model/any/AnyListResource.java b/hapi-fhir-jpaserver-model/src/main/java/ca/uhn/fhir/jpa/model/any/AnyListResource.java
index bee400a36da..4ac73881959 100644
--- a/hapi-fhir-jpaserver-model/src/main/java/ca/uhn/fhir/jpa/model/any/AnyListResource.java
+++ b/hapi-fhir-jpaserver-model/src/main/java/ca/uhn/fhir/jpa/model/any/AnyListResource.java
@@ -298,7 +298,7 @@ public class AnyListResource {
 
 	private boolean removeItemR5(String theReferenceId) {
 		boolean removed = false;
-		for (org.hl7.fhir.r5.model.ListResource.ListEntryComponent entry : getR5().getEntry()) {
+		for (org.hl7.fhir.r5.model.ListResource.ListResourceEntryComponent entry : getR5().getEntry()) {
 			if (theReferenceId.equals(entry.getItem().getReference()) && !entry.getDeleted()) {
 				entry.setDeleted(true);
 				removed = true;
diff --git a/hapi-fhir-jpaserver-searchparam/src/test/java/ca/uhn/fhir/jpa/searchparam/extractor/SearchParamExtractorMegaTest.java b/hapi-fhir-jpaserver-searchparam/src/test/java/ca/uhn/fhir/jpa/searchparam/extractor/SearchParamExtractorMegaTest.java
index da6dacf4bf4..3fc6475bcd0 100644
--- a/hapi-fhir-jpaserver-searchparam/src/test/java/ca/uhn/fhir/jpa/searchparam/extractor/SearchParamExtractorMegaTest.java
+++ b/hapi-fhir-jpaserver-searchparam/src/test/java/ca/uhn/fhir/jpa/searchparam/extractor/SearchParamExtractorMegaTest.java
@@ -163,6 +163,7 @@ public class SearchParamExtractorMegaTest {
 			case "instant":
 				leaf.setValueAsString("2019-10-10T11:11:11Z");
 				break;
+			case "integer64":
 			case "integer":
 			case "decimal":
 				leaf.setValueAsString("1");
diff --git a/hapi-fhir-structures-dstu2.1/src/test/java/ca/uhn/fhir/parser/JsonParserDstu2_1Test.java b/hapi-fhir-structures-dstu2.1/src/test/java/ca/uhn/fhir/parser/JsonParserDstu2_1Test.java
index e31cf6be5bb..315736213f7 100644
--- a/hapi-fhir-structures-dstu2.1/src/test/java/ca/uhn/fhir/parser/JsonParserDstu2_1Test.java
+++ b/hapi-fhir-structures-dstu2.1/src/test/java/ca/uhn/fhir/parser/JsonParserDstu2_1Test.java
@@ -1693,25 +1693,6 @@ public class JsonParserDstu2_1Test {
 	}
 
 
-	/**
-	 * See #484
-	 */
-	@Test
-	public void testParseNarrativeWithEmptyDiv() {
-		String input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div/>\"}}";
-		Basic basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
-		assertEquals(null, basic.getText().getDivAsString());
-
-		input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div></div>\"}}";
-		basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
-		assertEquals(null, basic.getText().getDivAsString());
-
-		input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div> </div>\"}}";
-		basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
-		assertEquals("<div xmlns=\"http://www.w3.org/1999/xhtml\"> </div>", basic.getText().getDivAsString());
-
-	}
-
 	/**
 	 * See #163
 	 */
diff --git a/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/model/XhtmlNodeTest.java b/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/model/XhtmlNodeTest.java
index b87263ed32b..673cac8a740 100644
--- a/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/model/XhtmlNodeTest.java
+++ b/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/model/XhtmlNodeTest.java
@@ -30,7 +30,17 @@ public class XhtmlNodeTest {
 		assertEquals("<div xmlns=\"http://www.w3.org/1999/xhtml\">It’s January again</div>", new XhtmlNode().setValue(dt.getValue()).getValueAsString());
 	}
 
-	
+	/**
+	 * See #1658
+	 */
+	@Test
+	public void testLangAttributePreserved() {
+		XhtmlNode dt = new XhtmlNode();
+		dt.setValueAsString("<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\">help i'm a bug</div>");
+		assertEquals("<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\">help i'm a bug</div>", dt.getValueAsString());
+		assertEquals("<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\">help i'm a bug</div>", new XhtmlNode().setValue(dt.getValue()).getValueAsString());
+	}
+
 	/**
 	 * See #443
 	 */
diff --git a/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/parser/JsonParserDstu3Test.java b/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/parser/JsonParserDstu3Test.java
index f6c411a272a..3211b621a89 100644
--- a/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/parser/JsonParserDstu3Test.java
+++ b/hapi-fhir-structures-dstu3/src/test/java/ca/uhn/fhir/parser/JsonParserDstu3Test.java
@@ -2187,11 +2187,11 @@ public class JsonParserDstu3Test {
 	public void testParseNarrativeWithEmptyDiv() {
 		String input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div/>\"}}";
 		Basic basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
-		assertEquals(null, basic.getText().getDivAsString());
+		assertEquals("<div/>", basic.getText().getDivAsString());
 
 		input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div></div>\"}}";
 		basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
-		assertEquals(null, basic.getText().getDivAsString());
+		assertEquals("<div xmlns=\"http://www.w3.org/1999/xhtml\"/>", basic.getText().getDivAsString());
 
 		input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div> </div>\"}}";
 		basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
@@ -2199,6 +2199,18 @@ public class JsonParserDstu3Test {
 
 	}
 
+	/**
+	 * See #1658
+	 */
+	@Test
+	public void testParseNarrativeWithLang() {
+		String input = "{\"resourceType\":\"Basic\",\"id\":\"1\",\"text\":{\"status\":\"generated\",\"div\":\"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\" lang=\\\"en-US\\\">foo</div>\"}}";
+		Basic basic = ourCtx.newJsonParser().parseResource(Basic.class, input);
+		assertEquals("<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\">foo</div>", basic.getText().getDivAsString());
+
+
+	}
+
 	/**
 	 * See #163
 	 */
diff --git a/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/parser/XmlParserR4Test.java b/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/parser/XmlParserR4Test.java
index 8ddb449ca18..c16ac5c8950 100644
--- a/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/parser/XmlParserR4Test.java
+++ b/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/parser/XmlParserR4Test.java
@@ -1,21 +1,26 @@
 package ca.uhn.fhir.parser;
 
+import static org.hamcrest.Matchers.containsString;
 import static org.hamcrest.Matchers.stringContainsInOrder;
 import static org.junit.Assert.assertEquals;
 import static org.junit.Assert.assertNotEquals;
 import static org.junit.Assert.assertThat;
 
+import ca.uhn.fhir.test.BaseTest;
 import org.hl7.fhir.r4.model.Bundle;
 import org.hl7.fhir.r4.model.Composition;
 import org.hl7.fhir.r4.model.MessageHeader;
 import org.hl7.fhir.r4.model.Narrative;
+import org.hl7.fhir.r4.model.Observation;
 import org.junit.Test;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
 
 import ca.uhn.fhir.context.FhirContext;
 
-public class XmlParserR4Test {
+import java.io.IOException;
+
+public class XmlParserR4Test extends BaseTest {
 	private static final Logger ourLog = LoggerFactory.getLogger(XmlParserR4Test.class);
 	private static FhirContext ourCtx = FhirContext.forR4();
 	
@@ -74,5 +79,17 @@ public class XmlParserR4Test {
 
 	}
 
+	/**
+	 * See #1658
+	 */
+	@Test
+	public void testNarrativeLangAttributePreserved() throws IOException {
+		Observation obs = loadResource(ourCtx, Observation.class, "/resource-with-lang-in-narrative.xml");
+		String encoded = ourCtx.newXmlParser().setPrettyPrint(true).encodeResourceToString(obs);
+		assertThat(encoded, containsString("xmlns=\"http://www.w3.org/1999/xhtml\""));
+		assertThat(encoded, containsString("lang=\"en-US\""));
+		ourLog.info(encoded);
+	}
+
 
 }
diff --git a/hapi-fhir-structures-r4/src/test/resources/resource-with-lang-in-narrative.xml b/hapi-fhir-structures-r4/src/test/resources/resource-with-lang-in-narrative.xml
new file mode 100644
index 00000000000..f3f5664f51e
--- /dev/null
+++ b/hapi-fhir-structures-r4/src/test/resources/resource-with-lang-in-narrative.xml
@@ -0,0 +1,49 @@
+<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
+	<id value="f001"/><!--    urn:oid:2.16.840.1.113883.4.642.1.7    --><!--    2.16.840.1.113883.4.642.1.118    -->
+	<text>
+		<status value="generated"/>
+		<div xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f001</p><p><b>identifier</b>: 6323 (OFFICIAL)</p><p><b>status</b>: final</p><p><b>code</b>: Glucose [Moles/volume] in Blood <span>(Details : {LOINC code &#39;15074-8&#39; = &#39;Glucose [Moles/volume] in Blood&#39;, given as &#39;Glucose [Moles/volume] in Blood&#39;})</span></p><p><b>subject</b>: <a>P. van de Heuvel</a></p><p><b>effective</b>: 02/04/2013 9:30:10 AM --&gt; (ongoing)</p><p><b>issued</b>: 03/04/2013 3:30:10 PM</p><p><b>performer</b>: <a>A. Langeveld</a></p><p><b>value</b>: 6.3 mmol/l<span> (Details: UCUM code mmol/L = &#39;mmol/L&#39;)</span></p><p><b>interpretation</b>: High <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code &#39;H&#39; = &#39;High&#39;, given as &#39;High&#39;})</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td>*</td><td>3.1 mmol/l<span> (Details: UCUM code mmol/L = &#39;mmol/L&#39;)</span></td><td>6.2 mmol/l<span> (Details: UCUM code mmol/L = &#39;mmol/L&#39;)</span></td></tr></table></div></text><identifier>
+	<use value="official"/>
+	<system value="http://www.bmc.nl/zorgportal/identifiers/observations"/>
+	<value value="6323"/>
+</identifier>
+	<status value="final"/>
+	<code>
+		<coding>
+			<system value="http://loinc.org"/>
+			<code value="15074-8"/>
+			<display value="Glucose [Moles/volume] in Blood"/>
+		</coding>
+	</code>
+	<effectivePeriod>
+		<start value="2013-04-02T09:30:10+01:00"/>
+	</effectivePeriod>
+	<issued value="2013-04-03T15:30:10+01:00"/>
+	<valueQuantity>
+		<value value="6.3"/>
+		<unit value="mmol/l"/>
+		<system value="http://unitsofmeasure.org"/>
+		<code value="mmol/L"/>
+	</valueQuantity>
+	<interpretation>
+		<coding>
+			<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
+			<code value="H"/>
+			<display value="High"/>
+		</coding>
+	</interpretation>
+	<referenceRange>
+		<low>
+			<value value="3.1"/>
+			<unit value="mmol/l"/>
+			<system value="http://unitsofmeasure.org"/>
+			<code value="mmol/L"/>
+		</low>
+		<high>
+			<value value="6.2"/>
+			<unit value="mmol/l"/>
+			<system value="http://unitsofmeasure.org"/>
+			<code value="mmol/L"/>
+		</high>
+	</referenceRange>
+</Observation>
diff --git a/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/DefaultProfileValidationSupport.java b/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/DefaultProfileValidationSupport.java
index ac63ae0f6a0..10848c810f0 100644
--- a/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/DefaultProfileValidationSupport.java
+++ b/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/DefaultProfileValidationSupport.java
@@ -314,7 +314,7 @@ public class DefaultProfileValidationSupport implements IValidationSupport {
 						.filter(t -> (Constants.codeSystemNotNeeded(theCodeSystem) || t.getSystem().equals(theCodeSystem)) && t.getCode().equals(theCode))
 						.findFirst();
 					if (haveMatch.isPresent()) {
-						return new CodeValidationResult(new ConceptDefinitionComponent(new CodeType(theCode)));
+						return new CodeValidationResult(new ConceptDefinitionComponent(theCode));
 					}
 				}
 			} catch (Exception e) {
diff --git a/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/HapiWorkerContext.java b/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/HapiWorkerContext.java
index 0b4f58300f4..c48a81f8f5e 100644
--- a/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/HapiWorkerContext.java
+++ b/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/ctx/HapiWorkerContext.java
@@ -24,11 +24,15 @@ import org.hl7.fhir.r5.terminologies.ValueSetExpander;
 import org.hl7.fhir.r5.terminologies.ValueSetExpanderFactory;
 import org.hl7.fhir.r5.terminologies.ValueSetExpanderSimple;
 import org.hl7.fhir.r5.utils.IResourceValidator;
-import org.hl7.fhir.utilities.TerminologyServiceOptions;
 import org.hl7.fhir.utilities.TranslationServices;
 import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
 
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Collections;
+import java.util.List;
+import java.util.Map;
+import java.util.Set;
 import java.util.concurrent.TimeUnit;
 
 import static org.apache.commons.lang3.StringUtils.isNotBlank;
@@ -144,15 +148,9 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 		}
 	}
 
-	@Override
-	public Set<String> typeTails() {
-		return new HashSet<>(Arrays.asList("Integer", "UnsignedInt", "PositiveInt", "Decimal", "DateTime", "Date", "Time", "Instant", "String", "Uri", "Oid", "Uuid", "Id", "Boolean", "Code",
-			"Markdown", "Base64Binary", "Coding", "CodeableConcept", "Attachment", "Identifier", "Quantity", "SampledData", "Range", "Period", "Ratio", "HumanName", "Address", "ContactPoint",
-			"Timing", "Reference", "Annotation", "Signature", "Meta"));
-	}
 
 	@Override
-	public ValidationResult validateCode(TerminologyServiceOptions theOptions, CodeableConcept theCode, ValueSet theVs) {
+	public ValidationResult validateCode(ValidationOptions theOptions, CodeableConcept theCode, ValueSet theVs) {
 		for (Coding next : theCode.getCoding()) {
 			ValidationResult retVal = validateCode(theOptions, next, theVs);
 			if (retVal.isOk()) {
@@ -164,7 +162,7 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 	}
 
 	@Override
-	public ValidationResult validateCode(TerminologyServiceOptions theOptions, Coding theCode, ValueSet theVs) {
+	public ValidationResult validateCode(ValidationOptions theOptions, Coding theCode, ValueSet theVs) {
 		String system = theCode.getSystem();
 		String code = theCode.getCode();
 		String display = theCode.getDisplay();
@@ -172,7 +170,7 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 	}
 
 	@Override
-	public ValidationResult validateCode(TerminologyServiceOptions theOptions, String theSystem, String theCode, String theDisplay) {
+	public ValidationResult validateCode(ValidationOptions theOptions, String theSystem, String theCode, String theDisplay) {
 		IContextValidationSupport.CodeValidationResult result = myValidationSupport.validateCode(myCtx, theSystem, theCode, theDisplay, null);
 		if (result == null) {
 			return null;
@@ -181,12 +179,7 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 	}
 
 	@Override
-	public ValidationResult validateCode(TerminologyServiceOptions theOptions, String theSystem, String theCode, String theDisplay, ConceptSetComponent theVsi) {
-		throw new UnsupportedOperationException();
-	}
-
-	@Override
-	public ValidationResult validateCode(TerminologyServiceOptions theOptions, String theSystem, String theCode, String theDisplay, ValueSet theVs) {
+	public ValidationResult validateCode(ValidationOptions theOptions, String theSystem, String theCode, String theDisplay, ValueSet theVs) {
 
 		/*
 		 * The following valueset is a special case, since the BCP codesystem is very difficult to expand
@@ -227,13 +220,13 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 
 
 	@Override
-	public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, ValueSet vs) {
+	public ValidationResult validateCode(ValidationOptions theOptions, String code, ValueSet vs) {
 		return validateCode(theOptions, null, code, null, vs);
 	}
 
 	@Override
 	@CoverageIgnore
-	public List<MetadataResource> allConformanceResources() {
+	public List<CanonicalResource> allConformanceResources() {
 		throw new UnsupportedOperationException();
 	}
 
@@ -242,6 +235,11 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 
 	}
 
+	@Override
+	public void generateSnapshot(StructureDefinition mr, boolean ifLogical) {
+
+	}
+
 	@Override
 	public Parameters getExpansionParameters() {
 		return myExpansionProfile;
@@ -400,4 +398,9 @@ public final class HapiWorkerContext implements IWorkerContext, ValueSetExpander
 		throw new UnsupportedOperationException();
 	}
 
+	@Override
+	public Map<String, byte[]> getBinaries() {
+		return null;
+	}
+
 }
diff --git a/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/rest/server/ServerCapabilityStatementProvider.java b/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/rest/server/ServerCapabilityStatementProvider.java
index 4cdbb9268e4..d0c9a708924 100644
--- a/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/rest/server/ServerCapabilityStatementProvider.java
+++ b/hapi-fhir-structures-r5/src/main/java/org/hl7/fhir/r5/hapi/rest/server/ServerCapabilityStatementProvider.java
@@ -1,5 +1,6 @@
 package org.hl7.fhir.r5.hapi.rest.server;
 
+import ca.uhn.fhir.context.FhirContext;
 import ca.uhn.fhir.context.FhirVersionEnum;
 import ca.uhn.fhir.context.RuntimeResourceDefinition;
 import ca.uhn.fhir.context.RuntimeSearchParam;
@@ -14,31 +15,51 @@ import ca.uhn.fhir.rest.server.IServerConformanceProvider;
 import ca.uhn.fhir.rest.server.RestfulServer;
 import ca.uhn.fhir.rest.server.RestfulServerConfiguration;
 import ca.uhn.fhir.rest.server.exceptions.ResourceNotFoundException;
-import ca.uhn.fhir.rest.server.method.*;
-import ca.uhn.fhir.rest.server.method.SearchParameter;
+import ca.uhn.fhir.rest.server.method.BaseMethodBinding;
+import ca.uhn.fhir.rest.server.method.IParameter;
+import ca.uhn.fhir.rest.server.method.OperationMethodBinding;
 import ca.uhn.fhir.rest.server.method.OperationMethodBinding.ReturnType;
+import ca.uhn.fhir.rest.server.method.OperationParameter;
+import ca.uhn.fhir.rest.server.method.SearchMethodBinding;
+import ca.uhn.fhir.rest.server.method.SearchParameter;
 import ca.uhn.fhir.rest.server.util.BaseServerCapabilityStatementProvider;
 import org.apache.commons.lang3.StringUtils;
 import org.hl7.fhir.exceptions.FHIRException;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.instance.model.api.IPrimitiveType;
-import org.hl7.fhir.r5.model.*;
-import org.hl7.fhir.r5.model.CapabilityStatement.*;
+import org.hl7.fhir.r5.model.CapabilityStatement;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestResourceComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestResourceSearchParamComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.ConditionalDeleteStatus;
+import org.hl7.fhir.r5.model.CapabilityStatement.ResourceInteractionComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.SystemRestfulInteraction;
+import org.hl7.fhir.r5.model.CapabilityStatement.TypeRestfulInteraction;
+import org.hl7.fhir.r5.model.DateTimeType;
+import org.hl7.fhir.r5.model.Enumerations;
 import org.hl7.fhir.r5.model.Enumerations.PublicationStatus;
+import org.hl7.fhir.r5.model.IdType;
+import org.hl7.fhir.r5.model.OperationDefinition;
 import org.hl7.fhir.r5.model.OperationDefinition.OperationDefinitionParameterComponent;
 import org.hl7.fhir.r5.model.OperationDefinition.OperationKind;
-import org.hl7.fhir.r5.model.OperationDefinition.OperationParameterUse;
+import org.hl7.fhir.r5.model.ResourceType;
 
 import javax.servlet.ServletContext;
 import javax.servlet.http.HttpServletRequest;
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Collections;
+import java.util.Comparator;
+import java.util.Date;
+import java.util.HashSet;
+import java.util.List;
+import java.util.Map;
 import java.util.Map.Entry;
+import java.util.Set;
+import java.util.TreeSet;
 
 import static org.apache.commons.lang3.StringUtils.isBlank;
 import static org.apache.commons.lang3.StringUtils.isNotBlank;
 
-import ca.uhn.fhir.context.FhirContext;
-
 /*
  * #%L
  * HAPI FHIR Structures - DSTU2 (FHIR v1.0.0)
@@ -160,7 +181,7 @@ public class ServerCapabilityStatementProvider extends BaseServerCapabilityState
       .setUrl(serverBase)
       .setDescription(configuration.getImplementationDescription());
 
-    retVal.setKind(CapabilityStatementKind.INSTANCE);
+    retVal.setKind(Enumerations.CapabilityStatementKind.INSTANCE);
     retVal.getSoftware().setName(configuration.getServerName());
     retVal.getSoftware().setVersion(configuration.getServerVersion());
     retVal.addFormat(Constants.CT_FHIR_XML_NEW);
@@ -168,7 +189,7 @@ public class ServerCapabilityStatementProvider extends BaseServerCapabilityState
     retVal.setStatus(PublicationStatus.ACTIVE);
 
     CapabilityStatementRestComponent rest = retVal.addRest();
-    rest.setMode(RestfulCapabilityMode.SERVER);
+    rest.setMode(Enumerations.RestfulCapabilityMode.SERVER);
 
     Set<SystemRestfulInteraction> systemOps = new HashSet<>();
     Set<String> operationNames = new HashSet<>();
@@ -442,8 +463,8 @@ public class ServerCapabilityStatementProvider extends BaseServerCapabilityState
             continue;
           }
           OperationDefinitionParameterComponent param = op.addParameter();
-          param.setUse(OperationParameterUse.IN);
-          param.setType("string");
+          param.setUse(Enumerations.OperationParameterUse.IN);
+          param.setType(Enumerations.FHIRAllTypes.STRING);
           param.getSearchTypeElement().setValueAsString(nextParam.getParamType().getCode());
           param.setMin(nextParam.isRequired() ? 1 : 0);
           param.setMax("1");
@@ -511,9 +532,9 @@ public class ServerCapabilityStatementProvider extends BaseServerCapabilityState
           if (!inParams.add(nextParam.getName())) {
             continue;
           }
-          param.setUse(OperationParameterUse.IN);
+          param.setUse(Enumerations.OperationParameterUse.IN);
           if (nextParam.getParamType() != null) {
-            param.setType(nextParam.getParamType());
+            param.setType(Enumerations.FHIRAllTypes.fromCode(nextParam.getParamType()));
           }
           if (nextParam.getSearchParamType() != null) {
             param.getSearchTypeElement().setValueAsString(nextParam.getSearchParamType());
@@ -529,9 +550,9 @@ public class ServerCapabilityStatementProvider extends BaseServerCapabilityState
           continue;
         }
         OperationDefinitionParameterComponent param = op.addParameter();
-        param.setUse(OperationParameterUse.OUT);
+        param.setUse(Enumerations.OperationParameterUse.OUT);
         if (nextParam.getType() != null) {
-          param.setType(nextParam.getType());
+          param.setType(Enumerations.FHIRAllTypes.fromCode(nextParam.getType()));
         }
         param.setMin(nextParam.getMin());
         param.setMax(nextParam.getMax() == -1 ? "*" : Integer.toString(nextParam.getMax()));
diff --git a/hapi-fhir-structures-r5/src/main/resources/org/hl7/fhir/r5/model/fhirversion.properties b/hapi-fhir-structures-r5/src/main/resources/org/hl7/fhir/r5/model/fhirversion.properties
index 22b831d13ce..2248296c8ae 100644
--- a/hapi-fhir-structures-r5/src/main/resources/org/hl7/fhir/r5/model/fhirversion.properties
+++ b/hapi-fhir-structures-r5/src/main/resources/org/hl7/fhir/r5/model/fhirversion.properties
@@ -1,5 +1,5 @@
 # This file contains version definitions
-# Generated: 2019-10-26T18:45:40.876-04:00
+# Generated: 2020-01-12T11:10:06.793+08:00
 
 resource.Account=org.hl7.fhir.r5.model.Account
 resource.ActivityDefinition=org.hl7.fhir.r5.model.ActivityDefinition
@@ -148,14 +148,16 @@ datatype.Address=org.hl7.fhir.r5.model.Address
 datatype.Age=org.hl7.fhir.r5.model.Age
 datatype.Annotation=org.hl7.fhir.r5.model.Annotation
 datatype.Attachment=org.hl7.fhir.r5.model.Attachment
-datatype.BackboneElement=org.hl7.fhir.r5.model.BackboneType
+datatype.BackboneType=org.hl7.fhir.r5.model.BackboneType
 datatype.CodeableConcept=org.hl7.fhir.r5.model.CodeableConcept
+datatype.CodeableReference=org.hl7.fhir.r5.model.CodeableReference
 datatype.Coding=org.hl7.fhir.r5.model.Coding
 datatype.ContactDetail=org.hl7.fhir.r5.model.ContactDetail
 datatype.ContactPoint=org.hl7.fhir.r5.model.ContactPoint
 datatype.Contributor=org.hl7.fhir.r5.model.Contributor
 datatype.Count=org.hl7.fhir.r5.model.Count
 datatype.DataRequirement=org.hl7.fhir.r5.model.DataRequirement
+datatype.DataType=org.hl7.fhir.r5.model.DataType
 datatype.Distance=org.hl7.fhir.r5.model.Distance
 datatype.Dosage=org.hl7.fhir.r5.model.Dosage
 datatype.Duration=org.hl7.fhir.r5.model.Duration
@@ -199,6 +201,7 @@ datatype.decimal=org.hl7.fhir.r5.model.DecimalType
 datatype.id=org.hl7.fhir.r5.model.IdType
 datatype.instant=org.hl7.fhir.r5.model.InstantType
 datatype.integer=org.hl7.fhir.r5.model.IntegerType
+datatype.integer64=org.hl7.fhir.r5.model.Integer64Type
 datatype.markdown=org.hl7.fhir.r5.model.MarkdownType
 datatype.oid=org.hl7.fhir.r5.model.OidType
 datatype.positiveInt=org.hl7.fhir.r5.model.PositiveIntType
@@ -207,4 +210,5 @@ datatype.time=org.hl7.fhir.r5.model.TimeType
 datatype.unsignedInt=org.hl7.fhir.r5.model.UnsignedIntType
 datatype.uri=org.hl7.fhir.r5.model.UriType
 datatype.url=org.hl7.fhir.r5.model.UrlType
+datatype.uuid=org.hl7.fhir.r5.model.UuidType
 datatype.xhtml=org.hl7.fhir.utilities.xhtml.XhtmlNode
diff --git a/hapi-fhir-structures-r5/src/test/java/ca/uhn/fhir/rest/server/ServerCapabilityStatementProviderR5Test.java b/hapi-fhir-structures-r5/src/test/java/ca/uhn/fhir/rest/server/ServerCapabilityStatementProviderR5Test.java
index 2f814a229a8..9a384e576c2 100644
--- a/hapi-fhir-structures-r5/src/test/java/ca/uhn/fhir/rest/server/ServerCapabilityStatementProviderR5Test.java
+++ b/hapi-fhir-structures-r5/src/test/java/ca/uhn/fhir/rest/server/ServerCapabilityStatementProviderR5Test.java
@@ -3,13 +3,19 @@ package ca.uhn.fhir.rest.server;
 import ca.uhn.fhir.context.FhirContext;
 import ca.uhn.fhir.model.api.Include;
 import ca.uhn.fhir.model.api.annotation.Description;
+import ca.uhn.fhir.model.api.annotation.ResourceDef;
 import ca.uhn.fhir.model.primitive.InstantDt;
 import ca.uhn.fhir.rest.annotation.*;
 import ca.uhn.fhir.rest.api.MethodOutcome;
 import ca.uhn.fhir.rest.api.RestSearchParameterTypeEnum;
 import ca.uhn.fhir.rest.api.server.IBundleProvider;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
-import ca.uhn.fhir.rest.param.*;
+import ca.uhn.fhir.rest.param.DateRangeParam;
+import ca.uhn.fhir.rest.param.QuantityParam;
+import ca.uhn.fhir.rest.param.ReferenceAndListParam;
+import ca.uhn.fhir.rest.param.StringParam;
+import ca.uhn.fhir.rest.param.TokenOrListParam;
+import ca.uhn.fhir.rest.param.TokenParam;
 import ca.uhn.fhir.rest.server.method.BaseMethodBinding;
 import ca.uhn.fhir.rest.server.method.IParameter;
 import ca.uhn.fhir.rest.server.method.SearchMethodBinding;
@@ -21,26 +27,41 @@ import com.google.common.collect.Lists;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.r5.hapi.rest.server.ServerCapabilityStatementProvider;
 import org.hl7.fhir.r5.model.*;
-import org.hl7.fhir.r5.model.CapabilityStatement.*;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestResourceComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestResourceOperationComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.CapabilityStatementRestResourceSearchParamComponent;
+import org.hl7.fhir.r5.model.CapabilityStatement.ConditionalDeleteStatus;
+import org.hl7.fhir.r5.model.CapabilityStatement.SystemRestfulInteraction;
+import org.hl7.fhir.r5.model.CapabilityStatement.TypeRestfulInteraction;
 import org.hl7.fhir.r5.model.Enumerations.PublicationStatus;
 import org.hl7.fhir.r5.model.OperationDefinition.OperationDefinitionParameterComponent;
 import org.hl7.fhir.r5.model.OperationDefinition.OperationKind;
-import org.hl7.fhir.r5.model.OperationDefinition.OperationParameterUse;
 import org.junit.AfterClass;
 import org.junit.Ignore;
 import org.junit.Test;
 
 import javax.servlet.ServletConfig;
 import javax.servlet.http.HttpServletRequest;
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Collection;
+import java.util.HashSet;
+import java.util.List;
+import java.util.Set;
 
-import static org.hamcrest.Matchers.*;
-import static org.junit.Assert.*;
+import static org.hamcrest.Matchers.containsInAnyOrder;
+import static org.hamcrest.Matchers.containsString;
+import static org.hamcrest.Matchers.empty;
+import static org.hamcrest.Matchers.is;
+import static org.hamcrest.Matchers.not;
+import static org.hamcrest.Matchers.nullValue;
+import static org.junit.Assert.assertEquals;
+import static org.junit.Assert.assertNull;
+import static org.junit.Assert.assertThat;
+import static org.junit.Assert.assertTrue;
 import static org.mockito.Mockito.mock;
 import static org.mockito.Mockito.when;
 
-import ca.uhn.fhir.model.api.annotation.ResourceDef;
-
 public class ServerCapabilityStatementProviderR5Test {
 
 	private static FhirContext ourCtx;
@@ -265,9 +286,9 @@ public class ServerCapabilityStatementProviderR5Test {
 			assertThat(types, containsInAnyOrder("Patient"));
 			assertEquals(2, opDef.getParameter().size());
 			assertEquals("someOpParam1", opDef.getParameter().get(0).getName());
-			assertEquals("date", opDef.getParameter().get(0).getType());
+			assertEquals("date", opDef.getParameter().get(0).getType().toCode());
 			assertEquals("someOpParam2", opDef.getParameter().get(1).getName());
-			assertEquals("Patient", opDef.getParameter().get(1).getType());
+			assertEquals("Patient", opDef.getParameter().get(1).getType().toCode());
 		}
 		{
 			OperationDefinition opDef = sc.readOperationDefinition(new IdType("OperationDefinition/Encounter-i-someOp"), createRequestDetails(rs));
@@ -280,9 +301,9 @@ public class ServerCapabilityStatementProviderR5Test {
 			assertThat(types, containsInAnyOrder("Encounter"));
 			assertEquals(2, opDef.getParameter().size());
 			assertEquals("someOpParam1", opDef.getParameter().get(0).getName());
-			assertEquals("date", opDef.getParameter().get(0).getType());
+			assertEquals("date", opDef.getParameter().get(0).getType().toCode());
 			assertEquals("someOpParam2", opDef.getParameter().get(1).getName());
-			assertEquals("Encounter", opDef.getParameter().get(1).getType());
+			assertEquals("Encounter", opDef.getParameter().get(1).getType().toCode());
 		}
 		{
 			OperationDefinition opDef = sc.readOperationDefinition(new IdType("OperationDefinition/Patient-i-validate"), createRequestDetails(rs));
@@ -295,7 +316,7 @@ public class ServerCapabilityStatementProviderR5Test {
 			assertThat(types, containsInAnyOrder("Patient"));
 			assertEquals(1, opDef.getParameter().size());
 			assertEquals("resource", opDef.getParameter().get(0).getName());
-			assertEquals("Patient", opDef.getParameter().get(0).getType());
+			assertEquals("Patient", opDef.getParameter().get(0).getType().toCode());
 		}
 	}
 
@@ -672,11 +693,11 @@ public class ServerCapabilityStatementProviderR5Test {
 		assertThat(parameters.size(), is(1));
 		OperationDefinitionParameterComponent param = parameters.get(0);
 		assertThat(param.getName(), is(NamedQueryPlainProvider.SP_QUANTITY));
-		assertThat(param.getType(), is("string"));
+		assertThat(param.getType().toCode(), is("string"));
 		assertThat(param.getSearchTypeElement().asStringValue(), is(RestSearchParameterTypeEnum.QUANTITY.getCode()));
 		assertThat(param.getMin(), is(1));
 		assertThat(param.getMax(), is("1"));
-		assertThat(param.getUse(), is(OperationParameterUse.IN));
+		assertThat(param.getUse(), is(Enumerations.OperationParameterUse.IN));
 	}
 
 	@Test
@@ -710,11 +731,11 @@ public class ServerCapabilityStatementProviderR5Test {
 		assertThat(parameters.size(), is(1));
 		OperationDefinitionParameterComponent param = parameters.get(0);
 		assertThat(param.getName(), is(NamedQueryResourceProvider.SP_PARAM));
-		assertThat(param.getType(), is("string"));
+		assertThat(param.getType().toCode(), is("string"));
 		assertThat(param.getSearchTypeElement().asStringValue(), is(RestSearchParameterTypeEnum.STRING.getCode()));
 		assertThat(param.getMin(), is(0));
 		assertThat(param.getMax(), is("1"));
-		assertThat(param.getUse(), is(OperationParameterUse.IN));
+		assertThat(param.getUse(), is(Enumerations.OperationParameterUse.IN));
 
 		CapabilityStatementRestResourceComponent patientResource = restComponent.getResource().stream()
 				.filter(r -> patientResourceName.equals(r.getType()))
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/extension/extension-definitions.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/extension/extension-definitions.xml
index ae46959d0cd..c9b3ca4ff61 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/extension/extension-definitions.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/extension/extension-definitions.xml
@@ -1,121276 +1,121256 @@
-<?xml version="1.0" encoding="UTF-8"?>
-
 <Bundle xmlns="http://hl7.org/fhir">
-  <id value="extensions"/>
-  <meta>
-    <lastUpdated value="2019-11-09T18:02:45.608+00:00"/>
-  </meta>
-  <type value="collection"/>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-diseaseCourse"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"/>
-        <version value="4.1.0"/>
-        <name value="diseaseCourse"/>
-        <title value="diseaseCourse"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The clinical course of the disease (how the disease behaves over time), such as acute versus chronic."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The clinical course of the disease"/>
-            <definition value="The clinical course of the disease (how the disease behaves over time), such as acute versus chronic."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionCourse"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe the clinical course of the disease."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-course"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The clinical course of the disease"/>
-            <definition value="The clinical course of the disease (how the disease behaves over time), such as acute versus chronic."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionCourse"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe the clinical course of the disease."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-course"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-citizenship"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"/>
-        <version value="4.1.0"/>
-        <name value="citizenship"/>
-        <title value="citizenship"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The patient&#39;s legal status as citizen of a country."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Nation(s) where the patient claims citizenship"/>
-            <definition value="The patient&#39;s legal status as citizen of a country."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Nation code of citizenship"/>
-            <definition value="Nation code representing the citizenship of patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:period">
-            <path value="Extension.extension"/>
-            <sliceName value="period"/>
-            <short value="Time period of citizenship"/>
-            <definition value="Period when citizenship was effective."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:period.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:period.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:period.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="period"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:period.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Period"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Nation(s) where the patient claims citizenship"/>
-            <definition value="The patient&#39;s legal status as citizen of a country."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Nation code of citizenship"/>
-            <definition value="Nation code representing the citizenship of patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:period">
-            <path value="Extension.extension"/>
-            <sliceName value="period"/>
-            <short value="Time period of citizenship"/>
-            <definition value="Period when citizenship was effective."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:period.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:period.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="period"/>
-          </element>
-          <element id="Extension.extension:period.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Period"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-management"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-management"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-management"/>
-        <version value="4.1.0"/>
-        <name value="management"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Text description about the clinical management provided."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Clinical Management Description"/>
-            <definition value="Text description about the clinical management provided."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-management"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Clinical Management Description"/>
-            <definition value="Text description about the clinical management provided."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-management"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"/>
-    <resource>
-      <StructureDefinition>
-        <id value="11179-objectClass"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"/>
-        <version value="4.1.0"/>
-        <name value="objectClass"/>
-        <title value="Object Class"/>
-        <status value="draft"/>
-        <date value="2014-04-21"/>
-        <publisher value="Health Level Seven International (Orders and Observations)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules. It may be either a single concept or a group of associated concepts, abstractions, or things."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="iso11179"/>
-          <uri value="http://metadata-standards.org/11179/"/>
-          <name value="ISO 11179"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.mapping"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Object Class"/>
-            <definition value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules. It may be either a single concept or a group of associated concepts, abstractions, or things."/>
-            <comment value="ObjectClass and Property are treated as a data model that can be mapped to, like any other.  This extension merely captures the ObjectClass element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.meaning.object_class"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="11179ObjectClass"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules; e.g. Person, Prescription, Encounter, etc."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclass"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Object Class"/>
-            <definition value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules. It may be either a single concept or a group of associated concepts, abstractions, or things."/>
-            <comment value="ObjectClass and Property are treated as a data model that can be mapped to, like any other.  This extension merely captures the ObjectClass element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.meaning.object_class"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="11179ObjectClass"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules; e.g. Person, Prescription, Encounter, etc."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclass"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/location-distance"/>
-    <resource>
-      <StructureDefinition>
-        <id value="location-distance"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/location-distance"/>
-        <version value="4.1.0"/>
-        <name value="location-distance"/>
-        <title value="Distance"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A calculated distance between the resource and a provided location."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.entry.search"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The distance this resource is from a provided location (geocode point)"/>
-            <definition value="A calculated distance between the resource and a provided location."/>
-            <comment value="This may be used with the Location.near/near-distance search parameter."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-distance"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The distance this resource is from a provided location (geocode point)"/>
-            <definition value="A calculated distance between the resource and a provided location."/>
-            <comment value="This may be used with the Location.near/near-distance search parameter."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-distance"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Distance"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-conceptOrder"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"/>
-        <version value="4.1.0"/>
-        <name value="conceptOrder"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Identifies the relative order in which concepts within the value set should be presented to a user."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.concept"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion.contains"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Appearance order for user selection"/>
-            <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Appearance order for user selection"/>
-            <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-displayCategory"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"/>
-        <version value="4.1.0"/>
-        <name value="displayCategory"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Describes the intended purpose of the rendered text.  For example - instructions, guidance on access control, maintenance information, etc."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type!=&#39;display&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Purpose of rendered text"/>
-            <definition value="Describes the intended purpose of the rendered text.  For example - instructions, guidance on access control, maintenance information, etc."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QuestionnaireDisplayCategory"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Identifies the purpose for a &quot;display&quot; item."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-display-category"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Purpose of rendered text"/>
-            <definition value="Describes the intended purpose of the rendered text.  For example - instructions, guidance on access control, maintenance information, etc."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QuestionnaireDisplayCategory"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Identifies the purpose for a &quot;display&quot; item."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-display-category"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"/>
-    <resource>
-      <StructureDefinition>
-        <id value="family-member-history-genetics-sibling"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"/>
-        <version value="4.1.0"/>
-        <name value="sibling"/>
-        <status value="draft"/>
-        <date value="2019-05-29"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Identifies a sibling of the relative."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="natural brother(s) &amp; natural sister(s) - genetic &amp; other"/>
-            <definition value="Identifies a sibling of the relative."/>
-            <comment value="Some cases may have complex inner-pedigree-tree relationship. For instance, double cousin relationship need two extra link with In pedigree tree itself. This can&#39;t be revealed by relationship to subject."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="sibling | brother | sister | etc."/>
-            <definition value="Distinguishes between different types of sibling relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SiblingRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Sibling relationship types."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/sibling-relationship-codes|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference">
-            <path value="Extension.extension"/>
-            <sliceName value="reference"/>
-            <short value="Link to sibling relative(s)"/>
-            <definition value="Points to the FamilyMemberHistory record of the relation who is the sibling of this relation."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:reference.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:reference.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="reference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="natural brother(s) &amp; natural sister(s) - genetic &amp; other"/>
-            <definition value="Identifies a sibling of the relative."/>
-            <comment value="Some cases may have complex inner-pedigree-tree relationship. For instance, double cousin relationship need two extra link with In pedigree tree itself. This can&#39;t be revealed by relationship to subject."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="sibling | brother | sister | etc."/>
-            <definition value="Distinguishes between different types of sibling relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SiblingRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Sibling relationship types."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/sibling-relationship-codes|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:reference">
-            <path value="Extension.extension"/>
-            <sliceName value="reference"/>
-            <short value="Link to sibling relative(s)"/>
-            <definition value="Points to the FamilyMemberHistory record of the relation who is the sibling of this relation."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:reference.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:reference.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="reference"/>
-          </element>
-          <element id="Extension.extension:reference.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-method"/>
-    <resource>
-      <StructureDefinition>
-        <id value="hla-genotyping-results-method"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-method"/>
-        <version value="4.1.0"/>
-        <name value="method"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="The platform, methodology and software applied at the time of the&#xD;genotyping."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The platform, methodology and software applied at the time of the&#xD;genotyping"/>
-            <definition value="The platform, methodology and software applied at the time of the&#xD;genotyping."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-method"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The platform, methodology and software applied at the time of the&#xD;genotyping"/>
-            <definition value="The platform, methodology and software applied at the time of the&#xD;genotyping."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-method"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-birthPlace"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"/>
-        <version value="4.1.0"/>
-        <name value="birthPlace"/>
-        <title value="Birth Place"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The registered place of birth of the patient. A sytem may use the address.text if they don&#39;t store the birthPlace address in discrete elements."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Place of Birth for patient"/>
-            <definition value="The registered place of birth of the patient. A sytem may use the address.text if they don&#39;t store the birthPlace address in discrete elements."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Address"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Place of Birth for patient"/>
-            <definition value="The registered place of birth of the patient. A sytem may use the address.text if they don&#39;t store the birthPlace address in discrete elements."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Address"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsVariant"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"/>
-        <version value="4.1.0"/>
-        <name value="Variant"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Variant information."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Variant"/>
-            <definition value="Variant information."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="HGVS nomenclature for observed DNA sequence variant"/>
-            <definition value="Human Genome Variation Society (HGVS) nomenclature for a single or set of DNA Sequence Variation(s) identified in testing.  The use of the nomenclature is also used to describe non-variations (aka. wild types). LOINC Code: ([48004-6](http://loinc.org/48004-6))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ClinVar-variant-database"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="NCBI central repository of potentially clinically relevant variants."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Id">
-            <path value="Extension.extension"/>
-            <sliceName value="Id"/>
-            <short value="DNA sequence variant ID"/>
-            <definition value="Identifier for DNA sequence variant.  If a germline variant, ClinVar or dbSNP identifier should be used.  If a somatic variant, COSMIC identifier should be used, unless in ClinVar then either maybe used. Need to provide the code system used (ClinVar, dbSNP, COSMIC) LOINC Code: ([48003-8](http://loinc.org/48003-8))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Id.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Id.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Id.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Id"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Id.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type">
-            <path value="Extension.extension"/>
-            <sliceName value="Type"/>
-            <short value="DNA sequence variant type"/>
-            <definition value="Codified type for associated DNA sequence variant. DNA sequence variants use the HGVS notation, which implies the DNA sequence variant type. LOINC Code: ([48019-4](http://loinc.org/48019-4))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Variant"/>
-            <definition value="Variant information."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="HGVS nomenclature for observed DNA sequence variant"/>
-            <definition value="Human Genome Variation Society (HGVS) nomenclature for a single or set of DNA Sequence Variation(s) identified in testing.  The use of the nomenclature is also used to describe non-variations (aka. wild types). LOINC Code: ([48004-6](http://loinc.org/48004-6))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ClinVar-variant-database"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="NCBI central repository of potentially clinically relevant variants."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:Id">
-            <path value="Extension.extension"/>
-            <sliceName value="Id"/>
-            <short value="DNA sequence variant ID"/>
-            <definition value="Identifier for DNA sequence variant.  If a germline variant, ClinVar or dbSNP identifier should be used.  If a somatic variant, COSMIC identifier should be used, unless in ClinVar then either maybe used. Need to provide the code system used (ClinVar, dbSNP, COSMIC) LOINC Code: ([48003-8](http://loinc.org/48003-8))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Id.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Id.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Id"/>
-          </element>
-          <element id="Extension.extension:Id.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Type">
-            <path value="Extension.extension"/>
-            <sliceName value="Type"/>
-            <short value="DNA sequence variant type"/>
-            <definition value="Codified type for associated DNA sequence variant. DNA sequence variants use the HGVS notation, which implies the DNA sequence variant type. LOINC Code: ([48019-4](http://loinc.org/48019-4))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Type"/>
-          </element>
-          <element id="Extension.extension:Type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-abatement"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"/>
-        <version value="4.1.0"/>
-        <name value="abatement"/>
-        <title value="abatement"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the allergy or intolerance resolved"/>
-            <definition value="The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution."/>
-            <comment value="Age is generally used when the patient reports an age at which the allergy or intolerance abated. If there is no abatement element, the clinicalStatus can be used to convey whether allergy or intolerance has resolved or not. When abatementString exists, it conveys that the allergy or intolerance is abated."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the allergy or intolerance resolved"/>
-            <definition value="The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution."/>
-            <comment value="Age is generally used when the patient reports an age at which the allergy or intolerance abated. If there is no abatement element, the clinicalStatus can be used to convey whether allergy or intolerance has resolved or not. When abatementString exists, it conveys that the allergy or intolerance is abated."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"/>
-    <resource>
-      <StructureDefinition>
-        <id value="medicationdispense-quantityRemaining"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="phx"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"/>
-        <version value="4.1.0"/>
-        <name value="quantityRemaining"/>
-        <title value="quantityRemaining"/>
-        <status value="draft"/>
-        <date value="2019-03-23"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The quanity left to be dispensed after a dispensing event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="MedicationDispense"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Quanity of medication left to be dispensed after a dispensing event"/>
-            <definition value="The quanity left to be dispensed after a dispensing event."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="A fixed quantity (no comparator)"/>
-            <definition value="The comparator is not used on a SimpleQuantity"/>
-            <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Quantity"/>
-              <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
-            </type>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="qty-3"/>
-              <severity value="error"/>
-              <human value="If a code for the unit is present, the system SHALL also be present"/>
-              <expression value="code.empty() or system.exists()"/>
-              <xpath value="not(exists(f:code)) or exists(f:system)"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Quantity"/>
-            </constraint>
-            <constraint>
-              <key value="sqty-1"/>
-              <severity value="error"/>
-              <human value="The comparator is not used on a SimpleQuantity"/>
-              <expression value="comparator.empty()"/>
-              <xpath value="not(exists(f:comparator))"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="SN (see also Range) or CQ"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Quanity of medication left to be dispensed after a dispensing event"/>
-            <definition value="The quanity left to be dispensed after a dispensing event."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Quantity"/>
-              <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/language"/>
-    <resource>
-      <StructureDefinition>
-        <id value="language"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/language"/>
-        <version value="4.1.0"/>
-        <name value="Human Language"/>
-        <title value="Human Language of the item"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="The Human Language of the item."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Address"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Annotation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Human Language for the item"/>
-            <definition value="The Human Language of the item."/>
-            <comment value="This is used where an item may repeat to indicate the language of each repeat."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/language"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Human Language for the item"/>
-            <definition value="The Human Language of the item."/>
-            <comment value="This is used where an item may repeat to indicate the language of each repeat."/>
-            <min value="1"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/language"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"/>
-    <resource>
-      <StructureDefinition>
-        <id value="11179-objectClassProperty"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"/>
-        <version value="4.1.0"/>
-        <name value="objectClassProperty"/>
-        <title value="Object Class Property"/>
-        <status value="draft"/>
-        <date value="2014-04-21"/>
-        <publisher value="Health Level Seven International (Orders and Observations)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world.  It is conceptual and thus has no particular associated means of representation by which the property can be communicated."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="iso11179"/>
-          <uri value="http://metadata-standards.org/11179/"/>
-          <name value="ISO 11179"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.mapping"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Object Class Property"/>
-            <definition value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world.  It is conceptual and thus has no particular associated means of representation by which the property can be communicated."/>
-            <comment value="ObjectClass and Property are treated as a data model that can be mapped to like any other.  This extension merely captures the Property element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.meaning.property"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="11179ObjectClassProperty"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world; e.g. name, identifier, gender, creationDate."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclassproperty"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Object Class Property"/>
-            <definition value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world.  It is conceptual and thus has no particular associated means of representation by which the property can be communicated."/>
-            <comment value="ObjectClass and Property are treated as a data model that can be mapped to like any other.  This extension merely captures the Property element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.meaning.property"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="11179ObjectClassProperty"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world; e.g. name, identifier, gender, creationDate."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclassproperty"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-related"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-related"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-related"/>
-        <version value="4.1.0"/>
-        <name value="related"/>
-        <title value="related"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="This condition has an unspecified relationship with another condition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Conditions associated with this condition"/>
-            <definition value="This condition has an unspecified relationship with another condition."/>
-            <comment value="When the relationship is specified, use the more specific extension, such as condition-dueTo, condition-occurredFollowing, or condition-part of."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-related"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Conditions associated with this condition"/>
-            <definition value="This condition has an unspecified relationship with another condition."/>
-            <comment value="When the relationship is specified, use the more specific extension, such as condition-dueTo, condition-occurredFollowing, or condition-part of."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-related"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"/>
-    <resource>
-      <StructureDefinition>
-        <id value="data-absent-reason"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"/>
-        <version value="4.1.0"/>
-        <name value="Data Absent Reason"/>
-        <title value="Why value is missing"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Provides a reason why the expected value or elements in the element that is extended are missing."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="unknown | asked | temp | notasked | masked | unsupported | astext | error"/>
-            <definition value="Provides a reason why the expected value or elements in the element that is extended are missing."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ANY.nullFlavor"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DataAbsentReason"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Used to specify why the normally expected content of the data element is missing."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="unknown | asked | temp | notasked | masked | unsupported | astext | error"/>
-            <definition value="Provides a reason why the expected value or elements in the element that is extended are missing."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ANY.nullFlavor"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DataAbsentReason"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Used to specify why the normally expected content of the data element is missing."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-postBox"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-postBox"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A numbered box located in a post station."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="postBox"/>
-            <definition value="A numbered box located in a post station."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=POB]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="postBox"/>
-            <definition value="A numbered box located in a post station."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=POB]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expression"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-expression"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-expression"/>
-        <version value="4.1.0"/>
-        <name value="expression"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="An expression that provides an alternative definition of the content of the value set. There are two different ways to use this expression extension: If both an expression and a compose element is present, the compose is understood the make the same statement as the expression. If there is no compose, the expression is the only definition of the value set, and the value set can only be processed by a server that understands the expression syntax, it that is computable."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An alternative computable expression of the value set content"/>
-            <definition value="An expression that provides an alternative definition of the content of the value set. There are two different ways to use this expression extension: If both an expression and a compose element is present, the compose is understood the make the same statement as the expression. If there is no compose, the expression is the only definition of the value set, and the value set can only be processed by a server that understands the expression syntax, it that is computable."/>
-            <comment value="The expression may be a reference or the actual expression, and ss expected to be a computable format (use the [rules-text extension](extension-valueset-rules-text.html) for a non-computable description)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expression"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An alternative computable expression of the value set content"/>
-            <definition value="An expression that provides an alternative definition of the content of the value set. There are two different ways to use this expression extension: If both an expression and a compose element is present, the compose is understood the make the same statement as the expression. If there is no compose, the expression is the only definition of the value set, and the value set can only be processed by a server that understands the expression syntax, it that is computable."/>
-            <comment value="The expression may be a reference or the actual expression, and ss expected to be a computable format (use the [rules-text extension](extension-valueset-rules-text.html) for a non-computable description)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expression"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Expression"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-Witness"/>
-    <resource>
-      <StructureDefinition>
-        <id value="consent-Witness"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="cbcc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/consent-Witness"/>
-        <version value="4.1.0"/>
-        <name value="Witness"/>
-        <title value="Witness"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - CBCC WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="Any witness to the consent."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Consent"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Witness to Consent"/>
-            <definition value="Any witness to the consent."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Witness"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Witness to Consent"/>
-            <definition value="Any witness to the consent."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Witness"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-episodeOfCare"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"/>
-        <version value="4.1.0"/>
-        <name value="episodeOfCare"/>
-        <title value="Episode of Care"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="The episode(s) of care that establishes the context for this {{title}}."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceUseStatement"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="AdverseEvent"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CarePlan"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ClinicalImpression"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Communication"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CommunicationRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated Encounter episode of care"/>
-            <definition value="The episode(s) of care that establishes the context for this {{title}}."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated Encounter episode of care"/>
-            <definition value="The episode(s) of care that establishes the context for this {{title}}."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-careplan"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"/>
-        <version value="4.1.0"/>
-        <name value="careplan"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Additional details about the clinical management provided for this Reaction Event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Clinical Management Details"/>
-            <definition value="Additional details about the clinical management provided for this Reaction Event."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Clinical Management Details"/>
-            <definition value="Additional details about the clinical management provided for this Reaction Event."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"/>
-    <resource>
-      <StructureDefinition>
-        <id value="diagnosticReport-summaryOf"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"/>
-        <version value="4.1.0"/>
-        <name value="summaryOf"/>
-        <title value="Summary Of"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A summary report that points to subordinate target reports."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Summary Of Other Reports"/>
-            <definition value="A summary report that points to subordinate target reports."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Summary Of Other Reports"/>
-            <definition value="A summary report that points to subordinate target reports."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"/>
-    <resource>
-      <StructureDefinition>
-        <id value="goal-reasonRejected"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"/>
-        <version value="4.1.0"/>
-        <name value="reasonRejected"/>
-        <title value="reason rejected"/>
-        <status value="draft"/>
-        <date value="2014-12-07"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir"/>
-          </telecom>
-        </contact>
-        <description value="The reason the goal was not accepted. Applies only if the status of the goal is rejected."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="qdm"/>
-          <uri value="http://www.healthit.gov/quality-data-model"/>
-          <name value="Quality Data Model"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Goal"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The reason the goal was not accepted"/>
-            <definition value="The reason the goal was not accepted. Applies only if the status of the goal is rejected."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="qdm"/>
-              <map value="negation rationale"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The reason the goal was not accepted"/>
-            <definition value="The reason the goal was not accepted. Applies only if the status of the goal is rejected."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="qdm"/>
-              <map value="negation rationale"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-fmm-no-warnings"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"/>
-        <version value="4.1.0"/>
-        <name value="fmm-no-warnings"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The FMM level that would be assigned to the artifact if it had no warnings."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FMM Level (if no warnings)"/>
-            <definition value="The FMM level that would be assigned to the artifact if it had no warnings."/>
-            <comment value="If an artifact is higher than level 0, it must have no warnings from the resource/profile validator. This is the logical level that will apply once warnings have been resolved."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FMM Level (if no warnings)"/>
-            <definition value="The FMM level that would be assigned to the artifact if it had no warnings."/>
-            <comment value="If an artifact is higher than level 0, it must have no warnings from the resource/profile validator. This is the logical level that will apply once warnings have been resolved."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-houseNumber"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-houseNumber"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="houseNumber"/>
-            <definition value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=BNR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="houseNumber"/>
-            <definition value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=BNR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-expand-group"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"/>
-        <version value="4.1.0"/>
-        <name value="expand-group"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This extension declares a group of concepts that is generated into the ValueSet.expansion.contains hierarchy when the expansion is generated for a UI. THere is no inherent assigned meaning to the hierarchy; it is used to help the user navigate the concepts. Each group has a display and/or a code, and a list of members, which are either concepts in the value set, or other groups (by code)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Defines a hierarchy structure (when in UI mode)"/>
-            <definition value="This extension declares a group of concepts that is generated into the ValueSet.expansion.contains hierarchy when the expansion is generated for a UI. THere is no inherent assigned meaning to the hierarchy; it is used to help the user navigate the concepts. Each group has a display and/or a code, and a list of members, which are either concepts in the value set, or other groups (by code)."/>
-            <comment value="Note that there are inter-relationships between concept status/properties and the way the groups are built; these are described and documented in the (value set hierarchical example)[d.html]. Note that this extension should be ignored when the expansion is not generated for UI."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Underlying code from the system"/>
-            <definition value="A reference to a code from the include.system that defines the meaning associated with the group. Note that including the code in this extension does not include the code in the value set; if the code is intended to be in the value set, it must be listed directly as well."/>
-            <comment value="If there is no code, the group purely exists for display, and has no underlying meaning."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:display">
-            <path value="Extension.extension"/>
-            <sliceName value="display"/>
-            <short value="Display for the group"/>
-            <definition value="The description for the group (goes in ValueSet.expansion.contains.dispaly). All groups need a display; this can only be omitted if there is a code that can be used to determine the display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:display.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:display.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:display.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="display"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:display.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:member">
-            <path value="Extension.extension"/>
-            <sliceName value="member"/>
-            <short value="Codes or other groups in this group"/>
-            <definition value="One of more codes that identify codes in the expansion or other groups."/>
-            <comment value="A group without a code can be included by giving it an id and using #[id] in place of the code."/>
-            <min value="1"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:member.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:member.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:member.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="member"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:member.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Defines a hierarchy structure (when in UI mode)"/>
-            <definition value="This extension declares a group of concepts that is generated into the ValueSet.expansion.contains hierarchy when the expansion is generated for a UI. THere is no inherent assigned meaning to the hierarchy; it is used to help the user navigate the concepts. Each group has a display and/or a code, and a list of members, which are either concepts in the value set, or other groups (by code)."/>
-            <comment value="Note that there are inter-relationships between concept status/properties and the way the groups are built; these are described and documented in the (value set hierarchical example)[d.html]. Note that this extension should be ignored when the expansion is not generated for UI."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Underlying code from the system"/>
-            <definition value="A reference to a code from the include.system that defines the meaning associated with the group. Note that including the code in this extension does not include the code in the value set; if the code is intended to be in the value set, it must be listed directly as well."/>
-            <comment value="If there is no code, the group purely exists for display, and has no underlying meaning."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-          </element>
-          <element id="Extension.extension:display">
-            <path value="Extension.extension"/>
-            <sliceName value="display"/>
-            <short value="Display for the group"/>
-            <definition value="The description for the group (goes in ValueSet.expansion.contains.dispaly). All groups need a display; this can only be omitted if there is a code that can be used to determine the display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:display.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:display.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="display"/>
-          </element>
-          <element id="Extension.extension:display.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:member">
-            <path value="Extension.extension"/>
-            <sliceName value="member"/>
-            <short value="Codes or other groups in this group"/>
-            <definition value="One of more codes that identify codes in the expansion or other groups."/>
-            <comment value="A group without a code can be included by giving it an id and using #[id] in place of the code."/>
-            <min value="1"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:member.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:member.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="member"/>
-          </element>
-          <element id="Extension.extension:member.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaireresponse-author"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"/>
-        <version value="4.1.0"/>
-        <name value="author"/>
-        <title value="Author"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Allows capturing, on a specific question or group of questions, exactly who was responsible for providing the answer(s)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who answered question/group"/>
-            <definition value="Allows capturing, on a specific question or group of questions, exactly who was responsible for providing the answer(s)."/>
-            <comment value="This should be drawn from one of the resources identified as an author of the QuestionnaireResponse overall."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="./participation[typeCode=SBJ]/role"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who answered question/group"/>
-            <definition value="Allows capturing, on a specific question or group of questions, exactly who was responsible for providing the answer(s)."/>
-            <comment value="This should be drawn from one of the resources identified as an author of the QuestionnaireResponse overall."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="./participation[typeCode=SBJ]/role"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement2-search-parameter-combination"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"/>
-        <version value="4.1.0"/>
-        <name value="search-parameter-combination"/>
-        <title value="Search Parameter Combination"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.resource"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An allowable parameter combination"/>
-            <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."/>
-            <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required">
-            <path value="Extension.extension"/>
-            <sliceName value="required"/>
-            <short value="A required search parameter name"/>
-            <definition value="A search parameter name in the combination which is required."/>
-            <min value="1"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:required.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="required"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional">
-            <path value="Extension.extension"/>
-            <sliceName value="optional"/>
-            <short value="An optional search parameter name"/>
-            <definition value="A search parameter name in the combination which is optional."/>
-            <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:optional.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="optional"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An allowable parameter combination"/>
-            <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."/>
-            <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required">
-            <path value="Extension.extension"/>
-            <sliceName value="required"/>
-            <short value="A required search parameter name"/>
-            <definition value="A search parameter name in the combination which is required."/>
-            <min value="1"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:required.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="required"/>
-          </element>
-          <element id="Extension.extension:required.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:optional">
-            <path value="Extension.extension"/>
-            <sliceName value="optional"/>
-            <short value="An optional search parameter name"/>
-            <definition value="A search parameter name in the combination which is optional."/>
-            <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:optional.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="optional"/>
-          </element>
-          <element id="Extension.extension:optional.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqm-ValidityPeriod"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sd"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"/>
-        <version value="4.1.0"/>
-        <name value="ValidityPeriod"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - Clinical Quality Information WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="The period in which the catalog is valid."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Composition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Validity Period"/>
-            <definition value="The period in which the catalog is valid."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Validity Period"/>
-            <definition value="The period in which the catalog is valid."/>
-            <min value="1"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-TEL-address"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"/>
-        <version value="4.1.0"/>
-        <name value="TEL-address"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A V3 compliant, RFC 3966 conformant URI version of the telephone or fax number."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ContactPoint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="RFC 3966 compliant telephone or fax number"/>
-            <definition value="A V3 compliant, RFC 3966 conformant URI version of the telephone or fax number."/>
-            <comment value="Note that this form is supposed  to be used in CDA, but many CDA documents are not actually conformant."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="TEL.address"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="url"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="RFC 3966 compliant telephone or fax number"/>
-            <definition value="A V3 compliant, RFC 3966 conformant URI version of the telephone or fax number."/>
-            <comment value="Note that this form is supposed  to be used in CDA, but many CDA documents are not actually conformant."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="TEL.address"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="url"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-approachBodyStructure"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"/>
-        <version value="4.1.0"/>
-        <name value="approachBodyStructure"/>
-        <title value="approachBodyStructure"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The approach body site used for this procedure.  Multiple locations are allowed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceUseStatement"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The access point or points used for this procedure"/>
-            <definition value="The approach body site used for this procedure.  Multiple locations are allowed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The access point or points used for this procedure"/>
-            <definition value="The approach body site used for this procedure.  Multiple locations are allowed."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-template-status"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"/>
-        <version value="4.1.0"/>
-        <name value="template-status"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Status code taken from [HL7 template specification](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=377) - allows for alignment with the template DSTU, and has more authoring status codes."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Template Status Code (more authoring statuses)"/>
-            <definition value="Status code taken from [HL7 template specification](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=377) - allows for alignment with the template DSTU, and has more authoring status codes."/>
-            <comment value="The Profile status has the codes that are relevant to end-users/developers, while this extension has the codes used by profile developers."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="TemplateStatusCode"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The status indicates the level of maturity of the design and may be used to manage the use of the design."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/template-status-code|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Template Status Code (more authoring statuses)"/>
-            <definition value="Status code taken from [HL7 template specification](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=377) - allows for alignment with the template DSTU, and has more authoring status codes."/>
-            <comment value="The Profile status has the codes that are relevant to end-users/developers, while this extension has the codes used by profile developers."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="TemplateStatusCode"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The status indicates the level of maturity of the design and may be used to manage the use of the design."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/template-status-code|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-deprecated"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"/>
-        <version value="4.1.0"/>
-        <name value="deprecated"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="if ture, indicates that the concept is deprecated from the value set - that is, it should not be used, and is planned to be withdrawn."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The concept should not be used"/>
-            <definition value="if ture, indicates that the concept is deprecated from the value set - that is, it should not be used, and is planned to be withdrawn."/>
-            <comment value="Ths status relates to a concept&#39;s inclusion in the value set, and might be different to the underlying status of the concept itself."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The concept should not be used"/>
-            <definition value="if ture, indicates that the concept is deprecated from the value set - that is, it should not be used, and is planned to be withdrawn."/>
-            <comment value="Ths status relates to a concept&#39;s inclusion in the value set, and might be different to the underlying status of the concept itself."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-summary"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"/>
-        <version value="4.1.0"/>
-        <name value="summary"/>
-        <title value="summary"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Additional text for the summary presentation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional text for the summary presentation"/>
-            <definition value="Additional text for the summary presentation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional text for the summary presentation"/>
-            <definition value="Additional text for the summary presentation."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"/>
-    <resource>
-      <StructureDefinition>
-        <id value="DiagnosticReport-geneticsAssessedCondition"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"/>
-        <version value="4.1.0"/>
-        <name value="AssessedCondition"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Used to denote condition context for genetic testing, which may influence reported variants and interpretation for large genomic testing panels e.g. lung cancer or familial breast cancer."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="AssessedCondition"/>
-            <definition value="Used to denote condition context for genetic testing, which may influence reported variants and interpretation for large genomic testing panels e.g. lung cancer or familial breast cancer."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="AssessedCondition"/>
-            <definition value="Used to denote condition context for genetic testing, which may influence reported variants and interpretation for large genomic testing panels e.g. lung cancer or familial breast cancer."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-additionalLocator"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-additionalLocator"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="additionalLocator"/>
-            <definition value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=ADL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="additionalLocator"/>
-            <definition value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=ADL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-author"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-author"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-author"/>
-        <version value="4.1.0"/>
-        <name value="author"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The entity or set of entities that create and may modify the Value Set Definition content. The name of a group or an individual, along with contact details."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Entity/entities that create and may modify the Value Set"/>
-            <definition value="The entity or set of entities that create and may modify the Value Set Definition content. The name of a group or an individual, along with contact details."/>
-            <comment value="This can be any combination of groups or individuals. When known and actively maintained, this should be populated. The information included about the Author may include contact information."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-author"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Entity/entities that create and may modify the Value Set"/>
-            <definition value="The entity or set of entities that create and may modify the Value Set Definition content. The name of a group or an individual, along with contact details."/>
-            <comment value="This can be any combination of groups or individuals. When known and actively maintained, this should be populated. The information included about the Author may include contact information."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-author"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"/>
-    <resource>
-      <StructureDefinition>
-        <id value="specimen-specialHandling"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"/>
-        <version value="4.1.0"/>
-        <name value="specialHandling"/>
-        <title value="Special handling"/>
-        <status value="draft"/>
-        <date value="2015-02-19"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Special handling during the collection, transport, or storage of the specimen."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Specimen.collection"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Special handling of the specimen"/>
-            <definition value="Special handling during the collection, transport, or storage of the specimen."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Special handling of the specimen"/>
-            <definition value="Special handling during the collection, transport, or storage of the specimen."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-system"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-system"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-system"/>
-        <version value="4.1.0"/>
-        <name value="system"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Allows a direct reference to the code system for FHIR query."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.system"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system resource"/>
-            <definition value="Allows a direct reference to the code system for FHIR query."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-system"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system resource"/>
-            <definition value="Allows a direct reference to the code system for FHIR query."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-system"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-MPPS"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"/>
-        <version value="4.1.0"/>
-        <name value="MPPS"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="An MPPS Instance UID associated with this entity."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="MPPS instance UID"/>
-            <definition value="An MPPS Instance UID associated with this entity."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="MPPS"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="MPPS instance UID"/>
-            <definition value="An MPPS Instance UID associated with this entity."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="MPPS"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Identifier"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-bodyPosition"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"/>
-        <version value="4.1.0"/>
-        <name value="bodyPosition"/>
-        <title value="bodyPosition"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Specimen.collection"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The body position during the observation"/>
-            <definition value="The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The body position during the observation"/>
-            <definition value="The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsDNARegionName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"/>
-        <version value="4.1.0"/>
-        <name value="DNARegionName"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="A human readable name for the region of interest. Typically Exon #, Intron # or other. NOTE: This is not standardized and is mainly for convenience and display purposes.  LOINC Code: ([47999-8](http://loinc.org/47999-8))."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="DNA region name"/>
-            <definition value="A human readable name for the region of interest. Typically Exon #, Intron # or other. NOTE: This is not standardized and is mainly for convenience and display purposes.  LOINC Code: ([47999-8](http://loinc.org/47999-8))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="DNA region name"/>
-            <definition value="A human readable name for the region of interest. Typically Exon #, Intron # or other. NOTE: This is not standardized and is mainly for convenience and display purposes.  LOINC Code: ([47999-8](http://loinc.org/47999-8))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement-prohibited"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"/>
-        <version value="4.1.0"/>
-        <name value="prohibited"/>
-        <title value="Conformance prohibition"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource.interaction"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.operation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.document"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.interaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Functionality not allowed"/>
-            <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="true"/>
-            <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Functionality not allowed"/>
-            <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="true"/>
-            <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-administration"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"/>
-        <version value="4.1.0"/>
-        <name value="administration"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Link to an actual medication administration record with the full details of the administration, if a link is known."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Actual medication record, if known"/>
-            <definition value="Link to an actual medication administration record with the full details of the administration, if a link is known."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Actual medication record, if known"/>
-            <definition value="Link to an actual medication administration record with the full details of the administration, if a link is known."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-interpreterRequired"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"/>
-        <version value="4.1.0"/>
-        <name value="interpreterRequired"/>
-        <title value="interpreterRequired"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This Patient requires an interpreter to communicate healthcare information to the practitioner."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether the patient needs an interpreter"/>
-            <definition value="This Patient requires an interpreter to communicate healthcare information to the practitioner."/>
-            <comment value="The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether the patient needs an interpreter"/>
-            <definition value="This Patient requires an interpreter to communicate healthcare information to the practitioner."/>
-            <comment value="The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"/>
-    <resource>
-      <StructureDefinition>
-        <id value="usagecontext-group"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"/>
-        <version value="4.1.0"/>
-        <name value="group"/>
-        <title value="Context Group"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Defines the group in which this usage context is a member. Multiple groups are &quot;OR&#39;ed&quot;, contexts within a group are &quot;AND&#39;ed&quot;."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="UsageContext"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The group which this usage context is part of"/>
-            <definition value="Defines the group in which this usage context is a member. Multiple groups are &quot;OR&#39;ed&quot;, contexts within a group are &quot;AND&#39;ed&quot;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The group which this usage context is part of"/>
-            <definition value="Defines the group in which this usage context is a member. Multiple groups are &quot;OR&#39;ed&quot;, contexts within a group are &quot;AND&#39;ed&quot;."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-resolutionAge"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"/>
-        <version value="4.1.0"/>
-        <name value="resolutionAge"/>
-        <title value="resolutionAge"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Age that the allergy or intolerance resolved"/>
-            <definition value="The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved."/>
-            <comment value="Removed Date since it is hard to imagine knowing the date an allergy abated. The assertion date is already captured."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Age"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Age that the allergy or intolerance resolved"/>
-            <definition value="The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved."/>
-            <comment value="Removed Date since it is hard to imagine knowing the date an allergy abated. The assertion date is already captured."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Age"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"/>
-    <resource>
-      <StructureDefinition>
-        <id value="rendering-markdown"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"/>
-        <version value="4.1.0"/>
-        <name value="markdown"/>
-        <status value="draft"/>
-        <date value="2014-04-23"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="This is an equivalent of the string on which the extension is sent, but includes additional markdown (see documentation about [markdown](datatypes.html#markdown). Note that using HTML  [xhtml](extension-rendering-xhtml.html) can allow for greater precision of display."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="string"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="String equivalent with markdown"/>
-            <definition value="This is an equivalent of the string on which the extension is sent, but includes additional markdown (see documentation about [markdown](datatypes.html#markdown). Note that using HTML  [xhtml](extension-rendering-xhtml.html) can allow for greater precision of display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ED can be markdown content"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="String equivalent with markdown"/>
-            <definition value="This is an equivalent of the string on which the extension is sent, but includes additional markdown (see documentation about [markdown](datatypes.html#markdown). Note that using HTML  [xhtml](extension-rendering-xhtml.html) can allow for greater precision of display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ED can be markdown content"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-streetName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-streetName"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="streetName."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetName"/>
-            <definition value="streetName."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=STR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetName"/>
-            <definition value="streetName."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=STR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-deliveryInstallationType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-deliveryInstallationType"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryInstallationType"/>
-            <definition value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DINST]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryInstallationType"/>
-            <definition value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DINST]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-isCommonBinding"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"/>
-        <version value="4.1.0"/>
-        <name value="isCommonBinding"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Whether the binding is used on multiple resources, or only on this resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.binding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether used on multiple resources"/>
-            <definition value="Whether the binding is used on multiple resources, or only on this resource."/>
-            <comment value="Some bindings are defined once internally and used in many places. This extension marks those bindings, to allow for generating the binding information once when generating code. When isCommonBinding is true, bindingName will be the same, and unique (e.g. identify re-uses by looking at bindingName)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether used on multiple resources"/>
-            <definition value="Whether the binding is used on multiple resources, or only on this resource."/>
-            <comment value="Some bindings are defined once internally and used in many places. This extension marks those bindings, to allow for generating the binding information once when generating code. When isCommonBinding is true, bindingName will be the same, and unique (e.g. identify re-uses by looking at bindingName)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-location"/>
-    <resource>
-      <StructureDefinition>
-        <id value="consent-location"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="cbcc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/consent-location"/>
-        <version value="4.1.0"/>
-        <name value="location"/>
-        <title value="Location of Access restriction"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - CBCC WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="Restricts this exception to only apply a specific location as defined."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Consent.provision"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A location specific constraint"/>
-            <definition value="Restricts this exception to only apply a specific location as defined."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-location"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A location specific constraint"/>
-            <definition value="Restricts this exception to only apply a specific location as defined."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-location"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-censusTract"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-censusTract"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A geographic sub-unit delineated for demographic purposes."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="censusTract"/>
-            <definition value="A geographic sub-unit delineated for demographic purposes."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=CEN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="censusTract"/>
-            <definition value="A geographic sub-unit delineated for demographic purposes."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=CEN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-secondaryFinding"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"/>
-        <version value="4.1.0"/>
-        <name value="secondaryFinding"/>
-        <title value="Secondary Finding"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.&#xA;&#xA;For more detail, please see:&#xA;https://ghr.nlm.nih.gov/primer/testing/secondaryfindings."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.&#xA;&#xA;For more detail, please see:&#xA;https://ghr.nlm.nih.gov/primer/testing/secondaryfindings"/>
-            <definition value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.&#xA;&#xA;For more detail, please see:&#xA;https://ghr.nlm.nih.gov/primer/testing/secondaryfindings."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SecondaryFinding"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.&#xA;&#xA;For more detail, please see:&#xA;https://ghr.nlm.nih.gov/primer/testing/secondaryfindings"/>
-            <definition value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.&#xA;&#xA;For more detail, please see:&#xA;https://ghr.nlm.nih.gov/primer/testing/secondaryfindings."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SecondaryFinding"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-AD-use"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"/>
-        <version value="4.1.0"/>
-        <name value="AD-use"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Uses of Addresses - codes not defined as part of Address.use."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="BAD | CONF | HP | HV | DIR | PUB | PHYS | PST"/>
-            <definition value="Uses of Addresses - codes not defined as part of Address.use."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="AD.use"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="PostalAddressUse"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Uses of an address not included in Address.use."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/postal-address-use|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="BAD | CONF | HP | HV | DIR | PUB | PHYS | PST"/>
-            <definition value="Uses of Addresses - codes not defined as part of Address.use."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="AD.use"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="PostalAddressUse"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Uses of an address not included in Address.use."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/postal-address-use|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"/>
-    <resource>
-      <StructureDefinition>
-        <id value="rendering-xhtml"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"/>
-        <version value="4.1.0"/>
-        <name value="xhtml"/>
-        <status value="draft"/>
-        <date value="2014-04-23"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="This is an equivalent of the string on which the extension is sent, but includes additional XHTML markup, such as bold, italics, styles, tables, etc. Existing [restrictions on XHTML content](narrative.html#security) apply. Note that using [markdown](extension-rendering-markdown.html) allows for greater flexibility of display."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="string"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="String equivalent with html markup"/>
-            <definition value="This is an equivalent of the string on which the extension is sent, but includes additional XHTML markup, such as bold, italics, styles, tables, etc. Existing [restrictions on XHTML content](narrative.html#security) apply. Note that using [markdown](extension-rendering-markdown.html) allows for greater flexibility of display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ED can be XHTML content"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="String equivalent with html markup"/>
-            <definition value="This is an equivalent of the string on which the extension is sent, but includes additional XHTML markup, such as bold, italics, styles, tables, etc. Existing [restrictions on XHTML content](narrative.html#security) apply. Note that using [markdown](extension-rendering-markdown.html) allows for greater flexibility of display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ED can be XHTML content"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-mothersMaidenName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"/>
-        <version value="4.1.0"/>
-        <name value="mothersMaidenName"/>
-        <title value="Mother&#39;s Maiden Name"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Mother&#39;s maiden (unmarried) name, commonly collected to help verify patient identity."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mother&#39;s Maiden name"/>
-            <definition value="Mother&#39;s maiden (unmarried) name, commonly collected to help verify patient identity."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="PID-6"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="Role relationship to entity with maiden name (?)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mother&#39;s Maiden name"/>
-            <definition value="Mother&#39;s maiden (unmarried) name, commonly collected to help verify patient identity."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="PID-6"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="Role relationship to entity with maiden name (?)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/translation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="translation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/translation"/>
-        <version value="4.1.0"/>
-        <name value="Translation"/>
-        <title value="Translation"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Language translation from base language of resource to another language."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="string"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="code"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="markdown"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Language Translation (Localization)"/>
-            <definition value="Language translation from base language of resource to another language."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ST.translation"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang">
-            <path value="Extension.extension"/>
-            <sliceName value="lang"/>
-            <short value="Code for Language"/>
-            <definition value="Code for Language."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:lang.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:lang.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="lang"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:content">
-            <path value="Extension.extension"/>
-            <sliceName value="content"/>
-            <short value="Content in other Language"/>
-            <definition value="Content in other Language."/>
-            <comment value="The type (string or markdown) must match the context in which it is used."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:content.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:content.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:content.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="content"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:content.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/translation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Language Translation (Localization)"/>
-            <definition value="Language translation from base language of resource to another language."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ST.translation"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang">
-            <path value="Extension.extension"/>
-            <sliceName value="lang"/>
-            <short value="Code for Language"/>
-            <definition value="Code for Language."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:lang.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:lang.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="lang"/>
-          </element>
-          <element id="Extension.extension:lang.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:content">
-            <path value="Extension.extension"/>
-            <sliceName value="content"/>
-            <short value="Content in other Language"/>
-            <definition value="Content in other Language."/>
-            <comment value="The type (string or markdown) must match the context in which it is used."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:content.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:content.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="content"/>
-          </element>
-          <element id="Extension.extension:content.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/translation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/goal-relationship"/>
-    <resource>
-      <StructureDefinition>
-        <id value="goal-relationship"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/goal-relationship"/>
-        <version value="4.1.0"/>
-        <name value="relationship"/>
-        <title value="related goal"/>
-        <status value="draft"/>
-        <date value="2014-12-07"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir"/>
-          </telecom>
-        </contact>
-        <description value="Establishes a relationship between this goal and other goals."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Goal"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Goals related to this Goal"/>
-            <definition value="Establishes a relationship between this goal and other goals."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="predecessor | successor | replacement | other"/>
-            <definition value="Identifies what kind of relationship exists between source and target goal."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GoalRelationshipType"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Types of relationships between two goals."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/goal-relationship-type"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:target">
-            <path value="Extension.extension"/>
-            <sliceName value="target"/>
-            <short value="Related goal"/>
-            <definition value="The goal the relationship exists with."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:target.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:target.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:target.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="target"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:target.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-relationship"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Goals related to this Goal"/>
-            <definition value="Establishes a relationship between this goal and other goals."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="predecessor | successor | replacement | other"/>
-            <definition value="Identifies what kind of relationship exists between source and target goal."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GoalRelationshipType"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Types of relationships between two goals."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/goal-relationship-type"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:target">
-            <path value="Extension.extension"/>
-            <sliceName value="target"/>
-            <short value="Related goal"/>
-            <definition value="The goal the relationship exists with."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:target.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:target.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="target"/>
-          </element>
-          <element id="Extension.extension:target.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-relationship"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-signatureRequired"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"/>
-        <version value="4.1.0"/>
-        <name value="signatureRequired"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Indicates that a signature (of the specified type) is needed when completing the QuestionnaireResponse."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Is signature needed?"/>
-            <definition value="Indicates that a signature (of the specified type) is needed when completing the QuestionnaireResponse."/>
-            <comment value="If this appears at the Questionnaire level, then the signature will be gathered for the entire form when it is marked complete.  If it appears on a particular item, then it will be gathered on that question or group when it is filled in.  (E.g. seeking the user&#39;s initials beside certain questions.)&#xA;&#xA;The signature can be captured using the http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature extension."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SignatureRequired"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="The type of signature needed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/signature-type"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Is signature needed?"/>
-            <definition value="Indicates that a signature (of the specified type) is needed when completing the QuestionnaireResponse."/>
-            <comment value="If this appears at the Questionnaire level, then the signature will be gathered for the entire form when it is marked complete.  If it appears on a particular item, then it will be gathered on that question or group when it is filled in.  (E.g. seeking the user&#39;s initials beside certain questions.)&#xA;&#xA;The signature can be captured using the http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature extension."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SignatureRequired"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="The type of signature needed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/signature-type"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"/>
-    <resource>
-      <StructureDefinition>
-        <id value="request-doNotPerform"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"/>
-        <version value="4.1.0"/>
-        <name value="doNotPerform"/>
-        <title value="Do Not Perfom"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="If true indicates that the request is asking for the specified action to not occur."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="true if request is prohibiting action"/>
-            <definition value="If true indicates that the request is asking for the specified action to not occur."/>
-            <comment value="The attributes provided with the request qualify what is not to be done. For example, if an effectiveTime is provided, the &quot;do not&quot; request only applies within the specified time. If a performerType is specified then the &quot;do not&quot; request only applies to performers of that type. Qualifiers include: code, subject, occurrence, perormerType and performer.&#xD;&#xD;In some cases, the Request.code may pre-coordinate prohibition into the requested action. E.g. &quot;NPO&quot; (nothing by mouth), &quot;DNR&quot; (do not recussitate). If this happens, doNotPerform SHALL NOT be set to true. I.e. The resource shall not have double negation. (E.g. &quot;Do not DNR&quot;)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="true"/>
-            <isModifierReason value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="true if request is prohibiting action"/>
-            <definition value="If true indicates that the request is asking for the specified action to not occur."/>
-            <comment value="The attributes provided with the request qualify what is not to be done. For example, if an effectiveTime is provided, the &quot;do not&quot; request only applies within the specified time. If a performerType is specified then the &quot;do not&quot; request only applies to performers of that type. Qualifiers include: code, subject, occurrence, perormerType and performer.&#xD;&#xD;In some cases, the Request.code may pre-coordinate prohibition into the requested action. E.g. &quot;NPO&quot; (nothing by mouth), &quot;DNR&quot; (do not recussitate). If this happens, doNotPerform SHALL NOT be set to true. I.e. The resource shall not have double negation. (E.g. &quot;Do not DNR&quot;)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="true"/>
-            <isModifierReason value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-systemName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"/>
-        <version value="4.1.0"/>
-        <name value="systemName"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The human-readable name for the code system."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system name"/>
-            <definition value="The human-readable name for the code system."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system name"/>
-            <definition value="The human-readable name for the code system."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsAllele"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"/>
-        <version value="4.1.0"/>
-        <name value="Allele"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Allele information."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allele"/>
-            <definition value="Allele information."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="Name of allele"/>
-            <definition value="An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). This element is the common name for the allele. LOINC Code: ([48008-7](http://loinc.org/48008-7))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EBI-AlleleName"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="EMBL-EBI database of AlleleName."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/allelename"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:State">
-            <path value="Extension.extension"/>
-            <sliceName value="State"/>
-            <short value="The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous"/>
-            <definition value="The level of occurrence of a single DNA Sequence Variant within a set of chromosomes. Heterozygous indicates the DNA sequence variant is only present in one of the two genes contained in homologous chromosomes. Homozygous indicates the DNA Sequence Variant is present in both genes contained in homologous chromosomes. Hemizygous indicates the DNA Sequence Variant exists in the only single copy of a gene in a non-homologous chromosome (the male X and Y chromosome are non-homologous). Hemiplasmic indicates that the DNA Sequence Variant is present in some but not all of the copies of mitochondrial DNA. Homoplasmic indicates that the DNA Sequence Variant is present in all of the copies of mitochondrial DNA. LOINC Code: ([53034-5](http://loinc.org/53034-5))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:State.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:State.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:State.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="State"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:State.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Frequency">
-            <path value="Extension.extension"/>
-            <sliceName value="Frequency"/>
-            <short value="Allele frequency"/>
-            <definition value="A physical quality which inheres to the allele by virtue of the number instances of the allele within a population. LOINC Code: ([81258-6](http://loinc.org/81258-6))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Frequency.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Frequency.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Frequency.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Frequency"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Frequency.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allele"/>
-            <definition value="Allele information."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="Name of allele"/>
-            <definition value="An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). This element is the common name for the allele. LOINC Code: ([48008-7](http://loinc.org/48008-7))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EBI-AlleleName"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="EMBL-EBI database of AlleleName."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/allelename"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:State">
-            <path value="Extension.extension"/>
-            <sliceName value="State"/>
-            <short value="The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous"/>
-            <definition value="The level of occurrence of a single DNA Sequence Variant within a set of chromosomes. Heterozygous indicates the DNA sequence variant is only present in one of the two genes contained in homologous chromosomes. Homozygous indicates the DNA Sequence Variant is present in both genes contained in homologous chromosomes. Hemizygous indicates the DNA Sequence Variant exists in the only single copy of a gene in a non-homologous chromosome (the male X and Y chromosome are non-homologous). Hemiplasmic indicates that the DNA Sequence Variant is present in some but not all of the copies of mitochondrial DNA. Homoplasmic indicates that the DNA Sequence Variant is present in all of the copies of mitochondrial DNA. LOINC Code: ([53034-5](http://loinc.org/53034-5))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:State.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:State.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="State"/>
-          </element>
-          <element id="Extension.extension:State.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Frequency">
-            <path value="Extension.extension"/>
-            <sliceName value="Frequency"/>
-            <short value="Allele frequency"/>
-            <definition value="A physical quality which inheres to the allele by virtue of the number instances of the allele within a population. LOINC Code: ([81258-6](http://loinc.org/81258-6))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Frequency.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Frequency.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Frequency"/>
-          </element>
-          <element id="Extension.extension:Frequency.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-duration"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"/>
-        <version value="4.1.0"/>
-        <name value="duration"/>
-        <title value="duration"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The amount of time that the Adverse Reaction persisted."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="How long Manifestations persisted"/>
-            <definition value="The amount of time that the Adverse Reaction persisted."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="How long Manifestations persisted"/>
-            <definition value="The amount of time that the Adverse Reaction persisted."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Duration"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"/>
-    <resource>
-      <StructureDefinition>
-        <id value="subscription-topic-url"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"/>
-        <version value="4.1.0"/>
-        <name value="subscription-topic-url"/>
-        <title value="Subscription Topic URL"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The URL for the Topic this notification relates to (local to server - not canonical)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.meta"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The URL for the Topic this notification relates to"/>
-            <definition value="The URL for the Topic this notification relates to (local to server - not canonical)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="url"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The URL for the Topic this notification relates to"/>
-            <definition value="The URL for the Topic this notification relates to (local to server - not canonical)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="url"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-style"/>
-    <resource>
-      <StructureDefinition>
-        <id value="rendering-style"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/rendering-style"/>
-        <version value="4.1.0"/>
-        <name value="style"/>
-        <status value="draft"/>
-        <date value="2014-04-23"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Identifies how the specified element should be rendered when displayed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Html style value"/>
-            <definition value="Identifies how the specified element should be rendered when displayed."/>
-            <comment value="This extension would be equivalent to setting the HTML &quot;style&quot; attribute on the root element for the element containing the extension."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-style"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Html style value"/>
-            <definition value="Identifies how the specified element should be rendered when displayed."/>
-            <comment value="This extension would be equivalent to setting the HTML &quot;style&quot; attribute on the root element for the element containing the extension."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-style"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-table-name"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"/>
-        <version value="4.1.0"/>
-        <name value="table-name"/>
-        <title value="table name"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A name to use to show mappings of this type in the generated summary tables."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition.mapping"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Show mappings in the summary table with this name"/>
-            <definition value="A name to use to show mappings of this type in the generated summary tables."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Show mappings in the summary table with this name"/>
-            <definition value="A name to use to show mappings of this type in the generated summary tables."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-equivalence"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"/>
-        <version value="4.1.0"/>
-        <name value="equivalence"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The level of equivalence between the element containing the mapping and the element mapped to."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.mapping"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint"/>
-            <definition value="The level of equivalence between the element containing the mapping and the element mapped to."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConceptMapEquivalence"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The degree of equivalence between concepts."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint"/>
-            <definition value="The level of equivalence between the element containing the mapping and the element mapped to."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConceptMapEquivalence"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The degree of equivalence between concepts."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-uncertaintyType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"/>
-        <version value="4.1.0"/>
-        <name value="uncertaintyType"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A code specifying the type of probability distribution for the uncertainty."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Quantity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Probability Distribution Type for uncertainty"/>
-            <definition value="A code specifying the type of probability distribution for the uncertainty."/>
-            <comment value="This is only meaningful if there is also an uncertainty extension. If there is an uncertainty extension with no type, this means  that the probability distribution type is unknown. In that case, the uncertainty has the meaning of an informal guess."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PPD.distributionType"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ProbabilityDistributionType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes specifying the type of probability distribution."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/probability-distribution-type|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Probability Distribution Type for uncertainty"/>
-            <definition value="A code specifying the type of probability distribution for the uncertainty."/>
-            <comment value="This is only meaningful if there is also an uncertainty extension. If there is an uncertainty extension with no type, this means  that the probability distribution type is unknown. In that case, the uncertainty has the meaning of an informal guess."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PPD.distributionType"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ProbabilityDistributionType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes specifying the type of probability distribution."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/probability-distribution-type|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaireresponse-signature"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"/>
-        <version value="4.1.0"/>
-        <name value="signature"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Represents a wet or electronic signature for either the form overall or for the question or item it&#39;s associated with."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A signature attesting to the content"/>
-            <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it&#39;s associated with."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A signature attesting to the content"/>
-            <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it&#39;s associated with."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Signature"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-assembly-order"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"/>
-        <version value="4.1.0"/>
-        <name value="assembly-order"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A code that represents the preferred display order of the components of this human name."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Preferred display order of name parts"/>
-            <definition value="A code that represents the preferred display order of the components of this human name."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="HumanNameAssemblyOrder"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A code that represents the preferred display order of the components of a human name."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/name-assembly-order|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Preferred display order of name parts"/>
-            <definition value="A code that represents the preferred display order of the components of this human name."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="HumanNameAssemblyOrder"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A code that represents the preferred display order of the components of a human name."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/name-assembly-order|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-referenceFilter"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"/>
-        <version value="4.1.0"/>
-        <name value="referenceFilter"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Identifies a filter to apply when looking up candidate answers for the question."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;reference&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Filter to apply when looking up references"/>
-            <definition value="Identifies a filter to apply when looking up candidate answers for the question."/>
-            <comment value="The filter may include $subj and/or $encounter which should be substituted by the implementer with the subject and/or encounter id relevant in the context in which the questionnaire is being populated."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Filter to apply when looking up references"/>
-            <definition value="Identifies a filter to apply when looking up candidate answers for the question."/>
-            <comment value="The filter may include $subj and/or $encounter which should be substituted by the implementer with the subject and/or encounter id relevant in the context in which the questionnaire is being populated."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-label"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-label"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-label"/>
-        <version value="4.1.0"/>
-        <name value="label"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.concept"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion.contains"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."/>
-            <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-label"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."/>
-            <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-label"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/regex"/>
-    <resource>
-      <StructureDefinition>
-        <id value="regex"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/regex"/>
-        <version value="4.1.0"/>
-        <name value="regex"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="A regular expression that defines the syntax for the data element to be considered valid."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Regular expression pattern"/>
-            <definition value="A regular expression that defines the syntax for the data element to be considered valid."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/regex"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Regular expression pattern"/>
-            <definition value="A regular expression that defines the syntax for the data element to be considered valid."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/regex"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/http-response-header"/>
-    <resource>
-      <StructureDefinition>
-        <id value="http-response-header"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/http-response-header"/>
-        <version value="4.1.0"/>
-        <name value="http-response-header"/>
-        <title value="HTTP Response header"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="In a transaction, every single interaction can have multiple HTTP response headers returned as a result of the interaction."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.entry.response"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="HTTP header returned by the interaction"/>
-            <definition value="In a transaction, every single interaction can have multiple HTTP response headers returned as a result of the interaction."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/http-response-header"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="HTTP header returned by the interaction"/>
-            <definition value="In a transaction, every single interaction can have multiple HTTP response headers returned as a result of the interaction."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/http-response-header"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-EN-representation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"/>
-        <version value="4.1.0"/>
-        <name value="EN-representation"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Name Representation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="ABC | IDE | SYL"/>
-            <definition value="Name Representation."/>
-            <comment value="The transcription of the name - how it is represented (for e.g. Japanese names)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP.use"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="NameRepresentationUse"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set of codes for each different representation of a name."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/name-v3-representation|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="ABC | IDE | SYL"/>
-            <definition value="Name Representation."/>
-            <comment value="The transcription of the name - how it is represented (for e.g. Japanese names)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP.use"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="NameRepresentationUse"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set of codes for each different representation of a name."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/name-v3-representation|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement2-prohibited"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"/>
-        <version value="4.1.0"/>
-        <name value="prohibited"/>
-        <title value="Conformance prohibition"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.resource.interaction"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.resource.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.operation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.interaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Functionality not allowed"/>
-            <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="true"/>
-            <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Functionality not allowed"/>
-            <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="true"/>
-            <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-optionExclusive"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"/>
-        <version value="4.1.0"/>
-        <name value="optionExclusive"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="If true, indicates that if this answerOption is selected, no other possible answers may be selected, even if the item is a repeating question."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.answerOption"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Option is exclusive"/>
-            <definition value="If true, indicates that if this answerOption is selected, no other possible answers may be selected, even if the item is a repeating question."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Option is exclusive"/>
-            <definition value="If true, indicates that if this answerOption is selected, no other possible answers may be selected, even if the item is a repeating question."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-keyWord"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"/>
-        <version value="4.1.0"/>
-        <name value="keyWord"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Word or words used in an information retrieval system to indicate the content of the value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Descriptors and key terms for search"/>
-            <definition value="Word or words used in an information retrieval system to indicate the content of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Descriptors and key terms for search"/>
-            <definition value="Word or words used in an information retrieval system to indicate the content of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-careOf"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-careOf"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="careOf"/>
-            <definition value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=CAR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="careOf"/>
-            <definition value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=CAR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/timing-exact"/>
-    <resource>
-      <StructureDefinition>
-        <id value="timing-exact"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/timing-exact"/>
-        <version value="4.1.0"/>
-        <name value="exact"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - MnM WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/MnM"/>
-          </telecom>
-        </contact>
-        <description value="If true, indicates that the specified times, frequencies, periods are expected to be adhered to as precisely as possible.  If false, indicates that a typical degree of variability based on institutional and/or patient convenience is acceptable."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Timing.repeat"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether specified times must be followed as closely as possible"/>
-            <definition value="If true, indicates that the specified times, frequencies, periods are expected to be adhered to as precisely as possible.  If false, indicates that a typical degree of variability based on institutional and/or patient convenience is acceptable."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="GTS.IsFlexible"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-exact"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether specified times must be followed as closely as possible"/>
-            <definition value="If true, indicates that the specified times, frequencies, periods are expected to be adhered to as precisely as possible.  If false, indicates that a typical degree of variability based on institutional and/or patient convenience is acceptable."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="GTS.IsFlexible"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-exact"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-workflowStatus"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"/>
-        <version value="4.1.0"/>
-        <name value="workflowStatus"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Workflow Status is used to represent details of the value set development process while the value set has an Activity Status of Preliminary. The development of a value set often follows a formal workflow process from initiation to completion, and this element carries the state variable for this state machine. The assumption is that when first created a value set would have a workflow state of Draft. Additional workflow states may be used."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicates the state of development of the value set"/>
-            <definition value="Workflow Status is used to represent details of the value set development process while the value set has an Activity Status of Preliminary. The development of a value set often follows a formal workflow process from initiation to completion, and this element carries the state variable for this state machine. The assumption is that when first created a value set would have a workflow state of Draft. Additional workflow states may be used."/>
-            <comment value="The values that this element may assume include phrases that capture various stages in review and approval. In addition to the minimum of ???Draft???,  these include ???Proposed???, ???Approved???, ???Ready to Publish???.  There may be additional states defined by different developers. This is an optional element because the use of Activity Status ???Preliminary??? may be sufficient for some implementations."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicates the state of development of the value set"/>
-            <definition value="Workflow Status is used to represent details of the value set development process while the value set has an Activity Status of Preliminary. The development of a value set often follows a formal workflow process from initiation to completion, and this element carries the state variable for this state machine. The assumption is that when first created a value set would have a workflow state of Draft. Additional workflow states may be used."/>
-            <comment value="The values that this element may assume include phrases that capture various stages in review and approval. In addition to the minimum of ???Draft???,  these include ???Proposed???, ???Approved???, ???Ready to Publish???.  There may be additional states defined by different developers. This is an optional element because the use of Activity Status ???Preliminary??? may be sufficient for some implementations."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-ruledOut"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"/>
-        <version value="4.1.0"/>
-        <name value="ruledOut"/>
-        <title value="ruledOut"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Identifies what potential diagnoses have been ruled out for this condition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Conditions ruled out for this condition"/>
-            <definition value="Identifies what potential diagnoses have been ruled out for this condition."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Conditions ruled out for this condition"/>
-            <definition value="Identifies what potential diagnoses have been ruled out for this condition."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-cdsHooksEndpoint"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"/>
-        <version value="4.1.0"/>
-        <name value="cdsHooksEndpoint"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="Specifies the URI of a CDS Hooks service that uses this PlanDefinition as its implementation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="PlanDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Surface this ECA Rule here"/>
-            <definition value="Specifies the URI of a CDS Hooks service that uses this PlanDefinition as its implementation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Surface this ECA Rule here"/>
-            <definition value="Specifies the URI of a CDS Hooks service that uses this PlanDefinition as its implementation."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-sliderStepValue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"/>
-        <version value="4.1.0"/>
-        <name value="sliderStepValue"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="For slider-based controls, indicates the step size to use when toggling the control up or down."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;integer&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Increment value for slider"/>
-            <definition value="For slider-based controls, indicates the step size to use when toggling the control up or down."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Increment value for slider"/>
-            <definition value="For slider-based controls, indicates the step size to use when toggling the control up or down."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-baseType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"/>
-        <version value="4.1.0"/>
-        <name value="baseType"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="This identifies the underlying type in a profile, when a questionnaire is generated from a profile."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Base Type for answer"/>
-            <definition value="This identifies the underlying type in a profile, when a questionnaire is generated from a profile."/>
-            <comment value="The extension may assist a questionnaire renderer to tune the UI, and it guides a QuestionnaireResponse processor when generating resources from the responses."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DataType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Base Type for answer"/>
-            <definition value="This identifies the underlying type in a profile, when a questionnaire is generated from a profile."/>
-            <comment value="The extension may assist a questionnaire renderer to tune the UI, and it guides a QuestionnaireResponse processor when generating resources from the responses."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DataType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"/>
-    <resource>
-      <StructureDefinition>
-        <id value="device-implantStatus"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"/>
-        <version value="4.1.0"/>
-        <name value="implantStatus"/>
-        <title value="Status of Implantable Devices"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Codes to represent the functional status of a device implanted in a patient.  Both overall device status and an implant status need to be considered. The implant status should only be used when the [device status](device-definitions.html#Device.status) is `active `."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Device"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Implant Status"/>
-            <definition value="Codes to represent the functional status of a device implanted in a patient.  Both overall device status and an implant status need to be considered. The implant status should only be used when the [device status](device-definitions.html#Device.status) is `active `."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Implant Status"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set codes that define the functional status of an implanted device."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/implantStatus|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Implant Status"/>
-            <definition value="Codes to represent the functional status of a device implanted in a patient.  Both overall device status and an implant status need to be considered. The implant status should only be used when the [device status](device-definitions.html#Device.status) is `active `."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Implant Status"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set codes that define the functional status of an implanted device."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/implantStatus|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-category"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"/>
-        <version value="4.1.0"/>
-        <name value="category"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The category under which the resource type is presented on the official resource list."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Category from official resource list"/>
-            <definition value="The category under which the resource type is presented on the official resource list."/>
-            <comment value="To allow tools to follow the same structure for user convenience."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Category from official resource list"/>
-            <definition value="The category under which the resource type is presented on the official resource list."/>
-            <comment value="To allow tools to follow the same structure for user convenience."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-precinct"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-precinct"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A subsection of a municipality."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="precinct"/>
-            <definition value="A subsection of a municipality."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=PRE]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="precinct"/>
-            <definition value="A subsection of a municipality."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=PRE]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"/>
-    <resource>
-      <StructureDefinition>
-        <id value="contactpoint-country"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"/>
-        <version value="4.1.0"/>
-        <name value="country"/>
-        <title value="Country Code"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The country code as defined by the ITU. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ContactPoint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Country code as defined by the ITU"/>
-            <definition value="The country code as defined by the ITU. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Country code as defined by the ITU"/>
-            <definition value="The country code as defined by the ITU. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-nationality"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
-        <version value="4.1.0"/>
-        <name value="nationality"/>
-        <title value="nationality"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The nationality of the patient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Nationality"/>
-            <definition value="The nationality of the patient."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Nationality Code"/>
-            <definition value="Code representing nationality of patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:period">
-            <path value="Extension.extension"/>
-            <sliceName value="period"/>
-            <short value="Nationality Period"/>
-            <definition value="Period when nationality was effective."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:period.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:period.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:period.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="period"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:period.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Period"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Nationality"/>
-            <definition value="The nationality of the patient."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Nationality Code"/>
-            <definition value="Code representing nationality of patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:period">
-            <path value="Extension.extension"/>
-            <sliceName value="period"/>
-            <short value="Nationality Period"/>
-            <definition value="Period when nationality was effective."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:period.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:period.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="period"/>
-          </element>
-          <element id="Extension.extension:period.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Period"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"/>
-    <resource>
-      <StructureDefinition>
-        <id value="contactpoint-area"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"/>
-        <version value="4.1.0"/>
-        <name value="area"/>
-        <title value="Area Code"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The area/zone/city code that, in some areas, may be omitted when dialing locally within the zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ContactPoint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Area/zone/city code"/>
-            <definition value="The area/zone/city code that, in some areas, may be omitted when dialing locally within the zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Area/zone/city code"/>
-            <definition value="The area/zone/city code that, in some areas, may be omitted when dialing locally within the zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"/>
-    <resource>
-      <StructureDefinition>
-        <id value="encounter-modeOfArrival"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"/>
-        <version value="4.1.0"/>
-        <name value="modeOfArrival"/>
-        <title value="modeOfArrival"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Identifies whether a patient arrives at the reporting facility via ambulance and the type of ambulance that was used."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Encounter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The method of arrival of the patient into the facility"/>
-            <definition value="Identifies whether a patient arrives at the reporting facility via ambulance and the type of ambulance that was used."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="modeOfArrival"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The method that the patient arrived at the facility."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v2-0430"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The method of arrival of the patient into the facility"/>
-            <definition value="Identifies whether a patient arrives at the reporting facility via ambulance and the type of ambulance that was used."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="modeOfArrival"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The method that the patient arrived at the facility."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v2-0430"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-optionPrefix"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"/>
-        <version value="4.1.0"/>
-        <name value="optionPrefix"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.answerOption"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."/>
-            <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."/>
-            <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"/>
-    <resource>
-      <StructureDefinition>
-        <id value="encounter-reasonCancelled"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"/>
-        <version value="4.1.0"/>
-        <name value="reasonCancelled"/>
-        <title value="reasonCancelled"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="If the encountered was cancelled after it was planned, why? Applies only if the status is cancelled."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Encounter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explanation for cancellation"/>
-            <definition value="If the encountered was cancelled after it was planned, why? Applies only if the status is cancelled."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explanation for cancellation"/>
-            <definition value="If the encountered was cancelled after it was planned, why? Applies only if the status is cancelled."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
-    <resource>
-      <StructureDefinition>
-        <id value="flag-detail"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
-        <version value="4.1.0"/>
-        <name value="detail"/>
-        <title value="Flag details"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - Patient Care WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Flag"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Resource with details for flag"/>
-            <definition value="Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Resource with details for flag"/>
-            <definition value="Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-detail"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"/>
-    <resource>
-      <StructureDefinition>
-        <id value="maxDecimalPlaces"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"/>
-        <version value="4.1.0"/>
-        <name value="maxDecimalPlaces"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Identifies the maximum number of decimal places that may be specified for the data element."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Maximum digits after decimal"/>
-            <definition value="Identifies the maximum number of decimal places that may be specified for the data element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Maximum digits after decimal"/>
-            <definition value="Identifies the maximum number of decimal places that may be specified for the data element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"/>
-    <resource>
-      <StructureDefinition>
-        <id value="devicerequest-patientInstruction"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"/>
-        <version value="4.1.0"/>
-        <name value="patientInstruction"/>
-        <title value="Directions"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Simple concise instructions to be read by the patient.  For example  &#x201C;twice a day&#x201D; rather than &#x201C;BID.&#x201D;."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Patient Friendly Insructions"/>
-            <definition value="Simple concise instructions to be read by the patient.  For example  &#x201C;twice a day&#x201D; rather than &#x201C;BID.&#x201D;."/>
-            <comment value="Should use only common terms and sentences.  Use of unfamiliar words and jargon should be avoided."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang">
-            <path value="Extension.extension"/>
-            <sliceName value="lang"/>
-            <short value="Language"/>
-            <definition value="Code for Language."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:lang.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:lang.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="lang"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:lang.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:content">
-            <path value="Extension.extension"/>
-            <sliceName value="content"/>
-            <short value="Text"/>
-            <definition value="The actual text containing the instructions."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:content.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:content.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:content.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="content"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:content.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Patient Friendly Insructions"/>
-            <definition value="Simple concise instructions to be read by the patient.  For example  &#x201C;twice a day&#x201D; rather than &#x201C;BID.&#x201D;."/>
-            <comment value="Should use only common terms and sentences.  Use of unfamiliar words and jargon should be avoided."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:lang">
-            <path value="Extension.extension"/>
-            <sliceName value="lang"/>
-            <short value="Language"/>
-            <definition value="Code for Language."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:lang.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:lang.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="lang"/>
-          </element>
-          <element id="Extension.extension:lang.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:content">
-            <path value="Extension.extension"/>
-            <sliceName value="content"/>
-            <short value="Text"/>
-            <definition value="The actual text containing the instructions."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:content.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:content.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="content"/>
-          </element>
-          <element id="Extension.extension:content.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-referenceProfile"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"/>
-        <version value="4.1.0"/>
-        <name value="referenceProfile"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Where the type for a question is &quot;Reference&quot;, indicates a profile that the resource instances pointed to in answers to this question must be valid against."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;reference&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allowed profile for reference"/>
-            <definition value="Where the type for a question is &quot;Reference&quot;, indicates a profile that the resource instances pointed to in answers to this question must be valid against."/>
-            <comment value="If multiple profiles are present, then the resource must be valid against at least one of them."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allowed profile for reference"/>
-            <definition value="Where the type for a question is &quot;Reference&quot;, indicates a profile that the resource instances pointed to in answers to this question must be valid against."/>
-            <comment value="If multiple profiles are present, then the resource must be valid against at least one of them."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-workflowStatus"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"/>
-        <version value="4.1.0"/>
-        <name value="workflowStatus"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Workflow Status is used to represent details of the value set development process while in a single Activity Status."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicates the state of development of the value set"/>
-            <definition value="Workflow Status is used to represent details of the value set development process while in a single Activity Status."/>
-            <comment value="The values that are traditionally used for this element while the Value Set Definition has an Activity Status of Preliminary are assumed to include phrases that capture various stages in review and approval. It is expected that this would be used to manage maintenance activities, but that a terminology service would not be expected to expose this information. Different services might adopt different workflow status values reflecting their local practices."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicates the state of development of the value set"/>
-            <definition value="Workflow Status is used to represent details of the value set development process while in a single Activity Status."/>
-            <comment value="The values that are traditionally used for this element while the Value Set Definition has an Activity Status of Preliminary are assumed to include phrases that capture various stages in review and approval. It is expected that this would be used to manage maintenance activities, but that a terminology service would not be expected to expose this information. Different services might adopt different workflow status values reflecting their local practices."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-maxValueSet"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"/>
-        <version value="4.1.0"/>
-        <name value="maxValueSet"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The maximum allowable value set, for use when the binding strength is &#39;extensible&#39; or &#39;preferred&#39;. This value set is the value set from which additional codes can be taken from. This defines a &#39;required&#39; binding over the top of the extensible binding."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.binding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Maximum Value Set (when strength = extensible)"/>
-            <definition value="The maximum allowable value set, for use when the binding strength is &#39;extensible&#39; or &#39;preferred&#39;. This value set is the value set from which additional codes can be taken from. This defines a &#39;required&#39; binding over the top of the extensible binding."/>
-            <comment value="Typically, this will be an entire code system, e.g. SNOMED CT. The maximum binding needs to include all the codes in the extensible or preferred binding."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Maximum Value Set (when strength = extensible)"/>
-            <definition value="The maximum allowable value set, for use when the binding strength is &#39;extensible&#39; or &#39;preferred&#39;. This value set is the value set from which additional codes can be taken from. This defines a &#39;required&#39; binding over the top of the extensible binding."/>
-            <comment value="Typically, this will be an entire code system, e.g. SNOMED CT. The maximum binding needs to include all the codes in the extensible or preferred binding."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-reference"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-reference"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-reference"/>
-        <version value="4.1.0"/>
-        <name value="reference"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A logical reference (e.g. a reference to ValueSet.url) that identifies the value set/version that identifies the set of possible coded values this coding was chosen from or constrained by."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Coding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Url of Value set the code was chosen from"/>
-            <definition value="A logical reference (e.g. a reference to ValueSet.url) that identifies the value set/version that identifies the set of possible coded values this coding was chosen from or constrained by."/>
-            <comment value="If this extension is used with an [extensible binding](terminologies.html#extensible), and the concept comes from outside the bound valueset, the value set SHALL be different from the bound valueset."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="CWE."/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="CD.valueSet/CD.valueSetVersion"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-reference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Url of Value set the code was chosen from"/>
-            <definition value="A logical reference (e.g. a reference to ValueSet.url) that identifies the value set/version that identifies the set of possible coded values this coding was chosen from or constrained by."/>
-            <comment value="If this extension is used with an [extensible binding](terminologies.html#extensible), and the concept comes from outside the bound valueset, the value set SHALL be different from the bound valueset."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="CWE."/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="CD.valueSet/CD.valueSetVersion"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-reference"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/entryFormat"/>
-    <resource>
-      <StructureDefinition>
-        <id value="entryFormat"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/entryFormat"/>
-        <version value="4.1.0"/>
-        <name value="entryFormat"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Additional instructions for the user to guide their input (i.e. a human readable version of a regular expression like &quot;nnn-nnn-nnn&quot;). In most UIs this is the placeholder (or &#39;ghost&#39;) text placed directly inside the edit controls and that disappear when the control gets the focus."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="User prompt for format"/>
-            <definition value="Additional instructions for the user to guide their input (i.e. a human readable version of a regular expression like &quot;nnn-nnn-nnn&quot;). In most UIs this is the placeholder (or &#39;ghost&#39;) text placed directly inside the edit controls and that disappear when the control gets the focus."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/entryFormat"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="User prompt for format"/>
-            <definition value="Additional instructions for the user to guide their input (i.e. a human readable version of a regular expression like &quot;nnn-nnn-nnn&quot;). In most UIs this is the placeholder (or &#39;ghost&#39;) text placed directly inside the edit controls and that disappear when the control gets the focus."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/entryFormat"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"/>
-    <resource>
-      <StructureDefinition>
-        <id value="organization-preferredContact"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"/>
-        <version value="4.1.0"/>
-        <name value="preferredContact"/>
-        <title value="Preferred Contact"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="This Contact is the preferred contact at this organization for the purpose of the contact&#xA;&#xA;There can be multiple contacts on an Organizations record with this value set to true, but these should all have different purpose values."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Organization.contact"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="This Contact is the preferred contact at this organization for the purpose of the contact&#xA;&#xA;There can be multiple contacts on an Organizations record with this value set to true, but these should all have different purpose values."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="This Contact is the preferred contact at this organization for the purpose of the contact&#xA;&#xA;There can be multiple contacts on an Organizations record with this value set to true, but these should all have different purpose values."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilities"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilities"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://fhir-registry.smarthealthit.org/StructureDefinition/capabilities"/>
-        <version value="4.1.0"/>
-        <name value="capabilities"/>
-        <status value="active"/>
-        <date value="2018-02-15"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="A set of codes that defines what the server is capable of."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.security"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Server Capabilities"/>
-            <definition value="A set of codes that defines what the server is capable of."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/capabilities"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SmartCapabilities"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes that define what the server is capable of."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/smart-capabilities|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Server Capabilities"/>
-            <definition value="A set of codes that defines what the server is capable of."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/capabilities"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SmartCapabilities"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes that define what the server is capable of."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/smart-capabilities|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-map"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-map"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-map"/>
-        <version value="4.1.0"/>
-        <name value="map"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A reference to a concept map that is relevant for the interpretation of this value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A concept map relevant to interpret this value set"/>
-            <definition value="A reference to a concept map that is relevant for the interpretation of this value set."/>
-            <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-map"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A concept map relevant to interpret this value set"/>
-            <definition value="A reference to a concept map that is relevant for the interpretation of this value set."/>
-            <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-map"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-Accession"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"/>
-        <version value="4.1.0"/>
-        <name value="Accession"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="An Accession Number associated with this participant object."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Accession Number"/>
-            <definition value="An Accession Number associated with this participant object."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Accession"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Accession Number"/>
-            <definition value="An Accession Number associated with this participant object."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Accession"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Identifier"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-selector"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"/>
-        <version value="4.1.0"/>
-        <name value="selector"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A FHIRPath statement that defines whether an element is in the slice."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FHIRPath that defines the selection criteria for a slice"/>
-            <definition value="A FHIRPath statement that defines whether an element is in the slice."/>
-            <comment value="This extension can only appear on element definitions that are part of a set of slices, and not on the slicing definition itself. If the selector appears in the presence of nominated slices discriminators, then the slicing defined by the discriminator(s) and the selector on each slice must agree. In the absence of any nominated discriminators, then an element is allowed to be in multiple slices."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FHIRPath that defines the selection criteria for a slice"/>
-            <definition value="A FHIRPath statement that defines whether an element is in the slice."/>
-            <comment value="This extension can only appear on element definitions that are part of a set of slices, and not on the slicing definition itself. If the selector appears in the presence of nominated slices discriminators, then the slicing defined by the discriminator(s) and the selector on each slice must agree. In the absence of any nominated discriminators, then an element is allowed to be in multiple slices."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"/>
-    <resource>
-      <StructureDefinition>
-        <id value="coding-sctdescid"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"/>
-        <version value="4.1.0"/>
-        <name value="sctdescid"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The SNOMED CT Description ID for the display."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Coding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SNOMED CT Description ID"/>
-            <definition value="The SNOMED CT Description ID for the display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="id"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SNOMED CT Description ID"/>
-            <definition value="The SNOMED CT Description ID for the display."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="id"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-reasonRefuted"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"/>
-        <version value="4.1.0"/>
-        <name value="reasonRefuted"/>
-        <title value="reasonRefuted"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explanation associated with refuted status"/>
-            <definition value="A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explanation associated with refuted status"/>
-            <definition value="A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-SC-coding"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"/>
-        <version value="4.1.0"/>
-        <name value="SC-coding"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Provides a coded expression for the content represented in a string."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="string"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="code for string"/>
-            <definition value="Provides a coded expression for the content represented in a string."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="SC.code"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StringCoding"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A coded representation for a string.  Could be codes for country in a country address part, codes for prefixes in a name part, etc."/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="code for string"/>
-            <definition value="Provides a coded expression for the content represented in a string."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="SC.code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StringCoding"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A coded representation for a string.  Could be codes for country in a country address part, codes for prefixes in a name part, etc."/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/display"/>
-    <resource>
-      <StructureDefinition>
-        <id value="display"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/display"/>
-        <version value="4.1.0"/>
-        <name value="Display Name"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="The title or other name to display when referencing a resource by canonical URL."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="canonical"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Display name for canonical reference"/>
-            <definition value="The title or other name to display when referencing a resource by canonical URL."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/display"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Display name for canonical reference"/>
-            <definition value="The title or other name to display when referencing a resource by canonical URL."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/display"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-label"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-label"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-label"/>
-        <version value="4.1.0"/>
-        <name value="label"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."/>
-            <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-label"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."/>
-            <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-label"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-trusted-expansion"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"/>
-        <version value="4.1.0"/>
-        <name value="trusted-expansion"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Indicates an authoritative source for performing value set expansions."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to a trusted expansion"/>
-            <definition value="Indicates an authoritative source for performing value set expansions."/>
-            <comment value="If the designated &quot;authoritative source&quot; (as specified in the valueset-authoritativeSource extension, if present) is unable to provide a valid expansion, this extension indicates an alternate authoritative source where the value set expansion may be obtained."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to a trusted expansion"/>
-            <definition value="Indicates an authoritative source for performing value set expansions."/>
-            <comment value="If the designated &quot;authoritative source&quot; (as specified in the valueset-authoritativeSource extension, if present) is unable to provide a valid expansion, this extension indicates an alternate authoritative source where the value set expansion may be obtained."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-EN-use"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"/>
-        <version value="4.1.0"/>
-        <name value="EN-use"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A set of codes advising a system or user which name in a set of names to select for a given purpose."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A | ANON | I | P | R | C | M | ABC | IDE | SYL | OLD | DN | OR | PHON | SRCH | T"/>
-            <definition value="A set of codes advising a system or user which name in a set of names to select for a given purpose."/>
-            <comment value="A name without specific use code might be a default name useful for any purpose, but a name with a specific use code would be preferred for that respective purpose."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP.use"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EntityNameUse"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set of codes advising a system or user which name in a set of names to select for a given purpose."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A | ANON | I | P | R | C | M | ABC | IDE | SYL | OLD | DN | OR | PHON | SRCH | T"/>
-            <definition value="A set of codes advising a system or user which name in a set of names to select for a given purpose."/>
-            <comment value="A name without specific use code might be a default name useful for any purpose, but a name with a specific use code would be preferred for that respective purpose."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP.use"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EntityNameUse"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set of codes advising a system or user which name in a set of names to select for a given purpose."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-expirationDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"/>
-        <version value="4.1.0"/>
-        <name value="expirationDate"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value SHALL present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version should no longer be used"/>
-            <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value SHALL present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."/>
-            <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version should no longer be used"/>
-            <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value SHALL present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."/>
-            <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-reasonCode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"/>
-        <version value="4.1.0"/>
-        <name value="reasonCode"/>
-        <title value="Reason Code"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Describes why the event occurred in coded or textual form."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Why was event performed?"/>
-            <definition value="Describes why the event occurred in coded or textual form."/>
-            <comment value="For free text (uncoded data) use reasonCode.text."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.reasonCode"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="EVN.4 or by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".reasonCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EventReason"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Why was event performed?"/>
-            <definition value="Describes why the event occurred in coded or textual form."/>
-            <comment value="For free text (uncoded data) use reasonCode.text."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.reasonCode"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="EVN.4 or by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".reasonCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EventReason"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-relatedArtifact"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"/>
-        <version value="4.1.0"/>
-        <name value="relatedArtifact"/>
-        <title value="Related Artifact"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Documentation  or &#39;knowledge artifacts&#39; relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Documentation relevant to the &#39;parent&#39; resource"/>
-            <definition value="Documentation  or &#39;knowledge artifacts&#39; relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology."/>
-            <comment value="Note that in contrast this extension, the [supportingInfo extension](extension-workflow-supportinginfo.html) references other resources *from the patient record* that were used in creating the resource."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Documentation relevant to the &#39;parent&#39; resource"/>
-            <definition value="Documentation  or &#39;knowledge artifacts&#39; relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology."/>
-            <comment value="Note that in contrast this extension, the [supportingInfo extension](extension-workflow-supportinginfo.html) references other resources *from the patient record* that were used in creating the resource."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-concept-comments"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"/>
-        <version value="4.1.0"/>
-        <name value="concept-comments"/>
-        <title value="Comment"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A comment that explains how this code is used in this context (where the value set is expected to be used)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Comment about the use of this code in this context"/>
-            <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."/>
-            <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it&#39;s not clear whether it belongs in the actual value set resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Comment about the use of this code in this context"/>
-            <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."/>
-            <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it&#39;s not clear whether it belongs in the actual value set resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-codegen-super"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"/>
-        <version value="4.1.0"/>
-        <name value="codegen-super"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A specific instruction to use an intermediate parent class when generating code for the classes."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition.baseDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Use a different base when generating code"/>
-            <definition value="A specific instruction to use an intermediate parent class when generating code for the classes."/>
-            <comment value="This can be useful when setting up special common ancestor classes for shared code. At present the only use for this is for the special MetadataResource pattern."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Use a different base when generating code"/>
-            <definition value="A specific instruction to use an intermediate parent class when generating code for the classes."/>
-            <comment value="This can be useful when setting up special common ancestor classes for shared code. At present the only use for this is for the special MetadataResource pattern."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-timeOffset"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"/>
-        <version value="4.1.0"/>
-        <name value="timeOffset"/>
-        <title value="Time-offset"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording  of sampled data from the same lead or data stream.  For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see [ISO 22077](https://www.iso.org/obp/ui/#iso:std:61871:en)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation.component"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Time Offset for interlacing"/>
-            <definition value="A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording  of sampled data from the same lead or data stream.  For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see [ISO 22077](https://www.iso.org/obp/ui/#iso:std:61871:en)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Time Offset for interlacing"/>
-            <definition value="A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording  of sampled data from the same lead or data stream.  For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see [ISO 22077](https://www.iso.org/obp/ui/#iso:std:61871:en)."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"/>
-    <resource>
-      <StructureDefinition>
-        <id value="timing-daysOfCycle"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"/>
-        <version value="4.1.0"/>
-        <name value="daysOfCycle"/>
-        <title value="Days of Cycle"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - MnM WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/MnM"/>
-          </telecom>
-        </contact>
-        <description value="Days of a possibly repeating cycle on which the action is to be performed. The cycle is defined by the first action with a timing element that is a parent of the daysOfCycle."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="PlanDefinition.action"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="RequestGroup.action"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Days on which the action should be performed"/>
-            <definition value="Days of a possibly repeating cycle on which the action is to be performed. The cycle is defined by the first action with a timing element that is a parent of the daysOfCycle."/>
-            <comment value="The cycle is defined by a parent/containing action, and the daysOfCycle extension is used on individual actions within that cycle to indicate the days of the cycle on which the actions should be performed."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:day">
-            <path value="Extension.extension"/>
-            <sliceName value="day"/>
-            <short value="What day to perform"/>
-            <definition value="An integer that specifies a day on which the action is to be performed (starting at one).  In most cases, the first day of the first cycle will be day 1."/>
-            <min value="1"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:day.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:day.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:day.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="day"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:day.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Days on which the action should be performed"/>
-            <definition value="Days of a possibly repeating cycle on which the action is to be performed. The cycle is defined by the first action with a timing element that is a parent of the daysOfCycle."/>
-            <comment value="The cycle is defined by a parent/containing action, and the daysOfCycle extension is used on individual actions within that cycle to indicate the days of the cycle on which the actions should be performed."/>
-            <min value="1"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:day">
-            <path value="Extension.extension"/>
-            <sliceName value="day"/>
-            <short value="What day to perform"/>
-            <definition value="An integer that specifies a day on which the action is to be performed (starting at one).  In most cases, the first day of the first cycle will be day 1."/>
-            <min value="1"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:day.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:day.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="day"/>
-          </element>
-          <element id="Extension.extension:day.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement2-expectation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"/>
-        <version value="4.1.0"/>
-        <name value="expectation"/>
-        <title value="Conformance expectation"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="Defines the level of expectation associated with a given system capability."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.resource.interaction"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.resource.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.operation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest.interaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SHALL | SHOULD | MAY |SHOULD-NOT"/>
-            <definition value="Defines the level of expectation associated with a given system capability."/>
-            <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatement2s documenting requirements, not those documenting actual system capabilities."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConformanceExpectation"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SHALL | SHOULD | MAY |SHOULD-NOT"/>
-            <definition value="Defines the level of expectation associated with a given system capability."/>
-            <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatement2s documenting requirements, not those documenting actual system capabilities."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConformanceExpectation"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-hierarchy"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"/>
-        <version value="4.1.0"/>
-        <name value="hierarchy"/>
-        <title value="Hierarchy"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.type"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether a circular reference is allowed to (transitively) point back to the same instance"/>
-            <definition value="For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether a circular reference is allowed to (transitively) point back to the same instance"/>
-            <definition value="For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-insurance"/>
-    <resource>
-      <StructureDefinition>
-        <id value="request-insurance"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/request-insurance"/>
-        <version value="4.1.0"/>
-        <name value="insurance"/>
-        <title value="Insurance"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated insurance coverage"/>
-            <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="IN1/IN2"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=COVBY].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-insurance"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated insurance coverage"/>
-            <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="IN1/IN2"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=COVBY].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-insurance"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-exposureDuration"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"/>
-        <version value="4.1.0"/>
-        <name value="exposureDuration"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The amount of time the individual was exposed to the Substance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Amount of time individual was exposed to Substance"/>
-            <definition value="The amount of time the individual was exposed to the Substance."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Amount of time individual was exposed to Substance"/>
-            <definition value="The amount of time the individual was exposed to the Substance."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Duration"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-choiceOrientation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"/>
-        <version value="4.1.0"/>
-        <name value="choiceOrientation"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Identifies the desired orientation when rendering a list of choices (typically radio-box or check-box lists)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;choice&#39; or type=&#39;open-choice&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="horizontal | vertical"/>
-            <definition value="Identifies the desired orientation when rendering a list of choices (typically radio-box or check-box lists)."/>
-            <comment value="Systems may choose to wrap answers rather than attempting to display them all in one row or column.  Language conventions may determine the order in which the choices are listed (left-to-right or right-to-left, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ChoiceListOrientation"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Direction in which lists of possible answers should be displayed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/choice-list-orientation|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="horizontal | vertical"/>
-            <definition value="Identifies the desired orientation when rendering a list of choices (typically radio-box or check-box lists)."/>
-            <comment value="Systems may choose to wrap answers rather than attempting to display them all in one row or column.  Language conventions may determine the order in which the choices are listed (left-to-right or right-to-left, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ChoiceListOrientation"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Direction in which lists of possible answers should be displayed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/choice-list-orientation|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"/>
-    <resource>
-      <StructureDefinition>
-        <id value="composition-section-subject"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sd"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"/>
-        <version value="4.1.0"/>
-        <name value="section-subject"/>
-        <title value="Overrides Composition.subject"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Specifies that the section has a different subject that the Composition, or it&#39;s container section."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Composition.section"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Section has a different subject that it&#39;s container"/>
-            <definition value="Specifies that the section has a different subject that the Composition, or it&#39;s container section."/>
-            <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it&#39;s not clear whether it belongs in the actual value set resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Section has a different subject that it&#39;s container"/>
-            <definition value="Specifies that the section has a different subject that the Composition, or it&#39;s container section."/>
-            <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it&#39;s not clear whether it belongs in the actual value set resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-streetNameType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-streetNameType"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetNameType"/>
-            <definition value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=STTYP]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetNameType"/>
-            <definition value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=STTYP]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-authoritativeSource"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"/>
-        <version value="4.1.0"/>
-        <name value="authoritativeSource"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A reference to the authoritative accessible, persisted source of truth of the entire Value Set Definition, including textual information and available versions."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to the current trusted source of the ValueSet resource (metadata and definition)"/>
-            <definition value="A reference to the authoritative accessible, persisted source of truth of the entire Value Set Definition, including textual information and available versions."/>
-            <comment value="If this extension is not present, then the canonical URL (ValueSet.url) also serves the purpose of specifying the authoritative source.  A difference between the canonical URL and the authoritiative source might arise in some cases due to ongoing organization restructuring, etc., and in those cases this extension may be used.  The URL of the authoritative source is intended to be resolvable but that cannot be guaranteed. The designated &quot;authoritative source&quot; is normally expected to be able to generate a valid expansion of the value set, and if for some reason it cannot then the valueset-trusted-expansion should be used."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to the current trusted source of the ValueSet resource (metadata and definition)"/>
-            <definition value="A reference to the authoritative accessible, persisted source of truth of the entire Value Set Definition, including textual information and available versions."/>
-            <comment value="If this extension is not present, then the canonical URL (ValueSet.url) also serves the purpose of specifying the authoritative source.  A difference between the canonical URL and the authoritiative source might arise in some cases due to ongoing organization restructuring, etc., and in those cases this extension may be used.  The URL of the authoritative source is intended to be resolvable but that cannot be guaranteed. The designated &quot;authoritative source&quot; is normally expected to be able to generate a valid expansion of the value set, and if for some reason it cannot then the valueset-trusted-expansion should be used."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"/>
-    <resource>
-      <StructureDefinition>
-        <id value="medicationdispense-refillsRemaining"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="phx"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"/>
-        <version value="4.1.0"/>
-        <name value="refillsRemaining"/>
-        <title value="refillsRemaining"/>
-        <status value="draft"/>
-        <date value="2019-03-23"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The number of refills allowed or remaining after a dispensing event.  Does not include the current dispense."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="MedicationDispense"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Number of refills allowed or remaining after a dispensing event."/>
-            <definition value="The number of refills allowed or remaining after a dispensing event.  Does not include the current dispense."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Number of refills allowed or remaining after a dispensing event."/>
-            <definition value="The number of refills allowed or remaining after a dispensing event.  Does not include the current dispense."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"/>
-    <resource>
-      <StructureDefinition>
-        <id value="diagnosticReport-locationPerformed"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"/>
-        <version value="4.1.0"/>
-        <name value="locationPerformed"/>
-        <title value="locationPerformed"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Facility location where this report was prepared."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Location Performed"/>
-            <definition value="Facility location where this report was prepared."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Location Performed"/>
-            <definition value="Facility location where this report was prepared."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-effectiveDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"/>
-        <version value="4.1.0"/>
-        <name value="effectiveDate"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version becomes Active and is available for use"/>
-            <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version becomes Active and is available for use"/>
-            <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-deliveryAddressLine"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-deliveryAddressLine"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryAddressLine"/>
-            <definition value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DAL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryAddressLine"/>
-            <definition value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DAL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"/>
-    <resource>
-      <StructureDefinition>
-        <id value="11179-permitted-value-conceptmap"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"/>
-        <version value="4.1.0"/>
-        <name value="permitted-value-conceptmap"/>
-        <title value="Permitted Values link"/>
-        <status value="draft"/>
-        <date value="2014-04-21"/>
-        <publisher value="Health Level Seven International (Orders and Observations)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Expresses the linkage between the internal codes used for storage and the codes used for exchange."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="iso11179"/>
-          <uri value="http://metadata-standards.org/11179/"/>
-          <name value="ISO 11179"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition.snapshot.element.binding.valueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition.differential.element.binding.valueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.answerValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mapping from permitted to transmitted"/>
-            <definition value="Expresses the linkage between the internal codes used for storage and the codes used for exchange."/>
-            <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set.  The source for the concept map is the value set the extension appears on.  The target is the permitted-value-valueset."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.data_element_domain.member.meaning"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mapping from permitted to transmitted"/>
-            <definition value="Expresses the linkage between the internal codes used for storage and the codes used for exchange."/>
-            <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set.  The source for the concept map is the value set the extension appears on.  The target is the permitted-value-valueset."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.data_element_domain.member.meaning"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-applicable-version"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"/>
-        <version value="4.1.0"/>
-        <name value="applicable-version"/>
-        <title value="Applicable Version"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="An additional version that this profile apples to, other than the version explicitly stated in StructureDefinition.fhirVersion."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Another Version this applies to"/>
-            <definition value="An additional version that this profile apples to, other than the version explicitly stated in StructureDefinition.fhirVersion."/>
-            <comment value="This is typically only used where derivation = constraint. As the underlying resources become more stable, profiles on one version become applicable to other versions as well. It&#39;s possible to calculate automatically with the strutural features of a profile apply to a given version, but just because it&#39;s structurally ok doesn&#39;t mean that the meaning is correct. This extension allows a positive statement that the profile applies."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FHIRVersion"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="All published FHIR Versions."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Another Version this applies to"/>
-            <definition value="An additional version that this profile apples to, other than the version explicitly stated in StructureDefinition.fhirVersion."/>
-            <comment value="This is typically only used where derivation = constraint. As the underlying resources become more stable, profiles on one version become applicable to other versions as well. It&#39;s possible to calculate automatically with the strutural features of a profile apply to a given version, but just because it&#39;s structurally ok doesn&#39;t mean that the meaning is correct. This extension allows a positive statement that the profile applies."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FHIRVersion"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="All published FHIR Versions."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"/>
-    <resource>
-      <StructureDefinition>
-        <id value="11179-permitted-value-valueset"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"/>
-        <version value="4.1.0"/>
-        <name value="permitted-value-valueset"/>
-        <title value="Permitted Values"/>
-        <status value="draft"/>
-        <date value="2014-04-21"/>
-        <publisher value="Health Level Seven International (Orders and Observations)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Allows expressing the value set that must be stored internally by the system (as distinct from the base value set which defines values for exchange)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="iso11179"/>
-          <uri value="http://metadata-standards.org/11179/"/>
-          <name value="ISO 11179"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition.snapshot.element.binding.valueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition.differential.element.binding.valueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.answerValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Permitted values"/>
-            <definition value="Allows expressing the value set that must be stored internally by the system (as distinct from the base value set which defines values for exchange)."/>
-            <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.data_element_domain.member"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Permitted values"/>
-            <definition value="Allows expressing the value set that must be stored internally by the system (as distinct from the base value set which defines values for exchange)."/>
-            <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="iso11179"/>
-              <map value="Data_Element.data_element_domain.member"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsAminoAcidChange"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"/>
-        <version value="4.1.0"/>
-        <name value="AminoAcidChange"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="AminoAcidChange information."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="AminoAcidChange"/>
-            <definition value="AminoAcidChange information."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="HGVS nomenclature for observed Amino Acid Change"/>
-            <definition value="Human Genome Variation Society (HGVS) nomenclature for an amino acid change. Reference sequence ID used for HGVS naming must be annotated. An amino acid is a sequence feature that corresponds to a single amino acid residue in a polypeptide ([SO:0001237](http://www.sequenceontology.org/browser/current_svn/term/SO:0001237)). LOINC Code: ([48005-3](http://loinc.org/48005-3))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ClinVar-variant-database"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="NCBI central repository of potentially clinically relevant variants."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type">
-            <path value="Extension.extension"/>
-            <sliceName value="Type"/>
-            <short value="Amino Acid Change Type"/>
-            <definition value="Codified type for associated Amino Acid Change.  LOINC Code: ([48006-1](http://loinc.org/48006-1))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="AminoAcidChange"/>
-            <definition value="AminoAcidChange information."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="HGVS nomenclature for observed Amino Acid Change"/>
-            <definition value="Human Genome Variation Society (HGVS) nomenclature for an amino acid change. Reference sequence ID used for HGVS naming must be annotated. An amino acid is a sequence feature that corresponds to a single amino acid residue in a polypeptide ([SO:0001237](http://www.sequenceontology.org/browser/current_svn/term/SO:0001237)). LOINC Code: ([48005-3](http://loinc.org/48005-3))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ClinVar-variant-database"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="NCBI central repository of potentially clinically relevant variants."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:Type">
-            <path value="Extension.extension"/>
-            <sliceName value="Type"/>
-            <short value="Amino Acid Change Type"/>
-            <definition value="Codified type for associated Amino Acid Change.  LOINC Code: ([48006-1](http://loinc.org/48006-1))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Type"/>
-          </element>
-          <element id="Extension.extension:Type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement-websocket"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"/>
-        <version value="4.1.0"/>
-        <name value="websocket"/>
-        <title value="WebSocket"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="Where the server provides its web socket end-point."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where server websocket end point is found"/>
-            <definition value="Where the server provides its web socket end-point."/>
-            <comment value="Used for web-socket based subscriptions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where server websocket end point is found"/>
-            <definition value="Where the server provides its web socket end-point."/>
-            <comment value="Used for web-socket based subscriptions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-initiatingPerson"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"/>
-        <version value="4.1.0"/>
-        <name value="initiatingPerson"/>
-        <title value="initiatingPerson"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The person initiating the request."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The person initiating the request."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The person initiating the request."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-identifier"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"/>
-        <version value="4.1.0"/>
-        <name value="identifier"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="External Identifiers associated with this element - these are identifiers that are associated with the concept this element represents."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="External Identifier associated with this element"/>
-            <definition value="External Identifiers associated with this element - these are identifiers that are associated with the concept this element represents."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="Act.id, Role.id, Entity.id"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="External Identifier associated with this element"/>
-            <definition value="External Identifiers associated with this element - these are identifiers that are associated with the concept this element represents."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="Act.id, Role.id, Entity.id"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Identifier"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-cadavericDonor"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
-        <version value="4.1.0"/>
-        <name value="cadavericDonor"/>
-        <title value="cadavericDonor"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Flag indicating whether the patient authorized the donation of body parts after death."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Post-mortem donor status"/>
-            <definition value="Flag indicating whether the patient authorized the donation of body parts after death."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Post-mortem donor status"/>
-            <definition value="Flag indicating whether the patient authorized the donation of body parts after death."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-partner-prefix"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"/>
-        <version value="4.1.0"/>
-        <name value="partner-prefix"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person&#39;s partner&#39;s surname, as distinguished from any portion that is derived from the surname of the person&#39;s own."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Voorvoegsel derived from person&#39;s partner&#39;s surname"/>
-            <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person&#39;s partner&#39;s surname, as distinguished from any portion that is derived from the surname of the person&#39;s own."/>
-            <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn&#39;t sort completely alphabetically, it is reasonable to identify it as a separate sub-component."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.4"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (VV, SP)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Voorvoegsel derived from person&#39;s partner&#39;s surname"/>
-            <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person&#39;s partner&#39;s surname, as distinguished from any portion that is derived from the surname of the person&#39;s own."/>
-            <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn&#39;t sort completely alphabetically, it is reasonable to identify it as a separate sub-component."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.4"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (VV, SP)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"/>
-    <resource>
-      <StructureDefinition>
-        <id value="hla-genotyping-results-haploid"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"/>
-        <version value="4.1.0"/>
-        <name value="haploid"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="haploid."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="haploid"/>
-            <definition value="haploid."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:locus">
-            <path value="Extension.extension"/>
-            <sliceName value="locus"/>
-            <short value="haploid-locus"/>
-            <definition value="gene region."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:locus.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:locus.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:locus.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="locus"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:locus.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="haploid-type"/>
-            <definition value="haploid type."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:method">
-            <path value="Extension.extension"/>
-            <sliceName value="method"/>
-            <short value="haploid-method"/>
-            <definition value="haploid method."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:method.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:method.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:method.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="method"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:method.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="haploid"/>
-            <definition value="haploid."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:locus">
-            <path value="Extension.extension"/>
-            <sliceName value="locus"/>
-            <short value="haploid-locus"/>
-            <definition value="gene region."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:locus.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:locus.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="locus"/>
-          </element>
-          <element id="Extension.extension:locus.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="haploid-type"/>
-            <definition value="haploid type."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:method">
-            <path value="Extension.extension"/>
-            <sliceName value="method"/>
-            <short value="haploid-method"/>
-            <definition value="haploid method."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:method.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:method.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="method"/>
-          </element>
-          <element id="Extension.extension:method.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-deliveryModeIdentifier"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-deliveryModeIdentifier"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryModeIdentifier"/>
-            <definition value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DMODID]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryModeIdentifier"/>
-            <definition value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DMODID]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-keyWord"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"/>
-        <version value="4.1.0"/>
-        <name value="keyWord"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Word or words used in an information retrieval system to indicate the content of the value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Descriptors and key terms for search"/>
-            <definition value="Word or words used in an information retrieval system to indicate the content of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Descriptors and key terms for search"/>
-            <definition value="Word or words used in an information retrieval system to indicate the content of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-minOccurs"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"/>
-        <version value="4.1.0"/>
-        <name value="minOccurs"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The minimum number of times the group must appear, or the minimum number of answers for a question - when greater than 1."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type!=&#39;display&#39; and (required=true or %extension.valueInteger=0)"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Minimum repetitions"/>
-            <definition value="The minimum number of times the group must appear, or the minimum number of answers for a question - when greater than 1."/>
-            <comment value="Default assumption for &quot;required&quot; elements is minOccurs=1."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Minimum repetitions"/>
-            <definition value="The minimum number of times the group must appear, or the minimum number of answers for a question - when greater than 1."/>
-            <comment value="Default assumption for &quot;required&quot; elements is minOccurs=1."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-ParticipantObjectContainsStudy"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"/>
-        <version value="4.1.0"/>
-        <name value="ParticipantObjectContainsStudy"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="A Study Instance ID, which may be used when the Entity type is not (110180, DCM, &quot;Study Instance UID&quot;)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Contains Study"/>
-            <definition value="A Study Instance ID, which may be used when the Entity type is not (110180, DCM, &quot;Study Instance UID&quot;)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="ParticipantObjectContainsStudy"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Contains Study"/>
-            <definition value="A Study Instance ID, which may be used when the Entity type is not (110180, DCM, &quot;Study Instance UID&quot;)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="ParticipantObjectContainsStudy"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Identifier"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-nullFlavor"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"/>
-        <version value="4.1.0"/>
-        <name value="nullFlavor"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="If the value is not a proper value, indicates the reason."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="NI | OTH | NINF | PINF | UNK | ASKU | NAV | NASK | TRC | MSK | NA | QS"/>
-            <definition value="If the value is not a proper value, indicates the reason."/>
-            <comment value="Considerable care must be used when using nullFlavor in this context of FHIR - more than any other concept, this is tied to the way v3 works, and FHIR is quite different. For instance, there is no notion of a &quot;proper value&quot; as opposed to any other value in FHIR. a NullFlavor should be understood to mean, &quot;why information is missing&quot;, and the nulFlavors OTH, NINF, PINF, and TRC should not be used."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="n/a"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ANY.nullFlavor"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="NullFlavor"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A collection of codes specifying why a valid value is not present."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="NI | OTH | NINF | PINF | UNK | ASKU | NAV | NASK | TRC | MSK | NA | QS"/>
-            <definition value="If the value is not a proper value, indicates the reason."/>
-            <comment value="Considerable care must be used when using nullFlavor in this context of FHIR - more than any other concept, this is tied to the way v3 works, and FHIR is quite different. For instance, there is no notion of a &quot;proper value&quot; as opposed to any other value in FHIR. a NullFlavor should be understood to mean, &quot;why information is missing&quot;, and the nulFlavors OTH, NINF, PINF, and TRC should not be used."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="n/a"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ANY.nullFlavor"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="NullFlavor"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A collection of codes specifying why a valid value is not present."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"/>
-    <resource>
-      <StructureDefinition>
-        <id value="hla-genotyping-results-allele-database"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"/>
-        <version value="4.1.0"/>
-        <name value="allele-database"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Allele Database."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allele Database"/>
-            <definition value="Allele Database."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allele Database"/>
-            <definition value="Allele Database."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement-supported-system"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"/>
-        <version value="4.1.0"/>
-        <name value="supported-system"/>
-        <title value="Supported Code System"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="A code system that is supported by the system that is not defined in a value set resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system not defined in a value set"/>
-            <definition value="A code system that is supported by the system that is not defined in a value set resource."/>
-            <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system not defined in a value set"/>
-            <definition value="A code system that is supported by the system that is not defined in a value set resource."/>
-            <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-conceptOrder"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"/>
-        <version value="4.1.0"/>
-        <name value="conceptOrder"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Identifies the relative order in which concepts within the value set should be presented to a user."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Appearance order for user selection"/>
-            <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Appearance order for user selection"/>
-            <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-own-prefix"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"/>
-        <version value="4.1.0"/>
-        <name value="own-prefix"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person&#39;s own surname, as distinguished from any portion that is derived from the surname of the person&#39;s partner or spouse."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Voorvoegsel derived from person&#39;s own surname"/>
-            <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person&#39;s own surname, as distinguished from any portion that is derived from the surname of the person&#39;s partner or spouse."/>
-            <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn&#39;t sort completely alphabetically, it is reasonable to specify it as a separate sub-component."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.2"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (VV, R)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Voorvoegsel derived from person&#39;s own surname"/>
-            <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person&#39;s own surname, as distinguished from any portion that is derived from the surname of the person&#39;s partner or spouse."/>
-            <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn&#39;t sort completely alphabetically, it is reasonable to specify it as a separate sub-component."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.2"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (VV, R)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-dueTo"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"/>
-        <version value="4.1.0"/>
-        <name value="dueTo"/>
-        <title value="dueTo"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Causes for this Condition"/>
-            <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition."/>
-            <comment value="Although a condition may be caused by a substance, this is not intended to be used to record allergies/adverse reactions to substances."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".typeCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionCause"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Causes for this Condition"/>
-            <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition."/>
-            <comment value="Although a condition may be caused by a substance, this is not intended to be used to record allergies/adverse reactions to substances."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".typeCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionCause"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-incisionDateTime"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"/>
-        <version value="4.1.0"/>
-        <name value="incisionDateTime"/>
-        <title value="incisionDateTime"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The time of the first incision."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The first incision time"/>
-            <definition value="The time of the first incision."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The first incision time"/>
-            <definition value="The time of the first incision."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-hidden"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"/>
-        <version value="4.1.0"/>
-        <name value="hidden"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="If true, indicates that the extended item should not be displayed to the user."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Don&#39;t display to user"/>
-            <definition value="If true, indicates that the extended item should not be displayed to the user."/>
-            <comment value="If an item is hidden, all descendant items are hidden as well."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Don&#39;t display to user"/>
-            <definition value="If true, indicates that the extended item should not be displayed to the user."/>
-            <comment value="If an item is hidden, all descendant items are hidden as well."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-method"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-method"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-method"/>
-        <version value="4.1.0"/>
-        <name value="method"/>
-        <title value="method"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The method used to perform this procedure."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The method used to perform the procedure"/>
-            <definition value="The method used to perform this procedure."/>
-            <comment value="Improve definition. Add mappings."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-method"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The method used to perform the procedure"/>
-            <definition value="The method used to perform this procedure."/>
-            <comment value="Improve definition. Add mappings."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-method"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-explicit-type-name"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"/>
-        <version value="4.1.0"/>
-        <name value="explicit-type-name"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A name to use for the type, in implementations. This is a suggestion; it&#39;s not a normative part of the FHIR specification, but it does appear in the UML diagrams, and is used in generated code, schemas, etc.to identify the type."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Advisory - name of Type for implementations"/>
-            <definition value="A name to use for the type, in implementations. This is a suggestion; it&#39;s not a normative part of the FHIR specification, but it does appear in the UML diagrams, and is used in generated code, schemas, etc.to identify the type."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Advisory - name of Type for implementations"/>
-            <definition value="A name to use for the type, in implementations. This is a suggestion; it&#39;s not a normative part of the FHIR specification, but it does appear in the UML diagrams, and is used in generated code, schemas, etc.to identify the type."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"/>
-    <resource>
-      <StructureDefinition>
-        <id value="composition-clinicaldocument-versionNumber"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sd"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"/>
-        <version value="4.1.0"/>
-        <name value="versionNumber"/>
-        <status value="draft"/>
-        <date value="2015-03-17"/>
-        <publisher value="Health Level Seven, Inc. - Structured Documents WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/structure"/>
-          </telecom>
-        </contact>
-        <description value="Version specific identifier for the composition, assigned when each version is created/updated."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Composition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Version-specific identifier for composition"/>
-            <definition value="Version specific identifier for the composition, assigned when each version is created/updated."/>
-            <comment value="While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Version-specific identifier for composition"/>
-            <definition value="Version specific identifier for the composition, assigned when each version is created/updated."/>
-            <comment value="While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-progressStatus"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"/>
-        <version value="4.1.0"/>
-        <name value="progressStatus"/>
-        <title value="progressStatus"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A code to track a detailed progress of  a procedure (e.g. In Recovery, Prepared for Surgery)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A details procedure progress"/>
-            <definition value="A code to track a detailed progress of  a procedure (e.g. In Recovery, Prepared for Surgery)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ProcedureProgress"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A code to describe a detailed status/stage of the procedure."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/procedure-progress-status-codes"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A details procedure progress"/>
-            <definition value="A code to track a detailed progress of  a procedure (e.g. In Recovery, Prepared for Surgery)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ProcedureProgress"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A code to describe a detailed status/stage of the procedure."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/procedure-progress-status-codes"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"/>
-    <resource>
-      <StructureDefinition>
-        <id value="goal-acceptance"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"/>
-        <version value="4.1.0"/>
-        <name value="acceptance"/>
-        <title value="Goal acceptance"/>
-        <status value="draft"/>
-        <date value="2014-12-07"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir"/>
-          </telecom>
-        </contact>
-        <description value="Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Goal"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Individual acceptance of goal"/>
-            <definition value="Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:individual">
-            <path value="Extension.extension"/>
-            <sliceName value="individual"/>
-            <short value="Individual whose acceptance is reflected"/>
-            <definition value="The person whose acceptance/priority is being reflected."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:individual.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:individual.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:individual.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="individual"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:individual.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:status">
-            <path value="Extension.extension"/>
-            <sliceName value="status"/>
-            <short value="agree | disagree | pending"/>
-            <definition value="Indicates whether the specified individual has accepted the goal or not."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:status.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:status.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:status.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="status"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:status.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GoalAcceptanceStatus"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes indicating whether the goal has been accepted by a stakeholder."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/goal-acceptance-status|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:priority">
-            <path value="Extension.extension"/>
-            <sliceName value="priority"/>
-            <short value="Priority of goal for individual"/>
-            <definition value="Indicates the relative priority assigned to the resource by the stakeholder."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:priority.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:priority.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:priority.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="priority"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:priority.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GoalAcceptancePriority"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes indicating the relative priority assigned to a goal by a stakeholder."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Individual acceptance of goal"/>
-            <definition value="Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:individual">
-            <path value="Extension.extension"/>
-            <sliceName value="individual"/>
-            <short value="Individual whose acceptance is reflected"/>
-            <definition value="The person whose acceptance/priority is being reflected."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:individual.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:individual.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="individual"/>
-          </element>
-          <element id="Extension.extension:individual.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-          <element id="Extension.extension:status">
-            <path value="Extension.extension"/>
-            <sliceName value="status"/>
-            <short value="agree | disagree | pending"/>
-            <definition value="Indicates whether the specified individual has accepted the goal or not."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:status.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:status.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="status"/>
-          </element>
-          <element id="Extension.extension:status.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GoalAcceptanceStatus"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes indicating whether the goal has been accepted by a stakeholder."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/goal-acceptance-status|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:priority">
-            <path value="Extension.extension"/>
-            <sliceName value="priority"/>
-            <short value="Priority of goal for individual"/>
-            <definition value="Indicates the relative priority assigned to the resource by the stakeholder."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:priority.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:priority.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="priority"/>
-          </element>
-          <element id="Extension.extension:priority.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GoalAcceptancePriority"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes indicating the relative priority assigned to a goal by a stakeholder."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"/>
-            </binding>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-streetNameBase"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-streetNameBase"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetNameBase"/>
-            <definition value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=STB]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetNameBase"/>
-            <definition value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=STB]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-security-category"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"/>
-        <version value="4.1.0"/>
-        <name value="security-category"/>
-        <title value="Security Category"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete the resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Security Categorization for Resource"/>
-            <definition value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete the resource."/>
-            <comment value="This is only guidance; applications must perform their own analysis to meet their own requirements."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ResourceSecurityCategory"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/resource-security-category|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Security Categorization for Resource"/>
-            <definition value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete the resource."/>
-            <comment value="This is only guidance; applications must perform their own analysis to meet their own requirements."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ResourceSecurityCategory"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/resource-security-category|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"/>
-    <resource>
-      <StructureDefinition>
-        <id value="familymemberhistory-type"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"/>
-        <version value="4.1.0"/>
-        <name value="type"/>
-        <title value="type"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Purpose of the family member history or why it was created, such as when family member history is targeted for cardiovascular health, mental health, or genetic counseling."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Purpose of the family member history"/>
-            <definition value="Purpose of the family member history or why it was created, such as when family member history is targeted for cardiovascular health, mental health, or genetic counseling."/>
-            <comment value="List.code can be used to capture the type across a list of family members&#39; histories."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Purpose of the family member history"/>
-            <definition value="Purpose of the family member history or why it was created, such as when family member history is targeted for cardiovascular health, mental health, or genetic counseling."/>
-            <comment value="List.code can be used to capture the type across a list of family members&#39; histories."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="identifier-validDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"/>
-        <version value="4.1.0"/>
-        <name value="validDate"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Indicates a date on which this identifier value was deemed to apply to this instance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Identifier"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="External Identifier associated with this element"/>
-            <definition value="Indicates a date on which this identifier value was deemed to apply to this instance."/>
-            <comment value="When referencing business objects where an identifier might not be globally unique but is instead re-used, allows determination of which object applies (on the presumption that the identifiers on the referenced object have an identifier.period or other metadata that indicates when that identifier was valid for the business object)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="External Identifier associated with this element"/>
-            <definition value="Indicates a date on which this identifier value was deemed to apply to this instance."/>
-            <comment value="When referencing business objects where an identifier might not be globally unique but is instead re-used, allows determination of which object applies (on the presumption that the identifiers on the referenced object have an identifier.period or other metadata that indicates when that identifier was valid for the business object)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-partner-name"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"/>
-        <version value="4.1.0"/>
-        <name value="partner-name"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The portion of the family name that is derived from the person&#39;s partner&#39;s surname, as distinguished from any portion that is derived from the surname of the person&#39;s own name."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion derived from person&#39;s partner&#39;s surname"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s partner&#39;s surname, as distinguished from any portion that is derived from the surname of the person&#39;s own name."/>
-            <comment value="If the person&#39;s surname has legally changed to become (or incorporate) the surname of the person&#39;s partner or spouse, this is the person&#39;s surname immediately prior to such change. Often this is the person&#39;s &quot;maiden name&quot;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.5"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (SP)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion derived from person&#39;s partner&#39;s surname"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s partner&#39;s surname, as distinguished from any portion that is derived from the surname of the person&#39;s own name."/>
-            <comment value="If the person&#39;s surname has legally changed to become (or incorporate) the surname of the person&#39;s partner or spouse, this is the person&#39;s surname immediately prior to such change. Often this is the person&#39;s &quot;maiden name&quot;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.5"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (SP)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-Encrypted"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"/>
-        <version value="4.1.0"/>
-        <name value="Encrypted"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="True or False indicating whether the data was encrypted."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Encrypted state"/>
-            <definition value="True or False indicating whether the data was encrypted."/>
-            <comment value="If there was a mix of encrypted and non-encrypted data, then create two AuditEvents."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Encrypted"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Encrypted state"/>
-            <definition value="True or False indicating whether the data was encrypted."/>
-            <comment value="If there was a mix of encrypted and non-encrypted data, then create two AuditEvents."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Encrypted"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-unitValueSet"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"/>
-        <version value="4.1.0"/>
-        <name value="unitValueSet"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="A set of units that the user may choose when providing a quantity value."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;quantity&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Unit choices"/>
-            <definition value="A set of units that the user may choose when providing a quantity value."/>
-            <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Unit choices"/>
-            <definition value="A set of units that the user may choose when providing a quantity value."/>
-            <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsAncestry"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"/>
-        <version value="4.1.0"/>
-        <name value="Ancestry"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Ancestry information."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Ancestry"/>
-            <definition value="Ancestry information."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="Ancestry name"/>
-            <definition value="A definition that describes the geographical origin of a patient."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Percentage">
-            <path value="Extension.extension"/>
-            <sliceName value="Percentage"/>
-            <short value="Ancestry percentage"/>
-            <definition value="The ratio of this ancestry to all of the patient&#39;s ancestry."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Percentage.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Percentage.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Percentage.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Percentage"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Percentage.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Source">
-            <path value="Extension.extension"/>
-            <sliceName value="Source"/>
-            <short value="Source of ancestry report"/>
-            <definition value="In what way the ancestry is reported (e.g. Patient reported, Genetic test, Other, Unknown)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Source.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Source.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Source.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Source"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Source.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Ancestry"/>
-            <definition value="Ancestry information."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:Name">
-            <path value="Extension.extension"/>
-            <sliceName value="Name"/>
-            <short value="Ancestry name"/>
-            <definition value="A definition that describes the geographical origin of a patient."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Name"/>
-          </element>
-          <element id="Extension.extension:Name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Percentage">
-            <path value="Extension.extension"/>
-            <sliceName value="Percentage"/>
-            <short value="Ancestry percentage"/>
-            <definition value="The ratio of this ancestry to all of the patient&#39;s ancestry."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Percentage.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Percentage.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Percentage"/>
-          </element>
-          <element id="Extension.extension:Percentage.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Source">
-            <path value="Extension.extension"/>
-            <sliceName value="Source"/>
-            <short value="Source of ancestry report"/>
-            <definition value="In what way the ancestry is reported (e.g. Patient reported, Genetic test, Other, Unknown)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Source.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Source.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Source"/>
-          </element>
-          <element id="Extension.extension:Source.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/quantity-precision"/>
-    <resource>
-      <StructureDefinition>
-        <id value="quantity-precision"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/quantity-precision"/>
-        <version value="4.1.0"/>
-        <name value="precision"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="decimal"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explicit precision (number of significant decimal places)"/>
-            <definition value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal."/>
-            <comment value="The presence of this extension does not change conformance expectations with regard to rendering and calculations that use the number - these are still based on the raw decimal value. Applications that perform calculations SHALL ensure that this extension is removed or updated to the correct precision value if the number is changed. Applications should consider using the exponential form (e.g. 2.10e3) on the raw decimal to manage significant figures, but should be mindful of human display when doing so."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/quantity-precision"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explicit precision (number of significant decimal places)"/>
-            <definition value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal."/>
-            <comment value="The presence of this extension does not change conformance expectations with regard to rendering and calculations that use the number - these are still based on the raw decimal value. Applications that perform calculations SHALL ensure that this extension is removed or updated to the correct precision value if the number is changed. Applications should consider using the exponential form (e.g. 2.10e3) on the raw decimal to manage significant figures, but should be mindful of human display when doing so."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/quantity-precision"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"/>
-    <resource>
-      <StructureDefinition>
-        <id value="servicerequest-precondition"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"/>
-        <version value="4.1.0"/>
-        <name value="precondition"/>
-        <title value="precondition"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The condition or state of the patient, prior or during the diagnostic procedure or test, for example, fasting, at-rest, or post-operative. This captures circumstances that may influence the measured value and have bearing on the interpretation of the result."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The condition or state of the patient for this test"/>
-            <definition value="The condition or state of the patient, prior or during the diagnostic procedure or test, for example, fasting, at-rest, or post-operative. This captures circumstances that may influence the measured value and have bearing on the interpretation of the result."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The condition or state of the patient for this test"/>
-            <definition value="The condition or state of the patient, prior or during the diagnostic procedure or test, for example, fasting, at-rest, or post-operative. This captures circumstances that may influence the measured value and have bearing on the interpretation of the result."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-display-hint"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"/>
-        <version value="4.1.0"/>
-        <name value="display-hint"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Hinting information for the narrative generator - a series of name: value; pairs."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Hinting information for the narrative generator"/>
-            <definition value="Hinting information for the narrative generator - a series of name: value; pairs."/>
-            <comment value="known names: default (default value - don&#39;t represent if this value)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Hinting information for the narrative generator"/>
-            <definition value="Hinting information for the narrative generator - a series of name: value; pairs."/>
-            <comment value="known names: default (default value - don&#39;t represent if this value)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-trusted-expansion"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"/>
-        <version value="4.1.0"/>
-        <name value="trusted-expansion"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Indicates an authoritative source for performing value set expansions."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to a trusted expansion"/>
-            <definition value="Indicates an authoritative source for performing value set expansions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to a trusted expansion"/>
-            <definition value="Indicates an authoritative source for performing value set expansions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-replaces"/>
-    <resource>
-      <StructureDefinition>
-        <id value="request-replaces"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/request-replaces"/>
-        <version value="4.1.0"/>
-        <name value="replaces"/>
-        <title value="Replaces"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Completed or terminated request(s) whose function is taken by this new request."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Request(s) replaced by this request"/>
-            <definition value="Completed or terminated request(s) whose function is taken by this new request."/>
-            <comment value="The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Handled by message location of ORC (ORC.1=RO or RU)"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=RPLC].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-replaces"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Request(s) replaced by this request"/>
-            <definition value="Completed or terminated request(s) whose function is taken by this new request."/>
-            <comment value="The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Handled by message location of ORC (ORC.1=RO or RU)"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=RPLC].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-replaces"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/task-candidateList"/>
-    <resource>
-      <StructureDefinition>
-        <id value="task-candidateList"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/task-candidateList"/>
-        <version value="4.1.0"/>
-        <name value="candidateList"/>
-        <title value="Candidate List"/>
-        <status value="draft"/>
-        <date value="2017-02-16"/>
-        <publisher value="Health Level Seven, Inc. - FHIR I WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Identifies the individuals who are candidates for being the owner of the task."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Task"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="List of possible owners of Task"/>
-            <definition value="Identifies the individuals who are candidates for being the owner of the task."/>
-            <comment value="In some environments, this list might be binding (i.e. owner must be one of the listed individuals), in others it may be suggestive (i.e. preferred owner will be from this list, but business processes may allow assignment to someone not on the list."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.performer.actor, Request.performer"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".participation[typeCode=PRF].role"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-candidateList"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="List of possible owners of Task"/>
-            <definition value="Identifies the individuals who are candidates for being the owner of the task."/>
-            <comment value="In some environments, this list might be binding (i.e. owner must be one of the listed individuals), in others it may be suggestive (i.e. preferred owner will be from this list, but business processes may allow assignment to someone not on the list."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.performer.actor, Request.performer"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".participation[typeCode=PRF].role"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-candidateList"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-concept-definition"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"/>
-        <version value="4.1.0"/>
-        <name value="concept-definition"/>
-        <title value="Definition"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A definition that describes the meaning of this code when used as part of this value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.concept"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion.contains"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A definition for this code"/>
-            <definition value="A definition that describes the meaning of this code when used as part of this value set."/>
-            <comment value="This is provided for when the source code system doesn&#39;t actually provide a definition (there are many such). Providing an definition for a code SHOULD NOT be done where the underlying code system provides a definition."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A definition for this code"/>
-            <definition value="A definition that describes the meaning of this code when used as part of this value set."/>
-            <comment value="This is provided for when the source code system doesn&#39;t actually provide a definition (there are many such). Providing an definition for a code SHOULD NOT be done where the underlying code system provides a definition."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"/>
-    <resource>
-      <StructureDefinition>
-        <id value="consent-Transcriber"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="cbcc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"/>
-        <version value="4.1.0"/>
-        <name value="Transcriber"/>
-        <title value="Transcriber"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - CBCC WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="Any person/thing who transcribed the consent into the system."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Consent"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Transcribed consent"/>
-            <definition value="Any person/thing who transcribed the consent into the system."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Transcribed consent"/>
-            <definition value="Any person/thing who transcribed the consent into the system."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-systemUserTaskContext"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"/>
-        <version value="4.1.0"/>
-        <name value="systemUserTaskContext"/>
-        <title value="systemUserTaskContext"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The task the system user is performing"/>
-            <definition value="The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The task the system user is performing"/>
-            <definition value="The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-mothers-family"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"/>
-        <version value="4.1.0"/>
-        <name value="mothers-family"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The portion of the family name that is derived from the person&#39;s mother."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion of family name derived from mother"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s mother."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion of family name derived from mother"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s mother."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-partOf"/>
-    <resource>
-      <StructureDefinition>
-        <id value="event-partOf"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/event-partOf"/>
-        <version value="4.1.0"/>
-        <name value="partOf"/>
-        <title value="Part Of"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="A larger event of which this particular event is a component or step."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Part of referenced event"/>
-            <definition value="A larger event of which this particular event is a component or step."/>
-            <comment value="Not to be used to link an event to an Encounter - use Event.context for that.&#xD;&#xD;[The allowed reference resources may be adjusted as appropriate for the event resource]."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.partOf"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-partOf"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Part of referenced event"/>
-            <definition value="A larger event of which this particular event is a component or step."/>
-            <comment value="Not to be used to link an event to an Encounter - use Event.context for that.&#xD;&#xD;[The allowed reference resources may be adjusted as appropriate for the event resource]."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.partOf"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-partOf"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-encounterType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"/>
-        <version value="4.1.0"/>
-        <name value="encounterType"/>
-        <title value="encounterType"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The type of the encounter."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The type of the encounter."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The type of the encounter."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"/>
-    <resource>
-      <StructureDefinition>
-        <id value="operationoutcome-authority"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"/>
-        <version value="4.1.0"/>
-        <name value="authority"/>
-        <title value="Rule Reference"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A reference to where the rule is defined (based on the authoritative URLs in the applicable conformance resources)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="OperationOutcome.issue"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to where the rule is defined"/>
-            <definition value="A reference to where the rule is defined (based on the authoritative URLs in the applicable conformance resources)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to where the rule is defined"/>
-            <definition value="A reference to where the rule is defined (based on the authoritative URLs in the applicable conformance resources)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-pattern"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"/>
-        <version value="4.1.0"/>
-        <name value="pattern"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A pattern that all the target resources follow - that is, a pattern that they all declare their relationship to."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.type"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A pattern that the target resources follow"/>
-            <definition value="A pattern that all the target resources follow - that is, a pattern that they all declare their relationship to."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A pattern that the target resources follow"/>
-            <definition value="A pattern that all the target resources follow - that is, a pattern that they all declare their relationship to."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-systemUserType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"/>
-        <version value="4.1.0"/>
-        <name value="systemUserType"/>
-        <title value="systemUserType"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The type of user initiating the request"/>
-            <definition value="The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The type of user initiating the request"/>
-            <definition value="The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-toocostly"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"/>
-        <version value="4.1.0"/>
-        <name value="toocostly"/>
-        <title value="Expansion Truncated"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Marks that the expansion is  incomplete, because the full value set is too large to represent, and the client asked for an incomplete fragment."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The expansion is incomplete because the full expansion is too large"/>
-            <definition value="Marks that the expansion is  incomplete, because the full value set is too large to represent, and the client asked for an incomplete fragment."/>
-            <comment value="Typically, servers will limit expansion to a number like 10000 codes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The expansion is incomplete because the full expansion is too large"/>
-            <definition value="Marks that the expansion is  incomplete, because the full value set is too large to represent, and the client asked for an incomplete fragment."/>
-            <comment value="Typically, servers will limit expansion to a number like 10000 codes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-measureInfo"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"/>
-        <version value="4.1.0"/>
-        <name value="measureInfo"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The measure criteria that resulted in the resource being included in a particular evaluatedResources bundle."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Measure criteria for the resource"/>
-            <definition value="The measure criteria that resulted in the resource being included in a particular evaluatedResources bundle."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:measure">
-            <path value="Extension.extension"/>
-            <sliceName value="measure"/>
-            <short value="The measure being calculated"/>
-            <definition value="The measure that resulted in this resource being included in the measure report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:measure.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:measure.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:measure.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="measure"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:measure.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:groupId">
-            <path value="Extension.extension"/>
-            <sliceName value="groupId"/>
-            <short value="The group identifier"/>
-            <definition value="The group within the measure that resulted in this resource being included in the measure report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:groupId.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:groupId.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:groupId.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="groupId"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:groupId.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:populationId">
-            <path value="Extension.extension"/>
-            <sliceName value="populationId"/>
-            <short value="The population identifier"/>
-            <definition value="The population within the measure that resulted in this resource being included in the measure report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:populationId.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:populationId.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:populationId.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="populationId"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:populationId.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Measure criteria for the resource"/>
-            <definition value="The measure criteria that resulted in the resource being included in a particular evaluatedResources bundle."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:measure">
-            <path value="Extension.extension"/>
-            <sliceName value="measure"/>
-            <short value="The measure being calculated"/>
-            <definition value="The measure that resulted in this resource being included in the measure report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:measure.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:measure.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="measure"/>
-          </element>
-          <element id="Extension.extension:measure.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"/>
-            </type>
-          </element>
-          <element id="Extension.extension:groupId">
-            <path value="Extension.extension"/>
-            <sliceName value="groupId"/>
-            <short value="The group identifier"/>
-            <definition value="The group within the measure that resulted in this resource being included in the measure report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:groupId.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:groupId.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="groupId"/>
-          </element>
-          <element id="Extension.extension:groupId.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:populationId">
-            <path value="Extension.extension"/>
-            <sliceName value="populationId"/>
-            <short value="The population identifier"/>
-            <definition value="The population within the measure that resulted in this resource being included in the measure report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:populationId.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:populationId.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="populationId"/>
-          </element>
-          <element id="Extension.extension:populationId.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-assertedDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"/>
-        <version value="4.1.0"/>
-        <name value="assertedDate"/>
-        <title value="assertedDate"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The date on which the existence of the AllergyIntolerance was first asserted or acknowledged."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date the allergy or intolerance was first asserted"/>
-            <definition value="The date on which the existence of the AllergyIntolerance was first asserted or acknowledged."/>
-            <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date the allergy or intolerance was first asserted"/>
-            <definition value="The date on which the existence of the AllergyIntolerance was first asserted or acknowledged."/>
-            <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-gatewayDevice"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"/>
-        <version value="4.1.0"/>
-        <name value="gatewayDevice"/>
-        <title value="Gateway Device"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="The Provenance/AuditEvent resources can represent the same information.  Note that the Provenance/AuditEvent resources can represent the same information."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Gateway Device"/>
-            <definition value="The Provenance/AuditEvent resources can represent the same information.  Note that the Provenance/AuditEvent resources can represent the same information."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Gateway Device"/>
-            <definition value="The Provenance/AuditEvent resources can represent the same information.  Note that the Provenance/AuditEvent resources can represent the same information."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-replacedby"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"/>
-        <version value="4.1.0"/>
-        <name value="replacedby"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A code that replaces this - use this code instead."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A code that replaces this"/>
-            <definition value="A code that replaces this - use this code instead."/>
-            <comment value="Usually such codes are deprecated (retired)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A code that replaces this"/>
-            <definition value="A code that replaces this - use this code instead."/>
-            <comment value="Usually such codes are deprecated (retired)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/designNote"/>
-    <resource>
-      <StructureDefinition>
-        <id value="designNote"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/designNote"/>
-        <version value="4.1.0"/>
-        <name value="Design Note"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Information captured by the author/maintainer of the questionnaire for development purposes, not intended to be seen by users."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Design comments"/>
-            <definition value="Information captured by the author/maintainer of the questionnaire for development purposes, not intended to be seen by users."/>
-            <comment value="Allows capture of todos, rationale for design decisions, etc."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/designNote"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Design comments"/>
-            <definition value="Information captured by the author/maintainer of the questionnaire for development purposes, not intended to be seen by users."/>
-            <comment value="Allows capture of todos, rationale for design decisions, etc."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/designNote"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-encounterClass"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"/>
-        <version value="4.1.0"/>
-        <name value="encounterClass"/>
-        <title value="encounterClass"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The class of encounter (inpatient, outpatient, etc.)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The class of encounter (inpatient, outpatient, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The class of encounter (inpatient, outpatient, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-relativeDateTime"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"/>
-        <version value="4.1.0"/>
-        <name value="relativeDateTime"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="A date/time value that is determined based on a duration offset from a target event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A date/time that is specified relative to another event"/>
-            <definition value="A date/time value that is determined based on a duration offset from a target event."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:target">
-            <path value="Extension.extension"/>
-            <sliceName value="target"/>
-            <short value="Relative to what event"/>
-            <definition value="The event that the date/time value is relative to."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:target.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:target.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:target.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="target"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:target.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:targetPath">
-            <path value="Extension.extension"/>
-            <sliceName value="targetPath"/>
-            <short value="Relative to which element on the event"/>
-            <definition value="The path to the element that defines the effective period for the event that the date/time value is relative to."/>
-            <comment value="The specified path must be resolvable from the type of the target. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:targetPath.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:targetPath.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:targetPath.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="targetPath"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:targetPath.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:relationship">
-            <path value="Extension.extension"/>
-            <sliceName value="relationship"/>
-            <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"/>
-            <definition value="The relationship to the effective period of the target event that the date/time value is relative to."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:relationship.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:relationship.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:relationship.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="relationship"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:relationship.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ActionRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A type that describes how two events are related in time."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:offset">
-            <path value="Extension.extension"/>
-            <sliceName value="offset"/>
-            <short value="How long"/>
-            <definition value="A duration or range of durations that specifies the offset between the date/time value and the target event. For example, 30-60 minutes before."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:offset.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:offset.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:offset.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:offset.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A date/time that is specified relative to another event"/>
-            <definition value="A date/time value that is determined based on a duration offset from a target event."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:target">
-            <path value="Extension.extension"/>
-            <sliceName value="target"/>
-            <short value="Relative to what event"/>
-            <definition value="The event that the date/time value is relative to."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:target.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:target.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="target"/>
-          </element>
-          <element id="Extension.extension:target.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-          <element id="Extension.extension:targetPath">
-            <path value="Extension.extension"/>
-            <sliceName value="targetPath"/>
-            <short value="Relative to which element on the event"/>
-            <definition value="The path to the element that defines the effective period for the event that the date/time value is relative to."/>
-            <comment value="The specified path must be resolvable from the type of the target. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:targetPath.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:targetPath.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="targetPath"/>
-          </element>
-          <element id="Extension.extension:targetPath.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:relationship">
-            <path value="Extension.extension"/>
-            <sliceName value="relationship"/>
-            <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"/>
-            <definition value="The relationship to the effective period of the target event that the date/time value is relative to."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:relationship.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:relationship.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="relationship"/>
-          </element>
-          <element id="Extension.extension:relationship.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ActionRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A type that describes how two events are related in time."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:offset">
-            <path value="Extension.extension"/>
-            <sliceName value="offset"/>
-            <short value="How long"/>
-            <definition value="A duration or range of durations that specifies the offset between the date/time value and the target event. For example, 30-60 minutes before."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:offset.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:offset.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-          </element>
-          <element id="Extension.extension:offset.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"/>
-    <resource>
-      <StructureDefinition>
-        <id value="event-performerFunction"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"/>
-        <version value="4.1.0"/>
-        <name value="performerFunction"/>
-        <title value="Performer Function"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Distinguishes the type of involvement of the performer in the event. For example, &#39;author&#39;,  &#39;verifier&#39; or &#39;responsible party&#39;."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation.performer"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport.performer"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference.author"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Type of performance"/>
-            <definition value="Distinguishes the type of involvement of the performer in the event. For example, &#39;author&#39;,  &#39;verifier&#39; or &#39;responsible party&#39;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.performer.function"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="PerformerFunction"/>
-              </extension>
-              <strength value="extensible"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/performer-function"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Type of performance"/>
-            <definition value="Distinguishes the type of involvement of the performer in the event. For example, &#39;author&#39;,  &#39;verifier&#39; or &#39;responsible party&#39;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.performer.function"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="PerformerFunction"/>
-              </extension>
-              <strength value="extensible"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/performer-function"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"/>
-    <resource>
-      <StructureDefinition>
-        <id value="family-member-history-genetics-parent"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"/>
-        <version value="4.1.0"/>
-        <name value="parent"/>
-        <status value="draft"/>
-        <date value="2019-05-29"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Identifies a parent of the relative."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mother(s) &amp; Father(s) - genetic &amp; other"/>
-            <definition value="Identifies a parent of the relative."/>
-            <comment value="Some individuals may have more than two parents (e.g. genetic vs. adoptive parents).  Even non-genetic relationships can be relevant in terms of genetic exposure."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="player[classCode&lt;LIV, determinerCode=INSTANCE].scopesRole"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="mother | father | adoptive mother | etc."/>
-            <definition value="Distinguishes between different types of parental relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ParentRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Parental relationship types."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/parent-relationship-codes|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference">
-            <path value="Extension.extension"/>
-            <sliceName value="reference"/>
-            <short value="Link to parent relative(s)"/>
-            <definition value="Points to the FamilyMemberHistory record of the relation who is the parent of this relation."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="player.id"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:reference.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="reference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mother(s) &amp; Father(s) - genetic &amp; other"/>
-            <definition value="Identifies a parent of the relative."/>
-            <comment value="Some individuals may have more than two parents (e.g. genetic vs. adoptive parents).  Even non-genetic relationships can be relevant in terms of genetic exposure."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="player[classCode&lt;LIV, determinerCode=INSTANCE].scopesRole"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="mother | father | adoptive mother | etc."/>
-            <definition value="Distinguishes between different types of parental relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ParentRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Parental relationship types."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/parent-relationship-codes|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:reference">
-            <path value="Extension.extension"/>
-            <sliceName value="reference"/>
-            <short value="Link to parent relative(s)"/>
-            <definition value="Points to the FamilyMemberHistory record of the relation who is the parent of this relation."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="player.id"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:reference.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="reference"/>
-          </element>
-          <element id="Extension.extension:reference.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-bindingName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/>
-        <version value="4.1.0"/>
-        <name value="bindingName"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A name that can be used for code generation when generating named enumerations for the binding."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.binding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Suggested Name for code generation"/>
-            <definition value="A name that can be used for code generation when generating named enumerations for the binding."/>
-            <comment value="There is no need to use this name for conformance to the specification, but implementers may prefer to match e.g. the schema enumeration name."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Suggested Name for code generation"/>
-            <definition value="A name that can be used for code generation when generating named enumerations for the binding."/>
-            <comment value="There is no need to use this name for conformance to the specification, but implementers may prefer to match e.g. the schema enumeration name."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"/>
-    <resource>
-      <StructureDefinition>
-        <id value="subscription-event-count"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"/>
-        <version value="4.1.0"/>
-        <name value="subscription-event-count"/>
-        <title value="Subscription Event Count"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The number of events this Subscription has attempted to fire (0 for handshake)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.meta"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The number of events this Subscription has attempted to fire"/>
-            <definition value="The number of events this Subscription has attempted to fire (0 for handshake)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The number of events this Subscription has attempted to fire"/>
-            <definition value="The number of events this Subscription has attempted to fire (0 for handshake)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-recipientType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"/>
-        <version value="4.1.0"/>
-        <name value="recipientType"/>
-        <title value="recipientType"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-systemUserLanguage"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"/>
-        <version value="4.1.0"/>
-        <name value="systemUserLanguage"/>
-        <title value="systemUserLanguage"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="Preferred language of the person using the system."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="Preferred language of the person using the system."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="Preferred language of the person using the system."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-fhir-type"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"/>
-        <version value="4.1.0"/>
-        <name value="fhir-type"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The FHIR type of a property - used on the value property of a primitive type (for which there is no type in the FHIR typing system), and Element.id, Resource.id, and Extension.url. All of these have a non-FHIR type in thir structure definition, and this specifies the applicable FHIR type."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.type"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Base FHIR type (when a special property)"/>
-            <definition value="The FHIR type of a property - used on the value property of a primitive type (for which there is no type in the FHIR typing system), and Element.id, Resource.id, and Extension.url. All of these have a non-FHIR type in thir structure definition, and this specifies the applicable FHIR type."/>
-            <comment value="This is in effect, compiler magic for the typing system."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DataType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Base FHIR type (when a special property)"/>
-            <definition value="The FHIR type of a property - used on the value property of a primitive type (for which there is no type in the FHIR typing system), and Element.id, Resource.id, and Extension.url. All of these have a non-FHIR type in thir structure definition, and this specifies the applicable FHIR type."/>
-            <comment value="This is in effect, compiler magic for the typing system."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DataType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-expand-rules"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"/>
-        <version value="4.1.0"/>
-        <name value="expand-rules"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Defines how concepts are processed into the expansion when it&#39;s for UI presentation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="all-codes | ungrouped | groups-only"/>
-            <definition value="Defines how concepts are processed into the expansion when it&#39;s for UI presentation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ExpansionProcessingRule"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Defines how concepts are processed into the expansion when it&#39;s for UI presentation."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/expansion-processing-rule|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="all-codes | ungrouped | groups-only"/>
-            <definition value="Defines how concepts are processed into the expansion when it&#39;s for UI presentation."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ExpansionProcessingRule"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Defines how concepts are processed into the expansion when it&#39;s for UI presentation."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/expansion-processing-rule|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-rules-text"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"/>
-        <version value="4.1.0"/>
-        <name value="rules-text"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="An expression that provides an alternative definition of the content of the value set in some form that is not computable - e.g instructions that could only be followed by a human."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An alternative non-computable expression of the value set content"/>
-            <definition value="An expression that provides an alternative definition of the content of the value set in some form that is not computable - e.g instructions that could only be followed by a human."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An alternative non-computable expression of the value set content"/>
-            <definition value="An expression that provides an alternative definition of the content of the value set in some form that is not computable - e.g instructions that could only be followed by a human."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"/>
-    <resource>
-      <StructureDefinition>
-        <id value="contactpoint-extension"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"/>
-        <version value="4.1.0"/>
-        <name value="extension"/>
-        <title value="Extension"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The number that may be dialed within a private phone network or after successfully connecting to a private phone network. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ContactPoint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Number within private network"/>
-            <definition value="The number that may be dialed within a private phone network or after successfully connecting to a private phone network. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Number within private network"/>
-            <definition value="The number that may be dialed within a private phone network or after successfully connecting to a private phone network. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/maxSize"/>
-    <resource>
-      <StructureDefinition>
-        <id value="maxSize"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/maxSize"/>
-        <version value="4.1.0"/>
-        <name value="maxSize"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="For attachment answers, indicates the maximum size an attachment can be."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Max size in MB"/>
-            <definition value="For attachment answers, indicates the maximum size an attachment can be."/>
-            <comment value="This extension only has meaning if the element has a type of Attachment."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxSize"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Max size in MB"/>
-            <definition value="For attachment answers, indicates the maximum size an attachment can be."/>
-            <comment value="This extension only has meaning if the element has a type of Attachment."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxSize"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-location"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-location"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-location"/>
-        <version value="4.1.0"/>
-        <name value="location"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The anatomical location / body site(s) where the symptoms manifested."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Body site of manifestations"/>
-            <definition value="The anatomical location / body site(s) where the symptoms manifested."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-location"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="BodySite"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Codes describing anatomical locations. May include laterality."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Body site of manifestations"/>
-            <definition value="The anatomical location / body site(s) where the symptoms manifested."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-location"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="BodySite"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Codes describing anatomical locations. May include laterality."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"/>
-    <resource>
-      <StructureDefinition>
-        <id value="operationdefinition-profile"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"/>
-        <version value="4.1.0"/>
-        <name value="profile"/>
-        <title value="Profile"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="OperationDefinition.parameter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Profiles (StructureDefinition or IG) - one must apply"/>
-            <definition value="Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Profiles (StructureDefinition or IG) - one must apply"/>
-            <definition value="Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-NumberOfInstances"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"/>
-        <version value="4.1.0"/>
-        <name value="NumberOfInstances"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="The Number of SOP Instances referred to by this entity."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Number of SOP Instances referred to by this entity"/>
-            <definition value="The Number of SOP Instances referred to by this entity."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="NumberOfInstances"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Number of SOP Instances referred to by this entity"/>
-            <definition value="The Number of SOP Instances referred to by this entity."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="NumberOfInstances"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/match-grade"/>
-    <resource>
-      <StructureDefinition>
-        <id value="match-grade"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/match-grade"/>
-        <version value="4.1.0"/>
-        <name value="match-grade"/>
-        <title value="Matching Grade"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Assessment of resource match outcome - how likely this resource is to be a match."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.entry.search"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="How likely this resource is to be a match"/>
-            <definition value="Assessment of resource match outcome - how likely this resource is to be a match."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/match-grade"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="MatchGrade"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/match-grade|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="How likely this resource is to be a match"/>
-            <definition value="Assessment of resource match outcome - how likely this resource is to be a match."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/match-grade"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="MatchGrade"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/match-grade|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-extensible"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"/>
-        <version value="4.1.0"/>
-        <name value="extensible"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Whether this is intended to be used with an extensible binding or not."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Intended to be used with an extensible binding (e.g. &#39;open&#39;)"/>
-            <definition value="Whether this is intended to be used with an extensible binding or not."/>
-            <comment value="Value sets intended for extensible bindings often are more selective about the concepts they include."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Intended to be used with an extensible binding (e.g. &#39;open&#39;)"/>
-            <definition value="Whether this is intended to be used with an extensible binding or not."/>
-            <comment value="Value sets intended for extensible bindings often are more selective about the concepts they include."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-url"/>
-    <resource>
-      <StructureDefinition>
-        <id value="subscription-url"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/subscription-url"/>
-        <version value="4.1.0"/>
-        <name value="subscription-url"/>
-        <title value="Subscription URL"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The URL for the Subscription this notification relates to (local to server)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.meta"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The URL for the Subscription this notification relates to"/>
-            <definition value="The URL for the Subscription this notification relates to (local to server)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-url"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="url"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The URL for the Subscription this notification relates to"/>
-            <definition value="The URL for the Subscription this notification relates to (local to server)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-url"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="url"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-birthTime"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"/>
-        <version value="4.1.0"/>
-        <name value="birthTime"/>
-        <title value="Birth Time"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient.birthDate"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Time of day of birth"/>
-            <definition value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Time of day of birth"/>
-            <definition value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-animal"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-animal"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-animal"/>
-        <version value="4.1.0"/>
-        <name value="animal"/>
-        <title value="animal"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This patient is known to be an animal."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="This patient is known to be an animal (non-human)"/>
-            <definition value="This patient is known to be an animal."/>
-            <comment value="The absence of the animal extension does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="player[classCode=ANM]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:species">
-            <path value="Extension.extension"/>
-            <sliceName value="species"/>
-            <short value="The animal species.  E.g. Dog, Cow."/>
-            <definition value="Identifies the high level taxonomic categorization of the kind of animal."/>
-            <comment value="If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognized taxonomic classification.  It might or might not be Linnaean taxonomy and might or might not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word &quot;Hereford&quot; does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for &quot;Hereford Cattle Breed&quot; does.)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="PID-35"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:species.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:species.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:species.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="species"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:species.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalSpecies"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The species of an animal."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:breed">
-            <path value="Extension.extension"/>
-            <sliceName value="breed"/>
-            <short value="The animal breed.  E.g. Poodle, Angus."/>
-            <definition value="Identifies the detailed categorization of the kind of animal."/>
-            <comment value="Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="PID-35 (where more detailed value is present)"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:breed.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:breed.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:breed.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="breed"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:breed.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalBreed"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The breed of an animal."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-breeds"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:genderStatus">
-            <path value="Extension.extension"/>
-            <sliceName value="genderStatus"/>
-            <short value="The status of the animal&#39;s reproductive parts.  E.g. Neutered, Intact."/>
-            <definition value="Indicates the current state of the animal&#39;s reproductive organs."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="genderStatusCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:genderStatus.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:genderStatus.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:genderStatus.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="genderStatus"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:genderStatus.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalGenderStatus"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The state of the animal&#39;s reproductive organs."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-animal"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="This patient is known to be an animal (non-human)"/>
-            <definition value="This patient is known to be an animal."/>
-            <comment value="The absence of the animal extension does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="player[classCode=ANM]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:species">
-            <path value="Extension.extension"/>
-            <sliceName value="species"/>
-            <short value="The animal species.  E.g. Dog, Cow."/>
-            <definition value="Identifies the high level taxonomic categorization of the kind of animal."/>
-            <comment value="If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognized taxonomic classification.  It might or might not be Linnaean taxonomy and might or might not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word &quot;Hereford&quot; does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for &quot;Hereford Cattle Breed&quot; does.)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="PID-35"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:species.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:species.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="species"/>
-          </element>
-          <element id="Extension.extension:species.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalSpecies"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The species of an animal."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:breed">
-            <path value="Extension.extension"/>
-            <sliceName value="breed"/>
-            <short value="The animal breed.  E.g. Poodle, Angus."/>
-            <definition value="Identifies the detailed categorization of the kind of animal."/>
-            <comment value="Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="PID-35 (where more detailed value is present)"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:breed.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:breed.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="breed"/>
-          </element>
-          <element id="Extension.extension:breed.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalBreed"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The breed of an animal."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-breeds"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:genderStatus">
-            <path value="Extension.extension"/>
-            <sliceName value="genderStatus"/>
-            <short value="The status of the animal&#39;s reproductive parts.  E.g. Neutered, Intact."/>
-            <definition value="Indicates the current state of the animal&#39;s reproductive organs."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="genderStatusCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:genderStatus.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:genderStatus.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="genderStatus"/>
-          </element>
-          <element id="Extension.extension:genderStatus.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalGenderStatus"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The state of the animal&#39;s reproductive organs."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus"/>
-            </binding>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-animal"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/minValue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="minValue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/minValue"/>
-        <version value="4.1.0"/>
-        <name value="minValue"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="The inclusive lower bound on the range of allowed values for the data element."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Must be &gt;= this value"/>
-            <definition value="The inclusive lower bound on the range of allowed values for the data element."/>
-            <comment value="Data type specified must be the same as the data type for the data element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/minValue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Must be &gt;= this value"/>
-            <definition value="The inclusive lower bound on the range of allowed values for the data element."/>
-            <comment value="Data type specified must be the same as the data type for the data element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/minValue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"/>
-    <resource>
-      <StructureDefinition>
-        <id value="resource-pertainsToGoal"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"/>
-        <version value="4.1.0"/>
-        <name value="pertainsToGoal"/>
-        <title value="pertains to goal"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to exercise pertainsToGoal of losing weight."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Resource"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Pertains to goal"/>
-            <definition value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to exercise pertainsToGoal of losing weight."/>
-            <comment value="This extension is  limited to subject-specific activity-related resources (events &amp; intents).  I.e. This can&#39;t be put on Goal or Patient.  This association isn&#39;t for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Pertains to goal"/>
-            <definition value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to exercise pertainsToGoal of losing weight."/>
-            <comment value="This extension is  limited to subject-specific activity-related resources (events &amp; intents).  I.e. This can&#39;t be put on Goal or Patient.  This association isn&#39;t for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"/>
-    <resource>
-      <StructureDefinition>
-        <id value="diagnosticReport-extends"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"/>
-        <version value="4.1.0"/>
-        <name value="extends"/>
-        <title value="Extends"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The report references related (&quot;sibling&quot;) reports."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Related reports"/>
-            <definition value="The report references related (&quot;sibling&quot;) reports."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Related reports"/>
-            <definition value="The report references related (&quot;sibling&quot;) reports."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-usage"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-usage"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-usage"/>
-        <version value="4.1.0"/>
-        <name value="usage"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who has used and how?"/>
-            <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."/>
-            <comment value="This is likely to be a point-in-time view and should not be considered an authoritative listing of all uses of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:user">
-            <path value="Extension.extension"/>
-            <sliceName value="user"/>
-            <short value="A consumer of or client for the value set"/>
-            <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:user.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:user.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:user.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="user"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:user.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use">
-            <path value="Extension.extension"/>
-            <sliceName value="use"/>
-            <short value="Implementation/project/standard that uses value set"/>
-            <definition value="A descriptive name of the project or standard in which the value set is used."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:use.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:use.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="use"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-usage"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who has used and how?"/>
-            <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."/>
-            <comment value="This is likely to be a point-in-time view and should not be considered an authoritative listing of all uses of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:user">
-            <path value="Extension.extension"/>
-            <sliceName value="user"/>
-            <short value="A consumer of or client for the value set"/>
-            <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:user.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:user.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="user"/>
-          </element>
-          <element id="Extension.extension:user.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:use">
-            <path value="Extension.extension"/>
-            <sliceName value="use"/>
-            <short value="Implementation/project/standard that uses value set"/>
-            <definition value="A descriptive name of the project or standard in which the value set is used."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:use.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:use.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="use"/>
-          </element>
-          <element id="Extension.extension:use.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-usage"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-initiatingOrganization"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"/>
-        <version value="4.1.0"/>
-        <name value="initiatingOrganization"/>
-        <title value="initiatingOrganization"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The organization initiating the request."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The organization initiating the request."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The organization initiating the request."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement-search-parameter-combination"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"/>
-        <version value="4.1.0"/>
-        <name value="search-parameter-combination"/>
-        <title value="Search Parameter Combination"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An allowable parameter combination"/>
-            <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."/>
-            <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required">
-            <path value="Extension.extension"/>
-            <sliceName value="required"/>
-            <short value="A required search parameter name"/>
-            <definition value="A search parameter name in the combination which is required."/>
-            <min value="1"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:required.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="required"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional">
-            <path value="Extension.extension"/>
-            <sliceName value="optional"/>
-            <short value="An optional search parameter name"/>
-            <definition value="A search parameter name in the combination which is optional."/>
-            <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:optional.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="optional"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An allowable parameter combination"/>
-            <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."/>
-            <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required">
-            <path value="Extension.extension"/>
-            <sliceName value="required"/>
-            <short value="A required search parameter name"/>
-            <definition value="A search parameter name in the combination which is required."/>
-            <min value="1"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:required.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:required.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="required"/>
-          </element>
-          <element id="Extension.extension:required.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:optional">
-            <path value="Extension.extension"/>
-            <sliceName value="optional"/>
-            <short value="An optional search parameter name"/>
-            <definition value="A search parameter name in the combination which is optional."/>
-            <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:optional.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:optional.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="optional"/>
-          </element>
-          <element id="Extension.extension:optional.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-expression"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-expression"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-expression"/>
-        <version value="4.1.0"/>
-        <name value="expression"/>
-        <title value="expression"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="An expression that, when evaluated, provides the value for the element on which it appears."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An dynamic expression"/>
-            <definition value="An expression that, when evaluated, provides the value for the element on which it appears."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-expression"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An dynamic expression"/>
-            <definition value="An expression that, when evaluated, provides the value for the element on which it appears."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-expression"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Expression"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"/>
-    <resource>
-      <StructureDefinition>
-        <id value="familymemberhistory-severity"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"/>
-        <version value="4.1.0"/>
-        <name value="severity"/>
-        <title value="severity"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A qualification of the seriousness or impact on health of the family member condition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory.condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The seriousness of the family member condition"/>
-            <definition value="A qualification of the seriousness or impact on health of the family member condition."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionSeverity"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The seriousness of the family member condition"/>
-            <definition value="A qualification of the seriousness or impact on health of the family member condition."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionSeverity"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-occurredFollowing"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"/>
-        <version value="4.1.0"/>
-        <name value="occurredFollowing"/>
-        <title value="occurredFollowing"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded this Condition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Precedent for this Condition"/>
-            <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded this Condition."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".typeCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionPredecessor"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe activities or observations that occurred prior to the condition."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-predecessor"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Precedent for this Condition"/>
-            <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded this Condition."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".typeCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionPredecessor"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe activities or observations that occurred prior to the condition."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-predecessor"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-Instance"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"/>
-        <version value="4.1.0"/>
-        <name value="Instance"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="Th SOP Instance UID values."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SOP Instance UID value"/>
-            <definition value="Th SOP Instance UID values."/>
-            <comment value="Including the list of SOP Instances can create a large audit message. Under most circumstances, the list of SOP Instance UIDs is not needed for audit purposes."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Instance"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SOP Instance UID value"/>
-            <definition value="Th SOP Instance UID values."/>
-            <comment value="Including the list of SOP Instances can create a large audit message. Under most circumstances, the list of SOP Instance UIDs is not needed for audit purposes."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Instance"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Identifier"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-deliveryMode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-deliveryMode"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryMode"/>
-            <definition value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DMOD]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryMode"/>
-            <definition value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DMOD]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-steward"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-steward"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-steward"/>
-        <version value="4.1.0"/>
-        <name value="steward"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The entity that is responsible for the content of the Value Set Definition. This is a textual description of the organizational entity responsible for the content and maintenance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Entity responsible for Value Set"/>
-            <definition value="The entity that is responsible for the content of the Value Set Definition. This is a textual description of the organizational entity responsible for the content and maintenance."/>
-            <comment value="The information included should include contact information."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-steward"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Entity responsible for Value Set"/>
-            <definition value="The entity that is responsible for the content of the Value Set Definition. This is a textual description of the organizational entity responsible for the content and maintenance."/>
-            <comment value="The information included should include contact information."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-steward"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-bestpractice"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"/>
-        <version value="4.1.0"/>
-        <name value="bestpractice"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Mark that an invariant represents &#39;best practice&#39; rule - a rule that implementers may choose to enforce at error level in some or all circumstances."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.constraint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mark a warning invariant as &#39;best practice&#39;"/>
-            <definition value="Mark that an invariant represents &#39;best practice&#39; rule - a rule that implementers may choose to enforce at error level in some or all circumstances."/>
-            <comment value="Validators may/should offer implementers the choice to enforce invariants labeled as &#39;best practice&#39; as errors not warnings."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConformanceUseContext"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Indicates the countries, regions, disciplines and other aspects of use within which this artifact is targeted for use."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/use-context"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Mark a warning invariant as &#39;best practice&#39;"/>
-            <definition value="Mark that an invariant represents &#39;best practice&#39; rule - a rule that implementers may choose to enforce at error level in some or all circumstances."/>
-            <comment value="Validators may/should offer implementers the choice to enforce invariants labeled as &#39;best practice&#39; as errors not warnings."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConformanceUseContext"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Indicates the countries, regions, disciplines and other aspects of use within which this artifact is targeted for use."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/use-context"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"/>
-    <resource>
-      <StructureDefinition>
-        <id value="DiagnosticReport-geneticsAnalysis"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"/>
-        <version value="4.1.0"/>
-        <name value="Analysis"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Knowledge-based comments on the effect of the sequence on patient&#39;s condition/medication reaction."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Analysis"/>
-            <definition value="Knowledge-based comments on the effect of the sequence on patient&#39;s condition/medication reaction."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="Analysis type"/>
-            <definition value="Type of the analysis. E.g. for a drug, what is being analyzed - efficacy, reaction, the drug&#39;s effect on the user&#39;s metabolism, etc."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:interpretation">
-            <path value="Extension.extension"/>
-            <sliceName value="interpretation"/>
-            <short value="Analysis interpretation"/>
-            <definition value="Interpretation of the sequence&#39;s effect on the patient&#39;s condition or reaction to a medication."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:interpretation.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:interpretation.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:interpretation.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="interpretation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:interpretation.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Analysis"/>
-            <definition value="Knowledge-based comments on the effect of the sequence on patient&#39;s condition/medication reaction."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="Analysis type"/>
-            <definition value="Type of the analysis. E.g. for a drug, what is being analyzed - efficacy, reaction, the drug&#39;s effect on the user&#39;s metabolism, etc."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:interpretation">
-            <path value="Extension.extension"/>
-            <sliceName value="interpretation"/>
-            <short value="Analysis interpretation"/>
-            <definition value="Interpretation of the sequence&#39;s effect on the patient&#39;s condition or reaction to a medication."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:interpretation.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:interpretation.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="interpretation"/>
-          </element>
-          <element id="Extension.extension:interpretation.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-xml-no-order"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"/>
-        <version value="4.1.0"/>
-        <name value="xml-no-order"/>
-        <title value="No Order in XML"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Whether elements can come in any order in XML."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether elements can come in any order (XML)"/>
-            <definition value="Whether elements can come in any order in XML."/>
-            <comment value="This is never set in FHIR Resources or Data types, but may be encountered in other structure definitions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
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-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether elements can come in any order (XML)"/>
-            <definition value="Whether elements can come in any order in XML."/>
-            <comment value="This is never set in FHIR Resources or Data types, but may be encountered in other structure definitions."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"/>
-    <resource>
-      <StructureDefinition>
-        <id value="nutritionorder-adaptiveFeedingDevice"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"/>
-        <version value="4.1.0"/>
-        <name value="adaptiveFeedingDevice"/>
-        <title value="Adaptive Feeding Device"/>
-        <status value="draft"/>
-        <date value="2017-10-18"/>
-        <publisher value="Health Level Seven, Inc. - Orders and Observations WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="Materials used or needed to feed the patient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder.oralDiet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Adaptive Feeding Device"/>
-            <definition value="Materials used or needed to feed the patient."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
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-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FeedingDevice"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Materials used or needed to feed the patient."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/feeding-device"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Adaptive Feeding Device"/>
-            <definition value="Materials used or needed to feed the patient."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FeedingDevice"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Materials used or needed to feed the patient."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/feeding-device"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-preferenceType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"/>
-        <version value="4.1.0"/>
-        <name value="preferenceType"/>
-        <title value="preferenceType"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Indicates what mode of communication the patient prefers to use for the indicated language."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient.communication.preferred"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The type of the patient&#39;s preferred language."/>
-            <definition value="Indicates what mode of communication the patient prefers to use for the indicated language."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="LanguagePreferenceType"/>
-              </extension>
-              <strength value="extensible"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/language-preference-type"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The type of the patient&#39;s preferred language."/>
-            <definition value="Indicates what mode of communication the patient prefers to use for the indicated language."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="LanguagePreferenceType"/>
-              </extension>
-              <strength value="extensible"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/language-preference-type"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/maxValue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="maxValue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/maxValue"/>
-        <version value="4.1.0"/>
-        <name value="maxValue"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="The inclusive upper bound on the range of allowed values for the data element."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Must be &lt;= this value"/>
-            <definition value="The inclusive upper bound on the range of allowed values for the data element."/>
-            <comment value="Data type specified must be the same as the data type for the data element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxValue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Must be &lt;= this value"/>
-            <definition value="The inclusive upper bound on the range of allowed values for the data element."/>
-            <comment value="Data type specified must be the same as the data type for the data element."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxValue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/relative-date"/>
-    <resource>
-      <StructureDefinition>
-        <id value="relative-date"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/relative-date"/>
-        <version value="4.1.0"/>
-        <name value="Relative Date Criteria"/>
-        <title value="Relative Date Criteria"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Specifies that a date is relative to some event. The event happens [Duration] after [Event]."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="date"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="dateTime"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Relative Date Criteria"/>
-            <definition value="Specifies that a date is relative to some event. The event happens [Duration] after [Event]."/>
-            <comment value="This extension is used when a precise date is not known, but rather, the date will be relative to some future event (e.g. Do this 2 weeks after an operation)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:event">
-            <path value="Extension.extension"/>
-            <sliceName value="event"/>
-            <short value="Event that the date is relative to"/>
-            <definition value="The event that the date(time) is relative to."/>
-            <comment value="This can be a reference to a particular event, or a kind of event (usually where the kind would not happen very frequently)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:event.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:event.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:event.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="event"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:event.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:relationship">
-            <path value="Extension.extension"/>
-            <sliceName value="relationship"/>
-            <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"/>
-            <definition value="Defines the relationship between the event and the date."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:relationship.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:relationship.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:relationship.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="relationship"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:relationship.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ActionRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Defines the types of relationships between actions."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:offset">
-            <path value="Extension.extension"/>
-            <sliceName value="offset"/>
-            <short value="Duration after the event"/>
-            <definition value="The duration after the event that the date(time) will happen."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:offset.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:offset.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:offset.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:offset.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/relative-date"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Relative Date Criteria"/>
-            <definition value="Specifies that a date is relative to some event. The event happens [Duration] after [Event]."/>
-            <comment value="This extension is used when a precise date is not known, but rather, the date will be relative to some future event (e.g. Do this 2 weeks after an operation)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:event">
-            <path value="Extension.extension"/>
-            <sliceName value="event"/>
-            <short value="Event that the date is relative to"/>
-            <definition value="The event that the date(time) is relative to."/>
-            <comment value="This can be a reference to a particular event, or a kind of event (usually where the kind would not happen very frequently)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:event.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:event.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="event"/>
-          </element>
-          <element id="Extension.extension:event.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:relationship">
-            <path value="Extension.extension"/>
-            <sliceName value="relationship"/>
-            <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"/>
-            <definition value="Defines the relationship between the event and the date."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:relationship.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:relationship.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="relationship"/>
-          </element>
-          <element id="Extension.extension:relationship.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ActionRelationshipType"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Defines the types of relationships between actions."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:offset">
-            <path value="Extension.extension"/>
-            <sliceName value="offset"/>
-            <short value="Duration after the event"/>
-            <definition value="The duration after the event that the date(time) will happen."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:offset.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:offset.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-          </element>
-          <element id="Extension.extension:offset.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Duration"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/relative-date"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-statusReason"/>
-    <resource>
-      <StructureDefinition>
-        <id value="event-statusReason"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/event-statusReason"/>
-        <version value="4.1.0"/>
-        <name value="statusReason"/>
-        <title value="Reason for current status"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Captures the reason for the current state of the resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyDelivery"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceUseStatement"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reason for current status"/>
-            <definition value="Captures the reason for the current state of the resource."/>
-            <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;, &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the event at all is captured in reasonCode, not here.&#xD;(distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.statusReason"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-statusReason"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StatusReason"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes identifying the reason for the current state of an event."/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reason for current status"/>
-            <definition value="Captures the reason for the current state of the resource."/>
-            <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;, &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the event at all is captured in reasonCode, not here.&#xD;(distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.statusReason"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-statusReason"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StatusReason"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes identifying the reason for the current state of an event."/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-qualityOfEvidence"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"/>
-        <version value="4.1.0"/>
-        <name value="qualityOfEvidence"/>
-        <title value="qualityOfEvidence"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Attachment"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The quality of the evidence"/>
-            <definition value="The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QualityOfEvidenceRating"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/evidence-quality"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The quality of the evidence"/>
-            <definition value="The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QualityOfEvidenceRating"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/evidence-quality"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/replaces"/>
-    <resource>
-      <StructureDefinition>
-        <id value="replaces"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/replaces"/>
-        <version value="4.1.0"/>
-        <name value="replaces"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Indicates a resource that this resource is replacing."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ActivityDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ChargeItemDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CompartmentDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ConceptMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ConditionDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="EventDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Evidence"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="EvidenceVariable"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ExampleScenario"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="GraphDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ImplementationGuide"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Library"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Measure"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="MessageDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NamingSystem"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="OperationDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="PlanDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SearchParameter"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="TerminologyCapabilities"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="TestScript"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="References a resource that this resource replaces"/>
-            <definition value="Indicates a resource that this resource is replacing."/>
-            <comment value="This is usually a versioned reference. Often, it will be to another version of the same resource."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/replaces"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="References a resource that this resource replaces"/>
-            <definition value="Indicates a resource that this resource is replacing."/>
-            <comment value="This is usually a versioned reference. Often, it will be to another version of the same resource."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/replaces"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaireresponse-reason"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"/>
-        <version value="4.1.0"/>
-        <name value="reason"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The factor(s) that caused the questionnaire to be answered."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Why response was created"/>
-            <definition value="The factor(s) that caused the questionnaire to be answered."/>
-            <comment value="The reason for completion is typically implicit in the form design or may be explicit as a question in the form itself.  This element exists when neither of these other two means suffice."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QuestionnaireResponseReason"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes indicating why the response was captured.  For example, admitting, referral, insurance claim, etc."/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Why response was created"/>
-            <definition value="The factor(s) that caused the questionnaire to be answered."/>
-            <comment value="The reason for completion is typically implicit in the form design or may be explicit as a question in the form itself.  This element exists when neither of these other two means suffice."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QuestionnaireResponseReason"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes indicating why the response was captured.  For example, admitting, referral, insurance claim, etc."/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"/>
-    <resource>
-      <StructureDefinition>
-        <id value="careplan-activity-title"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"/>
-        <version value="4.1.0"/>
-        <name value="activity-title"/>
-        <title value="Title"/>
-        <status value="draft"/>
-        <date value="2015-03-27"/>
-        <publisher value="Health Level Seven, Inc. - Patient Care WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/patientcare.html"/>
-          </telecom>
-        </contact>
-        <description value="Human-friendly name for the activity."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CarePlan.activity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Label for activity"/>
-            <definition value="Human-friendly name for the activity."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Label for activity"/>
-            <definition value="Human-friendly name for the activity."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsCopyNumberEvent"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"/>
-        <version value="4.1.0"/>
-        <name value="CopyNumberEvent"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="A variation that increases or decreases the copy number of a given region ([SO:0001019](http://www.sequenceontology.org/browser/current_svn/term/SO:0001019)). Values: amplification/deletion/LOH."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Copy number variation"/>
-            <definition value="A variation that increases or decreases the copy number of a given region ([SO:0001019](http://www.sequenceontology.org/browser/current_svn/term/SO:0001019)). Values: amplification/deletion/LOH."/>
-            <comment value="Loss of heterozygosity (LOH) is a functional variant whereby the sequence alteration causes a loss of function of one allele of a gene ([SO:0001786](http://www.sequenceontology.org/browser/current_svn/term/SO:0001786))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Copy number variation"/>
-            <definition value="A variation that increases or decreases the copy number of a given region ([SO:0001019](http://www.sequenceontology.org/browser/current_svn/term/SO:0001019)). Values: amplification/deletion/LOH."/>
-            <comment value="Loss of heterozygosity (LOH) is a functional variant whereby the sequence alteration causes a loss of function of one allele of a gene ([SO:0001786](http://www.sequenceontology.org/browser/current_svn/term/SO:0001786))."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-standards-status"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"/>
-        <version value="4.1.0"/>
-        <name value="standards-status"/>
-        <title value="Standards Status"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The Current HL7 ballot/Standards status of this artifact."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="HL7 Ballot/Standards status of artifact"/>
-            <definition value="The Current HL7 ballot/Standards status of this artifact."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StandardsStatus"/>
-              </extension>
-              <strength value="required"/>
-              <description value="HL7 Ballot/Standards status of artifact."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/standards-status|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="HL7 Ballot/Standards status of artifact"/>
-            <definition value="The Current HL7 ballot/Standards status of this artifact."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StandardsStatus"/>
-              </extension>
-              <strength value="required"/>
-              <description value="HL7 Ballot/Standards status of artifact."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/standards-status|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-PQ-translation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"/>
-        <version value="4.1.0"/>
-        <name value="PQ-translation"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Quantity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Same quantity with different units"/>
-            <definition value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value."/>
-            <comment value="It is not necessary for information processing entities to check and enforce that the translations are valid translations of the base unit, but they are allowed to do so, and to reject instances where the translations are not valid. &#xA;NOTE Translations are allowed to contain other representations in UCUM units, but there is generally no point to this as it is possible to convert from one UCUM form to another."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PQ.translation"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Same quantity with different units"/>
-            <definition value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value."/>
-            <comment value="It is not necessary for information processing entities to check and enforce that the translations are valid translations of the base unit, but they are allowed to do so, and to reject instances where the translations are not valid. &#xA;NOTE Translations are allowed to contain other representations in UCUM units, but there is generally no point to this as it is possible to convert from one UCUM form to another."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PQ.translation"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Quantity"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"/>
-    <resource>
-      <StructureDefinition>
-        <id value="consent-NotificationEndpoint"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="cbcc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"/>
-        <version value="4.1.0"/>
-        <name value="NotificationEndpoint"/>
-        <title value="Disclosure Notification Endpoint"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - CBCC WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="Endpoint for sending Disclosure notifications in the form of FHIR AuditEvent records."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Consent"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Notification Endpoint"/>
-            <definition value="Endpoint for sending Disclosure notifications in the form of FHIR AuditEvent records."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Notification Endpoint"/>
-            <definition value="Endpoint for sending Disclosure notifications in the form of FHIR AuditEvent records."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-receivingPerson"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"/>
-        <version value="4.1.0"/>
-        <name value="receivingPerson"/>
-        <title value="receivingPerson"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The person in the receiving organization that will receive the response."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The person in the receiving organization that will receive the response."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The person in the receiving organization that will receive the response."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"/>
-    <resource>
-      <StructureDefinition>
-        <id value="request-performerOrder"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"/>
-        <version value="4.1.0"/>
-        <name value="performerOrder"/>
-        <title value="Performer Order"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Identifies the relative preference of alternative performers when the request lists multiple performers."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest.performer"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Performer Order"/>
-            <definition value="Identifies the relative preference of alternative performers when the request lists multiple performers."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Performer Order"/>
-            <definition value="Identifies the relative preference of alternative performers when the request lists multiple performers."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-map"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-map"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-map"/>
-        <version value="4.1.0"/>
-        <name value="map"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A reference to a concept map that is relevant for the interpretation of this value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A concept map relevant to interpret this value set"/>
-            <definition value="A reference to a concept map that is relevant for the interpretation of this value set."/>
-            <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-map"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A concept map relevant to interpret this value set"/>
-            <definition value="A reference to a concept map that is relevant for the interpretation of this value set."/>
-            <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-map"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-focusCode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"/>
-        <version value="4.1.0"/>
-        <name value="focusCode"/>
-        <title value="Focal Subject Code"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="A code representing the  focus of an observation when the focus is not the patient of record.  In other words, the focus of the observation is different from `Observation.subject`.   An example use case would be using the *Observation* resource to capture whether the mother is trained to change her child&#39;s tracheostomy tube.  In this example, the child is the patient of record and the mother is focal subject referenced using this extension.  Other example focal subjects include spouses, related persons, feti, or  donors."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Focus Code"/>
-            <definition value="A code representing the  focus of an observation when the focus is not the patient of record.  In other words, the focus of the observation is different from `Observation.subject`.   An example use case would be using the *Observation* resource to capture whether the mother is trained to change her child&#39;s tracheostomy tube.  In this example, the child is the patient of record and the mother is focal subject referenced using this extension.  Other example focal subjects include spouses, related persons, feti, or  donors."/>
-            <comment value="Use Observation.specimen element to describe the specimen.  Only used if not implicit in code found in Observation.code."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FocusCode"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes for observation targets.  Derived from both HL7 v3 and SNOMED CT code systems."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/focal-subject"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Focus Code"/>
-            <definition value="A code representing the  focus of an observation when the focus is not the patient of record.  In other words, the focus of the observation is different from `Observation.subject`.   An example use case would be using the *Observation* resource to capture whether the mother is trained to change her child&#39;s tracheostomy tube.  In this example, the child is the patient of record and the mother is focal subject referenced using this extension.  Other example focal subjects include spouses, related persons, feti, or  donors."/>
-            <comment value="Use Observation.specimen element to describe the specimen.  Only used if not implicit in code found in Observation.code."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FocusCode"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes for observation targets.  Derived from both HL7 v3 and SNOMED CT code systems."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/focal-subject"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-namespace"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"/>
-        <version value="4.1.0"/>
-        <name value="namespace"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Use this extension to indicate tha the element has an XML namespace different to http://hl7.org/fhir."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="specify namespace other than http://hl7.org/fhir"/>
-            <definition value="Use this extension to indicate tha the element has an XML namespace different to http://hl7.org/fhir."/>
-            <comment value="If this is specified in a structure definition (logical models only), every element has the specified namespace."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="specify namespace other than http://hl7.org/fhir"/>
-            <definition value="Use this extension to indicate tha the element has an XML namespace different to http://hl7.org/fhir."/>
-            <comment value="If this is specified in a structure definition (logical models only), every element has the specified namespace."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-Anonymized"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"/>
-        <version value="4.1.0"/>
-        <name value="Anonymized"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="True or False indicating whether all patient identifying information was removed from the data."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Anonymized state"/>
-            <definition value="True or False indicating whether all patient identifying information was removed from the data."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Anonymized"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Anonymized state"/>
-            <definition value="True or False indicating whether all patient identifying information was removed from the data."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="Anonymized"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-dependencies"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"/>
-        <version value="4.1.0"/>
-        <name value="dependencies"/>
-        <title value="Dependent Profiles"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Instances can only be valid against this StructureDefinition, if they also sucessfully validate against the dependent profile identified in this extension."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Dependent Profiles - must be valid against these too"/>
-            <definition value="Instances can only be valid against this StructureDefinition, if they also sucessfully validate against the dependent profile identified in this extension."/>
-            <comment value="Ideally, a profile will restate the constraints of it&#39;s base profile and all it&#39;s dependent profiles, but this can get pretty complicated once slicing enters the picture. Tools SHOULD not assume that this profile includes all the constraints from the dependent profile."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Dependent Profiles - must be valid against these too"/>
-            <definition value="Instances can only be valid against this StructureDefinition, if they also sucessfully validate against the dependent profile identified in this extension."/>
-            <comment value="Ideally, a profile will restate the constraints of it&#39;s base profile and all it&#39;s dependent profiles, but this can get pretty complicated once slicing enters the picture. Tools SHOULD not assume that this profile includes all the constraints from the dependent profile."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-initialValue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"/>
-        <version value="4.1.0"/>
-        <name value="initialValue"/>
-        <title value="initialValue"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The name of an expression in a referenced library that determines an initial value."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An initial value expression"/>
-            <definition value="The name of an expression in a referenced library that determines an initial value."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An initial value expression"/>
-            <definition value="The name of an expression in a referenced library that determines an initial value."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-delimiter"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-delimiter"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="delimiter"/>
-            <definition value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."/>
-            <comment value="This really has no rationale for use in FHIR."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DEL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="delimiter"/>
-            <definition value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."/>
-            <comment value="This really has no rationale for use in FHIR."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DEL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-inheritedExtensibleValueSet"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"/>
-        <version value="4.1.0"/>
-        <name value="inheritedExtensibleValueSet"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A reference to an extensible value set specified in a parent profie in order to allow a conformance checking tool to validate that a code not in the extensible value set of the profile is not violating rules defined by parent profile bindings."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.binding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An extensible Value Set specified in a parent profile"/>
-            <definition value="A reference to an extensible value set specified in a parent profie in order to allow a conformance checking tool to validate that a code not in the extensible value set of the profile is not violating rules defined by parent profile bindings."/>
-            <comment value="This extension is only needed where the binding strength is &#39;extensible&#39;, the parents are also &#39;extensible&#39;. This allows a validator to work around the fact that restricting extensible value sets in child profiles loses constraints out of the parent profiles, (e.g. codes to be used when appropriate)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An extensible Value Set specified in a parent profile"/>
-            <definition value="A reference to an extensible value set specified in a parent profie in order to allow a conformance checking tool to validate that a code not in the extensible value set of the profile is not violating rules defined by parent profile bindings."/>
-            <comment value="This extension is only needed where the binding strength is &#39;extensible&#39;, the parents are also &#39;extensible&#39;. This allows a validator to work around the fact that restricting extensible value sets in child profiles loses constraints out of the parent profiles, (e.g. codes to be used when appropriate)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-basedOn"/>
-    <resource>
-      <StructureDefinition>
-        <id value="event-basedOn"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/event-basedOn"/>
-        <version value="4.1.0"/>
-        <name value="basedOn"/>
-        <title value="Based On"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="A plan, proposal or order that is fulfilled in whole or in part by this event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Fulfills plan, proposal or order"/>
-            <definition value="A plan, proposal or order that is fulfilled in whole or in part by this event."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.basedOn"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="ORC in proximity to EVN segment"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=FLFS].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-basedOn"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Fulfills plan, proposal or order"/>
-            <definition value="A plan, proposal or order that is fulfilled in whole or in part by this event."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.basedOn"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="ORC in proximity to EVN segment"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=FLFS].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-basedOn"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsInterpretation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"/>
-        <version value="4.1.0"/>
-        <name value="Interpretation"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Clinical Interpretations for variant. It&#39;s a reference to an Observation resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Clinical interpretations for variant"/>
-            <definition value="Clinical Interpretations for variant. It&#39;s a reference to an Observation resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Clinical interpretations for variant"/>
-            <definition value="Clinical Interpretations for variant. It&#39;s a reference to an Observation resource."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-congregation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-congregation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-congregation"/>
-        <version value="4.1.0"/>
-        <name value="congregation"/>
-        <title value="congregation"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A group or place of religious practice that may provide services to the patient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A group of place of religious practice"/>
-            <definition value="A group or place of religious practice that may provide services to the patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-congregation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A group of place of religious practice"/>
-            <definition value="A group or place of religious practice that may provide services to the patient."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-congregation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-exposureDescription"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"/>
-        <version value="4.1.0"/>
-        <name value="exposureDescription"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Text description about exposure to the Substance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Text description about exposure to the Substance"/>
-            <definition value="Text description about exposure to the Substance."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Text description about exposure to the Substance"/>
-            <definition value="Text description about exposure to the Substance."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-proficiency"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"/>
-        <version value="4.1.0"/>
-        <name value="proficiency"/>
-        <title value="proficiency"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Proficiency level of the communication."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient.communication"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Proficiency level of the communication"/>
-            <definition value="Proficiency level of the communication."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:level">
-            <path value="Extension.extension"/>
-            <sliceName value="level"/>
-            <short value="The proficiency level of the communication"/>
-            <definition value="How well the patient can communicate this communication (good, poor, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:level.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:level.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:level.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="level"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:level.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ProficiencyLevel"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="The proficiency level for the communication."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="The proficiency type of the communication"/>
-            <definition value="What type of communication for the proficiency (spoken, written, etc.)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="proficiencyType"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="The proficiency type for the communication."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Proficiency level of the communication"/>
-            <definition value="Proficiency level of the communication."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:level">
-            <path value="Extension.extension"/>
-            <sliceName value="level"/>
-            <short value="The proficiency level of the communication"/>
-            <definition value="How well the patient can communicate this communication (good, poor, etc.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:level.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:level.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="level"/>
-          </element>
-          <element id="Extension.extension:level.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ProficiencyLevel"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="The proficiency level for the communication."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="The proficiency type of the communication"/>
-            <definition value="What type of communication for the proficiency (spoken, written, etc.)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="proficiencyType"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="The proficiency type for the communication."/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"/>
-            </binding>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-caseSensitive"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"/>
-        <version value="4.1.0"/>
-        <name value="caseSensitive"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="If this a case sensitive code."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion.contains"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="If code is case sensitive"/>
-            <definition value="If this a case sensitive code."/>
-            <comment value="See comments on ValueSet.codeSystem.caseSensitive. Systems should generally assume case sensitivity when dealing with expansions, and only consider case sensitivity when matching existing codes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="If code is case sensitive"/>
-            <definition value="If this a case sensitive code."/>
-            <comment value="See comments on ValueSet.codeSystem.caseSensitive. Systems should generally assume case sensitivity when dealing with expansions, and only consider case sensitivity when matching existing codes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/geolocation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="geolocation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/geolocation"/>
-        <version value="4.1.0"/>
-        <name value="Geolocation"/>
-        <title value="Geolocation"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The absolute geographic location"/>
-            <definition value="The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."/>
-            <comment value="The extension can be further extended to include unique geolocation identifiers, confidence, altitude, etc."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:latitude">
-            <path value="Extension.extension"/>
-            <sliceName value="latitude"/>
-            <short value="Latitude with WGS84 datum"/>
-            <definition value="Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:latitude.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:latitude.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:latitude.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="latitude"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:latitude.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:longitude">
-            <path value="Extension.extension"/>
-            <sliceName value="longitude"/>
-            <short value="Longitude with WGS84 datum"/>
-            <definition value="Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:longitude.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:longitude.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:longitude.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="longitude"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:longitude.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/geolocation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The absolute geographic location"/>
-            <definition value="The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."/>
-            <comment value="The extension can be further extended to include unique geolocation identifiers, confidence, altitude, etc."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:latitude">
-            <path value="Extension.extension"/>
-            <sliceName value="latitude"/>
-            <short value="Latitude with WGS84 datum"/>
-            <definition value="Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:latitude.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:latitude.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="latitude"/>
-          </element>
-          <element id="Extension.extension:latitude.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-          <element id="Extension.extension:longitude">
-            <path value="Extension.extension"/>
-            <sliceName value="longitude"/>
-            <short value="Longitude with WGS84 datum"/>
-            <definition value="Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:longitude.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:longitude.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="longitude"/>
-          </element>
-          <element id="Extension.extension:longitude.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/geolocation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-citation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-citation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-citation"/>
-        <version value="4.1.0"/>
-        <name value="citation"/>
-        <title value="citation"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="A bibliographic citation for the related resource. This text SHOULD be formatted according to an accepted citation format."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Attachment"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Bibliographic citation for the resource"/>
-            <definition value="A bibliographic citation for the related resource. This text SHOULD be formatted according to an accepted citation format."/>
-            <comment value="Additional structured information about citations should be captured as extensions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-citation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Bibliographic citation for the resource"/>
-            <definition value="A bibliographic citation for the related resource. This text SHOULD be formatted according to an accepted citation format."/>
-            <comment value="Additional structured information about citations should be captured as extensions."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-citation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-exposureDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"/>
-        <version value="4.1.0"/>
-        <name value="exposureDate"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Record of the date and/or time of the first exposure to the Substance for this Reaction Event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date(/time) of first exposure to Substance"/>
-            <definition value="Record of the date and/or time of the first exposure to the Substance for this Reaction Event."/>
-            <comment value="Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided in additional extensions, or as text in the Exposure Description extension."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date(/time) of first exposure to Substance"/>
-            <definition value="Record of the date and/or time of the first exposure to the Substance for this Reaction Event."/>
-            <comment value="Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided in additional extensions, or as text in the Exposure Description extension."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"/>
-    <resource>
-      <StructureDefinition>
-        <id value="auditevent-SOPClass"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sec"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"/>
-        <version value="4.1.0"/>
-        <name value="SOPClass"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - Security WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/security/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="Required if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) and any of the optional fields (AccessionNumber, ContainsMPPS, NumberOfInstances, ContainsSOPInstances,Encrypted,Anonymized) are present in this Participant Object. May be present if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) even though none of the optional fields are present."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="dicom"/>
-          <uri value="http://nema.org/dicom"/>
-          <name value="DICOM Tag Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AuditEvent.entity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="UIDs of SOP classes referred to"/>
-            <definition value="Required if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) and any of the optional fields (AccessionNumber, ContainsMPPS, NumberOfInstances, ContainsSOPInstances,Encrypted,Anonymized) are present in this Participant Object. May be present if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) even though none of the optional fields are present."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="SOPClass"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="UIDs of SOP classes referred to"/>
-            <definition value="Required if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) and any of the optional fields (AccessionNumber, ContainsMPPS, NumberOfInstances, ContainsSOPInstances,Encrypted,Anonymized) are present in this Participant Object. May be present if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) even though none of the optional fields are present."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="dicom"/>
-              <map value="SOPClass"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"/>
-    <resource>
-      <StructureDefinition>
-        <id value="request-relevantHistory"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"/>
-        <version value="4.1.0"/>
-        <name value="relevantHistory"/>
-        <title value="Relevant History"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CommunicationRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Key events in history of request"/>
-            <definition value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."/>
-            <comment value="This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.  Referenced provenances should adhere to the provenance-relevant-history profile."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Key events in history of request"/>
-            <definition value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."/>
-            <comment value="This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.  Referenced provenances should adhere to the provenance-relevant-history profile."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-expirationDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"/>
-        <version value="4.1.0"/>
-        <name value="expirationDate"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value MUST present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version should no longer be used"/>
-            <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value MUST present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."/>
-            <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version should no longer be used"/>
-            <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value MUST present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."/>
-            <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-disability"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-disability"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-disability"/>
-        <version value="4.1.0"/>
-        <name value="disability"/>
-        <title value="disability"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Value(s) identifying physical or mental condition(s) that limits a person&#39;s movements, senses, or activities."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Condition(s) limiting movement, senses, or activities"/>
-            <definition value="Value(s) identifying physical or mental condition(s) that limits a person&#39;s movements, senses, or activities."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-disability"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Condition(s) limiting movement, senses, or activities"/>
-            <definition value="Value(s) identifying physical or mental condition(s) that limits a person&#39;s movements, senses, or activities."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-disability"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"/>
-    <resource>
-      <StructureDefinition>
-        <id value="specimen-processingTime"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"/>
-        <version value="4.1.0"/>
-        <name value="processingTime"/>
-        <title value="Processing Time"/>
-        <status value="draft"/>
-        <date value="2015-02-19"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Period or duration of processing."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Specimen.processing"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Time of processing"/>
-            <definition value="Period or duration of processing."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Time of processing"/>
-            <definition value="Period or duration of processing."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-calculatedValue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"/>
-        <version value="4.1.0"/>
-        <name value="calculatedValue"/>
-        <title value="calculatedValue"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The name of an expression in a referenced library that determines a calculated value."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A calculated value"/>
-            <definition value="The name of an expression in a referenced library that determines a calculated value."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A calculated value"/>
-            <definition value="The name of an expression in a referenced library that determines a calculated value."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"/>
-    <resource>
-      <StructureDefinition>
-        <id value="DiagnosticReport-geneticsFamilyMemberHistory"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"/>
-        <version value="4.1.0"/>
-        <name value="FamilyMemberHistory"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FamilyHistory"/>
-            <definition value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FamilyHistory"/>
-            <definition value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/mimeType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="mimeType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/mimeType"/>
-        <version value="4.1.0"/>
-        <name value="mimeType"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Identifies the kind(s) of attachment allowed to be sent for an element."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Type of attachment"/>
-            <definition value="Identifies the kind(s) of attachment allowed to be sent for an element."/>
-            <comment value="This extension only has meaning if the element has a type of Attachment."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/mimeType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="MimeType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The mime type of an attachment. Any valid mime type is allowed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Type of attachment"/>
-            <definition value="Identifies the kind(s) of attachment allowed to be sent for an element."/>
-            <comment value="This extension only has meaning if the element has a type of Attachment."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/mimeType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="MimeType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The mime type of an attachment. Any valid mime type is allowed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-deviceCode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"/>
-        <version value="4.1.0"/>
-        <name value="deviceCode"/>
-        <title value="Device Code"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"/>
-            <definition value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DeviceCode"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/device-kind"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"/>
-            <definition value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="DeviceCode"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/device-kind"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-special-status"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"/>
-        <version value="4.1.0"/>
-        <name value="special-status"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A special note for implementers about the status of the resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Special note about status for implementers"/>
-            <definition value="A special note for implementers about the status of the resource."/>
-            <comment value="This is used in the build to mark that though a resource is normative, it changes with the build."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Special note about status for implementers"/>
-            <definition value="A special note for implementers about the status of the resource."/>
-            <comment value="This is used in the build to mark that though a resource is normative, it changes with the build."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-fathers-family"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"/>
-        <version value="4.1.0"/>
-        <name value="fathers-family"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The portion of the family name that is derived from the person&#39;s father."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion of family name derived from father"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s father."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion of family name derived from father"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s father."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-maxOccurs"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"/>
-        <version value="4.1.0"/>
-        <name value="maxOccurs"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The maximum number of times the group must appear, or the maximum number of answers for a question - when greater than 1 and not unlimited."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type!=&#39;display&#39; and (repeats=true or %extension.valueInteger=1)"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Maximum repetitions"/>
-            <definition value="The maximum number of times the group must appear, or the maximum number of answers for a question - when greater than 1 and not unlimited."/>
-            <comment value="Only relevant if the element has repeats=true and there&#39;s a need to constrain the number of allowed repetitions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Maximum repetitions"/>
-            <definition value="The maximum number of times the group must appear, or the maximum number of answers for a question - when greater than 1 and not unlimited."/>
-            <comment value="Only relevant if the element has repeats=true and there&#39;s a need to constrain the number of allowed repetitions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-reagent"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-reagent"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-reagent"/>
-        <version value="4.1.0"/>
-        <name value="reagent"/>
-        <title value="Reagent"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="Reference to reagents used to generate this observation.  This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to reagents used to generate this observation."/>
-            <definition value="Reference to reagents used to generate this observation.  This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS)."/>
-            <comment value="Note this extension may be superseded by elements in planned instrumentation management resource elements."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-reagent"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to reagents used to generate this observation."/>
-            <definition value="Reference to reagents used to generate this observation.  This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS)."/>
-            <comment value="Note this extension may be superseded by elements in planned instrumentation management resource elements."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-reagent"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/flag-priority"/>
-    <resource>
-      <StructureDefinition>
-        <id value="flag-priority"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/flag-priority"/>
-        <version value="4.1.0"/>
-        <name value="priority"/>
-        <title value="Flag Priority"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - Patient Care WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A code that identifies the priority of the alert, for example the Alert Priority flags column in IHE PCD TF 2 Table B.8-4."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Flag"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An alarm code"/>
-            <definition value="A code that identifies the priority of the alert, for example the Alert Priority flags column in IHE PCD TF 2 Table B.8-4."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-priority"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FlagPriority"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A code of the alarm."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/flag-priority"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="An alarm code"/>
-            <definition value="A code that identifies the priority of the alert, for example the Alert Priority flags column in IHE PCD TF 2 Table B.8-4."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-priority"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FlagPriority"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A code of the alarm."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/flag-priority"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-precondition"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-precondition"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-precondition"/>
-        <version value="4.1.0"/>
-        <name value="precondition"/>
-        <title value="Precondition"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="Other preceding or concurrent observations that must be known to correctly interpret the the observation.  For example an fiO2 measure taken alongside of a SpO2 measurement.  See the [Observation notes](observation.html#notes) section for additional guidance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Other Observations needed to aid in  the interpretation of the source observation."/>
-            <definition value="Other preceding or concurrent observations that must be known to correctly interpret the the observation.  For example an fiO2 measure taken alongside of a SpO2 measurement.  See the [Observation notes](observation.html#notes) section for additional guidance."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-precondition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Other Observations needed to aid in  the interpretation of the source observation."/>
-            <definition value="Other preceding or concurrent observations that must be known to correctly interpret the the observation.  For example an fiO2 measure taken alongside of a SpO2 measurement.  See the [Observation notes](observation.html#notes) section for additional guidance."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-precondition"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-specimenCode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"/>
-        <version value="4.1.0"/>
-        <name value="specimenCode"/>
-        <title value="Specimen Code"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"/>
-            <definition value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SpecimenCode"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v2-0487"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"/>
-            <definition value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SpecimenCode"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v2-0487"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-usage"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"/>
-        <version value="4.1.0"/>
-        <name value="usage"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who has used and how?"/>
-            <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."/>
-            <comment value="This is likely to be a ???point in time??? view and should not be considered an authoritative listing of all uses of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:user">
-            <path value="Extension.extension"/>
-            <sliceName value="user"/>
-            <short value="A consumer of or client for the value set"/>
-            <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:user.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:user.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:user.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="user"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:user.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use">
-            <path value="Extension.extension"/>
-            <sliceName value="use"/>
-            <short value="Implementation/project/standard that uses value set"/>
-            <definition value="A descriptive name of the project or standard in which the value set is used."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:use.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:use.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="use"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who has used and how?"/>
-            <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."/>
-            <comment value="This is likely to be a ???point in time??? view and should not be considered an authoritative listing of all uses of the value set."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:user">
-            <path value="Extension.extension"/>
-            <sliceName value="user"/>
-            <short value="A consumer of or client for the value set"/>
-            <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:user.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:user.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="user"/>
-          </element>
-          <element id="Extension.extension:user.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:use">
-            <path value="Extension.extension"/>
-            <sliceName value="use"/>
-            <short value="Implementation/project/standard that uses value set"/>
-            <definition value="A descriptive name of the project or standard in which the value set is used."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:use.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:use.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="use"/>
-          </element>
-          <element id="Extension.extension:use.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/originalText"/>
-    <resource>
-      <StructureDefinition>
-        <id value="originalText"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/originalText"/>
-        <version value="4.1.0"/>
-        <name value="Original Text"/>
-        <title value="Original Text"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="A human language representation of the concept (resource/element) as seen/selected/uttered by the user who entered the data and/or which represents the full intended meaning of the user. This can be provided either directly as text, or as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Original Text that represents the data as seen/selected/uttered originally"/>
-            <definition value="A human language representation of the concept (resource/element) as seen/selected/uttered by the user who entered the data and/or which represents the full intended meaning of the user. This can be provided either directly as text, or as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."/>
-            <comment value="The data in the element does not always capture the correct meaning with all the nuances of the original text. In these cases, the text is used to capture the full meaning of the source. This is commonly used to provide &quot;what did the user actually see/type&quot;. Note that this extension has the same definition as CodeableConcept.text and SHALL NOT be used on CodeableConcept with type = string in place of CodeableConcept.text but MAY be used with type url. If present on a CodeableConcept with type url as well as CodeableConcept.text, then the CodeableConcept.text SHALL match the referenced narrative. &#xA;&#xA;It&#39;s also possible to link to the resource narrative using the [narrativeLink extension](extension-narrativelink.html) which does not claim that the data is derived from the text."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/originalText"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Original Text that represents the data as seen/selected/uttered originally"/>
-            <definition value="A human language representation of the concept (resource/element) as seen/selected/uttered by the user who entered the data and/or which represents the full intended meaning of the user. This can be provided either directly as text, or as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."/>
-            <comment value="The data in the element does not always capture the correct meaning with all the nuances of the original text. In these cases, the text is used to capture the full meaning of the source. This is commonly used to provide &quot;what did the user actually see/type&quot;. Note that this extension has the same definition as CodeableConcept.text and SHALL NOT be used on CodeableConcept with type = string in place of CodeableConcept.text but MAY be used with type url. If present on a CodeableConcept with type url as well as CodeableConcept.text, then the CodeableConcept.text SHALL match the referenced narrative. &#xA;&#xA;It&#39;s also possible to link to the resource narrative using the [narrativeLink extension](extension-narrativelink.html) which does not claim that the data is derived from the text."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/originalText"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="family-member-history-genetics-observation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"/>
-        <version value="4.1.0"/>
-        <name value="observation"/>
-        <status value="draft"/>
-        <date value="2019-05-29"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Allows capturing risk-relevant observations about the relative that aren&#39;t themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Genetic markers, ethnicity, etc."/>
-            <definition value="Allows capturing risk-relevant observations about the relative that aren&#39;t themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc."/>
-            <comment value="This may be extended with additional genomics-specific resources when they are ready."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="inboundRelationship[typeCode=SUBJ].source"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Genetic markers, ethnicity, etc."/>
-            <definition value="Allows capturing risk-relevant observations about the relative that aren&#39;t themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc."/>
-            <comment value="This may be extended with additional genomics-specific resources when they are ready."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="inboundRelationship[typeCode=SUBJ].source"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"/>
-    <resource>
-      <StructureDefinition>
-        <id value="dosage-conditions"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"/>
-        <version value="4.1.0"/>
-        <name value="conditions"/>
-        <status value="draft"/>
-        <date value="2019-01-25"/>
-        <publisher value="Health Level Seven, Inc. - Pharmacy WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/Pharmacy"/>
-          </telecom>
-        </contact>
-        <description value="Conditions that apply to this set of dosing instructions."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Dosage"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Dosage conditions"/>
-            <definition value="Conditions that apply to this set of dosing instructions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal">
-            <path value="Extension.extension"/>
-            <sliceName value="meetGoal"/>
-            <short value="Extension"/>
-            <definition value="Follow the dosage instructions until the specified goal is met."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:meetGoal.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="offset"/>
-            <short value="Extension"/>
-            <definition value="Specifies the offset before or after the goal is met to follow the instructions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="goal"/>
-            <short value="Extension"/>
-            <definition value="The specific goal to meet to follow the dosage instructions."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="goal"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="meetGoal"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:meetGoal.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger">
-            <path value="Extension.extension"/>
-            <sliceName value="whenTrigger"/>
-            <short value="Extension"/>
-            <definition value="A condition that causes the dosage instructions to be followed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="offset"/>
-            <short value="Extension"/>
-            <definition value="Specifies the offset before or after the trigger happens to follow the instructions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="trigger"/>
-            <short value="Extension"/>
-            <definition value="The event that causes the dosage instruction to be followed."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="trigger"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="whenTrigger"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:whenTrigger.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition">
-            <path value="Extension.extension"/>
-            <sliceName value="precondition"/>
-            <short value="Extension"/>
-            <definition value="A condition that must (or must not) be present for the dosage instructions to be followed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:precondition.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="doesNotOccur"/>
-            <short value="Extension"/>
-            <definition value="If set to &#39;true&#39;, indicates that the condition must not be present for the dosage instructions to be followed."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="doesNotOccur"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="condition"/>
-            <short value="Extension"/>
-            <definition value="The event that causes the dosage instruction to be followed."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="condition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="precondition"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:precondition.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Dosage conditions"/>
-            <definition value="Conditions that apply to this set of dosing instructions."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:meetGoal">
-            <path value="Extension.extension"/>
-            <sliceName value="meetGoal"/>
-            <definition value="Follow the dosage instructions until the specified goal is met."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:meetGoal.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="offset"/>
-            <definition value="Specifies the offset before or after the goal is met to follow the instructions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:offset.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Duration"/>
-            </type>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="goal"/>
-            <definition value="The specific goal to meet to follow the dosage instructions."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="goal"/>
-          </element>
-          <element id="Extension.extension:meetGoal.extension:goal.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"/>
-            </type>
-          </element>
-          <element id="Extension.extension:meetGoal.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="meetGoal"/>
-          </element>
-          <element id="Extension.extension:meetGoal.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:whenTrigger">
-            <path value="Extension.extension"/>
-            <sliceName value="whenTrigger"/>
-            <definition value="A condition that causes the dosage instructions to be followed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="offset"/>
-            <definition value="Specifies the offset before or after the trigger happens to follow the instructions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="offset"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:offset.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Duration"/>
-            </type>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="trigger"/>
-            <definition value="The event that causes the dosage instruction to be followed."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="trigger"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.extension:trigger.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-          <element id="Extension.extension:whenTrigger.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="whenTrigger"/>
-          </element>
-          <element id="Extension.extension:whenTrigger.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:precondition">
-            <path value="Extension.extension"/>
-            <sliceName value="precondition"/>
-            <definition value="A condition that must (or must not) be present for the dosage instructions to be followed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:precondition.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="doesNotOccur"/>
-            <definition value="If set to &#39;true&#39;, indicates that the condition must not be present for the dosage instructions to be followed."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="doesNotOccur"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:doesNotOccur.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="condition"/>
-            <definition value="The event that causes the dosage instruction to be followed."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="condition"/>
-          </element>
-          <element id="Extension.extension:precondition.extension:condition.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-          <element id="Extension.extension:precondition.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="precondition"/>
-          </element>
-          <element id="Extension.extension:precondition.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"/>
-    <resource>
-      <StructureDefinition>
-        <id value="encounter-associatedEncounter"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"/>
-        <version value="4.1.0"/>
-        <name value="associatedEncounter"/>
-        <title value="associatedEncounter"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="This encounter occurs within the scope of the referenced encounter."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Encounter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated Encounter"/>
-            <definition value="This encounter occurs within the scope of the referenced encounter."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated Encounter"/>
-            <definition value="This encounter occurs within the scope of the referenced encounter."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-location"/>
-    <resource>
-      <StructureDefinition>
-        <id value="event-location"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/event-location"/>
-        <version value="4.1.0"/>
-        <name value="location"/>
-        <title value="Event Location"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="The principal physical location where the {{title}} was performed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyDelivery"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where event occurred"/>
-            <definition value="The principal physical location where the {{title}} was performed."/>
-            <comment value="May reference only *Provenance* resources deemed &#x201C;relevant&#x201D; or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.location"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="EVN.7"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".participation[typeCode=LOC].role"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-location"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where event occurred"/>
-            <definition value="The principal physical location where the {{title}} was performed."/>
-            <comment value="May reference only *Provenance* resources deemed &#x201C;relevant&#x201D; or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.location"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="EVN.7"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".participation[typeCode=LOC].role"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-location"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-wg"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"/>
-        <version value="4.1.0"/>
-        <name value="wg"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The work group that owns and maintains this resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Owning Work Group"/>
-            <definition value="The work group that owns and maintains this resource."/>
-            <comment value="This is mostly used in the main specification."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="HL7Workgroup"/>
-              </extension>
-              <strength value="required"/>
-              <description value="An HL7 administrative unit that owns artifacts in the FHIR specification."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/hl7-work-group|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Owning Work Group"/>
-            <definition value="The work group that owns and maintains this resource."/>
-            <comment value="This is mostly used in the main specification."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="HL7Workgroup"/>
-              </extension>
-              <strength value="required"/>
-              <description value="An HL7 administrative unit that owns artifacts in the FHIR specification."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/hl7-work-group|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-concept-comments"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"/>
-        <version value="4.1.0"/>
-        <name value="concept-comments"/>
-        <title value="Comment"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A comment that explains how this code is used in this context (where the value set is expected to be used)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Comment about the use of this code in this context"/>
-            <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."/>
-            <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it&#39;s not clear whether it belongs in the actual value set resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Comment about the use of this code in this context"/>
-            <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."/>
-            <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it&#39;s not clear whether it belongs in the actual value set resource."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"/>
-    <resource>
-      <StructureDefinition>
-        <id value="familymemberhistory-abatement"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"/>
-        <version value="4.1.0"/>
-        <name value="abatement"/>
-        <title value="abatement"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The approximate date, age, or flag indicating that the condition of the family member resolved. The abatement should only be specified if the condition is stated in the positive sense, i.e., the didNotHave flag is false."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory.condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When (or if) the family member&#39;s condition resolved"/>
-            <definition value="The approximate date, age, or flag indicating that the condition of the family member resolved. The abatement should only be specified if the condition is stated in the positive sense, i.e., the didNotHave flag is false."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When (or if) the family member&#39;s condition resolved"/>
-            <definition value="The approximate date, age, or flag indicating that the condition of the family member resolved. The abatement should only be specified if the condition is stated in the positive sense, i.e., the didNotHave flag is false."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/careteam-alias"/>
-    <resource>
-      <StructureDefinition>
-        <id value="careteam-alias"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/careteam-alias"/>
-        <version value="4.1.0"/>
-        <name value="alias"/>
-        <title value="Alias"/>
-        <status value="draft"/>
-        <date value="2019-09-16"/>
-        <publisher value="Health Level Seven, Inc. - Patient Care WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/patientcare.html"/>
-          </telecom>
-        </contact>
-        <description value="Alternate names by which the team is also known."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CareTeam"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Alternate names by which the team is also known"/>
-            <definition value="Alternate names by which the team is also known."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/careteam-alias"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Alternate names by which the team is also known"/>
-            <definition value="Alternate names by which the team is also known."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/careteam-alias"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-expansionSource"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"/>
-        <version value="4.1.0"/>
-        <name value="expansionSource"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The logical URL of the ValueSet definition that was used to generate this expansion."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="ValueSet definition used to generate this expansion (logical URL)"/>
-            <definition value="The logical URL of the ValueSet definition that was used to generate this expansion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="ValueSet definition used to generate this expansion (logical URL)"/>
-            <definition value="The logical URL of the ValueSet definition that was used to generate this expansion."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/communication-media"/>
-    <resource>
-      <StructureDefinition>
-        <id value="communication-media"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/communication-media"/>
-        <version value="4.1.0"/>
-        <name value="media"/>
-        <title value="media"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="It contains enriched media representation of the alert message, such as a voice recording.  This may be used, for example for compliance with jurisdictional accessibility requirements, literacy issues, or translations of the unstructured text content in other languages."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Communication"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Attached media"/>
-            <definition value="It contains enriched media representation of the alert message, such as a voice recording.  This may be used, for example for compliance with jurisdictional accessibility requirements, literacy issues, or translations of the unstructured text content in other languages."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/communication-media"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Attached media"/>
-            <definition value="It contains enriched media representation of the alert message, such as a voice recording.  This may be used, for example for compliance with jurisdictional accessibility requirements, literacy issues, or translations of the unstructured text content in other languages."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/communication-media"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Attachment"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-EN-qualifier"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"/>
-        <version value="4.1.0"/>
-        <name value="EN-qualifier"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.given"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.prefix"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.suffix"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV"/>
-            <definition value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."/>
-            <comment value="Used to indicate additional information about the name part and how it should be used."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP.qualifier"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EntityNamePartQualifier"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/name-part-qualifier|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV"/>
-            <definition value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."/>
-            <comment value="Used to indicate additional information about the name part and how it should be used."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP.qualifier"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="EntityNamePartQualifier"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/name-part-qualifier|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-fmm"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"/>
-        <version value="4.1.0"/>
-        <name value="fmm"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The FMM level assigned to the artifact."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FMM Level"/>
-            <definition value="The FMM level assigned to the artifact."/>
-            <comment value="Though this is defined for resources, it can be used for any artifact."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FMM Level"/>
-            <definition value="The FMM level assigned to the artifact."/>
-            <comment value="Though this is defined for resources, it can be used for any artifact."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-unitOption"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"/>
-        <version value="4.1.0"/>
-        <name value="unitOption"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="A unit that the user may choose when providing a quantity value."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;quantity&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Unit choice"/>
-            <definition value="A unit that the user may choose when providing a quantity value."/>
-            <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Unit choice"/>
-            <definition value="A unit that the user may choose when providing a quantity value."/>
-            <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"/>
-    <resource>
-      <StructureDefinition>
-        <id value="specimen-collectionPriority"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"/>
-        <version value="4.1.0"/>
-        <name value="collectionPriority"/>
-        <title value="Collection Priority"/>
-        <status value="draft"/>
-        <date value="2015-02-19"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The urgency of sample collection, such as STAT, ASAP, ASAP-ED, ROUTINE, ROUTINE-AM, etc&#x2026;."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Specimen.collection"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Urgency for collection"/>
-            <definition value="The urgency of sample collection, such as STAT, ASAP, ASAP-ED, ROUTINE, ROUTINE-AM, etc&#x2026;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="PriorityExample"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Type representing the priority for specimen collection."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/specimen-collection-priority"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Urgency for collection"/>
-            <definition value="The urgency of sample collection, such as STAT, ASAP, ASAP-ED, ROUTINE, ROUTINE-AM, etc&#x2026;."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="PriorityExample"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Type representing the priority for specimen collection."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/specimen-collection-priority"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-supplement"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"/>
-        <version value="4.1.0"/>
-        <name value="supplement"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This extension declares that a value set depends on a particular supplement and should not be used in its absence."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Declares dependency on a particular supplment"/>
-            <definition value="This extension declares that a value set depends on a particular supplement and should not be used in its absence."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Declares dependency on a particular supplment"/>
-            <definition value="This extension declares that a value set depends on a particular supplement and should not be used in its absence."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-deliveryInstallationQualifier"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-deliveryInstallationQualifier"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A number, letter or name identifying a delivery installation. For example, for Station A, the delivery installation qualifier would be &#39;A&#39;."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryInstallationQualifier"/>
-            <definition value="A number, letter or name identifying a delivery installation. For example, for Station A, the delivery installation qualifier would be &#39;A&#39;."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DINSTQ]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryInstallationQualifier"/>
-            <definition value="A number, letter or name identifying a delivery installation. For example, for Station A, the delivery installation qualifier would be &#39;A&#39;."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DINSTQ]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-recipientLanguage"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"/>
-        <version value="4.1.0"/>
-        <name value="recipientLanguage"/>
-        <title value="recipientLanguage"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="Preferred language of the person that will consume the content."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="Preferred language of the person that will consume the content."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="Preferred language of the person that will consume the content."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-                <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Language"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="A human language."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-importance"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-importance"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-importance"/>
-        <version value="4.1.0"/>
-        <name value="importance"/>
-        <title value="importance"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The importance of the patient (e.g. VIP)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Special status given the patient"/>
-            <definition value="The importance of the patient (e.g. VIP)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-importance"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Special status given the patient"/>
-            <definition value="The importance of the patient (e.g. VIP)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-importance"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"/>
-    <resource>
-      <StructureDefinition>
-        <id value="timing-dayOfMonth"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"/>
-        <version value="4.1.0"/>
-        <name value="dayOfMonth"/>
-        <title value="Day Of Month"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - MnM WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/MnM"/>
-          </telecom>
-        </contact>
-        <description value="When present, this extension indicate that the event actually only occurs on the specified days of the month, on the times as otherwise specified by the timing schedule."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Timing.repeat"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Day of Month for schedule"/>
-            <definition value="When present, this extension indicate that the event actually only occurs on the specified days of the month, on the times as otherwise specified by the timing schedule."/>
-            <comment value="The value must be an integer in thr range of 0 to 31. Its at the discretion of the implementer what to do if the value of the day is higher than the number of days in a given month."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Day of Month for schedule"/>
-            <definition value="When present, this extension indicate that the event actually only occurs on the specified days of the month, on the times as otherwise specified by the timing schedule."/>
-            <comment value="The value must be an integer in thr range of 0 to 31. Its at the discretion of the implementer what to do if the value of the day is higher than the number of days in a given month."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-receivingOrganization"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"/>
-        <version value="4.1.0"/>
-        <name value="receivingOrganization"/>
-        <title value="receivingOrganization"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The organization that will receive the response."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Basic"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The organization that will receive the response."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The organization that will receive the response."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"/>
-    <resource>
-      <StructureDefinition>
-        <id value="concept-bidirectional"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"/>
-        <version value="4.1.0"/>
-        <name value="bidirectional"/>
-        <title value="Bi-directional"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Set to true if the concept map can be safely intepreted in reversse."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ConceptMap"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether the map can be interpreted in reverse"/>
-            <definition value="Set to true if the concept map can be safely intepreted in reversse."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether the map can be interpreted in reverse"/>
-            <definition value="Set to true if the concept map can be safely intepreted in reversse."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-use-markdown"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"/>
-        <version value="4.1.0"/>
-        <name value="use-markdown"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="If true, the definitions of the concepts can be treated and rendered as markdown for improved presentation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicate that definitions can be processed as markdown"/>
-            <definition value="If true, the definitions of the concepts can be treated and rendered as markdown for improved presentation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicate that definitions can be processed as markdown"/>
-            <definition value="If true, the definitions of the concepts can be treated and rendered as markdown for improved presentation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-direction"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-direction"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Direction (e.g., N, S, W, E)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="direction"/>
-            <definition value="Direction (e.g., N, S, W, E)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DIR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="direction"/>
-            <definition value="Direction (e.g., N, S, W, E)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DIR]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-adoptionInfo"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"/>
-        <version value="4.1.0"/>
-        <name value="adoptionInfo"/>
-        <title value="adoptionInfo"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Code indication the adoption status of the patient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The adoption status of the patient"/>
-            <definition value="Code indication the adoption status of the patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The adoption status of the patient"/>
-            <definition value="Code indication the adoption status of the patient."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/variable"/>
-    <resource>
-      <StructureDefinition>
-        <id value="variable"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/variable"/>
-        <version value="4.1.0"/>
-        <name value="Variable"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Variable specifying a logic to generate a variable for use in subsequent logic.  The name of the variable will be added to FHIRPath&#39;s context when processing descendants of the element that contains this extension."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Variable for processing"/>
-            <definition value="Variable specifying a logic to generate a variable for use in subsequent logic.  The name of the variable will be added to FHIRPath&#39;s context when processing descendants of the element that contains this extension."/>
-            <comment value="Ordering of variable extension declarations is significant as variables declared in one repetition of this extension might be used in subsequent extension repetitions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/variable"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Variable for processing"/>
-            <definition value="Variable specifying a logic to generate a variable for use in subsequent logic.  The name of the variable will be added to FHIRPath&#39;s context when processing descendants of the element that contains this extension."/>
-            <comment value="Ordering of variable extension declarations is significant as variables declared in one repetition of this extension might be used in subsequent extension repetitions."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/variable"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Expression"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-effectiveDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"/>
-        <version value="4.1.0"/>
-        <name value="effectiveDate"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version becomes Active and is available for use"/>
-            <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When the value set version becomes Active and is available for use"/>
-            <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-preferred"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
-        <version value="4.1.0"/>
-        <name value="preferred"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Preferred"/>
-            <definition value="Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Preferred"/>
-            <definition value="Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"/>
-    <resource>
-      <StructureDefinition>
-        <id value="bundle-event-count"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"/>
-        <version value="4.1.0"/>
-        <name value="bundle-event-count"/>
-        <title value="Bundle Event Count"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The number of events included in this Subscription notification (0 for handshake and heartbeat)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.meta"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The number of events included in this Subscription notification"/>
-            <definition value="The number of events included in this Subscription notification (0 for handshake and heartbeat)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The number of events included in this Subscription notification"/>
-            <definition value="The number of events included in this Subscription notification (0 for handshake and heartbeat)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="communicationrequest-initiatingLocation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"/>
-        <version value="4.1.0"/>
-        <name value="initiatingLocation"/>
-        <title value="initiatingLocation"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Location where the information being requested to be communicated happened."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CommunicationRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Location where the CommunicationRequest was initiated"/>
-            <definition value="Location where the information being requested to be communicated happened."/>
-            <comment value="Use when the location of initiation is important for interpretation of the communication.  Do not use for general Provenance purposes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Location where the CommunicationRequest was initiated"/>
-            <definition value="Location where the information being requested to be communicated happened."/>
-            <comment value="Use when the location of initiation is important for interpretation of the communication.  Do not use for general Provenance purposes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"/>
-    <resource>
-      <StructureDefinition>
-        <id value="contactpoint-local"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"/>
-        <version value="4.1.0"/>
-        <name value="local"/>
-        <title value="Local Number"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The local number that must be dialed to connect within the area/city/zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ContactPoint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Local number that must always be dialled"/>
-            <definition value="The local number that must be dialed to connect within the area/city/zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Local number that must always be dialled"/>
-            <definition value="The local number that must be dialed to connect within the area/city/zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they&#39;re filled in)."/>
-            <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"/>
-    <resource>
-      <StructureDefinition>
-        <id value="familymemberhistory-patient-record"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"/>
-        <version value="4.1.0"/>
-        <name value="patient-record"/>
-        <title value="Patient Record"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A link to one to more patient records for the relation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Link to patient record"/>
-            <definition value="A link to one to more patient records for the relation."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Link to patient record"/>
-            <definition value="A link to one to more patient records for the relation."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"/>
-    <resource>
-      <StructureDefinition>
-        <id value="operationoutcome-issue-source"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"/>
-        <version value="4.1.0"/>
-        <name value="issue-source"/>
-        <title value="Source of Issue"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Helps a user track down the source of the problem."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="OperationOutcome.issue"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Source of a validation message"/>
-            <definition value="Helps a user track down the source of the problem."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Source of a validation message"/>
-            <definition value="Helps a user track down the source of the problem."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/tz-code"/>
-    <resource>
-      <StructureDefinition>
-        <id value="tz-code"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/tz-code"/>
-        <version value="4.1.0"/>
-        <name value="Timezone Code"/>
-        <title value="An IANA timezone code for  the timezone offset per BCP 175"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="An IANA timezone code for  the timezone offset per [BCP 175](https://www.iana.org/go/rfc6557). The offset is specified as part of a dateTime/instant (or using the tzOffset extension on a date if necessary). The timezone code may also be provided to allow for human display of the location associated with the offset."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="date"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="dateTime"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="instant"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="IANA Timezone Code per BCP 175"/>
-            <definition value="An IANA timezone code for  the timezone offset per [BCP 175](https://www.iana.org/go/rfc6557). The offset is specified as part of a dateTime/instant (or using the tzOffset extension on a date if necessary). The timezone code may also be provided to allow for human display of the location associated with the offset."/>
-            <comment value="See [https://www.iana.org/time-zones](https://www.iana.org/time-zones)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-code"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="IANATimezone"/>
-              </extension>
-              <strength value="required"/>
-              <description value="IANA Timezones (BCP 175)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/timezones|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="IANA Timezone Code per BCP 175"/>
-            <definition value="An IANA timezone code for  the timezone offset per [BCP 175](https://www.iana.org/go/rfc6557). The offset is specified as part of a dateTime/instant (or using the tzOffset extension on a date if necessary). The timezone code may also be provided to allow for human display of the location associated with the offset."/>
-            <comment value="See [https://www.iana.org/time-zones](https://www.iana.org/time-zones)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-code"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="IANATimezone"/>
-              </extension>
-              <strength value="required"/>
-              <description value="IANA Timezones (BCP 175)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/timezones|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-otherName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"/>
-        <version value="4.1.0"/>
-        <name value="otherName"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Human readable names for the codesystem."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Alternative names"/>
-            <definition value="Human readable names for the codesystem."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name">
-            <path value="Extension.extension"/>
-            <sliceName value="name"/>
-            <short value="Human readable, short and specific"/>
-            <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."/>
-            <comment value="This need not be unique. However, some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:preferred">
-            <path value="Extension.extension"/>
-            <sliceName value="preferred"/>
-            <short value="Which name is preferred for this language"/>
-            <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."/>
-            <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:preferred.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:preferred.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:preferred.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="preferred"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:preferred.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Alternative names"/>
-            <definition value="Human readable names for the codesystem."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:name">
-            <path value="Extension.extension"/>
-            <sliceName value="name"/>
-            <short value="Human readable, short and specific"/>
-            <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."/>
-            <comment value="This need not be unique. However, some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="name"/>
-          </element>
-          <element id="Extension.extension:name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:preferred">
-            <path value="Extension.extension"/>
-            <sliceName value="preferred"/>
-            <short value="Which name is preferred for this language"/>
-            <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."/>
-            <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:preferred.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:preferred.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="preferred"/>
-          </element>
-          <element id="Extension.extension:preferred.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"/>
-    <resource>
-      <StructureDefinition>
-        <id value="specimen-isDryWeight"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"/>
-        <version value="4.1.0"/>
-        <name value="isDryWeight"/>
-        <title value="Is Dry Weight"/>
-        <status value="draft"/>
-        <date value="2015-02-19"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="If the recorded quantity of the specimen is reported as a weight, if it is a dry weight."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Specimen.collection.quantity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether quantity is a dry weight"/>
-            <definition value="If the recorded quantity of the specimen is reported as a weight, if it is a dry weight."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether quantity is a dry weight"/>
-            <definition value="If the recorded quantity of the specimen is reported as a weight, if it is a dry weight."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-bestpractice-explanation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"/>
-        <version value="4.1.0"/>
-        <name value="bestpractice-explanation"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Explains why an invariant is labelled as a best practice invariant."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.constraint"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explains why an invariant is labelled as best practice"/>
-            <definition value="Explains why an invariant is labelled as a best practice invariant."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Explains why an invariant is labelled as best practice"/>
-            <definition value="Explains why an invariant is labelled as a best practice invariant."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-ancestor"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"/>
-        <version value="4.1.0"/>
-        <name value="ancestor"/>
-        <title value="ancestor"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A canonical reference to a StructureDefinition that this is derived from. This is a de-normalization of a chain of StructureDefinition.baseDefinition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="StructureDefinition this is derived from"/>
-            <definition value="A canonical reference to a StructureDefinition that this is derived from. This is a de-normalization of a chain of StructureDefinition.baseDefinition."/>
-            <comment value="It is an error if a structure definition lists an ancestor that is not in the chain of baseDefinitions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="StructureDefinition this is derived from"/>
-            <definition value="A canonical reference to a StructureDefinition that this is derived from. This is a de-normalization of a chain of StructureDefinition.baseDefinition."/>
-            <comment value="It is an error if a structure definition lists an ancestor that is not in the chain of baseDefinitions."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"/>
-    <resource>
-      <StructureDefinition>
-        <id value="parameters-fullUrl"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"/>
-        <version value="4.1.0"/>
-        <name value="fullUrl"/>
-        <title value="fullUrl for resource"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="This specifies the fullUrl for the resource in parameters.resource, if there is one. When fullUrl is provided, ithe [resource resolution method described for Bundle](bundle.html#references)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Parameters.parameter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="fullUrl for resource"/>
-            <definition value="This specifies the fullUrl for the resource in parameters.resource, if there is one. When fullUrl is provided, ithe [resource resolution method described for Bundle](bundle.html#references)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="fullUrl for resource"/>
-            <definition value="This specifies the fullUrl for the resource in parameters.resource, if there is one. When fullUrl is provided, ithe [resource resolution method described for Bundle](bundle.html#references)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-houseNumberNumeric"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-houseNumberNumeric"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The numeric portion of a building number."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="houseNumberNumeric"/>
-            <definition value="The numeric portion of a building number."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=BNN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="houseNumberNumeric"/>
-            <definition value="The numeric portion of a building number."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=BNN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-uncertainty"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"/>
-        <version value="4.1.0"/>
-        <name value="uncertainty"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Quantity"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Standard Deviation (same units as the quantity)"/>
-            <definition value="The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean)."/>
-            <comment value="standardDeviation has the same units as the quantity. It is used to normalize the data for computing the distribution function. Applications that cannot deal with probability distributions can still get an idea about the confidence level by looking at standardDeviation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PPD.standardDeviation"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Standard Deviation (same units as the quantity)"/>
-            <definition value="The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean)."/>
-            <comment value="standardDeviation has the same units as the quantity. It is used to normalize the data for computing the distribution function. Applications that cannot deal with probability distributions can still get an idea about the confidence level by looking at standardDeviation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="PPD.standardDeviation"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/ordinalValue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="ordinalValue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/ordinalValue"/>
-        <version value="4.1.0"/>
-        <name value="Ordinal Value"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="A numeric value that allows the comparison (less than, greater than) or other numerical &#xA;manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Coding"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.answerOption"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem.concept"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Assigned Ordinal Value"/>
-            <definition value="A numeric value that allows the comparison (less than, greater than) or other numerical &#xA;manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores."/>
-            <comment value="Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](questionnaire.html), &#xA;so this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/ordinalValue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Assigned Ordinal Value"/>
-            <definition value="A numeric value that allows the comparison (less than, greater than) or other numerical &#xA;manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores."/>
-            <comment value="Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](questionnaire.html), &#xA;so this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/ordinalValue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="decimal"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-systemRef"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"/>
-        <version value="4.1.0"/>
-        <name value="systemRef"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The formal URI for the code system.  I.e. ValueSet.codeSystem.system (or its equivalent)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.compose.include"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where to find code system"/>
-            <definition value="The formal URI for the code system.  I.e. ValueSet.codeSystem.system (or its equivalent)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where to find code system"/>
-            <definition value="The formal URI for the code system.  I.e. ValueSet.codeSystem.system (or its equivalent)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-allowedUnits"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"/>
-        <version value="4.1.0"/>
-        <name value="allowedUnits"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Identifies the units of measure in which the element should be captured or expressed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Units to use for measured value"/>
-            <definition value="Identifies the units of measure in which the element should be captured or expressed."/>
-            <comment value="Use a value set if more than one unit of measure is possible.  Value sets will typically be short enough to display in a drop-down selection list."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="OM2.2"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Units"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Units of measure allowed for an element."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/ucum-units|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Units to use for measured value"/>
-            <definition value="Identifies the units of measure in which the element should be captured or expressed."/>
-            <comment value="Use a value set if more than one unit of measure is possible.  Value sets will typically be short enough to display in a drop-down selection list."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="OM2.2"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Units"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Units of measure allowed for an element."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/ucum-units|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="resource-approvalDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"/>
-        <version value="4.1.0"/>
-        <name value="approvalDate"/>
-        <title value="Approval Date"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="OperationDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SearchParameter"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CompartmentDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ImplementationGuide"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ConceptMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NamingSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When resource approved by publisher"/>
-            <definition value="The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage."/>
-            <comment value="The date may be more recent than the approval date because of minor changes / editorial corrections."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="When resource approved by publisher"/>
-            <definition value="The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage."/>
-            <comment value="The date may be more recent than the approval date because of minor changes / editorial corrections."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-genderIdentity"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"/>
-        <version value="4.1.0"/>
-        <name value="genderIdentity"/>
-        <title value="genderIdentity"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The gender the patient identifies with. The Patient&#39;s gender identity is used as guidance (e.g. for staff) about how to interact with the patient."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The patient&#39;s gender identity"/>
-            <definition value="The gender the patient identifies with. The Patient&#39;s gender identity is used as guidance (e.g. for staff) about how to interact with the patient."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GenderIdentity"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/gender-identity"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The patient&#39;s gender identity"/>
-            <definition value="The gender the patient identifies with. The Patient&#39;s gender identity is used as guidance (e.g. for staff) about how to interact with the patient."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="GenderIdentity"/>
-              </extension>
-              <strength value="example"/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/gender-identity"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"/>
-    <resource>
-      <StructureDefinition>
-        <id value="servicerequest-questionnaireRequest"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"/>
-        <version value="4.1.0"/>
-        <name value="questionnaireRequest"/>
-        <title value="Questionnaire Requested"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Reference to a specific Questionnaire Resource as an ordered item.  Allows for ordering a specific questionnaire to be completed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Questionnaire to be ordered"/>
-            <definition value="Reference to a specific Questionnaire Resource as an ordered item.  Allows for ordering a specific questionnaire to be completed."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Questionnaire to be ordered"/>
-            <definition value="Reference to a specific Questionnaire Resource as an ordered item.  Allows for ordering a specific questionnaire to be completed."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"/>
-    <resource>
-      <StructureDefinition>
-        <id value="resource-effectivePeriod"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"/>
-        <version value="4.1.0"/>
-        <name value="effectivePeriod"/>
-        <title value="Effective Period"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The period during which the resource content was or is planned to be effective."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="OperationDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SearchParameter"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CompartmentDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ImplementationGuide"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ConceptMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NamingSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The effective date range for the resource"/>
-            <definition value="The period during which the resource content was or is planned to be effective."/>
-            <comment value="The effective period for a resource  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Period"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The effective date range for the resource"/>
-            <definition value="The period during which the resource content was or is planned to be effective."/>
-            <comment value="The effective period for a resource  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Period"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"/>
-    <resource>
-      <StructureDefinition>
-        <id value="rendering-styleSensitive"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"/>
-        <version value="4.1.0"/>
-        <name value="styleSensitive"/>
-        <status value="draft"/>
-        <date value="2014-04-23"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Indicates that the style extensions (style, markdown and xhtml) in this resource instance are essential to the interpretation of the instance and that systems that are not capable of rendering using those extensions should not be used to render the resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Are styles important for processing?"/>
-            <definition value="Indicates that the style extensions (style, markdown and xhtml) in this resource instance are essential to the interpretation of the instance and that systems that are not capable of rendering using those extensions should not be used to render the resource."/>
-            <comment value="If set to true, all systems that claim to support this extension and that render elements from the resource SHALL either render the content as required by the style extensions ([style], [xhtml] and [markdown]) or shall indicate to the user that the resource (or specific elements in the resource) cannot be appropriately rendered by the system."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Are styles important for processing?"/>
-            <definition value="Indicates that the style extensions (style, markdown and xhtml) in this resource instance are essential to the interpretation of the instance and that systems that are not capable of rendering using those extensions should not be used to render the resource."/>
-            <comment value="If set to true, all systems that claim to support this extension and that render elements from the resource SHALL either render the content as required by the style extensions ([style], [xhtml] and [markdown]) or shall indicate to the user that the resource (or specific elements in the resource) cannot be appropriately rendered by the system."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsGenomicSourceClass"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"/>
-        <version value="4.1.0"/>
-        <name value="GenomicSourceClass"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ([48002-0](http://loinc.org/48002-0))."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Genomic source class"/>
-            <definition value="Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ([48002-0](http://loinc.org/48002-0))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Genomic source class"/>
-            <definition value="Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ([48002-0](http://loinc.org/48002-0))."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-sourceReference"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"/>
-        <version value="4.1.0"/>
-        <name value="sourceReference"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where did this content come from"/>
-            <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."/>
-            <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where did this content come from"/>
-            <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."/>
-            <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-substanceExposureRisk"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/>
-        <version value="4.1.0"/>
-        <name value="substanceExposureRisk"/>
-        <title value="substanceExposureRisk"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product"/>
-            <definition value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."/>
-            <comment value="This extension is available and is intended to be used as a more completely structured and flexible alternative to the &#39;code&#39; element for representing positive and negative allergy and intolerance statements.  If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant &quot;code or substanceExposureRisk&quot;)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <constraint>
-              <key value="inv-1"/>
-              <severity value="error"/>
-              <human value="If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted."/>
-              <expression value="substanceExposureRisk.exists() and code.empty()"/>
-              <xpath value="exists(f:substanceExposureRisk) and not(exists(f:code))"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:substance">
-            <path value="Extension.extension"/>
-            <sliceName value="substance"/>
-            <short value="Substance (or pharmaceutical product)"/>
-            <definition value="Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure."/>
-            <comment value="It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="AL1-3 / IAM-3"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code &lt;= ExposureAgentEntityType]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:substance.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:substance.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:substance.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="substance"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:substance.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SubstanceCode"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes defining the type of the substance (including pharmaceutical products)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/substance-code"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:exposureRisk">
-            <path value="Extension.extension"/>
-            <sliceName value="exposureRisk"/>
-            <short value="known-reaction-risk | no-known-reaction-risk"/>
-            <definition value="The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."/>
-            <comment value="exposureRisk is a modifier of the substance."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:exposureRisk.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:exposureRisk.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:exposureRisk.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="exposureRisk"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:exposureRisk.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AllergyIntoleranceSubstanceExposureRisk"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product"/>
-            <definition value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."/>
-            <comment value="This extension is available and is intended to be used as a more completely structured and flexible alternative to the &#39;code&#39; element for representing positive and negative allergy and intolerance statements.  If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant &quot;code or substanceExposureRisk&quot;)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <constraint>
-              <key value="inv-1"/>
-              <severity value="error"/>
-              <human value="If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted."/>
-              <expression value="substanceExposureRisk.exists() and code.empty()"/>
-              <xpath value="exists(f:substanceExposureRisk) and not(exists(f:code))"/>
-            </constraint>
-          </element>
-          <element id="Extension.extension:substance">
-            <path value="Extension.extension"/>
-            <sliceName value="substance"/>
-            <short value="Substance (or pharmaceutical product)"/>
-            <definition value="Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure."/>
-            <comment value="It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <mapping>
-              <identity value="v2"/>
-              <map value="AL1-3 / IAM-3"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code &lt;= ExposureAgentEntityType]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:substance.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:substance.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="substance"/>
-          </element>
-          <element id="Extension.extension:substance.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SubstanceCode"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes defining the type of the substance (including pharmaceutical products)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/substance-code"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:exposureRisk">
-            <path value="Extension.extension"/>
-            <sliceName value="exposureRisk"/>
-            <short value="known-reaction-risk | no-known-reaction-risk"/>
-            <definition value="The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."/>
-            <comment value="exposureRisk is a modifier of the substance."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:exposureRisk.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:exposureRisk.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="exposureRisk"/>
-          </element>
-          <element id="Extension.extension:exposureRisk.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AllergyIntoleranceSubstanceExposureRisk"/>
-              </extension>
-              <strength value="required"/>
-              <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"/>
-    <resource>
-      <StructureDefinition>
-        <id value="DiagnosticReport-geneticsReferences"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"/>
-        <version value="4.1.0"/>
-        <name value="References"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Additional bibliographic reference information about genetics, medications, clinical trials, etc. associated with knowledge-based information on genetics/genetic condition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional bibliographic reference information"/>
-            <definition value="Additional bibliographic reference information about genetics, medications, clinical trials, etc. associated with knowledge-based information on genetics/genetic condition."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:description">
-            <path value="Extension.extension"/>
-            <sliceName value="description"/>
-            <short value="Reference description"/>
-            <definition value="Concise description of the genetic reference."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:description.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:description.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:description.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="description"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:description.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference">
-            <path value="Extension.extension"/>
-            <sliceName value="reference"/>
-            <short value="Reference URI"/>
-            <definition value="An absolute URI to express where to find the link."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:reference.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:reference.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="reference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:reference.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="Reference type"/>
-            <definition value="A code that classifies the type of genetic reference link."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Diagnostic-Snomed"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes for diagnostic genetic reference types."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-based-on-snomed"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional bibliographic reference information"/>
-            <definition value="Additional bibliographic reference information about genetics, medications, clinical trials, etc. associated with knowledge-based information on genetics/genetic condition."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:description">
-            <path value="Extension.extension"/>
-            <sliceName value="description"/>
-            <short value="Reference description"/>
-            <definition value="Concise description of the genetic reference."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:description.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:description.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="description"/>
-          </element>
-          <element id="Extension.extension:description.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:reference">
-            <path value="Extension.extension"/>
-            <sliceName value="reference"/>
-            <short value="Reference URI"/>
-            <definition value="An absolute URI to express where to find the link."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:reference.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:reference.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="reference"/>
-          </element>
-          <element id="Extension.extension:reference.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type">
-            <path value="Extension.extension"/>
-            <sliceName value="type"/>
-            <short value="Reference type"/>
-            <definition value="A code that classifies the type of genetic reference link."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:type.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:type.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="type"/>
-          </element>
-          <element id="Extension.extension:type.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Diagnostic-Snomed"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes for diagnostic genetic reference types."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-based-on-snomed"/>
-            </binding>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/bodySite"/>
-    <resource>
-      <StructureDefinition>
-        <id value="bodySite"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/bodySite"/>
-        <version value="4.1.0"/>
-        <name value="BodyStructure Reference"/>
-        <title value="Body Site"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Target anatomic location or structure"/>
-            <definition value="Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/bodySite"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Target anatomic location or structure"/>
-            <definition value="Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/bodySite"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement-expectation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"/>
-        <version value="4.1.0"/>
-        <name value="expectation"/>
-        <title value="Conformance expectation"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="Defines the level of expectation associated with a given system capability."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource.interaction"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.searchParam"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.operation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.document"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.interaction"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource.searchInclude"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.resource.searchRevInclude"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SHALL | SHOULD | MAY |SHOULD-NOT"/>
-            <definition value="Defines the level of expectation associated with a given system capability."/>
-            <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatements documenting requirements, not those documenting actual system capabilities."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConformanceExpectation"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="SHALL | SHOULD | MAY |SHOULD-NOT"/>
-            <definition value="Defines the level of expectation associated with a given system capability."/>
-            <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatements documenting requirements, not those documenting actual system capabilities."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConformanceExpectation"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-test"/>
-    <resource>
-      <StructureDefinition>
-        <id value="openEHR-test"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/openEHR-test"/>
-        <version value="4.1.0"/>
-        <name value="test"/>
-        <status value="draft"/>
-        <date value="2014-10-09"/>
-        <publisher value="Health Level Seven, Inc / openEHR project"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Observations that confirm or refute the risk and/or the substance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Observations that confirm or refute"/>
-            <definition value="Observations that confirm or refute the risk and/or the substance."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-test"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Observations that confirm or refute"/>
-            <definition value="Observations that confirm or refute the risk and/or the substance."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-test"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-supportLink"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"/>
-        <version value="4.1.0"/>
-        <name value="supportLink"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="A URL that resolves to additional supporting information or guidance related to the question."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Supporting information"/>
-            <definition value="A URL that resolves to additional supporting information or guidance related to the question."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Supporting information"/>
-            <definition value="A URL that resolves to additional supporting information or guidance related to the question."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-sequelTo"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"/>
-        <version value="4.1.0"/>
-        <name value="sequelTo"/>
-        <title value="Sequel To"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Sequel to referenced Observation"/>
-            <definition value="This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Sequel to referenced Observation"/>
-            <definition value="This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test)."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-minValueSet"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"/>
-        <version value="4.1.0"/>
-        <name value="minValueSet"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The minimum allowable value set, for use when the binding strength is &#39;required&#39; or &#39;extensible&#39;. This value set is the minimum value set that any conformant system SHALL support."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.binding"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Minimum Value Set (what system must support)"/>
-            <definition value="The minimum allowable value set, for use when the binding strength is &#39;required&#39; or &#39;extensible&#39;. This value set is the minimum value set that any conformant system SHALL support."/>
-            <comment value="Generally, the context of use of this extension should be specific about what it means to &#39;support&#39; the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Minimum Value Set (what system must support)"/>
-            <definition value="The minimum allowable value set, for use when the binding strength is &#39;required&#39; or &#39;extensible&#39;. This value set is the minimum value set that any conformant system SHALL support."/>
-            <comment value="Generally, the context of use of this extension should be specific about what it means to &#39;support&#39; the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF territory)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaireresponse-reviewer"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"/>
-        <version value="4.1.0"/>
-        <name value="reviewer"/>
-        <title value="Reviewer"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Individual responsible for ensuring that the questionnaire response have been completed appropriately and signs off on the content."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who verified completion of form?"/>
-            <definition value="Individual responsible for ensuring that the questionnaire response have been completed appropriately and signs off on the content."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="./participation[typeCode=VRF]/role"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who verified completion of form?"/>
-            <definition value="Individual responsible for ensuring that the questionnaire response have been completed appropriately and signs off on the content."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="./participation[typeCode=VRF]/role"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement2-websocket"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"/>
-        <version value="4.1.0"/>
-        <name value="websocket"/>
-        <title value="WebSocket"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="Where the server provides its web socket end-point."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2.rest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where server websocket end point is found"/>
-            <definition value="Where the server provides its web socket end-point."/>
-            <comment value="Used for web-socket based subscriptions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where server websocket end point is found"/>
-            <definition value="Where the server provides its web socket end-point."/>
-            <comment value="Used for web-socket based subscriptions."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/task-replaces"/>
-    <resource>
-      <StructureDefinition>
-        <id value="task-replaces"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/task-replaces"/>
-        <version value="4.1.0"/>
-        <name value="replaces"/>
-        <title value="replaces"/>
-        <status value="draft"/>
-        <date value="2017-02-16"/>
-        <publisher value="Health Level Seven, Inc. - FHIR I WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Completed or terminated task(s) whose function is taken by this new task."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Task"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Task(s) replaced by this Task"/>
-            <definition value="Completed or terminated task(s) whose function is taken by this new task."/>
-            <comment value="The replacement could be because the initial task was immediately rejected (due to an issue) or because the previous task was completed, but the need for the action described by the task remains ongoing."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Request.replaces"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=RPLC].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-replaces"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Task(s) replaced by this Task"/>
-            <definition value="Completed or terminated task(s) whose function is taken by this new task."/>
-            <comment value="The replacement could be because the initial task was immediately rejected (due to an issue) or because the previous task was completed, but the need for the action described by the task remains ongoing."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Request.replaces"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=RPLC].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-replaces"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-replaces"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-replaces"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-replaces"/>
-        <version value="4.1.0"/>
-        <name value="replaces"/>
-        <title value="Replaces"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="This observation replaces a previous observation (i.e. a revised value)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Replaces referenced Observation"/>
-            <definition value="This observation replaces a previous observation (i.e. a revised value)."/>
-            <comment value="This is an alternative to updating the Observation with a new version with status = &#39;amended&#39;or &#39;corrected&#39;.  The target observation is now obsolete."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-replaces"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Replaces referenced Observation"/>
-            <definition value="This observation replaces a previous observation (i.e. a revised value)."/>
-            <comment value="This is an alternative to updating the Observation with a new version with status = &#39;amended&#39;or &#39;corrected&#39;.  The target observation is now obsolete."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-replaces"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/organizationaffiliation-primaryInd"/>
-    <resource>
-      <StructureDefinition>
-        <id value="organizationaffiliation-primaryInd"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/organizationaffiliation-primaryInd"/>
-        <version value="4.1.0"/>
-        <name value="primaryInd"/>
-        <title value="primaryInd"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="OrganizationAffiliation.specialty"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicator of primary specialty"/>
-            <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organizationaffiliation-primaryInd"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicator of primary specialty"/>
-            <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organizationaffiliation-primaryInd"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="resource-lastReviewDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"/>
-        <version value="4.1.0"/>
-        <name value="lastReviewDate"/>
-        <title value="Last Review Date"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The date on which the asset content was last reviewed. Review happens periodically after that, but doesn&#39;t change the original approval date."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="StructureMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="OperationDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SearchParameter"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CompartmentDefinition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ImplementationGuide"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ConceptMap"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NamingSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Last review date for the resource"/>
-            <definition value="The date on which the asset content was last reviewed. Review happens periodically after that, but doesn&#39;t change the original approval date."/>
-            <comment value="If specified, this is usually after the approval date."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Last review date for the resource"/>
-            <definition value="The date on which the asset content was last reviewed. Review happens periodically after that, but doesn&#39;t change the original approval date."/>
-            <comment value="If specified, this is usually after the approval date."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-researchStudy"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"/>
-        <version value="4.1.0"/>
-        <name value="researchStudy"/>
-        <title value="Associated Study"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Indicates that this event is relevant to the specified research study(ies)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Composition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Consent"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceUseStatement"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Encounter"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="FamilyMemberHistory"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Immunization"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="MedicationAdministration"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="MedicationDispense"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="MedicationUsage"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="RiskAssessment"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyDelivery"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Task"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated research study"/>
-            <definition value="Indicates that this event is relevant to the specified research study(ies)."/>
-            <comment value="This relevance might mean that the even occurred as part of the study protocol, but can also include events that occurred outside the study but still have relevance (e.g. adverse events, co-occurring medications, unexpected Observations, etc.)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.researchStudy"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=PERT].target[classCode=CLNTRL, moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Associated research study"/>
-            <definition value="Indicates that this event is relevant to the specified research study(ies)."/>
-            <comment value="This relevance might mean that the even occurred as part of the study protocol, but can also include events that occurred outside the study but still have relevance (e.g. adverse events, co-occurring medications, unexpected Observations, etc.)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.researchStudy"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=PERT].target[classCode=CLNTRL, moodCode=EVN]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"/>
-    <resource>
-      <StructureDefinition>
-        <id value="practitioner-animalSpecies"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"/>
-        <version value="4.1.0"/>
-        <name value="animalSpecies"/>
-        <title value="animalSpecies"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This extension should be used to specifiy that a practioner or RelatedPerson resource is a service animal."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Practitioner"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="RelatedPerson"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The Species of the Service Animal"/>
-            <definition value="This extension should be used to specifiy that a practioner or RelatedPerson resource is a service animal."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalSpecies"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The species of animal."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The Species of the Service Animal"/>
-            <definition value="This extension should be used to specifiy that a practioner or RelatedPerson resource is a service animal."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AnimalSpecies"/>
-              </extension>
-              <strength value="example"/>
-              <description value="The species of animal."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"/>
-    <resource>
-      <StructureDefinition>
-        <id value="event-eventHistory"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"/>
-        <version value="4.1.0"/>
-        <name value="eventHistory"/>
-        <title value="Event History"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Links to *Provenance* records for past versions of this resource that document  key state transitions or updates that are deemed &#x201C;relevant&#x201D; or important to a user looking at the current version of the resource. E.g, when an observation was verified or corrected.  This extension does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The *Provenance* for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Task"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyDelivery"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceUseStatement"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Events of interest in the resource lifecycle"/>
-            <definition value="Links to *Provenance* records for past versions of this resource that document  key state transitions or updates that are deemed &#x201C;relevant&#x201D; or important to a user looking at the current version of the resource. E.g, when an observation was verified or corrected.  This extension does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The *Provenance* for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-            <comment value="May reference only *Provenance* resources deemed &#x201C;relevant&#x201D; or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Events of interest in the resource lifecycle"/>
-            <definition value="Links to *Provenance* records for past versions of this resource that document  key state transitions or updates that are deemed &#x201C;relevant&#x201D; or important to a user looking at the current version of the resource. E.g, when an observation was verified or corrected.  This extension does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The *Provenance* for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-            <comment value="May reference only *Provenance* resources deemed &#x201C;relevant&#x201D; or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-directedBy"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"/>
-        <version value="4.1.0"/>
-        <name value="directedBy"/>
-        <title value="directedBy"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who has decision-making authority"/>
-            <definition value="The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service."/>
-            <comment value="For example, a long term care beneficiary who coordinates the services related to their activities of daily living."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Who has decision-making authority"/>
-            <definition value="The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service."/>
-            <comment value="For example, a long term care beneficiary who coordinates the services related to their activities of daily living."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-warning"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"/>
-        <version value="4.1.0"/>
-        <name value="warning"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="An extra warning about the correct use of the value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extra warning about the correct use of the value set"/>
-            <definition value="An extra warning about the correct use of the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extra warning about the correct use of the value set"/>
-            <definition value="An extra warning about the correct use of the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-outcome"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-outcome"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-outcome"/>
-        <version value="4.1.0"/>
-        <name value="outcome"/>
-        <title value="Outcome"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="A result of the condition. The &quot;Cause of death&quot; for a patient is typically captured as an Observation.  The &quot;outcome&quot; doesn&#39;t imply causality.  Some outcomes might not be assessable until the condition.clinicalStatus is no longer active."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A consequence of the Condition"/>
-            <definition value="A result of the condition. The &quot;Cause of death&quot; for a patient is typically captured as an Observation.  The &quot;outcome&quot; doesn&#39;t imply causality.  Some outcomes might not be assessable until the condition.clinicalStatus is no longer active."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-outcome"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionOutcome"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe the assessed outcome of the condition."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-outcome"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A consequence of the Condition"/>
-            <definition value="A result of the condition. The &quot;Cause of death&quot; for a patient is typically captured as an Observation.  The &quot;outcome&quot; doesn&#39;t imply causality.  Some outcomes might not be assessable until the condition.clinicalStatus is no longer active."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-outcome"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConditionOutcome"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes that describe the assessed outcome of the condition."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/condition-outcome"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-alternate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"/>
-        <version value="4.1.0"/>
-        <name value="alternate"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="An additional code that may be used to represent the concept."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem.concept"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional code for the concept"/>
-            <definition value="An additional code that may be used to represent the concept."/>
-            <comment value="Few coding systems define synonyms. A few more define alternate codes for special case use."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Code that represents the concept"/>
-            <definition value="The code that may be used to represent the concept."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use">
-            <path value="Extension.extension"/>
-            <sliceName value="use"/>
-            <short value="Expected use of the code"/>
-            <definition value="Defines why this additional code is defined."/>
-            <comment value="Further work is needed on the value set."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:use.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:use.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="use"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:use.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AlternativeCodeKind"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Indicates the type of use for which the code is defined."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-altcode-kind"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional code for the concept"/>
-            <definition value="An additional code that may be used to represent the concept."/>
-            <comment value="Few coding systems define synonyms. A few more define alternate codes for special case use."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Code that represents the concept"/>
-            <definition value="The code that may be used to represent the concept."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-          </element>
-          <element id="Extension.extension:use">
-            <path value="Extension.extension"/>
-            <sliceName value="use"/>
-            <short value="Expected use of the code"/>
-            <definition value="Defines why this additional code is defined."/>
-            <comment value="Further work is needed on the value set."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:use.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:use.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="use"/>
-          </element>
-          <element id="Extension.extension:use.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AlternativeCodeKind"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Indicates the type of use for which the code is defined."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-altcode-kind"/>
-            </binding>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-statusReason"/>
-    <resource>
-      <StructureDefinition>
-        <id value="request-statusReason"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/request-statusReason"/>
-        <version value="4.1.0"/>
-        <name value="statusReason"/>
-        <title value="Reason for current status"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Captures the reason for the current state of the resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DeviceRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reason for current status"/>
-            <definition value="Captures the reason for the current state of the resource."/>
-            <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the request at all is captured in reasonCode, not here.  (Distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-statusReason"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StatusReason"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes identifying the reason for the current state of an event."/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reason for current status"/>
-            <definition value="Captures the reason for the current state of the resource."/>
-            <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the request at all is captured in reasonCode, not here.  (Distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-statusReason"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StatusReason"/>
-              </extension>
-              <strength value="example"/>
-              <description value="Codes identifying the reason for the current state of an event."/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"/>
-    <resource>
-      <StructureDefinition>
-        <id value="consent-ResearchStudyContext"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="cbcc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"/>
-        <version value="4.1.0"/>
-        <name value="ResearchStudyContext"/>
-        <title value="ResearchContext"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="Health Level Seven, Inc. - CBCC WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"/>
-          </telecom>
-        </contact>
-        <description value="When a Research scope Consent, this is the specific research study that is allowed to use the information (or not)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Consent.provision"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Specific Research Study for Research Context"/>
-            <definition value="When a Research scope Consent, this is the specific research study that is allowed to use the information (or not)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Specific Research Study for Research Context"/>
-            <definition value="When a Research scope Consent, this is the specific research study that is allowed to use the information (or not)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-delta"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
-        <version value="4.1.0"/>
-        <name value="delta"/>
-        <title value="delta"/>
-        <status value="draft"/>
-        <date value="2015-03-02"/>
-        <publisher value="Health Level Seven, Inc. - OO WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/orders"/>
-          </telecom>
-        </contact>
-        <description value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Qualitative change or trend in the measurement"/>
-            <definition value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Qualitative change or trend in the measurement"/>
-            <definition value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-delta"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-translatable"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"/>
-        <version value="4.1.0"/>
-        <name value="translatable"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="Whether translations might be expected for this element in resource instances."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether translations apply to this element"/>
-            <definition value="Whether translations might be expected for this element in resource instances."/>
-            <comment value="This is a hint to design tools (e.g. profile editors,  UI builders) that translations are likely to be appropriate for this element in countries that are multi-lingual."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Whether translations apply to this element"/>
-            <definition value="Whether translations might be expected for this element in resource instances."/>
-            <comment value="This is a hint to design tools (e.g. profile editors,  UI builders) that translations are likely to be appropriate for this element in countries that are multi-lingual."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaireresponse-completionMode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"/>
-        <version value="4.1.0"/>
-        <name value="completionMode"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Indicates how the individual completing the QuestionnaireResponse provided their responses."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="QuestionnaireResponse"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. Verbal, written, electronic"/>
-            <definition value="Indicates how the individual completing the QuestionnaireResponse provided their responses."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="CompletionMode"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes indicating how the questionnaire was completed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaireresponse-mode|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. Verbal, written, electronic"/>
-            <definition value="Indicates how the individual completing the QuestionnaireResponse provided their responses."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="CompletionMode"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Codes indicating how the questionnaire was completed."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaireresponse-mode|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-fhirType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"/>
-        <version value="4.1.0"/>
-        <name value="fhirType"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="For questionnaires generated from FHIR profiles, indicates the FHIR data type or resource type that corresponds to this node."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type!=&#39;display&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The underlying FHIR data type"/>
-            <definition value="For questionnaires generated from FHIR profiles, indicates the FHIR data type or resource type that corresponds to this node."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The underlying FHIR data type"/>
-            <definition value="For questionnaires generated from FHIR profiles, indicates the FHIR data type or resource type that corresponds to this node."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-question"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"/>
-        <version value="4.1.0"/>
-        <name value="question"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The default/suggested phrasing to use when prompting a human to capture the data element in question form (e.g. In a survey)."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Prompt for element phrased as question"/>
-            <definition value="The default/suggested phrasing to use when prompting a human to capture the data element in question form (e.g. In a survey)."/>
-            <comment value="Question and label serve similar purposes in they both can be used to prompt for capturing a data element.  Whether the question form or label form should be used will depend on the type of instrument being used to capture the information.  The ordering is in order of preference.  I.e. Most preferred question form is listed first.  Note that this is for alternate phrasings of the question.  Language translations are handled using the ISO 21090 string translation extensions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Prompt for element phrased as question"/>
-            <definition value="The default/suggested phrasing to use when prompting a human to capture the data element in question form (e.g. In a survey)."/>
-            <comment value="Question and label serve similar purposes in they both can be used to prompt for capturing a data element.  Whether the question form or label form should be used will depend on the type of instrument being used to capture the information.  The ordering is in order of preference.  I.e. Most preferred question form is listed first.  Note that this is for alternate phrasings of the question.  Language translations are handled using the ISO 21090 string translation extensions."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"/>
-    <resource>
-      <StructureDefinition>
-        <id value="allergyintolerance-certainty"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"/>
-        <version value="4.1.0"/>
-        <name value="certainty"/>
-        <title value="certainty"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="AllergyIntolerance.reaction"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Certainty that the substance was the cause of the manifestation"/>
-            <definition value="Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."/>
-            <comment value="When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="uncertaintyCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AllergyIntoleranceCertainty"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-certainty"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Certainty that the substance was the cause of the manifestation"/>
-            <definition value="Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."/>
-            <comment value="When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="uncertaintyCode"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="AllergyIntoleranceCertainty"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-certainty"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-targetBodyStructure"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"/>
-        <version value="4.1.0"/>
-        <name value="targetBodyStructure"/>
-        <title value="targetBodyStructure"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The target body site used for this procedure.  Multiple locations are allowed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ServiceRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The target point for this procedure"/>
-            <definition value="The target body site used for this procedure.  Multiple locations are allowed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The target point for this procedure"/>
-            <definition value="The target body site used for this procedure.  Multiple locations are allowed."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsGene"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"/>
-        <version value="4.1.0"/>
-        <name value="Gene"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ([SO:0000704](http://www.sequenceontology.org/browser/current_svn/term/SO:0000704)). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ([HGNC](http://www.genenames.org)). LOINC Code: ([48018-6](http://loinc.org/48018-6))."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="HGNC gene symbol"/>
-            <definition value="A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ([SO:0000704](http://www.sequenceontology.org/browser/current_svn/term/SO:0000704)). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ([HGNC](http://www.genenames.org)). LOINC Code: ([48018-6](http://loinc.org/48018-6))."/>
-            <comment value="Other systems or genes not defined in HGNC (e.g., BCR-ABL fusion gene) can be added by using a local extension."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="HGNC-geneIdentifiers"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="International curated set of gene identifiers."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/genenames"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="HGNC gene symbol"/>
-            <definition value="A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ([SO:0000704](http://www.sequenceontology.org/browser/current_svn/term/SO:0000704)). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ([HGNC](http://www.genenames.org)). LOINC Code: ([48018-6](http://loinc.org/48018-6))."/>
-            <comment value="Other systems or genes not defined in HGNC (e.g., BCR-ABL fusion gene) can be added by using a local extension."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="HGNC-geneIdentifiers"/>
-              </extension>
-              <strength value="preferred"/>
-              <description value="International curated set of gene identifiers."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/genenames"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-reasonReference"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"/>
-        <version value="4.1.0"/>
-        <name value="reasonReference"/>
-        <title value="Reason Reference"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Indicates another resource whose existence justifies this event."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="NutritionOrder"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Why was event performed?"/>
-            <definition value="Indicates another resource whose existence justifies this event."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.reasonReference"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="EVN.4 or by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=RSON].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Why was event performed?"/>
-            <definition value="Indicates another resource whose existence justifies this event."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.reasonReference"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="EVN.4 or by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=RSON].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-warning"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-warning"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-warning"/>
-        <version value="4.1.0"/>
-        <name value="warning"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="An extra warning about the correct use of the value set."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extra warning about the correct use of the value set"/>
-            <definition value="An extra warning about the correct use of the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-warning"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extra warning about the correct use of the value set"/>
-            <definition value="An extra warning about the correct use of the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-warning"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="markdown"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"/>
-    <resource>
-      <StructureDefinition>
-        <id value="practitionerrole-primaryInd"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"/>
-        <version value="4.1.0"/>
-        <name value="primaryInd"/>
-        <title value="primaryInd"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="PractitionerRole.specialty"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicator of primary specialty"/>
-            <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Indicator of primary specialty"/>
-            <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-deliveryInstallationArea"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-deliveryInstallationArea"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryInstallationArea"/>
-            <definition value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DINSTA]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="deliveryInstallationArea"/>
-            <definition value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=DINSTA]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/tz-offset"/>
-    <resource>
-      <StructureDefinition>
-        <id value="tz-offset"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/tz-offset"/>
-        <version value="4.1.0"/>
-        <name value="Timezone Offset"/>
-        <title value="Timezone offset, for date"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Timezone offset, for dates where timezone is not allowed as part of the base date."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="date"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Timezone offset, for dates (no timezone in date)"/>
-            <definition value="Timezone offset, for dates where timezone is not allowed as part of the base date."/>
-            <comment value="The format must either be &#39;Z&#39; or +/-HH:NN. This is not allowed on the base date because many implementations have no way to carry a timezone on the base date structure."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-offset"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Timezone offset, for dates (no timezone in date)"/>
-            <definition value="Timezone offset, for dates where timezone is not allowed as part of the base date."/>
-            <comment value="The format must either be &#39;Z&#39; or +/-HH:NN. This is not allowed on the base date because many implementations have no way to carry a timezone on the base date structure."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-offset"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"/>
-    <resource>
-      <StructureDefinition>
-        <id value="hla-genotyping-results-glstring"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"/>
-        <version value="4.1.0"/>
-        <name value="glstring"/>
-        <status value="draft"/>
-        <date value="2015-10-09"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="glstring."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="glstring"/>
-            <definition value="glstring."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:url">
-            <path value="Extension.extension"/>
-            <sliceName value="url"/>
-            <short value="glstring.url"/>
-            <definition value="glstring using a URI reference."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:url.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:url.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:url.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="url"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:url.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:text">
-            <path value="Extension.extension"/>
-            <sliceName value="text"/>
-            <short value="glstring.text"/>
-            <definition value="glstring using inline data."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:text.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:text.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:text.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="text"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:text.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="glstring"/>
-            <definition value="glstring."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:url">
-            <path value="Extension.extension"/>
-            <sliceName value="url"/>
-            <short value="glstring.url"/>
-            <definition value="glstring using a URI reference."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:url.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:url.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="url"/>
-          </element>
-          <element id="Extension.extension:url.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.extension:text">
-            <path value="Extension.extension"/>
-            <sliceName value="text"/>
-            <short value="glstring.text"/>
-            <definition value="glstring using inline data."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:text.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:text.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="text"/>
-          </element>
-          <element id="Extension.extension:text.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"/>
-    <resource>
-      <StructureDefinition>
-        <id value="observation-geneticsPhaseSet"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"/>
-        <version value="4.1.0"/>
-        <name value="PhaseSet"/>
-        <status value="draft"/>
-        <date value="2016-03-14"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="Phase set information."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Phase set"/>
-            <definition value="Phase set information."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Id">
-            <path value="Extension.extension"/>
-            <sliceName value="Id"/>
-            <short value="Phase set ID"/>
-            <definition value="This is a globally unique phaseSet id."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Id.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Id.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:Id.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Id"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:Id.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:MolecularSequence">
-            <path value="Extension.extension"/>
-            <sliceName value="MolecularSequence"/>
-            <short value="Phase set sequence"/>
-            <definition value="MolecularSequence pointed to phase set (from: https://www.hl7.org/fhir/STU3/extension-observation-geneticssequence.html)."/>
-            <min value="1"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:MolecularSequence.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:MolecularSequence.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:MolecularSequence.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="MolecularSequence"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:MolecularSequence.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Phase set"/>
-            <definition value="Phase set information."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:Id">
-            <path value="Extension.extension"/>
-            <sliceName value="Id"/>
-            <short value="Phase set ID"/>
-            <definition value="This is a globally unique phaseSet id."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:Id.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:Id.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="Id"/>
-          </element>
-          <element id="Extension.extension:Id.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.extension:MolecularSequence">
-            <path value="Extension.extension"/>
-            <sliceName value="MolecularSequence"/>
-            <short value="Phase set sequence"/>
-            <definition value="MolecularSequence pointed to phase set (from: https://www.hl7.org/fhir/STU3/extension-observation-geneticssequence.html)."/>
-            <min value="1"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:MolecularSequence.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:MolecularSequence.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="MolecularSequence"/>
-          </element>
-          <element id="Extension.extension:MolecularSequence.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"/>
-    <resource>
-      <StructureDefinition>
-        <id value="specimen-sequenceNumber"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"/>
-        <version value="4.1.0"/>
-        <name value="sequenceNumber"/>
-        <title value="sequenceNumber"/>
-        <status value="draft"/>
-        <date value="2015-02-19"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="An assigned number on the specimen denoting the order of collection."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Specimen.container"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The sequence number of the sample"/>
-            <definition value="An assigned number on the specimen denoting the order of collection."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The sequence number of the sample"/>
-            <definition value="An assigned number on the specimen denoting the order of collection."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-unitType"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-unitType"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="unitType"/>
-            <definition value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=UNIT]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="unitType"/>
-            <definition value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=UNIT]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"/>
-    <resource>
-      <StructureDefinition>
-        <id value="diagnosticReport-replaces"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"/>
-        <version value="4.1.0"/>
-        <name value="replaces"/>
-        <title value="Replaces"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The report replaces the target resource.  For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces  where the subsequent observation of case and report  may be on more or different material (specimen).  Note that  this is not same concept as` DiagnosticReport.status`  = preliminary of final, but industry definition of preliminary and final."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Replacement for another report"/>
-            <definition value="The report replaces the target resource.  For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces  where the subsequent observation of case and report  may be on more or different material (specimen).  Note that  this is not same concept as` DiagnosticReport.status`  = preliminary of final, but industry definition of preliminary and final."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Replacement for another report"/>
-            <definition value="The report replaces the target resource.  For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces  where the subsequent observation of case and report  may be on more or different material (specimen).  Note that  this is not same concept as` DiagnosticReport.status`  = preliminary of final, but industry definition of preliminary and final."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-referenceResource"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"/>
-        <version value="4.1.0"/>
-        <name value="referenceResource"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Where the type for a question is &quot;Reference&quot;, indicates a type of resource that is permitted."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;reference&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allowed resource for reference"/>
-            <definition value="Where the type for a question is &quot;Reference&quot;, indicates a type of resource that is permitted."/>
-            <comment value="This extension only has meaning if the question.type = Reference.  If no allowedResource extensions are present, the presumption is that any type of resource is permitted.  If multiple are present, then any of the specified types are permitted."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ResourceType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="One of the resource types defined as part of this version of FHIR."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Allowed resource for reference"/>
-            <definition value="Where the type for a question is &quot;Reference&quot;, indicates a type of resource that is permitted."/>
-            <comment value="This extension only has meaning if the question.type = Reference.  If no allowedResource extensions are present, the presumption is that any type of resource is permitted.  If multiple are present, then any of the specified types are permitted."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A - MIF rather than RIM level"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ResourceType"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="One of the resource types defined as part of this version of FHIR."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"/>
-    <resource>
-      <StructureDefinition>
-        <id value="diagnosticReport-addendumOf"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"/>
-        <version value="4.1.0"/>
-        <name value="addendumOf"/>
-        <title value="Addendum Of"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The supplements or provides additional information for the target report."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional or Supplement Content"/>
-            <definition value="The supplements or provides additional information for the target report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional or Supplement Content"/>
-            <definition value="The supplements or provides additional information for the target report."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-library"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-library"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-library"/>
-        <version value="4.1.0"/>
-        <name value="library"/>
-        <title value="library"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="A reference to a Library containing the formal logic used by the artifact."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A library containing logic used by the artifact"/>
-            <definition value="A reference to a Library containing the formal logic used by the artifact."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-library"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A library containing logic used by the artifact"/>
-            <definition value="A reference to a Library containing the formal logic used by the artifact."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-library"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-usageMode"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"/>
-        <version value="4.1.0"/>
-        <name value="usageMode"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Identifies that the specified element should only appear in certain &quot;modes&quot; of operation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="capture | display | display-non-empty | capture-display | capture-display-non-empty"/>
-            <definition value="Identifies that the specified element should only appear in certain &quot;modes&quot; of operation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QuestionnaireItemUsageMode"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-usage-mode|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="capture | display | display-non-empty | capture-display | capture-display-non-empty"/>
-            <definition value="Identifies that the specified element should only appear in certain &quot;modes&quot; of operation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="QuestionnaireItemUsageMode"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-usage-mode|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"/>
-    <resource>
-      <StructureDefinition>
-        <id value="cqf-strengthOfRecommendation"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"/>
-        <version value="4.1.0"/>
-        <name value="strengthOfRecommendation"/>
-        <title value="strengthOfRecommendation"/>
-        <status value="draft"/>
-        <date value="2015-05-30"/>
-        <publisher value="Health Level Seven, Inc. - CDS WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/dss"/>
-          </telecom>
-        </contact>
-        <description value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Attachment"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The strength of the recommendation"/>
-            <definition value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StrengthOfRecommendationRating"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/recommendation-strength"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The strength of the recommendation"/>
-            <definition value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="StrengthOfRecommendationRating"/>
-              </extension>
-              <strength value="example"/>
-              <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/recommendation-strength"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-unitID"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-unitID"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="unitID"/>
-            <definition value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=UNID]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="unitID"/>
-            <definition value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=UNID]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/organization-period"/>
-    <resource>
-      <StructureDefinition>
-        <id value="organization-period"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/organization-period"/>
-        <version value="4.1.0"/>
-        <name value="period"/>
-        <title value="Period"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The date range that this organization should be considered available."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Organization"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Extension"/>
-            <definition value="The date range that this organization should be considered available."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-period"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Period"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <definition value="The date range that this organization should be considered available."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-period"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Period"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"/>
-    <resource>
-      <StructureDefinition>
-        <id value="capabilitystatement2-supported-system"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"/>
-        <version value="4.1.0"/>
-        <name value="supported-system"/>
-        <title value="Supported Code System"/>
-        <status value="draft"/>
-        <date value="2014-04-12"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fhir.htm"/>
-          </telecom>
-        </contact>
-        <description value="A code system that is supported by the system that is not defined in a value set resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement2"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system not defined in a value set"/>
-            <definition value="A code system that is supported by the system that is not defined in a value set resource."/>
-            <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Code system not defined in a value set"/>
-            <definition value="A code system that is supported by the system that is not defined in a value set resource."/>
-            <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-otherName"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"/>
-        <version value="4.1.0"/>
-        <name value="otherName"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Human readable names for the valueset."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Alternative names"/>
-            <definition value="Human readable names for the valueset."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name">
-            <path value="Extension.extension"/>
-            <sliceName value="name"/>
-            <short value="Human readable, short and specific"/>
-            <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."/>
-            <comment value="This need not be unique. However some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:preferred">
-            <path value="Extension.extension"/>
-            <sliceName value="preferred"/>
-            <short value="Which name is preferred for this language"/>
-            <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."/>
-            <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:preferred.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:preferred.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:preferred.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="preferred"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:preferred.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Alternative names"/>
-            <definition value="Human readable names for the valueset."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:name">
-            <path value="Extension.extension"/>
-            <sliceName value="name"/>
-            <short value="Human readable, short and specific"/>
-            <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."/>
-            <comment value="This need not be unique. However some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="name"/>
-          </element>
-          <element id="Extension.extension:name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:preferred">
-            <path value="Extension.extension"/>
-            <sliceName value="preferred"/>
-            <short value="Which name is preferred for this language"/>
-            <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."/>
-            <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:preferred.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:preferred.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="preferred"/>
-          </element>
-          <element id="Extension.extension:preferred.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-unit"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"/>
-        <version value="4.1.0"/>
-        <name value="unit"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="Provides a computable unit of measure associated with numeric questions to support subsequent computation on responses. This is for use on items of type integer and decimal, and it&#39;s purpose is to support converting the integer or decimal answer into a Quantity when extracting the data into a resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <contextInvariant value="type=&#39;integer&#39; or type=&#39;decimal&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Unit for numeric answer"/>
-            <definition value="Provides a computable unit of measure associated with numeric questions to support subsequent computation on responses. This is for use on items of type integer and decimal, and it&#39;s purpose is to support converting the integer or decimal answer into a Quantity when extracting the data into a resource."/>
-            <comment value="The human-readable unit is conveyed as a display element.  This element is for computation purposes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Unit for numeric answer"/>
-            <definition value="Provides a computable unit of measure associated with numeric questions to support subsequent computation on responses. This is for use on items of type integer and decimal, and it&#39;s purpose is to support converting the integer or decimal answer into a Quantity when extracting the data into a resource."/>
-            <comment value="The human-readable unit is conveyed as a display element.  This element is for computation purposes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"/>
-    <resource>
-      <StructureDefinition>
-        <id value="location-boundary-geojson"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"/>
-        <version value="4.1.0"/>
-        <name value="boundary-geojson"/>
-        <title value="Boundary (GeoJSON)"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Location"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A boundary shape that represents the outside edge of the location (in GeoJSON format)"/>
-            <definition value="A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes."/>
-            <comment value="The format of the content is GeoJSON in both the JSON and XML formats. It will be stored in the resource using the .data property, and externally referenced via the URL property. The mimetype to be used will be &#39;application/geo+json&#39;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="A boundary shape that represents the outside edge of the location (in GeoJSON format)"/>
-            <definition value="A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes."/>
-            <comment value="The format of the content is GeoJSON in both the JSON and XML formats. It will be stored in the resource using the .data property, and externally referenced via the URL property. The mimetype to be used will be &#39;application/geo+json&#39;."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Attachment"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-streetAddressLine"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-streetAddressLine"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="A street address line is frequently used instead of breaking out building number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetAddressLine"/>
-            <definition value="A street address line is frequently used instead of breaking out building number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=SAL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="streetAddressLine"/>
-            <definition value="A street address line is frequently used instead of breaking out building number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=SAL]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-activityStatusDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"/>
-        <version value="4.1.0"/>
-        <name value="activityStatusDate"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The date when the associated Value Set Definition Version activity status is in effect."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date when the activity status is in effect"/>
-            <definition value="The date when the associated Value Set Definition Version activity status is in effect."/>
-            <comment value="When the Activity Status is set to &#x201C;Active&#x201D;, the Activity Status Date defines the Effective Date which is the date-time the Value Set Definition Version becomes active. When the Activity Status is set to &#x201C;Inactive&#x201D;, the Activity Status Date is the date-time when the Value Set Definition version becomes Inactive. This cycle may happen multiple times. The specified time is expected to be one second after midnight UTC of the Activity Status Date. The date may be in the future. &#xA;&#xA;It is strongly encouraged that the Activity Status be set such that no more than one Value Set Definition Version for a single Value Set Identifier can have an Activity Status of ACTIVE at the same time within a single realm. In cases where this is not true, evaluation of the alignment of a Value Set Expansion Code Set to a specific Value Set Definition, as referenced in a CD, will be problematic.&#xA;&#xA;Changes to this element should never result in a new Value Set Definition Version."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="date"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date when the activity status is in effect"/>
-            <definition value="The date when the associated Value Set Definition Version activity status is in effect."/>
-            <comment value="When the Activity Status is set to &#x201C;Active&#x201D;, the Activity Status Date defines the Effective Date which is the date-time the Value Set Definition Version becomes active. When the Activity Status is set to &#x201C;Inactive&#x201D;, the Activity Status Date is the date-time when the Value Set Definition version becomes Inactive. This cycle may happen multiple times. The specified time is expected to be one second after midnight UTC of the Activity Status Date. The date may be in the future. &#xA;&#xA;It is strongly encouraged that the Activity Status be set such that no more than one Value Set Definition Version for a single Value Set Identifier can have an Activity Status of ACTIVE at the same time within a single realm. In cases where this is not true, evaluation of the alignment of a Value Set Expansion Code Set to a specific Value Set Definition, as referenced in a CD, will be problematic.&#xA;&#xA;Changes to this element should never result in a new Value Set Definition Version."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="date"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"/>
-    <resource>
-      <StructureDefinition>
-        <id value="operationdefinition-allowed-type"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"/>
-        <version value="4.1.0"/>
-        <name value="allowed-type"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="When the base type is an abstract type (e.g. Resource or Element) then this extension defines which concrete types are allowed to be used for a parameter. In the absence of this extension, any type is allowed."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="OperationDefinition.parameter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Which types are allowed for a parameter, when the base type is Abstract"/>
-            <definition value="When the base type is an abstract type (e.g. Resource or Element) then this extension defines which concrete types are allowed to be used for a parameter. In the absence of this extension, any type is allowed."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Which types are allowed for a parameter, when the base type is Abstract"/>
-            <definition value="When the base type is an abstract type (e.g. Resource or Element) then this extension defines which concrete types are allowed to be used for a parameter. In the absence of this extension, any type is allowed."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"/>
-    <resource>
-      <StructureDefinition>
-        <id value="operationoutcome-detectedIssue"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"/>
-        <version value="4.1.0"/>
-        <name value="detectedIssue"/>
-        <title value="Clinical Issue"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="A reference to a stored contraindication that is the basis for this issue. A recipient can expect that the item referenced in this extension is being retained for record keeping purposes."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="OperationOutcome.issue"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to a contra-indication that is the basis for this error"/>
-            <definition value="A reference to a stored contraindication that is the basis for this issue. A recipient can expect that the item referenced in this extension is being retained for record keeping purposes."/>
-            <comment value="Operation Outcome records are transient items that are returned in response to specific interactions or operations. Contraindications are items that can be stored in the patient&#39;s records as reasons that things were not done (or done). This extension allows a transient operation outcome to refer to a persistent entry in the patient record as the basis for the outcome."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Reference to a contra-indication that is the basis for this error"/>
-            <definition value="A reference to a stored contraindication that is the basis for this issue. A recipient can expect that the item referenced in this extension is being retained for record keeping purposes."/>
-            <comment value="Operation Outcome records are transient items that are returned in response to specific interactions or operations. Contraindications are items that can be stored in the patient&#39;s records as reasons that things were not done (or done). This extension allows a transient operation outcome to refer to a persistent entry in the patient record as the basis for the outcome."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-constraint"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"/>
-        <version value="4.1.0"/>
-        <name value="constraint"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="An invariant that must be satisfied before responses to the questionnaire can be considered &quot;complete&quot;."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Constraint"/>
-            <definition value="An invariant that must be satisfied before responses to the questionnaire can be considered &quot;complete&quot;."/>
-            <comment value="This maps to the ElementDefinition.constraint element."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:key">
-            <path value="Extension.extension"/>
-            <sliceName value="key"/>
-            <short value="Unique identifier"/>
-            <definition value="Unique id for the constraint within the questionnaire."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:key.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:key.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:key.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="key"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:key.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="id"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:requirements">
-            <path value="Extension.extension"/>
-            <sliceName value="requirements"/>
-            <short value="Why needed"/>
-            <definition value="An explanation of why this extension is required (for documentation purposes)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:requirements.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:requirements.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:requirements.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="requirements"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:requirements.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:severity">
-            <path value="Extension.extension"/>
-            <sliceName value="severity"/>
-            <short value="error|warning"/>
-            <definition value="Indicates how serious violating the invariant is."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:severity.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:severity.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:severity.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="severity"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:severity.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConstraintSeverity"/>
-              </extension>
-              <strength value="required"/>
-              <description value="How important the invariant is."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:expression">
-            <path value="Extension.extension"/>
-            <sliceName value="expression"/>
-            <short value="Formal rule"/>
-            <definition value="The FHIRPath expression of the rule for computable interpretation."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:expression.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:expression.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:expression.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="expression"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:expression.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:human">
-            <path value="Extension.extension"/>
-            <sliceName value="human"/>
-            <short value="Human-readable rule"/>
-            <definition value="A free text expression of the rule to display to the user if the rule is violated."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:human.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:human.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:human.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="human"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:human.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:location">
-            <path value="Extension.extension"/>
-            <sliceName value="location"/>
-            <short value="Relative path to elements"/>
-            <definition value="Relative paths to the questions this rule is enforced against."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:location.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:location.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:location.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="location"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:location.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Constraint"/>
-            <definition value="An invariant that must be satisfied before responses to the questionnaire can be considered &quot;complete&quot;."/>
-            <comment value="This maps to the ElementDefinition.constraint element."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:key">
-            <path value="Extension.extension"/>
-            <sliceName value="key"/>
-            <short value="Unique identifier"/>
-            <definition value="Unique id for the constraint within the questionnaire."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:key.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:key.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="key"/>
-          </element>
-          <element id="Extension.extension:key.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="id"/>
-            </type>
-          </element>
-          <element id="Extension.extension:requirements">
-            <path value="Extension.extension"/>
-            <sliceName value="requirements"/>
-            <short value="Why needed"/>
-            <definition value="An explanation of why this extension is required (for documentation purposes)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:requirements.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:requirements.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="requirements"/>
-          </element>
-          <element id="Extension.extension:requirements.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:severity">
-            <path value="Extension.extension"/>
-            <sliceName value="severity"/>
-            <short value="error|warning"/>
-            <definition value="Indicates how serious violating the invariant is."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:severity.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:severity.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="severity"/>
-          </element>
-          <element id="Extension.extension:severity.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ConstraintSeverity"/>
-              </extension>
-              <strength value="required"/>
-              <description value="How important the invariant is."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.1.0"/>
-            </binding>
-          </element>
-          <element id="Extension.extension:expression">
-            <path value="Extension.extension"/>
-            <sliceName value="expression"/>
-            <short value="Formal rule"/>
-            <definition value="The FHIRPath expression of the rule for computable interpretation."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:expression.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:expression.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="expression"/>
-          </element>
-          <element id="Extension.extension:expression.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:human">
-            <path value="Extension.extension"/>
-            <sliceName value="human"/>
-            <short value="Human-readable rule"/>
-            <definition value="A free text expression of the rule to display to the user if the rule is violated."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:human.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:human.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="human"/>
-          </element>
-          <element id="Extension.extension:human.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:location">
-            <path value="Extension.extension"/>
-            <sliceName value="location"/>
-            <short value="Relative path to elements"/>
-            <definition value="Relative paths to the questions this rule is enforced against."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:location.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:location.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="location"/>
-          </element>
-          <element id="Extension.extension:location.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"/>
-    <resource>
-      <StructureDefinition>
-        <id value="structuredefinition-normative-version"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"/>
-        <version value="4.1.0"/>
-        <name value="normative-version"/>
-        <title value="First Normative Version"/>
-        <status value="draft"/>
-        <date value="2014-01-31"/>
-        <publisher value="Health Level Seven, Inc. - [WG Name] WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="If this StructureDefinition is normative, which was the first normative version."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="StructureDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="If normative, which was the first normative version"/>
-            <definition value="If this StructureDefinition is normative, which was the first normative version."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FHIRVersion"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="All published FHIR Versions."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="If normative, which was the first normative version"/>
-            <definition value="If this StructureDefinition is normative, which was the first normative version."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="FHIRVersion"/>
-              </extension>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-                <valueBoolean value="true"/>
-              </extension>
-              <strength value="required"/>
-              <description value="All published FHIR Versions."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/oauth-uris"/>
-    <resource>
-      <StructureDefinition>
-        <id value="oauth-uris"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris"/>
-        <version value="4.1.0"/>
-        <name value="oauth-uris"/>
-        <status value="active"/>
-        <date value="2018-02-15"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Supports automated discovery of OAuth2 endpoints."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CapabilityStatement.rest.security"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Automated discovery of OAuth2 endpoints"/>
-            <definition value="Supports automated discovery of OAuth2 endpoints."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:authorize">
-            <path value="Extension.extension"/>
-            <sliceName value="authorize"/>
-            <short value="OAuth2 &quot;authorize&quot; endpoint"/>
-            <definition value="The OAuth2 &quot;authorize&quot; endpoint for this FHIR server."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:authorize.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:authorize.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:authorize.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="authorize"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:authorize.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:token">
-            <path value="Extension.extension"/>
-            <sliceName value="token"/>
-            <short value="OAuth2 &quot;token&quot; endpoint"/>
-            <definition value="The OAuth2 &quot;token&quot; endpoint for this FHIR server."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:token.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:token.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:token.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="token"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:token.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:register">
-            <path value="Extension.extension"/>
-            <sliceName value="register"/>
-            <short value="OAuth2 dynamic registration endpoint"/>
-            <definition value="The OAuth2 dynamic registration endpoint for this FHIR server, if supported."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:register.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:register.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:register.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="register"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:register.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:manage">
-            <path value="Extension.extension"/>
-            <sliceName value="manage"/>
-            <short value="User-facing authorization management entry point"/>
-            <definition value="The user-facing authorization management workflow entry point for this FHIR server."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:manage.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:manage.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:manage.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="manage"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:manage.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Automated discovery of OAuth2 endpoints"/>
-            <definition value="Supports automated discovery of OAuth2 endpoints."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension:authorize">
-            <path value="Extension.extension"/>
-            <sliceName value="authorize"/>
-            <short value="OAuth2 &quot;authorize&quot; endpoint"/>
-            <definition value="The OAuth2 &quot;authorize&quot; endpoint for this FHIR server."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:authorize.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:authorize.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="authorize"/>
-          </element>
-          <element id="Extension.extension:authorize.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.extension:token">
-            <path value="Extension.extension"/>
-            <sliceName value="token"/>
-            <short value="OAuth2 &quot;token&quot; endpoint"/>
-            <definition value="The OAuth2 &quot;token&quot; endpoint for this FHIR server."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:token.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:token.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="token"/>
-          </element>
-          <element id="Extension.extension:token.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.extension:register">
-            <path value="Extension.extension"/>
-            <sliceName value="register"/>
-            <short value="OAuth2 dynamic registration endpoint"/>
-            <definition value="The OAuth2 dynamic registration endpoint for this FHIR server, if supported."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:register.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:register.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="register"/>
-          </element>
-          <element id="Extension.extension:register.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.extension:manage">
-            <path value="Extension.extension"/>
-            <sliceName value="manage"/>
-            <short value="User-facing authorization management entry point"/>
-            <definition value="The user-facing authorization management workflow entry point for this FHIR server."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:manage.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:manage.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="manage"/>
-          </element>
-          <element id="Extension.extension:manage.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"/>
-    <resource>
-      <StructureDefinition>
-        <id value="messageheader-response-request"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="inm"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"/>
-        <version value="4.1.0"/>
-        <name value="messageheader-response-request"/>
-        <title value="MessageHeader response request"/>
-        <status value="draft"/>
-        <date value="2017-01-24"/>
-        <publisher value="Health Level Seven, Inc. - InM Work Group"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="MessageHeader"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="messageheader initiator requests a response"/>
-            <definition value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never."/>
-            <comment value="The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="MSH-16"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="messageheader-response-request"/>
-              </extension>
-              <strength value="required"/>
-              <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="messageheader initiator requests a response"/>
-            <definition value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never."/>
-            <comment value="The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected."/>
-            <min value="1"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="MSH-16"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="messageheader-response-request"/>
-              </extension>
-              <strength value="required"/>
-              <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"/>
-    <resource>
-      <StructureDefinition>
-        <id value="humanname-own-name"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"/>
-        <version value="4.1.0"/>
-        <name value="own-name"/>
-        <status value="draft"/>
-        <date value="2015-11-22"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The portion of the family name that is derived from the person&#39;s own surname, as distinguished from any portion that is derived from the surname of the person&#39;s partner or spouse."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="HumanName.family"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion derived from person&#39;s own surname"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s own surname, as distinguished from any portion that is derived from the surname of the person&#39;s partner or spouse."/>
-            <comment value="If the person&#39;s surname has legally changed to become (or incorporate) the surname of the person&#39;s partner or spouse, this is the person&#39;s surname immediately prior to such change. Often this is the person&#39;s &quot;maiden name&quot;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.3"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (BR)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Portion derived from person&#39;s own surname"/>
-            <definition value="The portion of the family name that is derived from the person&#39;s own surname, as distinguished from any portion that is derived from the surname of the person&#39;s partner or spouse."/>
-            <comment value="If the person&#39;s surname has legally changed to become (or incorporate) the surname of the person&#39;s partner or spouse, this is the person&#39;s surname immediately prior to such change. Often this is the person&#39;s &quot;maiden name&quot;."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="FN.3"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ENXP where Qualifiers = (BR)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-status"/>
-    <resource>
-      <StructureDefinition>
-        <id value="subscription-status"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/subscription-status"/>
-        <version value="4.1.0"/>
-        <name value="subscription-status"/>
-        <title value="Subscription Status"/>
-        <status value="draft"/>
-        <date value="2015-03-11"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The current status of this Subscription at the time this Notification was sent."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Bundle.meta"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="requested | active | error | off"/>
-            <definition value="The current status of this Subscription at the time this Notification was sent."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-status"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SubscriptionStatusAtEvent"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A status code for the state of the Subscription."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status-at-event|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="requested | active | error | off"/>
-            <definition value="The current status of this Subscription at the time this Notification was sent."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-status"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="SubscriptionStatusAtEvent"/>
-              </extension>
-              <strength value="required"/>
-              <description value="A status code for the state of the Subscription."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status-at-event|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"/>
-    <resource>
-      <StructureDefinition>
-        <id value="elementdefinition-profile-element"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"/>
-        <version value="4.1.0"/>
-        <name value="profile-element"/>
-        <status value="draft"/>
-        <date value="2015-02-28"/>
-        <publisher value="Health Level Seven, Inc. - FHIR Core WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/FHIR"/>
-          </telecom>
-        </contact>
-        <description value="The specific element to use in the referenced profile. This is used when a backbone element is being profiled, rather than an established type."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition.type.profile"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Specific element for profile (for backbone elements)"/>
-            <definition value="The specific element to use in the referenced profile. This is used when a backbone element is being profiled, rather than an established type."/>
-            <comment value="The backbone element cannot be the root of the struture definition, so the starting element must be specified separately."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Specific element for profile (for backbone elements)"/>
-            <definition value="The specific element to use in the referenced profile. This is used when a backbone element is being profiled, rather than an established type."/>
-            <comment value="The backbone element cannot be the root of the struture definition, so the starting element must be specified separately."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-unclosed"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"/>
-        <version value="4.1.0"/>
-        <name value="unclosed"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Marks that the expansion is  incomplete, and values other than those listed may be valid. This may be used because post-coordinated codes are allowed, and no practical expansion can be produced."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The expansion is incomplete (perhaps because of post-coordination)"/>
-            <definition value="Marks that the expansion is  incomplete, and values other than those listed may be valid. This may be used because post-coordinated codes are allowed, and no practical expansion can be produced."/>
-            <comment value="This extension exists to allow for definition and use of value sets that are currently unbounded, including those for which it may always be impractical to set bounds. This can be done to allow additional learning in this space, such as exploring poorly understsood consequences of alternatives."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The expansion is incomplete (perhaps because of post-coordination)"/>
-            <definition value="Marks that the expansion is  incomplete, and values other than those listed may be valid. This may be used because post-coordinated codes are allowed, and no practical expansion can be produced."/>
-            <comment value="This extension exists to allow for definition and use of value sets that are currently unbounded, including those for which it may always be impractical to set bounds. This can be done to allow additional learning in this space, such as exploring poorly understsood consequences of alternatives."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="boolean"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"/>
-    <resource>
-      <StructureDefinition>
-        <id value="procedure-causedBy"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"/>
-        <version value="4.1.0"/>
-        <name value="causedBy"/>
-        <title value="causedBy"/>
-        <status value="draft"/>
-        <date value="2015-02-12"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="This procedure is because of the related item."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Procedure"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Related item that caused this procedure."/>
-            <definition value="This procedure is because of the related item."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Related item that caused this procedure."/>
-            <definition value="This procedure is because of the related item."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"/>
-    <resource>
-      <StructureDefinition>
-        <id value="servicerequest-geneticsItem"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"/>
-        <version value="4.1.0"/>
-        <name value="Item"/>
-        <status value="draft"/>
-        <date value="2015-10-20"/>
-        <publisher value="Health Level Seven International (Clinical Genomics)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/clingenomics"/>
-          </telecom>
-        </contact>
-        <description value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The items the orderer requested"/>
-            <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Code to indicate the item (test, panel or sequence variant) being ordered"/>
-            <definition value="Code to indicate the item (test, panel or sequence variant) being ordered."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:geneticsObservation">
-            <path value="Extension.extension"/>
-            <sliceName value="geneticsObservation"/>
-            <short value="Indicate the genetic variant ordered to be tested"/>
-            <definition value="Indicate the genetic variant ordered to be tested."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:geneticsObservation.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:geneticsObservation.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:geneticsObservation.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="geneticsObservation"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:geneticsObservation.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:specimen">
-            <path value="Extension.extension"/>
-            <sliceName value="specimen"/>
-            <short value="If this item relates to specific specimens"/>
-            <definition value="If the item is related to a specific specimen."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:specimen.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:specimen.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:specimen.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="specimen"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:specimen.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:status">
-            <path value="Extension.extension"/>
-            <sliceName value="status"/>
-            <short value="proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed"/>
-            <definition value="The status of this individual item within the order."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:status.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:status.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:status.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="status"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:status.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The items the orderer requested"/>
-            <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension:code">
-            <path value="Extension.extension"/>
-            <sliceName value="code"/>
-            <short value="Code to indicate the item (test, panel or sequence variant) being ordered"/>
-            <definition value="Code to indicate the item (test, panel or sequence variant) being ordered."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:code.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:code.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="code"/>
-          </element>
-          <element id="Extension.extension:code.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-          </element>
-          <element id="Extension.extension:geneticsObservation">
-            <path value="Extension.extension"/>
-            <sliceName value="geneticsObservation"/>
-            <short value="Indicate the genetic variant ordered to be tested"/>
-            <definition value="Indicate the genetic variant ordered to be tested."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:geneticsObservation.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:geneticsObservation.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="geneticsObservation"/>
-          </element>
-          <element id="Extension.extension:geneticsObservation.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
-            </type>
-          </element>
-          <element id="Extension.extension:specimen">
-            <path value="Extension.extension"/>
-            <sliceName value="specimen"/>
-            <short value="If this item relates to specific specimens"/>
-            <definition value="If the item is related to a specific specimen."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:specimen.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:specimen.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="specimen"/>
-          </element>
-          <element id="Extension.extension:specimen.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
-            </type>
-          </element>
-          <element id="Extension.extension:status">
-            <path value="Extension.extension"/>
-            <sliceName value="status"/>
-            <short value="proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed"/>
-            <definition value="The status of this individual item within the order."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-          </element>
-          <element id="Extension.extension:status.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:status.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="status"/>
-          </element>
-          <element id="Extension.extension:status.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/minLength"/>
-    <resource>
-      <StructureDefinition>
-        <id value="minLength"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/minLength"/>
-        <version value="4.1.0"/>
-        <name value="minLength"/>
-        <status value="draft"/>
-        <date value="2014-04-27"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="The minimum number of characters that must be present in the simple data type to be considered a &quot;valid&quot; instance."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="ElementDefinition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="At least this many characters"/>
-            <definition value="The minimum number of characters that must be present in the simple data type to be considered a &quot;valid&quot; instance."/>
-            <comment value="For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/minLength"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="integer"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="At least this many characters"/>
-            <definition value="The minimum number of characters that must be present in the simple data type to be considered a &quot;valid&quot; instance."/>
-            <comment value="For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data."/>
-            <min value="0"/>
-            <max value="1"/>
-            <mapping>
-              <identity value="v2"/>
-              <map value="N/A"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A (MIF-level)"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/minLength"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="integer"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"/>
-    <resource>
-      <StructureDefinition>
-        <id value="iso21090-ADXP-buildingNumberSuffix"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"/>
-        <version value="4.1.0"/>
-        <name value="ADXP-buildingNumberSuffix"/>
-        <status value="draft"/>
-        <date value="2012-06-24"/>
-        <publisher value="Health Level Seven International (Modeling and Methodology)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/mnm"/>
-          </telecom>
-        </contact>
-        <description value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Address.line"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="buildingNumberSuffix"/>
-            <definition value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=BNS]"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="buildingNumberSuffix"/>
-            <definition value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="ADXP[partType=BNS]"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"/>
-    <resource>
-      <StructureDefinition>
-        <id value="questionnaire-itemControl"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"/>
-        <version value="4.1.0"/>
-        <name value="itemControl"/>
-        <status value="draft"/>
-        <date value="2013-07-04"/>
-        <publisher value="HL7"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org"/>
-          </telecom>
-        </contact>
-        <description value="The type of data entry control or structure that should be used to render the item."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Questionnaire.item.item"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. Fly-over, Table, Checkbox, Combo-box, Lookup, etc."/>
-            <definition value="The type of data entry control or structure that should be used to render the item."/>
-            <comment value="Different controls may be appropriate for different item types.  It is up to the system rendering a questionnaire as to what controls it will support and for which data types."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ItemControl"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="User interface controls or widgets used for questionnaire items."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-item-control"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="E.g. Fly-over, Table, Checkbox, Combo-box, Lookup, etc."/>
-            <definition value="The type of data entry control or structure that should be used to render the item."/>
-            <comment value="Different controls may be appropriate for different item types.  It is up to the system rendering a questionnaire as to what controls it will support and for which data types."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ItemControl"/>
-              </extension>
-              <strength value="extensible"/>
-              <description value="User interface controls or widgets used for questionnaire items."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-item-control"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendered-value"/>
-    <resource>
-      <StructureDefinition>
-        <id value="rendered-value"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/rendered-value"/>
-        <version value="4.1.0"/>
-        <name value="Rendered Value"/>
-        <title value="Rendered Value"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="Provides a rendered version of the value intended for human display.  For example, a sensitive identifier (e.g. social security number) partially obscured by asterisks; a drivers licence number with dashes inserted; a date formatted as MMM dd, yyyy; etc."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Identifier.value"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="date"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="dateTime"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="time"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="instant"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="integer"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="decimal"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="string"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="code"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="canonical"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="What should be displayed to human (if default is not appropriate)"/>
-            <definition value="Provides a rendered version of the value intended for human display.  For example, a sensitive identifier (e.g. social security number) partially obscured by asterisks; a drivers licence number with dashes inserted; a date formatted as MMM dd, yyyy; etc."/>
-            <comment value="In some cases, this extension may be present and the value won&#39;t be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of &#39;,&#39; vs. &#39;.&#39; when rendering numbers.)."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendered-value"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="What should be displayed to human (if default is not appropriate)"/>
-            <definition value="Provides a rendered version of the value intended for human display.  For example, a sensitive identifier (e.g. social security number) partially obscured by asterisks; a drivers licence number with dashes inserted; a date formatted as MMM dd, yyyy; etc."/>
-            <comment value="In some cases, this extension may be present and the value won&#39;t be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of &#39;,&#39; vs. &#39;.&#39; when rendering numbers.)."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendered-value"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-sourceReference"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"/>
-        <version value="4.1.0"/>
-        <name value="sourceReference"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where did this content come from"/>
-            <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."/>
-            <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Where did this content come from"/>
-            <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."/>
-            <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-instantiatesCanonical"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"/>
-        <version value="4.1.0"/>
-        <name value="instantiatesCanonical"/>
-        <title value="Definition"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyDelivery"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CommunicationRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FHIR protocol or definition"/>
-            <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.instantiates"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=DEFN].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="FHIR protocol or definition"/>
-            <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.instantiates"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=DEFN].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="canonical"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/narrativeLink"/>
-    <resource>
-      <StructureDefinition>
-        <id value="narrativeLink"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/narrativeLink"/>
-        <version value="4.1.0"/>
-        <name value="Narrative Link"/>
-        <status value="draft"/>
-        <date value="2013-12-05"/>
-        <publisher value="Health Level Seven International (FHIR Infrastructure)"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://www.hl7.org/Special/committees/fiwg"/>
-          </telecom>
-        </contact>
-        <description value="A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Element"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Narrative Link"/>
-            <definition value="A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."/>
-            <comment value="It&#39;s also possible to link to the resource narrative using the [originalText extension](extension-originaltext.html) which claims that the data is derived from the text provided or linked to."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/narrativeLink"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="url"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Narrative Link"/>
-            <definition value="A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."/>
-            <comment value="It&#39;s also possible to link to the resource narrative using the [originalText extension](extension-originaltext.html) which claims that the data is derived from the text provided or linked to."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/narrativeLink"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="url"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"/>
-    <resource>
-      <StructureDefinition>
-        <id value="composition-clinicaldocument-otherConfidentiality"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="sd"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"/>
-        <version value="4.1.0"/>
-        <name value="otherConfidentiality"/>
-        <status value="draft"/>
-        <date value="2015-03-17"/>
-        <publisher value="Health Level Seven, Inc. - Structured Documents WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/structure"/>
-          </telecom>
-        </contact>
-        <description value="Carries additional confidentiality codes beyond the base fixed code specified in the CDA document."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Composition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional confidentiality codes"/>
-            <definition value="Carries additional confidentiality codes beyond the base fixed code specified in the CDA document."/>
-            <comment value="Typically, this is used where an institution has their own set of confidentiality codes that have different granularity that the base CDA codes, or for legacy reasons. For security-related codes other than confidentiality, see [[security-labels-html]]."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Additional confidentiality codes"/>
-            <definition value="Carries additional confidentiality codes beyond the base fixed code specified in the CDA document."/>
-            <comment value="Typically, this is used where an institution has their own set of confidentiality codes that have different granularity that the base CDA codes, or for legacy reasons. For security-related codes other than confidentiality, see [[security-labels-html]]."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Coding"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-relatedPerson"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"/>
-        <version value="4.1.0"/>
-        <name value="relatedPerson"/>
-        <title value="relatedPerson"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient.contact"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="This contact may have further details in this RelatedPerson"/>
-            <definition value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="This contact may have further details in this RelatedPerson"/>
-            <definition value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-religion"/>
-    <resource>
-      <StructureDefinition>
-        <id value="patient-religion"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pa"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/patient-religion"/>
-        <version value="4.1.0"/>
-        <name value="religion"/>
-        <title value="religion"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="The patient&#39;s professed religious affiliations."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Patient"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The patient&#39;s professed religious affiliations"/>
-            <definition value="The patient&#39;s professed religious affiliations."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-religion"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Religion"/>
-              </extension>
-              <strength value="extensible"/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="The patient&#39;s professed religious affiliations"/>
-            <definition value="The patient&#39;s professed religious affiliations."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-religion"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="Religion"/>
-              </extension>
-              <strength value="extensible"/>
-              <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"/>
-    <resource>
-      <StructureDefinition>
-        <id value="diagnosticReport-risk"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="oo"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"/>
-        <version value="4.1.0"/>
-        <name value="risk"/>
-        <title value="Risk"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="Provides a link to an assessment of prognosis or risk as informed by the diagnostic results (For example, genetic results and possibly by patient genetic family history information).  This extension is used when need RiskAssessment as an alternate choice  for `Observation.hasMember` or `DiagnosticReport.result`."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Risk"/>
-            <definition value="Provides a link to an assessment of prognosis or risk as informed by the diagnostic results (For example, genetic results and possibly by patient genetic family history information).  This extension is used when need RiskAssessment as an alternate choice  for `Observation.hasMember` or `DiagnosticReport.result`."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Risk"/>
-            <definition value="Provides a link to an assessment of prognosis or risk as informed by the diagnostic results (For example, genetic results and possibly by patient genetic family history information).  This extension is used when need RiskAssessment as an alternate choice  for `Observation.hasMember` or `DiagnosticReport.result`."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-author"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-author"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-author"/>
-        <version value="4.1.0"/>
-        <name value="author"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="User or Org actually involved in creating the value set content."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="User or Org actually involved in creating the value set content"/>
-            <definition value="User or Org actually involved in creating the value set content."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-author"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="User or Org actually involved in creating the value set content"/>
-            <definition value="User or Org actually involved in creating the value set content."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-author"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-instantiatesUri"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"/>
-        <version value="4.1.0"/>
-        <name value="instantiatesUri"/>
-        <title value="Definition"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="workflow"/>
-          <uri value="http://hl7.org/fhir/workflow"/>
-          <name value="Workflow Pattern"/>
-        </mapping>
-        <mapping>
-          <identity value="v2"/>
-          <uri value="http://hl7.org/v2"/>
-          <name value="HL7 v2 Mapping"/>
-        </mapping>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="DocumentReference"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyDelivery"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CommunicationRequest"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="SupplyRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="External protocol or definition"/>
-            <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."/>
-            <comment value="This may be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.instantiates"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=DEFN].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="External protocol or definition"/>
-            <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."/>
-            <comment value="This may be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/>
-            <min value="0"/>
-            <max value="*"/>
-            <mapping>
-              <identity value="workflow"/>
-              <map value="Event.instantiates"/>
-            </mapping>
-            <mapping>
-              <identity value="v2"/>
-              <map value="Varies by domain"/>
-            </mapping>
-            <mapping>
-              <identity value="rim"/>
-              <map value=".outboundRelationship[typeCode=DEFN].target"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="uri"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/list-changeBase"/>
-    <resource>
-      <StructureDefinition>
-        <id value="list-changeBase"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/list-changeBase"/>
-        <version value="4.1.0"/>
-        <name value="changeBase"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Reference to the List that a &quot;change&quot; list is asserting changes with respect to."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="List"/>
-        </context>
-        <contextInvariant value="mode = &#39;changes&#39;"/>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Base List for changes"/>
-            <definition value="Reference to the List that a &quot;change&quot; list is asserting changes with respect to."/>
-            <comment value="Only for mode = changes."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/list-changeBase"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/List"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Base List for changes"/>
-            <definition value="Reference to the List that a &quot;change&quot; list is asserting changes with respect to."/>
-            <comment value="Only for mode = changes."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/list-changeBase"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/List"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"/>
-    <resource>
-      <StructureDefinition>
-        <id value="condition-assertedDate"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="pc"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"/>
-        <version value="4.1.0"/>
-        <name value="assertedDate"/>
-        <title value="assertedDate"/>
-        <status value="draft"/>
-        <date value="2015-02-21"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="HL7"/>
-          </telecom>
-        </contact>
-        <description value="The date on which the existence of the Condition was first asserted or acknowledged."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="Condition"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date the condition was first asserted"/>
-            <definition value="The date on which the existence of the Condition was first asserted or acknowledged."/>
-            <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Date the condition was first asserted"/>
-            <definition value="The date on which the existence of the Condition was first asserted or acknowledged."/>
-            <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."/>
-            <min value="0"/>
-            <max value="1"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-history"/>
-    <resource>
-      <StructureDefinition>
-        <id value="codesystem-history"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/codesystem-history"/>
-        <version value="4.1.0"/>
-        <name value="history"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Information on changes made to the Value Set Definition over time, and also has a contained audit trail of all such changes."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="CodeSystem"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="What has happened over time"/>
-            <definition value="Information on changes made to the Value Set Definition over time, and also has a contained audit trail of all such changes."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Additional content defined by implementations"/>
-            <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
-            <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
-            <alias value="extensions"/>
-            <alias value="user content"/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name">
-            <path value="Extension.extension"/>
-            <sliceName value="name"/>
-            <short value="The name of this set of history entries"/>
-            <definition value="Label for a set of entries, such as a version."/>
-            <comment value="Typically, a value set will have a set of history entries for each major publication milestone."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:name.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:name.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="name"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision">
-            <path value="Extension.extension"/>
-            <sliceName value="revision"/>
-            <short value="Audit of all changes for a history entry"/>
-            <definition value="A list of specific changes, who made them and when."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.id">
-            <path value="Extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension">
-            <path value="Extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="date"/>
-            <short value="Date the change was made"/>
-            <definition value="Date the change took place."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:date.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="date"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:date.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:id">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="id"/>
-            <short value="Version marker after the change was made"/>
-            <definition value="Unique id for the specific change."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:id.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:id.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:id.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="id"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:id.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:author">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="author"/>
-            <short value="Who made the change"/>
-            <definition value="Person or device responsible for the change."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:author.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:author.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:author.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="author"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:author.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:notes">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="notes"/>
-            <short value="Information about the change"/>
-            <definition value="Description of exactly what was changed and how."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.id">
-            <path value="Extension.extension.extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.url">
-            <path value="Extension.extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="notes"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="string"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.url">
-            <path value="Extension.extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="revision"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension:revision.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-history"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="base64Binary"/>
-            </type>
-            <type>
-              <code value="boolean"/>
-            </type>
-            <type>
-              <code value="canonical"/>
-            </type>
-            <type>
-              <code value="code"/>
-            </type>
-            <type>
-              <code value="date"/>
-            </type>
-            <type>
-              <code value="dateTime"/>
-            </type>
-            <type>
-              <code value="decimal"/>
-            </type>
-            <type>
-              <code value="id"/>
-            </type>
-            <type>
-              <code value="instant"/>
-            </type>
-            <type>
-              <code value="integer"/>
-            </type>
-            <type>
-              <code value="markdown"/>
-            </type>
-            <type>
-              <code value="oid"/>
-            </type>
-            <type>
-              <code value="positiveInt"/>
-            </type>
-            <type>
-              <code value="string"/>
-            </type>
-            <type>
-              <code value="time"/>
-            </type>
-            <type>
-              <code value="unsignedInt"/>
-            </type>
-            <type>
-              <code value="uri"/>
-            </type>
-            <type>
-              <code value="url"/>
-            </type>
-            <type>
-              <code value="uuid"/>
-            </type>
-            <type>
-              <code value="Address"/>
-            </type>
-            <type>
-              <code value="Age"/>
-            </type>
-            <type>
-              <code value="Annotation"/>
-            </type>
-            <type>
-              <code value="Attachment"/>
-            </type>
-            <type>
-              <code value="CodeableConcept"/>
-            </type>
-            <type>
-              <code value="Coding"/>
-            </type>
-            <type>
-              <code value="ContactPoint"/>
-            </type>
-            <type>
-              <code value="Count"/>
-            </type>
-            <type>
-              <code value="Distance"/>
-            </type>
-            <type>
-              <code value="Duration"/>
-            </type>
-            <type>
-              <code value="HumanName"/>
-            </type>
-            <type>
-              <code value="Identifier"/>
-            </type>
-            <type>
-              <code value="Money"/>
-            </type>
-            <type>
-              <code value="Period"/>
-            </type>
-            <type>
-              <code value="Quantity"/>
-            </type>
-            <type>
-              <code value="Range"/>
-            </type>
-            <type>
-              <code value="Ratio"/>
-            </type>
-            <type>
-              <code value="Reference"/>
-            </type>
-            <type>
-              <code value="SampledData"/>
-            </type>
-            <type>
-              <code value="Signature"/>
-            </type>
-            <type>
-              <code value="Timing"/>
-            </type>
-            <type>
-              <code value="ContactDetail"/>
-            </type>
-            <type>
-              <code value="Contributor"/>
-            </type>
-            <type>
-              <code value="DataRequirement"/>
-            </type>
-            <type>
-              <code value="Expression"/>
-            </type>
-            <type>
-              <code value="ParameterDefinition"/>
-            </type>
-            <type>
-              <code value="RelatedArtifact"/>
-            </type>
-            <type>
-              <code value="TriggerDefinition"/>
-            </type>
-            <type>
-              <code value="UsageContext"/>
-            </type>
-            <type>
-              <code value="Dosage"/>
-            </type>
-            <type>
-              <code value="Meta"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="What has happened over time"/>
-            <definition value="Information on changes made to the Value Set Definition over time, and also has a contained audit trail of all such changes."/>
-            <min value="0"/>
-            <max value="*"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:name">
-            <path value="Extension.extension"/>
-            <sliceName value="name"/>
-            <short value="The name of this set of history entries"/>
-            <definition value="Label for a set of entries, such as a version."/>
-            <comment value="Typically, a value set will have a set of history entries for each major publication milestone."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:name.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:name.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="name"/>
-          </element>
-          <element id="Extension.extension:name.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:revision">
-            <path value="Extension.extension"/>
-            <sliceName value="revision"/>
-            <short value="Audit of all changes for a history entry"/>
-            <definition value="A list of specific changes, who made them and when."/>
-            <min value="0"/>
-            <max value="*"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension">
-            <path value="Extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="date"/>
-            <short value="Date the change was made"/>
-            <definition value="Date the change took place."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="date"/>
-          </element>
-          <element id="Extension.extension:revision.extension:date.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="dateTime"/>
-            </type>
-          </element>
-          <element id="Extension.extension:revision.extension:id">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="id"/>
-            <short value="Version marker after the change was made"/>
-            <definition value="Unique id for the specific change."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:id.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:revision.extension:id.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="id"/>
-          </element>
-          <element id="Extension.extension:revision.extension:id.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:revision.extension:author">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="author"/>
-            <short value="Who made the change"/>
-            <definition value="Person or device responsible for the change."/>
-            <min value="1"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:author.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:revision.extension:author.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="author"/>
-          </element>
-          <element id="Extension.extension:revision.extension:author.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:revision.extension:notes">
-            <path value="Extension.extension.extension"/>
-            <sliceName value="notes"/>
-            <short value="Information about the change"/>
-            <definition value="Description of exactly what was changed and how."/>
-            <min value="0"/>
-            <max value="1"/>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.extension">
-            <path value="Extension.extension.extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.url">
-            <path value="Extension.extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="notes"/>
-          </element>
-          <element id="Extension.extension:revision.extension:notes.value[x]">
-            <path value="Extension.extension.extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="string"/>
-            </type>
-          </element>
-          <element id="Extension.extension:revision.url">
-            <path value="Extension.extension.url"/>
-            <type>
-              <code value="uri"/>
-            </type>
-            <fixedUri value="revision"/>
-          </element>
-          <element id="Extension.extension:revision.value[x]">
-            <path value="Extension.extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-history"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="0"/>
-            <max value="0"/>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"/>
-    <resource>
-      <StructureDefinition>
-        <id value="workflow-supportingInfo"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="fhir"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"/>
-        <version value="4.1.0"/>
-        <name value="supportingInfo"/>
-        <title value="Supporting Information"/>
-        <status value="draft"/>
-        <date value="2017-12-06"/>
-        <publisher value="Health Level Seven, Inc. - FHIR WG"/>
-        <contact>
-          <telecom>
-            <system value="url"/>
-            <value value="http://hl7.org/special/committees/fwg"/>
-          </telecom>
-        </contact>
-        <description value="Other resources *from the patient record* that may be relevant to the event.  The information from these resources was either used to create the instance or is provided to help with its interpretation.  This extension **should not** be used if more specific  inline elements  or extensions are available.  For example, use `Observation.hasMember`  instead of supportingInformation for  representing the members of an Observation panel."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="DiagnosticReport"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="Observation"/>
-        </context>
-        <context>
-          <type value="element"/>
-          <expression value="CommunicationRequest"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Other information that may be relevant to this event."/>
-            <definition value="Other resources *from the patient record* that may be relevant to the event.  The information from these resources was either used to create the instance or is provided to help with its interpretation.  This extension **should not** be used if more specific  inline elements  or extensions are available.  For example, use `Observation.hasMember`  instead of supportingInformation for  representing the members of an Observation panel."/>
-            <min value="0"/>
-            <max value="*"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Other information that may be relevant to this event."/>
-            <definition value="Other resources *from the patient record* that may be relevant to the event.  The information from these resources was either used to create the instance or is provided to help with its interpretation.  This extension **should not** be used if more specific  inline elements  or extensions are available.  For example, use `Observation.hasMember`  instead of supportingInformation for  representing the members of an Observation panel."/>
-            <min value="0"/>
-            <max value="*"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="Reference"/>
-              <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
-            </type>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-  <entry>
-    <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"/>
-    <resource>
-      <StructureDefinition>
-        <id value="valueset-parameterSource"/>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-          <valueCode value="vocab"/>
-        </extension>
-        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-          <valueInteger value="1"/>
-        </extension>
-        <url value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"/>
-        <version value="4.1.0"/>
-        <name value="parameterSource"/>
-        <status value="draft"/>
-        <date value="2019-11-09T18:02:45+00:00"/>
-        <publisher value="HL7"/>
-        <description value="Declares what the source of this parameter is."/>
-        <fhirVersion value="4.1.0"/>
-        <mapping>
-          <identity value="rim"/>
-          <uri value="http://hl7.org/v3"/>
-          <name value="RIM Mapping"/>
-        </mapping>
-        <kind value="complex-type"/>
-        <abstract value="false"/>
-        <context>
-          <type value="element"/>
-          <expression value="ValueSet.expansion.parameter"/>
-        </context>
-        <type value="Extension"/>
-        <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-        <derivation value="constraint"/>
-        <snapshot>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Declares the source of the parameter"/>
-            <definition value="Declares what the source of this parameter is."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <condition value="ele-1"/>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])"/>
-              <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.id">
-            <path value="Extension.id"/>
-            <representation value="xmlAttr"/>
-            <short value="Unique id for inter-element referencing"/>
-            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
-            <min value="0"/>
-            <max value="1"/>
-            <base>
-              <path value="Element.id"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="string"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="n/a"/>
-            </mapping>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <slicing>
-              <discriminator>
-                <type value="value"/>
-                <path value="url"/>
-              </discriminator>
-              <description value="Extensions are always sliced by (at least) url"/>
-              <rules value="open"/>
-            </slicing>
-            <short value="Extension"/>
-            <definition value="An Extension"/>
-            <min value="0"/>
-            <max value="0"/>
-            <base>
-              <path value="Element.extension"/>
-              <min value="0"/>
-              <max value="*"/>
-            </base>
-            <type>
-              <code value="Extension"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <constraint>
-              <key value="ext-1"/>
-              <severity value="error"/>
-              <human value="Must have either extensions or value[x], not both"/>
-              <expression value="extension.exists() != value.exists()"/>
-              <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
-              <source value="Extension"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <representation value="xmlAttr"/>
-            <short value="identifies the meaning of the extension"/>
-            <definition value="Source of the definition for the extension code - a logical name or a URL."/>
-            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.url"/>
-              <min value="1"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-                <valueUri value="uri"/>
-              </extension>
-              <code value="http://hl7.org/fhirpath/System.String"/>
-            </type>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"/>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <short value="Value of extension"/>
-            <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."/>
-            <min value="1"/>
-            <max value="1"/>
-            <base>
-              <path value="Extension.value[x]"/>
-              <min value="0"/>
-              <max value="1"/>
-            </base>
-            <type>
-              <code value="code"/>
-            </type>
-            <constraint>
-              <key value="ele-1"/>
-              <severity value="error"/>
-              <human value="All FHIR elements must have a @value or children"/>
-              <expression value="hasValue() or (children().count() &gt; id.count())"/>
-              <xpath value="@value|f:*|h:div"/>
-              <source value="Element"/>
-            </constraint>
-            <isModifier value="false"/>
-            <isSummary value="false"/>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ExpansionParameterSource"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Declares what the source of a parameter is."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/expansion-parameter-source|4.1.0"/>
-            </binding>
-            <mapping>
-              <identity value="rim"/>
-              <map value="N/A"/>
-            </mapping>
-          </element>
-        </snapshot>
-        <differential>
-          <element id="Extension">
-            <path value="Extension"/>
-            <short value="Declares the source of the parameter"/>
-            <definition value="Declares what the source of this parameter is."/>
-            <min value="0"/>
-            <max value="1"/>
-            <isModifier value="false"/>
-          </element>
-          <element id="Extension.extension">
-            <path value="Extension.extension"/>
-            <max value="0"/>
-          </element>
-          <element id="Extension.url">
-            <path value="Extension.url"/>
-            <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"/>
-          </element>
-          <element id="Extension.value[x]">
-            <path value="Extension.value[x]"/>
-            <min value="1"/>
-            <type>
-              <code value="code"/>
-            </type>
-            <binding>
-              <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-                <valueString value="ExpansionParameterSource"/>
-              </extension>
-              <strength value="required"/>
-              <description value="Declares what the source of a parameter is."/>
-              <valueSet value="http://hl7.org/fhir/ValueSet/expansion-parameter-source|4.1.0"/>
-            </binding>
-          </element>
-        </differential>
-      </StructureDefinition>
-    </resource>
-  </entry>
-</Bundle>
\ No newline at end of file
+ <id value="extensions"></id>
+ <meta>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+ </meta>
+ <type value="collection"></type>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="data-absent-reason"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"></url>
+    <version value="4.2.0"></version>
+    <name value="Data Absent Reason"></name>
+    <title value="Why value is missing"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Provides a reason why the expected value or elements in the element that is extended are missing."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="unknown | asked | temp | notasked | masked | unsupported | astext | error"></short>
+      <definition value="Provides a reason why the expected value or elements in the element that is extended are missing."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ANY.nullFlavor"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DataAbsentReason"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Used to specify why the normally expected content of the data element is missing."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="unknown | asked | temp | notasked | masked | unsupported | astext | error"></short>
+      <definition value="Provides a reason why the expected value or elements in the element that is extended are missing."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ANY.nullFlavor"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/data-absent-reason"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DataAbsentReason"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Used to specify why the normally expected content of the data element is missing."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/bodySite"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="bodySite"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/bodySite"></url>
+    <version value="4.2.0"></version>
+    <name value="BodyStructure Reference"></name>
+    <title value="Body Site"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Target anatomic location or structure"></short>
+      <definition value="Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/bodySite"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Target anatomic location or structure"></short>
+      <definition value="Record details about the anatomical location of a specimen or body part. This resource may be used when a coded concept does not provide the necessary detail needed for the use case."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/bodySite"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendered-value"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="rendered-value"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/rendered-value"></url>
+    <version value="4.2.0"></version>
+    <name value="Rendered Value"></name>
+    <title value="Rendered Value"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Provides a rendered version of the value intended for human display.  For example, a sensitive identifier (e.g. social security number) partially obscured by asterisks; a drivers licence number with dashes inserted; a date formatted as MMM dd, yyyy; etc."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Identifier.value"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="date"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="dateTime"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="time"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="instant"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="integer"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="decimal"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="string"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="code"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="canonical"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="What should be displayed to human (if default is not appropriate)"></short>
+      <definition value="Provides a rendered version of the value intended for human display.  For example, a sensitive identifier (e.g. social security number) partially obscured by asterisks; a drivers licence number with dashes inserted; a date formatted as MMM dd, yyyy; etc."></definition>
+      <comment value="In some cases, this extension may be present and the value won't be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of ',' vs. '.' when rendering numbers.)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendered-value"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="What should be displayed to human (if default is not appropriate)"></short>
+      <definition value="Provides a rendered version of the value intended for human display.  For example, a sensitive identifier (e.g. social security number) partially obscured by asterisks; a drivers licence number with dashes inserted; a date formatted as MMM dd, yyyy; etc."></definition>
+      <comment value="In some cases, this extension may be present and the value won't be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of ',' vs. '.' when rendering numbers.)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendered-value"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/geolocation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="geolocation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/geolocation"></url>
+    <version value="4.2.0"></version>
+    <name value="Geolocation"></name>
+    <title value="Geolocation"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The absolute geographic location"></short>
+      <definition value="The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."></definition>
+      <comment value="The extension can be further extended to include unique geolocation identifiers, confidence, altitude, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:latitude">
+      <path value="Extension.extension"></path>
+      <sliceName value="latitude"></sliceName>
+      <short value="Latitude with WGS84 datum"></short>
+      <definition value="Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:latitude.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:latitude.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:latitude.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="latitude"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:latitude.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:longitude">
+      <path value="Extension.extension"></path>
+      <sliceName value="longitude"></sliceName>
+      <short value="Longitude with WGS84 datum"></short>
+      <definition value="Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:longitude.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:longitude.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:longitude.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="longitude"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:longitude.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/geolocation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The absolute geographic location"></short>
+      <definition value="The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."></definition>
+      <comment value="The extension can be further extended to include unique geolocation identifiers, confidence, altitude, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:latitude">
+      <path value="Extension.extension"></path>
+      <sliceName value="latitude"></sliceName>
+      <short value="Latitude with WGS84 datum"></short>
+      <definition value="Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:latitude.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:latitude.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="latitude"></fixedUri>
+     </element>
+     <element id="Extension.extension:latitude.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:longitude">
+      <path value="Extension.extension"></path>
+      <sliceName value="longitude"></sliceName>
+      <short value="Longitude with WGS84 datum"></short>
+      <definition value="Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:longitude.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:longitude.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="longitude"></fixedUri>
+     </element>
+     <element id="Extension.extension:longitude.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/geolocation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/translation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="translation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/translation"></url>
+    <version value="4.2.0"></version>
+    <name value="Translation"></name>
+    <title value="Translation"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Language translation from base language of resource to another language."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="string"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="code"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="markdown"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Language Translation (Localization)"></short>
+      <definition value="Language translation from base language of resource to another language."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ST.translation"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang">
+      <path value="Extension.extension"></path>
+      <sliceName value="lang"></sliceName>
+      <short value="Code for Language"></short>
+      <definition value="Code for Language."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:lang.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:lang.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="lang"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:content">
+      <path value="Extension.extension"></path>
+      <sliceName value="content"></sliceName>
+      <short value="Content in other Language"></short>
+      <definition value="Content in other Language."></definition>
+      <comment value="The type (string or markdown) must match the context in which it is used."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:content.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:content.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:content.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="content"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:content.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/translation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Language Translation (Localization)"></short>
+      <definition value="Language translation from base language of resource to another language."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ST.translation"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang">
+      <path value="Extension.extension"></path>
+      <sliceName value="lang"></sliceName>
+      <short value="Code for Language"></short>
+      <definition value="Code for Language."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:lang.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:lang.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="lang"></fixedUri>
+     </element>
+     <element id="Extension.extension:lang.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:content">
+      <path value="Extension.extension"></path>
+      <sliceName value="content"></sliceName>
+      <short value="Content in other Language"></short>
+      <definition value="Content in other Language."></definition>
+      <comment value="The type (string or markdown) must match the context in which it is used."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:content.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:content.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="content"></fixedUri>
+     </element>
+     <element id="Extension.extension:content.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/translation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/tz-code"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="tz-code"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/tz-code"></url>
+    <version value="4.2.0"></version>
+    <name value="Timezone Code"></name>
+    <title value="An IANA timezone code for  the timezone offset per BCP 175"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="An IANA timezone code for  the timezone offset per [BCP 175](https://www.iana.org/go/rfc6557). The offset is specified as part of a dateTime/instant (or using the tzOffset extension on a date if necessary). The timezone code may also be provided to allow for human display of the location associated with the offset."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="date"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="dateTime"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="instant"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="IANA Timezone Code per BCP 175"></short>
+      <definition value="An IANA timezone code for  the timezone offset per [BCP 175](https://www.iana.org/go/rfc6557). The offset is specified as part of a dateTime/instant (or using the tzOffset extension on a date if necessary). The timezone code may also be provided to allow for human display of the location associated with the offset."></definition>
+      <comment value="See [https://www.iana.org/time-zones](https://www.iana.org/time-zones)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-code"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="IANATimezone"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="IANA Timezones (BCP 175)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/timezones|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="IANA Timezone Code per BCP 175"></short>
+      <definition value="An IANA timezone code for  the timezone offset per [BCP 175](https://www.iana.org/go/rfc6557). The offset is specified as part of a dateTime/instant (or using the tzOffset extension on a date if necessary). The timezone code may also be provided to allow for human display of the location associated with the offset."></definition>
+      <comment value="See [https://www.iana.org/time-zones](https://www.iana.org/time-zones)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-code"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="IANATimezone"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="IANA Timezones (BCP 175)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/timezones|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/tz-offset"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="tz-offset"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/tz-offset"></url>
+    <version value="4.2.0"></version>
+    <name value="Timezone Offset"></name>
+    <title value="Timezone offset, for date"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Timezone offset, for dates where timezone is not allowed as part of the base date."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="date"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Timezone offset, for dates (no timezone in date)"></short>
+      <definition value="Timezone offset, for dates where timezone is not allowed as part of the base date."></definition>
+      <comment value="The format must either be 'Z' or +/-HH:NN. This is not allowed on the base date because many implementations have no way to carry a timezone on the base date structure."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-offset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Timezone offset, for dates (no timezone in date)"></short>
+      <definition value="Timezone offset, for dates where timezone is not allowed as part of the base date."></definition>
+      <comment value="The format must either be 'Z' or +/-HH:NN. This is not allowed on the base date because many implementations have no way to carry a timezone on the base date structure."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/tz-offset"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/relative-date"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="relative-date"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/relative-date"></url>
+    <version value="4.2.0"></version>
+    <name value="Relative Date Criteria"></name>
+    <title value="Relative Date Criteria"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Specifies that a date is relative to some event. The event happens [Duration] after [Event]."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="date"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="dateTime"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Relative Date Criteria"></short>
+      <definition value="Specifies that a date is relative to some event. The event happens [Duration] after [Event]."></definition>
+      <comment value="This extension is used when a precise date is not known, but rather, the date will be relative to some future event (e.g. Do this 2 weeks after an operation)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:event">
+      <path value="Extension.extension"></path>
+      <sliceName value="event"></sliceName>
+      <short value="Event that the date is relative to"></short>
+      <definition value="The event that the date(time) is relative to."></definition>
+      <comment value="This can be a reference to a particular event, or a kind of event (usually where the kind would not happen very frequently)."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:event.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:event.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:event.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="event"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:event.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:relationship">
+      <path value="Extension.extension"></path>
+      <sliceName value="relationship"></sliceName>
+      <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"></short>
+      <definition value="Defines the relationship between the event and the date."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:relationship.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:relationship.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:relationship.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="relationship"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:relationship.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ActionRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Defines the types of relationships between actions."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:offset">
+      <path value="Extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <short value="Duration after the event"></short>
+      <definition value="The duration after the event that the date(time) will happen."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:offset.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:offset.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:offset.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:offset.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/relative-date"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Relative Date Criteria"></short>
+      <definition value="Specifies that a date is relative to some event. The event happens [Duration] after [Event]."></definition>
+      <comment value="This extension is used when a precise date is not known, but rather, the date will be relative to some future event (e.g. Do this 2 weeks after an operation)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:event">
+      <path value="Extension.extension"></path>
+      <sliceName value="event"></sliceName>
+      <short value="Event that the date is relative to"></short>
+      <definition value="The event that the date(time) is relative to."></definition>
+      <comment value="This can be a reference to a particular event, or a kind of event (usually where the kind would not happen very frequently)."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:event.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:event.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="event"></fixedUri>
+     </element>
+     <element id="Extension.extension:event.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:relationship">
+      <path value="Extension.extension"></path>
+      <sliceName value="relationship"></sliceName>
+      <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"></short>
+      <definition value="Defines the relationship between the event and the date."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:relationship.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:relationship.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="relationship"></fixedUri>
+     </element>
+     <element id="Extension.extension:relationship.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ActionRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Defines the types of relationships between actions."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:offset">
+      <path value="Extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <short value="Duration after the event"></short>
+      <definition value="The duration after the event that the date(time) will happen."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:offset.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:offset.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+     </element>
+     <element id="Extension.extension:offset.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Duration"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/relative-date"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/language"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="language"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/language"></url>
+    <version value="4.2.0"></version>
+    <name value="Human Language"></name>
+    <title value="Human Language of the item"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="The Human Language of the item."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Address"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Annotation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Human Language for the item"></short>
+      <definition value="The Human Language of the item."></definition>
+      <comment value="This is used where an item may repeat to indicate the language of each repeat."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/language"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Human Language for the item"></short>
+      <definition value="The Human Language of the item."></definition>
+      <comment value="This is used where an item may repeat to indicate the language of each repeat."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/language"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/originalText"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="originalText"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/originalText"></url>
+    <version value="4.2.0"></version>
+    <name value="Original Text"></name>
+    <title value="Original Text"></title>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="A human language representation of the concept (resource/element) as seen/selected/uttered by the user who entered the data and/or which represents the full intended meaning of the user. This can be provided either directly as text, or as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Original Text that represents the data as seen/selected/uttered originally"></short>
+      <definition value="A human language representation of the concept (resource/element) as seen/selected/uttered by the user who entered the data and/or which represents the full intended meaning of the user. This can be provided either directly as text, or as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."></definition>
+      <comment value="The data in the element does not always capture the correct meaning with all the nuances of the original text. In these cases, the text is used to capture the full meaning of the source. This is commonly used to provide &quot;what did the user actually see/type&quot;. Note that this extension has the same definition as CodeableConcept.text and SHALL NOT be used on CodeableConcept with type = string in place of CodeableConcept.text but MAY be used with type url. If present on a CodeableConcept with type url as well as CodeableConcept.text, then the CodeableConcept.text SHALL match the referenced narrative. 
+
+It's also possible to link to the resource narrative using the [narrativeLink extension](extension-narrativelink.html) which does not claim that the data is derived from the text."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/originalText"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Original Text that represents the data as seen/selected/uttered originally"></short>
+      <definition value="A human language representation of the concept (resource/element) as seen/selected/uttered by the user who entered the data and/or which represents the full intended meaning of the user. This can be provided either directly as text, or as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."></definition>
+      <comment value="The data in the element does not always capture the correct meaning with all the nuances of the original text. In these cases, the text is used to capture the full meaning of the source. This is commonly used to provide &quot;what did the user actually see/type&quot;. Note that this extension has the same definition as CodeableConcept.text and SHALL NOT be used on CodeableConcept with type = string in place of CodeableConcept.text but MAY be used with type url. If present on a CodeableConcept with type url as well as CodeableConcept.text, then the CodeableConcept.text SHALL match the referenced narrative. 
+
+It's also possible to link to the resource narrative using the [narrativeLink extension](extension-narrativelink.html) which does not claim that the data is derived from the text."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/originalText"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/narrativeLink"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="narrativeLink"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/narrativeLink"></url>
+    <version value="4.2.0"></version>
+    <name value="Narrative Link"></name>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Narrative Link"></short>
+      <definition value="A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."></definition>
+      <comment value="It's also possible to link to the resource narrative using the [originalText extension](extension-originaltext.html) which claims that the data is derived from the text provided or linked to."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/narrativeLink"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="url"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Narrative Link"></short>
+      <definition value="A human language representation of the concept (resource/element), as a url that is a reference to a portion of the narrative of a resource ([DomainResource.text](narrative.html))."></definition>
+      <comment value="It's also possible to link to the resource narrative using the [originalText extension](extension-originaltext.html) which claims that the data is derived from the text provided or linked to."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/narrativeLink"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="url"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/replaces"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="replaces"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/replaces"></url>
+    <version value="4.2.0"></version>
+    <name value="replaces"></name>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates a resource that this resource is replacing."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ActivityDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ChargeItemDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CompartmentDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ConceptMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ConditionDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="EventDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Evidence"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="EvidenceVariable"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ExampleScenario"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="GraphDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ImplementationGuide"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Library"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Measure"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="MessageDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NamingSystem"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="PlanDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SearchParameter"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="TerminologyCapabilities"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="TestScript"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="References a resource that this resource replaces"></short>
+      <definition value="Indicates a resource that this resource is replacing."></definition>
+      <comment value="This is usually a versioned reference. Often, it will be to another version of the same resource."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/replaces"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="References a resource that this resource replaces"></short>
+      <definition value="Indicates a resource that this resource is replacing."></definition>
+      <comment value="This is usually a versioned reference. Often, it will be to another version of the same resource."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/replaces"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/display"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="display"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/display"></url>
+    <version value="4.2.0"></version>
+    <name value="Display Name"></name>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="The title or other name to display when referencing a resource by canonical URL."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="canonical"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Display name for canonical reference"></short>
+      <definition value="The title or other name to display when referencing a resource by canonical URL."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/display"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Display name for canonical reference"></short>
+      <definition value="The title or other name to display when referencing a resource by canonical URL."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/display"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/variable"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="variable"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/variable"></url>
+    <version value="4.2.0"></version>
+    <name value="Variable"></name>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Variable specifying a logic to generate a variable for use in subsequent logic.  The name of the variable will be added to FHIRPath's context when processing descendants of the element that contains this extension."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Variable for processing"></short>
+      <definition value="Variable specifying a logic to generate a variable for use in subsequent logic.  The name of the variable will be added to FHIRPath's context when processing descendants of the element that contains this extension."></definition>
+      <comment value="Ordering of variable extension declarations is significant as variables declared in one repetition of this extension might be used in subsequent extension repetitions."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/variable"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Variable for processing"></short>
+      <definition value="Variable specifying a logic to generate a variable for use in subsequent logic.  The name of the variable will be added to FHIRPath's context when processing descendants of the element that contains this extension."></definition>
+      <comment value="Ordering of variable extension declarations is significant as variables declared in one repetition of this extension might be used in subsequent extension repetitions."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/variable"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Expression"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/ordinalValue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="ordinalValue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/ordinalValue"></url>
+    <version value="4.2.0"></version>
+    <name value="Ordinal Value"></name>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="A numeric value that allows the comparison (less than, greater than) or other numerical 
+manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Coding"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.answerOption"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem.concept"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Assigned Ordinal Value"></short>
+      <definition value="A numeric value that allows the comparison (less than, greater than) or other numerical 
+manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores."></definition>
+      <comment value="Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](questionnaire.html), 
+so this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/ordinalValue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Assigned Ordinal Value"></short>
+      <definition value="A numeric value that allows the comparison (less than, greater than) or other numerical 
+manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores."></definition>
+      <comment value="Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in [Questionnaires](questionnaire.html), 
+so this extension is allowed to appear ouside those preferred contexts.  Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/ordinalValue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/designNote"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="designNote"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/designNote"></url>
+    <version value="4.2.0"></version>
+    <name value="Design Note"></name>
+    <status value="draft"></status>
+    <date value="2013-12-05"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Information captured by the author/maintainer of the questionnaire for development purposes, not intended to be seen by users."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Design comments"></short>
+      <definition value="Information captured by the author/maintainer of the questionnaire for development purposes, not intended to be seen by users."></definition>
+      <comment value="Allows capture of todos, rationale for design decisions, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/designNote"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Design comments"></short>
+      <definition value="Information captured by the author/maintainer of the questionnaire for development purposes, not intended to be seen by users."></definition>
+      <comment value="Allows capture of todos, rationale for design decisions, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/designNote"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-nullFlavor"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"></url>
+    <version value="4.2.0"></version>
+    <name value="nullFlavor"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="If the value is not a proper value, indicates the reason."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="NI | OTH | NINF | PINF | UNK | ASKU | NAV | NASK | TRC | MSK | NA | QS"></short>
+      <definition value="If the value is not a proper value, indicates the reason."></definition>
+      <comment value="Considerable care must be used when using nullFlavor in this context of FHIR - more than any other concept, this is tied to the way v3 works, and FHIR is quite different. For instance, there is no notion of a &quot;proper value&quot; as opposed to any other value in FHIR. a NullFlavor should be understood to mean, &quot;why information is missing&quot;, and the nulFlavors OTH, NINF, PINF, and TRC should not be used."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="n/a"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ANY.nullFlavor"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="NullFlavor"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A collection of codes specifying why a valid value is not present."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="NI | OTH | NINF | PINF | UNK | ASKU | NAV | NASK | TRC | MSK | NA | QS"></short>
+      <definition value="If the value is not a proper value, indicates the reason."></definition>
+      <comment value="Considerable care must be used when using nullFlavor in this context of FHIR - more than any other concept, this is tied to the way v3 works, and FHIR is quite different. For instance, there is no notion of a &quot;proper value&quot; as opposed to any other value in FHIR. a NullFlavor should be understood to mean, &quot;why information is missing&quot;, and the nulFlavors OTH, NINF, PINF, and TRC should not be used."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="n/a"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ANY.nullFlavor"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-nullFlavor"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="NullFlavor"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A collection of codes specifying why a valid value is not present."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-EN-qualifier"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"></url>
+    <version value="4.2.0"></version>
+    <name value="EN-qualifier"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.given"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.prefix"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.suffix"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV"></short>
+      <definition value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."></definition>
+      <comment value="Used to indicate additional information about the name part and how it should be used."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP.qualifier"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EntityNamePartQualifier"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-part-qualifier|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV"></short>
+      <definition value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."></definition>
+      <comment value="Used to indicate additional information about the name part and how it should be used."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP.qualifier"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EntityNamePartQualifier"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-part-qualifier|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-EN-use"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"></url>
+    <version value="4.2.0"></version>
+    <name value="EN-use"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A | ANON | I | P | R | C | M | ABC | IDE | SYL | OLD | DN | OR | PHON | SRCH | T"></short>
+      <definition value="A set of codes advising a system or user which name in a set of names to select for a given purpose."></definition>
+      <comment value="A name without specific use code might be a default name useful for any purpose, but a name with a specific use code would be preferred for that respective purpose."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP.use"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EntityNameUse"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A | ANON | I | P | R | C | M | ABC | IDE | SYL | OLD | DN | OR | PHON | SRCH | T"></short>
+      <definition value="A set of codes advising a system or user which name in a set of names to select for a given purpose."></definition>
+      <comment value="A name without specific use code might be a default name useful for any purpose, but a name with a specific use code would be preferred for that respective purpose."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP.use"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-use"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EntityNameUse"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-EN-representation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"></url>
+    <version value="4.2.0"></version>
+    <name value="EN-representation"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Name Representation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="ABC | IDE | SYL"></short>
+      <definition value="Name Representation."></definition>
+      <comment value="The transcription of the name - how it is represented (for e.g. Japanese names)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP.use"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="NameRepresentationUse"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set of codes for each different representation of a name."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-v3-representation|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="ABC | IDE | SYL"></short>
+      <definition value="Name Representation."></definition>
+      <comment value="The transcription of the name - how it is represented (for e.g. Japanese names)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP.use"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="NameRepresentationUse"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set of codes for each different representation of a name."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-v3-representation|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-uncertainty"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"></url>
+    <version value="4.2.0"></version>
+    <name value="uncertainty"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Quantity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Standard Deviation (same units as the quantity)"></short>
+      <definition value="The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean)."></definition>
+      <comment value="standardDeviation has the same units as the quantity. It is used to normalize the data for computing the distribution function. Applications that cannot deal with probability distributions can still get an idea about the confidence level by looking at standardDeviation."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PPD.standardDeviation"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Standard Deviation (same units as the quantity)"></short>
+      <definition value="The primary measure of variance/uncertainty of the value (the square root of the sum of the squares of the differences between all data points and the mean)."></definition>
+      <comment value="standardDeviation has the same units as the quantity. It is used to normalize the data for computing the distribution function. Applications that cannot deal with probability distributions can still get an idea about the confidence level by looking at standardDeviation."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PPD.standardDeviation"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertainty"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-uncertaintyType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"></url>
+    <version value="4.2.0"></version>
+    <name value="uncertaintyType"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A code specifying the type of probability distribution for the uncertainty."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Quantity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Probability Distribution Type for uncertainty"></short>
+      <definition value="A code specifying the type of probability distribution for the uncertainty."></definition>
+      <comment value="This is only meaningful if there is also an uncertainty extension. If there is an uncertainty extension with no type, this means  that the probability distribution type is unknown. In that case, the uncertainty has the meaning of an informal guess."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PPD.distributionType"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ProbabilityDistributionType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes specifying the type of probability distribution."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/probability-distribution-type|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Probability Distribution Type for uncertainty"></short>
+      <definition value="A code specifying the type of probability distribution for the uncertainty."></definition>
+      <comment value="This is only meaningful if there is also an uncertainty extension. If there is an uncertainty extension with no type, this means  that the probability distribution type is unknown. In that case, the uncertainty has the meaning of an informal guess."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PPD.distributionType"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-uncertaintyType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ProbabilityDistributionType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes specifying the type of probability distribution."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/probability-distribution-type|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-AD-use"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"></url>
+    <version value="4.2.0"></version>
+    <name value="AD-use"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Uses of Addresses - codes not defined as part of Address.use."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="BAD | CONF | HP | HV | DIR | PUB | PHYS | PST"></short>
+      <definition value="Uses of Addresses - codes not defined as part of Address.use."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="AD.use"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PostalAddressUse"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Uses of an address not included in Address.use."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/postal-address-use|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="BAD | CONF | HP | HV | DIR | PUB | PHYS | PST"></short>
+      <definition value="Uses of Addresses - codes not defined as part of Address.use."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="AD.use"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-AD-use"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PostalAddressUse"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Uses of an address not included in Address.use."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/postal-address-use|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-additionalLocator"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-additionalLocator"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="additionalLocator"></short>
+      <definition value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=ADL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="additionalLocator"></short>
+      <definition value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=ADL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-unitID"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-unitID"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="unitID"></short>
+      <definition value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=UNID]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="unitID"></short>
+      <definition value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=UNID]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-unitType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-unitType"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="unitType"></short>
+      <definition value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=UNIT]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="unitType"></short>
+      <definition value="Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=UNIT]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-deliveryAddressLine"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-deliveryAddressLine"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryAddressLine"></short>
+      <definition value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DAL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryAddressLine"></short>
+      <definition value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DAL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryAddressLine"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-deliveryInstallationType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-deliveryInstallationType"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryInstallationType"></short>
+      <definition value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DINST]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryInstallationType"></short>
+      <definition value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DINST]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-deliveryInstallationArea"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-deliveryInstallationArea"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryInstallationArea"></short>
+      <definition value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DINSTA]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryInstallationArea"></short>
+      <definition value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DINSTA]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationArea"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-deliveryInstallationQualifier"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-deliveryInstallationQualifier"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A number, letter or name identifying a delivery installation. For example, for Station A, the delivery installation qualifier would be 'A'."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryInstallationQualifier"></short>
+      <definition value="A number, letter or name identifying a delivery installation. For example, for Station A, the delivery installation qualifier would be 'A'."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DINSTQ]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryInstallationQualifier"></short>
+      <definition value="A number, letter or name identifying a delivery installation. For example, for Station A, the delivery installation qualifier would be 'A'."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DINSTQ]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryInstallationQualifier"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-deliveryMode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-deliveryMode"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryMode"></short>
+      <definition value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DMOD]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryMode"></short>
+      <definition value="Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DMOD]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryMode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-deliveryModeIdentifier"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-deliveryModeIdentifier"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryModeIdentifier"></short>
+      <definition value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DMODID]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="deliveryModeIdentifier"></short>
+      <definition value="Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DMODID]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-deliveryModeIdentifier"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-streetAddressLine"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-streetAddressLine"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A street address line is frequently used instead of breaking out building number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetAddressLine"></short>
+      <definition value="A street address line is frequently used instead of breaking out building number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=SAL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetAddressLine"></short>
+      <definition value="A street address line is frequently used instead of breaking out building number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=SAL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetAddressLine"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-houseNumber"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-houseNumber"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="houseNumber"></short>
+      <definition value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=BNR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="houseNumber"></short>
+      <definition value="The number of a building, house or lot alongside the street. Also known as &quot;primary street number&quot;. This does not number the street but rather the building."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=BNR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-buildingNumberSuffix"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-buildingNumberSuffix"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="buildingNumberSuffix"></short>
+      <definition value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=BNS]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="buildingNumberSuffix"></short>
+      <definition value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=BNS]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-postBox"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-postBox"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A numbered box located in a post station."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="postBox"></short>
+      <definition value="A numbered box located in a post station."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=POB]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="postBox"></short>
+      <definition value="A numbered box located in a post station."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=POB]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-houseNumberNumeric"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-houseNumberNumeric"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The numeric portion of a building number."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="houseNumberNumeric"></short>
+      <definition value="The numeric portion of a building number."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=BNN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="houseNumberNumeric"></short>
+      <definition value="The numeric portion of a building number."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=BNN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumberNumeric"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-streetName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-streetName"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="streetName."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetName"></short>
+      <definition value="streetName."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=STR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetName"></short>
+      <definition value="streetName."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=STR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-streetNameBase"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-streetNameBase"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetNameBase"></short>
+      <definition value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=STB]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetNameBase"></short>
+      <definition value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=STB]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameBase"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-streetNameType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-streetNameType"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetNameType"></short>
+      <definition value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=STTYP]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="streetNameType"></short>
+      <definition value="The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=STTYP]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-direction"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-direction"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Direction (e.g., N, S, W, E)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="direction"></short>
+      <definition value="Direction (e.g., N, S, W, E)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DIR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="direction"></short>
+      <definition value="Direction (e.g., N, S, W, E)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DIR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-careOf"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-careOf"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="careOf"></short>
+      <definition value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=CAR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="careOf"></short>
+      <definition value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=CAR]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-careOf"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-censusTract"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-censusTract"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A geographic sub-unit delineated for demographic purposes."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="censusTract"></short>
+      <definition value="A geographic sub-unit delineated for demographic purposes."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=CEN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="censusTract"></short>
+      <definition value="A geographic sub-unit delineated for demographic purposes."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=CEN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-delimiter"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-delimiter"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address.line"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="delimiter"></short>
+      <definition value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."></definition>
+      <comment value="This really has no rationale for use in FHIR."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DEL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="delimiter"></short>
+      <definition value="Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break."></definition>
+      <comment value="This really has no rationale for use in FHIR."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=DEL]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-delimiter"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-ADXP-precinct"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"></url>
+    <version value="4.2.0"></version>
+    <name value="ADXP-precinct"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A subsection of a municipality."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Address"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="precinct"></short>
+      <definition value="A subsection of a municipality."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=PRE]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="precinct"></short>
+      <definition value="A subsection of a municipality."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ADXP[partType=PRE]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-SC-coding"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"></url>
+    <version value="4.2.0"></version>
+    <name value="SC-coding"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Provides a coded expression for the content represented in a string."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="string"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="code for string"></short>
+      <definition value="Provides a coded expression for the content represented in a string."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SC.code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StringCoding"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A coded representation for a string.  Could be codes for country in a country address part, codes for prefixes in a name part, etc."></description>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="code for string"></short>
+      <definition value="Provides a coded expression for the content represented in a string."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SC.code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StringCoding"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A coded representation for a string.  Could be codes for country in a country address part, codes for prefixes in a name part, etc."></description>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-preferred"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"></url>
+    <version value="4.2.0"></version>
+    <name value="preferred"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Preferred"></short>
+      <definition value="Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Preferred"></short>
+      <definition value="Flag denoting whether parent item is preferred - e.g., a preferred address or telephone number."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-TEL-address"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"></url>
+    <version value="4.2.0"></version>
+    <name value="TEL-address"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="A V3 compliant, RFC 3966 conformant URI version of the telephone or fax number."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ContactPoint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="RFC 3966 compliant telephone or fax number"></short>
+      <definition value="A V3 compliant, RFC 3966 conformant URI version of the telephone or fax number."></definition>
+      <comment value="Note that this form is supposed  to be used in CDA, but many CDA documents are not actually conformant."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="TEL.address"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="url"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="RFC 3966 compliant telephone or fax number"></short>
+      <definition value="A V3 compliant, RFC 3966 conformant URI version of the telephone or fax number."></definition>
+      <comment value="Note that this form is supposed  to be used in CDA, but many CDA documents are not actually conformant."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="TEL.address"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-TEL-address"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="url"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="iso21090-PQ-translation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"></url>
+    <version value="4.2.0"></version>
+    <name value="PQ-translation"></name>
+    <status value="draft"></status>
+    <date value="2012-06-24"></date>
+    <publisher value="Health Level Seven International (Modeling and Methodology)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/mnm"></value>
+     </telecom>
+    </contact>
+    <description value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Quantity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Same quantity with different units"></short>
+      <definition value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value."></definition>
+      <comment value="It is not necessary for information processing entities to check and enforce that the translations are valid translations of the base unit, but they are allowed to do so, and to reject instances where the translations are not valid. 
+NOTE Translations are allowed to contain other representations in UCUM units, but there is generally no point to this as it is possible to convert from one UCUM form to another."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PQ.translation"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Same quantity with different units"></short>
+      <definition value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value."></definition>
+      <comment value="It is not necessary for information processing entities to check and enforce that the translations are valid translations of the base unit, but they are allowed to do so, and to reject instances where the translations are not valid. 
+NOTE Translations are allowed to contain other representations in UCUM units, but there is generally no point to this as it is possible to convert from one UCUM form to another."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PQ.translation"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilities"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilities"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://fhir-registry.smarthealthit.org/StructureDefinition/capabilities"></url>
+    <version value="4.2.0"></version>
+    <name value="capabilities"></name>
+    <status value="active"></status>
+    <date value="2018-02-15"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="A set of codes that defines what the server is capable of."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.security"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Server Capabilities"></short>
+      <definition value="A set of codes that defines what the server is capable of."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/capabilities"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SmartCapabilities"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes that define what the server is capable of."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/smart-capabilities|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Server Capabilities"></short>
+      <definition value="A set of codes that defines what the server is capable of."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/capabilities"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SmartCapabilities"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes that define what the server is capable of."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/smart-capabilities|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/oauth-uris"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="oauth-uris"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris"></url>
+    <version value="4.2.0"></version>
+    <name value="oauth-uris"></name>
+    <status value="active"></status>
+    <date value="2018-02-15"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Supports automated discovery of OAuth2 endpoints."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.security"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Automated discovery of OAuth2 endpoints"></short>
+      <definition value="Supports automated discovery of OAuth2 endpoints."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:authorize">
+      <path value="Extension.extension"></path>
+      <sliceName value="authorize"></sliceName>
+      <short value="OAuth2 &quot;authorize&quot; endpoint"></short>
+      <definition value="The OAuth2 &quot;authorize&quot; endpoint for this FHIR server."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:authorize.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:authorize.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:authorize.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="authorize"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:authorize.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:token">
+      <path value="Extension.extension"></path>
+      <sliceName value="token"></sliceName>
+      <short value="OAuth2 &quot;token&quot; endpoint"></short>
+      <definition value="The OAuth2 &quot;token&quot; endpoint for this FHIR server."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:token.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:token.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:token.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="token"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:token.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:register">
+      <path value="Extension.extension"></path>
+      <sliceName value="register"></sliceName>
+      <short value="OAuth2 dynamic registration endpoint"></short>
+      <definition value="The OAuth2 dynamic registration endpoint for this FHIR server, if supported."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:register.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:register.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:register.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="register"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:register.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:manage">
+      <path value="Extension.extension"></path>
+      <sliceName value="manage"></sliceName>
+      <short value="User-facing authorization management entry point"></short>
+      <definition value="The user-facing authorization management workflow entry point for this FHIR server."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:manage.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:manage.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:manage.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="manage"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:manage.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Automated discovery of OAuth2 endpoints"></short>
+      <definition value="Supports automated discovery of OAuth2 endpoints."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:authorize">
+      <path value="Extension.extension"></path>
+      <sliceName value="authorize"></sliceName>
+      <short value="OAuth2 &quot;authorize&quot; endpoint"></short>
+      <definition value="The OAuth2 &quot;authorize&quot; endpoint for this FHIR server."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:authorize.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:authorize.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="authorize"></fixedUri>
+     </element>
+     <element id="Extension.extension:authorize.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:token">
+      <path value="Extension.extension"></path>
+      <sliceName value="token"></sliceName>
+      <short value="OAuth2 &quot;token&quot; endpoint"></short>
+      <definition value="The OAuth2 &quot;token&quot; endpoint for this FHIR server."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:token.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:token.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="token"></fixedUri>
+     </element>
+     <element id="Extension.extension:token.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:register">
+      <path value="Extension.extension"></path>
+      <sliceName value="register"></sliceName>
+      <short value="OAuth2 dynamic registration endpoint"></short>
+      <definition value="The OAuth2 dynamic registration endpoint for this FHIR server, if supported."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:register.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:register.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="register"></fixedUri>
+     </element>
+     <element id="Extension.extension:register.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:manage">
+      <path value="Extension.extension"></path>
+      <sliceName value="manage"></sliceName>
+      <short value="User-facing authorization management entry point"></short>
+      <definition value="The user-facing authorization management workflow entry point for this FHIR server."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:manage.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:manage.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="manage"></fixedUri>
+     </element>
+     <element id="Extension.extension:manage.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/minLength"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="minLength"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/minLength"></url>
+    <version value="4.2.0"></version>
+    <name value="minLength"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="The minimum number of characters that must be present in the simple data type to be considered a &quot;valid&quot; instance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="At least this many characters"></short>
+      <definition value="The minimum number of characters that must be present in the simple data type to be considered a &quot;valid&quot; instance."></definition>
+      <comment value="For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/minLength"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="At least this many characters"></short>
+      <definition value="The minimum number of characters that must be present in the simple data type to be considered a &quot;valid&quot; instance."></definition>
+      <comment value="For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/minLength"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/regex"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="regex"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/regex"></url>
+    <version value="4.2.0"></version>
+    <name value="regex"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="A regular expression that defines the syntax for the data element to be considered valid."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Regular expression pattern"></short>
+      <definition value="A regular expression that defines the syntax for the data element to be considered valid."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/regex"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Regular expression pattern"></short>
+      <definition value="A regular expression that defines the syntax for the data element to be considered valid."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/regex"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/entryFormat"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="entryFormat"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/entryFormat"></url>
+    <version value="4.2.0"></version>
+    <name value="entryFormat"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Additional instructions for the user to guide their input (i.e. a human readable version of a regular expression like &quot;nnn-nnn-nnn&quot;). In most UIs this is the placeholder (or 'ghost') text placed directly inside the edit controls and that disappear when the control gets the focus."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="User prompt for format"></short>
+      <definition value="Additional instructions for the user to guide their input (i.e. a human readable version of a regular expression like &quot;nnn-nnn-nnn&quot;). In most UIs this is the placeholder (or 'ghost') text placed directly inside the edit controls and that disappear when the control gets the focus."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/entryFormat"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="User prompt for format"></short>
+      <definition value="Additional instructions for the user to guide their input (i.e. a human readable version of a regular expression like &quot;nnn-nnn-nnn&quot;). In most UIs this is the placeholder (or 'ghost') text placed directly inside the edit controls and that disappear when the control gets the focus."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/entryFormat"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/minValue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="minValue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/minValue"></url>
+    <version value="4.2.0"></version>
+    <name value="minValue"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="The inclusive lower bound on the range of allowed values for the data element."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Must be &gt;= this value"></short>
+      <definition value="The inclusive lower bound on the range of allowed values for the data element."></definition>
+      <comment value="Data type specified must be the same as the data type for the data element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/minValue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Must be &gt;= this value"></short>
+      <definition value="The inclusive lower bound on the range of allowed values for the data element."></definition>
+      <comment value="Data type specified must be the same as the data type for the data element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/minValue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/maxValue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="maxValue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/maxValue"></url>
+    <version value="4.2.0"></version>
+    <name value="maxValue"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="The inclusive upper bound on the range of allowed values for the data element."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Must be &lt;= this value"></short>
+      <definition value="The inclusive upper bound on the range of allowed values for the data element."></definition>
+      <comment value="Data type specified must be the same as the data type for the data element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxValue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Must be &lt;= this value"></short>
+      <definition value="The inclusive upper bound on the range of allowed values for the data element."></definition>
+      <comment value="Data type specified must be the same as the data type for the data element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxValue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="maxDecimalPlaces"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"></url>
+    <version value="4.2.0"></version>
+    <name value="maxDecimalPlaces"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the maximum number of decimal places that may be specified for the data element."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Maximum digits after decimal"></short>
+      <definition value="Identifies the maximum number of decimal places that may be specified for the data element."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Maximum digits after decimal"></short>
+      <definition value="Identifies the maximum number of decimal places that may be specified for the data element."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/mimeType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="mimeType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/mimeType"></url>
+    <version value="4.2.0"></version>
+    <name value="mimeType"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the kind(s) of attachment allowed to be sent for an element."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Type of attachment"></short>
+      <definition value="Identifies the kind(s) of attachment allowed to be sent for an element."></definition>
+      <comment value="This extension only has meaning if the element has a type of Attachment."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/mimeType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="MimeType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Type of attachment"></short>
+      <definition value="Identifies the kind(s) of attachment allowed to be sent for an element."></definition>
+      <comment value="This extension only has meaning if the element has a type of Attachment."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/mimeType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="MimeType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/maxSize"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="maxSize"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/maxSize"></url>
+    <version value="4.2.0"></version>
+    <name value="maxSize"></name>
+    <status value="draft"></status>
+    <date value="2014-04-27"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="For attachment answers, indicates the maximum size an attachment can be."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Max size in MB"></short>
+      <definition value="For attachment answers, indicates the maximum size an attachment can be."></definition>
+      <comment value="This extension only has meaning if the element has a type of Attachment."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxSize"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Max size in MB"></short>
+      <definition value="For attachment answers, indicates the maximum size an attachment can be."></definition>
+      <comment value="This extension only has meaning if the element has a type of Attachment."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/maxSize"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-style"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="rendering-style"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/rendering-style"></url>
+    <version value="4.2.0"></version>
+    <name value="style"></name>
+    <status value="draft"></status>
+    <date value="2014-04-23"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies how the specified element should be rendered when displayed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Html style value"></short>
+      <definition value="Identifies how the specified element should be rendered when displayed."></definition>
+      <comment value="This extension would be equivalent to setting the HTML &quot;style&quot; attribute on the root element for the element containing the extension."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-style"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Html style value"></short>
+      <definition value="Identifies how the specified element should be rendered when displayed."></definition>
+      <comment value="This extension would be equivalent to setting the HTML &quot;style&quot; attribute on the root element for the element containing the extension."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-style"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="rendering-xhtml"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"></url>
+    <version value="4.2.0"></version>
+    <name value="xhtml"></name>
+    <status value="draft"></status>
+    <date value="2014-04-23"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="This is an equivalent of the string on which the extension is sent, but includes additional XHTML markup, such as bold, italics, styles, tables, etc. Existing [restrictions on XHTML content](narrative.html#security) apply. Note that using [markdown](extension-rendering-markdown.html) allows for greater flexibility of display."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="string"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="String equivalent with html markup"></short>
+      <definition value="This is an equivalent of the string on which the extension is sent, but includes additional XHTML markup, such as bold, italics, styles, tables, etc. Existing [restrictions on XHTML content](narrative.html#security) apply. Note that using [markdown](extension-rendering-markdown.html) allows for greater flexibility of display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ED can be XHTML content"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="String equivalent with html markup"></short>
+      <definition value="This is an equivalent of the string on which the extension is sent, but includes additional XHTML markup, such as bold, italics, styles, tables, etc. Existing [restrictions on XHTML content](narrative.html#security) apply. Note that using [markdown](extension-rendering-markdown.html) allows for greater flexibility of display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ED can be XHTML content"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-xhtml"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="rendering-markdown"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"></url>
+    <version value="4.2.0"></version>
+    <name value="markdown"></name>
+    <status value="draft"></status>
+    <date value="2014-04-23"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="This is an equivalent of the string on which the extension is sent, but includes additional markdown (see documentation about [markdown](datatypes.html#markdown). Note that using HTML  [xhtml](extension-rendering-xhtml.html) can allow for greater precision of display."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="string"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="String equivalent with markdown"></short>
+      <definition value="This is an equivalent of the string on which the extension is sent, but includes additional markdown (see documentation about [markdown](datatypes.html#markdown). Note that using HTML  [xhtml](extension-rendering-xhtml.html) can allow for greater precision of display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ED can be markdown content"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="String equivalent with markdown"></short>
+      <definition value="This is an equivalent of the string on which the extension is sent, but includes additional markdown (see documentation about [markdown](datatypes.html#markdown). Note that using HTML  [xhtml](extension-rendering-xhtml.html) can allow for greater precision of display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ED can be markdown content"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-markdown"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="rendering-styleSensitive"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"></url>
+    <version value="4.2.0"></version>
+    <name value="styleSensitive"></name>
+    <status value="draft"></status>
+    <date value="2014-04-23"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates that the style extensions (style, markdown and xhtml) in this resource instance are essential to the interpretation of the instance and that systems that are not capable of rendering using those extensions should not be used to render the resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Are styles important for processing?"></short>
+      <definition value="Indicates that the style extensions (style, markdown and xhtml) in this resource instance are essential to the interpretation of the instance and that systems that are not capable of rendering using those extensions should not be used to render the resource."></definition>
+      <comment value="If set to true, all systems that claim to support this extension and that render elements from the resource SHALL either render the content as required by the style extensions ([style], [xhtml] and [markdown]) or shall indicate to the user that the resource (or specific elements in the resource) cannot be appropriately rendered by the system."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Are styles important for processing?"></short>
+      <definition value="Indicates that the style extensions (style, markdown and xhtml) in this resource instance are essential to the interpretation of the instance and that systems that are not capable of rendering using those extensions should not be used to render the resource."></definition>
+      <comment value="If set to true, all systems that claim to support this extension and that render elements from the resource SHALL either render the content as required by the style extensions ([style], [xhtml] and [markdown]) or shall indicate to the user that the resource (or specific elements in the resource) cannot be appropriately rendered by the system."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="11179-objectClass"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"></url>
+    <version value="4.2.0"></version>
+    <name value="objectClass"></name>
+    <title value="Object Class"></title>
+    <status value="draft"></status>
+    <date value="2014-04-21"></date>
+    <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules. It may be either a single concept or a group of associated concepts, abstractions, or things."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="iso11179"></identity>
+     <uri value="http://metadata-standards.org/11179/"></uri>
+     <name value="ISO 11179"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.mapping"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Object Class"></short>
+      <definition value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules. It may be either a single concept or a group of associated concepts, abstractions, or things."></definition>
+      <comment value="ObjectClass and Property are treated as a data model that can be mapped to, like any other.  This extension merely captures the ObjectClass element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.meaning.object_class"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="11179ObjectClass"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules; e.g. Person, Prescription, Encounter, etc."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclass"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Object Class"></short>
+      <definition value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules. It may be either a single concept or a group of associated concepts, abstractions, or things."></definition>
+      <comment value="ObjectClass and Property are treated as a data model that can be mapped to, like any other.  This extension merely captures the ObjectClass element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.meaning.object_class"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClass"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="11179ObjectClass"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A concept that represents a set of ideas, abstractions, or things in the real world that can be identified with explicit boundaries and meaning and whose properties and behavior follow the same rules; e.g. Person, Prescription, Encounter, etc."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclass"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="11179-objectClassProperty"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"></url>
+    <version value="4.2.0"></version>
+    <name value="objectClassProperty"></name>
+    <title value="Object Class Property"></title>
+    <status value="draft"></status>
+    <date value="2014-04-21"></date>
+    <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world.  It is conceptual and thus has no particular associated means of representation by which the property can be communicated."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="iso11179"></identity>
+     <uri value="http://metadata-standards.org/11179/"></uri>
+     <name value="ISO 11179"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.mapping"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Object Class Property"></short>
+      <definition value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world.  It is conceptual and thus has no particular associated means of representation by which the property can be communicated."></definition>
+      <comment value="ObjectClass and Property are treated as a data model that can be mapped to like any other.  This extension merely captures the Property element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.meaning.property"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="11179ObjectClassProperty"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world; e.g. name, identifier, gender, creationDate."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclassproperty"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Object Class Property"></short>
+      <definition value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world.  It is conceptual and thus has no particular associated means of representation by which the property can be communicated."></definition>
+      <comment value="ObjectClass and Property are treated as a data model that can be mapped to like any other.  This extension merely captures the Property element as a discrete code.  The information conveyed here should also be conveyed in human-readable form in the mapping.map element."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.meaning.property"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-objectClassProperty"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="11179ObjectClassProperty"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A quality common to all members of an object class. A property may be any feature that humans naturally use to distinguish one individual object from another. It is the human perception of a single quality of an object class in the real world; e.g. name, identifier, gender, creationDate."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/dataelement-sdcobjectclassproperty"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="11179-permitted-value-valueset"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"></url>
+    <version value="4.2.0"></version>
+    <name value="permitted-value-valueset"></name>
+    <title value="Permitted Values"></title>
+    <status value="draft"></status>
+    <date value="2014-04-21"></date>
+    <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Allows expressing the value set that must be stored internally by the system (as distinct from the base value set which defines values for exchange)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="iso11179"></identity>
+     <uri value="http://metadata-standards.org/11179/"></uri>
+     <name value="ISO 11179"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition.snapshot.element.binding.valueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition.differential.element.binding.valueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.answerValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Permitted values"></short>
+      <definition value="Allows expressing the value set that must be stored internally by the system (as distinct from the base value set which defines values for exchange)."></definition>
+      <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.data_element_domain.member"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Permitted values"></short>
+      <definition value="Allows expressing the value set that must be stored internally by the system (as distinct from the base value set which defines values for exchange)."></definition>
+      <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.data_element_domain.member"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-valueset"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="11179-permitted-value-conceptmap"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"></url>
+    <version value="4.2.0"></version>
+    <name value="permitted-value-conceptmap"></name>
+    <title value="Permitted Values link"></title>
+    <status value="draft"></status>
+    <date value="2014-04-21"></date>
+    <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Expresses the linkage between the internal codes used for storage and the codes used for exchange."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="iso11179"></identity>
+     <uri value="http://metadata-standards.org/11179/"></uri>
+     <name value="ISO 11179"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition.snapshot.element.binding.valueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition.differential.element.binding.valueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.answerValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mapping from permitted to transmitted"></short>
+      <definition value="Expresses the linkage between the internal codes used for storage and the codes used for exchange."></definition>
+      <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set.  The source for the concept map is the value set the extension appears on.  The target is the permitted-value-valueset."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.data_element_domain.member.meaning"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mapping from permitted to transmitted"></short>
+      <definition value="Expresses the linkage between the internal codes used for storage and the codes used for exchange."></definition>
+      <comment value="The permitted value set must have a 1..1 set of codes for each code in the value meaning value set.  The source for the concept map is the value set the extension appears on.  The target is the permitted-value-valueset."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="iso11179"></identity>
+       <map value="Data_Element.data_element_domain.member.meaning"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-identifier"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"></url>
+    <version value="4.2.0"></version>
+    <name value="identifier"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="External Identifiers associated with this element - these are identifiers that are associated with the concept this element represents."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="External Identifier associated with this element"></short>
+      <definition value="External Identifiers associated with this element - these are identifiers that are associated with the concept this element represents."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="Act.id, Role.id, Entity.id"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="External Identifier associated with this element"></short>
+      <definition value="External Identifiers associated with this element - these are identifiers that are associated with the concept this element represents."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="Act.id, Role.id, Entity.id"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-question"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"></url>
+    <version value="4.2.0"></version>
+    <name value="question"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The default/suggested phrasing to use when prompting a human to capture the data element in question form (e.g. In a survey)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Prompt for element phrased as question"></short>
+      <definition value="The default/suggested phrasing to use when prompting a human to capture the data element in question form (e.g. In a survey)."></definition>
+      <comment value="Question and label serve similar purposes in they both can be used to prompt for capturing a data element.  Whether the question form or label form should be used will depend on the type of instrument being used to capture the information.  The ordering is in order of preference.  I.e. Most preferred question form is listed first.  Note that this is for alternate phrasings of the question.  Language translations are handled using the ISO 21090 string translation extensions."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Prompt for element phrased as question"></short>
+      <definition value="The default/suggested phrasing to use when prompting a human to capture the data element in question form (e.g. In a survey)."></definition>
+      <comment value="Question and label serve similar purposes in they both can be used to prompt for capturing a data element.  Whether the question form or label form should be used will depend on the type of instrument being used to capture the information.  The ordering is in order of preference.  I.e. Most preferred question form is listed first.  Note that this is for alternate phrasings of the question.  Language translations are handled using the ISO 21090 string translation extensions."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-question"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-allowedUnits"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"></url>
+    <version value="4.2.0"></version>
+    <name value="allowedUnits"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the units of measure in which the element should be captured or expressed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Units to use for measured value"></short>
+      <definition value="Identifies the units of measure in which the element should be captured or expressed."></definition>
+      <comment value="Use a value set if more than one unit of measure is possible.  Value sets will typically be short enough to display in a drop-down selection list."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="OM2.2"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Units"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Units of measure allowed for an element."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-units|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Units to use for measured value"></short>
+      <definition value="Identifies the units of measure in which the element should be captured or expressed."></definition>
+      <comment value="Use a value set if more than one unit of measure is possible.  Value sets will typically be short enough to display in a drop-down selection list."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="OM2.2"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-allowedUnits"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Units"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Units of measure allowed for an element."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-units|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-maxValueSet"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"></url>
+    <version value="4.2.0"></version>
+    <name value="maxValueSet"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The maximum allowable value set, for use when the binding strength is 'extensible' or 'preferred'. This value set is the value set from which additional codes can be taken from. This defines a 'required' binding over the top of the extensible binding."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.binding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Maximum Value Set (when strength = extensible)"></short>
+      <definition value="The maximum allowable value set, for use when the binding strength is 'extensible' or 'preferred'. This value set is the value set from which additional codes can be taken from. This defines a 'required' binding over the top of the extensible binding."></definition>
+      <comment value="Typically, this will be an entire code system, e.g. SNOMED CT. The maximum binding needs to include all the codes in the extensible or preferred binding."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Maximum Value Set (when strength = extensible)"></short>
+      <definition value="The maximum allowable value set, for use when the binding strength is 'extensible' or 'preferred'. This value set is the value set from which additional codes can be taken from. This defines a 'required' binding over the top of the extensible binding."></definition>
+      <comment value="Typically, this will be an entire code system, e.g. SNOMED CT. The maximum binding needs to include all the codes in the extensible or preferred binding."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-minValueSet"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"></url>
+    <version value="4.2.0"></version>
+    <name value="minValueSet"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The minimum allowable value set, for use when the binding strength is 'required' or 'extensible'. This value set is the minimum value set that any conformant system SHALL support."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.binding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Minimum Value Set (what system must support)"></short>
+      <definition value="The minimum allowable value set, for use when the binding strength is 'required' or 'extensible'. This value set is the minimum value set that any conformant system SHALL support."></definition>
+      <comment value="Generally, the context of use of this extension should be specific about what it means to 'support' the value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Minimum Value Set (what system must support)"></short>
+      <definition value="The minimum allowable value set, for use when the binding strength is 'required' or 'extensible'. This value set is the minimum value set that any conformant system SHALL support."></definition>
+      <comment value="Generally, the context of use of this extension should be specific about what it means to 'support' the value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-minValueSet"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-inheritedExtensibleValueSet"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"></url>
+    <version value="4.2.0"></version>
+    <name value="inheritedExtensibleValueSet"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A reference to an extensible value set specified in a parent profie in order to allow a conformance checking tool to validate that a code not in the extensible value set of the profile is not violating rules defined by parent profile bindings."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.binding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An extensible Value Set specified in a parent profile"></short>
+      <definition value="A reference to an extensible value set specified in a parent profie in order to allow a conformance checking tool to validate that a code not in the extensible value set of the profile is not violating rules defined by parent profile bindings."></definition>
+      <comment value="This extension is only needed where the binding strength is 'extensible', the parents are also 'extensible'. This allows a validator to work around the fact that restricting extensible value sets in child profiles loses constraints out of the parent profiles, (e.g. codes to be used when appropriate)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An extensible Value Set specified in a parent profile"></short>
+      <definition value="A reference to an extensible value set specified in a parent profie in order to allow a conformance checking tool to validate that a code not in the extensible value set of the profile is not violating rules defined by parent profile bindings."></definition>
+      <comment value="This extension is only needed where the binding strength is 'extensible', the parents are also 'extensible'. This allows a validator to work around the fact that restricting extensible value sets in child profiles loses constraints out of the parent profiles, (e.g. codes to be used when appropriate)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-inheritedExtensibleValueSet"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-bindingName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"></url>
+    <version value="4.2.0"></version>
+    <name value="bindingName"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A name that can be used for code generation when generating named enumerations for the binding."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.binding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Suggested Name for code generation"></short>
+      <definition value="A name that can be used for code generation when generating named enumerations for the binding."></definition>
+      <comment value="There is no need to use this name for conformance to the specification, but implementers may prefer to match e.g. the schema enumeration name."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Suggested Name for code generation"></short>
+      <definition value="A name that can be used for code generation when generating named enumerations for the binding."></definition>
+      <comment value="There is no need to use this name for conformance to the specification, but implementers may prefer to match e.g. the schema enumeration name."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-isCommonBinding"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"></url>
+    <version value="4.2.0"></version>
+    <name value="isCommonBinding"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Whether the binding is used on multiple resources, or only on this resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.binding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether used on multiple resources"></short>
+      <definition value="Whether the binding is used on multiple resources, or only on this resource."></definition>
+      <comment value="Some bindings are defined once internally and used in many places. This extension marks those bindings, to allow for generating the binding information once when generating code. When isCommonBinding is true, bindingName will be the same, and unique (e.g. identify re-uses by looking at bindingName)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether used on multiple resources"></short>
+      <definition value="Whether the binding is used on multiple resources, or only on this resource."></definition>
+      <comment value="Some bindings are defined once internally and used in many places. This extension marks those bindings, to allow for generating the binding information once when generating code. When isCommonBinding is true, bindingName will be the same, and unique (e.g. identify re-uses by looking at bindingName)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-equivalence"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"></url>
+    <version value="4.2.0"></version>
+    <name value="equivalence"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The level of equivalence between the element containing the mapping and the element mapped to."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.mapping"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint"></short>
+      <definition value="The level of equivalence between the element containing the mapping and the element mapped to."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConceptMapEquivalence"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The degree of equivalence between concepts."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint"></short>
+      <definition value="The level of equivalence between the element containing the mapping and the element mapped to."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-equivalence"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConceptMapEquivalence"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The degree of equivalence between concepts."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-namespace"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"></url>
+    <version value="4.2.0"></version>
+    <name value="namespace"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Use this extension to indicate tha the element has an XML namespace different to http://hl7.org/fhir."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="specify namespace other than http://hl7.org/fhir"></short>
+      <definition value="Use this extension to indicate tha the element has an XML namespace different to http://hl7.org/fhir."></definition>
+      <comment value="If this is specified in a structure definition (logical models only), every element has the specified namespace."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="specify namespace other than http://hl7.org/fhir"></short>
+      <definition value="Use this extension to indicate tha the element has an XML namespace different to http://hl7.org/fhir."></definition>
+      <comment value="If this is specified in a structure definition (logical models only), every element has the specified namespace."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-bestpractice"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"></url>
+    <version value="4.2.0"></version>
+    <name value="bestpractice"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Mark that an invariant represents 'best practice' rule - a rule that implementers may choose to enforce at error level in some or all circumstances."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.constraint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mark a warning invariant as 'best practice'"></short>
+      <definition value="Mark that an invariant represents 'best practice' rule - a rule that implementers may choose to enforce at error level in some or all circumstances."></definition>
+      <comment value="Validators may/should offer implementers the choice to enforce invariants labeled as 'best practice' as errors not warnings."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConformanceUseContext"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Indicates the countries, regions, disciplines and other aspects of use within which this artifact is targeted for use."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/use-context"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mark a warning invariant as 'best practice'"></short>
+      <definition value="Mark that an invariant represents 'best practice' rule - a rule that implementers may choose to enforce at error level in some or all circumstances."></definition>
+      <comment value="Validators may/should offer implementers the choice to enforce invariants labeled as 'best practice' as errors not warnings."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConformanceUseContext"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Indicates the countries, regions, disciplines and other aspects of use within which this artifact is targeted for use."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/use-context"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-bestpractice-explanation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"></url>
+    <version value="4.2.0"></version>
+    <name value="bestpractice-explanation"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Explains why an invariant is labelled as a best practice invariant."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.constraint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explains why an invariant is labelled as best practice"></short>
+      <definition value="Explains why an invariant is labelled as a best practice invariant."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explains why an invariant is labelled as best practice"></short>
+      <definition value="Explains why an invariant is labelled as a best practice invariant."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-selector"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"></url>
+    <version value="4.2.0"></version>
+    <name value="selector"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A FHIRPath statement that defines whether an element is in the slice."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FHIRPath that defines the selection criteria for a slice"></short>
+      <definition value="A FHIRPath statement that defines whether an element is in the slice."></definition>
+      <comment value="This extension can only appear on element definitions that are part of a set of slices, and not on the slicing definition itself. If the selector appears in the presence of nominated slices discriminators, then the slicing defined by the discriminator(s) and the selector on each slice must agree. In the absence of any nominated discriminators, then an element is allowed to be in multiple slices."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FHIRPath that defines the selection criteria for a slice"></short>
+      <definition value="A FHIRPath statement that defines whether an element is in the slice."></definition>
+      <comment value="This extension can only appear on element definitions that are part of a set of slices, and not on the slicing definition itself. If the selector appears in the presence of nominated slices discriminators, then the slicing defined by the discriminator(s) and the selector on each slice must agree. In the absence of any nominated discriminators, then an element is allowed to be in multiple slices."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF territory)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-selector"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-translatable"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"></url>
+    <version value="4.2.0"></version>
+    <name value="translatable"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Whether translations might be expected for this element in resource instances."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether translations apply to this element"></short>
+      <definition value="Whether translations might be expected for this element in resource instances."></definition>
+      <comment value="This is a hint to design tools (e.g. profile editors,  UI builders) that translations are likely to be appropriate for this element in countries that are multi-lingual."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether translations apply to this element"></short>
+      <definition value="Whether translations might be expected for this element in resource instances."></definition>
+      <comment value="This is a hint to design tools (e.g. profile editors,  UI builders) that translations are likely to be appropriate for this element in countries that are multi-lingual."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-profile-element"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"></url>
+    <version value="4.2.0"></version>
+    <name value="profile-element"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The specific element to use in the referenced profile. This is used when a backbone element is being profiled, rather than an established type."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.type.profile"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Specific element for profile (for backbone elements)"></short>
+      <definition value="The specific element to use in the referenced profile. This is used when a backbone element is being profiled, rather than an established type."></definition>
+      <comment value="The backbone element cannot be the root of the struture definition, so the starting element must be specified separately."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Specific element for profile (for backbone elements)"></short>
+      <definition value="The specific element to use in the referenced profile. This is used when a backbone element is being profiled, rather than an established type."></definition>
+      <comment value="The backbone element cannot be the root of the struture definition, so the starting element must be specified separately."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-profile-element"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="elementdefinition-pattern"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"></url>
+    <version value="4.2.0"></version>
+    <name value="pattern"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A pattern that all the target resources follow - that is, a pattern that they all declare their relationship to."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.type"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A pattern that the target resources follow"></short>
+      <definition value="A pattern that all the target resources follow - that is, a pattern that they all declare their relationship to."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A pattern that the target resources follow"></short>
+      <definition value="A pattern that all the target resources follow - that is, a pattern that they all declare their relationship to."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/elementdefinition-pattern"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/timing-exact"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="timing-exact"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/timing-exact"></url>
+    <version value="4.2.0"></version>
+    <name value="exact"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - MnM WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/MnM"></value>
+     </telecom>
+    </contact>
+    <description value="If true, indicates that the specified times, frequencies, periods are expected to be adhered to as precisely as possible.  If false, indicates that a typical degree of variability based on institutional and/or patient convenience is acceptable."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Timing.repeat"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether specified times must be followed as closely as possible"></short>
+      <definition value="If true, indicates that the specified times, frequencies, periods are expected to be adhered to as precisely as possible.  If false, indicates that a typical degree of variability based on institutional and/or patient convenience is acceptable."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="GTS.IsFlexible"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-exact"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether specified times must be followed as closely as possible"></short>
+      <definition value="If true, indicates that the specified times, frequencies, periods are expected to be adhered to as precisely as possible.  If false, indicates that a typical degree of variability based on institutional and/or patient convenience is acceptable."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="GTS.IsFlexible"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-exact"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="timing-daysOfCycle"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"></url>
+    <version value="4.2.0"></version>
+    <name value="daysOfCycle"></name>
+    <title value="Days of Cycle"></title>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - MnM WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/MnM"></value>
+     </telecom>
+    </contact>
+    <description value="Days of a possibly repeating cycle on which the action is to be performed. The cycle is defined by the first action with a timing element that is a parent of the daysOfCycle."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="PlanDefinition.action"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="RequestGroup.action"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Days on which the action should be performed"></short>
+      <definition value="Days of a possibly repeating cycle on which the action is to be performed. The cycle is defined by the first action with a timing element that is a parent of the daysOfCycle."></definition>
+      <comment value="The cycle is defined by a parent/containing action, and the daysOfCycle extension is used on individual actions within that cycle to indicate the days of the cycle on which the actions should be performed."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:day">
+      <path value="Extension.extension"></path>
+      <sliceName value="day"></sliceName>
+      <short value="What day to perform"></short>
+      <definition value="An integer that specifies a day on which the action is to be performed (starting at one).  In most cases, the first day of the first cycle will be day 1."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:day.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:day.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:day.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="day"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:day.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Days on which the action should be performed"></short>
+      <definition value="Days of a possibly repeating cycle on which the action is to be performed. The cycle is defined by the first action with a timing element that is a parent of the daysOfCycle."></definition>
+      <comment value="The cycle is defined by a parent/containing action, and the daysOfCycle extension is used on individual actions within that cycle to indicate the days of the cycle on which the actions should be performed."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:day">
+      <path value="Extension.extension"></path>
+      <sliceName value="day"></sliceName>
+      <short value="What day to perform"></short>
+      <definition value="An integer that specifies a day on which the action is to be performed (starting at one).  In most cases, the first day of the first cycle will be day 1."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:day.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:day.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="day"></fixedUri>
+     </element>
+     <element id="Extension.extension:day.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="timing-dayOfMonth"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"></url>
+    <version value="4.2.0"></version>
+    <name value="dayOfMonth"></name>
+    <title value="Day Of Month"></title>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - MnM WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/MnM"></value>
+     </telecom>
+    </contact>
+    <description value="When present, this extension indicate that the event actually only occurs on the specified days of the month, on the times as otherwise specified by the timing schedule."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Timing.repeat"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Day of Month for schedule"></short>
+      <definition value="When present, this extension indicate that the event actually only occurs on the specified days of the month, on the times as otherwise specified by the timing schedule."></definition>
+      <comment value="The value must be an integer in thr range of 0 to 31. Its at the discretion of the implementer what to do if the value of the day is higher than the number of days in a given month."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Day of Month for schedule"></short>
+      <definition value="When present, this extension indicate that the event actually only occurs on the specified days of the month, on the times as otherwise specified by the timing schedule."></definition>
+      <comment value="The value must be an integer in thr range of 0 to 31. Its at the discretion of the implementer what to do if the value of the day is higher than the number of days in a given month."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/timing-dayOfMonth"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="usagecontext-group"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"></url>
+    <version value="4.2.0"></version>
+    <name value="group"></name>
+    <title value="Context Group"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Defines the group in which this usage context is a member. Multiple groups are &quot;OR'ed&quot;, contexts within a group are &quot;AND'ed&quot;."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="UsageContext"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The group which this usage context is part of"></short>
+      <definition value="Defines the group in which this usage context is a member. Multiple groups are &quot;OR'ed&quot;, contexts within a group are &quot;AND'ed&quot;."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The group which this usage context is part of"></short>
+      <definition value="Defines the group in which this usage context is a member. Multiple groups are &quot;OR'ed&quot;, contexts within a group are &quot;AND'ed&quot;."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/usagecontext-group"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-own-name"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"></url>
+    <version value="4.2.0"></version>
+    <name value="own-name"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion derived from person's own surname"></short>
+      <definition value="The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse."></definition>
+      <comment value="If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's &quot;maiden name&quot;."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.3"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (BR)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion derived from person's own surname"></short>
+      <definition value="The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse."></definition>
+      <comment value="If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's &quot;maiden name&quot;."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.3"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (BR)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-name"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-own-prefix"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"></url>
+    <version value="4.2.0"></version>
+    <name value="own-prefix"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Voorvoegsel derived from person's own surname"></short>
+      <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse."></definition>
+      <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.2"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (VV, R)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Voorvoegsel derived from person's own surname"></short>
+      <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse."></definition>
+      <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.2"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (VV, R)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-partner-name"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"></url>
+    <version value="4.2.0"></version>
+    <name value="partner-name"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion derived from person's partner's surname"></short>
+      <definition value="The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name."></definition>
+      <comment value="If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's &quot;maiden name&quot;."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.5"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (SP)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion derived from person's partner's surname"></short>
+      <definition value="The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name."></definition>
+      <comment value="If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's &quot;maiden name&quot;."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.5"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (SP)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-partner-prefix"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"></url>
+    <version value="4.2.0"></version>
+    <name value="partner-prefix"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Voorvoegsel derived from person's partner's surname"></short>
+      <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own."></definition>
+      <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.4"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (VV, SP)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Voorvoegsel derived from person's partner's surname"></short>
+      <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own."></definition>
+      <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="FN.4"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="ENXP where Qualifiers = (VV, SP)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-mothers-family"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"></url>
+    <version value="4.2.0"></version>
+    <name value="mothers-family"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The portion of the family name that is derived from the person's mother."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion of family name derived from mother"></short>
+      <definition value="The portion of the family name that is derived from the person's mother."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion of family name derived from mother"></short>
+      <definition value="The portion of the family name that is derived from the person's mother."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-mothers-family"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-fathers-family"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"></url>
+    <version value="4.2.0"></version>
+    <name value="fathers-family"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The portion of the family name that is derived from the person's father."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName.family"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion of family name derived from father"></short>
+      <definition value="The portion of the family name that is derived from the person's father."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Portion of family name derived from father"></short>
+      <definition value="The portion of the family name that is derived from the person's father."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-fathers-family"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="humanname-assembly-order"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"></url>
+    <version value="4.2.0"></version>
+    <name value="assembly-order"></name>
+    <status value="draft"></status>
+    <date value="2015-11-22"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A code that represents the preferred display order of the components of this human name."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="HumanName"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Preferred display order of name parts"></short>
+      <definition value="A code that represents the preferred display order of the components of this human name."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="HumanNameAssemblyOrder"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A code that represents the preferred display order of the components of a human name."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-assembly-order|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Preferred display order of name parts"></short>
+      <definition value="A code that represents the preferred display order of the components of this human name."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="HumanNameAssemblyOrder"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A code that represents the preferred display order of the components of a human name."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-assembly-order|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="coding-sctdescid"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"></url>
+    <version value="4.2.0"></version>
+    <name value="sctdescid"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The SNOMED CT Description ID for the display."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Coding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SNOMED CT Description ID"></short>
+      <definition value="The SNOMED CT Description ID for the display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="id"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SNOMED CT Description ID"></short>
+      <definition value="The SNOMED CT Description ID for the display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="id"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/quantity-precision"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="quantity-precision"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/quantity-precision"></url>
+    <version value="4.2.0"></version>
+    <name value="precision"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="decimal"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explicit precision (number of significant decimal places)"></short>
+      <definition value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal."></definition>
+      <comment value="The presence of this extension does not change conformance expectations with regard to rendering and calculations that use the number - these are still based on the raw decimal value. Applications that perform calculations SHALL ensure that this extension is removed or updated to the correct precision value if the number is changed. Applications should consider using the exponential form (e.g. 2.10e3) on the raw decimal to manage significant figures, but should be mindful of human display when doing so."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/quantity-precision"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explicit precision (number of significant decimal places)"></short>
+      <definition value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal."></definition>
+      <comment value="The presence of this extension does not change conformance expectations with regard to rendering and calculations that use the number - these are still based on the raw decimal value. Applications that perform calculations SHALL ensure that this extension is removed or updated to the correct precision value if the number is changed. Applications should consider using the exponential form (e.g. 2.10e3) on the raw decimal to manage significant figures, but should be mindful of human display when doing so."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/quantity-precision"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="contactpoint-country"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"></url>
+    <version value="4.2.0"></version>
+    <name value="country"></name>
+    <title value="Country Code"></title>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The country code as defined by the ITU. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ContactPoint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Country code as defined by the ITU"></short>
+      <definition value="The country code as defined by the ITU. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Country code as defined by the ITU"></short>
+      <definition value="The country code as defined by the ITU. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-country"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="contactpoint-area"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"></url>
+    <version value="4.2.0"></version>
+    <name value="area"></name>
+    <title value="Area Code"></title>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The area/zone/city code that, in some areas, may be omitted when dialing locally within the zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ContactPoint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Area/zone/city code"></short>
+      <definition value="The area/zone/city code that, in some areas, may be omitted when dialing locally within the zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Area/zone/city code"></short>
+      <definition value="The area/zone/city code that, in some areas, may be omitted when dialing locally within the zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-area"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="contactpoint-local"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"></url>
+    <version value="4.2.0"></version>
+    <name value="local"></name>
+    <title value="Local Number"></title>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The local number that must be dialed to connect within the area/city/zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ContactPoint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Local number that must always be dialled"></short>
+      <definition value="The local number that must be dialed to connect within the area/city/zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Local number that must always be dialled"></short>
+      <definition value="The local number that must be dialed to connect within the area/city/zone. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-local"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="contactpoint-extension"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"></url>
+    <version value="4.2.0"></version>
+    <name value="extension"></name>
+    <title value="Extension"></title>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The number that may be dialed within a private phone network or after successfully connecting to a private phone network. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ContactPoint"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Number within private network"></short>
+      <definition value="The number that may be dialed within a private phone network or after successfully connecting to a private phone network. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Number within private network"></short>
+      <definition value="The number that may be dialed within a private phone network or after successfully connecting to a private phone network. This extension is used when a system wishes to designate specific parts of a phone number (and potentially place constraints on which components must be present and how they're filled in)."></definition>
+      <comment value="The ContactPoint.value element SHOULD still be populated even if the extension is present."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/contactpoint-extension"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="dosage-conditions"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"></url>
+    <version value="4.2.0"></version>
+    <name value="conditions"></name>
+    <status value="draft"></status>
+    <date value="2019-01-25"></date>
+    <publisher value="Health Level Seven, Inc. - Pharmacy WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/Pharmacy"></value>
+     </telecom>
+    </contact>
+    <description value="Conditions that apply to this set of dosing instructions."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Dosage"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Dosage conditions"></short>
+      <definition value="Conditions that apply to this set of dosing instructions."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal">
+      <path value="Extension.extension"></path>
+      <sliceName value="meetGoal"></sliceName>
+      <short value="Extension"></short>
+      <definition value="Follow the dosage instructions until the specified goal is met."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:meetGoal.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <short value="Extension"></short>
+      <definition value="Specifies the offset before or after the goal is met to follow the instructions."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="goal"></sliceName>
+      <short value="Extension"></short>
+      <definition value="The specific goal to meet to follow the dosage instructions."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="goal"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="meetGoal"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:meetGoal.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger">
+      <path value="Extension.extension"></path>
+      <sliceName value="whenTrigger"></sliceName>
+      <short value="Extension"></short>
+      <definition value="A condition that causes the dosage instructions to be followed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:whenTrigger.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <short value="Extension"></short>
+      <definition value="Specifies the offset before or after the trigger happens to follow the instructions."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="trigger"></sliceName>
+      <short value="Extension"></short>
+      <definition value="The event that causes the dosage instruction to be followed."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="trigger"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="whenTrigger"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:whenTrigger.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition">
+      <path value="Extension.extension"></path>
+      <sliceName value="precondition"></sliceName>
+      <short value="Extension"></short>
+      <definition value="A condition that must (or must not) be present for the dosage instructions to be followed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:precondition.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="doesNotOccur"></sliceName>
+      <short value="Extension"></short>
+      <definition value="If set to 'true', indicates that the condition must not be present for the dosage instructions to be followed."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="doesNotOccur"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="condition"></sliceName>
+      <short value="Extension"></short>
+      <definition value="The event that causes the dosage instruction to be followed."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="condition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="precondition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:precondition.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Dosage conditions"></short>
+      <definition value="Conditions that apply to this set of dosing instructions."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:meetGoal">
+      <path value="Extension.extension"></path>
+      <sliceName value="meetGoal"></sliceName>
+      <definition value="Follow the dosage instructions until the specified goal is met."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:meetGoal.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <definition value="Specifies the offset before or after the goal is met to follow the instructions."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:offset.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Duration"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="goal"></sliceName>
+      <definition value="The specific goal to meet to follow the dosage instructions."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="goal"></fixedUri>
+     </element>
+     <element id="Extension.extension:meetGoal.extension:goal.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:meetGoal.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="meetGoal"></fixedUri>
+     </element>
+     <element id="Extension.extension:meetGoal.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:whenTrigger">
+      <path value="Extension.extension"></path>
+      <sliceName value="whenTrigger"></sliceName>
+      <definition value="A condition that causes the dosage instructions to be followed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <definition value="Specifies the offset before or after the trigger happens to follow the instructions."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:offset.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Duration"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="trigger"></sliceName>
+      <definition value="The event that causes the dosage instruction to be followed."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="trigger"></fixedUri>
+     </element>
+     <element id="Extension.extension:whenTrigger.extension:trigger.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:whenTrigger.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="whenTrigger"></fixedUri>
+     </element>
+     <element id="Extension.extension:whenTrigger.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:precondition">
+      <path value="Extension.extension"></path>
+      <sliceName value="precondition"></sliceName>
+      <definition value="A condition that must (or must not) be present for the dosage instructions to be followed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:precondition.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="doesNotOccur"></sliceName>
+      <definition value="If set to 'true', indicates that the condition must not be present for the dosage instructions to be followed."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="doesNotOccur"></fixedUri>
+     </element>
+     <element id="Extension.extension:precondition.extension:doesNotOccur.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="condition"></sliceName>
+      <definition value="The event that causes the dosage instruction to be followed."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="condition"></fixedUri>
+     </element>
+     <element id="Extension.extension:precondition.extension:condition.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:precondition.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="precondition"></fixedUri>
+     </element>
+     <element id="Extension.extension:precondition.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/dosage-conditions"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="identifier-validDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"></url>
+    <version value="4.2.0"></version>
+    <name value="validDate"></name>
+    <status value="draft"></status>
+    <date value="2015-02-28"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates a date on which this identifier value was deemed to apply to this instance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Identifier"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="External Identifier associated with this element"></short>
+      <definition value="Indicates a date on which this identifier value was deemed to apply to this instance."></definition>
+      <comment value="When referencing business objects where an identifier might not be globally unique but is instead re-used, allows determination of which object applies (on the presumption that the identifiers on the referenced object have an identifier.period or other metadata that indicates when that identifier was valid for the business object)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="External Identifier associated with this element"></short>
+      <definition value="Indicates a date on which this identifier value was deemed to apply to this instance."></definition>
+      <comment value="When referencing business objects where an identifier might not be globally unique but is instead re-used, allows determination of which object applies (on the presumption that the identifiers on the referenced object have an identifier.period or other metadata that indicates when that identifier was valid for the business object)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/identifier-validDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-partOf"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="event-partOf"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/event-partOf"></url>
+    <version value="4.2.0"></version>
+    <name value="partOf"></name>
+    <title value="Part Of"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="A larger event of which this particular event is a component or step."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Part of referenced event"></short>
+      <definition value="A larger event of which this particular event is a component or step."></definition>
+      <comment value="Not to be used to link an event to an Encounter - use Event.context for that.

[The allowed reference resources may be adjusted as appropriate for the event resource]."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.partOf"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-partOf"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Part of referenced event"></short>
+      <definition value="A larger event of which this particular event is a component or step."></definition>
+      <comment value="Not to be used to link an event to an Encounter - use Event.context for that.

[The allowed reference resources may be adjusted as appropriate for the event resource]."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.partOf"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-partOf"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-statusReason"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="event-statusReason"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/event-statusReason"></url>
+    <version value="4.2.0"></version>
+    <name value="statusReason"></name>
+    <title value="Reason for current status"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Captures the reason for the current state of the resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyDelivery"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceUseStatement"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reason for current status"></short>
+      <definition value="Captures the reason for the current state of the resource."></definition>
+      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;, &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the event at all is captured in reasonCode, not here.
(distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.statusReason"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-statusReason"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StatusReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes identifying the reason for the current state of an event."></description>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reason for current status"></short>
+      <definition value="Captures the reason for the current state of the resource."></definition>
+      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;, &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the event at all is captured in reasonCode, not here.
(distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.statusReason"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-statusReason"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StatusReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes identifying the reason for the current state of an event."></description>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="event-eventHistory"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"></url>
+    <version value="4.2.0"></version>
+    <name value="eventHistory"></name>
+    <title value="Event History"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Links to *Provenance* records for past versions of this resource that document  key state transitions or updates that are deemed “relevant” or important to a user looking at the current version of the resource. E.g, when an observation was verified or corrected.  This extension does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The *Provenance* for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Task"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyDelivery"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceUseStatement"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Events of interest in the resource lifecycle"></short>
+      <definition value="Links to *Provenance* records for past versions of this resource that document  key state transitions or updates that are deemed “relevant” or important to a user looking at the current version of the resource. E.g, when an observation was verified or corrected.  This extension does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The *Provenance* for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></definition>
+      <comment value="May reference only *Provenance* resources deemed “relevant” or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Events of interest in the resource lifecycle"></short>
+      <definition value="Links to *Provenance* records for past versions of this resource that document  key state transitions or updates that are deemed “relevant” or important to a user looking at the current version of the resource. E.g, when an observation was verified or corrected.  This extension does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The *Provenance* for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></definition>
+      <comment value="May reference only *Provenance* resources deemed “relevant” or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-eventHistory"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="event-performerFunction"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"></url>
+    <version value="4.2.0"></version>
+    <name value="performerFunction"></name>
+    <title value="Performer Function"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Distinguishes the type of involvement of the performer in the event. For example, 'author',  'verifier' or 'responsible party'."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation.performer"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport.performer"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference.author"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent.performer"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Type of performance"></short>
+      <definition value="Distinguishes the type of involvement of the performer in the event. For example, 'author',  'verifier' or 'responsible party'."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.performer.function"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PerformerFunction"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/performer-function"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Type of performance"></short>
+      <definition value="Distinguishes the type of involvement of the performer in the event. For example, 'author',  'verifier' or 'responsible party'."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.performer.function"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-performerFunction"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PerformerFunction"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/performer-function"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-basedOn"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="event-basedOn"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/event-basedOn"></url>
+    <version value="4.2.0"></version>
+    <name value="basedOn"></name>
+    <title value="Based On"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="A plan, proposal or order that is fulfilled in whole or in part by this event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Fulfills plan, proposal or order"></short>
+      <definition value="A plan, proposal or order that is fulfilled in whole or in part by this event."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.basedOn"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="ORC in proximity to EVN segment"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=FLFS].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-basedOn"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Fulfills plan, proposal or order"></short>
+      <definition value="A plan, proposal or order that is fulfilled in whole or in part by this event."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.basedOn"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="ORC in proximity to EVN segment"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=FLFS].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-basedOn"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/event-location"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="event-location"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/event-location"></url>
+    <version value="4.2.0"></version>
+    <name value="location"></name>
+    <title value="Event Location"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="The principal physical location where the {{title}} was performed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyDelivery"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where event occurred"></short>
+      <definition value="The principal physical location where the {{title}} was performed."></definition>
+      <comment value="May reference only *Provenance* resources deemed “relevant” or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.location"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="EVN.7"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".participation[typeCode=LOC].role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-location"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where event occurred"></short>
+      <definition value="The principal physical location where the {{title}} was performed."></definition>
+      <comment value="May reference only *Provenance* resources deemed “relevant” or important. This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a [` _revinclude`](search.html#revinclude)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.location"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="EVN.7"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".participation[typeCode=LOC].role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/event-location"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-statusReason"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="request-statusReason"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/request-statusReason"></url>
+    <version value="4.2.0"></version>
+    <name value="statusReason"></name>
+    <title value="Reason for current status"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Captures the reason for the current state of the resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reason for current status"></short>
+      <definition value="Captures the reason for the current state of the resource."></definition>
+      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the request at all is captured in reasonCode, not here.  (Distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-statusReason"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StatusReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes identifying the reason for the current state of an event."></description>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reason for current status"></short>
+      <definition value="Captures the reason for the current state of the resource."></definition>
+      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot; or &quot;cancelled&quot;.  The reason for performing the request at all is captured in reasonCode, not here.  (Distinct reason codes for different statuses can be enforced using invariants if they are universal bindings)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-statusReason"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StatusReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes identifying the reason for the current state of an event."></description>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="request-doNotPerform"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"></url>
+    <version value="4.2.0"></version>
+    <name value="doNotPerform"></name>
+    <title value="Do Not Perfom"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="If true indicates that the request is asking for the specified action to not occur."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="true if request is prohibiting action"></short>
+      <definition value="If true indicates that the request is asking for the specified action to not occur."></definition>
+      <comment value="The attributes provided with the request qualify what is not to be done. For example, if an effectiveTime is provided, the &quot;do not&quot; request only applies within the specified time. If a performerType is specified then the &quot;do not&quot; request only applies to performers of that type. Qualifiers include: code, subject, occurrence, perormerType and performer.

In some cases, the Request.code may pre-coordinate prohibition into the requested action. E.g. &quot;NPO&quot; (nothing by mouth), &quot;DNR&quot; (do not recussitate). If this happens, doNotPerform SHALL NOT be set to true. I.e. The resource shall not have double negation. (E.g. &quot;Do not DNR&quot;)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."></isModifierReason>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="true if request is prohibiting action"></short>
+      <definition value="If true indicates that the request is asking for the specified action to not occur."></definition>
+      <comment value="The attributes provided with the request qualify what is not to be done. For example, if an effectiveTime is provided, the &quot;do not&quot; request only applies within the specified time. If a performerType is specified then the &quot;do not&quot; request only applies to performers of that type. Qualifiers include: code, subject, occurrence, perormerType and performer.

In some cases, the Request.code may pre-coordinate prohibition into the requested action. E.g. &quot;NPO&quot; (nothing by mouth), &quot;DNR&quot; (do not recussitate). If this happens, doNotPerform SHALL NOT be set to true. I.e. The resource shall not have double negation. (E.g. &quot;Do not DNR&quot;)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur."></isModifierReason>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-doNotPerform"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-insurance"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="request-insurance"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/request-insurance"></url>
+    <version value="4.2.0"></version>
+    <name value="insurance"></name>
+    <title value="Insurance"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated insurance coverage"></short>
+      <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="IN1/IN2"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=COVBY].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-insurance"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated insurance coverage"></short>
+      <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="IN1/IN2"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=COVBY].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-insurance"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="request-relevantHistory"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"></url>
+    <version value="4.2.0"></version>
+    <name value="relevantHistory"></name>
+    <title value="Relevant History"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CommunicationRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Key events in history of request"></short>
+      <definition value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."></definition>
+      <comment value="This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.  Referenced provenances should adhere to the provenance-relevant-history profile."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Key events in history of request"></short>
+      <definition value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."></definition>
+      <comment value="This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.  Referenced provenances should adhere to the provenance-relevant-history profile."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-relevantHistory"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-replaces"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="request-replaces"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/request-replaces"></url>
+    <version value="4.2.0"></version>
+    <name value="replaces"></name>
+    <title value="Replaces"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Completed or terminated request(s) whose function is taken by this new request."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Request(s) replaced by this request"></short>
+      <definition value="Completed or terminated request(s) whose function is taken by this new request."></definition>
+      <comment value="The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Handled by message location of ORC (ORC.1=RO or RU)"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=RPLC].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-replaces"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Request(s) replaced by this request"></short>
+      <definition value="Completed or terminated request(s) whose function is taken by this new request."></definition>
+      <comment value="The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Handled by message location of ORC (ORC.1=RO or RU)"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=RPLC].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-replaces"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="request-performerOrder"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"></url>
+    <version value="4.2.0"></version>
+    <name value="performerOrder"></name>
+    <title value="Performer Order"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the relative preference of alternative performers when the request lists multiple performers."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest.performer"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Performer Order"></short>
+      <definition value="Identifies the relative preference of alternative performers when the request lists multiple performers."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Performer Order"></short>
+      <definition value="Identifies the relative preference of alternative performers when the request lists multiple performers."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/request-performerOrder"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-instantiatesCanonical"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"></url>
+    <version value="4.2.0"></version>
+    <name value="instantiatesCanonical"></name>
+    <title value="Definition"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyDelivery"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CommunicationRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FHIR protocol or definition"></short>
+      <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.instantiates"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=DEFN].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FHIR protocol or definition"></short>
+      <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.instantiates"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=DEFN].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-instantiatesUri"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"></url>
+    <version value="4.2.0"></version>
+    <name value="instantiatesUri"></name>
+    <title value="Definition"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyDelivery"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CommunicationRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="External protocol or definition"></short>
+      <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."></definition>
+      <comment value="This may be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.instantiates"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=DEFN].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="External protocol or definition"></short>
+      <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by the event or request resource."></definition>
+      <comment value="This may be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.instantiates"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="Varies by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=DEFN].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesUri"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-reasonCode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"></url>
+    <version value="4.2.0"></version>
+    <name value="reasonCode"></name>
+    <title value="Reason Code"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Describes why the event occurred in coded or textual form."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Why was event performed?"></short>
+      <definition value="Describes why the event occurred in coded or textual form."></definition>
+      <comment value="For free text (uncoded data) use reasonCode.text."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.reasonCode"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="EVN.4 or by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".reasonCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EventReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Why was event performed?"></short>
+      <definition value="Describes why the event occurred in coded or textual form."></definition>
+      <comment value="For free text (uncoded data) use reasonCode.text."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.reasonCode"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="EVN.4 or by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".reasonCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonCode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EventReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-reasonReference"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"></url>
+    <version value="4.2.0"></version>
+    <name value="reasonReference"></name>
+    <title value="Reason Reference"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates another resource whose existence justifies this event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Why was event performed?"></short>
+      <definition value="Indicates another resource whose existence justifies this event."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.reasonReference"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="EVN.4 or by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=RSON].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Why was event performed?"></short>
+      <definition value="Indicates another resource whose existence justifies this event."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.reasonReference"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="EVN.4 or by domain"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=RSON].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-reasonReference"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-supportingInfo"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"></url>
+    <version value="4.2.0"></version>
+    <name value="supportingInfo"></name>
+    <title value="Supporting Information"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Other resources *from the patient record* that may be relevant to the event.  The information from these resources was either used to create the instance or is provided to help with its interpretation.  This extension **should not** be used if more specific  inline elements  or extensions are available.  For example, use `Observation.hasMember`  instead of supportingInformation for  representing the members of an Observation panel."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CommunicationRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Other information that may be relevant to this event."></short>
+      <definition value="Other resources *from the patient record* that may be relevant to the event.  The information from these resources was either used to create the instance or is provided to help with its interpretation.  This extension **should not** be used if more specific  inline elements  or extensions are available.  For example, use `Observation.hasMember`  instead of supportingInformation for  representing the members of an Observation panel."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Other information that may be relevant to this event."></short>
+      <definition value="Other resources *from the patient record* that may be relevant to the event.  The information from these resources was either used to create the instance or is provided to help with its interpretation.  This extension **should not** be used if more specific  inline elements  or extensions are available.  For example, use `Observation.hasMember`  instead of supportingInformation for  representing the members of an Observation panel."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-relatedArtifact"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"></url>
+    <version value="4.2.0"></version>
+    <name value="relatedArtifact"></name>
+    <title value="Related Artifact"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Documentation  or 'knowledge artifacts' relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Documentation relevant to the 'parent' resource"></short>
+      <definition value="Documentation  or 'knowledge artifacts' relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology."></definition>
+      <comment value="Note that in contrast this extension, the [supportingInfo extension](extension-workflow-supportinginfo.html) references other resources *from the patient record* that were used in creating the resource."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Documentation relevant to the 'parent' resource"></short>
+      <definition value="Documentation  or 'knowledge artifacts' relevant to the base resource such as citations, supporting evidence, documentation of processes, caveats around testing methodology."></definition>
+      <comment value="Note that in contrast this extension, the [supportingInfo extension](extension-workflow-supportinginfo.html) references other resources *from the patient record* that were used in creating the resource."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-researchStudy"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"></url>
+    <version value="4.2.0"></version>
+    <name value="researchStudy"></name>
+    <title value="Associated Study"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates that this event is relevant to the specified research study(ies)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Composition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceUseStatement"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Encounter"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Immunization"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="MedicationAdministration"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="MedicationDispense"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="MedicationUsage"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="RiskAssessment"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SupplyDelivery"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Task"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated research study"></short>
+      <definition value="Indicates that this event is relevant to the specified research study(ies)."></definition>
+      <comment value="This relevance might mean that the even occurred as part of the study protocol, but can also include events that occurred outside the study but still have relevance (e.g. adverse events, co-occurring medications, unexpected Observations, etc.)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.researchStudy"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=PERT].target[classCode=CLNTRL, moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated research study"></short>
+      <definition value="Indicates that this event is relevant to the specified research study(ies)."></definition>
+      <comment value="This relevance might mean that the even occurred as part of the study protocol, but can also include events that occurred outside the study but still have relevance (e.g. adverse events, co-occurring medications, unexpected Observations, etc.)."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.researchStudy"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=PERT].target[classCode=CLNTRL, moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-researchStudy"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="workflow-episodeOfCare"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"></url>
+    <version value="4.2.0"></version>
+    <name value="episodeOfCare"></name>
+    <title value="Episode of Care"></title>
+    <status value="draft"></status>
+    <date value="2017-12-06"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fwg"></value>
+     </telecom>
+    </contact>
+    <description value="The episode(s) of care that establishes the context for this {{title}}."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DocumentReference"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceUseStatement"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="AdverseEvent"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CarePlan"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ClinicalImpression"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Communication"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CommunicationRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated Encounter episode of care"></short>
+      <definition value="The episode(s) of care that establishes the context for this {{title}}."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated Encounter episode of care"></short>
+      <definition value="The episode(s) of care that establishes the context for this {{title}}."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".inboundRelationship(typeCode=COMP].source[classCode&lt;=PCPR, moodCode=EVN]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-qualityOfEvidence"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"></url>
+    <version value="4.2.0"></version>
+    <name value="qualityOfEvidence"></name>
+    <title value="qualityOfEvidence"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Attachment"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The quality of the evidence"></short>
+      <definition value="The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QualityOfEvidenceRating"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/evidence-quality"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The quality of the evidence"></short>
+      <definition value="The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QualityOfEvidenceRating"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/evidence-quality"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-strengthOfRecommendation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"></url>
+    <version value="4.2.0"></version>
+    <name value="strengthOfRecommendation"></name>
+    <title value="strengthOfRecommendation"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Attachment"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The strength of the recommendation"></short>
+      <definition value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StrengthOfRecommendationRating"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/recommendation-strength"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The strength of the recommendation"></short>
+      <definition value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StrengthOfRecommendationRating"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/recommendation-strength"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-citation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-citation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-citation"></url>
+    <version value="4.2.0"></version>
+    <name value="citation"></name>
+    <title value="citation"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="A bibliographic citation for the related resource. This text SHOULD be formatted according to an accepted citation format."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Attachment"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Bibliographic citation for the resource"></short>
+      <definition value="A bibliographic citation for the related resource. This text SHOULD be formatted according to an accepted citation format."></definition>
+      <comment value="Additional structured information about citations should be captured as extensions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-citation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Bibliographic citation for the resource"></short>
+      <definition value="A bibliographic citation for the related resource. This text SHOULD be formatted according to an accepted citation format."></definition>
+      <comment value="Additional structured information about citations should be captured as extensions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-citation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-library"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-library"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-library"></url>
+    <version value="4.2.0"></version>
+    <name value="library"></name>
+    <title value="library"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="A reference to a Library containing the formal logic used by the artifact."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A library containing logic used by the artifact"></short>
+      <definition value="A reference to a Library containing the formal logic used by the artifact."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-library"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A library containing logic used by the artifact"></short>
+      <definition value="A reference to a Library containing the formal logic used by the artifact."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-library"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-expression"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-expression"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-expression"></url>
+    <version value="4.2.0"></version>
+    <name value="expression"></name>
+    <title value="expression"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="An expression that, when evaluated, provides the value for the element on which it appears."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An dynamic expression"></short>
+      <definition value="An expression that, when evaluated, provides the value for the element on which it appears."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-expression"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An dynamic expression"></short>
+      <definition value="An expression that, when evaluated, provides the value for the element on which it appears."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-expression"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Expression"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-initialValue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"></url>
+    <version value="4.2.0"></version>
+    <name value="initialValue"></name>
+    <title value="initialValue"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The name of an expression in a referenced library that determines an initial value."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An initial value expression"></short>
+      <definition value="The name of an expression in a referenced library that determines an initial value."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An initial value expression"></short>
+      <definition value="The name of an expression in a referenced library that determines an initial value."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initialValue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-calculatedValue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"></url>
+    <version value="4.2.0"></version>
+    <name value="calculatedValue"></name>
+    <title value="calculatedValue"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The name of an expression in a referenced library that determines a calculated value."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A calculated value"></short>
+      <definition value="The name of an expression in a referenced library that determines a calculated value."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A calculated value"></short>
+      <definition value="The name of an expression in a referenced library that determines a calculated value."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-measureInfo"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"></url>
+    <version value="4.2.0"></version>
+    <name value="measureInfo"></name>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The measure criteria that resulted in the resource being included in a particular evaluatedResources bundle."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Measure criteria for the resource"></short>
+      <definition value="The measure criteria that resulted in the resource being included in a particular evaluatedResources bundle."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:measure">
+      <path value="Extension.extension"></path>
+      <sliceName value="measure"></sliceName>
+      <short value="The measure being calculated"></short>
+      <definition value="The measure that resulted in this resource being included in the measure report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:measure.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:measure.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:measure.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="measure"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:measure.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:groupId">
+      <path value="Extension.extension"></path>
+      <sliceName value="groupId"></sliceName>
+      <short value="The group identifier"></short>
+      <definition value="The group within the measure that resulted in this resource being included in the measure report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:groupId.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:groupId.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:groupId.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="groupId"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:groupId.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:populationId">
+      <path value="Extension.extension"></path>
+      <sliceName value="populationId"></sliceName>
+      <short value="The population identifier"></short>
+      <definition value="The population within the measure that resulted in this resource being included in the measure report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:populationId.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:populationId.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:populationId.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="populationId"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:populationId.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Measure criteria for the resource"></short>
+      <definition value="The measure criteria that resulted in the resource being included in a particular evaluatedResources bundle."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:measure">
+      <path value="Extension.extension"></path>
+      <sliceName value="measure"></sliceName>
+      <short value="The measure being calculated"></short>
+      <definition value="The measure that resulted in this resource being included in the measure report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:measure.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:measure.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="measure"></fixedUri>
+     </element>
+     <element id="Extension.extension:measure.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:groupId">
+      <path value="Extension.extension"></path>
+      <sliceName value="groupId"></sliceName>
+      <short value="The group identifier"></short>
+      <definition value="The group within the measure that resulted in this resource being included in the measure report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:groupId.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:groupId.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="groupId"></fixedUri>
+     </element>
+     <element id="Extension.extension:groupId.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:populationId">
+      <path value="Extension.extension"></path>
+      <sliceName value="populationId"></sliceName>
+      <short value="The population identifier"></short>
+      <definition value="The population within the measure that resulted in this resource being included in the measure report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:populationId.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:populationId.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="populationId"></fixedUri>
+     </element>
+     <element id="Extension.extension:populationId.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-initiatingOrganization"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"></url>
+    <version value="4.2.0"></version>
+    <name value="initiatingOrganization"></name>
+    <title value="initiatingOrganization"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The organization initiating the request."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The organization initiating the request."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The organization initiating the request."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingOrganization"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-initiatingPerson"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"></url>
+    <version value="4.2.0"></version>
+    <name value="initiatingPerson"></name>
+    <title value="initiatingPerson"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The person initiating the request."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The person initiating the request."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The person initiating the request."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-initiatingPerson"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-systemUserType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"></url>
+    <version value="4.2.0"></version>
+    <name value="systemUserType"></name>
+    <title value="systemUserType"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The type of user initiating the request"></short>
+      <definition value="The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The type of user initiating the request"></short>
+      <definition value="The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-systemUserLanguage"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"></url>
+    <version value="4.2.0"></version>
+    <name value="systemUserLanguage"></name>
+    <title value="systemUserLanguage"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="Preferred language of the person using the system."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="Preferred language of the person using the system."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="Preferred language of the person using the system."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserLanguage"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-systemUserTaskContext"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"></url>
+    <version value="4.2.0"></version>
+    <name value="systemUserTaskContext"></name>
+    <title value="systemUserTaskContext"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The task the system user is performing"></short>
+      <definition value="The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The task the system user is performing"></short>
+      <definition value="The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-systemUserTaskContext"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-receivingOrganization"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"></url>
+    <version value="4.2.0"></version>
+    <name value="receivingOrganization"></name>
+    <title value="receivingOrganization"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The organization that will receive the response."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The organization that will receive the response."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The organization that will receive the response."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingOrganization"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-receivingPerson"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"></url>
+    <version value="4.2.0"></version>
+    <name value="receivingPerson"></name>
+    <title value="receivingPerson"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The person in the receiving organization that will receive the response."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The person in the receiving organization that will receive the response."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The person in the receiving organization that will receive the response."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-receivingPerson"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Person"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-recipientType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"></url>
+    <version value="4.2.0"></version>
+    <name value="recipientType"></name>
+    <title value="recipientType"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The type of individual that will consume the response content. This may be different from the requesting user type (e.g. if a clinician is getting disease management guidance for provision to a patient). E.g. patient, healthcare provider or specific type of healthcare provider (physician, nurse, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-recipientLanguage"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"></url>
+    <version value="4.2.0"></version>
+    <name value="recipientLanguage"></name>
+    <title value="recipientLanguage"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="Preferred language of the person that will consume the content."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="Preferred language of the person that will consume the content."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="Preferred language of the person that will consume the content."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-recipientLanguage"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-encounterClass"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"></url>
+    <version value="4.2.0"></version>
+    <name value="encounterClass"></name>
+    <title value="encounterClass"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The class of encounter (inpatient, outpatient, etc.)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The class of encounter (inpatient, outpatient, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The class of encounter (inpatient, outpatient, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterClass"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-encounterType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"></url>
+    <version value="4.2.0"></version>
+    <name value="encounterType"></name>
+    <title value="encounterType"></title>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="The type of the encounter."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Basic"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The type of the encounter."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The type of the encounter."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-encounterType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-relativeDateTime"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"></url>
+    <version value="4.2.0"></version>
+    <name value="relativeDateTime"></name>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="A date/time value that is determined based on a duration offset from a target event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A date/time that is specified relative to another event"></short>
+      <definition value="A date/time value that is determined based on a duration offset from a target event."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:target">
+      <path value="Extension.extension"></path>
+      <sliceName value="target"></sliceName>
+      <short value="Relative to what event"></short>
+      <definition value="The event that the date/time value is relative to."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:target.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:target.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:target.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="target"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:target.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:targetPath">
+      <path value="Extension.extension"></path>
+      <sliceName value="targetPath"></sliceName>
+      <short value="Relative to which element on the event"></short>
+      <definition value="The path to the element that defines the effective period for the event that the date/time value is relative to."></definition>
+      <comment value="The specified path must be resolvable from the type of the target. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:targetPath.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:targetPath.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:targetPath.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="targetPath"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:targetPath.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:relationship">
+      <path value="Extension.extension"></path>
+      <sliceName value="relationship"></sliceName>
+      <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"></short>
+      <definition value="The relationship to the effective period of the target event that the date/time value is relative to."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:relationship.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:relationship.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:relationship.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="relationship"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:relationship.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ActionRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A type that describes how two events are related in time."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:offset">
+      <path value="Extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <short value="How long"></short>
+      <definition value="A duration or range of durations that specifies the offset between the date/time value and the target event. For example, 30-60 minutes before."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:offset.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:offset.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:offset.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:offset.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A date/time that is specified relative to another event"></short>
+      <definition value="A date/time value that is determined based on a duration offset from a target event."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:target">
+      <path value="Extension.extension"></path>
+      <sliceName value="target"></sliceName>
+      <short value="Relative to what event"></short>
+      <definition value="The event that the date/time value is relative to."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:target.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:target.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="target"></fixedUri>
+     </element>
+     <element id="Extension.extension:target.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:targetPath">
+      <path value="Extension.extension"></path>
+      <sliceName value="targetPath"></sliceName>
+      <short value="Relative to which element on the event"></short>
+      <definition value="The path to the element that defines the effective period for the event that the date/time value is relative to."></definition>
+      <comment value="The specified path must be resolvable from the type of the target. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements. Note that the index must be an integer constant."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:targetPath.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:targetPath.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="targetPath"></fixedUri>
+     </element>
+     <element id="Extension.extension:targetPath.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:relationship">
+      <path value="Extension.extension"></path>
+      <sliceName value="relationship"></sliceName>
+      <short value="before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end"></short>
+      <definition value="The relationship to the effective period of the target event that the date/time value is relative to."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:relationship.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:relationship.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="relationship"></fixedUri>
+     </element>
+     <element id="Extension.extension:relationship.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ActionRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A type that describes how two events are related in time."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:offset">
+      <path value="Extension.extension"></path>
+      <sliceName value="offset"></sliceName>
+      <short value="How long"></short>
+      <definition value="A duration or range of durations that specifies the offset between the date/time value and the target event. For example, 30-60 minutes before."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:offset.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:offset.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="offset"></fixedUri>
+     </element>
+     <element id="Extension.extension:offset.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-relativeDateTime"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqf-cdsHooksEndpoint"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"></url>
+    <version value="4.2.0"></version>
+    <name value="cdsHooksEndpoint"></name>
+    <status value="draft"></status>
+    <date value="2015-05-30"></date>
+    <publisher value="Health Level Seven, Inc. - CDS WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/dss"></value>
+     </telecom>
+    </contact>
+    <description value="Specifies the URI of a CDS Hooks service that uses this PlanDefinition as its implementation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="PlanDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Surface this ECA Rule here"></short>
+      <definition value="Specifies the URI of a CDS Hooks service that uses this PlanDefinition as its implementation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Surface this ECA Rule here"></short>
+      <definition value="Specifies the URI of a CDS Hooks service that uses this PlanDefinition as its implementation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="parameters-fullUrl"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"></url>
+    <version value="4.2.0"></version>
+    <name value="fullUrl"></name>
+    <title value="fullUrl for resource"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="This specifies the fullUrl for the resource in parameters.resource, if there is one. When fullUrl is provided, ithe [resource resolution method described for Bundle](bundle.html#references)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Parameters.parameter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="fullUrl for resource"></short>
+      <definition value="This specifies the fullUrl for the resource in parameters.resource, if there is one. When fullUrl is provided, ithe [resource resolution method described for Bundle](bundle.html#references)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="fullUrl for resource"></short>
+      <definition value="This specifies the fullUrl for the resource in parameters.resource, if there is one. When fullUrl is provided, ithe [resource resolution method described for Bundle](bundle.html#references)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/parameters-fullUrl"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="resource-approvalDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"></url>
+    <version value="4.2.0"></version>
+    <name value="approvalDate"></name>
+    <title value="Approval Date"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SearchParameter"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CompartmentDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ImplementationGuide"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ConceptMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NamingSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When resource approved by publisher"></short>
+      <definition value="The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage."></definition>
+      <comment value="The date may be more recent than the approval date because of minor changes / editorial corrections."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When resource approved by publisher"></short>
+      <definition value="The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage."></definition>
+      <comment value="The date may be more recent than the approval date because of minor changes / editorial corrections."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-approvalDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="resource-lastReviewDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"></url>
+    <version value="4.2.0"></version>
+    <name value="lastReviewDate"></name>
+    <title value="Last Review Date"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SearchParameter"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CompartmentDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ImplementationGuide"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ConceptMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NamingSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Last review date for the resource"></short>
+      <definition value="The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date."></definition>
+      <comment value="If specified, this is usually after the approval date."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Last review date for the resource"></short>
+      <definition value="The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date."></definition>
+      <comment value="If specified, this is usually after the approval date."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="resource-effectivePeriod"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"></url>
+    <version value="4.2.0"></version>
+    <name value="effectivePeriod"></name>
+    <title value="Effective Period"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The period during which the resource content was or is planned to be effective."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="SearchParameter"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CompartmentDefinition"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ImplementationGuide"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ConceptMap"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="NamingSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The effective date range for the resource"></short>
+      <definition value="The period during which the resource content was or is planned to be effective."></definition>
+      <comment value="The effective period for a resource  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The effective date range for the resource"></short>
+      <definition value="The period during which the resource content was or is planned to be effective."></definition>
+      <comment value="The effective period for a resource  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 would be published in 2015."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Period"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="resource-pertainsToGoal"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"></url>
+    <version value="4.2.0"></version>
+    <name value="pertainsToGoal"></name>
+    <title value="pertains to goal"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to exercise pertainsToGoal of losing weight."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Resource"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Pertains to goal"></short>
+      <definition value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to exercise pertainsToGoal of losing weight."></definition>
+      <comment value="This extension is  limited to subject-specific activity-related resources (events &amp; intents).  I.e. This can't be put on Goal or Patient.  This association isn't for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Pertains to goal"></short>
+      <definition value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to exercise pertainsToGoal of losing weight."></definition>
+      <comment value="This extension is  limited to subject-specific activity-related resources (events &amp; intents).  I.e. This can't be put on Goal or Patient.  This association isn't for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="goal-reasonRejected"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"></url>
+    <version value="4.2.0"></version>
+    <name value="reasonRejected"></name>
+    <title value="reason rejected"></title>
+    <status value="draft"></status>
+    <date value="2014-12-07"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="The reason the goal was not accepted. Applies only if the status of the goal is rejected."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="qdm"></identity>
+     <uri value="http://www.healthit.gov/quality-data-model"></uri>
+     <name value="Quality Data Model"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Goal"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The reason the goal was not accepted"></short>
+      <definition value="The reason the goal was not accepted. Applies only if the status of the goal is rejected."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="qdm"></identity>
+       <map value="negation rationale"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The reason the goal was not accepted"></short>
+      <definition value="The reason the goal was not accepted. Applies only if the status of the goal is rejected."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="qdm"></identity>
+       <map value="negation rationale"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/goal-relationship"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="goal-relationship"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/goal-relationship"></url>
+    <version value="4.2.0"></version>
+    <name value="relationship"></name>
+    <title value="related goal"></title>
+    <status value="draft"></status>
+    <date value="2014-12-07"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Establishes a relationship between this goal and other goals."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Goal"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Goals related to this Goal"></short>
+      <definition value="Establishes a relationship between this goal and other goals."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="predecessor | successor | replacement | other"></short>
+      <definition value="Identifies what kind of relationship exists between source and target goal."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GoalRelationshipType"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Types of relationships between two goals."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-relationship-type"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:target">
+      <path value="Extension.extension"></path>
+      <sliceName value="target"></sliceName>
+      <short value="Related goal"></short>
+      <definition value="The goal the relationship exists with."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:target.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:target.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:target.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="target"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:target.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-relationship"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Goals related to this Goal"></short>
+      <definition value="Establishes a relationship between this goal and other goals."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="predecessor | successor | replacement | other"></short>
+      <definition value="Identifies what kind of relationship exists between source and target goal."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GoalRelationshipType"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Types of relationships between two goals."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-relationship-type"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:target">
+      <path value="Extension.extension"></path>
+      <sliceName value="target"></sliceName>
+      <short value="Related goal"></short>
+      <definition value="The goal the relationship exists with."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:target.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:target.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="target"></fixedUri>
+     </element>
+     <element id="Extension.extension:target.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Goal"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-relationship"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="goal-acceptance"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"></url>
+    <version value="4.2.0"></version>
+    <name value="acceptance"></name>
+    <title value="Goal acceptance"></title>
+    <status value="draft"></status>
+    <date value="2014-12-07"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Goal"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Individual acceptance of goal"></short>
+      <definition value="Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:individual">
+      <path value="Extension.extension"></path>
+      <sliceName value="individual"></sliceName>
+      <short value="Individual whose acceptance is reflected"></short>
+      <definition value="The person whose acceptance/priority is being reflected."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:individual.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:individual.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:individual.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="individual"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:individual.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:status">
+      <path value="Extension.extension"></path>
+      <sliceName value="status"></sliceName>
+      <short value="agree | disagree | pending"></short>
+      <definition value="Indicates whether the specified individual has accepted the goal or not."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:status.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:status.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:status.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="status"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:status.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GoalAcceptanceStatus"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes indicating whether the goal has been accepted by a stakeholder."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-acceptance-status|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:priority">
+      <path value="Extension.extension"></path>
+      <sliceName value="priority"></sliceName>
+      <short value="Priority of goal for individual"></short>
+      <definition value="Indicates the relative priority assigned to the resource by the stakeholder."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:priority.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:priority.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:priority.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="priority"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:priority.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GoalAcceptancePriority"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes indicating the relative priority assigned to a goal by a stakeholder."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Individual acceptance of goal"></short>
+      <definition value="Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stake-holders."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:individual">
+      <path value="Extension.extension"></path>
+      <sliceName value="individual"></sliceName>
+      <short value="Individual whose acceptance is reflected"></short>
+      <definition value="The person whose acceptance/priority is being reflected."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:individual.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:individual.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="individual"></fixedUri>
+     </element>
+     <element id="Extension.extension:individual.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:status">
+      <path value="Extension.extension"></path>
+      <sliceName value="status"></sliceName>
+      <short value="agree | disagree | pending"></short>
+      <definition value="Indicates whether the specified individual has accepted the goal or not."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:status.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:status.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="status"></fixedUri>
+     </element>
+     <element id="Extension.extension:status.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GoalAcceptanceStatus"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes indicating whether the goal has been accepted by a stakeholder."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-acceptance-status|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:priority">
+      <path value="Extension.extension"></path>
+      <sliceName value="priority"></sliceName>
+      <short value="Priority of goal for individual"></short>
+      <definition value="Indicates the relative priority assigned to the resource by the stakeholder."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:priority.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:priority.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="priority"></fixedUri>
+     </element>
+     <element id="Extension.extension:priority.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GoalAcceptancePriority"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes indicating the relative priority assigned to a goal by a stakeholder."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/goal-acceptance"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="consent-NotificationEndpoint"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"></url>
+    <version value="4.2.0"></version>
+    <name value="NotificationEndpoint"></name>
+    <title value="Disclosure Notification Endpoint"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - CBCC WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Endpoint for sending Disclosure notifications in the form of FHIR AuditEvent records."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Notification Endpoint"></short>
+      <definition value="Endpoint for sending Disclosure notifications in the form of FHIR AuditEvent records."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Notification Endpoint"></short>
+      <definition value="Endpoint for sending Disclosure notifications in the form of FHIR AuditEvent records."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-NotificationEndpoint"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-Witness"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="consent-Witness"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/consent-Witness"></url>
+    <version value="4.2.0"></version>
+    <name value="Witness"></name>
+    <title value="Witness"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - CBCC WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Any witness to the consent."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Witness to Consent"></short>
+      <definition value="Any witness to the consent."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Witness"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Witness to Consent"></short>
+      <definition value="Any witness to the consent."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Witness"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-location"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="consent-location"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/consent-location"></url>
+    <version value="4.2.0"></version>
+    <name value="location"></name>
+    <title value="Location of Access restriction"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - CBCC WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Restricts this exception to only apply a specific location as defined."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent.provision"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A location specific constraint"></short>
+      <definition value="Restricts this exception to only apply a specific location as defined."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-location"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A location specific constraint"></short>
+      <definition value="Restricts this exception to only apply a specific location as defined."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-location"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="consent-Transcriber"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"></url>
+    <version value="4.2.0"></version>
+    <name value="Transcriber"></name>
+    <title value="Transcriber"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - CBCC WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Any person/thing who transcribed the consent into the system."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Transcribed consent"></short>
+      <definition value="Any person/thing who transcribed the consent into the system."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Transcribed consent"></short>
+      <definition value="Any person/thing who transcribed the consent into the system."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-Transcriber"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="consent-ResearchStudyContext"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"></url>
+    <version value="4.2.0"></version>
+    <name value="ResearchStudyContext"></name>
+    <title value="ResearchContext"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - CBCC WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/homehealth/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="When a Research scope Consent, this is the specific research study that is allowed to use the information (or not)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Consent.provision"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Specific Research Study for Research Context"></short>
+      <definition value="When a Research scope Consent, this is the specific research study that is allowed to use the information (or not)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Specific Research Study for Research Context"></short>
+      <definition value="When a Research scope Consent, this is the specific research study that is allowed to use the information (or not)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/consent-ResearchStudyContext"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement-expectation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"></url>
+    <version value="4.2.0"></version>
+    <name value="expectation"></name>
+    <title value="Conformance expectation"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="Defines the level of expectation associated with a given system capability."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource.interaction"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.operation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.document"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.interaction"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource.searchInclude"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource.searchRevInclude"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SHALL | SHOULD | MAY |SHOULD-NOT"></short>
+      <definition value="Defines the level of expectation associated with a given system capability."></definition>
+      <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatements documenting requirements, not those documenting actual system capabilities."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConformanceExpectation"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SHALL | SHOULD | MAY |SHOULD-NOT"></short>
+      <definition value="Defines the level of expectation associated with a given system capability."></definition>
+      <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatements documenting requirements, not those documenting actual system capabilities."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConformanceExpectation"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement-prohibited"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"></url>
+    <version value="4.2.0"></version>
+    <name value="prohibited"></name>
+    <title value="Conformance prohibition"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource.interaction"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.operation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.document"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.interaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Functionality not allowed"></short>
+      <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"></isModifierReason>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Functionality not allowed"></short>
+      <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"></isModifierReason>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement-supported-system"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"></url>
+    <version value="4.2.0"></version>
+    <name value="supported-system"></name>
+    <title value="Supported Code System"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="A code system that is supported by the system that is not defined in a value set resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system not defined in a value set"></short>
+      <definition value="A code system that is supported by the system that is not defined in a value set resource."></definition>
+      <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system not defined in a value set"></short>
+      <definition value="A code system that is supported by the system that is not defined in a value set resource."></definition>
+      <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-supported-system"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement-search-parameter-combination"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"></url>
+    <version value="4.2.0"></version>
+    <name value="search-parameter-combination"></name>
+    <title value="Search Parameter Combination"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest.resource"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An allowable parameter combination"></short>
+      <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."></definition>
+      <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required">
+      <path value="Extension.extension"></path>
+      <sliceName value="required"></sliceName>
+      <short value="A required search parameter name"></short>
+      <definition value="A search parameter name in the combination which is required."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:required.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="required"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional">
+      <path value="Extension.extension"></path>
+      <sliceName value="optional"></sliceName>
+      <short value="An optional search parameter name"></short>
+      <definition value="A search parameter name in the combination which is optional."></definition>
+      <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:optional.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="optional"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An allowable parameter combination"></short>
+      <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."></definition>
+      <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required">
+      <path value="Extension.extension"></path>
+      <sliceName value="required"></sliceName>
+      <short value="A required search parameter name"></short>
+      <definition value="A search parameter name in the combination which is required."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:required.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="required"></fixedUri>
+     </element>
+     <element id="Extension.extension:required.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:optional">
+      <path value="Extension.extension"></path>
+      <sliceName value="optional"></sliceName>
+      <short value="An optional search parameter name"></short>
+      <definition value="A search parameter name in the combination which is optional."></definition>
+      <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:optional.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="optional"></fixedUri>
+     </element>
+     <element id="Extension.extension:optional.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement-websocket"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"></url>
+    <version value="4.2.0"></version>
+    <name value="websocket"></name>
+    <title value="WebSocket"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="Where the server provides its web socket end-point."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement.rest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where server websocket end point is found"></short>
+      <definition value="Where the server provides its web socket end-point."></definition>
+      <comment value="Used for web-socket based subscriptions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where server websocket end point is found"></short>
+      <definition value="Where the server provides its web socket end-point."></definition>
+      <comment value="Used for web-socket based subscriptions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement-websocket"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="practitionerrole-primaryInd"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"></url>
+    <version value="4.2.0"></version>
+    <name value="primaryInd"></name>
+    <title value="primaryInd"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="PractitionerRole.specialty"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicator of primary specialty"></short>
+      <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicator of primary specialty"></short>
+      <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitionerrole-primaryInd"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement2-expectation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"></url>
+    <version value="4.2.0"></version>
+    <name value="expectation"></name>
+    <title value="Conformance expectation"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="Defines the level of expectation associated with a given system capability."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.resource.interaction"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.resource.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.operation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.interaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SHALL | SHOULD | MAY |SHOULD-NOT"></short>
+      <definition value="Defines the level of expectation associated with a given system capability."></definition>
+      <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatement2s documenting requirements, not those documenting actual system capabilities."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConformanceExpectation"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SHALL | SHOULD | MAY |SHOULD-NOT"></short>
+      <definition value="Defines the level of expectation associated with a given system capability."></definition>
+      <comment value="If &quot;SHALL NOT&quot; is desired, use the &quot;prohibited&quot; modifier extension.  This extension should only be used with CapabilityStatement2s documenting requirements, not those documenting actual system capabilities."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-expectation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConformanceExpectation"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement2-prohibited"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"></url>
+    <version value="4.2.0"></version>
+    <name value="prohibited"></name>
+    <title value="Conformance prohibition"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.resource.interaction"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.resource.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.searchParam"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.operation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.interaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Functionality not allowed"></short>
+      <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"></isModifierReason>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Functionality not allowed"></short>
+      <definition value="If set to true, indicates that support for the specified behavior would make a system non-conformant with the specification."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="If true, this extension inverts the meaning of the conformance statement"></isModifierReason>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-prohibited"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement2-supported-system"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"></url>
+    <version value="4.2.0"></version>
+    <name value="supported-system"></name>
+    <title value="Supported Code System"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="A code system that is supported by the system that is not defined in a value set resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system not defined in a value set"></short>
+      <definition value="A code system that is supported by the system that is not defined in a value set resource."></definition>
+      <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system not defined in a value set"></short>
+      <definition value="A code system that is supported by the system that is not defined in a value set resource."></definition>
+      <comment value="Typically, this is a large terminology such as LOINC, SNOMED CT."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-supported-system"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement2-search-parameter-combination"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"></url>
+    <version value="4.2.0"></version>
+    <name value="search-parameter-combination"></name>
+    <title value="Search Parameter Combination"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest.resource"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An allowable parameter combination"></short>
+      <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."></definition>
+      <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required">
+      <path value="Extension.extension"></path>
+      <sliceName value="required"></sliceName>
+      <short value="A required search parameter name"></short>
+      <definition value="A search parameter name in the combination which is required."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:required.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="required"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional">
+      <path value="Extension.extension"></path>
+      <sliceName value="optional"></sliceName>
+      <short value="An optional search parameter name"></short>
+      <definition value="A search parameter name in the combination which is optional."></definition>
+      <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:optional.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="optional"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An allowable parameter combination"></short>
+      <definition value="This extension defines a possible search parameter combination,  by listing a set of search parameters and indicating whether they are required or optional. If a search combination is specified, clients should expect that they must submit a search that meets one of the required combinations or the search will be unsuccessful. If multiple search parameter combinations are specified, a client may pick between them, and supply the minimal required parameters for any of the combinations."></definition>
+      <comment value="For example, on the Patient Resource  you could use this to state support for searching by Patient.name and Patient.gender is required."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required">
+      <path value="Extension.extension"></path>
+      <sliceName value="required"></sliceName>
+      <short value="A required search parameter name"></short>
+      <definition value="A search parameter name in the combination which is required."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:required.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:required.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="required"></fixedUri>
+     </element>
+     <element id="Extension.extension:required.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:optional">
+      <path value="Extension.extension"></path>
+      <sliceName value="optional"></sliceName>
+      <short value="An optional search parameter name"></short>
+      <definition value="A search parameter name in the combination which is optional."></definition>
+      <comment value="If a defined parameter is not listed as a required or optional parameter, the implication is that the parameter is not supported with this combination. Servers may ignore It, though some may return an error if it is used."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:optional.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:optional.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="optional"></fixedUri>
+     </element>
+     <element id="Extension.extension:optional.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-search-parameter-combination"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="capabilitystatement2-websocket"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"></url>
+    <version value="4.2.0"></version>
+    <name value="websocket"></name>
+    <title value="WebSocket"></title>
+    <status value="draft"></status>
+    <date value="2014-04-12"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/fhir.htm"></value>
+     </telecom>
+    </contact>
+    <description value="Where the server provides its web socket end-point."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CapabilityStatement2.rest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where server websocket end point is found"></short>
+      <definition value="Where the server provides its web socket end-point."></definition>
+      <comment value="Used for web-socket based subscriptions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where server websocket end point is found"></short>
+      <definition value="Where the server provides its web socket end-point."></definition>
+      <comment value="Used for web-socket based subscriptions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/capabilitystatement2-websocket"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="servicerequest-geneticsItem"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"></url>
+    <version value="4.2.0"></version>
+    <name value="Item"></name>
+    <status value="draft"></status>
+    <date value="2015-10-20"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The items the orderer requested"></short>
+      <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Code to indicate the item (test, panel or sequence variant) being ordered"></short>
+      <definition value="Code to indicate the item (test, panel or sequence variant) being ordered."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:geneticsObservation">
+      <path value="Extension.extension"></path>
+      <sliceName value="geneticsObservation"></sliceName>
+      <short value="Indicate the genetic variant ordered to be tested"></short>
+      <definition value="Indicate the genetic variant ordered to be tested."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:geneticsObservation.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:geneticsObservation.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:geneticsObservation.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="geneticsObservation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:geneticsObservation.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:specimen">
+      <path value="Extension.extension"></path>
+      <sliceName value="specimen"></sliceName>
+      <short value="If this item relates to specific specimens"></short>
+      <definition value="If the item is related to a specific specimen."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:specimen.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:specimen.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:specimen.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="specimen"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:specimen.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:status">
+      <path value="Extension.extension"></path>
+      <sliceName value="status"></sliceName>
+      <short value="proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed"></short>
+      <definition value="The status of this individual item within the order."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:status.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:status.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:status.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="status"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:status.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The items the orderer requested"></short>
+      <definition value="The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Code to indicate the item (test, panel or sequence variant) being ordered"></short>
+      <definition value="Code to indicate the item (test, panel or sequence variant) being ordered."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:geneticsObservation">
+      <path value="Extension.extension"></path>
+      <sliceName value="geneticsObservation"></sliceName>
+      <short value="Indicate the genetic variant ordered to be tested"></short>
+      <definition value="Indicate the genetic variant ordered to be tested."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:geneticsObservation.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:geneticsObservation.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="geneticsObservation"></fixedUri>
+     </element>
+     <element id="Extension.extension:geneticsObservation.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:specimen">
+      <path value="Extension.extension"></path>
+      <sliceName value="specimen"></sliceName>
+      <short value="If this item relates to specific specimens"></short>
+      <definition value="If the item is related to a specific specimen."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:specimen.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:specimen.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="specimen"></fixedUri>
+     </element>
+     <element id="Extension.extension:specimen.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.extension:status">
+      <path value="Extension.extension"></path>
+      <sliceName value="status"></sliceName>
+      <short value="proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed"></short>
+      <definition value="The status of this individual item within the order."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:status.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:status.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="status"></fixedUri>
+     </element>
+     <element id="Extension.extension:status.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="servicerequest-precondition"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"></url>
+    <version value="4.2.0"></version>
+    <name value="precondition"></name>
+    <title value="precondition"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The condition or state of the patient, prior or during the diagnostic procedure or test, for example, fasting, at-rest, or post-operative. This captures circumstances that may influence the measured value and have bearing on the interpretation of the result."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The condition or state of the patient for this test"></short>
+      <definition value="The condition or state of the patient, prior or during the diagnostic procedure or test, for example, fasting, at-rest, or post-operative. This captures circumstances that may influence the measured value and have bearing on the interpretation of the result."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The condition or state of the patient for this test"></short>
+      <definition value="The condition or state of the patient, prior or during the diagnostic procedure or test, for example, fasting, at-rest, or post-operative. This captures circumstances that may influence the measured value and have bearing on the interpretation of the result."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-precondition"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="servicerequest-questionnaireRequest"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"></url>
+    <version value="4.2.0"></version>
+    <name value="questionnaireRequest"></name>
+    <title value="Questionnaire Requested"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Reference to a specific Questionnaire Resource as an ordered item.  Allows for ordering a specific questionnaire to be completed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Questionnaire to be ordered"></short>
+      <definition value="Reference to a specific Questionnaire Resource as an ordered item.  Allows for ordering a specific questionnaire to be completed."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Questionnaire to be ordered"></short>
+      <definition value="Reference to a specific Questionnaire Resource as an ordered item.  Allows for ordering a specific questionnaire to be completed."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/servicerequest-questionnaireRequest"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="practitioner-animalSpecies"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"></url>
+    <version value="4.2.0"></version>
+    <name value="animalSpecies"></name>
+    <title value="animalSpecies"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This extension should be used to specifiy that a practioner or RelatedPerson resource is a service animal."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Practitioner"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="RelatedPerson"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The Species of the Service Animal"></short>
+      <definition value="This extension should be used to specifiy that a practioner or RelatedPerson resource is a service animal."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalSpecies"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The species of animal."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The Species of the Service Animal"></short>
+      <definition value="This extension should be used to specifiy that a practioner or RelatedPerson resource is a service animal."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/practitioner-animalSpecies"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalSpecies"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The species of animal."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/organization-period"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="organization-period"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/organization-period"></url>
+    <version value="4.2.0"></version>
+    <name value="period"></name>
+    <title value="Period"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The date range that this organization should be considered available."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Organization"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="The date range that this organization should be considered available."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-period"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="The date range that this organization should be considered available."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-period"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Period"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="organization-preferredContact"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"></url>
+    <version value="4.2.0"></version>
+    <name value="preferredContact"></name>
+    <title value="Preferred Contact"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="This Contact is the preferred contact at this organization for the purpose of the contact
+
+There can be multiple contacts on an Organizations record with this value set to true, but these should all have different purpose values."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Organization.contact"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extension"></short>
+      <definition value="This Contact is the preferred contact at this organization for the purpose of the contact
+
+There can be multiple contacts on an Organizations record with this value set to true, but these should all have different purpose values."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <definition value="This Contact is the preferred contact at this organization for the purpose of the contact
+
+There can be multiple contacts on an Organizations record with this value set to true, but these should all have different purpose values."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/organization-preferredContact"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/careteam-alias"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="careteam-alias"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/careteam-alias"></url>
+    <version value="4.2.0"></version>
+    <name value="alias"></name>
+    <title value="Alias"></title>
+    <status value="draft"></status>
+    <date value="2019-09-16"></date>
+    <publisher value="Health Level Seven, Inc. - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/patientcare.html"></value>
+     </telecom>
+    </contact>
+    <description value="Alternate names by which the team is also known."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CareTeam"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Alternate names by which the team is also known"></short>
+      <definition value="Alternate names by which the team is also known."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/careteam-alias"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Alternate names by which the team is also known"></short>
+      <definition value="Alternate names by which the team is also known."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/careteam-alias"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="family-member-history-genetics-parent"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"></url>
+    <version value="4.2.0"></version>
+    <name value="parent"></name>
+    <status value="draft"></status>
+    <date value="2019-05-29"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies a parent of the relative."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mother(s) &amp; Father(s) - genetic &amp; other"></short>
+      <definition value="Identifies a parent of the relative."></definition>
+      <comment value="Some individuals may have more than two parents (e.g. genetic vs. adoptive parents).  Even non-genetic relationships can be relevant in terms of genetic exposure."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="player[classCode&lt;LIV, determinerCode=INSTANCE].scopesRole"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="mother | father | adoptive mother | etc."></short>
+      <definition value="Distinguishes between different types of parental relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ParentRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Parental relationship types."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/parent-relationship-codes|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference">
+      <path value="Extension.extension"></path>
+      <sliceName value="reference"></sliceName>
+      <short value="Link to parent relative(s)"></short>
+      <definition value="Points to the FamilyMemberHistory record of the relation who is the parent of this relation."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="player.id"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:reference.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="reference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mother(s) &amp; Father(s) - genetic &amp; other"></short>
+      <definition value="Identifies a parent of the relative."></definition>
+      <comment value="Some individuals may have more than two parents (e.g. genetic vs. adoptive parents).  Even non-genetic relationships can be relevant in terms of genetic exposure."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="player[classCode&lt;LIV, determinerCode=INSTANCE].scopesRole"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="mother | father | adoptive mother | etc."></short>
+      <definition value="Distinguishes between different types of parental relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ParentRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Parental relationship types."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/parent-relationship-codes|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:reference">
+      <path value="Extension.extension"></path>
+      <sliceName value="reference"></sliceName>
+      <short value="Link to parent relative(s)"></short>
+      <definition value="Points to the FamilyMemberHistory record of the relation who is the parent of this relation."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="player.id"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:reference.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="reference"></fixedUri>
+     </element>
+     <element id="Extension.extension:reference.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="family-member-history-genetics-sibling"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"></url>
+    <version value="4.2.0"></version>
+    <name value="sibling"></name>
+    <status value="draft"></status>
+    <date value="2019-05-29"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies a sibling of the relative."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="natural brother(s) &amp; natural sister(s) - genetic &amp; other"></short>
+      <definition value="Identifies a sibling of the relative."></definition>
+      <comment value="Some cases may have complex inner-pedigree-tree relationship. For instance, double cousin relationship need two extra link with In pedigree tree itself. This can't be revealed by relationship to subject."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="sibling | brother | sister | etc."></short>
+      <definition value="Distinguishes between different types of sibling relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SiblingRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Sibling relationship types."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/sibling-relationship-codes|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference">
+      <path value="Extension.extension"></path>
+      <sliceName value="reference"></sliceName>
+      <short value="Link to sibling relative(s)"></short>
+      <definition value="Points to the FamilyMemberHistory record of the relation who is the sibling of this relation."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:reference.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:reference.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="reference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="natural brother(s) &amp; natural sister(s) - genetic &amp; other"></short>
+      <definition value="Identifies a sibling of the relative."></definition>
+      <comment value="Some cases may have complex inner-pedigree-tree relationship. For instance, double cousin relationship need two extra link with In pedigree tree itself. This can't be revealed by relationship to subject."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="sibling | brother | sister | etc."></short>
+      <definition value="Distinguishes between different types of sibling relationships with varying granularity to support capturing the relationship &quot;to the degree known&quot;."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SiblingRelationshipType"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Sibling relationship types."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/sibling-relationship-codes|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:reference">
+      <path value="Extension.extension"></path>
+      <sliceName value="reference"></sliceName>
+      <short value="Link to sibling relative(s)"></short>
+      <definition value="Points to the FamilyMemberHistory record of the relation who is the sibling of this relation."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:reference.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:reference.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="reference"></fixedUri>
+     </element>
+     <element id="Extension.extension:reference.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="family-member-history-genetics-observation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"></url>
+    <version value="4.2.0"></version>
+    <name value="observation"></name>
+    <status value="draft"></status>
+    <date value="2019-05-29"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Allows capturing risk-relevant observations about the relative that aren't themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Genetic markers, ethnicity, etc."></short>
+      <definition value="Allows capturing risk-relevant observations about the relative that aren't themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc."></definition>
+      <comment value="This may be extended with additional genomics-specific resources when they are ready."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="inboundRelationship[typeCode=SUBJ].source"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Genetic markers, ethnicity, etc."></short>
+      <definition value="Allows capturing risk-relevant observations about the relative that aren't themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc."></definition>
+      <comment value="This may be extended with additional genomics-specific resources when they are ready."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="inboundRelationship[typeCode=SUBJ].source"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="familymemberhistory-abatement"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"></url>
+    <version value="4.2.0"></version>
+    <name value="abatement"></name>
+    <title value="abatement"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The approximate date, age, or flag indicating that the condition of the family member resolved. The abatement should only be specified if the condition is stated in the positive sense, i.e., the didNotHave flag is false."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory.condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When (or if) the family member's condition resolved"></short>
+      <definition value="The approximate date, age, or flag indicating that the condition of the family member resolved. The abatement should only be specified if the condition is stated in the positive sense, i.e., the didNotHave flag is false."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When (or if) the family member's condition resolved"></short>
+      <definition value="The approximate date, age, or flag indicating that the condition of the family member resolved. The abatement should only be specified if the condition is stated in the positive sense, i.e., the didNotHave flag is false."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="familymemberhistory-severity"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"></url>
+    <version value="4.2.0"></version>
+    <name value="severity"></name>
+    <title value="severity"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A qualification of the seriousness or impact on health of the family member condition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory.condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The seriousness of the family member condition"></short>
+      <definition value="A qualification of the seriousness or impact on health of the family member condition."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionSeverity"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The seriousness of the family member condition"></short>
+      <definition value="A qualification of the seriousness or impact on health of the family member condition."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionSeverity"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-severity"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="familymemberhistory-patient-record"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"></url>
+    <version value="4.2.0"></version>
+    <name value="patient-record"></name>
+    <title value="Patient Record"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A link to one to more patient records for the relation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Link to patient record"></short>
+      <definition value="A link to one to more patient records for the relation."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Link to patient record"></short>
+      <definition value="A link to one to more patient records for the relation."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-patient-record"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="familymemberhistory-type"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"></url>
+    <version value="4.2.0"></version>
+    <name value="type"></name>
+    <title value="type"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Purpose of the family member history or why it was created, such as when family member history is targeted for cardiovascular health, mental health, or genetic counseling."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="FamilyMemberHistory"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Purpose of the family member history"></short>
+      <definition value="Purpose of the family member history or why it was created, such as when family member history is targeted for cardiovascular health, mental health, or genetic counseling."></definition>
+      <comment value="List.code can be used to capture the type across a list of family members' histories."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Purpose of the family member history"></short>
+      <definition value="Purpose of the family member history or why it was created, such as when family member history is targeted for cardiovascular health, mental health, or genetic counseling."></definition>
+      <comment value="List.code can be used to capture the type across a list of family members' histories."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-type"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="encounter-reasonCancelled"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"></url>
+    <version value="4.2.0"></version>
+    <name value="reasonCancelled"></name>
+    <title value="reasonCancelled"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="If the encountered was cancelled after it was planned, why? Applies only if the status is cancelled."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Encounter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explanation for cancellation"></short>
+      <definition value="If the encountered was cancelled after it was planned, why? Applies only if the status is cancelled."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explanation for cancellation"></short>
+      <definition value="If the encountered was cancelled after it was planned, why? Applies only if the status is cancelled."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-reasonCancelled"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="encounter-associatedEncounter"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"></url>
+    <version value="4.2.0"></version>
+    <name value="associatedEncounter"></name>
+    <title value="associatedEncounter"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="This encounter occurs within the scope of the referenced encounter."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Encounter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated Encounter"></short>
+      <definition value="This encounter occurs within the scope of the referenced encounter."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Associated Encounter"></short>
+      <definition value="This encounter occurs within the scope of the referenced encounter."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-associatedEncounter"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="encounter-modeOfArrival"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"></url>
+    <version value="4.2.0"></version>
+    <name value="modeOfArrival"></name>
+    <title value="modeOfArrival"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies whether a patient arrives at the reporting facility via ambulance and the type of ambulance that was used."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Encounter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The method of arrival of the patient into the facility"></short>
+      <definition value="Identifies whether a patient arrives at the reporting facility via ambulance and the type of ambulance that was used."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="modeOfArrival"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The method that the patient arrived at the facility."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v2-0430"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The method of arrival of the patient into the facility"></short>
+      <definition value="Identifies whether a patient arrives at the reporting facility via ambulance and the type of ambulance that was used."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/encounter-modeOfArrival"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="modeOfArrival"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The method that the patient arrived at the facility."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v2-0430"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/communication-media"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="communication-media"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/communication-media"></url>
+    <version value="4.2.0"></version>
+    <name value="media"></name>
+    <title value="media"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="It contains enriched media representation of the alert message, such as a voice recording.  This may be used, for example for compliance with jurisdictional accessibility requirements, literacy issues, or translations of the unstructured text content in other languages."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Communication"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Attached media"></short>
+      <definition value="It contains enriched media representation of the alert message, such as a voice recording.  This may be used, for example for compliance with jurisdictional accessibility requirements, literacy issues, or translations of the unstructured text content in other languages."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/communication-media"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Attached media"></short>
+      <definition value="It contains enriched media representation of the alert message, such as a voice recording.  This may be used, for example for compliance with jurisdictional accessibility requirements, literacy issues, or translations of the unstructured text content in other languages."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/communication-media"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="devicerequest-patientInstruction"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"></url>
+    <version value="4.2.0"></version>
+    <name value="patientInstruction"></name>
+    <title value="Directions"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Simple concise instructions to be read by the patient.  For example  “twice a day” rather than “BID.”."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Patient Friendly Insructions"></short>
+      <definition value="Simple concise instructions to be read by the patient.  For example  “twice a day” rather than “BID.”."></definition>
+      <comment value="Should use only common terms and sentences.  Use of unfamiliar words and jargon should be avoided."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang">
+      <path value="Extension.extension"></path>
+      <sliceName value="lang"></sliceName>
+      <short value="Language"></short>
+      <definition value="Code for Language."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:lang.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:lang.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="lang"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:lang.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:content">
+      <path value="Extension.extension"></path>
+      <sliceName value="content"></sliceName>
+      <short value="Text"></short>
+      <definition value="The actual text containing the instructions."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:content.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:content.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:content.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="content"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:content.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Patient Friendly Insructions"></short>
+      <definition value="Simple concise instructions to be read by the patient.  For example  “twice a day” rather than “BID.”."></definition>
+      <comment value="Should use only common terms and sentences.  Use of unfamiliar words and jargon should be avoided."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:lang">
+      <path value="Extension.extension"></path>
+      <sliceName value="lang"></sliceName>
+      <short value="Language"></short>
+      <definition value="Code for Language."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:lang.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:lang.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="lang"></fixedUri>
+     </element>
+     <element id="Extension.extension:lang.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:content">
+      <path value="Extension.extension"></path>
+      <sliceName value="content"></sliceName>
+      <short value="Text"></short>
+      <definition value="The actual text containing the instructions."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:content.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:content.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="content"></fixedUri>
+     </element>
+     <element id="Extension.extension:content.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/devicerequest-patientInstruction"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="messageheader-response-request"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="inm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"></url>
+    <version value="4.2.0"></version>
+    <name value="messageheader-response-request"></name>
+    <title value="MessageHeader response request"></title>
+    <status value="draft"></status>
+    <date value="2017-01-24"></date>
+    <publisher value="Health Level Seven, Inc. - InM Work Group"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="MessageHeader"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="messageheader initiator requests a response"></short>
+      <definition value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never."></definition>
+      <comment value="The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="MSH-16"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="messageheader-response-request"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="messageheader initiator requests a response"></short>
+      <definition value="This extension enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never."></definition>
+      <comment value="The Message Definition data provides perhaps what would be acceptable response requests, but could not indicate for each instance what is appropriate.  The initiator should be able to handle the response even if not expected."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="MSH-16"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="messageheader-response-request"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/task-candidateList"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="task-candidateList"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/task-candidateList"></url>
+    <version value="4.2.0"></version>
+    <name value="candidateList"></name>
+    <title value="Candidate List"></title>
+    <status value="draft"></status>
+    <date value="2017-02-16"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR I WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the individuals who are candidates for being the owner of the task."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Task"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="List of possible owners of Task"></short>
+      <definition value="Identifies the individuals who are candidates for being the owner of the task."></definition>
+      <comment value="In some environments, this list might be binding (i.e. owner must be one of the listed individuals), in others it may be suggestive (i.e. preferred owner will be from this list, but business processes may allow assignment to someone not on the list."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.performer.actor, Request.performer"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".participation[typeCode=PRF].role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-candidateList"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="List of possible owners of Task"></short>
+      <definition value="Identifies the individuals who are candidates for being the owner of the task."></definition>
+      <comment value="In some environments, this list might be binding (i.e. owner must be one of the listed individuals), in others it may be suggestive (i.e. preferred owner will be from this list, but business processes may allow assignment to someone not on the list."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Event.performer.actor, Request.performer"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".participation[typeCode=PRF].role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-candidateList"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/task-replaces"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="task-replaces"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/task-replaces"></url>
+    <version value="4.2.0"></version>
+    <name value="replaces"></name>
+    <title value="replaces"></title>
+    <status value="draft"></status>
+    <date value="2017-02-16"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR I WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Completed or terminated task(s) whose function is taken by this new task."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Task"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Task(s) replaced by this Task"></short>
+      <definition value="Completed or terminated task(s) whose function is taken by this new task."></definition>
+      <comment value="The replacement could be because the initial task was immediately rejected (due to an issue) or because the previous task was completed, but the need for the action described by the task remains ongoing."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Request.replaces"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=RPLC].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-replaces"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Task(s) replaced by this Task"></short>
+      <definition value="Completed or terminated task(s) whose function is taken by this new task."></definition>
+      <comment value="The replacement could be because the initial task was immediately rejected (due to an issue) or because the previous task was completed, but the need for the action described by the task remains ongoing."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Request.replaces"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".outboundRelationship[typeCode=RPLC].target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/task-replaces"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-minOccurs"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"></url>
+    <version value="4.2.0"></version>
+    <name value="minOccurs"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The minimum number of times the group must appear, or the minimum number of answers for a question - when greater than 1."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type!='display' and (required=true or %extension.valueInteger=0)"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Minimum repetitions"></short>
+      <definition value="The minimum number of times the group must appear, or the minimum number of answers for a question - when greater than 1."></definition>
+      <comment value="Default assumption for &quot;required&quot; elements is minOccurs=1."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Minimum repetitions"></short>
+      <definition value="The minimum number of times the group must appear, or the minimum number of answers for a question - when greater than 1."></definition>
+      <comment value="Default assumption for &quot;required&quot; elements is minOccurs=1."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-maxOccurs"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"></url>
+    <version value="4.2.0"></version>
+    <name value="maxOccurs"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The maximum number of times the group must appear, or the maximum number of answers for a question - when greater than 1 and not unlimited."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type!='display' and (repeats=true or %extension.valueInteger=1)"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Maximum repetitions"></short>
+      <definition value="The maximum number of times the group must appear, or the maximum number of answers for a question - when greater than 1 and not unlimited."></definition>
+      <comment value="Only relevant if the element has repeats=true and there's a need to constrain the number of allowed repetitions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Maximum repetitions"></short>
+      <definition value="The maximum number of times the group must appear, or the maximum number of answers for a question - when greater than 1 and not unlimited."></definition>
+      <comment value="Only relevant if the element has repeats=true and there's a need to constrain the number of allowed repetitions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-hidden"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"></url>
+    <version value="4.2.0"></version>
+    <name value="hidden"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="If true, indicates that the extended item should not be displayed to the user."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Don't display to user"></short>
+      <definition value="If true, indicates that the extended item should not be displayed to the user."></definition>
+      <comment value="If an item is hidden, all descendant items are hidden as well."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Don't display to user"></short>
+      <definition value="If true, indicates that the extended item should not be displayed to the user."></definition>
+      <comment value="If an item is hidden, all descendant items are hidden as well."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-itemControl"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"></url>
+    <version value="4.2.0"></version>
+    <name value="itemControl"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of data entry control or structure that should be used to render the item."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. Fly-over, Table, Checkbox, Combo-box, Lookup, etc."></short>
+      <definition value="The type of data entry control or structure that should be used to render the item."></definition>
+      <comment value="Different controls may be appropriate for different item types.  It is up to the system rendering a questionnaire as to what controls it will support and for which data types."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ItemControl"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="User interface controls or widgets used for questionnaire items."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-item-control"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. Fly-over, Table, Checkbox, Combo-box, Lookup, etc."></short>
+      <definition value="The type of data entry control or structure that should be used to render the item."></definition>
+      <comment value="Different controls may be appropriate for different item types.  It is up to the system rendering a questionnaire as to what controls it will support and for which data types."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ItemControl"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="User interface controls or widgets used for questionnaire items."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-item-control"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-choiceOrientation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"></url>
+    <version value="4.2.0"></version>
+    <name value="choiceOrientation"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the desired orientation when rendering a list of choices (typically radio-box or check-box lists)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='choice' or type='open-choice'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="horizontal | vertical"></short>
+      <definition value="Identifies the desired orientation when rendering a list of choices (typically radio-box or check-box lists)."></definition>
+      <comment value="Systems may choose to wrap answers rather than attempting to display them all in one row or column.  Language conventions may determine the order in which the choices are listed (left-to-right or right-to-left, etc.)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ChoiceListOrientation"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Direction in which lists of possible answers should be displayed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/choice-list-orientation|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="horizontal | vertical"></short>
+      <definition value="Identifies the desired orientation when rendering a list of choices (typically radio-box or check-box lists)."></definition>
+      <comment value="Systems may choose to wrap answers rather than attempting to display them all in one row or column.  Language conventions may determine the order in which the choices are listed (left-to-right or right-to-left, etc.)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ChoiceListOrientation"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Direction in which lists of possible answers should be displayed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/choice-list-orientation|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-referenceResource"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"></url>
+    <version value="4.2.0"></version>
+    <name value="referenceResource"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Where the type for a question is &quot;Reference&quot;, indicates a type of resource that is permitted."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='reference'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allowed resource for reference"></short>
+      <definition value="Where the type for a question is &quot;Reference&quot;, indicates a type of resource that is permitted."></definition>
+      <comment value="This extension only has meaning if the question.type = Reference.  If no allowedResource extensions are present, the presumption is that any type of resource is permitted.  If multiple are present, then any of the specified types are permitted."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ResourceType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="One of the resource types defined as part of this version of FHIR."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allowed resource for reference"></short>
+      <definition value="Where the type for a question is &quot;Reference&quot;, indicates a type of resource that is permitted."></definition>
+      <comment value="This extension only has meaning if the question.type = Reference.  If no allowedResource extensions are present, the presumption is that any type of resource is permitted.  If multiple are present, then any of the specified types are permitted."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ResourceType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="One of the resource types defined as part of this version of FHIR."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-referenceProfile"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"></url>
+    <version value="4.2.0"></version>
+    <name value="referenceProfile"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Where the type for a question is &quot;Reference&quot;, indicates a profile that the resource instances pointed to in answers to this question must be valid against."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='reference'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allowed profile for reference"></short>
+      <definition value="Where the type for a question is &quot;Reference&quot;, indicates a profile that the resource instances pointed to in answers to this question must be valid against."></definition>
+      <comment value="If multiple profiles are present, then the resource must be valid against at least one of them."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allowed profile for reference"></short>
+      <definition value="Where the type for a question is &quot;Reference&quot;, indicates a profile that the resource instances pointed to in answers to this question must be valid against."></definition>
+      <comment value="If multiple profiles are present, then the resource must be valid against at least one of them."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-referenceFilter"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"></url>
+    <version value="4.2.0"></version>
+    <name value="referenceFilter"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies a filter to apply when looking up candidate answers for the question."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='reference'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Filter to apply when looking up references"></short>
+      <definition value="Identifies a filter to apply when looking up candidate answers for the question."></definition>
+      <comment value="The filter may include $subj and/or $encounter which should be substituted by the implementer with the subject and/or encounter id relevant in the context in which the questionnaire is being populated."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Filter to apply when looking up references"></short>
+      <definition value="Identifies a filter to apply when looking up candidate answers for the question."></definition>
+      <comment value="The filter may include $subj and/or $encounter which should be substituted by the implementer with the subject and/or encounter id relevant in the context in which the questionnaire is being populated."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-displayCategory"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"></url>
+    <version value="4.2.0"></version>
+    <name value="displayCategory"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the intended purpose of the rendered text.  For example - instructions, guidance on access control, maintenance information, etc."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type!='display'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Purpose of rendered text"></short>
+      <definition value="Describes the intended purpose of the rendered text.  For example - instructions, guidance on access control, maintenance information, etc."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QuestionnaireDisplayCategory"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Identifies the purpose for a &quot;display&quot; item."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-display-category"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Purpose of rendered text"></short>
+      <definition value="Describes the intended purpose of the rendered text.  For example - instructions, guidance on access control, maintenance information, etc."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A - MIF rather than RIM level"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QuestionnaireDisplayCategory"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Identifies the purpose for a &quot;display&quot; item."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-display-category"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-fhirType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"></url>
+    <version value="4.2.0"></version>
+    <name value="fhirType"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="For questionnaires generated from FHIR profiles, indicates the FHIR data type or resource type that corresponds to this node."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type!='display'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The underlying FHIR data type"></short>
+      <definition value="For questionnaires generated from FHIR profiles, indicates the FHIR data type or resource type that corresponds to this node."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The underlying FHIR data type"></short>
+      <definition value="For questionnaires generated from FHIR profiles, indicates the FHIR data type or resource type that corresponds to this node."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-unit"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"></url>
+    <version value="4.2.0"></version>
+    <name value="unit"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Provides a computable unit of measure associated with numeric questions to support subsequent computation on responses. This is for use on items of type integer and decimal, and it's purpose is to support converting the integer or decimal answer into a Quantity when extracting the data into a resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='integer' or type='decimal'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Unit for numeric answer"></short>
+      <definition value="Provides a computable unit of measure associated with numeric questions to support subsequent computation on responses. This is for use on items of type integer and decimal, and it's purpose is to support converting the integer or decimal answer into a Quantity when extracting the data into a resource."></definition>
+      <comment value="The human-readable unit is conveyed as a display element.  This element is for computation purposes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Unit for numeric answer"></short>
+      <definition value="Provides a computable unit of measure associated with numeric questions to support subsequent computation on responses. This is for use on items of type integer and decimal, and it's purpose is to support converting the integer or decimal answer into a Quantity when extracting the data into a resource."></definition>
+      <comment value="The human-readable unit is conveyed as a display element.  This element is for computation purposes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-unitOption"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"></url>
+    <version value="4.2.0"></version>
+    <name value="unitOption"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A unit that the user may choose when providing a quantity value."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='quantity'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Unit choice"></short>
+      <definition value="A unit that the user may choose when providing a quantity value."></definition>
+      <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Unit choice"></short>
+      <definition value="A unit that the user may choose when providing a quantity value."></definition>
+      <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-unitValueSet"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"></url>
+    <version value="4.2.0"></version>
+    <name value="unitValueSet"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A set of units that the user may choose when providing a quantity value."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='quantity'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Unit choices"></short>
+      <definition value="A set of units that the user may choose when providing a quantity value."></definition>
+      <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Unit choices"></short>
+      <definition value="A set of units that the user may choose when providing a quantity value."></definition>
+      <comment value="Provide either unit-option(s) or unit-valueSet. In the absence of either, any unit is valid."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ValueSet"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-optionPrefix"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"></url>
+    <version value="4.2.0"></version>
+    <name value="optionPrefix"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.answerOption"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."></short>
+      <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."></short>
+      <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-optionExclusive"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"></url>
+    <version value="4.2.0"></version>
+    <name value="optionExclusive"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="If true, indicates that if this answerOption is selected, no other possible answers may be selected, even if the item is a repeating question."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.answerOption"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Option is exclusive"></short>
+      <definition value="If true, indicates that if this answerOption is selected, no other possible answers may be selected, even if the item is a repeating question."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Option is exclusive"></short>
+      <definition value="If true, indicates that if this answerOption is selected, no other possible answers may be selected, even if the item is a repeating question."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-usageMode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"></url>
+    <version value="4.2.0"></version>
+    <name value="usageMode"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies that the specified element should only appear in certain &quot;modes&quot; of operation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="capture | display | display-non-empty | capture-display | capture-display-non-empty"></short>
+      <definition value="Identifies that the specified element should only appear in certain &quot;modes&quot; of operation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QuestionnaireItemUsageMode"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-usage-mode|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="capture | display | display-non-empty | capture-display | capture-display-non-empty"></short>
+      <definition value="Identifies that the specified element should only appear in certain &quot;modes&quot; of operation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QuestionnaireItemUsageMode"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-usage-mode|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-supportLink"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"></url>
+    <version value="4.2.0"></version>
+    <name value="supportLink"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A URL that resolves to additional supporting information or guidance related to the question."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Supporting information"></short>
+      <definition value="A URL that resolves to additional supporting information or guidance related to the question."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Supporting information"></short>
+      <definition value="A URL that resolves to additional supporting information or guidance related to the question."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A (MIF-level)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-baseType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"></url>
+    <version value="4.2.0"></version>
+    <name value="baseType"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="This identifies the underlying type in a profile, when a questionnaire is generated from a profile."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Base Type for answer"></short>
+      <definition value="This identifies the underlying type in a profile, when a questionnaire is generated from a profile."></definition>
+      <comment value="The extension may assist a questionnaire renderer to tune the UI, and it guides a QuestionnaireResponse processor when generating resources from the responses."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DataType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Base Type for answer"></short>
+      <definition value="This identifies the underlying type in a profile, when a questionnaire is generated from a profile."></definition>
+      <comment value="The extension may assist a questionnaire renderer to tune the UI, and it guides a QuestionnaireResponse processor when generating resources from the responses."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-baseType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DataType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-signatureRequired"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"></url>
+    <version value="4.2.0"></version>
+    <name value="signatureRequired"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates that a signature (of the specified type) is needed when completing the QuestionnaireResponse."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Is signature needed?"></short>
+      <definition value="Indicates that a signature (of the specified type) is needed when completing the QuestionnaireResponse."></definition>
+      <comment value="If this appears at the Questionnaire level, then the signature will be gathered for the entire form when it is marked complete.  If it appears on a particular item, then it will be gathered on that question or group when it is filled in.  (E.g. seeking the user's initials beside certain questions.)
+
+The signature can be captured using the http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature extension."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SignatureRequired"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="The type of signature needed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/signature-type"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Is signature needed?"></short>
+      <definition value="Indicates that a signature (of the specified type) is needed when completing the QuestionnaireResponse."></definition>
+      <comment value="If this appears at the Questionnaire level, then the signature will be gathered for the entire form when it is marked complete.  If it appears on a particular item, then it will be gathered on that question or group when it is filled in.  (E.g. seeking the user's initials beside certain questions.)
+
+The signature can be captured using the http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature extension."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SignatureRequired"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="The type of signature needed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/signature-type"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-constraint"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"></url>
+    <version value="4.2.0"></version>
+    <name value="constraint"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="An invariant that must be satisfied before responses to the questionnaire can be considered &quot;complete&quot;."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Constraint"></short>
+      <definition value="An invariant that must be satisfied before responses to the questionnaire can be considered &quot;complete&quot;."></definition>
+      <comment value="This maps to the ElementDefinition.constraint element."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:key">
+      <path value="Extension.extension"></path>
+      <sliceName value="key"></sliceName>
+      <short value="Unique identifier"></short>
+      <definition value="Unique id for the constraint within the questionnaire."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:key.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:key.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:key.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="key"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:key.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="id"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:requirements">
+      <path value="Extension.extension"></path>
+      <sliceName value="requirements"></sliceName>
+      <short value="Why needed"></short>
+      <definition value="An explanation of why this extension is required (for documentation purposes)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:requirements.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:requirements.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:requirements.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="requirements"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:requirements.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:severity">
+      <path value="Extension.extension"></path>
+      <sliceName value="severity"></sliceName>
+      <short value="error|warning"></short>
+      <definition value="Indicates how serious violating the invariant is."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:severity.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:severity.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:severity.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="severity"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:severity.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConstraintSeverity"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="How important the invariant is."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:expression">
+      <path value="Extension.extension"></path>
+      <sliceName value="expression"></sliceName>
+      <short value="Formal rule"></short>
+      <definition value="The FHIRPath expression of the rule for computable interpretation."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:expression.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:expression.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:expression.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="expression"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:expression.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:human">
+      <path value="Extension.extension"></path>
+      <sliceName value="human"></sliceName>
+      <short value="Human-readable rule"></short>
+      <definition value="A free text expression of the rule to display to the user if the rule is violated."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:human.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:human.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:human.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="human"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:human.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:location">
+      <path value="Extension.extension"></path>
+      <sliceName value="location"></sliceName>
+      <short value="Relative path to elements"></short>
+      <definition value="Relative paths to the questions this rule is enforced against."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:location.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:location.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:location.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="location"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:location.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Constraint"></short>
+      <definition value="An invariant that must be satisfied before responses to the questionnaire can be considered &quot;complete&quot;."></definition>
+      <comment value="This maps to the ElementDefinition.constraint element."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:key">
+      <path value="Extension.extension"></path>
+      <sliceName value="key"></sliceName>
+      <short value="Unique identifier"></short>
+      <definition value="Unique id for the constraint within the questionnaire."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:key.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:key.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="key"></fixedUri>
+     </element>
+     <element id="Extension.extension:key.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="id"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:requirements">
+      <path value="Extension.extension"></path>
+      <sliceName value="requirements"></sliceName>
+      <short value="Why needed"></short>
+      <definition value="An explanation of why this extension is required (for documentation purposes)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:requirements.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:requirements.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="requirements"></fixedUri>
+     </element>
+     <element id="Extension.extension:requirements.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:severity">
+      <path value="Extension.extension"></path>
+      <sliceName value="severity"></sliceName>
+      <short value="error|warning"></short>
+      <definition value="Indicates how serious violating the invariant is."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:severity.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:severity.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="severity"></fixedUri>
+     </element>
+     <element id="Extension.extension:severity.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConstraintSeverity"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="How important the invariant is."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:expression">
+      <path value="Extension.extension"></path>
+      <sliceName value="expression"></sliceName>
+      <short value="Formal rule"></short>
+      <definition value="The FHIRPath expression of the rule for computable interpretation."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:expression.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:expression.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="expression"></fixedUri>
+     </element>
+     <element id="Extension.extension:expression.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:human">
+      <path value="Extension.extension"></path>
+      <sliceName value="human"></sliceName>
+      <short value="Human-readable rule"></short>
+      <definition value="A free text expression of the rule to display to the user if the rule is violated."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:human.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:human.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="human"></fixedUri>
+     </element>
+     <element id="Extension.extension:human.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:location">
+      <path value="Extension.extension"></path>
+      <sliceName value="location"></sliceName>
+      <short value="Relative path to elements"></short>
+      <definition value="Relative paths to the questions this rule is enforced against."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:location.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:location.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="location"></fixedUri>
+     </element>
+     <element id="Extension.extension:location.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-constraint"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-sliderStepValue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"></url>
+    <version value="4.2.0"></version>
+    <name value="sliderStepValue"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="For slider-based controls, indicates the step size to use when toggling the control up or down."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Questionnaire.item.item"></expression>
+    </context>
+    <contextInvariant value="type='integer'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Increment value for slider"></short>
+      <definition value="For slider-based controls, indicates the step size to use when toggling the control up or down."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Increment value for slider"></short>
+      <definition value="For slider-based controls, indicates the step size to use when toggling the control up or down."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="specimen-sequenceNumber"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"></url>
+    <version value="4.2.0"></version>
+    <name value="sequenceNumber"></name>
+    <title value="sequenceNumber"></title>
+    <status value="draft"></status>
+    <date value="2015-02-19"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="An assigned number on the specimen denoting the order of collection."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Specimen.container"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The sequence number of the sample"></short>
+      <definition value="An assigned number on the specimen denoting the order of collection."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The sequence number of the sample"></short>
+      <definition value="An assigned number on the specimen denoting the order of collection."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="specimen-collectionPriority"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"></url>
+    <version value="4.2.0"></version>
+    <name value="collectionPriority"></name>
+    <title value="Collection Priority"></title>
+    <status value="draft"></status>
+    <date value="2015-02-19"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The urgency of sample collection, such as STAT, ASAP, ASAP-ED, ROUTINE, ROUTINE-AM, etc…."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Specimen.collection"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Urgency for collection"></short>
+      <definition value="The urgency of sample collection, such as STAT, ASAP, ASAP-ED, ROUTINE, ROUTINE-AM, etc…."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PriorityExample"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Type representing the priority for specimen collection."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-collection-priority"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Urgency for collection"></short>
+      <definition value="The urgency of sample collection, such as STAT, ASAP, ASAP-ED, ROUTINE, ROUTINE-AM, etc…."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-collectionPriority"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PriorityExample"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Type representing the priority for specimen collection."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-collection-priority"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="specimen-specialHandling"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"></url>
+    <version value="4.2.0"></version>
+    <name value="specialHandling"></name>
+    <title value="Special handling"></title>
+    <status value="draft"></status>
+    <date value="2015-02-19"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Special handling during the collection, transport, or storage of the specimen."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Specimen.collection"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Special handling of the specimen"></short>
+      <definition value="Special handling during the collection, transport, or storage of the specimen."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Special handling of the specimen"></short>
+      <definition value="Special handling during the collection, transport, or storage of the specimen."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="specimen-isDryWeight"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"></url>
+    <version value="4.2.0"></version>
+    <name value="isDryWeight"></name>
+    <title value="Is Dry Weight"></title>
+    <status value="draft"></status>
+    <date value="2015-02-19"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="If the recorded quantity of the specimen is reported as a weight, if it is a dry weight."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Specimen.collection.quantity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether quantity is a dry weight"></short>
+      <definition value="If the recorded quantity of the specimen is reported as a weight, if it is a dry weight."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether quantity is a dry weight"></short>
+      <definition value="If the recorded quantity of the specimen is reported as a weight, if it is a dry weight."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="specimen-processingTime"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"></url>
+    <version value="4.2.0"></version>
+    <name value="processingTime"></name>
+    <title value="Processing Time"></title>
+    <status value="draft"></status>
+    <date value="2015-02-19"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Period or duration of processing."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Specimen.processing"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Time of processing"></short>
+      <definition value="Period or duration of processing."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Time of processing"></short>
+      <definition value="Period or duration of processing."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/specimen-processingTime"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-test"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-test"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-test"></url>
+    <version value="4.2.0"></version>
+    <name value="test"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Observations that confirm or refute the risk and/or the substance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Observations that confirm or refute"></short>
+      <definition value="Observations that confirm or refute the risk and/or the substance."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-test"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Observations that confirm or refute"></short>
+      <definition value="Observations that confirm or refute the risk and/or the substance."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-test"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-location"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-location"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-location"></url>
+    <version value="4.2.0"></version>
+    <name value="location"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The anatomical location / body site(s) where the symptoms manifested."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Body site of manifestations"></short>
+      <definition value="The anatomical location / body site(s) where the symptoms manifested."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-location"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="BodySite"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Codes describing anatomical locations. May include laterality."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/body-site"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Body site of manifestations"></short>
+      <definition value="The anatomical location / body site(s) where the symptoms manifested."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-location"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="BodySite"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Codes describing anatomical locations. May include laterality."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/body-site"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-exposureDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"></url>
+    <version value="4.2.0"></version>
+    <name value="exposureDate"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Record of the date and/or time of the first exposure to the Substance for this Reaction Event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date(/time) of first exposure to Substance"></short>
+      <definition value="Record of the date and/or time of the first exposure to the Substance for this Reaction Event."></definition>
+      <comment value="Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided in additional extensions, or as text in the Exposure Description extension."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date(/time) of first exposure to Substance"></short>
+      <definition value="Record of the date and/or time of the first exposure to the Substance for this Reaction Event."></definition>
+      <comment value="Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided in additional extensions, or as text in the Exposure Description extension."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-exposureDuration"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"></url>
+    <version value="4.2.0"></version>
+    <name value="exposureDuration"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The amount of time the individual was exposed to the Substance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Amount of time individual was exposed to Substance"></short>
+      <definition value="The amount of time the individual was exposed to the Substance."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Amount of time individual was exposed to Substance"></short>
+      <definition value="The amount of time the individual was exposed to the Substance."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDuration"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Duration"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-exposureDescription"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"></url>
+    <version value="4.2.0"></version>
+    <name value="exposureDescription"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Text description about exposure to the Substance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Text description about exposure to the Substance"></short>
+      <definition value="Text description about exposure to the Substance."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Text description about exposure to the Substance"></short>
+      <definition value="Text description about exposure to the Substance."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-exposureDescription"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-administration"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"></url>
+    <version value="4.2.0"></version>
+    <name value="administration"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Link to an actual medication administration record with the full details of the administration, if a link is known."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Actual medication record, if known"></short>
+      <definition value="Link to an actual medication administration record with the full details of the administration, if a link is known."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Actual medication record, if known"></short>
+      <definition value="Link to an actual medication administration record with the full details of the administration, if a link is known."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-administration"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-management"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-management"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-management"></url>
+    <version value="4.2.0"></version>
+    <name value="management"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Text description about the clinical management provided."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Clinical Management Description"></short>
+      <definition value="Text description about the clinical management provided."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-management"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Clinical Management Description"></short>
+      <definition value="Text description about the clinical management provided."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-management"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="openEHR-careplan"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"></url>
+    <version value="4.2.0"></version>
+    <name value="careplan"></name>
+    <status value="draft"></status>
+    <date value="2014-10-09"></date>
+    <publisher value="Health Level Seven, Inc / openEHR project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Additional details about the clinical management provided for this Reaction Event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Clinical Management Details"></short>
+      <definition value="Additional details about the clinical management provided for this Reaction Event."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Clinical Management Details"></short>
+      <definition value="Additional details about the clinical management provided for this Reaction Event."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/openEHR-careplan"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-resolutionAge"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"></url>
+    <version value="4.2.0"></version>
+    <name value="resolutionAge"></name>
+    <title value="resolutionAge"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Age that the allergy or intolerance resolved"></short>
+      <definition value="The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved."></definition>
+      <comment value="Removed Date since it is hard to imagine knowing the date an allergy abated. The assertion date is already captured."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Age that the allergy or intolerance resolved"></short>
+      <definition value="The estimated patient age at which the allergy or intolerance resolved. Should be specified only if the status is resolved."></definition>
+      <comment value="Removed Date since it is hard to imagine knowing the date an allergy abated. The assertion date is already captured."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-resolutionAge"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Age"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-reasonRefuted"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"></url>
+    <version value="4.2.0"></version>
+    <name value="reasonRefuted"></name>
+    <title value="reasonRefuted"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explanation associated with refuted status"></short>
+      <definition value="A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Explanation associated with refuted status"></short>
+      <definition value="A code capturing the explanation of why the allergy or intolerance has been refuted. Should be specified only if the status is refuted."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-reasonRefuted"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-duration"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"></url>
+    <version value="4.2.0"></version>
+    <name value="duration"></name>
+    <title value="duration"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The amount of time that the Adverse Reaction persisted."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="How long Manifestations persisted"></short>
+      <definition value="The amount of time that the Adverse Reaction persisted."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="How long Manifestations persisted"></short>
+      <definition value="The amount of time that the Adverse Reaction persisted."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-duration"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Duration"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-substanceExposureRisk"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"></url>
+    <version value="4.2.0"></version>
+    <name value="substanceExposureRisk"></name>
+    <title value="substanceExposureRisk"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product"></short>
+      <definition value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."></definition>
+      <comment value="This extension is available and is intended to be used as a more completely structured and flexible alternative to the 'code' element for representing positive and negative allergy and intolerance statements.  If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant &quot;code or substanceExposureRisk&quot;)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <constraint>
+       <key value="inv-1"></key>
+       <severity value="error"></severity>
+       <human value="If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted."></human>
+       <expression value="substanceExposureRisk.exists() and code.empty()"></expression>
+       <xpath value="exists(f:substanceExposureRisk) and not(exists(f:code))"></xpath>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:substance">
+      <path value="Extension.extension"></path>
+      <sliceName value="substance"></sliceName>
+      <short value="Substance (or pharmaceutical product)"></short>
+      <definition value="Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure."></definition>
+      <comment value="It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="AL1-3 / IAM-3"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code &lt;= ExposureAgentEntityType]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:substance.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:substance.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:substance.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="substance"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:substance.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SubstanceCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes defining the type of the substance (including pharmaceutical products)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/substance-code"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:exposureRisk">
+      <path value="Extension.extension"></path>
+      <sliceName value="exposureRisk"></sliceName>
+      <short value="known-reaction-risk | no-known-reaction-risk"></short>
+      <definition value="The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."></definition>
+      <comment value="exposureRisk is a modifier of the substance."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:exposureRisk.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:exposureRisk.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:exposureRisk.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="exposureRisk"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:exposureRisk.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AllergyIntoleranceSubstanceExposureRisk"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product"></short>
+      <definition value="A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."></definition>
+      <comment value="This extension is available and is intended to be used as a more completely structured and flexible alternative to the 'code' element for representing positive and negative allergy and intolerance statements.  If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant &quot;code or substanceExposureRisk&quot;)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <constraint>
+       <key value="inv-1"></key>
+       <severity value="error"></severity>
+       <human value="If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted."></human>
+       <expression value="substanceExposureRisk.exists() and code.empty()"></expression>
+       <xpath value="exists(f:substanceExposureRisk) and not(exists(f:code))"></xpath>
+      </constraint>
+     </element>
+     <element id="Extension.extension:substance">
+      <path value="Extension.extension"></path>
+      <sliceName value="substance"></sliceName>
+      <short value="Substance (or pharmaceutical product)"></short>
+      <definition value="Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure."></definition>
+      <comment value="It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="AL1-3 / IAM-3"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code &lt;= ExposureAgentEntityType]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:substance.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:substance.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="substance"></fixedUri>
+     </element>
+     <element id="Extension.extension:substance.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SubstanceCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes defining the type of the substance (including pharmaceutical products)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/substance-code"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:exposureRisk">
+      <path value="Extension.extension"></path>
+      <sliceName value="exposureRisk"></sliceName>
+      <short value="known-reaction-risk | no-known-reaction-risk"></short>
+      <definition value="The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."></definition>
+      <comment value="exposureRisk is a modifier of the substance."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:exposureRisk.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:exposureRisk.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="exposureRisk"></fixedUri>
+     </element>
+     <element id="Extension.extension:exposureRisk.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AllergyIntoleranceSubstanceExposureRisk"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk|4.2.0"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-certainty"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"></url>
+    <version value="4.2.0"></version>
+    <name value="certainty"></name>
+    <title value="certainty"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance.reaction"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Certainty that the substance was the cause of the manifestation"></short>
+      <definition value="Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."></definition>
+      <comment value="When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="uncertaintyCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AllergyIntoleranceCertainty"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-certainty"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Certainty that the substance was the cause of the manifestation"></short>
+      <definition value="Statement about the degree of clinical certainty that the specific substance was the cause of the manifestation in this reaction event."></definition>
+      <comment value="When certainty is missing, it means no information exists (although it could be in narrative).  By contrast, the unknown code is used when there is an explicit assertion that certainty is not known, such as when a patient eats a meal and it is unknown which food caused the reaction."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="uncertaintyCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-certainty"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AllergyIntoleranceCertainty"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-certainty"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-assertedDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"></url>
+    <version value="4.2.0"></version>
+    <name value="assertedDate"></name>
+    <title value="assertedDate"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The date on which the existence of the AllergyIntolerance was first asserted or acknowledged."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date the allergy or intolerance was first asserted"></short>
+      <definition value="The date on which the existence of the AllergyIntolerance was first asserted or acknowledged."></definition>
+      <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date the allergy or intolerance was first asserted"></short>
+      <definition value="The date on which the existence of the AllergyIntolerance was first asserted or acknowledged."></definition>
+      <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-assertedDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-abatement"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"></url>
+    <version value="4.2.0"></version>
+    <name value="abatement"></name>
+    <title value="abatement"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AllergyIntolerance"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the allergy or intolerance resolved"></short>
+      <definition value="The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution."></definition>
+      <comment value="Age is generally used when the patient reports an age at which the allergy or intolerance abated. If there is no abatement element, the clinicalStatus can be used to convey whether allergy or intolerance has resolved or not. When abatementString exists, it conveys that the allergy or intolerance is abated."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the allergy or intolerance resolved"></short>
+      <definition value="The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution."></definition>
+      <comment value="Age is generally used when the patient reports an age at which the allergy or intolerance abated. If there is no abatement element, the clinicalStatus can be used to convey whether allergy or intolerance has resolved or not. When abatementString exists, it conveys that the allergy or intolerance is abated."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="careplan-activity-title"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"></url>
+    <version value="4.2.0"></version>
+    <name value="activity-title"></name>
+    <title value="Title"></title>
+    <status value="draft"></status>
+    <date value="2015-03-27"></date>
+    <publisher value="Health Level Seven, Inc. - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/patientcare.html"></value>
+     </telecom>
+    </contact>
+    <description value="Human-friendly name for the activity."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CarePlan.activity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Label for activity"></short>
+      <definition value="Human-friendly name for the activity."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Label for activity"></short>
+      <definition value="Human-friendly name for the activity."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/careplan-activity-title"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-display-hint"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"></url>
+    <version value="4.2.0"></version>
+    <name value="display-hint"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Hinting information for the narrative generator - a series of name: value; pairs."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Hinting information for the narrative generator"></short>
+      <definition value="Hinting information for the narrative generator - a series of name: value; pairs."></definition>
+      <comment value="known names: default (default value - don't represent if this value)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Hinting information for the narrative generator"></short>
+      <definition value="Hinting information for the narrative generator - a series of name: value; pairs."></definition>
+      <comment value="known names: default (default value - don't represent if this value)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-template-status"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"></url>
+    <version value="4.2.0"></version>
+    <name value="template-status"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Status code taken from [HL7 template specification](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=377) - allows for alignment with the template DSTU, and has more authoring status codes."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Template Status Code (more authoring statuses)"></short>
+      <definition value="Status code taken from [HL7 template specification](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=377) - allows for alignment with the template DSTU, and has more authoring status codes."></definition>
+      <comment value="The Profile status has the codes that are relevant to end-users/developers, while this extension has the codes used by profile developers."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="TemplateStatusCode"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The status indicates the level of maturity of the design and may be used to manage the use of the design."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/template-status-code|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Template Status Code (more authoring statuses)"></short>
+      <definition value="Status code taken from [HL7 template specification](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=377) - allows for alignment with the template DSTU, and has more authoring status codes."></definition>
+      <comment value="The Profile status has the codes that are relevant to end-users/developers, while this extension has the codes used by profile developers."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-template-status"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="TemplateStatusCode"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The status indicates the level of maturity of the design and may be used to manage the use of the design."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/template-status-code|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-fmm"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"></url>
+    <version value="4.2.0"></version>
+    <name value="fmm"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The FMM level assigned to the artifact."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FMM Level"></short>
+      <definition value="The FMM level assigned to the artifact."></definition>
+      <comment value="Though this is defined for resources, it can be used for any artifact."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FMM Level"></short>
+      <definition value="The FMM level assigned to the artifact."></definition>
+      <comment value="Though this is defined for resources, it can be used for any artifact."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-fmm-no-warnings"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"></url>
+    <version value="4.2.0"></version>
+    <name value="fmm-no-warnings"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The FMM level that would be assigned to the artifact if it had no warnings."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FMM Level (if no warnings)"></short>
+      <definition value="The FMM level that would be assigned to the artifact if it had no warnings."></definition>
+      <comment value="If an artifact is higher than level 0, it must have no warnings from the resource/profile validator. This is the logical level that will apply once warnings have been resolved."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FMM Level (if no warnings)"></short>
+      <definition value="The FMM level that would be assigned to the artifact if it had no warnings."></definition>
+      <comment value="If an artifact is higher than level 0, it must have no warnings from the resource/profile validator. This is the logical level that will apply once warnings have been resolved."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-wg"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"></url>
+    <version value="4.2.0"></version>
+    <name value="wg"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The work group that owns and maintains this resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Owning Work Group"></short>
+      <definition value="The work group that owns and maintains this resource."></definition>
+      <comment value="This is mostly used in the main specification."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="HL7Workgroup"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="An HL7 administrative unit that owns artifacts in the FHIR specification."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/hl7-work-group|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Owning Work Group"></short>
+      <definition value="The work group that owns and maintains this resource."></definition>
+      <comment value="This is mostly used in the main specification."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="HL7Workgroup"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="An HL7 administrative unit that owns artifacts in the FHIR specification."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/hl7-work-group|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-explicit-type-name"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"></url>
+    <version value="4.2.0"></version>
+    <name value="explicit-type-name"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A name to use for the type, in implementations. This is a suggestion; it's not a normative part of the FHIR specification, but it does appear in the UML diagrams, and is used in generated code, schemas, etc.to identify the type."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Advisory - name of Type for implementations"></short>
+      <definition value="A name to use for the type, in implementations. This is a suggestion; it's not a normative part of the FHIR specification, but it does appear in the UML diagrams, and is used in generated code, schemas, etc.to identify the type."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Advisory - name of Type for implementations"></short>
+      <definition value="A name to use for the type, in implementations. This is a suggestion; it's not a normative part of the FHIR specification, but it does appear in the UML diagrams, and is used in generated code, schemas, etc.to identify the type."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-fhir-type"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"></url>
+    <version value="4.2.0"></version>
+    <name value="fhir-type"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The FHIR type of a property - used on the value property of a primitive type (for which there is no type in the FHIR typing system), and Element.id, Resource.id, and Extension.url. All of these have a non-FHIR type in thir structure definition, and this specifies the applicable FHIR type."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.type"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Base FHIR type (when a special property)"></short>
+      <definition value="The FHIR type of a property - used on the value property of a primitive type (for which there is no type in the FHIR typing system), and Element.id, Resource.id, and Extension.url. All of these have a non-FHIR type in thir structure definition, and this specifies the applicable FHIR type."></definition>
+      <comment value="This is in effect, compiler magic for the typing system."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DataType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Base FHIR type (when a special property)"></short>
+      <definition value="The FHIR type of a property - used on the value property of a primitive type (for which there is no type in the FHIR typing system), and Element.id, Resource.id, and Extension.url. All of these have a non-FHIR type in thir structure definition, and this specifies the applicable FHIR type."></definition>
+      <comment value="This is in effect, compiler magic for the typing system."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DataType"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A version specific list of the data types defined by the FHIR specification for use as an element  type (any of the FHIR defined data types)."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/data-types|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-summary"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"></url>
+    <version value="4.2.0"></version>
+    <name value="summary"></name>
+    <title value="summary"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Additional text for the summary presentation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional text for the summary presentation"></short>
+      <definition value="Additional text for the summary presentation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional text for the summary presentation"></short>
+      <definition value="Additional text for the summary presentation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-ancestor"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"></url>
+    <version value="4.2.0"></version>
+    <name value="ancestor"></name>
+    <title value="ancestor"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A canonical reference to a StructureDefinition that this is derived from. This is a de-normalization of a chain of StructureDefinition.baseDefinition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="StructureDefinition this is derived from"></short>
+      <definition value="A canonical reference to a StructureDefinition that this is derived from. This is a de-normalization of a chain of StructureDefinition.baseDefinition."></definition>
+      <comment value="It is an error if a structure definition lists an ancestor that is not in the chain of baseDefinitions."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="StructureDefinition this is derived from"></short>
+      <definition value="A canonical reference to a StructureDefinition that this is derived from. This is a de-normalization of a chain of StructureDefinition.baseDefinition."></definition>
+      <comment value="It is an error if a structure definition lists an ancestor that is not in the chain of baseDefinitions."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-ancestor"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-category"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"></url>
+    <version value="4.2.0"></version>
+    <name value="category"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The category under which the resource type is presented on the official resource list."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Category from official resource list"></short>
+      <definition value="The category under which the resource type is presented on the official resource list."></definition>
+      <comment value="To allow tools to follow the same structure for user convenience."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Category from official resource list"></short>
+      <definition value="The category under which the resource type is presented on the official resource list."></definition>
+      <comment value="To allow tools to follow the same structure for user convenience."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-table-name"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"></url>
+    <version value="4.2.0"></version>
+    <name value="table-name"></name>
+    <title value="table name"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A name to use to show mappings of this type in the generated summary tables."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition.mapping"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Show mappings in the summary table with this name"></short>
+      <definition value="A name to use to show mappings of this type in the generated summary tables."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Show mappings in the summary table with this name"></short>
+      <definition value="A name to use to show mappings of this type in the generated summary tables."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-table-name"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-standards-status"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"></url>
+    <version value="4.2.0"></version>
+    <name value="standards-status"></name>
+    <title value="Standards Status"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The Current HL7 ballot/Standards status of this artifact."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Element"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="HL7 Ballot/Standards status of artifact"></short>
+      <definition value="The Current HL7 ballot/Standards status of this artifact."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StandardsStatus"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="HL7 Ballot/Standards status of artifact."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/standards-status|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="HL7 Ballot/Standards status of artifact"></short>
+      <definition value="The Current HL7 ballot/Standards status of this artifact."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="StandardsStatus"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="HL7 Ballot/Standards status of artifact."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/standards-status|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-hierarchy"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"></url>
+    <version value="4.2.0"></version>
+    <name value="hierarchy"></name>
+    <title value="Hierarchy"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ElementDefinition.type"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether a circular reference is allowed to (transitively) point back to the same instance"></short>
+      <definition value="For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether a circular reference is allowed to (transitively) point back to the same instance"></short>
+      <definition value="For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-xml-no-order"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"></url>
+    <version value="4.2.0"></version>
+    <name value="xml-no-order"></name>
+    <title value="No Order in XML"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Whether elements can come in any order in XML."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether elements can come in any order (XML)"></short>
+      <definition value="Whether elements can come in any order in XML."></definition>
+      <comment value="This is never set in FHIR Resources or Data types, but may be encountered in other structure definitions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether elements can come in any order (XML)"></short>
+      <definition value="Whether elements can come in any order in XML."></definition>
+      <comment value="This is never set in FHIR Resources or Data types, but may be encountered in other structure definitions."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-no-order"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-codegen-super"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"></url>
+    <version value="4.2.0"></version>
+    <name value="codegen-super"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A specific instruction to use an intermediate parent class when generating code for the classes."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition.baseDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Use a different base when generating code"></short>
+      <definition value="A specific instruction to use an intermediate parent class when generating code for the classes."></definition>
+      <comment value="This can be useful when setting up special common ancestor classes for shared code. At present the only use for this is for the special MetadataPattern pattern."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Use a different base when generating code"></short>
+      <definition value="A specific instruction to use an intermediate parent class when generating code for the classes."></definition>
+      <comment value="This can be useful when setting up special common ancestor classes for shared code. At present the only use for this is for the special MetadataPattern pattern."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-dependencies"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"></url>
+    <version value="4.2.0"></version>
+    <name value="dependencies"></name>
+    <title value="Dependent Profiles"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Instances can only be valid against this StructureDefinition, if they also sucessfully validate against the dependent profile identified in this extension."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Dependent Profiles - must be valid against these too"></short>
+      <definition value="Instances can only be valid against this StructureDefinition, if they also sucessfully validate against the dependent profile identified in this extension."></definition>
+      <comment value="Ideally, a profile will restate the constraints of it's base profile and all it's dependent profiles, but this can get pretty complicated once slicing enters the picture. Tools SHOULD not assume that this profile includes all the constraints from the dependent profile."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Dependent Profiles - must be valid against these too"></short>
+      <definition value="Instances can only be valid against this StructureDefinition, if they also sucessfully validate against the dependent profile identified in this extension."></definition>
+      <comment value="Ideally, a profile will restate the constraints of it's base profile and all it's dependent profiles, but this can get pretty complicated once slicing enters the picture. Tools SHOULD not assume that this profile includes all the constraints from the dependent profile."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-dependencies"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-applicable-version"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"></url>
+    <version value="4.2.0"></version>
+    <name value="applicable-version"></name>
+    <title value="Applicable Version"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="An additional version that this profile apples to, other than the version explicitly stated in StructureDefinition.fhirVersion."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Another Version this applies to"></short>
+      <definition value="An additional version that this profile apples to, other than the version explicitly stated in StructureDefinition.fhirVersion."></definition>
+      <comment value="This is typically only used where derivation = constraint. As the underlying resources become more stable, profiles on one version become applicable to other versions as well. It's possible to calculate automatically with the strutural features of a profile apply to a given version, but just because it's structurally ok doesn't mean that the meaning is correct. This extension allows a positive statement that the profile applies."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FHIRVersion"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="All published FHIR Versions."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Another Version this applies to"></short>
+      <definition value="An additional version that this profile apples to, other than the version explicitly stated in StructureDefinition.fhirVersion."></definition>
+      <comment value="This is typically only used where derivation = constraint. As the underlying resources become more stable, profiles on one version become applicable to other versions as well. It's possible to calculate automatically with the strutural features of a profile apply to a given version, but just because it's structurally ok doesn't mean that the meaning is correct. This extension allows a positive statement that the profile applies."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-applicable-version"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FHIRVersion"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="All published FHIR Versions."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-normative-version"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"></url>
+    <version value="4.2.0"></version>
+    <name value="normative-version"></name>
+    <title value="First Normative Version"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="If this StructureDefinition is normative, which was the first normative version."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="If normative, which was the first normative version"></short>
+      <definition value="If this StructureDefinition is normative, which was the first normative version."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FHIRVersion"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="All published FHIR Versions."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="If normative, which was the first normative version"></short>
+      <definition value="If this StructureDefinition is normative, which was the first normative version."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FHIRVersion"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="All published FHIR Versions."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-security-category"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"></url>
+    <version value="4.2.0"></version>
+    <name value="security-category"></name>
+    <title value="Security Category"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete the resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Security Categorization for Resource"></short>
+      <definition value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete the resource."></definition>
+      <comment value="This is only guidance; applications must perform their own analysis to meet their own requirements."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ResourceSecurityCategory"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-security-category|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Security Categorization for Resource"></short>
+      <definition value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete the resource."></definition>
+      <comment value="This is only guidance; applications must perform their own analysis to meet their own requirements."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ResourceSecurityCategory"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-security-category|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/structuredefinition-interface"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="structuredefinition-interface"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/structuredefinition-interface"></url>
+    <version value="4.2.0"></version>
+    <name value="interface"></name>
+    <title value="Interface"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Marks that the resource definition represents an [interface](uml.html#interface) rather than a resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="StructureDefinition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="If this is an interface rather than a class"></short>
+      <definition value="Marks that the resource definition represents an [interface](uml.html#interface) rather than a resource."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-interface"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="If this is an interface rather than a class"></short>
+      <definition value="Marks that the resource definition represents an [interface](uml.html#interface) rather than a resource."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/structuredefinition-interface"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="operationoutcome-issue-source"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"></url>
+    <version value="4.2.0"></version>
+    <name value="issue-source"></name>
+    <title value="Source of Issue"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Helps a user track down the source of the problem."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationOutcome.issue"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Source of a validation message"></short>
+      <definition value="Helps a user track down the source of the problem."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Source of a validation message"></short>
+      <definition value="Helps a user track down the source of the problem."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="operationoutcome-authority"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"></url>
+    <version value="4.2.0"></version>
+    <name value="authority"></name>
+    <title value="Rule Reference"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A reference to where the rule is defined (based on the authoritative URLs in the applicable conformance resources)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationOutcome.issue"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to where the rule is defined"></short>
+      <definition value="A reference to where the rule is defined (based on the authoritative URLs in the applicable conformance resources)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to where the rule is defined"></short>
+      <definition value="A reference to where the rule is defined (based on the authoritative URLs in the applicable conformance resources)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-authority"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="operationoutcome-detectedIssue"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"></url>
+    <version value="4.2.0"></version>
+    <name value="detectedIssue"></name>
+    <title value="Clinical Issue"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A reference to a stored contraindication that is the basis for this issue. A recipient can expect that the item referenced in this extension is being retained for record keeping purposes."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationOutcome.issue"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to a contra-indication that is the basis for this error"></short>
+      <definition value="A reference to a stored contraindication that is the basis for this issue. A recipient can expect that the item referenced in this extension is being retained for record keeping purposes."></definition>
+      <comment value="Operation Outcome records are transient items that are returned in response to specific interactions or operations. Contraindications are items that can be stored in the patient's records as reasons that things were not done (or done). This extension allows a transient operation outcome to refer to a persistent entry in the patient record as the basis for the outcome."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to a contra-indication that is the basis for this error"></short>
+      <definition value="A reference to a stored contraindication that is the basis for this issue. A recipient can expect that the item referenced in this extension is being retained for record keeping purposes."></definition>
+      <comment value="Operation Outcome records are transient items that are returned in response to specific interactions or operations. Contraindications are items that can be stored in the patient's records as reasons that things were not done (or done). This extension allows a transient operation outcome to refer to a persistent entry in the patient record as the basis for the outcome."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationoutcome-detectedIssue"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-targetBodyStructure"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"></url>
+    <version value="4.2.0"></version>
+    <name value="targetBodyStructure"></name>
+    <title value="targetBodyStructure"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The target body site used for this procedure.  Multiple locations are allowed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The target point for this procedure"></short>
+      <definition value="The target body site used for this procedure.  Multiple locations are allowed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The target point for this procedure"></short>
+      <definition value="The target body site used for this procedure.  Multiple locations are allowed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-approachBodyStructure"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"></url>
+    <version value="4.2.0"></version>
+    <name value="approachBodyStructure"></name>
+    <title value="approachBodyStructure"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The approach body site used for this procedure.  Multiple locations are allowed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceRequest"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="DeviceUseStatement"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The access point or points used for this procedure"></short>
+      <definition value="The approach body site used for this procedure.  Multiple locations are allowed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The access point or points used for this procedure"></short>
+      <definition value="The approach body site used for this procedure.  Multiple locations are allowed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-method"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-method"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-method"></url>
+    <version value="4.2.0"></version>
+    <name value="method"></name>
+    <title value="method"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The method used to perform this procedure."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The method used to perform the procedure"></short>
+      <definition value="The method used to perform this procedure."></definition>
+      <comment value="Improve definition. Add mappings."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-method"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The method used to perform the procedure"></short>
+      <definition value="The method used to perform this procedure."></definition>
+      <comment value="Improve definition. Add mappings."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-method"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-progressStatus"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"></url>
+    <version value="4.2.0"></version>
+    <name value="progressStatus"></name>
+    <title value="progressStatus"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A code to track a detailed progress of  a procedure (e.g. In Recovery, Prepared for Surgery)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A details procedure progress"></short>
+      <definition value="A code to track a detailed progress of  a procedure (e.g. In Recovery, Prepared for Surgery)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ProcedureProgress"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A code to describe a detailed status/stage of the procedure."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/procedure-progress-status-codes"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A details procedure progress"></short>
+      <definition value="A code to track a detailed progress of  a procedure (e.g. In Recovery, Prepared for Surgery)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-progressStatus"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ProcedureProgress"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A code to describe a detailed status/stage of the procedure."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/procedure-progress-status-codes"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-incisionDateTime"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"></url>
+    <version value="4.2.0"></version>
+    <name value="incisionDateTime"></name>
+    <title value="incisionDateTime"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The time of the first incision."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The first incision time"></short>
+      <definition value="The time of the first incision."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The first incision time"></short>
+      <definition value="The time of the first incision."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-causedBy"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"></url>
+    <version value="4.2.0"></version>
+    <name value="causedBy"></name>
+    <title value="causedBy"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="This procedure is because of the related item."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Related item that caused this procedure."></short>
+      <definition value="This procedure is because of the related item."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Related item that caused this procedure."></short>
+      <definition value="This procedure is because of the related item."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".target"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-causedBy"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="procedure-directedBy"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"></url>
+    <version value="4.2.0"></version>
+    <name value="directedBy"></name>
+    <title value="directedBy"></title>
+    <status value="draft"></status>
+    <date value="2015-02-12"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Procedure"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ServiceRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who has decision-making authority"></short>
+      <definition value="The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service."></definition>
+      <comment value="For example, a long term care beneficiary who coordinates the services related to their activities of daily living."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who has decision-making authority"></short>
+      <definition value="The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service."></definition>
+      <comment value="For example, a long term care beneficiary who coordinates the services related to their activities of daily living."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/procedure-directedBy"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/list-changeBase"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="list-changeBase"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/list-changeBase"></url>
+    <version value="4.2.0"></version>
+    <name value="changeBase"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Reference to the List that a &quot;change&quot; list is asserting changes with respect to."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="List"></expression>
+    </context>
+    <contextInvariant value="mode = 'changes'"></contextInvariant>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Base List for changes"></short>
+      <definition value="Reference to the List that a &quot;change&quot; list is asserting changes with respect to."></definition>
+      <comment value="Only for mode = changes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/list-changeBase"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/List"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Base List for changes"></short>
+      <definition value="Reference to the List that a &quot;change&quot; list is asserting changes with respect to."></definition>
+      <comment value="Only for mode = changes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/list-changeBase"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/List"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="concept-bidirectional"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"></url>
+    <version value="4.2.0"></version>
+    <name value="bidirectional"></name>
+    <title value="Bi-directional"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Set to true if the concept map can be safely intepreted in reversse."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ConceptMap"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether the map can be interpreted in reverse"></short>
+      <definition value="Set to true if the concept map can be safely intepreted in reversse."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether the map can be interpreted in reverse"></short>
+      <definition value="Set to true if the concept map can be safely intepreted in reversse."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/concept-bidirectional"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-concept-definition"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"></url>
+    <version value="4.2.0"></version>
+    <name value="concept-definition"></name>
+    <title value="Definition"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A definition that describes the meaning of this code when used as part of this value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.concept"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion.contains"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A definition for this code"></short>
+      <definition value="A definition that describes the meaning of this code when used as part of this value set."></definition>
+      <comment value="This is provided for when the source code system doesn't actually provide a definition (there are many such). Providing an definition for a code SHOULD NOT be done where the underlying code system provides a definition."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A definition for this code"></short>
+      <definition value="A definition that describes the meaning of this code when used as part of this value set."></definition>
+      <comment value="This is provided for when the source code system doesn't actually provide a definition (there are many such). Providing an definition for a code SHOULD NOT be done where the underlying code system provides a definition."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-definition"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-concept-comments"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"></url>
+    <version value="4.2.0"></version>
+    <name value="concept-comments"></name>
+    <title value="Comment"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A comment that explains how this code is used in this context (where the value set is expected to be used)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Comment about the use of this code in this context"></short>
+      <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."></definition>
+      <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it's not clear whether it belongs in the actual value set resource."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Comment about the use of this code in this context"></short>
+      <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."></definition>
+      <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it's not clear whether it belongs in the actual value set resource."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-concept-comments"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-otherName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"></url>
+    <version value="4.2.0"></version>
+    <name value="otherName"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Human readable names for the valueset."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Alternative names"></short>
+      <definition value="Human readable names for the valueset."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name">
+      <path value="Extension.extension"></path>
+      <sliceName value="name"></sliceName>
+      <short value="Human readable, short and specific"></short>
+      <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."></definition>
+      <comment value="This need not be unique. However some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:preferred">
+      <path value="Extension.extension"></path>
+      <sliceName value="preferred"></sliceName>
+      <short value="Which name is preferred for this language"></short>
+      <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."></definition>
+      <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:preferred.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:preferred.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:preferred.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="preferred"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:preferred.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Alternative names"></short>
+      <definition value="Human readable names for the valueset."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:name">
+      <path value="Extension.extension"></path>
+      <sliceName value="name"></sliceName>
+      <short value="Human readable, short and specific"></short>
+      <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."></definition>
+      <comment value="This need not be unique. However some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="name"></fixedUri>
+     </element>
+     <element id="Extension.extension:name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:preferred">
+      <path value="Extension.extension"></path>
+      <sliceName value="preferred"></sliceName>
+      <short value="Which name is preferred for this language"></short>
+      <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."></definition>
+      <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:preferred.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:preferred.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="preferred"></fixedUri>
+     </element>
+     <element id="Extension.extension:preferred.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-otherName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-sourceReference"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"></url>
+    <version value="4.2.0"></version>
+    <name value="sourceReference"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where did this content come from"></short>
+      <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."></definition>
+      <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where did this content come from"></short>
+      <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."></definition>
+      <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-sourceReference"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-keyWord"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"></url>
+    <version value="4.2.0"></version>
+    <name value="keyWord"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Word or words used in an information retrieval system to indicate the content of the value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Descriptors and key terms for search"></short>
+      <definition value="Word or words used in an information retrieval system to indicate the content of the value set."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Descriptors and key terms for search"></short>
+      <definition value="Word or words used in an information retrieval system to indicate the content of the value set."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-keyWord"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-usage"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-usage"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-usage"></url>
+    <version value="4.2.0"></version>
+    <name value="usage"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who has used and how?"></short>
+      <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."></definition>
+      <comment value="This is likely to be a point-in-time view and should not be considered an authoritative listing of all uses of the value set."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:user">
+      <path value="Extension.extension"></path>
+      <sliceName value="user"></sliceName>
+      <short value="A consumer of or client for the value set"></short>
+      <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:user.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:user.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:user.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="user"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:user.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use">
+      <path value="Extension.extension"></path>
+      <sliceName value="use"></sliceName>
+      <short value="Implementation/project/standard that uses value set"></short>
+      <definition value="A descriptive name of the project or standard in which the value set is used."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:use.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:use.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="use"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-usage"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who has used and how?"></short>
+      <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."></definition>
+      <comment value="This is likely to be a point-in-time view and should not be considered an authoritative listing of all uses of the value set."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:user">
+      <path value="Extension.extension"></path>
+      <sliceName value="user"></sliceName>
+      <short value="A consumer of or client for the value set"></short>
+      <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:user.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:user.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="user"></fixedUri>
+     </element>
+     <element id="Extension.extension:user.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:use">
+      <path value="Extension.extension"></path>
+      <sliceName value="use"></sliceName>
+      <short value="Implementation/project/standard that uses value set"></short>
+      <definition value="A descriptive name of the project or standard in which the value set is used."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:use.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:use.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="use"></fixedUri>
+     </element>
+     <element id="Extension.extension:use.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-usage"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-workflowStatus"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"></url>
+    <version value="4.2.0"></version>
+    <name value="workflowStatus"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Workflow Status is used to represent details of the value set development process while in a single Activity Status."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicates the state of development of the value set"></short>
+      <definition value="Workflow Status is used to represent details of the value set development process while in a single Activity Status."></definition>
+      <comment value="The values that are traditionally used for this element while the Value Set Definition has an Activity Status of Preliminary are assumed to include phrases that capture various stages in review and approval. It is expected that this would be used to manage maintenance activities, but that a terminology service would not be expected to expose this information. Different services might adopt different workflow status values reflecting their local practices."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicates the state of development of the value set"></short>
+      <definition value="Workflow Status is used to represent details of the value set development process while in a single Activity Status."></definition>
+      <comment value="The values that are traditionally used for this element while the Value Set Definition has an Activity Status of Preliminary are assumed to include phrases that capture various stages in review and approval. It is expected that this would be used to manage maintenance activities, but that a terminology service would not be expected to expose this information. Different services might adopt different workflow status values reflecting their local practices."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-workflowStatus"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-activityStatusDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"></url>
+    <version value="4.2.0"></version>
+    <name value="activityStatusDate"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The date when the associated Value Set Definition Version activity status is in effect."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date when the activity status is in effect"></short>
+      <definition value="The date when the associated Value Set Definition Version activity status is in effect."></definition>
+      <comment value="When the Activity Status is set to “Active”, the Activity Status Date defines the Effective Date which is the date-time the Value Set Definition Version becomes active. When the Activity Status is set to “Inactive”, the Activity Status Date is the date-time when the Value Set Definition version becomes Inactive. This cycle may happen multiple times. The specified time is expected to be one second after midnight UTC of the Activity Status Date. The date may be in the future. 
+
+It is strongly encouraged that the Activity Status be set such that no more than one Value Set Definition Version for a single Value Set Identifier can have an Activity Status of ACTIVE at the same time within a single realm. In cases where this is not true, evaluation of the alignment of a Value Set Expansion Code Set to a specific Value Set Definition, as referenced in a CD, will be problematic.
+
+Changes to this element should never result in a new Value Set Definition Version."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date when the activity status is in effect"></short>
+      <definition value="The date when the associated Value Set Definition Version activity status is in effect."></definition>
+      <comment value="When the Activity Status is set to “Active”, the Activity Status Date defines the Effective Date which is the date-time the Value Set Definition Version becomes active. When the Activity Status is set to “Inactive”, the Activity Status Date is the date-time when the Value Set Definition version becomes Inactive. This cycle may happen multiple times. The specified time is expected to be one second after midnight UTC of the Activity Status Date. The date may be in the future. 
+
+It is strongly encouraged that the Activity Status be set such that no more than one Value Set Definition Version for a single Value Set Identifier can have an Activity Status of ACTIVE at the same time within a single realm. In cases where this is not true, evaluation of the alignment of a Value Set Expansion Code Set to a specific Value Set Definition, as referenced in a CD, will be problematic.
+
+Changes to this element should never result in a new Value Set Definition Version."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-activityStatusDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-effectiveDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"></url>
+    <version value="4.2.0"></version>
+    <name value="effectiveDate"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version becomes Active and is available for use"></short>
+      <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version becomes Active and is available for use"></short>
+      <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-expirationDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"></url>
+    <version value="4.2.0"></version>
+    <name value="expirationDate"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value SHALL present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version should no longer be used"></short>
+      <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value SHALL present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."></definition>
+      <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version should no longer be used"></short>
+      <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value SHALL present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."></definition>
+      <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expirationDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-author"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-author"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-author"></url>
+    <version value="4.2.0"></version>
+    <name value="author"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The entity or set of entities that create and may modify the Value Set Definition content. The name of a group or an individual, along with contact details."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Entity/entities that create and may modify the Value Set"></short>
+      <definition value="The entity or set of entities that create and may modify the Value Set Definition content. The name of a group or an individual, along with contact details."></definition>
+      <comment value="This can be any combination of groups or individuals. When known and actively maintained, this should be populated. The information included about the Author may include contact information."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-author"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Entity/entities that create and may modify the Value Set"></short>
+      <definition value="The entity or set of entities that create and may modify the Value Set Definition content. The name of a group or an individual, along with contact details."></definition>
+      <comment value="This can be any combination of groups or individuals. When known and actively maintained, this should be populated. The information included about the Author may include contact information."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-author"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-steward"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-steward"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-steward"></url>
+    <version value="4.2.0"></version>
+    <name value="steward"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The entity that is responsible for the content of the Value Set Definition. This is a textual description of the organizational entity responsible for the content and maintenance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Entity responsible for Value Set"></short>
+      <definition value="The entity that is responsible for the content of the Value Set Definition. This is a textual description of the organizational entity responsible for the content and maintenance."></definition>
+      <comment value="The information included should include contact information."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-steward"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Entity responsible for Value Set"></short>
+      <definition value="The entity that is responsible for the content of the Value Set Definition. This is a textual description of the organizational entity responsible for the content and maintenance."></definition>
+      <comment value="The information included should include contact information."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-steward"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-trusted-expansion"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"></url>
+    <version value="4.2.0"></version>
+    <name value="trusted-expansion"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Indicates an authoritative source for performing value set expansions."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to a trusted expansion"></short>
+      <definition value="Indicates an authoritative source for performing value set expansions."></definition>
+      <comment value="If the designated &quot;authoritative source&quot; (as specified in the valueset-authoritativeSource extension, if present) is unable to provide a valid expansion, this extension indicates an alternate authoritative source where the value set expansion may be obtained."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to a trusted expansion"></short>
+      <definition value="Indicates an authoritative source for performing value set expansions."></definition>
+      <comment value="If the designated &quot;authoritative source&quot; (as specified in the valueset-authoritativeSource extension, if present) is unable to provide a valid expansion, this extension indicates an alternate authoritative source where the value set expansion may be obtained."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-trusted-expansion"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-label"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-label"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-label"></url>
+    <version value="4.2.0"></version>
+    <name value="label"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.concept"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion.contains"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."></short>
+      <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-label"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."></short>
+      <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-label"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-conceptOrder"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"></url>
+    <version value="4.2.0"></version>
+    <name value="conceptOrder"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Identifies the relative order in which concepts within the value set should be presented to a user."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.concept"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion.contains"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Appearance order for user selection"></short>
+      <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Appearance order for user selection"></short>
+      <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-systemName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"></url>
+    <version value="4.2.0"></version>
+    <name value="systemName"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The human-readable name for the code system."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system name"></short>
+      <definition value="The human-readable name for the code system."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system name"></short>
+      <definition value="The human-readable name for the code system."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-systemRef"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"></url>
+    <version value="4.2.0"></version>
+    <name value="systemRef"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The formal URI for the code system.  I.e. ValueSet.codeSystem.system (or its equivalent)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where to find code system"></short>
+      <definition value="The formal URI for the code system.  I.e. ValueSet.codeSystem.system (or its equivalent)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where to find code system"></short>
+      <definition value="The formal URI for the code system.  I.e. ValueSet.codeSystem.system (or its equivalent)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-systemRef"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-caseSensitive"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"></url>
+    <version value="4.2.0"></version>
+    <name value="caseSensitive"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="If this a case sensitive code."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion.contains"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="If code is case sensitive"></short>
+      <definition value="If this a case sensitive code."></definition>
+      <comment value="See comments on ValueSet.codeSystem.caseSensitive. Systems should generally assume case sensitivity when dealing with expansions, and only consider case sensitivity when matching existing codes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="If code is case sensitive"></short>
+      <definition value="If this a case sensitive code."></definition>
+      <comment value="See comments on ValueSet.codeSystem.caseSensitive. Systems should generally assume case sensitivity when dealing with expansions, and only consider case sensitivity when matching existing codes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-caseSensitive"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-reference"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-reference"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-reference"></url>
+    <version value="4.2.0"></version>
+    <name value="reference"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A logical reference (e.g. a reference to ValueSet.url) that identifies the value set/version that identifies the set of possible coded values this coding was chosen from or constrained by."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Coding"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Url of Value set the code was chosen from"></short>
+      <definition value="A logical reference (e.g. a reference to ValueSet.url) that identifies the value set/version that identifies the set of possible coded values this coding was chosen from or constrained by."></definition>
+      <comment value="If this extension is used with an [extensible binding](terminologies.html#extensible), and the concept comes from outside the bound valueset, the value set SHALL be different from the bound valueset."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="CWE."></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="CD.valueSet/CD.valueSetVersion"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-reference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Url of Value set the code was chosen from"></short>
+      <definition value="A logical reference (e.g. a reference to ValueSet.url) that identifies the value set/version that identifies the set of possible coded values this coding was chosen from or constrained by."></definition>
+      <comment value="If this extension is used with an [extensible binding](terminologies.html#extensible), and the concept comes from outside the bound valueset, the value set SHALL be different from the bound valueset."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="CWE."></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="CD.valueSet/CD.valueSetVersion"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-reference"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-expansionSource"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"></url>
+    <version value="4.2.0"></version>
+    <name value="expansionSource"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The logical URL of the ValueSet definition that was used to generate this expansion."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="ValueSet definition used to generate this expansion (logical URL)"></short>
+      <definition value="The logical URL of the ValueSet definition that was used to generate this expansion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="ValueSet definition used to generate this expansion (logical URL)"></short>
+      <definition value="The logical URL of the ValueSet definition that was used to generate this expansion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expansionSource"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-unclosed"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"></url>
+    <version value="4.2.0"></version>
+    <name value="unclosed"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Marks that the expansion is  incomplete, and values other than those listed may be valid. This may be used because post-coordinated codes are allowed, and no practical expansion can be produced."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The expansion is incomplete (perhaps because of post-coordination)"></short>
+      <definition value="Marks that the expansion is  incomplete, and values other than those listed may be valid. This may be used because post-coordinated codes are allowed, and no practical expansion can be produced."></definition>
+      <comment value="This extension exists to allow for definition and use of value sets that are currently unbounded, including those for which it may always be impractical to set bounds. This can be done to allow additional learning in this space, such as exploring poorly understsood consequences of alternatives."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The expansion is incomplete (perhaps because of post-coordination)"></short>
+      <definition value="Marks that the expansion is  incomplete, and values other than those listed may be valid. This may be used because post-coordinated codes are allowed, and no practical expansion can be produced."></definition>
+      <comment value="This extension exists to allow for definition and use of value sets that are currently unbounded, including those for which it may always be impractical to set bounds. This can be done to allow additional learning in this space, such as exploring poorly understsood consequences of alternatives."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-unclosed"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-toocostly"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"></url>
+    <version value="4.2.0"></version>
+    <name value="toocostly"></name>
+    <title value="Expansion Truncated"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Marks that the expansion is  incomplete, because the full value set is too large to represent, and the client asked for an incomplete fragment."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The expansion is incomplete because the full expansion is too large"></short>
+      <definition value="Marks that the expansion is  incomplete, because the full value set is too large to represent, and the client asked for an incomplete fragment."></definition>
+      <comment value="Typically, servers will limit expansion to a number like 10000 codes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The expansion is incomplete because the full expansion is too large"></short>
+      <definition value="Marks that the expansion is  incomplete, because the full value set is too large to represent, and the client asked for an incomplete fragment."></definition>
+      <comment value="Typically, servers will limit expansion to a number like 10000 codes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-toocostly"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-map"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-map"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-map"></url>
+    <version value="4.2.0"></version>
+    <name value="map"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A reference to a concept map that is relevant for the interpretation of this value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A concept map relevant to interpret this value set"></short>
+      <definition value="A reference to a concept map that is relevant for the interpretation of this value set."></definition>
+      <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-map"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A concept map relevant to interpret this value set"></short>
+      <definition value="A reference to a concept map that is relevant for the interpretation of this value set."></definition>
+      <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-map"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-warning"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-warning"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-warning"></url>
+    <version value="4.2.0"></version>
+    <name value="warning"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="An extra warning about the correct use of the value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extra warning about the correct use of the value set"></short>
+      <definition value="An extra warning about the correct use of the value set."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-warning"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extra warning about the correct use of the value set"></short>
+      <definition value="An extra warning about the correct use of the value set."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-warning"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-system"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-system"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-system"></url>
+    <version value="4.2.0"></version>
+    <name value="system"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Allows a direct reference to the code system for FHIR query."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.system"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system resource"></short>
+      <definition value="Allows a direct reference to the code system for FHIR query."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-system"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Code system resource"></short>
+      <definition value="Allows a direct reference to the code system for FHIR query."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-system"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-supplement"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"></url>
+    <version value="4.2.0"></version>
+    <name value="supplement"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This extension declares that a value set depends on a particular supplement and should not be used in its absence."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Declares dependency on a particular supplment"></short>
+      <definition value="This extension declares that a value set depends on a particular supplement and should not be used in its absence."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Declares dependency on a particular supplment"></short>
+      <definition value="This extension declares that a value set depends on a particular supplement and should not be used in its absence."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-supplement"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/CodeSystem"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-parameterSource"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"></url>
+    <version value="4.2.0"></version>
+    <name value="parameterSource"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Declares what the source of this parameter is."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.expansion.parameter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Declares the source of the parameter"></short>
+      <definition value="Declares what the source of this parameter is."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ExpansionParameterSource"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Declares what the source of a parameter is."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/expansion-parameter-source|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Declares the source of the parameter"></short>
+      <definition value="Declares what the source of this parameter is."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-parameterSource"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ExpansionParameterSource"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Declares what the source of a parameter is."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/expansion-parameter-source|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-expand-rules"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"></url>
+    <version value="4.2.0"></version>
+    <name value="expand-rules"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Defines how concepts are processed into the expansion when it's for UI presentation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="all-codes | ungrouped | groups-only"></short>
+      <definition value="Defines how concepts are processed into the expansion when it's for UI presentation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ExpansionProcessingRule"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Defines how concepts are processed into the expansion when it's for UI presentation."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/expansion-processing-rule|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="all-codes | ungrouped | groups-only"></short>
+      <definition value="Defines how concepts are processed into the expansion when it's for UI presentation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-rules"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ExpansionProcessingRule"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Defines how concepts are processed into the expansion when it's for UI presentation."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/expansion-processing-rule|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-expand-group"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"></url>
+    <version value="4.2.0"></version>
+    <name value="expand-group"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This extension declares a group of concepts that is generated into the ValueSet.expansion.contains hierarchy when the expansion is generated for a UI. THere is no inherent assigned meaning to the hierarchy; it is used to help the user navigate the concepts. Each group has a display and/or a code, and a list of members, which are either concepts in the value set, or other groups (by code)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Defines a hierarchy structure (when in UI mode)"></short>
+      <definition value="This extension declares a group of concepts that is generated into the ValueSet.expansion.contains hierarchy when the expansion is generated for a UI. THere is no inherent assigned meaning to the hierarchy; it is used to help the user navigate the concepts. Each group has a display and/or a code, and a list of members, which are either concepts in the value set, or other groups (by code)."></definition>
+      <comment value="Note that there are inter-relationships between concept status/properties and the way the groups are built; these are described and documented in the (value set hierarchical example)[d.html]. Note that this extension should be ignored when the expansion is not generated for UI."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Underlying code from the system"></short>
+      <definition value="A reference to a code from the include.system that defines the meaning associated with the group. Note that including the code in this extension does not include the code in the value set; if the code is intended to be in the value set, it must be listed directly as well."></definition>
+      <comment value="If there is no code, the group purely exists for display, and has no underlying meaning."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:display">
+      <path value="Extension.extension"></path>
+      <sliceName value="display"></sliceName>
+      <short value="Display for the group"></short>
+      <definition value="The description for the group (goes in ValueSet.expansion.contains.dispaly). All groups need a display; this can only be omitted if there is a code that can be used to determine the display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:display.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:display.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:display.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="display"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:display.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:member">
+      <path value="Extension.extension"></path>
+      <sliceName value="member"></sliceName>
+      <short value="Codes or other groups in this group"></short>
+      <definition value="One of more codes that identify codes in the expansion or other groups."></definition>
+      <comment value="A group without a code can be included by giving it an id and using #[id] in place of the code."></comment>
+      <min value="1"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:member.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:member.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:member.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="member"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:member.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Defines a hierarchy structure (when in UI mode)"></short>
+      <definition value="This extension declares a group of concepts that is generated into the ValueSet.expansion.contains hierarchy when the expansion is generated for a UI. THere is no inherent assigned meaning to the hierarchy; it is used to help the user navigate the concepts. Each group has a display and/or a code, and a list of members, which are either concepts in the value set, or other groups (by code)."></definition>
+      <comment value="Note that there are inter-relationships between concept status/properties and the way the groups are built; these are described and documented in the (value set hierarchical example)[d.html]. Note that this extension should be ignored when the expansion is not generated for UI."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Underlying code from the system"></short>
+      <definition value="A reference to a code from the include.system that defines the meaning associated with the group. Note that including the code in this extension does not include the code in the value set; if the code is intended to be in the value set, it must be listed directly as well."></definition>
+      <comment value="If there is no code, the group purely exists for display, and has no underlying meaning."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:display">
+      <path value="Extension.extension"></path>
+      <sliceName value="display"></sliceName>
+      <short value="Display for the group"></short>
+      <definition value="The description for the group (goes in ValueSet.expansion.contains.dispaly). All groups need a display; this can only be omitted if there is a code that can be used to determine the display."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:display.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:display.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="display"></fixedUri>
+     </element>
+     <element id="Extension.extension:display.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:member">
+      <path value="Extension.extension"></path>
+      <sliceName value="member"></sliceName>
+      <short value="Codes or other groups in this group"></short>
+      <definition value="One of more codes that identify codes in the expansion or other groups."></definition>
+      <comment value="A group without a code can be included by giving it an id and using #[id] in place of the code."></comment>
+      <min value="1"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:member.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:member.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="member"></fixedUri>
+     </element>
+     <element id="Extension.extension:member.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expand-group"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-deprecated"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"></url>
+    <version value="4.2.0"></version>
+    <name value="deprecated"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="if ture, indicates that the concept is deprecated from the value set - that is, it should not be used, and is planned to be withdrawn."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet.compose.include.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The concept should not be used"></short>
+      <definition value="if ture, indicates that the concept is deprecated from the value set - that is, it should not be used, and is planned to be withdrawn."></definition>
+      <comment value="Ths status relates to a concept's inclusion in the value set, and might be different to the underlying status of the concept itself."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The concept should not be used"></short>
+      <definition value="if ture, indicates that the concept is deprecated from the value set - that is, it should not be used, and is planned to be withdrawn."></definition>
+      <comment value="Ths status relates to a concept's inclusion in the value set, and might be different to the underlying status of the concept itself."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-special-status"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"></url>
+    <version value="4.2.0"></version>
+    <name value="special-status"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A special note for implementers about the status of the resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Special note about status for implementers"></short>
+      <definition value="A special note for implementers about the status of the resource."></definition>
+      <comment value="This is used in the build to mark that though a resource is normative, it changes with the build."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Special note about status for implementers"></short>
+      <definition value="A special note for implementers about the status of the resource."></definition>
+      <comment value="This is used in the build to mark that though a resource is normative, it changes with the build."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-special-status"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-extensible"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"></url>
+    <version value="4.2.0"></version>
+    <name value="extensible"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Whether this is intended to be used with an extensible binding or not."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Intended to be used with an extensible binding (e.g. 'open')"></short>
+      <definition value="Whether this is intended to be used with an extensible binding or not."></definition>
+      <comment value="Value sets intended for extensible bindings often are more selective about the concepts they include."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Intended to be used with an extensible binding (e.g. 'open')"></short>
+      <definition value="Whether this is intended to be used with an extensible binding or not."></definition>
+      <comment value="Value sets intended for extensible bindings often are more selective about the concepts they include."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-extensible"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-authoritativeSource"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"></url>
+    <version value="4.2.0"></version>
+    <name value="authoritativeSource"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A reference to the authoritative accessible, persisted source of truth of the entire Value Set Definition, including textual information and available versions."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to the current trusted source of the ValueSet resource (metadata and definition)"></short>
+      <definition value="A reference to the authoritative accessible, persisted source of truth of the entire Value Set Definition, including textual information and available versions."></definition>
+      <comment value="If this extension is not present, then the canonical URL (ValueSet.url) also serves the purpose of specifying the authoritative source.  A difference between the canonical URL and the authoritiative source might arise in some cases due to ongoing organization restructuring, etc., and in those cases this extension may be used.  The URL of the authoritative source is intended to be resolvable but that cannot be guaranteed. The designated &quot;authoritative source&quot; is normally expected to be able to generate a valid expansion of the value set, and if for some reason it cannot then the valueset-trusted-expansion should be used."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to the current trusted source of the ValueSet resource (metadata and definition)"></short>
+      <definition value="A reference to the authoritative accessible, persisted source of truth of the entire Value Set Definition, including textual information and available versions."></definition>
+      <comment value="If this extension is not present, then the canonical URL (ValueSet.url) also serves the purpose of specifying the authoritative source.  A difference between the canonical URL and the authoritiative source might arise in some cases due to ongoing organization restructuring, etc., and in those cases this extension may be used.  The URL of the authoritative source is intended to be resolvable but that cannot be guaranteed. The designated &quot;authoritative source&quot; is normally expected to be able to generate a valid expansion of the value set, and if for some reason it cannot then the valueset-trusted-expansion should be used."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-authoritativeSource"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-expression"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-expression"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-expression"></url>
+    <version value="4.2.0"></version>
+    <name value="expression"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="An expression that provides an alternative definition of the content of the value set. There are two different ways to use this expression extension: If both an expression and a compose element is present, the compose is understood the make the same statement as the expression. If there is no compose, the expression is the only definition of the value set, and the value set can only be processed by a server that understands the expression syntax, it that is computable."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An alternative computable expression of the value set content"></short>
+      <definition value="An expression that provides an alternative definition of the content of the value set. There are two different ways to use this expression extension: If both an expression and a compose element is present, the compose is understood the make the same statement as the expression. If there is no compose, the expression is the only definition of the value set, and the value set can only be processed by a server that understands the expression syntax, it that is computable."></definition>
+      <comment value="The expression may be a reference or the actual expression, and ss expected to be a computable format (use the [rules-text extension](extension-valueset-rules-text.html) for a non-computable description)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expression"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An alternative computable expression of the value set content"></short>
+      <definition value="An expression that provides an alternative definition of the content of the value set. There are two different ways to use this expression extension: If both an expression and a compose element is present, the compose is understood the make the same statement as the expression. If there is no compose, the expression is the only definition of the value set, and the value set can only be processed by a server that understands the expression syntax, it that is computable."></definition>
+      <comment value="The expression may be a reference or the actual expression, and ss expected to be a computable format (use the [rules-text extension](extension-valueset-rules-text.html) for a non-computable description)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-expression"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Expression"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="valueset-rules-text"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"></url>
+    <version value="4.2.0"></version>
+    <name value="rules-text"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="An expression that provides an alternative definition of the content of the value set in some form that is not computable - e.g instructions that could only be followed by a human."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="ValueSet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An alternative non-computable expression of the value set content"></short>
+      <definition value="An expression that provides an alternative definition of the content of the value set in some form that is not computable - e.g instructions that could only be followed by a human."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An alternative non-computable expression of the value set content"></short>
+      <definition value="An expression that provides an alternative definition of the content of the value set in some form that is not computable - e.g instructions that could only be followed by a human."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/valueset-rules-text"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="operationdefinition-profile"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"></url>
+    <version value="4.2.0"></version>
+    <name value="profile"></name>
+    <title value="Profile"></title>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationDefinition.parameter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Profiles (StructureDefinition or IG) - one must apply"></short>
+      <definition value="Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Profiles (StructureDefinition or IG) - one must apply"></short>
+      <definition value="Identifies a profile structure or implementation Guide that applies to the datatype this element refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the type SHALL conform to at least one profile defined in the implementation guide."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-profile"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="operationdefinition-allowed-type"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"></url>
+    <version value="4.2.0"></version>
+    <name value="allowed-type"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - [WG Name] WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="When the base type is an abstract type (e.g. Resource or Element) then this extension defines which concrete types are allowed to be used for a parameter. In the absence of this extension, any type is allowed."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="OperationDefinition.parameter"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Which types are allowed for a parameter, when the base type is Abstract"></short>
+      <definition value="When the base type is an abstract type (e.g. Resource or Element) then this extension defines which concrete types are allowed to be used for a parameter. In the absence of this extension, any type is allowed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Which types are allowed for a parameter, when the base type is Abstract"></short>
+      <definition value="When the base type is an abstract type (e.g. Resource or Element) then this extension defines which concrete types are allowed to be used for a parameter. In the absence of this extension, any type is allowed."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/operationdefinition-allowed-type"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="device-implantStatus"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"></url>
+    <version value="4.2.0"></version>
+    <name value="implantStatus"></name>
+    <title value="Status of Implantable Devices"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Codes to represent the functional status of a device implanted in a patient.  Both overall device status and an implant status need to be considered. The implant status should only be used when the [device status](device-definitions.html#Device.status) is `active `."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Device"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Implant Status"></short>
+      <definition value="Codes to represent the functional status of a device implanted in a patient.  Both overall device status and an implant status need to be considered. The implant status should only be used when the [device status](device-definitions.html#Device.status) is `active `."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Implant Status"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set codes that define the functional status of an implanted device."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/implantStatus|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Implant Status"></short>
+      <definition value="Codes to represent the functional status of a device implanted in a patient.  Both overall device status and an implant status need to be considered. The implant status should only be used when the [device status](device-definitions.html#Device.status) is `active `."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/device-implantStatus"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Implant Status"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A set codes that define the functional status of an implanted device."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/implantStatus|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/flag-detail"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="flag-detail"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/flag-detail"></url>
+    <version value="4.2.0"></version>
+    <name value="detail"></name>
+    <title value="Flag details"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Flag"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Resource with details for flag"></short>
+      <definition value="Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-detail"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Resource with details for flag"></short>
+      <definition value="Points to the Observation, AllergyIntolerance or other record that provides additional supporting information about this flag."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-detail"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/flag-priority"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="flag-priority"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/flag-priority"></url>
+    <version value="4.2.0"></version>
+    <name value="priority"></name>
+    <title value="Flag Priority"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A code that identifies the priority of the alert, for example the Alert Priority flags column in IHE PCD TF 2 Table B.8-4."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Flag"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An alarm code"></short>
+      <definition value="A code that identifies the priority of the alert, for example the Alert Priority flags column in IHE PCD TF 2 Table B.8-4."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-priority"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FlagPriority"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A code of the alarm."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/flag-priority"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="An alarm code"></short>
+      <definition value="A code that identifies the priority of the alert, for example the Alert Priority flags column in IHE PCD TF 2 Table B.8-4."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/flag-priority"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FlagPriority"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A code of the alarm."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/flag-priority"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-concept-comments"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"></url>
+    <version value="4.2.0"></version>
+    <name value="concept-comments"></name>
+    <title value="Comment"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A comment that explains how this code is used in this context (where the value set is expected to be used)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Comment about the use of this code in this context"></short>
+      <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."></definition>
+      <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it's not clear whether it belongs in the actual value set resource."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Comment about the use of this code in this context"></short>
+      <definition value="A comment that explains how this code is used in this context (where the value set is expected to be used)."></definition>
+      <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it's not clear whether it belongs in the actual value set resource."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-otherName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"></url>
+    <version value="4.2.0"></version>
+    <name value="otherName"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Human readable names for the codesystem."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Alternative names"></short>
+      <definition value="Human readable names for the codesystem."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name">
+      <path value="Extension.extension"></path>
+      <sliceName value="name"></sliceName>
+      <short value="Human readable, short and specific"></short>
+      <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."></definition>
+      <comment value="This need not be unique. However, some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:preferred">
+      <path value="Extension.extension"></path>
+      <sliceName value="preferred"></sliceName>
+      <short value="Which name is preferred for this language"></short>
+      <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."></definition>
+      <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:preferred.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:preferred.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:preferred.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="preferred"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:preferred.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Alternative names"></short>
+      <definition value="Human readable names for the codesystem."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:name">
+      <path value="Extension.extension"></path>
+      <sliceName value="name"></sliceName>
+      <short value="Human readable, short and specific"></short>
+      <definition value="This name is intended to be human readable, short and as specific as possible and to convey the purpose of the value set.  It is considered to be the name of the value set."></definition>
+      <comment value="This need not be unique. However, some use cases require uniqueness within a namespace and therefore best practice would be to make the name unique."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="name"></fixedUri>
+     </element>
+     <element id="Extension.extension:name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:preferred">
+      <path value="Extension.extension"></path>
+      <sliceName value="preferred"></sliceName>
+      <short value="Which name is preferred for this language"></short>
+      <definition value="Flag that this Name in this Name Language is the preferred human-readable signifier in this language."></definition>
+      <comment value="There may be multiple human readable names in a given language, and this flag indicates which of them is preferred for the given language."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:preferred.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:preferred.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="preferred"></fixedUri>
+     </element>
+     <element id="Extension.extension:preferred.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-otherName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-sourceReference"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"></url>
+    <version value="4.2.0"></version>
+    <name value="sourceReference"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where did this content come from"></short>
+      <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."></definition>
+      <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Where did this content come from"></short>
+      <definition value="This text is intended to act as a citation to work done elsewhere that is not part of the current stewarding process where the referenced source is in some way a basis of the current value set definition."></definition>
+      <comment value="This is not intended to be a direct link to another value set. It is only intended to support a link or textual description that indicates related material for the value set."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-keyWord"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"></url>
+    <version value="4.2.0"></version>
+    <name value="keyWord"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Word or words used in an information retrieval system to indicate the content of the value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Descriptors and key terms for search"></short>
+      <definition value="Word or words used in an information retrieval system to indicate the content of the value set."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Descriptors and key terms for search"></short>
+      <definition value="Word or words used in an information retrieval system to indicate the content of the value set."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-keyWord"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-usage"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"></url>
+    <version value="4.2.0"></version>
+    <name value="usage"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who has used and how?"></short>
+      <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."></definition>
+      <comment value="This is likely to be a ???point in time??? view and should not be considered an authoritative listing of all uses of the value set."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:user">
+      <path value="Extension.extension"></path>
+      <sliceName value="user"></sliceName>
+      <short value="A consumer of or client for the value set"></short>
+      <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:user.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:user.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:user.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="user"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:user.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use">
+      <path value="Extension.extension"></path>
+      <sliceName value="use"></sliceName>
+      <short value="Implementation/project/standard that uses value set"></short>
+      <definition value="A descriptive name of the project or standard in which the value set is used."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:use.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:use.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="use"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who has used and how?"></short>
+      <definition value="Consumers of the value set and the implementations, projects or standards that the author has utilized the value set in."></definition>
+      <comment value="This is likely to be a ???point in time??? view and should not be considered an authoritative listing of all uses of the value set."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:user">
+      <path value="Extension.extension"></path>
+      <sliceName value="user"></sliceName>
+      <short value="A consumer of or client for the value set"></short>
+      <definition value="This is most likely to be an organization but can be an individual. It would not be a program, that information should be recorded in the usage.use."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:user.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:user.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="user"></fixedUri>
+     </element>
+     <element id="Extension.extension:user.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:use">
+      <path value="Extension.extension"></path>
+      <sliceName value="use"></sliceName>
+      <short value="Implementation/project/standard that uses value set"></short>
+      <definition value="A descriptive name of the project or standard in which the value set is used."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:use.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:use.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="use"></fixedUri>
+     </element>
+     <element id="Extension.extension:use.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-usage"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-workflowStatus"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"></url>
+    <version value="4.2.0"></version>
+    <name value="workflowStatus"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Workflow Status is used to represent details of the value set development process while the value set has an Activity Status of Preliminary. The development of a value set often follows a formal workflow process from initiation to completion, and this element carries the state variable for this state machine. The assumption is that when first created a value set would have a workflow state of Draft. Additional workflow states may be used."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicates the state of development of the value set"></short>
+      <definition value="Workflow Status is used to represent details of the value set development process while the value set has an Activity Status of Preliminary. The development of a value set often follows a formal workflow process from initiation to completion, and this element carries the state variable for this state machine. The assumption is that when first created a value set would have a workflow state of Draft. Additional workflow states may be used."></definition>
+      <comment value="The values that this element may assume include phrases that capture various stages in review and approval. In addition to the minimum of ???Draft???,  these include ???Proposed???, ???Approved???, ???Ready to Publish???.  There may be additional states defined by different developers. This is an optional element because the use of Activity Status ???Preliminary??? may be sufficient for some implementations."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicates the state of development of the value set"></short>
+      <definition value="Workflow Status is used to represent details of the value set development process while the value set has an Activity Status of Preliminary. The development of a value set often follows a formal workflow process from initiation to completion, and this element carries the state variable for this state machine. The assumption is that when first created a value set would have a workflow state of Draft. Additional workflow states may be used."></definition>
+      <comment value="The values that this element may assume include phrases that capture various stages in review and approval. In addition to the minimum of ???Draft???,  these include ???Proposed???, ???Approved???, ???Ready to Publish???.  There may be additional states defined by different developers. This is an optional element because the use of Activity Status ???Preliminary??? may be sufficient for some implementations."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-workflowStatus"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-effectiveDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"></url>
+    <version value="4.2.0"></version>
+    <name value="effectiveDate"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version becomes Active and is available for use"></short>
+      <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version becomes Active and is available for use"></short>
+      <definition value="This is the first date-time when the value set version becomes active, so this value is present on Inactive value set versions as well. The start Date_time is expected to be as of 0001 UTC of the Effective Date."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-expirationDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"></url>
+    <version value="4.2.0"></version>
+    <name value="expirationDate"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value MUST present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version should no longer be used"></short>
+      <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value MUST present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."></definition>
+      <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="When the value set version should no longer be used"></short>
+      <definition value="The date when the value set version is no longer expected to be used to create new content. This is the first date-time when the value set version becomes Inactive, so this value MUST present on all Inactive value set versions. The start Date_time is expected to be as of 0001 UTC of the Expiration Date."></definition>
+      <comment value="Upon reaching the Expiration Date, the value set Activity Status should be consdiered as inactive. An Inactive value set version may no longer be used to create new content, but it may be used to evaluate content created prior to the Expiration Date."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="date"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-author"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-author"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-author"></url>
+    <version value="4.2.0"></version>
+    <name value="author"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="User or Org actually involved in creating the value set content."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="User or Org actually involved in creating the value set content"></short>
+      <definition value="User or Org actually involved in creating the value set content."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-author"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="User or Org actually involved in creating the value set content"></short>
+      <definition value="User or Org actually involved in creating the value set content."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-author"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-trusted-expansion"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"></url>
+    <version value="4.2.0"></version>
+    <name value="trusted-expansion"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Indicates an authoritative source for performing value set expansions."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to a trusted expansion"></short>
+      <definition value="Indicates an authoritative source for performing value set expansions."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to a trusted expansion"></short>
+      <definition value="Indicates an authoritative source for performing value set expansions."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-trusted-expansion"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-history"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-history"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-history"></url>
+    <version value="4.2.0"></version>
+    <name value="history"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Information on changes made to the Value Set Definition over time, and also has a contained audit trail of all such changes."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="What has happened over time"></short>
+      <definition value="Information on changes made to the Value Set Definition over time, and also has a contained audit trail of all such changes."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name">
+      <path value="Extension.extension"></path>
+      <sliceName value="name"></sliceName>
+      <short value="The name of this set of history entries"></short>
+      <definition value="Label for a set of entries, such as a version."></definition>
+      <comment value="Typically, a value set will have a set of history entries for each major publication milestone."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision">
+      <path value="Extension.extension"></path>
+      <sliceName value="revision"></sliceName>
+      <short value="Audit of all changes for a history entry"></short>
+      <definition value="A list of specific changes, who made them and when."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:date">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="date"></sliceName>
+      <short value="Date the change was made"></short>
+      <definition value="Date the change took place."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:date.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:date.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:date.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="date"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:date.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:id">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="id"></sliceName>
+      <short value="Version marker after the change was made"></short>
+      <definition value="Unique id for the specific change."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:id.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:id.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:id.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="id"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:id.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:author">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="author"></sliceName>
+      <short value="Who made the change"></short>
+      <definition value="Person or device responsible for the change."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:author.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:author.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:author.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="author"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:author.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:notes">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="notes"></sliceName>
+      <short value="Information about the change"></short>
+      <definition value="Description of exactly what was changed and how."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.id">
+      <path value="Extension.extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.url">
+      <path value="Extension.extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="notes"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="revision"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:revision.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-history"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="What has happened over time"></short>
+      <definition value="Information on changes made to the Value Set Definition over time, and also has a contained audit trail of all such changes."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:name">
+      <path value="Extension.extension"></path>
+      <sliceName value="name"></sliceName>
+      <short value="The name of this set of history entries"></short>
+      <definition value="Label for a set of entries, such as a version."></definition>
+      <comment value="Typically, a value set will have a set of history entries for each major publication milestone."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="name"></fixedUri>
+     </element>
+     <element id="Extension.extension:name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:revision">
+      <path value="Extension.extension"></path>
+      <sliceName value="revision"></sliceName>
+      <short value="Audit of all changes for a history entry"></short>
+      <definition value="A list of specific changes, who made them and when."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:revision.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:revision.extension:date">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="date"></sliceName>
+      <short value="Date the change was made"></short>
+      <definition value="Date the change took place."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:revision.extension:date.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:revision.extension:date.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="date"></fixedUri>
+     </element>
+     <element id="Extension.extension:revision.extension:date.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:revision.extension:id">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="id"></sliceName>
+      <short value="Version marker after the change was made"></short>
+      <definition value="Unique id for the specific change."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:revision.extension:id.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:revision.extension:id.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="id"></fixedUri>
+     </element>
+     <element id="Extension.extension:revision.extension:id.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:revision.extension:author">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="author"></sliceName>
+      <short value="Who made the change"></short>
+      <definition value="Person or device responsible for the change."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:revision.extension:author.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:revision.extension:author.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="author"></fixedUri>
+     </element>
+     <element id="Extension.extension:revision.extension:author.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:revision.extension:notes">
+      <path value="Extension.extension.extension"></path>
+      <sliceName value="notes"></sliceName>
+      <short value="Information about the change"></short>
+      <definition value="Description of exactly what was changed and how."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.extension">
+      <path value="Extension.extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.url">
+      <path value="Extension.extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="notes"></fixedUri>
+     </element>
+     <element id="Extension.extension:revision.extension:notes.value[x]">
+      <path value="Extension.extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:revision.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="revision"></fixedUri>
+     </element>
+     <element id="Extension.extension:revision.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-history"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-label"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-label"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-label"></url>
+    <version value="4.2.0"></version>
+    <name value="label"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."></short>
+      <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-label"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. &quot;(a)&quot;, &quot;1.&quot;, etc."></short>
+      <definition value="The label to list in front of a code when presenting a list of possible values in a questionnaire-like fashion."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-label"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-conceptOrder"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"></url>
+    <version value="4.2.0"></version>
+    <name value="conceptOrder"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Identifies the relative order in which concepts within the value set should be presented to a user."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Appearance order for user selection"></short>
+      <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Appearance order for user selection"></short>
+      <definition value="Identifies the relative order in which concepts within the value set should be presented to a user."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-conceptOrder"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-map"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-map"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-map"></url>
+    <version value="4.2.0"></version>
+    <name value="map"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A reference to a concept map that is relevant for the interpretation of this value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A concept map relevant to interpret this value set"></short>
+      <definition value="A reference to a concept map that is relevant for the interpretation of this value set."></definition>
+      <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-map"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A concept map relevant to interpret this value set"></short>
+      <definition value="A reference to a concept map that is relevant for the interpretation of this value set."></definition>
+      <comment value="One use of this extension is to use it to include a partial concept map inside an expansion, only containing maps for the concepts included in this particular expansion."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-map"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="canonical"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-replacedby"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"></url>
+    <version value="4.2.0"></version>
+    <name value="replacedby"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A code that replaces this - use this code instead."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A code that replaces this"></short>
+      <definition value="A code that replaces this - use this code instead."></definition>
+      <comment value="Usually such codes are deprecated (retired)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A code that replaces this"></short>
+      <definition value="A code that replaces this - use this code instead."></definition>
+      <comment value="Usually such codes are deprecated (retired)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-replacedby"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-warning"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"></url>
+    <version value="4.2.0"></version>
+    <name value="warning"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="An extra warning about the correct use of the value set."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extra warning about the correct use of the value set"></short>
+      <definition value="An extra warning about the correct use of the value set."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Extra warning about the correct use of the value set"></short>
+      <definition value="An extra warning about the correct use of the value set."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-warning"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="markdown"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-alternate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"></url>
+    <version value="4.2.0"></version>
+    <name value="alternate"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="An additional code that may be used to represent the concept."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem.concept"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional code for the concept"></short>
+      <definition value="An additional code that may be used to represent the concept."></definition>
+      <comment value="Few coding systems define synonyms. A few more define alternate codes for special case use."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Code that represents the concept"></short>
+      <definition value="The code that may be used to represent the concept."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use">
+      <path value="Extension.extension"></path>
+      <sliceName value="use"></sliceName>
+      <short value="Expected use of the code"></short>
+      <definition value="Defines why this additional code is defined."></definition>
+      <comment value="Further work is needed on the value set."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:use.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:use.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="use"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:use.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AlternativeCodeKind"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Indicates the type of use for which the code is defined."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-altcode-kind"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional code for the concept"></short>
+      <definition value="An additional code that may be used to represent the concept."></definition>
+      <comment value="Few coding systems define synonyms. A few more define alternate codes for special case use."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Code that represents the concept"></short>
+      <definition value="The code that may be used to represent the concept."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:use">
+      <path value="Extension.extension"></path>
+      <sliceName value="use"></sliceName>
+      <short value="Expected use of the code"></short>
+      <definition value="Defines why this additional code is defined."></definition>
+      <comment value="Further work is needed on the value set."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:use.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:use.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="use"></fixedUri>
+     </element>
+     <element id="Extension.extension:use.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AlternativeCodeKind"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Indicates the type of use for which the code is defined."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-altcode-kind"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-alternate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="codesystem-use-markdown"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"></url>
+    <version value="4.2.0"></version>
+    <name value="use-markdown"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="If true, the definitions of the concepts can be treated and rendered as markdown for improved presentation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CodeSystem"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicate that definitions can be processed as markdown"></short>
+      <definition value="If true, the definitions of the concepts can be treated and rendered as markdown for improved presentation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicate that definitions can be processed as markdown"></short>
+      <definition value="If true, the definitions of the concepts can be treated and rendered as markdown for improved presentation."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-bodyPosition"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"></url>
+    <version value="4.2.0"></version>
+    <name value="bodyPosition"></name>
+    <title value="bodyPosition"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Specimen.collection"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The body position during the observation"></short>
+      <definition value="The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The body position during the observation"></short>
+      <definition value="The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-delta"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-delta"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-delta"></url>
+    <version value="4.2.0"></version>
+    <name value="delta"></name>
+    <title value="delta"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Qualitative change or trend in the measurement"></short>
+      <definition value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-delta"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Qualitative change or trend in the measurement"></short>
+      <definition value="The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-delta"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-focusCode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"></url>
+    <version value="4.2.0"></version>
+    <name value="focusCode"></name>
+    <title value="Focal Subject Code"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="A code representing the  focus of an observation when the focus is not the patient of record.  In other words, the focus of the observation is different from `Observation.subject`.   An example use case would be using the *Observation* resource to capture whether the mother is trained to change her child's tracheostomy tube.  In this example, the child is the patient of record and the mother is focal subject referenced using this extension.  Other example focal subjects include spouses, related persons, feti, or  donors."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Focus Code"></short>
+      <definition value="A code representing the  focus of an observation when the focus is not the patient of record.  In other words, the focus of the observation is different from `Observation.subject`.   An example use case would be using the *Observation* resource to capture whether the mother is trained to change her child's tracheostomy tube.  In this example, the child is the patient of record and the mother is focal subject referenced using this extension.  Other example focal subjects include spouses, related persons, feti, or  donors."></definition>
+      <comment value="Use Observation.specimen element to describe the specimen.  Only used if not implicit in code found in Observation.code."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FocusCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes for observation targets.  Derived from both HL7 v3 and SNOMED CT code systems."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/focal-subject"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Focus Code"></short>
+      <definition value="A code representing the  focus of an observation when the focus is not the patient of record.  In other words, the focus of the observation is different from `Observation.subject`.   An example use case would be using the *Observation* resource to capture whether the mother is trained to change her child's tracheostomy tube.  In this example, the child is the patient of record and the mother is focal subject referenced using this extension.  Other example focal subjects include spouses, related persons, feti, or  donors."></definition>
+      <comment value="Use Observation.specimen element to describe the specimen.  Only used if not implicit in code found in Observation.code."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-focusCode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FocusCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes for observation targets.  Derived from both HL7 v3 and SNOMED CT code systems."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/focal-subject"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-timeOffset"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"></url>
+    <version value="4.2.0"></version>
+    <name value="timeOffset"></name>
+    <title value="Time-offset"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording  of sampled data from the same lead or data stream.  For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see [ISO 22077](https://www.iso.org/obp/ui/#iso:std:61871:en)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation.component"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Time Offset for interlacing"></short>
+      <definition value="A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording  of sampled data from the same lead or data stream.  For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see [ISO 22077](https://www.iso.org/obp/ui/#iso:std:61871:en)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Time Offset for interlacing"></short>
+      <definition value="A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording  of sampled data from the same lead or data stream.  For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see [ISO 22077](https://www.iso.org/obp/ui/#iso:std:61871:en)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-timeOffset"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-sequelTo"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"></url>
+    <version value="4.2.0"></version>
+    <name value="sequelTo"></name>
+    <title value="Sequel To"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Sequel to referenced Observation"></short>
+      <definition value="This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Sequel to referenced Observation"></short>
+      <definition value="This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-sequelTo"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-replaces"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-replaces"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-replaces"></url>
+    <version value="4.2.0"></version>
+    <name value="replaces"></name>
+    <title value="Replaces"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="This observation replaces a previous observation (i.e. a revised value)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Replaces referenced Observation"></short>
+      <definition value="This observation replaces a previous observation (i.e. a revised value)."></definition>
+      <comment value="This is an alternative to updating the Observation with a new version with status = 'amended'or 'corrected'.  The target observation is now obsolete."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-replaces"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Replaces referenced Observation"></short>
+      <definition value="This observation replaces a previous observation (i.e. a revised value)."></definition>
+      <comment value="This is an alternative to updating the Observation with a new version with status = 'amended'or 'corrected'.  The target observation is now obsolete."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-replaces"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-gatewayDevice"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"></url>
+    <version value="4.2.0"></version>
+    <name value="gatewayDevice"></name>
+    <title value="Gateway Device"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="The Provenance/AuditEvent resources can represent the same information.  Note that the Provenance/AuditEvent resources can represent the same information."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Gateway Device"></short>
+      <definition value="The Provenance/AuditEvent resources can represent the same information.  Note that the Provenance/AuditEvent resources can represent the same information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Gateway Device"></short>
+      <definition value="The Provenance/AuditEvent resources can represent the same information.  Note that the Provenance/AuditEvent resources can represent the same information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-specimenCode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"></url>
+    <version value="4.2.0"></version>
+    <name value="specimenCode"></name>
+    <title value="Specimen Code"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"></short>
+      <definition value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SpecimenCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v2-0487"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"></short>
+      <definition value="A code representing the the type of specimen used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-specimenCode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SpecimenCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v2-0487"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-deviceCode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"></url>
+    <version value="4.2.0"></version>
+    <name value="deviceCode"></name>
+    <title value="Device Code"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"></short>
+      <definition value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DeviceCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-kind"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`"></short>
+      <definition value="A code representing the the type of device used for this observation.  Should only be used if not implicit in the code found in `Observation.code`."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-deviceCode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="DeviceCode"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-kind"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-precondition"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-precondition"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-precondition"></url>
+    <version value="4.2.0"></version>
+    <name value="precondition"></name>
+    <title value="Precondition"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="Other preceding or concurrent observations that must be known to correctly interpret the the observation.  For example an fiO2 measure taken alongside of a SpO2 measurement.  See the [Observation notes](observation.html#notes) section for additional guidance."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Other Observations needed to aid in  the interpretation of the source observation."></short>
+      <definition value="Other preceding or concurrent observations that must be known to correctly interpret the the observation.  For example an fiO2 measure taken alongside of a SpO2 measurement.  See the [Observation notes](observation.html#notes) section for additional guidance."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-precondition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Other Observations needed to aid in  the interpretation of the source observation."></short>
+      <definition value="Other preceding or concurrent observations that must be known to correctly interpret the the observation.  For example an fiO2 measure taken alongside of a SpO2 measurement.  See the [Observation notes](observation.html#notes) section for additional guidance."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-precondition"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-reagent"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-reagent"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-reagent"></url>
+    <version value="4.2.0"></version>
+    <name value="reagent"></name>
+    <title value="Reagent"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="Reference to reagents used to generate this observation.  This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to reagents used to generate this observation."></short>
+      <definition value="Reference to reagents used to generate this observation.  This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS)."></definition>
+      <comment value="Note this extension may be superseded by elements in planned instrumentation management resource elements."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-reagent"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Reference to reagents used to generate this observation."></short>
+      <definition value="Reference to reagents used to generate this observation.  This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS)."></definition>
+      <comment value="Note this extension may be superseded by elements in planned instrumentation management resource elements."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-reagent"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-secondaryFinding"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"></url>
+    <version value="4.2.0"></version>
+    <name value="secondaryFinding"></name>
+    <title value="Secondary Finding"></title>
+    <status value="draft"></status>
+    <date value="2015-03-02"></date>
+    <publisher value="Health Level Seven, Inc. - OO WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
+
+For more detail, please see:
+https://ghr.nlm.nih.gov/primer/testing/secondaryfindings."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
+
+For more detail, please see:
+https://ghr.nlm.nih.gov/primer/testing/secondaryfindings"></short>
+      <definition value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
+
+For more detail, please see:
+https://ghr.nlm.nih.gov/primer/testing/secondaryfindings."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SecondaryFinding"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
+
+For more detail, please see:
+https://ghr.nlm.nih.gov/primer/testing/secondaryfindings"></short>
+      <definition value="Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
+
+For more detail, please see:
+https://ghr.nlm.nih.gov/primer/testing/secondaryfindings."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SecondaryFinding"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsGene"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"></url>
+    <version value="4.2.0"></version>
+    <name value="Gene"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ([SO:0000704](http://www.sequenceontology.org/browser/current_svn/term/SO:0000704)). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ([HGNC](http://www.genenames.org)). LOINC Code: ([48018-6](http://loinc.org/48018-6))."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="HGNC gene symbol"></short>
+      <definition value="A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ([SO:0000704](http://www.sequenceontology.org/browser/current_svn/term/SO:0000704)). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ([HGNC](http://www.genenames.org)). LOINC Code: ([48018-6](http://loinc.org/48018-6))."></definition>
+      <comment value="Other systems or genes not defined in HGNC (e.g., BCR-ABL fusion gene) can be added by using a local extension."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="HGNC-geneIdentifiers"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="International curated set of gene identifiers."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/genenames"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="HGNC gene symbol"></short>
+      <definition value="A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ([SO:0000704](http://www.sequenceontology.org/browser/current_svn/term/SO:0000704)). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ([HGNC](http://www.genenames.org)). LOINC Code: ([48018-6](http://loinc.org/48018-6))."></definition>
+      <comment value="Other systems or genes not defined in HGNC (e.g., BCR-ABL fusion gene) can be added by using a local extension."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="HGNC-geneIdentifiers"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="International curated set of gene identifiers."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/genenames"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsDNARegionName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"></url>
+    <version value="4.2.0"></version>
+    <name value="DNARegionName"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="A human readable name for the region of interest. Typically Exon #, Intron # or other. NOTE: This is not standardized and is mainly for convenience and display purposes.  LOINC Code: ([47999-8](http://loinc.org/47999-8))."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="DNA region name"></short>
+      <definition value="A human readable name for the region of interest. Typically Exon #, Intron # or other. NOTE: This is not standardized and is mainly for convenience and display purposes.  LOINC Code: ([47999-8](http://loinc.org/47999-8))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="DNA region name"></short>
+      <definition value="A human readable name for the region of interest. Typically Exon #, Intron # or other. NOTE: This is not standardized and is mainly for convenience and display purposes.  LOINC Code: ([47999-8](http://loinc.org/47999-8))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsCopyNumberEvent"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"></url>
+    <version value="4.2.0"></version>
+    <name value="CopyNumberEvent"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="A variation that increases or decreases the copy number of a given region ([SO:0001019](http://www.sequenceontology.org/browser/current_svn/term/SO:0001019)). Values: amplification/deletion/LOH."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Copy number variation"></short>
+      <definition value="A variation that increases or decreases the copy number of a given region ([SO:0001019](http://www.sequenceontology.org/browser/current_svn/term/SO:0001019)). Values: amplification/deletion/LOH."></definition>
+      <comment value="Loss of heterozygosity (LOH) is a functional variant whereby the sequence alteration causes a loss of function of one allele of a gene ([SO:0001786](http://www.sequenceontology.org/browser/current_svn/term/SO:0001786))."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Copy number variation"></short>
+      <definition value="A variation that increases or decreases the copy number of a given region ([SO:0001019](http://www.sequenceontology.org/browser/current_svn/term/SO:0001019)). Values: amplification/deletion/LOH."></definition>
+      <comment value="Loss of heterozygosity (LOH) is a functional variant whereby the sequence alteration causes a loss of function of one allele of a gene ([SO:0001786](http://www.sequenceontology.org/browser/current_svn/term/SO:0001786))."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsGenomicSourceClass"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"></url>
+    <version value="4.2.0"></version>
+    <name value="GenomicSourceClass"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ([48002-0](http://loinc.org/48002-0))."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Genomic source class"></short>
+      <definition value="Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ([48002-0](http://loinc.org/48002-0))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
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+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
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+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
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+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Genomic source class"></short>
+      <definition value="Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ([48002-0](http://loinc.org/48002-0))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsInterpretation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"></url>
+    <version value="4.2.0"></version>
+    <name value="Interpretation"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Clinical Interpretations for variant. It's a reference to an Observation resource."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Clinical interpretations for variant"></short>
+      <definition value="Clinical Interpretations for variant. It's a reference to an Observation resource."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Clinical interpretations for variant"></short>
+      <definition value="Clinical Interpretations for variant. It's a reference to an Observation resource."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsVariant"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"></url>
+    <version value="4.2.0"></version>
+    <name value="Variant"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Variant information."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Variant"></short>
+      <definition value="Variant information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="HGVS nomenclature for observed DNA sequence variant"></short>
+      <definition value="Human Genome Variation Society (HGVS) nomenclature for a single or set of DNA Sequence Variation(s) identified in testing.  The use of the nomenclature is also used to describe non-variations (aka. wild types). LOINC Code: ([48004-6](http://loinc.org/48004-6))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ClinVar-variant-database"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="NCBI central repository of potentially clinically relevant variants."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Id">
+      <path value="Extension.extension"></path>
+      <sliceName value="Id"></sliceName>
+      <short value="DNA sequence variant ID"></short>
+      <definition value="Identifier for DNA sequence variant.  If a germline variant, ClinVar or dbSNP identifier should be used.  If a somatic variant, COSMIC identifier should be used, unless in ClinVar then either maybe used. Need to provide the code system used (ClinVar, dbSNP, COSMIC) LOINC Code: ([48003-8](http://loinc.org/48003-8))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Id.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Id.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Id.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Id"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Id.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type">
+      <path value="Extension.extension"></path>
+      <sliceName value="Type"></sliceName>
+      <short value="DNA sequence variant type"></short>
+      <definition value="Codified type for associated DNA sequence variant. DNA sequence variants use the HGVS notation, which implies the DNA sequence variant type. LOINC Code: ([48019-4](http://loinc.org/48019-4))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Variant"></short>
+      <definition value="Variant information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="HGVS nomenclature for observed DNA sequence variant"></short>
+      <definition value="Human Genome Variation Society (HGVS) nomenclature for a single or set of DNA Sequence Variation(s) identified in testing.  The use of the nomenclature is also used to describe non-variations (aka. wild types). LOINC Code: ([48004-6](http://loinc.org/48004-6))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ClinVar-variant-database"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="NCBI central repository of potentially clinically relevant variants."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:Id">
+      <path value="Extension.extension"></path>
+      <sliceName value="Id"></sliceName>
+      <short value="DNA sequence variant ID"></short>
+      <definition value="Identifier for DNA sequence variant.  If a germline variant, ClinVar or dbSNP identifier should be used.  If a somatic variant, COSMIC identifier should be used, unless in ClinVar then either maybe used. Need to provide the code system used (ClinVar, dbSNP, COSMIC) LOINC Code: ([48003-8](http://loinc.org/48003-8))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Id.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Id.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Id"></fixedUri>
+     </element>
+     <element id="Extension.extension:Id.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Type">
+      <path value="Extension.extension"></path>
+      <sliceName value="Type"></sliceName>
+      <short value="DNA sequence variant type"></short>
+      <definition value="Codified type for associated DNA sequence variant. DNA sequence variants use the HGVS notation, which implies the DNA sequence variant type. LOINC Code: ([48019-4](http://loinc.org/48019-4))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Type"></fixedUri>
+     </element>
+     <element id="Extension.extension:Type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsAminoAcidChange"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"></url>
+    <version value="4.2.0"></version>
+    <name value="AminoAcidChange"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="AminoAcidChange information."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="AminoAcidChange"></short>
+      <definition value="AminoAcidChange information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="HGVS nomenclature for observed Amino Acid Change"></short>
+      <definition value="Human Genome Variation Society (HGVS) nomenclature for an amino acid change. Reference sequence ID used for HGVS naming must be annotated. An amino acid is a sequence feature that corresponds to a single amino acid residue in a polypeptide ([SO:0001237](http://www.sequenceontology.org/browser/current_svn/term/SO:0001237)). LOINC Code: ([48005-3](http://loinc.org/48005-3))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ClinVar-variant-database"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="NCBI central repository of potentially clinically relevant variants."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type">
+      <path value="Extension.extension"></path>
+      <sliceName value="Type"></sliceName>
+      <short value="Amino Acid Change Type"></short>
+      <definition value="Codified type for associated Amino Acid Change.  LOINC Code: ([48006-1](http://loinc.org/48006-1))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="AminoAcidChange"></short>
+      <definition value="AminoAcidChange information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="HGVS nomenclature for observed Amino Acid Change"></short>
+      <definition value="Human Genome Variation Society (HGVS) nomenclature for an amino acid change. Reference sequence ID used for HGVS naming must be annotated. An amino acid is a sequence feature that corresponds to a single amino acid residue in a polypeptide ([SO:0001237](http://www.sequenceontology.org/browser/current_svn/term/SO:0001237)). LOINC Code: ([48005-3](http://loinc.org/48005-3))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ClinVar-variant-database"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="NCBI central repository of potentially clinically relevant variants."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/clinvar"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:Type">
+      <path value="Extension.extension"></path>
+      <sliceName value="Type"></sliceName>
+      <short value="Amino Acid Change Type"></short>
+      <definition value="Codified type for associated Amino Acid Change.  LOINC Code: ([48006-1](http://loinc.org/48006-1))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Type"></fixedUri>
+     </element>
+     <element id="Extension.extension:Type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsAllele"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"></url>
+    <version value="4.2.0"></version>
+    <name value="Allele"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Allele information."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allele"></short>
+      <definition value="Allele information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="Name of allele"></short>
+      <definition value="An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). This element is the common name for the allele. LOINC Code: ([48008-7](http://loinc.org/48008-7))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EBI-AlleleName"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="EMBL-EBI database of AlleleName."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allelename"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:State">
+      <path value="Extension.extension"></path>
+      <sliceName value="State"></sliceName>
+      <short value="The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous"></short>
+      <definition value="The level of occurrence of a single DNA Sequence Variant within a set of chromosomes. Heterozygous indicates the DNA sequence variant is only present in one of the two genes contained in homologous chromosomes. Homozygous indicates the DNA Sequence Variant is present in both genes contained in homologous chromosomes. Hemizygous indicates the DNA Sequence Variant exists in the only single copy of a gene in a non-homologous chromosome (the male X and Y chromosome are non-homologous). Hemiplasmic indicates that the DNA Sequence Variant is present in some but not all of the copies of mitochondrial DNA. Homoplasmic indicates that the DNA Sequence Variant is present in all of the copies of mitochondrial DNA. LOINC Code: ([53034-5](http://loinc.org/53034-5))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:State.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:State.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:State.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="State"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:State.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Frequency">
+      <path value="Extension.extension"></path>
+      <sliceName value="Frequency"></sliceName>
+      <short value="Allele frequency"></short>
+      <definition value="A physical quality which inheres to the allele by virtue of the number instances of the allele within a population. LOINC Code: ([81258-6](http://loinc.org/81258-6))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Frequency.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Frequency.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Frequency.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Frequency"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Frequency.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allele"></short>
+      <definition value="Allele information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="Name of allele"></short>
+      <definition value="An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). This element is the common name for the allele. LOINC Code: ([48008-7](http://loinc.org/48008-7))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="EBI-AlleleName"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="EMBL-EBI database of AlleleName."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allelename"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:State">
+      <path value="Extension.extension"></path>
+      <sliceName value="State"></sliceName>
+      <short value="The level of occurrence of a single DNA sequence variant within a set of chromosomes: Heteroplasmic / Homoplasmic / Homozygous / Heterozygous / Hemizygous"></short>
+      <definition value="The level of occurrence of a single DNA Sequence Variant within a set of chromosomes. Heterozygous indicates the DNA sequence variant is only present in one of the two genes contained in homologous chromosomes. Homozygous indicates the DNA Sequence Variant is present in both genes contained in homologous chromosomes. Hemizygous indicates the DNA Sequence Variant exists in the only single copy of a gene in a non-homologous chromosome (the male X and Y chromosome are non-homologous). Hemiplasmic indicates that the DNA Sequence Variant is present in some but not all of the copies of mitochondrial DNA. Homoplasmic indicates that the DNA Sequence Variant is present in all of the copies of mitochondrial DNA. LOINC Code: ([53034-5](http://loinc.org/53034-5))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:State.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:State.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="State"></fixedUri>
+     </element>
+     <element id="Extension.extension:State.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Frequency">
+      <path value="Extension.extension"></path>
+      <sliceName value="Frequency"></sliceName>
+      <short value="Allele frequency"></short>
+      <definition value="A physical quality which inheres to the allele by virtue of the number instances of the allele within a population. LOINC Code: ([81258-6](http://loinc.org/81258-6))."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Frequency.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Frequency.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Frequency"></fixedUri>
+     </element>
+     <element id="Extension.extension:Frequency.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsAncestry"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"></url>
+    <version value="4.2.0"></version>
+    <name value="Ancestry"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Ancestry information."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Ancestry"></short>
+      <definition value="Ancestry information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="Ancestry name"></short>
+      <definition value="A definition that describes the geographical origin of a patient."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Name.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Percentage">
+      <path value="Extension.extension"></path>
+      <sliceName value="Percentage"></sliceName>
+      <short value="Ancestry percentage"></short>
+      <definition value="The ratio of this ancestry to all of the patient's ancestry."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Percentage.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Percentage.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Percentage.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Percentage"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Percentage.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Source">
+      <path value="Extension.extension"></path>
+      <sliceName value="Source"></sliceName>
+      <short value="Source of ancestry report"></short>
+      <definition value="In what way the ancestry is reported (e.g. Patient reported, Genetic test, Other, Unknown)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Source.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Source.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Source.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Source"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Source.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Ancestry"></short>
+      <definition value="Ancestry information."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:Name">
+      <path value="Extension.extension"></path>
+      <sliceName value="Name"></sliceName>
+      <short value="Ancestry name"></short>
+      <definition value="A definition that describes the geographical origin of a patient."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Name.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Name.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Name"></fixedUri>
+     </element>
+     <element id="Extension.extension:Name.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Percentage">
+      <path value="Extension.extension"></path>
+      <sliceName value="Percentage"></sliceName>
+      <short value="Ancestry percentage"></short>
+      <definition value="The ratio of this ancestry to all of the patient's ancestry."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Percentage.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Percentage.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Percentage"></fixedUri>
+     </element>
+     <element id="Extension.extension:Percentage.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="decimal"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Source">
+      <path value="Extension.extension"></path>
+      <sliceName value="Source"></sliceName>
+      <short value="Source of ancestry report"></short>
+      <definition value="In what way the ancestry is reported (e.g. Patient reported, Genetic test, Other, Unknown)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Source.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Source.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Source"></fixedUri>
+     </element>
+     <element id="Extension.extension:Source.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="observation-geneticsPhaseSet"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"></url>
+    <version value="4.2.0"></version>
+    <name value="PhaseSet"></name>
+    <status value="draft"></status>
+    <date value="2016-03-14"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Phase set information."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Phase set"></short>
+      <definition value="Phase set information."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Id">
+      <path value="Extension.extension"></path>
+      <sliceName value="Id"></sliceName>
+      <short value="Phase set ID"></short>
+      <definition value="This is a globally unique phaseSet id."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Id.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Id.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:Id.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Id"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:Id.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:MolecularSequence">
+      <path value="Extension.extension"></path>
+      <sliceName value="MolecularSequence"></sliceName>
+      <short value="Phase set sequence"></short>
+      <definition value="MolecularSequence pointed to phase set (from: https://www.hl7.org/fhir/STU3/extension-observation-geneticssequence.html)."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:MolecularSequence.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:MolecularSequence.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:MolecularSequence.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="MolecularSequence"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:MolecularSequence.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Phase set"></short>
+      <definition value="Phase set information."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:Id">
+      <path value="Extension.extension"></path>
+      <sliceName value="Id"></sliceName>
+      <short value="Phase set ID"></short>
+      <definition value="This is a globally unique phaseSet id."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:Id.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:Id.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="Id"></fixedUri>
+     </element>
+     <element id="Extension.extension:Id.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:MolecularSequence">
+      <path value="Extension.extension"></path>
+      <sliceName value="MolecularSequence"></sliceName>
+      <short value="Phase set sequence"></short>
+      <definition value="MolecularSequence pointed to phase set (from: https://www.hl7.org/fhir/STU3/extension-observation-geneticssequence.html)."></definition>
+      <min value="1"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:MolecularSequence.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:MolecularSequence.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="MolecularSequence"></fixedUri>
+     </element>
+     <element id="Extension.extension:MolecularSequence.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"></targetProfile>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="communicationrequest-initiatingLocation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"></url>
+    <version value="4.2.0"></version>
+    <name value="initiatingLocation"></name>
+    <title value="initiatingLocation"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Location where the information being requested to be communicated happened."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="CommunicationRequest"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Location where the CommunicationRequest was initiated"></short>
+      <definition value="Location where the information being requested to be communicated happened."></definition>
+      <comment value="Use when the location of initiation is important for interpretation of the communication.  Do not use for general Provenance purposes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Location where the CommunicationRequest was initiated"></short>
+      <definition value="Location where the information being requested to be communicated happened."></definition>
+      <comment value="Use when the location of initiation is important for interpretation of the communication.  Do not use for general Provenance purposes."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/communicationrequest-initiatingLocation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="medicationdispense-refillsRemaining"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"></url>
+    <version value="4.2.0"></version>
+    <name value="refillsRemaining"></name>
+    <title value="refillsRemaining"></title>
+    <status value="draft"></status>
+    <date value="2019-03-23"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The number of refills allowed or remaining after a dispensing event.  Does not include the current dispense."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="MedicationDispense"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Number of refills allowed or remaining after a dispensing event."></short>
+      <definition value="The number of refills allowed or remaining after a dispensing event.  Does not include the current dispense."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Number of refills allowed or remaining after a dispensing event."></short>
+      <definition value="The number of refills allowed or remaining after a dispensing event.  Does not include the current dispense."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-refillsRemaining"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="medicationdispense-quantityRemaining"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"></url>
+    <version value="4.2.0"></version>
+    <name value="quantityRemaining"></name>
+    <title value="quantityRemaining"></title>
+    <status value="draft"></status>
+    <date value="2019-03-23"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The quanity left to be dispensed after a dispensing event."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="MedicationDispense"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Quanity of medication left to be dispensed after a dispensing event"></short>
+      <definition value="The quanity left to be dispensed after a dispensing event."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="A fixed quantity (no comparator)"></short>
+      <definition value="The comparator is not used on a SimpleQuantity"></definition>
+      <comment value="The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Quantity"></code>
+       <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"></profile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="qty-3"></key>
+       <severity value="error"></severity>
+       <human value="If a code for the unit is present, the system SHALL also be present"></human>
+       <expression value="code.empty() or system.exists()"></expression>
+       <xpath value="not(exists(f:code)) or exists(f:system)"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Quantity"></source>
+      </constraint>
+      <constraint>
+       <key value="sqty-1"></key>
+       <severity value="error"></severity>
+       <human value="The comparator is not used on a SimpleQuantity"></human>
+       <expression value="comparator.empty()"></expression>
+       <xpath value="not(exists(f:comparator))"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="SN (see also Range) or CQ"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Quanity of medication left to be dispensed after a dispensing event"></short>
+      <definition value="The quanity left to be dispensed after a dispensing event."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/medicationdispense-quantityRemaining"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Quantity"></code>
+       <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"></profile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="diagnosticReport-locationPerformed"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"></url>
+    <version value="4.2.0"></version>
+    <name value="locationPerformed"></name>
+    <title value="locationPerformed"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Facility location where this report was prepared."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Location Performed"></short>
+      <definition value="Facility location where this report was prepared."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Location Performed"></short>
+      <definition value="Facility location where this report was prepared."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="diagnosticReport-summaryOf"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"></url>
+    <version value="4.2.0"></version>
+    <name value="summaryOf"></name>
+    <title value="Summary Of"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A summary report that points to subordinate target reports."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Summary Of Other Reports"></short>
+      <definition value="A summary report that points to subordinate target reports."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Summary Of Other Reports"></short>
+      <definition value="A summary report that points to subordinate target reports."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-summaryOf"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="diagnosticReport-replaces"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"></url>
+    <version value="4.2.0"></version>
+    <name value="replaces"></name>
+    <title value="Replaces"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The report replaces the target resource.  For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces  where the subsequent observation of case and report  may be on more or different material (specimen).  Note that  this is not same concept as` DiagnosticReport.status`  = preliminary of final, but industry definition of preliminary and final."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Replacement for another report"></short>
+      <definition value="The report replaces the target resource.  For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces  where the subsequent observation of case and report  may be on more or different material (specimen).  Note that  this is not same concept as` DiagnosticReport.status`  = preliminary of final, but industry definition of preliminary and final."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Replacement for another report"></short>
+      <definition value="The report replaces the target resource.  For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces  where the subsequent observation of case and report  may be on more or different material (specimen).  Note that  this is not same concept as` DiagnosticReport.status`  = preliminary of final, but industry definition of preliminary and final."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
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+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="diagnosticReport-extends"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"></url>
+    <version value="4.2.0"></version>
+    <name value="extends"></name>
+    <title value="Extends"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The report references related (&quot;sibling&quot;) reports."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Related reports"></short>
+      <definition value="The report references related (&quot;sibling&quot;) reports."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Related reports"></short>
+      <definition value="The report references related (&quot;sibling&quot;) reports."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-extends"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="diagnosticReport-addendumOf"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"></url>
+    <version value="4.2.0"></version>
+    <name value="addendumOf"></name>
+    <title value="Addendum Of"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The supplements or provides additional information for the target report."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional or Supplement Content"></short>
+      <definition value="The supplements or provides additional information for the target report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional or Supplement Content"></short>
+      <definition value="The supplements or provides additional information for the target report."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="diagnosticReport-risk"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"></url>
+    <version value="4.2.0"></version>
+    <name value="risk"></name>
+    <title value="Risk"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Provides a link to an assessment of prognosis or risk as informed by the diagnostic results (For example, genetic results and possibly by patient genetic family history information).  This extension is used when need RiskAssessment as an alternate choice  for `Observation.hasMember` or `DiagnosticReport.result`."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="Observation"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Risk"></short>
+      <definition value="Provides a link to an assessment of prognosis or risk as informed by the diagnostic results (For example, genetic results and possibly by patient genetic family history information).  This extension is used when need RiskAssessment as an alternate choice  for `Observation.hasMember` or `DiagnosticReport.result`."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Risk"></short>
+      <definition value="Provides a link to an assessment of prognosis or risk as informed by the diagnostic results (For example, genetic results and possibly by patient genetic family history information).  This extension is used when need RiskAssessment as an alternate choice  for `Observation.hasMember` or `DiagnosticReport.result`."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="DiagnosticReport-geneticsAssessedCondition"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"></url>
+    <version value="4.2.0"></version>
+    <name value="AssessedCondition"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Used to denote condition context for genetic testing, which may influence reported variants and interpretation for large genomic testing panels e.g. lung cancer or familial breast cancer."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="AssessedCondition"></short>
+      <definition value="Used to denote condition context for genetic testing, which may influence reported variants and interpretation for large genomic testing panels e.g. lung cancer or familial breast cancer."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="AssessedCondition"></short>
+      <definition value="Used to denote condition context for genetic testing, which may influence reported variants and interpretation for large genomic testing panels e.g. lung cancer or familial breast cancer."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="DiagnosticReport-geneticsFamilyMemberHistory"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"></url>
+    <version value="4.2.0"></version>
+    <name value="FamilyMemberHistory"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FamilyHistory"></short>
+      <definition value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="FamilyHistory"></short>
+      <definition value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="DiagnosticReport-geneticsAnalysis"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"></url>
+    <version value="4.2.0"></version>
+    <name value="Analysis"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Knowledge-based comments on the effect of the sequence on patient's condition/medication reaction."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Analysis"></short>
+      <definition value="Knowledge-based comments on the effect of the sequence on patient's condition/medication reaction."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="Analysis type"></short>
+      <definition value="Type of the analysis. E.g. for a drug, what is being analyzed - efficacy, reaction, the drug's effect on the user's metabolism, etc."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:interpretation">
+      <path value="Extension.extension"></path>
+      <sliceName value="interpretation"></sliceName>
+      <short value="Analysis interpretation"></short>
+      <definition value="Interpretation of the sequence's effect on the patient's condition or reaction to a medication."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:interpretation.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:interpretation.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:interpretation.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="interpretation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:interpretation.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Analysis"></short>
+      <definition value="Knowledge-based comments on the effect of the sequence on patient's condition/medication reaction."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="Analysis type"></short>
+      <definition value="Type of the analysis. E.g. for a drug, what is being analyzed - efficacy, reaction, the drug's effect on the user's metabolism, etc."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:interpretation">
+      <path value="Extension.extension"></path>
+      <sliceName value="interpretation"></sliceName>
+      <short value="Analysis interpretation"></short>
+      <definition value="Interpretation of the sequence's effect on the patient's condition or reaction to a medication."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:interpretation.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:interpretation.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="interpretation"></fixedUri>
+     </element>
+     <element id="Extension.extension:interpretation.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="DiagnosticReport-geneticsReferences"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"></url>
+    <version value="4.2.0"></version>
+    <name value="References"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Additional bibliographic reference information about genetics, medications, clinical trials, etc. associated with knowledge-based information on genetics/genetic condition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional bibliographic reference information"></short>
+      <definition value="Additional bibliographic reference information about genetics, medications, clinical trials, etc. associated with knowledge-based information on genetics/genetic condition."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:description">
+      <path value="Extension.extension"></path>
+      <sliceName value="description"></sliceName>
+      <short value="Reference description"></short>
+      <definition value="Concise description of the genetic reference."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:description.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:description.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:description.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="description"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:description.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference">
+      <path value="Extension.extension"></path>
+      <sliceName value="reference"></sliceName>
+      <short value="Reference URI"></short>
+      <definition value="An absolute URI to express where to find the link."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:reference.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:reference.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="reference"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:reference.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="Reference type"></short>
+      <definition value="A code that classifies the type of genetic reference link."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Diagnostic-Snomed"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes for diagnostic genetic reference types."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-based-on-snomed"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional bibliographic reference information"></short>
+      <definition value="Additional bibliographic reference information about genetics, medications, clinical trials, etc. associated with knowledge-based information on genetics/genetic condition."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:description">
+      <path value="Extension.extension"></path>
+      <sliceName value="description"></sliceName>
+      <short value="Reference description"></short>
+      <definition value="Concise description of the genetic reference."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:description.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:description.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="description"></fixedUri>
+     </element>
+     <element id="Extension.extension:description.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:reference">
+      <path value="Extension.extension"></path>
+      <sliceName value="reference"></sliceName>
+      <short value="Reference URI"></short>
+      <definition value="An absolute URI to express where to find the link."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:reference.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:reference.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="reference"></fixedUri>
+     </element>
+     <element id="Extension.extension:reference.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="Reference type"></short>
+      <definition value="A code that classifies the type of genetic reference link."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Diagnostic-Snomed"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes for diagnostic genetic reference types."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-based-on-snomed"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="hla-genotyping-results-allele-database"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"></url>
+    <version value="4.2.0"></version>
+    <name value="allele-database"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="Allele Database."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allele Database"></short>
+      <definition value="Allele Database."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Allele Database"></short>
+      <definition value="Allele Database."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="hla-genotyping-results-glstring"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"></url>
+    <version value="4.2.0"></version>
+    <name value="glstring"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="glstring."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="glstring"></short>
+      <definition value="glstring."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:url">
+      <path value="Extension.extension"></path>
+      <sliceName value="url"></sliceName>
+      <short value="glstring.url"></short>
+      <definition value="glstring using a URI reference."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:url.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:url.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:url.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="url"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:url.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:text">
+      <path value="Extension.extension"></path>
+      <sliceName value="text"></sliceName>
+      <short value="glstring.text"></short>
+      <definition value="glstring using inline data."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:text.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:text.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:text.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="text"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:text.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="glstring"></short>
+      <definition value="glstring."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension:url">
+      <path value="Extension.extension"></path>
+      <sliceName value="url"></sliceName>
+      <short value="glstring.url"></short>
+      <definition value="glstring using a URI reference."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:url.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:url.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="url"></fixedUri>
+     </element>
+     <element id="Extension.extension:url.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="uri"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:text">
+      <path value="Extension.extension"></path>
+      <sliceName value="text"></sliceName>
+      <short value="glstring.text"></short>
+      <definition value="glstring using inline data."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:text.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:text.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="text"></fixedUri>
+     </element>
+     <element id="Extension.extension:text.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="hla-genotyping-results-haploid"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"></url>
+    <version value="4.2.0"></version>
+    <name value="haploid"></name>
+    <status value="draft"></status>
+    <date value="2015-10-09"></date>
+    <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/clingenomics"></value>
+     </telecom>
+    </contact>
+    <description value="haploid."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="DiagnosticReport"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="haploid"></short>
+      <definition value="haploid."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:locus">
+      <path value="Extension.extension"></path>
+      <sliceName value="locus"></sliceName>
+      <short value="haploid-locus"></short>
+      <definition value="gene region."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:locus.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:locus.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:locus.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="locus"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:locus.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="haploid-type"></short>
+      <definition value="haploid type."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:method">
+      <path value="Extension.extension"></path>
+      <sliceName value="method"></sliceName>
+      <short value="haploid-method"></short>
+      <definition value="haploid method."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:method.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:method.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:method.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="method"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:method.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
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+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Indicator of primary specialty"></short>
+      <definition value="Flag indicating if the specialty is the primary specialty of the provider. Normally, a practitioner will have one primary specialty, but in some cases more than one can be primary."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/organizationaffiliation-primaryInd"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="nutritionorder-adaptiveFeedingDevice"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"></url>
+    <version value="4.2.0"></version>
+    <name value="adaptiveFeedingDevice"></name>
+    <title value="Adaptive Feeding Device"></title>
+    <status value="draft"></status>
+    <date value="2017-10-18"></date>
+    <publisher value="Health Level Seven, Inc. - Orders and Observations WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/orders"></value>
+     </telecom>
+    </contact>
+    <description value="Materials used or needed to feed the patient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="NutritionOrder.oralDiet"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Adaptive Feeding Device"></short>
+      <definition value="Materials used or needed to feed the patient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FeedingDevice"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Materials used or needed to feed the patient."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/feeding-device"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Adaptive Feeding Device"></short>
+      <definition value="Materials used or needed to feed the patient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/nutritionorder-adaptiveFeedingDevice"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="FeedingDevice"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Materials used or needed to feed the patient."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/feeding-device"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-SOPClass"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"></url>
+    <version value="4.2.0"></version>
+    <name value="SOPClass"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Required if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) and any of the optional fields (AccessionNumber, ContainsMPPS, NumberOfInstances, ContainsSOPInstances,Encrypted,Anonymized) are present in this Participant Object. May be present if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) even though none of the optional fields are present."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="UIDs of SOP classes referred to"></short>
+      <definition value="Required if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) and any of the optional fields (AccessionNumber, ContainsMPPS, NumberOfInstances, ContainsSOPInstances,Encrypted,Anonymized) are present in this Participant Object. May be present if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) even though none of the optional fields are present."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="SOPClass"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="UIDs of SOP classes referred to"></short>
+      <definition value="Required if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) and any of the optional fields (AccessionNumber, ContainsMPPS, NumberOfInstances, ContainsSOPInstances,Encrypted,Anonymized) are present in this Participant Object. May be present if ParticipantObjectIDTypeCode is (110180, DCM, &quot;Study Instance UID&quot;) even though none of the optional fields are present."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="SOPClass"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-SOPClass"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-Accession"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"></url>
+    <version value="4.2.0"></version>
+    <name value="Accession"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="An Accession Number associated with this participant object."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Accession Number"></short>
+      <definition value="An Accession Number associated with this participant object."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Accession"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Accession Number"></short>
+      <definition value="An Accession Number associated with this participant object."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Accession"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Accession"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-MPPS"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"></url>
+    <version value="4.2.0"></version>
+    <name value="MPPS"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="An MPPS Instance UID associated with this entity."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="MPPS instance UID"></short>
+      <definition value="An MPPS Instance UID associated with this entity."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="MPPS"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="MPPS instance UID"></short>
+      <definition value="An MPPS Instance UID associated with this entity."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="MPPS"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-MPPS"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-NumberOfInstances"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"></url>
+    <version value="4.2.0"></version>
+    <name value="NumberOfInstances"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="The Number of SOP Instances referred to by this entity."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Number of SOP Instances referred to by this entity"></short>
+      <definition value="The Number of SOP Instances referred to by this entity."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="NumberOfInstances"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Number of SOP Instances referred to by this entity"></short>
+      <definition value="The Number of SOP Instances referred to by this entity."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="NumberOfInstances"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-NumberOfInstances"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-Instance"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"></url>
+    <version value="4.2.0"></version>
+    <name value="Instance"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Th SOP Instance UID values."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SOP Instance UID value"></short>
+      <definition value="Th SOP Instance UID values."></definition>
+      <comment value="Including the list of SOP Instances can create a large audit message. Under most circumstances, the list of SOP Instance UIDs is not needed for audit purposes."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Instance"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="SOP Instance UID value"></short>
+      <definition value="Th SOP Instance UID values."></definition>
+      <comment value="Including the list of SOP Instances can create a large audit message. Under most circumstances, the list of SOP Instance UIDs is not needed for audit purposes."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Instance"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Instance"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-Encrypted"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"></url>
+    <version value="4.2.0"></version>
+    <name value="Encrypted"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="True or False indicating whether the data was encrypted."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Encrypted state"></short>
+      <definition value="True or False indicating whether the data was encrypted."></definition>
+      <comment value="If there was a mix of encrypted and non-encrypted data, then create two AuditEvents."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Encrypted"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Encrypted state"></short>
+      <definition value="True or False indicating whether the data was encrypted."></definition>
+      <comment value="If there was a mix of encrypted and non-encrypted data, then create two AuditEvents."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Encrypted"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Encrypted"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-Anonymized"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"></url>
+    <version value="4.2.0"></version>
+    <name value="Anonymized"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="True or False indicating whether all patient identifying information was removed from the data."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Anonymized state"></short>
+      <definition value="True or False indicating whether all patient identifying information was removed from the data."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Anonymized"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Anonymized state"></short>
+      <definition value="True or False indicating whether all patient identifying information was removed from the data."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="Anonymized"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-Anonymized"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="auditevent-ParticipantObjectContainsStudy"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"></url>
+    <version value="4.2.0"></version>
+    <name value="ParticipantObjectContainsStudy"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven, Inc. - Security WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/security/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="A Study Instance ID, which may be used when the Entity type is not (110180, DCM, &quot;Study Instance UID&quot;)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="dicom"></identity>
+     <uri value="http://nema.org/dicom"></uri>
+     <name value="DICOM Tag Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="AuditEvent.entity"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Contains Study"></short>
+      <definition value="A Study Instance ID, which may be used when the Entity type is not (110180, DCM, &quot;Study Instance UID&quot;)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="ParticipantObjectContainsStudy"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Contains Study"></short>
+      <definition value="A Study Instance ID, which may be used when the Entity type is not (110180, DCM, &quot;Study Instance UID&quot;)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="dicom"></identity>
+       <map value="ParticipantObjectContainsStudy"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/auditevent-ParticipantObjectContainsStudy"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-dueTo"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"></url>
+    <version value="4.2.0"></version>
+    <name value="dueTo"></name>
+    <title value="dueTo"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Causes for this Condition"></short>
+      <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition."></definition>
+      <comment value="Although a condition may be caused by a substance, this is not intended to be used to record allergies/adverse reactions to substances."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".typeCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionCause"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Causes for this Condition"></short>
+      <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered this Condition."></definition>
+      <comment value="Although a condition may be caused by a substance, this is not intended to be used to record allergies/adverse reactions to substances."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".typeCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-dueTo"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></targetProfile>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionCause"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-cause"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-occurredFollowing"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"></url>
+    <version value="4.2.0"></version>
+    <name value="occurredFollowing"></name>
+    <title value="occurredFollowing"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded this Condition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Precedent for this Condition"></short>
+      <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded this Condition."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".typeCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionPredecessor"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe activities or observations that occurred prior to the condition."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-predecessor"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Precedent for this Condition"></short>
+      <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded this Condition."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value=".typeCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></targetProfile>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionPredecessor"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe activities or observations that occurred prior to the condition."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-predecessor"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-outcome"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-outcome"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-outcome"></url>
+    <version value="4.2.0"></version>
+    <name value="outcome"></name>
+    <title value="Outcome"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="A result of the condition. The &quot;Cause of death&quot; for a patient is typically captured as an Observation.  The &quot;outcome&quot; doesn't imply causality.  Some outcomes might not be assessable until the condition.clinicalStatus is no longer active."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A consequence of the Condition"></short>
+      <definition value="A result of the condition. The &quot;Cause of death&quot; for a patient is typically captured as an Observation.  The &quot;outcome&quot; doesn't imply causality.  Some outcomes might not be assessable until the condition.clinicalStatus is no longer active."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-outcome"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionOutcome"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe the assessed outcome of the condition."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-outcome"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A consequence of the Condition"></short>
+      <definition value="A result of the condition. The &quot;Cause of death&quot; for a patient is typically captured as an Observation.  The &quot;outcome&quot; doesn't imply causality.  Some outcomes might not be assessable until the condition.clinicalStatus is no longer active."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-outcome"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionOutcome"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe the assessed outcome of the condition."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-outcome"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-ruledOut"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"></url>
+    <version value="4.2.0"></version>
+    <name value="ruledOut"></name>
+    <title value="ruledOut"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies what potential diagnoses have been ruled out for this condition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Conditions ruled out for this condition"></short>
+      <definition value="Identifies what potential diagnoses have been ruled out for this condition."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Conditions ruled out for this condition"></short>
+      <definition value="Identifies what potential diagnoses have been ruled out for this condition."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-ruledOut"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-related"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-related"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-related"></url>
+    <version value="4.2.0"></version>
+    <name value="related"></name>
+    <title value="related"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="This condition has an unspecified relationship with another condition."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Conditions associated with this condition"></short>
+      <definition value="This condition has an unspecified relationship with another condition."></definition>
+      <comment value="When the relationship is specified, use the more specific extension, such as condition-dueTo, condition-occurredFollowing, or condition-part of."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-related"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Conditions associated with this condition"></short>
+      <definition value="This condition has an unspecified relationship with another condition."></definition>
+      <comment value="When the relationship is specified, use the more specific extension, such as condition-dueTo, condition-occurredFollowing, or condition-part of."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-related"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-assertedDate"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"></url>
+    <version value="4.2.0"></version>
+    <name value="assertedDate"></name>
+    <title value="assertedDate"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The date on which the existence of the Condition was first asserted or acknowledged."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date the condition was first asserted"></short>
+      <definition value="The date on which the existence of the Condition was first asserted or acknowledged."></definition>
+      <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Date the condition was first asserted"></short>
+      <definition value="The date on which the existence of the Condition was first asserted or acknowledged."></definition>
+      <comment value="The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="condition-diseaseCourse"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"></url>
+    <version value="4.2.0"></version>
+    <name value="diseaseCourse"></name>
+    <title value="diseaseCourse"></title>
+    <status value="draft"></status>
+    <date value="2015-02-21"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="HL7"></value>
+     </telecom>
+    </contact>
+    <description value="The clinical course of the disease (how the disease behaves over time), such as acute versus chronic."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Condition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The clinical course of the disease"></short>
+      <definition value="The clinical course of the disease (how the disease behaves over time), such as acute versus chronic."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionCourse"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe the clinical course of the disease."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-course"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The clinical course of the disease"></short>
+      <definition value="The clinical course of the disease (how the disease behaves over time), such as acute versus chronic."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/condition-diseaseCourse"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConditionCourse"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes that describe the clinical course of the disease."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-course"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="composition-clinicaldocument-otherConfidentiality"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"></url>
+    <version value="4.2.0"></version>
+    <name value="otherConfidentiality"></name>
+    <status value="draft"></status>
+    <date value="2015-03-17"></date>
+    <publisher value="Health Level Seven, Inc. - Structured Documents WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/structure"></value>
+     </telecom>
+    </contact>
+    <description value="Carries additional confidentiality codes beyond the base fixed code specified in the CDA document."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Composition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional confidentiality codes"></short>
+      <definition value="Carries additional confidentiality codes beyond the base fixed code specified in the CDA document."></definition>
+      <comment value="Typically, this is used where an institution has their own set of confidentiality codes that have different granularity that the base CDA codes, or for legacy reasons. For security-related codes other than confidentiality, see [[security-labels-html]]."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Additional confidentiality codes"></short>
+      <definition value="Carries additional confidentiality codes beyond the base fixed code specified in the CDA document."></definition>
+      <comment value="Typically, this is used where an institution has their own set of confidentiality codes that have different granularity that the base CDA codes, or for legacy reasons. For security-related codes other than confidentiality, see [[security-labels-html]]."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-otherConfidentiality"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="composition-clinicaldocument-versionNumber"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"></url>
+    <version value="4.2.0"></version>
+    <name value="versionNumber"></name>
+    <status value="draft"></status>
+    <date value="2015-03-17"></date>
+    <publisher value="Health Level Seven, Inc. - Structured Documents WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/structure"></value>
+     </telecom>
+    </contact>
+    <description value="Version specific identifier for the composition, assigned when each version is created/updated."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Composition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Version-specific identifier for composition"></short>
+      <definition value="Version specific identifier for the composition, assigned when each version is created/updated."></definition>
+      <comment value="While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Version-specific identifier for composition"></short>
+      <definition value="Version specific identifier for the composition, assigned when each version is created/updated."></definition>
+      <comment value="While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="cqm-ValidityPeriod"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"></url>
+    <version value="4.2.0"></version>
+    <name value="ValidityPeriod"></name>
+    <status value="draft"></status>
+    <date value="2014-01-31"></date>
+    <publisher value="Health Level Seven, Inc. - Clinical Quality Information WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="The period in which the catalog is valid."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Composition"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Validity Period"></short>
+      <definition value="The period in which the catalog is valid."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Validity Period"></short>
+      <definition value="The period in which the catalog is valid."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="composition-section-subject"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"></url>
+    <version value="4.2.0"></version>
+    <name value="section-subject"></name>
+    <title value="Overrides Composition.subject"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Specifies that the section has a different subject that the Composition, or it's container section."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Composition.section"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Section has a different subject that it's container"></short>
+      <definition value="Specifies that the section has a different subject that the Composition, or it's container section."></definition>
+      <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it's not clear whether it belongs in the actual value set resource."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Section has a different subject that it's container"></short>
+      <definition value="Specifies that the section has a different subject that the Composition, or it's container section."></definition>
+      <comment value="This is used in various FHIR value sets to make comments on how particular codes are used when the formal definition is a little abstract or vague, but it's not clear whether it belongs in the actual value set resource."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/composition-section-subject"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/http-response-header"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="http-response-header"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/http-response-header"></url>
+    <version value="4.2.0"></version>
+    <name value="http-response-header"></name>
+    <title value="HTTP Response header"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="In a transaction, every single interaction can have multiple HTTP response headers returned as a result of the interaction."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.entry.response"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="HTTP header returned by the interaction"></short>
+      <definition value="In a transaction, every single interaction can have multiple HTTP response headers returned as a result of the interaction."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/http-response-header"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="HTTP header returned by the interaction"></short>
+      <definition value="In a transaction, every single interaction can have multiple HTTP response headers returned as a result of the interaction."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/http-response-header"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/match-grade"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="match-grade"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/match-grade"></url>
+    <version value="4.2.0"></version>
+    <name value="match-grade"></name>
+    <title value="Matching Grade"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="Assessment of resource match outcome - how likely this resource is to be a match."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.entry.search"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="How likely this resource is to be a match"></short>
+      <definition value="Assessment of resource match outcome - how likely this resource is to be a match."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/match-grade"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="MatchGrade"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/match-grade|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="How likely this resource is to be a match"></short>
+      <definition value="Assessment of resource match outcome - how likely this resource is to be a match."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/match-grade"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="MatchGrade"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/match-grade|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/location-distance"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="location-distance"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/location-distance"></url>
+    <version value="4.2.0"></version>
+    <name value="location-distance"></name>
+    <title value="Distance"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A calculated distance between the resource and a provided location."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.entry.search"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The distance this resource is from a provided location (geocode point)"></short>
+      <definition value="A calculated distance between the resource and a provided location."></definition>
+      <comment value="This may be used with the Location.near/near-distance search parameter."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-distance"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The distance this resource is from a provided location (geocode point)"></short>
+      <definition value="A calculated distance between the resource and a provided location."></definition>
+      <comment value="This may be used with the Location.near/near-distance search parameter."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-distance"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Distance"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="subscription-event-count"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"></url>
+    <version value="4.2.0"></version>
+    <name value="subscription-event-count"></name>
+    <title value="Subscription Event Count"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter.  Valid values are unsigned integers (0+).  The decmial type is used to ensure that counts can grow larger than 32-bit values."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.meta"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The number of events this Subscription has attempted to fire"></short>
+      <definition value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter.  Valid values are unsigned integers (0+).  The decmial type is used to ensure that counts can grow larger than 32-bit values."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The number of events this Subscription has attempted to fire"></short>
+      <definition value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter.  Valid values are unsigned integers (0+).  The decmial type is used to ensure that counts can grow larger than 32-bit values."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-event-count"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="bundle-event-count"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"></url>
+    <version value="4.2.0"></version>
+    <name value="bundle-event-count"></name>
+    <title value="Bundle Event Count"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The number of events included in this Subscription notification (0 for handshake and heartbeat)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.meta"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The number of events included in this Subscription notification"></short>
+      <definition value="The number of events included in this Subscription notification (0 for handshake and heartbeat)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The number of events included in this Subscription notification"></short>
+      <definition value="The number of events included in this Subscription notification (0 for handshake and heartbeat)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/bundle-event-count"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-status"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="subscription-status"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/subscription-status"></url>
+    <version value="4.2.0"></version>
+    <name value="subscription-status"></name>
+    <title value="Subscription Status"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The current status of this Subscription at the time this Notification was sent."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.meta"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="requested | active | error | off"></short>
+      <definition value="The current status of this Subscription at the time this Notification was sent."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-status"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SubscriptionStatusAtEvent"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A status code for the state of the Subscription."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status-at-event|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="requested | active | error | off"></short>
+      <definition value="The current status of this Subscription at the time this Notification was sent."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-status"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="code"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="SubscriptionStatusAtEvent"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="A status code for the state of the Subscription."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status-at-event|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="subscription-topic-url"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"></url>
+    <version value="4.2.0"></version>
+    <name value="subscription-topic-url"></name>
+    <title value="Subscription Topic URL"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The URL for the Topic this notification relates to (local to server - not canonical)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.meta"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The URL for the Topic this notification relates to"></short>
+      <definition value="The URL for the Topic this notification relates to (local to server - not canonical)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="url"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The URL for the Topic this notification relates to"></short>
+      <definition value="The URL for the Topic this notification relates to (local to server - not canonical)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-topic-url"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="url"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/subscription-url"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="subscription-url"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/subscription-url"></url>
+    <version value="4.2.0"></version>
+    <name value="subscription-url"></name>
+    <title value="Subscription URL"></title>
+    <status value="draft"></status>
+    <date value="2015-03-11"></date>
+    <publisher value="Health Level Seven, Inc. - FHIR Core WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/special/committees/FHIR"></value>
+     </telecom>
+    </contact>
+    <description value="The URL for the Subscription this notification relates to (local to server)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Bundle.meta"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The URL for the Subscription this notification relates to"></short>
+      <definition value="The URL for the Subscription this notification relates to (local to server)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-url"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="url"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The URL for the Subscription this notification relates to"></short>
+      <definition value="The URL for the Subscription this notification relates to (local to server)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/subscription-url"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="url"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-mothersMaidenName"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"></url>
+    <version value="4.2.0"></version>
+    <name value="mothersMaidenName"></name>
+    <title value="Mother's Maiden Name"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Mother's maiden (unmarried) name, commonly collected to help verify patient identity."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mother's Maiden name"></short>
+      <definition value="Mother's maiden (unmarried) name, commonly collected to help verify patient identity."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="PID-6"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="Role relationship to entity with maiden name (?)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Mother's Maiden name"></short>
+      <definition value="Mother's maiden (unmarried) name, commonly collected to help verify patient identity."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="PID-6"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="Role relationship to entity with maiden name (?)"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-birthPlace"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"></url>
+    <version value="4.2.0"></version>
+    <name value="birthPlace"></name>
+    <title value="Birth Place"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Place of Birth for patient"></short>
+      <definition value="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Place of Birth for patient"></short>
+      <definition value="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Address"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-birthTime"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"></url>
+    <version value="4.2.0"></version>
+    <name value="birthTime"></name>
+    <title value="Birth Time"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient.birthDate"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Time of day of birth"></short>
+      <definition value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Time of day of birth"></short>
+      <definition value="The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-nationality"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-nationality"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-nationality"></url>
+    <version value="4.2.0"></version>
+    <name value="nationality"></name>
+    <title value="nationality"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The nationality of the patient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Nationality"></short>
+      <definition value="The nationality of the patient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Nationality Code"></short>
+      <definition value="Code representing nationality of patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:period">
+      <path value="Extension.extension"></path>
+      <sliceName value="period"></sliceName>
+      <short value="Nationality Period"></short>
+      <definition value="Period when nationality was effective."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:period.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:period.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:period.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="period"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:period.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-nationality"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Nationality"></short>
+      <definition value="The nationality of the patient."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Nationality Code"></short>
+      <definition value="Code representing nationality of patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:period">
+      <path value="Extension.extension"></path>
+      <sliceName value="period"></sliceName>
+      <short value="Nationality Period"></short>
+      <definition value="Period when nationality was effective."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:period.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:period.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="period"></fixedUri>
+     </element>
+     <element id="Extension.extension:period.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Period"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-nationality"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-citizenship"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"></url>
+    <version value="4.2.0"></version>
+    <name value="citizenship"></name>
+    <title value="citizenship"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The patient's legal status as citizen of a country."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Nation(s) where the patient claims citizenship"></short>
+      <definition value="The patient's legal status as citizen of a country."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Nation code of citizenship"></short>
+      <definition value="Nation code representing the citizenship of patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:period">
+      <path value="Extension.extension"></path>
+      <sliceName value="period"></sliceName>
+      <short value="Time period of citizenship"></short>
+      <definition value="Period when citizenship was effective."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:period.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:period.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:period.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="period"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:period.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Nation(s) where the patient claims citizenship"></short>
+      <definition value="The patient's legal status as citizen of a country."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:code">
+      <path value="Extension.extension"></path>
+      <sliceName value="code"></sliceName>
+      <short value="Nation code of citizenship"></short>
+      <definition value="Nation code representing the citizenship of patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:code.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:code.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="code"></fixedUri>
+     </element>
+     <element id="Extension.extension:code.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:period">
+      <path value="Extension.extension"></path>
+      <sliceName value="period"></sliceName>
+      <short value="Time period of citizenship"></short>
+      <definition value="Period when citizenship was effective."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:period.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:period.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="period"></fixedUri>
+     </element>
+     <element id="Extension.extension:period.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Period"></code>
+      </type>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-citizenship"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-cadavericDonor"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"></url>
+    <version value="4.2.0"></version>
+    <name value="cadavericDonor"></name>
+    <title value="cadavericDonor"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Flag indicating whether the patient authorized the donation of body parts after death."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Post-mortem donor status"></short>
+      <definition value="Flag indicating whether the patient authorized the donation of body parts after death."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Post-mortem donor status"></short>
+      <definition value="Flag indicating whether the patient authorized the donation of body parts after death."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-congregation"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-congregation"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-congregation"></url>
+    <version value="4.2.0"></version>
+    <name value="congregation"></name>
+    <title value="congregation"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A group or place of religious practice that may provide services to the patient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A group of place of religious practice"></short>
+      <definition value="A group or place of religious practice that may provide services to the patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-congregation"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A group of place of religious practice"></short>
+      <definition value="A group or place of religious practice that may provide services to the patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-congregation"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="string"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-adoptionInfo"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"></url>
+    <version value="4.2.0"></version>
+    <name value="adoptionInfo"></name>
+    <title value="adoptionInfo"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Code indication the adoption status of the patient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The adoption status of the patient"></short>
+      <definition value="Code indication the adoption status of the patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The adoption status of the patient"></short>
+      <definition value="Code indication the adoption status of the patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-disability"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-disability"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-disability"></url>
+    <version value="4.2.0"></version>
+    <name value="disability"></name>
+    <title value="disability"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Value(s) identifying physical or mental condition(s) that limits a person's movements, senses, or activities."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Condition(s) limiting movement, senses, or activities"></short>
+      <definition value="Value(s) identifying physical or mental condition(s) that limits a person's movements, senses, or activities."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-disability"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Condition(s) limiting movement, senses, or activities"></short>
+      <definition value="Value(s) identifying physical or mental condition(s) that limits a person's movements, senses, or activities."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-disability"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-importance"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-importance"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-importance"></url>
+    <version value="4.2.0"></version>
+    <name value="importance"></name>
+    <title value="importance"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The importance of the patient (e.g. VIP)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Special status given the patient"></short>
+      <definition value="The importance of the patient (e.g. VIP)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-importance"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Special status given the patient"></short>
+      <definition value="The importance of the patient (e.g. VIP)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-importance"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-interpreterRequired"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"></url>
+    <version value="4.2.0"></version>
+    <name value="interpreterRequired"></name>
+    <title value="interpreterRequired"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This Patient requires an interpreter to communicate healthcare information to the practitioner."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether the patient needs an interpreter"></short>
+      <definition value="This Patient requires an interpreter to communicate healthcare information to the practitioner."></definition>
+      <comment value="The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Whether the patient needs an interpreter"></short>
+      <definition value="This Patient requires an interpreter to communicate healthcare information to the practitioner."></definition>
+      <comment value="The Patient does not speak the default language of the organization, and hence requires an interpreter. If the patient has other languages in the Communications list, then that would be the type of interpreter required."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="boolean"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-religion"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-religion"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-religion"></url>
+    <version value="4.2.0"></version>
+    <name value="religion"></name>
+    <title value="religion"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The patient's professed religious affiliations."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The patient's professed religious affiliations"></short>
+      <definition value="The patient's professed religious affiliations."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-religion"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Religion"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The patient's professed religious affiliations"></short>
+      <definition value="The patient's professed religious affiliations."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-religion"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Religion"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-relatedPerson"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"></url>
+    <version value="4.2.0"></version>
+    <name value="relatedPerson"></name>
+    <title value="relatedPerson"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient.contact"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="This contact may have further details in this RelatedPerson"></short>
+      <definition value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="This contact may have further details in this RelatedPerson"></short>
+      <definition value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-genderIdentity"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"></url>
+    <version value="4.2.0"></version>
+    <name value="genderIdentity"></name>
+    <title value="genderIdentity"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="The gender the patient identifies with. The Patient's gender identity is used as guidance (e.g. for staff) about how to interact with the patient."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The patient's gender identity"></short>
+      <definition value="The gender the patient identifies with. The Patient's gender identity is used as guidance (e.g. for staff) about how to interact with the patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GenderIdentity"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/gender-identity"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The patient's gender identity"></short>
+      <definition value="The gender the patient identifies with. The Patient's gender identity is used as guidance (e.g. for staff) about how to interact with the patient."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="GenderIdentity"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/gender-identity"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-preferenceType"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"></url>
+    <version value="4.2.0"></version>
+    <name value="preferenceType"></name>
+    <title value="preferenceType"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Indicates what mode of communication the patient prefers to use for the indicated language."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient.communication.preferred"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The type of the patient's preferred language."></short>
+      <definition value="Indicates what mode of communication the patient prefers to use for the indicated language."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="LanguagePreferenceType"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/language-preference-type"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="The type of the patient's preferred language."></short>
+      <definition value="Indicates what mode of communication the patient prefers to use for the indicated language."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-preferenceType"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="LanguagePreferenceType"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <valueSet value="http://hl7.org/fhir/ValueSet/language-preference-type"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-animal"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-animal"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-animal"></url>
+    <version value="4.2.0"></version>
+    <name value="animal"></name>
+    <title value="animal"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="This patient is known to be an animal."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="v2"></identity>
+     <uri value="http://hl7.org/v2"></uri>
+     <name value="HL7 v2 Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="This patient is known to be an animal (non-human)"></short>
+      <definition value="This patient is known to be an animal."></definition>
+      <comment value="The absence of the animal extension does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="player[classCode=ANM]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:species">
+      <path value="Extension.extension"></path>
+      <sliceName value="species"></sliceName>
+      <short value="The animal species.  E.g. Dog, Cow."></short>
+      <definition value="Identifies the high level taxonomic categorization of the kind of animal."></definition>
+      <comment value="If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognized taxonomic classification.  It might or might not be Linnaean taxonomy and might or might not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word &quot;Hereford&quot; does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for &quot;Hereford Cattle Breed&quot; does.)."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="PID-35"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:species.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:species.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:species.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="species"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:species.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalSpecies"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The species of an animal."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:breed">
+      <path value="Extension.extension"></path>
+      <sliceName value="breed"></sliceName>
+      <short value="The animal breed.  E.g. Poodle, Angus."></short>
+      <definition value="Identifies the detailed categorization of the kind of animal."></definition>
+      <comment value="Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="PID-35 (where more detailed value is present)"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:breed.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:breed.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:breed.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="breed"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:breed.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalBreed"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The breed of an animal."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-breeds"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:genderStatus">
+      <path value="Extension.extension"></path>
+      <sliceName value="genderStatus"></sliceName>
+      <short value="The status of the animal's reproductive parts.  E.g. Neutered, Intact."></short>
+      <definition value="Indicates the current state of the animal's reproductive organs."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="genderStatusCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:genderStatus.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:genderStatus.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:genderStatus.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="genderStatus"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:genderStatus.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalGenderStatus"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The state of the animal's reproductive organs."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-animal"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="This patient is known to be an animal (non-human)"></short>
+      <definition value="This patient is known to be an animal."></definition>
+      <comment value="The absence of the animal extension does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="player[classCode=ANM]"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:species">
+      <path value="Extension.extension"></path>
+      <sliceName value="species"></sliceName>
+      <short value="The animal species.  E.g. Dog, Cow."></short>
+      <definition value="Identifies the high level taxonomic categorization of the kind of animal."></definition>
+      <comment value="If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognized taxonomic classification.  It might or might not be Linnaean taxonomy and might or might not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word &quot;Hereford&quot; does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for &quot;Hereford Cattle Breed&quot; does.)."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="PID-35"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:species.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:species.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="species"></fixedUri>
+     </element>
+     <element id="Extension.extension:species.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalSpecies"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The species of an animal."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-species"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:breed">
+      <path value="Extension.extension"></path>
+      <sliceName value="breed"></sliceName>
+      <short value="The animal breed.  E.g. Poodle, Angus."></short>
+      <definition value="Identifies the detailed categorization of the kind of animal."></definition>
+      <comment value="Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="PID-35 (where more detailed value is present)"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:breed.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:breed.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="breed"></fixedUri>
+     </element>
+     <element id="Extension.extension:breed.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalBreed"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The breed of an animal."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-breeds"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:genderStatus">
+      <path value="Extension.extension"></path>
+      <sliceName value="genderStatus"></sliceName>
+      <short value="The status of the animal's reproductive parts.  E.g. Neutered, Intact."></short>
+      <definition value="Indicates the current state of the animal's reproductive organs."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <mapping>
+       <identity value="v2"></identity>
+       <map value="N/A"></map>
+      </mapping>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="genderStatusCode"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:genderStatus.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:genderStatus.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="genderStatus"></fixedUri>
+     </element>
+     <element id="Extension.extension:genderStatus.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="AnimalGenderStatus"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="The state of the animal's reproductive organs."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-animal"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="patient-proficiency"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"></url>
+    <version value="4.2.0"></version>
+    <name value="proficiency"></name>
+    <title value="proficiency"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="Proficiency level of the communication."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Patient.communication"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Proficiency level of the communication"></short>
+      <definition value="Proficiency level of the communication."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:level">
+      <path value="Extension.extension"></path>
+      <sliceName value="level"></sliceName>
+      <short value="The proficiency level of the communication"></short>
+      <definition value="How well the patient can communicate this communication (good, poor, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:level.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:level.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:level.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="level"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:level.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ProficiencyLevel"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="The proficiency level for the communication."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="The proficiency type of the communication"></short>
+      <definition value="What type of communication for the proficiency (spoken, written, etc.)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.id">
+      <path value="Extension.extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="proficiencyType"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="The proficiency type for the communication."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="base64Binary"></code>
+      </type>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <type>
+       <code value="canonical"></code>
+      </type>
+      <type>
+       <code value="code"></code>
+      </type>
+      <type>
+       <code value="date"></code>
+      </type>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <type>
+       <code value="decimal"></code>
+      </type>
+      <type>
+       <code value="id"></code>
+      </type>
+      <type>
+       <code value="instant"></code>
+      </type>
+      <type>
+       <code value="integer"></code>
+      </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <type>
+       <code value="oid"></code>
+      </type>
+      <type>
+       <code value="positiveInt"></code>
+      </type>
+      <type>
+       <code value="string"></code>
+      </type>
+      <type>
+       <code value="time"></code>
+      </type>
+      <type>
+       <code value="unsignedInt"></code>
+      </type>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <type>
+       <code value="url"></code>
+      </type>
+      <type>
+       <code value="uuid"></code>
+      </type>
+      <type>
+       <code value="Address"></code>
+      </type>
+      <type>
+       <code value="Age"></code>
+      </type>
+      <type>
+       <code value="Annotation"></code>
+      </type>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="ContactPoint"></code>
+      </type>
+      <type>
+       <code value="Count"></code>
+      </type>
+      <type>
+       <code value="Distance"></code>
+      </type>
+      <type>
+       <code value="Duration"></code>
+      </type>
+      <type>
+       <code value="HumanName"></code>
+      </type>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <type>
+       <code value="Money"></code>
+      </type>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <type>
+       <code value="Range"></code>
+      </type>
+      <type>
+       <code value="Ratio"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <type>
+       <code value="SampledData"></code>
+      </type>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <type>
+       <code value="Timing"></code>
+      </type>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <type>
+       <code value="Contributor"></code>
+      </type>
+      <type>
+       <code value="DataRequirement"></code>
+      </type>
+      <type>
+       <code value="Expression"></code>
+      </type>
+      <type>
+       <code value="ParameterDefinition"></code>
+      </type>
+      <type>
+       <code value="RelatedArtifact"></code>
+      </type>
+      <type>
+       <code value="TriggerDefinition"></code>
+      </type>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <type>
+       <code value="Dosage"></code>
+      </type>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Proficiency level of the communication"></short>
+      <definition value="Proficiency level of the communication."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension:level">
+      <path value="Extension.extension"></path>
+      <sliceName value="level"></sliceName>
+      <short value="The proficiency level of the communication"></short>
+      <definition value="How well the patient can communicate this communication (good, poor, etc.)."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:level.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:level.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="level"></fixedUri>
+     </element>
+     <element id="Extension.extension:level.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ProficiencyLevel"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="The proficiency level for the communication."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.extension:type">
+      <path value="Extension.extension"></path>
+      <sliceName value="type"></sliceName>
+      <short value="The proficiency type of the communication"></short>
+      <definition value="What type of communication for the proficiency (spoken, written, etc.)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+     </element>
+     <element id="Extension.extension:type.extension">
+      <path value="Extension.extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.extension:type.url">
+      <path value="Extension.extension.url"></path>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <fixedUri value="type"></fixedUri>
+     </element>
+     <element id="Extension.extension:type.value[x]">
+      <path value="Extension.extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="proficiencyType"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="The proficiency type for the communication."></description>
+       <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"></valueSet>
+      </binding>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/patient-proficiency"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="0"></min>
+      <max value="0"></max>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaireresponse-author"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"></url>
+    <version value="4.2.0"></version>
+    <name value="author"></name>
+    <title value="Author"></title>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Allows capturing, on a specific question or group of questions, exactly who was responsible for providing the answer(s)."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who answered question/group"></short>
+      <definition value="Allows capturing, on a specific question or group of questions, exactly who was responsible for providing the answer(s)."></definition>
+      <comment value="This should be drawn from one of the resources identified as an author of the QuestionnaireResponse overall."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="./participation[typeCode=SBJ]/role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who answered question/group"></short>
+      <definition value="Allows capturing, on a specific question or group of questions, exactly who was responsible for providing the answer(s)."></definition>
+      <comment value="This should be drawn from one of the resources identified as an author of the QuestionnaireResponse overall."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="./participation[typeCode=SBJ]/role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-author"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaireresponse-reviewer"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"></url>
+    <version value="4.2.0"></version>
+    <name value="reviewer"></name>
+    <title value="Reviewer"></title>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Individual responsible for ensuring that the questionnaire response have been completed appropriately and signs off on the content."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who verified completion of form?"></short>
+      <definition value="Individual responsible for ensuring that the questionnaire response have been completed appropriately and signs off on the content."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="./participation[typeCode=VRF]/role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Who verified completion of form?"></short>
+      <definition value="Individual responsible for ensuring that the questionnaire response have been completed appropriately and signs off on the content."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="./participation[typeCode=VRF]/role"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reviewer"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaireresponse-reason"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"></url>
+    <version value="4.2.0"></version>
+    <name value="reason"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The factor(s) that caused the questionnaire to be answered."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Why response was created"></short>
+      <definition value="The factor(s) that caused the questionnaire to be answered."></definition>
+      <comment value="The reason for completion is typically implicit in the form design or may be explicit as a question in the form itself.  This element exists when neither of these other two means suffice."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QuestionnaireResponseReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes indicating why the response was captured.  For example, admitting, referral, insurance claim, etc."></description>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="Why response was created"></short>
+      <definition value="The factor(s) that caused the questionnaire to be answered."></definition>
+      <comment value="The reason for completion is typically implicit in the form design or may be explicit as a question in the form itself.  This element exists when neither of these other two means suffice."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="QuestionnaireResponseReason"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="Codes indicating why the response was captured.  For example, admitting, referral, insurance claim, etc."></description>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaireresponse-signature"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"></url>
+    <version value="4.2.0"></version>
+    <name value="signature"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse.item"></expression>
+    </context>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse.item.item"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A signature attesting to the content"></short>
+      <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Signature"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A signature attesting to the content"></short>
+      <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Signature"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="questionnaireresponse-completionMode"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"></url>
+    <version value="4.2.0"></version>
+    <name value="completionMode"></name>
+    <status value="draft"></status>
+    <date value="2013-07-04"></date>
+    <publisher value="HL7"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates how the individual completing the QuestionnaireResponse provided their responses."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="QuestionnaireResponse"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. Verbal, written, electronic"></short>
+      <definition value="Indicates how the individual completing the QuestionnaireResponse provided their responses."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="CompletionMode"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes indicating how the questionnaire was completed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaireresponse-mode|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="E.g. Verbal, written, electronic"></short>
+      <definition value="Indicates how the individual completing the QuestionnaireResponse provided their responses."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="CompletionMode"></valueString>
+       </extension>
+       <strength value="required"></strength>
+       <description value="Codes indicating how the questionnaire was completed."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaireresponse-mode|4.2.0"></valueSet>
+      </binding>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="location-boundary-geojson"></id>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"></url>
+    <version value="4.2.0"></version>
+    <name value="boundary-geojson"></name>
+    <title value="Boundary (GeoJSON)"></title>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7"></publisher>
+    <description value="A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <context>
+     <type value="element"></type>
+     <expression value="Location"></expression>
+    </context>
+    <type value="Extension"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"></baseDefinition>
+    <derivation value="constraint"></derivation>
+    <snapshot>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A boundary shape that represents the outside edge of the location (in GeoJSON format)"></short>
+      <definition value="A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes."></definition>
+      <comment value="The format of the content is GeoJSON in both the JSON and XML formats. It will be stored in the resource using the .data property, and externally referenced via the URL property. The mimetype to be used will be 'application/geo+json'."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="http://hl7.org/fhir/StructureDefinition/Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+     </element>
+     <element id="Extension.id">
+      <path value="Extension.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Extension"></short>
+      <definition value="An Extension"></definition>
+      <min value="0"></min>
+      <max value="0"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="identifies the meaning of the extension"></short>
+      <definition value="Source of the definition for the extension code - a logical name or a URL."></definition>
+      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.url"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="uri"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"></fixedUri>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <short value="Value of extension"></short>
+      <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Extension.value[x]"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Extension">
+      <path value="Extension"></path>
+      <short value="A boundary shape that represents the outside edge of the location (in GeoJSON format)"></short>
+      <definition value="A boundary shape that represents the outside edge of the location (in GeoJSON format) This shape may have holes, and disconnected shapes."></definition>
+      <comment value="The format of the content is GeoJSON in both the JSON and XML formats. It will be stored in the resource using the .data property, and externally referenced via the URL property. The mimetype to be used will be 'application/geo+json'."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+     </element>
+     <element id="Extension.extension">
+      <path value="Extension.extension"></path>
+      <max value="0"></max>
+     </element>
+     <element id="Extension.url">
+      <path value="Extension.url"></path>
+      <fixedUri value="http://hl7.org/fhir/StructureDefinition/location-boundary-geojson"></fixedUri>
+     </element>
+     <element id="Extension.value[x]">
+      <path value="Extension.value[x]"></path>
+      <min value="1"></min>
+      <type>
+       <code value="Attachment"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+</Bundle>
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-others.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-others.xml
index f77e3347a9b..557e8e1900d 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-others.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-others.xml
@@ -1,7 +1,7 @@
 <Bundle xmlns="http://hl7.org/fhir">
  <id value="profiles-others"></id>
  <meta>
-  <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
  </meta>
  <type value="collection"></type>
  <entry>
@@ -19,14 +19,14 @@
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/shareablemeasure"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Shareable Measure"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces the minimum information set for the measure metadata required by HL7 and other organizations that share and publish measures"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -65,53 +65,7 @@
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="mea-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -128,10 +82,6 @@
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -151,7 +101,7 @@
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -522,7 +472,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -625,7 +575,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -1583,7 +1533,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Measure.definition">
@@ -1677,7 +1627,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -1862,7 +1812,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -2081,7 +2031,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -2292,7 +2242,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -2503,7 +2453,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -2815,7 +2765,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/servicerequest-genetics"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceRequest-Genetics"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -2828,7 +2778,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes how the ServiceRequest resource is used to for genetics"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -2962,7 +2912,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -3177,7 +3127,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -3519,7 +3468,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of a service order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -3574,7 +3523,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of service request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -3671,7 +3620,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -4268,19 +4217,20 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.locationCode">
-      <path value="ServiceRequest.locationCode"></path>
+     <element id="ServiceRequest.location">
+      <path value="ServiceRequest.location"></path>
       <short value="Requested location"></short>
       <definition value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="ServiceRequest.locationCode"></path>
+       <path value="ServiceRequest.location"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -4309,54 +4259,24 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.locationReference">
-      <path value="ServiceRequest.locationReference"></path>
-      <short value="Requested location"></short>
-      <definition value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="ServiceRequest.locationReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.actor"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"></map>
-      </mapping>
-     </element>
-     <element id="ServiceRequest.reasonCode">
-      <path value="ServiceRequest.reasonCode"></path>
+     <element id="ServiceRequest.reason">
+      <path value="ServiceRequest.reason"></path>
       <short value="Explanation/Justification for procedure or service"></short>
       <definition value="An explanation or justification for why this service is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in `supportingInfo`."></definition>
-      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.   Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/servicerequest-example-di.html)."></comment>
+      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise, use `concept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/servicerequest-example-di.html)."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="ServiceRequest.reasonCode"></path>
+       <path value="ServiceRequest.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -4378,7 +4298,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -4393,52 +4313,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.reasonReference">
-      <path value="ServiceRequest.reasonReference"></path>
-      <short value="Explanation/Justification for service or service"></short>
-      <definition value="Indicates another resource that provides a justification for why this service is being requested.   May relate to the resources referred to in `supportingInfo`."></definition>
-      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.    To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise when referencing  *DiagnosticReport*  it should contain a finding  in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`.   When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request.  Use  the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](http://hl7.org/fhir/servicerequest-example-di.html)."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="ServiceRequest.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="ServiceRequest.insurance">
       <path value="ServiceRequest.insurance"></path>
       <short value="Associated insurance coverage"></short>
@@ -4753,14 +4627,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/groupdefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Group Definition"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces a descriptive group that can be used in definitional resources"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -4877,7 +4751,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -5228,7 +5102,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of resources that are part of group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -5456,7 +5330,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -5740,7 +5614,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -5962,14 +5836,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/actualgroup"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Actual Group"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces an actual group, rather than a definitional group"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -6086,7 +5960,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -6437,7 +6311,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of resources that are part of group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -6665,7 +6539,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -6949,7 +6823,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -7171,7 +7045,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-genetic"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Family member history for genetics analysis"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -7184,7 +7058,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Adds additional information to a family member history supporting both the capture of mother/father relationships as well as additional observations necessary to enable genetics-based risk analysis for patients"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -7317,7 +7191,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -7533,7 +7407,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -7574,7 +7447,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -7611,7 +7483,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -7822,7 +7693,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code that identifies the status of the family history record."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/history-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/history-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -8202,20 +8073,26 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG)  For age, you'd hang an observation off the role"></map>
       </mapping>
      </element>
-     <element id="FamilyMemberHistory.reasonCode">
-      <path value="FamilyMemberHistory.reasonCode"></path>
+     <element id="FamilyMemberHistory.reason">
+      <path value="FamilyMemberHistory.reason"></path>
       <short value="Why was family member history performed?"></short>
-      <definition value="Describes why the family member history occurred in coded or textual form."></definition>
+      <definition value="Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event."></definition>
       <comment value="Textual reasons can be captured using reasonCode.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="FamilyMemberHistory.reasonCode"></path>
+       <path value="FamilyMemberHistory.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -8237,7 +8114,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -8248,49 +8125,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="FamilyMemberHistory.reasonReference">
-      <path value="FamilyMemberHistory.reasonReference"></path>
-      <short value="Why was family member history performed?"></short>
-      <definition value="Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="FamilyMemberHistory.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="FamilyMemberHistory.note">
       <path value="FamilyMemberHistory.note"></path>
       <short value="General note about related person"></short>
@@ -8368,7 +8202,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -8673,7 +8507,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -9014,14 +8848,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/shareableactivitydefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Shareable ActivityDefinition"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces the minimum information set for the activity definition metadata required by HL7 and other organizations that share and publish activity definitions"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -9060,65 +8894,15 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="adf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
        <source value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></source>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -9142,7 +8926,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -9525,7 +9309,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -9636,7 +9420,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -10437,7 +10221,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The kind of activity the definition is describing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -10540,7 +10324,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ActivityDefinition.priority">
@@ -10573,7 +10357,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ActivityDefinition.doNotPerform">
@@ -10724,7 +10508,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -10850,7 +10634,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant in the activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -11191,7 +10975,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -11455,14 +11239,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/cdshooksrequestgroup"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CDS Hooks RequestGroup"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Defines a RequestGroup that can represent a CDS Hooks response"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -11566,7 +11350,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -12031,7 +11815,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -12075,7 +11859,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -12118,7 +11902,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -12308,52 +12092,19 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.author"></map>
       </mapping>
      </element>
-     <element id="RequestGroup.reasonCode">
-      <path value="RequestGroup.reasonCode"></path>
+     <element id="RequestGroup.reason">
+      <path value="RequestGroup.reason"></path>
       <short value="Why the request group is needed"></short>
       <definition value="Describes the reason for the request group in coded or textual form."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="RequestGroup.reasonCode"></path>
+       <path value="RequestGroup.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="RequestGroup.reasonReference">
-      <path value="RequestGroup.reasonReference"></path>
-      <short value="Why the request group is needed"></short>
-      <definition value="Indicates another resource whose existence justifies this request group."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="RequestGroup.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -12371,7 +12122,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -12454,7 +12205,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -12683,7 +12434,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -12790,7 +12541,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -12917,7 +12668,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of condition for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.condition.expression">
@@ -12985,7 +12736,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -13136,7 +12887,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.relatedAction.offset[x]">
@@ -13315,7 +13066,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.selectionBehavior">
@@ -13349,7 +13100,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.requiredBehavior">
@@ -13382,7 +13133,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.precheckBehavior">
@@ -13415,7 +13166,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.cardinalityBehavior">
@@ -13448,7 +13199,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.resource">
@@ -13599,7 +13350,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/provenance-relevant-history"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Provenance Relevant History"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -13612,7 +13363,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Guidance on using Provenance for related history elements"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -13738,7 +13489,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -14365,7 +14116,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -14699,7 +14450,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -15028,7 +14779,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -15154,7 +14905,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an entity was used in an activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -15392,7 +15143,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/cqf-questionnaire"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CQF-Questionnaire"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -15405,7 +15156,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A questionnaire with the ability to specify behavior associated with questions or groups of questions"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -15452,53 +15203,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="que-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -15515,10 +15220,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -15542,7 +15243,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -15758,7 +15459,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-library"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -15957,7 +15657,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -16077,7 +15777,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -16165,7 +15865,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -16760,7 +16460,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -16899,7 +16599,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
 * maxLength (ElementDefinition.maxLength) 
 * answerValueSet (ElementDefinition.binding)
 * options (ElementDefinition.binding)."></definition>
-      <comment value="The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."></comment>
+      <comment value="The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/structuredefinition.html#) and always starts with the [canonical URL](http://hl7.org/fhir/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/types-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."></comment>
       <requirements value="A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition."></requirements>
       <min value="0"></min>
       <max value="1"></max>
@@ -17060,7 +16760,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Distinguishes groups from questions and display text and indicates data type for questions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/item-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/item-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -17120,7 +16820,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -17276,7 +16976,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The criteria by which a question is enabled."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -17381,7 +17081,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Controls how multiple enableWhen values are interpreted -  whether all or any must be true."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -17603,7 +17303,7 @@ The value may come from the ElementDefinition referred to by .definition."></com
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -17831,7 +17531,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -18068,14 +17768,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Shareable ValueSet"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces the minimum information set for the value set metadata required by HL7 and other organizations that share and publish value sets"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -18114,53 +17814,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="vsd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -18170,8 +17824,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -18192,7 +17846,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -18566,7 +18220,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -18643,7 +18297,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -19052,7 +18706,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -19274,7 +18928,7 @@ The Value Set Definition specification defines an ActiveOnly element, which is t
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -19480,7 +19134,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -19676,7 +19330,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -19916,7 +19570,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -20072,7 +19726,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of operation to perform as a part of a property based filter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -20238,7 +19892,7 @@ Expansion.parameter is  a simplified list of parameters - a subset of the featur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -20479,7 +20133,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -20683,7 +20337,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -20889,7 +20543,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -21207,7 +20861,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -21487,7 +21141,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/picoelement"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PICO Element Profile"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -21501,7 +21155,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Explanation of what this profile contains/is for."></description>
     <purpose value="Need to be able to define and reuse the definition of individual elements of a research question."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -21544,53 +21198,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="evv-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -21599,10 +21207,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -21622,7 +21226,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -21992,7 +21596,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -22120,7 +21724,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -22701,7 +22305,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/variable-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/variable-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EvidenceVariable.actual">
@@ -22769,7 +22373,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -23135,7 +22739,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Possible group measure aggregates (E.g. Mean, Median)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-measure|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-measure|4.2.0"></valueSet>
       </binding>
      </element>
     </snapshot>
@@ -23387,14 +22991,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Shareable CodeSystem"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces the minimum information set for the value set metadata required by HL7 and other organizations that share and publish value sets"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -23433,7 +23037,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="csd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -23448,57 +23052,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <xpath value="count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)"></xpath>
        <source value="http://hl7.org/fhir/StructureDefinition/CodeSystem"></source>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -23519,7 +23077,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -23889,7 +23447,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -23966,7 +23524,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -24388,7 +23946,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The meaning of the hierarchy of concepts in a code system."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.compositional">
@@ -24476,7 +24034,7 @@ Most code systems occasionally refine the displays defined for concepts between
        </extension>
        <strength value="required"></strength>
        <description value="The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.supplements">
@@ -24572,7 +24130,7 @@ Most code systems occasionally refine the displays defined for concepts between
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -24748,7 +24306,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of operation to perform as a part of a property based filter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.filter.value">
@@ -24818,7 +24376,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -25019,7 +24577,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of a property value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.concept">
@@ -25065,7 +24623,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -25277,7 +24835,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -25514,7 +25072,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -25836,14 +25394,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/cdshooksguidanceresponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CDS Hooks GuidanceResponse"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Defines a GuidanceResponse that represents the response container for a CDS Hooks response"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -25947,7 +25505,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -26162,7 +25720,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -26386,7 +25943,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of a guidance response."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -26541,52 +26098,19 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="GuidanceResponse.reasonCode">
-      <path value="GuidanceResponse.reasonCode"></path>
+     <element id="GuidanceResponse.reason">
+      <path value="GuidanceResponse.reason"></path>
       <short value="Why guidance is needed"></short>
-      <definition value="Describes the reason for the guidance response in coded or textual form."></definition>
+      <definition value="Describes the reason for the guidance response in coded or textual form, or Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="GuidanceResponse.reasonCode"></path>
+       <path value="GuidanceResponse.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="GuidanceResponse.reasonReference">
-      <path value="GuidanceResponse.reasonReference"></path>
-      <short value="Why guidance is needed"></short>
-      <definition value="Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="GuidanceResponse.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -26604,7 +26128,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -26814,7 +26338,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/devicemetricobservation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Device Metric Observation Profile"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -26827,7 +26351,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This profile describes the direct or derived, qualitative or quantitative physiological measurement, setting, or calculation data produced by a medical device or a device component."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -26979,7 +26503,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -27391,7 +26915,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -27561,7 +27085,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -27675,7 +27199,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <comment value="At least a date should be present unless this observation is a historical report.  For recording imprecise or &quot;fuzzy&quot; times (For example, a blood glucose measurement taken &quot;after breakfast&quot;) use the [Timing](http://hl7.org/fhir/datatypes.html#timing) datatype which allow the measurement to be tied to regular life events."></comment>
       <requirements value="Knowing when an observation was deemed true is important to its relevance as well as determining trends."></requirements>
       <alias value="Occurrence"></alias>
-      <min value="0"></min>
+      <min value="1"></min>
       <max value="1"></max>
       <base>
        <path value="Observation.effective[x]"></path>
@@ -28300,7 +27824,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -28744,7 +28268,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -29315,7 +28839,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/observation-genetics"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Observation-genetics"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -29328,7 +28852,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="Describes how the observation resource is used to report structured genetic test results"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -29480,7 +29004,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -29696,7 +29220,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGene"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29731,7 +29254,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsDNARegionName"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29775,7 +29297,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsCopyNumberEvent"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29810,7 +29331,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsGenomicSourceClass"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29853,7 +29373,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsInterpretation"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29888,7 +29407,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsVariant"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29924,7 +29442,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAminoAcidChange"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -29967,7 +29484,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAllele"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -30002,7 +29518,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsAncestry"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -30037,7 +29552,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/observation-geneticsPhaseSet"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -30268,7 +29782,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -30438,7 +29952,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -31130,7 +30644,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -31578,7 +31092,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -32132,7 +31646,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/vitalsigns"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-vitalsigns"></name>
     <title value="Vital Signs Profile"></title>
     <status value="draft"></status>
@@ -32146,7 +31660,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Vital Signs Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -32305,7 +31819,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -32715,7 +32229,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -33369,7 +32883,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -34068,7 +33582,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34524,7 +34038,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34744,7 +34258,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -34929,7 +34443,7 @@ The alternate way is to use the value element for actual observations and use th
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Observation.category">
@@ -35131,7 +34645,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Observation.component.dataAbsentReason">
@@ -35166,7 +34680,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/bodyweight"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-bodyweight"></name>
     <title value="Observation Body Weight Profile"></title>
     <status value="draft"></status>
@@ -35180,7 +34694,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Body Weight Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -35340,7 +34854,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -35750,7 +35264,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -36881,7 +36395,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -37378,7 +36892,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -37497,7 +37011,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for Body Weight."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodyweight|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodyweight|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -37881,7 +37395,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -38337,7 +37851,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -38557,7 +38071,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -38812,7 +38326,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for Body Weight."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodyweight|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodyweight|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
@@ -38837,7 +38351,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/vitalspanel"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-vitalspanel"></name>
     <title value="Observation Vital Signs Panel Profile"></title>
     <status value="draft"></status>
@@ -38851,7 +38365,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Vital Signs Panel Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -39011,7 +38525,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -39421,7 +38935,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -40553,7 +40067,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -41252,7 +40766,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -41709,7 +41223,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -41929,7 +41443,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -42164,7 +41678,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/bodyheight"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-bodyheight"></name>
     <title value="Observation Body Height Profile"></title>
     <status value="draft"></status>
@@ -42178,7 +41692,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Body Height Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -42338,7 +41852,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -42748,7 +42262,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -43879,7 +43393,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -44376,7 +43890,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -44495,7 +44009,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for body length measures such as Body Height and Head Circumference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -44879,7 +44393,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -45335,7 +44849,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -45555,7 +45069,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -45810,7 +45324,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for body length measures such as Body Height and Head Circumference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
@@ -45835,7 +45349,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/resprate"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-resprate"></name>
     <title value="Observation Respiratory Rate Profile"></title>
     <status value="draft"></status>
@@ -45849,7 +45363,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Respiratory Rate Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -46009,7 +45523,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -46419,7 +45933,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -47550,7 +47064,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -48047,7 +47561,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -48543,7 +48057,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -48999,7 +48513,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -49219,7 +48733,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -49492,7 +49006,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/heartrate"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-heartrate"></name>
     <title value="Observation Heart Rate Profile"></title>
     <status value="draft"></status>
@@ -49506,7 +49020,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Heart Rate Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -49666,7 +49180,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -50076,7 +49590,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -51207,7 +50721,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -51704,7 +51218,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -52200,7 +51714,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -52656,7 +52170,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -52876,7 +52390,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -53149,7 +52663,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/bodytemp"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-bodytemp"></name>
     <title value="Observation Body Temperature Profile"></title>
     <status value="draft"></status>
@@ -53163,7 +52677,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Body Temperature Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -53323,7 +52837,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -53733,7 +53247,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -54864,7 +54378,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -55361,7 +54875,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -55480,7 +54994,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for Body Temperature."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodytemp|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodytemp|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -55864,7 +55378,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -56320,7 +55834,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -56540,7 +56054,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -56795,7 +56309,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for Body Temperature."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodytemp|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodytemp|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
@@ -56820,7 +56334,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/headcircum"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-headcircum"></name>
     <title value="Observation Head Circumference Profile"></title>
     <status value="draft"></status>
@@ -56834,7 +56348,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Head Circumference Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -56994,7 +56508,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -57404,7 +56918,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -58535,7 +58049,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -59032,7 +58546,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -59151,7 +58665,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for body length measures such as Body Height and Head Circumference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -59535,7 +59049,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -59991,7 +59505,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -60211,7 +59725,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -60466,7 +59980,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for body length measures such as Body Height and Head Circumference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-bodylength|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
@@ -60503,7 +60017,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/oxygensat"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-oxygensat"></name>
     <title value="Observation Oxygen Saturation Profile"></title>
     <status value="draft"></status>
@@ -60517,7 +60031,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Oxygen Saturation Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -60677,7 +60191,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -61087,7 +60601,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -62218,7 +61732,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -62715,7 +62229,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -63211,7 +62725,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -63667,7 +63181,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -63887,7 +63401,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -64160,7 +63674,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/bmi"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-bmi"></name>
     <title value="Observation Body Mass Index Profile"></title>
     <status value="draft"></status>
@@ -64174,7 +63688,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Body Mass Index (BMI) Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -64334,7 +63848,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -64744,7 +64258,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -65875,7 +65389,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -66136,7 +65650,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
 -  *Attachment* is used if the observation result value is a binary file such as an image.  If the observation result value is derived from the binary file (for example 'X' detected and here is the the proof in this image), the binary file may be directly represented using *DocumentReference* and referenced by `derivedFrom`.
 - For additional guidance, see the [Notes section](http://hl7.org/fhir/observation.html#notes) below."></comment>
       <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305)."></requirements>
-      <min value="0"></min>
+      <min value="1"></min>
       <max value="1"></max>
       <base>
        <path value="Observation.value[x]"></path>
@@ -66372,7 +65886,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -66868,7 +66382,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -67324,7 +66838,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -67544,7 +67058,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -67819,7 +67333,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/bp"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="observation-bp"></name>
     <title value="Observation Blood Pressure Profile"></title>
     <status value="draft"></status>
@@ -67833,7 +67347,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="FHIR Blood Pressure Profile"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -67993,7 +67507,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -68403,7 +67917,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="Status"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -69534,7 +69048,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -70262,7 +69776,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -70731,7 +70245,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -70951,7 +70465,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -71162,7 +70676,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -71827,7 +71341,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -71988,7 +71502,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -72303,7 +71817,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -72966,7 +72480,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Common UCUM units for recording Vital Signs."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="sct-concept"></identity>
@@ -73127,7 +72641,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -73680,14 +73194,14 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/shareablelibrary"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Shareable Library"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces the minimum information set for the library metadata required by HL7 and other organizations that share and publish libraries"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -73726,53 +73240,7 @@ The alternate way is to use the value element for actual observations and use th
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="lib-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -73782,8 +73250,8 @@ The alternate way is to use the value element for actual observations and use th
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -73804,7 +73272,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -74187,7 +73655,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -74298,7 +73766,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -75270,14 +74738,14 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/cqllibrary"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CQL Library"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Represents a CQL logic library"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -75316,53 +74784,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="lib-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -75372,8 +74794,8 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -75394,7 +74816,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -75776,7 +75198,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -75886,7 +75308,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -76811,7 +76233,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/lipidprofile"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example Lipid Profile"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -76824,7 +76246,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="Lipid Lab Report"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -76948,7 +76370,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -77313,7 +76735,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the diagnostic report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -78089,7 +77511,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -78495,7 +77917,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/cholesterol"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example Lipid Profile"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -78508,7 +77930,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes how the lab report is used for a standard Lipid Profile - Cholesterol, Triglyceride and Cholesterol fractions. Uses LOINC codes"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -78660,7 +78082,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -79070,7 +78492,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -79248,7 +78670,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -79740,7 +79162,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -80239,7 +79661,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -80389,7 +79811,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <fixedQuantity>
        <value value="4.5"></value>
       </fixedQuantity>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -80710,7 +80131,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -81255,7 +80676,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/triglyceride"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example Lipid Profile"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -81268,7 +80689,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="Triglyceride Result"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -81420,7 +80841,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -81830,7 +81251,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -82008,7 +81429,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -82732,7 +82153,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -83182,7 +82603,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -83672,7 +83093,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/hdlcholesterol"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example Lipid Profile"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -83685,7 +83106,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="HDL Cholesterol Result"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -83837,7 +83258,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -84247,7 +83668,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -84425,7 +83846,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -85149,7 +84570,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -85264,7 +84685,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <fixedQuantity>
        <value value="1.5"></value>
       </fixedQuantity>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -85621,7 +85041,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -86118,7 +85538,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ldlcholesterol"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example Lipid Profile"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -86131,7 +85551,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="LDL Cholesterol Result"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -86283,7 +85703,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -86693,7 +86113,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -86793,7 +86213,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="LDL Cholesterol codes - measured or calculated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ldlcholesterol-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ldlcholesterol-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -86864,7 +86284,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -87588,7 +87008,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -87738,7 +87158,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <fixedQuantity>
        <value value="3.0"></value>
       </fixedQuantity>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -88059,7 +87478,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -88443,7 +87862,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="LDL Cholesterol codes - measured or calculated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/ldlcholesterol-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/ldlcholesterol-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Observation.valueQuantity">
@@ -88557,7 +87976,7 @@ The alternate way is to use the value element for actual observations and use th
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/diagnosticreport-genetics"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiagnosticReport-Genetics"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -88570,7 +87989,7 @@ The alternate way is to use the value element for actual observations and use th
      </telecom>
     </contact>
     <description value="Describes how the DiagnosticReport resource is used to report structured genetic test results"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -88694,7 +88113,7 @@ The alternate way is to use the value element for actual observations and use th
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -88909,7 +88328,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -88952,7 +88370,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -88987,7 +88404,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -89022,7 +88438,6 @@ The alternate way is to use the value element for actual observations and use th
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -89208,7 +88623,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the diagnostic report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -89780,7 +89195,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -90130,7 +89545,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/hlaresult"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Profile for HLA Genotyping Results"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -90143,7 +89558,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes how the HLA genotyping results"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -90267,7 +89682,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -90482,7 +89897,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-allele-database"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -90517,7 +89931,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-glstring"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -90552,7 +89965,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-haploid"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -90587,7 +89999,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/hla-genotyping-results-method"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -90773,7 +90184,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the diagnostic report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -91345,7 +90756,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -91687,7 +91098,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/clinicaldocument"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Clinical Document"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -91702,7 +91113,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <description value="The Clinical Document profile constrains Composition to specify a clinical document (matching CDA). 
 
 The base Composition is a general resource for compositions or documents about any kind of subject that might be encountered in healthcare including such things as guidelines, medicines, etc. A clinical document is focused on documents related to the provision of care process, where the subject is a patient, a group of patients, or a closely related concept. A clinical document has additional requirements around confidentiality that do not apply in the same way to other kinds of documents."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -91829,7 +91240,7 @@ The base Composition is a general resource for compositions or documents about a
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -92045,7 +91456,6 @@ The base Composition is a general resource for compositions or documents about a
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -92189,7 +91599,7 @@ Some reporting work flows require that the original narrative of a final documen
        </extension>
        <strength value="required"></strength>
        <description value="The workflow/clinical status of the composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -92657,7 +92067,7 @@ Some reporting work flows require that the original narrative of a final documen
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -92784,7 +92194,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The way in which a person authenticated a composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -92964,7 +92374,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -93091,7 +92501,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship between documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -93200,7 +92610,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -93477,7 +92887,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -93798,7 +93208,7 @@ If the section has content (instead of sub-sections), the section.code does not
        </extension>
        <strength value="required"></strength>
        <description value="The processing mode that applies to this section."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -94017,7 +93427,7 @@ If the section has content (instead of sub-sections), the section.code does not
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/catalog"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Profile for Catalog"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -94030,7 +93440,7 @@ If the section has content (instead of sub-sections), the section.code does not
      </telecom>
     </contact>
     <description value="A set of resources composed into a single coherent clinical statement with clinical attestation"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -94157,7 +93567,7 @@ If the section has content (instead of sub-sections), the section.code does not
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -94372,7 +93782,6 @@ If the section has content (instead of sub-sections), the section.code does not
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqm-ValidityPeriod"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -94516,7 +93925,7 @@ Some reporting work flows require that the original narrative of a final documen
        </extension>
        <strength value="required"></strength>
        <description value="The workflow/clinical status of the composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -94985,7 +94394,7 @@ Some reporting work flows require that the original narrative of a final documen
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -95112,7 +94521,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The way in which a person authenticated a composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -95292,7 +94701,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -95419,7 +94828,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship between documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -95528,7 +94937,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -95807,7 +95216,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -96128,7 +95537,7 @@ If the section has content (instead of sub-sections), the section.code does not
        </extension>
        <strength value="required"></strength>
        <description value="The processing mode that applies to this section."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -96409,14 +95818,14 @@ If the section has content (instead of sub-sections), the section.code does not
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/shareableplandefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Shareable PlanDefinition"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Enforces the minimum information set for the plan definition metadata required by HL7 and other organizations that share and publish plan definitions"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -96455,53 +95864,7 @@ If the section has content (instead of sub-sections), the section.code does not
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="pdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -96510,10 +95873,6 @@ If the section has content (instead of sub-sections), the section.code does not
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -96533,7 +95892,7 @@ If the section has content (instead of sub-sections), the section.code does not
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -96904,7 +96263,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -97040,7 +96399,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -97786,7 +97145,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98112,7 +97471,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98341,7 +97700,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98579,7 +97938,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.code">
@@ -98794,7 +98153,7 @@ In addition, because the subject needs to be resolved during realization, use of
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98921,7 +98280,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the kinds of conditions that can appear on actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.condition.expression">
@@ -99040,7 +98399,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -99191,7 +98550,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.relatedAction.offset[x]">
@@ -99301,7 +98660,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -99427,7 +98786,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.participant.role">
@@ -99526,7 +98885,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.selectionBehavior">
@@ -99559,7 +98918,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.requiredBehavior">
@@ -99592,7 +98951,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.precheckBehavior">
@@ -99625,7 +98984,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.cardinalityBehavior">
@@ -99658,7 +99017,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.definition[x]">
@@ -99764,7 +99123,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -100047,14 +99406,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/computableplandefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Computable PlanDefinition"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Defines a computable PlanDefinition that specifies a single library and requires all expressions referenced from the PlanDefinition to be definitions in that single library"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -100093,53 +99452,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="pdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -100148,10 +99461,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -100171,7 +99480,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -100541,7 +99850,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -100676,7 +99985,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -101412,7 +100721,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -101738,7 +101047,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -101967,7 +101276,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -102205,7 +101514,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.code">
@@ -102420,7 +101729,7 @@ In addition, because the subject needs to be resolved during realization, use of
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -102547,7 +101856,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the kinds of conditions that can appear on actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.condition.expression">
@@ -102666,7 +101975,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -102817,7 +102126,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.relatedAction.offset[x]">
@@ -102927,7 +102236,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -103053,7 +102362,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.participant.role">
@@ -103152,7 +102461,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.selectionBehavior">
@@ -103185,7 +102494,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.requiredBehavior">
@@ -103218,7 +102527,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.precheckBehavior">
@@ -103251,7 +102560,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.cardinalityBehavior">
@@ -103284,7 +102593,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.definition[x]">
@@ -103390,7 +102699,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -103600,14 +102909,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CDS Hooks Service PlanDefinition"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <description value="Defines a PlanDefinition that implements the behavior for a CDS Hooks service"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -103646,53 +102955,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="pdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -103701,10 +102964,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -103724,7 +102983,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -103939,7 +103198,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="Extension"></code>
        <profile value="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint"></profile>
       </type>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -104130,7 +103388,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -104265,7 +103523,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -105001,7 +104259,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -105327,7 +104585,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -105556,7 +104814,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -105797,7 +105055,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.code">
@@ -106014,7 +105272,7 @@ In addition, because the subject needs to be resolved during realization, use of
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -106141,7 +105399,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the kinds of conditions that can appear on actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.condition.expression">
@@ -106260,7 +105518,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -106411,7 +105669,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.relatedAction.offset[x]">
@@ -106523,7 +105781,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -106649,7 +105907,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.participant.role">
@@ -106749,7 +106007,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.selectionBehavior">
@@ -106783,7 +106041,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.requiredBehavior">
@@ -106816,7 +106074,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.precheckBehavior">
@@ -106849,7 +106107,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.cardinalityBehavior">
@@ -106882,7 +106140,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.definition[x]">
@@ -106989,7 +106247,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -107242,7 +106500,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/elementdefinition-de"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataElement constraint on ElementDefinition data type"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -107255,7 +106513,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Identifies how the ElementDefinition data type is used when it appears within a data element"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -107611,7 +106869,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -107710,7 +106968,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How a property is represented when serialized."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -108146,7 +107404,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an element value is interpreted when discrimination is evaluated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -108287,7 +107545,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How slices are interpreted when evaluating an instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -108861,7 +108119,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <key value="eld-17"></key>
        <severity value="error"></severity>
        <human value="targetProfile is only allowed if the type is Reference or canonical"></human>
-       <expression value="(code='Reference' or code = 'canonical') or targetProfile.empty()"></expression>
+       <expression value="(code='Reference' or code = 'canonical' or code = 'CodeableReference') or targetProfile.empty()"></expression>
        <xpath value="not(exists(f:targetProfile)) or (f:code/@value = 'Reference')"></xpath>
        <source value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"></source>
       </constraint>
@@ -109122,7 +108380,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How resource references can be aggregated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -109164,7 +108422,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether a reference needs to be version specific or version independent, or whether either can be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -109216,6 +108474,9 @@ This element should only be used on child elements of complex data elements."></
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -109459,6 +108720,9 @@ This element should only be used on child elements of complex data elements."></
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -109653,6 +108917,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -109967,6 +109234,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -110140,6 +109410,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="positiveInt"></code>
       </type>
@@ -110194,6 +109467,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="positiveInt"></code>
       </type>
@@ -110490,7 +109766,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="SHALL applications comply with this constraint?"></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -110925,7 +110201,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="Indication of the degree of conformance expectations associated with a binding."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -111195,7 +110471,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -111369,7 +110645,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ehrsrle-auditevent"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EHRS FM Record Lifecycle Event - Audit Event"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -111382,7 +110658,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      </telecom>
     </contact>
     <description value="Defines the elements to be supported within the AuditEvent resource in order to conform with the Electronic Health Record System Functional Model Record Lifecycle Event standard"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -111510,7 +110786,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -111886,7 +111162,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicator for type of action performed during the event that generated the event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -111932,7 +111208,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The severity of the audit entry."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -112068,7 +111344,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the event succeeded or failed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -112250,7 +111526,7 @@ For example, an activity may be initiated by one user for other users or involve
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -112831,7 +112107,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -113003,7 +112279,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of network access point of this agent in the audit event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/network-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/network-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -113122,7 +112398,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -113421,7 +112697,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -113910,7 +113186,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -114208,7 +113484,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ehrsrle-provenance"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EHRS FM Record Lifecycle Event - Provenance"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
@@ -114221,7 +113497,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Defines the elements to be supported within the Provenance resource in order to conform with the Electronic Health Record System Functional Model Record Lifecycle Event standard"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -114347,7 +113623,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -114970,7 +114246,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -115293,7 +114569,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </base>
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -115419,7 +114695,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an entity was used in an activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-resources.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-resources.xml
index eed1d3da297..75fb10e8647 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-resources.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-resources.xml
@@ -1,7 +1,7 @@
 <Bundle xmlns="http://hl7.org/fhir">
  <id value="resources"></id>
  <meta>
-  <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
  </meta>
  <type value="collection"></type>
  <entry>
@@ -10,14 +10,14 @@
    <CapabilityStatement xmlns="http://hl7.org/fhir">
     <id value="base"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CapabilityStatement/base"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR Capability Statement (Full)"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -30,7 +30,7 @@
     <software>
      <name value="Insert your software name here..."></name>
     </software>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <format value="xml"></format>
     <format value="json"></format>
     <rest>
@@ -393,6 +393,12 @@
        <type value="reference"></type>
        <documentation value="The product that this is a pharmaceutical product of"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="dose-form"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/AdministrableProductDefinition-dose-form"></definition>
+       <type value="token"></type>
+       <documentation value="The administrable dose form, after necessary reconstitution"></documentation>
+      </searchParam>
       <searchParam>
        <name value="target-species"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/AdministrableProductDefinition-target-species"></definition>
@@ -523,7 +529,7 @@
        <name value="category"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/AdverseEvent-category"></definition>
        <type value="token"></type>
-       <documentation value="product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment"></documentation>
+       <documentation value="wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment | hospital-aquired-infection | wrong-body-site"></documentation>
       </searchParam>
       <searchParam>
        <name value="status"></name>
@@ -777,7 +783,7 @@
        <name value="reason-code"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Appointment-reason-code"></definition>
        <type value="token"></type>
-       <documentation value="Coded reason this appointment is scheduled"></documentation>
+       <documentation value="Reference to a concept (by class)"></documentation>
       </searchParam>
       <searchParam>
        <name value="actor"></name>
@@ -801,7 +807,7 @@
        <name value="reason-reference"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Appointment-reason-reference"></definition>
        <type value="reference"></type>
-       <documentation value="Reason the appointment is to take place (resource)"></documentation>
+       <documentation value="Reference to a resource (by instance)"></documentation>
       </searchParam>
       <searchParam>
        <name value="supporting-info"></name>
@@ -1867,7 +1873,7 @@
        <name value="condition"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/CarePlan-condition"></definition>
        <type value="reference"></type>
-       <documentation value="Health issues this plan addresses"></documentation>
+       <documentation value="Reference to a resource (by instance)"></documentation>
       </searchParam>
       <searchParam>
        <name value="based-on"></name>
@@ -1875,6 +1881,12 @@
        <type value="reference"></type>
        <documentation value="Fulfills CarePlan"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="activity-scheduled-date"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/CarePlan-activity-scheduled-date"></definition>
+       <type value="date"></type>
+       <documentation value="Specified date occurs within period specified by CarePlan.activity.detail.scheduled[x]"></documentation>
+      </searchParam>
       <searchParam>
        <name value="patient"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/clinical-patient"></definition>
@@ -1882,10 +1894,10 @@
        <documentation value="Who the care plan is for"></documentation>
       </searchParam>
       <searchParam>
-       <name value="activity-date"></name>
-       <definition value="http://hl7.org/fhir/SearchParameter/CarePlan-activity-date"></definition>
-       <type value="date"></type>
-       <documentation value="Specified date occurs within period specified by CarePlan.activity.detail.scheduled[x]"></documentation>
+       <name value="activity-scheduled-string"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/CarePlan-activity-scheduled-string"></definition>
+       <type value="string"></type>
+       <documentation value="When activity is to occur"></documentation>
       </searchParam>
       <searchParam>
        <name value="instantiates-uri"></name>
@@ -2743,7 +2755,7 @@
        <name value="finding-code"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/ClinicalImpression-finding-code"></definition>
        <type value="token"></type>
-       <documentation value="What was found"></documentation>
+       <documentation value="Reference to a concept (by class)"></documentation>
       </searchParam>
       <searchParam>
        <name value="patient"></name>
@@ -2773,7 +2785,7 @@
        <name value="finding-ref"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/ClinicalImpression-finding-ref"></definition>
        <type value="reference"></type>
-       <documentation value="What was found"></documentation>
+       <documentation value="Reference to a resource (by instance)"></documentation>
       </searchParam>
       <searchParam>
        <name value="status"></name>
@@ -3859,15 +3871,9 @@
       <searchInclude value="Condition.asserter"></searchInclude>
       <searchInclude value="Condition.patient"></searchInclude>
       <searchRevInclude value="AdverseEvent.resultingcondition"></searchRevInclude>
-      <searchRevInclude value="Appointment.reason-reference"></searchRevInclude>
-      <searchRevInclude value="CarePlan.condition"></searchRevInclude>
       <searchRevInclude value="ClinicalImpression.problem"></searchRevInclude>
-      <searchRevInclude value="ClinicalImpression.finding-ref"></searchRevInclude>
       <searchRevInclude value="Encounter.diagnosis"></searchRevInclude>
-      <searchRevInclude value="Encounter.reason-reference"></searchRevInclude>
       <searchRevInclude value="EpisodeOfCare.condition"></searchRevInclude>
-      <searchRevInclude value="Immunization.reason-reference"></searchRevInclude>
-      <searchRevInclude value="Procedure.reason-reference"></searchRevInclude>
       <searchRevInclude value="RiskAssessment.condition"></searchRevInclude>
       <searchParam>
        <name value="severity"></name>
@@ -4173,6 +4179,7 @@
       <searchInclude value="Consent.patient"></searchInclude>
       <searchInclude value="Consent.organization"></searchInclude>
       <searchInclude value="Consent.consentor"></searchInclude>
+      <searchRevInclude value="Consent.source-reference"></searchRevInclude>
       <searchParam>
        <name value="date"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/clinical-date"></definition>
@@ -4203,12 +4210,24 @@
        <type value="token"></type>
        <documentation value="Context of activities covered by this rule"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="verified-date"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/Consent-verified-date"></definition>
+       <type value="date"></type>
+       <documentation value="When consent verified"></documentation>
+      </searchParam>
       <searchParam>
        <name value="source-reference"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Consent-source-reference"></definition>
        <type value="reference"></type>
        <documentation value="Search by reference to a Consent, DocumentReference, Contract  or QuestionnaireResponse"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="verified"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/Consent-verified"></definition>
+       <type value="token"></type>
+       <documentation value="Has been verified"></documentation>
+      </searchParam>
       <searchParam>
        <name value="actor"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Consent-actor"></definition>
@@ -4315,6 +4334,7 @@
       <searchInclude value="Contract.authority"></searchInclude>
       <searchInclude value="Contract.domain"></searchInclude>
       <searchInclude value="Contract.signer"></searchInclude>
+      <searchRevInclude value="Consent.source-reference"></searchRevInclude>
       <searchParam>
        <name value="identifier"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Contract-identifier"></definition>
@@ -5379,8 +5399,6 @@
       <searchInclude value="DiagnosticReport.specimen"></searchInclude>
       <searchInclude value="DiagnosticReport.results-interpreter"></searchInclude>
       <searchRevInclude value="ChargeItem.service"></searchRevInclude>
-      <searchRevInclude value="Immunization.reason-reference"></searchRevInclude>
-      <searchRevInclude value="Procedure.reason-reference"></searchRevInclude>
       <searchParam>
        <name value="date"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/clinical-date"></definition>
@@ -5652,12 +5670,12 @@
       <searchInclude value="DocumentReference.author"></searchInclude>
       <searchInclude value="DocumentReference.encounter"></searchInclude>
       <searchInclude value="DocumentReference.relatesto"></searchInclude>
-      <searchRevInclude value="ClinicalImpression.finding-ref"></searchRevInclude>
+      <searchRevInclude value="Consent.source-reference"></searchRevInclude>
       <searchRevInclude value="DiagnosticReport.media"></searchRevInclude>
       <searchRevInclude value="DocumentReference.relatesto"></searchRevInclude>
       <searchRevInclude value="MedicationKnowledge.monograph"></searchRevInclude>
+      <searchRevInclude value="MedicinalProductDefinition.master-file"></searchRevInclude>
       <searchRevInclude value="Observation.derived-from"></searchRevInclude>
-      <searchRevInclude value="Procedure.reason-reference"></searchRevInclude>
       <searchParam>
        <name value="date"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/DocumentReference-date"></definition>
@@ -5986,7 +6004,7 @@
        <name value="reason-code"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Encounter-reason-code"></definition>
        <type value="token"></type>
-       <documentation value="Coded reason the encounter takes place"></documentation>
+       <documentation value="Reference to a concept (by class)"></documentation>
       </searchParam>
       <searchParam>
        <name value="participant"></name>
@@ -6010,7 +6028,7 @@
        <name value="reason-reference"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Encounter-reason-reference"></definition>
        <type value="reference"></type>
-       <documentation value="Reason the encounter takes place (reference)"></documentation>
+       <documentation value="Reference to a resource (by instance)"></documentation>
       </searchParam>
       <searchParam>
        <name value="location-period"></name>
@@ -8182,7 +8200,7 @@
        <name value="reason-reference"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Immunization-reason-reference"></definition>
        <type value="reference"></type>
-       <documentation value="Why immunization occurred"></documentation>
+       <documentation value="Reference to a resource (by instance)"></documentation>
       </searchParam>
       <searchParam>
        <name value="location"></name>
@@ -8332,10 +8350,8 @@
       <searchInclude value="ImmunizationRecommendation.patient"></searchInclude>
       <searchInclude value="ImmunizationRecommendation.information"></searchInclude>
       <searchInclude value="ImmunizationRecommendation.support"></searchInclude>
-      <searchRevInclude value="Appointment.reason-reference"></searchRevInclude>
       <searchRevInclude value="CarePlan.activity-reference"></searchRevInclude>
       <searchRevInclude value="DiagnosticReport.based-on"></searchRevInclude>
-      <searchRevInclude value="Encounter.reason-reference"></searchRevInclude>
       <searchRevInclude value="Observation.based-on"></searchRevInclude>
       <searchParam>
        <name value="date"></name>
@@ -9463,6 +9479,12 @@ Requires the near-distance parameter to be provided also"></documentation>
        <type value="token"></type>
        <documentation value="Unique identifier"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="dose-form"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/ManufacturedItemDefinition-dose-form"></definition>
+       <type value="token"></type>
+       <documentation value="Dose form as manufactured and before any transformation into the pharmaceutical product"></documentation>
+      </searchParam>
      </resource>
      <resource>
       <type value="Measure"></type>
@@ -10576,6 +10598,8 @@ Requires the near-distance parameter to be provided also"></documentation>
       <conditionalDelete value="multiple"></conditionalDelete>
       <referencePolicy value="literal"></referencePolicy>
       <referencePolicy value="logical"></referencePolicy>
+      <searchInclude value="MedicinalProductDefinition.master-file"></searchInclude>
+      <searchInclude value="MedicinalProductDefinition.contact"></searchInclude>
       <searchRevInclude value="AdministrableProductDefinition.subject"></searchRevInclude>
       <searchRevInclude value="ClinicalUseIssue.product"></searchRevInclude>
       <searchRevInclude value="ClinicalUseIssue.subject"></searchRevInclude>
@@ -10587,6 +10611,18 @@ Requires the near-distance parameter to be provided also"></documentation>
        <type value="token"></type>
        <documentation value="Business identifier for this product. Could be an MPID"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="master-file"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/MedicinalProductDefinition-master-file"></definition>
+       <type value="reference"></type>
+       <documentation value="A master file for to the medicinal product (e.g. Pharmacovigilance System Master File)"></documentation>
+      </searchParam>
+      <searchParam>
+       <name value="contact"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/MedicinalProductDefinition-contact"></definition>
+       <type value="reference"></type>
+       <documentation value="A product specific contact, person (in a role), or an organization"></documentation>
+      </searchParam>
       <searchParam>
        <name value="name"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/MedicinalProductDefinition-name"></definition>
@@ -10599,6 +10635,12 @@ Requires the near-distance parameter to be provided also"></documentation>
        <type value="token"></type>
        <documentation value="Language code for this name"></documentation>
       </searchParam>
+      <searchParam>
+       <name value="product-classification"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/MedicinalProductDefinition-product-classification"></definition>
+       <type value="token"></type>
+       <documentation value="Allows the product to be classified by various systems"></documentation>
+      </searchParam>
      </resource>
      <resource>
       <type value="MessageDefinition"></type>
@@ -11098,6 +11140,18 @@ Requires the near-distance parameter to be provided also"></documentation>
        <type value="token"></type>
        <documentation value="e.g. driver,  provider,  patient, bank etc."></documentation>
       </searchParam>
+      <searchParam>
+       <name value="version"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/conformance-version"></definition>
+       <type value="token"></type>
+       <documentation value="The business version of the naming system"></documentation>
+      </searchParam>
+      <searchParam>
+       <name value="url"></name>
+       <definition value="http://hl7.org/fhir/SearchParameter/conformance-url"></definition>
+       <type value="uri"></type>
+       <documentation value="The uri that identifies the naming system"></documentation>
+      </searchParam>
       <searchParam>
        <name value="id-type"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/NamingSystem-id-type"></definition>
@@ -11443,19 +11497,14 @@ Requires the near-distance parameter to be provided also"></documentation>
       <searchInclude value="Observation.performer"></searchInclude>
       <searchInclude value="Observation.encounter"></searchInclude>
       <searchInclude value="Observation.device"></searchInclude>
-      <searchRevInclude value="Appointment.reason-reference"></searchRevInclude>
       <searchRevInclude value="ChargeItem.service"></searchRevInclude>
-      <searchRevInclude value="ClinicalImpression.finding-ref"></searchRevInclude>
       <searchRevInclude value="DiagnosticReport.result"></searchRevInclude>
-      <searchRevInclude value="Encounter.reason-reference"></searchRevInclude>
       <searchRevInclude value="Immunization.reaction"></searchRevInclude>
-      <searchRevInclude value="Immunization.reason-reference"></searchRevInclude>
       <searchRevInclude value="MedicationUsage.part-of"></searchRevInclude>
       <searchRevInclude value="NutritionIntake.part-of"></searchRevInclude>
       <searchRevInclude value="Observation.derived-from"></searchRevInclude>
       <searchRevInclude value="Observation.has-member"></searchRevInclude>
       <searchRevInclude value="Procedure.part-of"></searchRevInclude>
-      <searchRevInclude value="Procedure.reason-reference"></searchRevInclude>
       <searchRevInclude value="QuestionnaireResponse.part-of"></searchRevInclude>
       <searchParam>
        <name value="date"></name>
@@ -11727,6 +11776,7 @@ Requires the near-distance parameter to be provided also"></documentation>
       <referencePolicy value="literal"></referencePolicy>
       <referencePolicy value="logical"></referencePolicy>
       <searchRevInclude value="CatalogEntry.referenced-item"></searchRevInclude>
+      <searchRevInclude value="RegulatedAuthorization.subject"></searchRevInclude>
       <searchParam>
        <name value="identifier"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/ObservationDefinition-identifier"></definition>
@@ -12115,6 +12165,7 @@ Requires the near-distance parameter to be provided also"></documentation>
       <searchRevInclude value="MedicationRequest.intended-dispenser"></searchRevInclude>
       <searchRevInclude value="MedicationRequest.intended-performer"></searchRevInclude>
       <searchRevInclude value="MedicationUsage.source"></searchRevInclude>
+      <searchRevInclude value="MedicinalProductDefinition.contact"></searchRevInclude>
       <searchRevInclude value="MessageHeader.receiver"></searchRevInclude>
       <searchRevInclude value="MessageHeader.sender"></searchRevInclude>
       <searchRevInclude value="MessageHeader.responsible"></searchRevInclude>
@@ -13708,6 +13759,7 @@ Requires the near-distance parameter to be provided also"></documentation>
       <searchRevInclude value="MedicationRequest.requester"></searchRevInclude>
       <searchRevInclude value="MedicationRequest.intended-performer"></searchRevInclude>
       <searchRevInclude value="MedicationUsage.source"></searchRevInclude>
+      <searchRevInclude value="MedicinalProductDefinition.contact"></searchRevInclude>
       <searchRevInclude value="MessageHeader.receiver"></searchRevInclude>
       <searchRevInclude value="MessageHeader.author"></searchRevInclude>
       <searchRevInclude value="MessageHeader.sender"></searchRevInclude>
@@ -13867,17 +13919,14 @@ Requires the near-distance parameter to be provided also"></documentation>
       <searchInclude value="Procedure.reason-reference"></searchInclude>
       <searchInclude value="Procedure.location"></searchInclude>
       <searchRevInclude value="AdverseEvent.substance"></searchRevInclude>
-      <searchRevInclude value="Appointment.reason-reference"></searchRevInclude>
       <searchRevInclude value="ChargeItem.service"></searchRevInclude>
       <searchRevInclude value="Encounter.diagnosis"></searchRevInclude>
-      <searchRevInclude value="Encounter.reason-reference"></searchRevInclude>
       <searchRevInclude value="Flag.subject"></searchRevInclude>
       <searchRevInclude value="Flag.patient"></searchRevInclude>
       <searchRevInclude value="MedicationUsage.part-of"></searchRevInclude>
       <searchRevInclude value="NutritionIntake.part-of"></searchRevInclude>
       <searchRevInclude value="Observation.part-of"></searchRevInclude>
       <searchRevInclude value="Procedure.part-of"></searchRevInclude>
-      <searchRevInclude value="Procedure.reason-reference"></searchRevInclude>
       <searchRevInclude value="QuestionnaireResponse.part-of"></searchRevInclude>
       <searchParam>
        <name value="date"></name>
@@ -13931,7 +13980,7 @@ Requires the near-distance parameter to be provided also"></documentation>
        <name value="reason-code"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Procedure-reason-code"></definition>
        <type value="token"></type>
-       <documentation value="Coded reason procedure performed"></documentation>
+       <documentation value="Reference to a concept (by class)"></documentation>
       </searchParam>
       <searchParam>
        <name value="based-on"></name>
@@ -13949,7 +13998,7 @@ Requires the near-distance parameter to be provided also"></documentation>
        <name value="reason-reference"></name>
        <definition value="http://hl7.org/fhir/SearchParameter/Procedure-reason-reference"></definition>
        <type value="reference"></type>
-       <documentation value="The justification that the procedure was performed"></documentation>
+       <documentation value="Reference to a resource (by instance)"></documentation>
       </searchParam>
       <searchParam>
        <name value="location"></name>
@@ -14297,6 +14346,7 @@ Requires the near-distance parameter to be provided also"></documentation>
       <searchInclude value="QuestionnaireResponse.part-of"></searchInclude>
       <searchInclude value="QuestionnaireResponse.encounter"></searchInclude>
       <searchInclude value="QuestionnaireResponse.source"></searchInclude>
+      <searchRevInclude value="Consent.source-reference"></searchRevInclude>
       <searchRevInclude value="Observation.derived-from"></searchRevInclude>
       <searchRevInclude value="Observation.has-member"></searchRevInclude>
       <searchParam>
@@ -17686,6 +17736,84 @@ Requires the near-distance parameter to be provided also"></documentation>
       <code value="search-system"></code>
       <documentation value="Implemented per the specification (or Insert other doco here)"></documentation>
      </interaction>
+     <searchParam>
+      <name value="effective"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/MetadataResource-effective"></definition>
+      <type value="date"></type>
+      <documentation value="The time during which the {{title}} is intended to be in use"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="something"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/id"></definition>
+      <type value="string"></type>
+      <documentation value="some doco"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_list"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-list"></definition>
+      <type value="token"></type>
+      <documentation value="Retrieval of resources that are referenced by a List resource"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_has"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-has"></definition>
+      <type value="composite"></type>
+      <documentation value="Provides support for reverse chaining"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_type"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-type"></definition>
+      <type value="token"></type>
+      <documentation value="Type of resource (when doing cross-resource search"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_sort"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-source"></definition>
+      <type value="token"></type>
+      <documentation value="How to sort the resources when returning"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_count"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-count"></definition>
+      <type value="number"></type>
+      <documentation value="How many resources to return"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_include"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-include"></definition>
+      <type value="token"></type>
+      <documentation value="Control over returning additional resources (see spec)"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_revinclude"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-revinclude"></definition>
+      <type value="token"></type>
+      <documentation value="Control over returning additional resources (see spec)"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_summary"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-summary"></definition>
+      <type value="token"></type>
+      <documentation value="What kind of information to return"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_elements"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-elements"></definition>
+      <type value="string"></type>
+      <documentation value="What kind of information to return"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_contained"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-contained"></definition>
+      <type value="token"></type>
+      <documentation value="Managing search into contained resources"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_containedType"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-containedType"></definition>
+      <type value="token"></type>
+      <documentation value="Managing search into contained resources"></documentation>
+     </searchParam>
      <searchParam>
       <name value="_text"></name>
       <definition value="http://hl7.org/fhir/SearchParameter/DomainResource-text"></definition>
@@ -17956,6 +18084,168 @@ Requires the near-distance parameter to be provided also"></documentation>
       <type value="token"></type>
       <documentation value="Managing search into contained resources"></documentation>
      </searchParam>
+     <searchParam>
+      <name value="date"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-date"></definition>
+      <type value="date"></type>
+      <documentation value="The {{title}} publication date"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="identifier"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-identifier"></definition>
+      <type value="token"></type>
+      <documentation value="External identifier for the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="context-type-value"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-context-type-value"></definition>
+      <type value="composite"></type>
+      <documentation value="A use context type and value assigned to the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="jurisdiction"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-jurisdiction"></definition>
+      <type value="token"></type>
+      <documentation value="Intended jurisdiction for the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="description"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-description"></definition>
+      <type value="string"></type>
+      <documentation value="The description of the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="context-type"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-context-type"></definition>
+      <type value="token"></type>
+      <documentation value="A type of use context assigned to the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="title"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-title"></definition>
+      <type value="string"></type>
+      <documentation value="The human-friendly name of the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="version"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-version"></definition>
+      <type value="token"></type>
+      <documentation value="The business version of the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="url"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-url"></definition>
+      <type value="uri"></type>
+      <documentation value="The uri that identifies the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="context-quantity"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-context-quantity"></definition>
+      <type value="quantity"></type>
+      <documentation value="A quantity- or range-valued use context assigned to the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="name"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-name"></definition>
+      <type value="string"></type>
+      <documentation value="Computationally friendly name of the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="context"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-context"></definition>
+      <type value="token"></type>
+      <documentation value="A use context assigned to the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="publisher"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-publisher"></definition>
+      <type value="string"></type>
+      <documentation value="Name of the publisher of the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="context-type-quantity"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-context-type-quantity"></definition>
+      <type value="composite"></type>
+      <documentation value="A use context type and quantity- or range-based value assigned to the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="status"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/CanonicalResource-status"></definition>
+      <type value="token"></type>
+      <documentation value="The current status of the {{title}}"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="something"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/id"></definition>
+      <type value="string"></type>
+      <documentation value="some doco"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_list"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-list"></definition>
+      <type value="token"></type>
+      <documentation value="Retrieval of resources that are referenced by a List resource"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_has"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-has"></definition>
+      <type value="composite"></type>
+      <documentation value="Provides support for reverse chaining"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_type"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-type"></definition>
+      <type value="token"></type>
+      <documentation value="Type of resource (when doing cross-resource search"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_sort"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-source"></definition>
+      <type value="token"></type>
+      <documentation value="How to sort the resources when returning"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_count"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-count"></definition>
+      <type value="number"></type>
+      <documentation value="How many resources to return"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_include"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-include"></definition>
+      <type value="token"></type>
+      <documentation value="Control over returning additional resources (see spec)"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_revinclude"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-revinclude"></definition>
+      <type value="token"></type>
+      <documentation value="Control over returning additional resources (see spec)"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_summary"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-summary"></definition>
+      <type value="token"></type>
+      <documentation value="What kind of information to return"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_elements"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-elements"></definition>
+      <type value="string"></type>
+      <documentation value="What kind of information to return"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_contained"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-contained"></definition>
+      <type value="token"></type>
+      <documentation value="Managing search into contained resources"></documentation>
+     </searchParam>
+     <searchParam>
+      <name value="_containedType"></name>
+      <definition value="http://hl7.org/fhir/SearchParameter/Resource-containedType"></definition>
+      <type value="token"></type>
+      <documentation value="Managing search into contained resources"></documentation>
+     </searchParam>
      <operation>
       <name value="validate"></name>
       <definition value="http://hl7.org/fhir/OperationDefinition/resource-validate"></definition>
@@ -18170,14 +18460,14 @@ Requires the near-distance parameter to be provided also"></documentation>
    <CapabilityStatement xmlns="http://hl7.org/fhir">
     <id value="base2"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CapabilityStatement/base2"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR Capability Statement (Empty)"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -18190,7 +18480,7 @@ Requires the near-distance parameter to be provided also"></documentation>
     <software>
      <name value="Insert your software name here..."></name>
     </software>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <format value="xml"></format>
     <format value="json"></format>
     <rest>
@@ -18218,14 +18508,14 @@ Requires the near-distance parameter to be provided also"></documentation>
    <CompartmentDefinition xmlns="http://hl7.org/fhir">
     <id value="device"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CompartmentDefinition/device"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR compartment definition for Device"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -18716,14 +19006,14 @@ Requires the near-distance parameter to be provided also"></documentation>
    <CompartmentDefinition xmlns="http://hl7.org/fhir">
     <id value="encounter"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CompartmentDefinition/encounter"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR compartment definition for Encounter"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -19192,14 +19482,14 @@ Requires the near-distance parameter to be provided also"></documentation>
    <CompartmentDefinition xmlns="http://hl7.org/fhir">
     <id value="patient"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CompartmentDefinition/patient"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR compartment definition for Patient"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -19743,14 +20033,14 @@ Requires the near-distance parameter to be provided also"></documentation>
    <CompartmentDefinition xmlns="http://hl7.org/fhir">
     <id value="practitioner"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CompartmentDefinition/practitioner"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR compartment definition for Practitioner"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -20280,14 +20570,14 @@ Requires the near-distance parameter to be provided also"></documentation>
    <CompartmentDefinition xmlns="http://hl7.org/fhir">
     <id value="relatedPerson"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/CompartmentDefinition/relatedPerson"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Base FHIR compartment definition for RelatedPerson"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project Team"></publisher>
     <contact>
      <telecom>
@@ -20771,7 +21061,7 @@ Requires the near-distance parameter to be provided also"></documentation>
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ActivityDefinition-apply"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -20780,11 +21070,11 @@ Requires the near-distance parameter to be provided also"></documentation>
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ActivityDefinition-apply"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Apply"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -20904,7 +21194,7 @@ Requires the near-distance parameter to be provided also"></documentation>
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ActivityDefinition-data-requirements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -20913,11 +21203,11 @@ Requires the near-distance parameter to be provided also"></documentation>
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ActivityDefinition-data-requirements"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Data Requirements"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -20953,7 +21243,7 @@ Requires the near-distance parameter to be provided also"></documentation>
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement-conforms"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -20962,11 +21252,11 @@ Requires the near-distance parameter to be provided also"></documentation>
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement-conforms"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Test if a server implements a client's required operations"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21046,7 +21336,7 @@ If the capability statements can be successfully compared, then the return value
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement-implements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -21055,11 +21345,11 @@ If the capability statements can be successfully compared, then the return value
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement-implements"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Test if a server implements a client's required operations"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21127,7 +21417,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement-subset"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -21136,11 +21426,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement-subset"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch a subset of the CapabilityStatement resource"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21191,7 +21481,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement-versions"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -21200,11 +21490,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement-versions"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Discover what versions a server supports"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21247,7 +21537,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement2-conforms"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -21256,11 +21546,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement2-conforms"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Test if a server implements a client's required operations"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21340,7 +21630,7 @@ If the capability statements can be successfully compared, then the return value
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement2-implements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -21349,11 +21639,11 @@ If the capability statements can be successfully compared, then the return value
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement2-implements"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Test if a server implements a client's required operations"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21421,7 +21711,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement2-subset"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -21430,11 +21720,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement2-subset"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch a subset of the CapabilityStatement2 resource"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21485,7 +21775,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement2-versions"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -21494,11 +21784,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CapabilityStatement2-versions"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Discover what versions a server supports"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21541,7 +21831,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ChargeItemDefinition-apply"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -21550,11 +21840,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ChargeItemDefinition-apply"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Apply"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21608,7 +21898,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Claim-submit"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -21617,11 +21907,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Claim-submit"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Submit a Claim resource for adjudication"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21664,7 +21954,7 @@ If the capability statements match by these rules, then the return value is a 20
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CodeSystem-find-matches"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -21673,11 +21963,11 @@ If the capability statements match by these rules, then the return value is a 20
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CodeSystem-find-matches"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Finding codes based on supplied properties"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -21938,7 +22228,7 @@ The find-matches operation is still preliminary. The interface can be expected t
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CodeSystem-lookup"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -21947,14 +22237,14 @@ The find-matches operation is still preliminary. The interface can be expected t
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.1.0"></valueCode>
+     <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CodeSystem-lookup"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Concept Look Up &amp; Decomposition"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22199,7 +22489,7 @@ When invoking this operation, a client SHALL provide both a system and a code, e
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CodeSystem-subsumes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -22208,14 +22498,14 @@ When invoking this operation, a client SHALL provide both a system and a code, e
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.1.0"></valueCode>
+     <valueCode value="4.2.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CodeSystem-subsumes"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Subsumption Testing"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22292,7 +22582,7 @@ When invoking this operation, a client SHALL provide both a and codes, either as
      <type value="code"></type>
      <binding>
       <strength value="required"></strength>
-      <valueSet value="http://hl7.org/fhir/ValueSet/concept-subsumption-outcome|4.1.0"></valueSet>
+      <valueSet value="http://hl7.org/fhir/ValueSet/concept-subsumption-outcome|4.2.0"></valueSet>
      </binding>
     </parameter>
    </OperationDefinition>
@@ -22304,7 +22594,7 @@ When invoking this operation, a client SHALL provide both a and codes, either as
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CodeSystem-validate-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -22313,14 +22603,14 @@ When invoking this operation, a client SHALL provide both a and codes, either as
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.1.0"></valueCode>
+     <valueCode value="4.2.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CodeSystem-validate-code"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Code System based Validation"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22455,7 +22745,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Composition-document"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -22464,11 +22754,11 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Composition-document"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Generate a Document"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22526,7 +22816,7 @@ Notes:
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ConceptMap-closure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -22535,11 +22825,11 @@ Notes:
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ConceptMap-closure"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Closure Table Maintenance"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22598,7 +22888,7 @@ Notes:
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ConceptMap-translate"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -22607,11 +22897,11 @@ Notes:
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ConceptMap-translate"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Concept Translation"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22831,7 +23121,7 @@ The operation returns a set of parameters including a 'result' for whether there
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="CoverageEligibilityRequest-submit"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -22840,11 +23130,11 @@ The operation returns a set of parameters including a 'result' for whether there
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/CoverageEligibilityRequest-submit"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Submit an EligibilityRequest resource for assessment"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22887,7 +23177,7 @@ The operation returns a set of parameters including a 'result' for whether there
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Encounter-everything"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -22896,11 +23186,11 @@ The operation returns a set of parameters including a 'result' for whether there
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Encounter-everything"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch Encounter Record"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -22971,7 +23261,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Group-everything"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -22980,11 +23270,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Group-everything"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch a group of Patient Records"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23071,7 +23361,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Library-data-requirements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -23080,11 +23370,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Library-data-requirements"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Data Requirements"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23128,7 +23418,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="List-find"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
@@ -23137,11 +23427,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/List-find"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Find a functional list"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23185,7 +23475,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Measure-care-gaps"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -23194,11 +23484,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Measure-care-gaps"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Care Gaps"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23267,7 +23557,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Measure-collect-data"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -23276,11 +23566,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Measure-collect-data"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Collect Data"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23375,7 +23665,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Measure-data-requirements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -23384,11 +23674,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Measure-data-requirements"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Data Requirements"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23440,7 +23730,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Measure-evaluate-measure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -23449,11 +23739,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Evaluate Measure"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23548,7 +23838,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Measure-submit-data"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -23557,11 +23847,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Measure-submit-data"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Submit Data"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23605,7 +23895,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicinalProductDefinition-everything"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
@@ -23614,11 +23904,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/MedicinalProductDefinition-everything"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch Product Record"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23679,7 +23969,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="MessageHeader-process-message"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="4"></valueInteger>
@@ -23688,11 +23978,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/MessageHeader-process-message"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Process Message"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23791,7 +24081,7 @@ The following rules apply when using the $process-message operation asynchronous
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="NamingSystem-preferred-id"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
@@ -23800,11 +24090,11 @@ The following rules apply when using the $process-message operation asynchronous
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/NamingSystem-preferred-id"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch Preferred it"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23848,7 +24138,7 @@ If the server wishes, it can also look through all code systems and value sets i
      <type value="code"></type>
      <binding>
       <strength value="required"></strength>
-      <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.1.0"></valueSet>
+      <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.2.0"></valueSet>
      </binding>
     </parameter>
     <parameter>
@@ -23868,7 +24158,7 @@ If the server wishes, it can also look through all code systems and value sets i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Observation-lastn"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -23877,11 +24167,11 @@ If the server wishes, it can also look through all code systems and value sets i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Observation-lastn"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Last N Observations Query"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -23960,7 +24250,7 @@ The set of returned observations should represent distinct real world observatio
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Observation-stats"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -23969,11 +24259,11 @@ The set of returned observations should represent distinct real world observatio
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Observation-stats"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Observation Statistics"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24110,7 +24400,7 @@ The set of returned observations should represent distinct real world observatio
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Patient-everything"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -24119,11 +24409,11 @@ The set of returned observations should represent distinct real world observatio
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Patient-everything"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Fetch Patient Record"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24212,7 +24502,7 @@ The _since parameter is provided to support periodic queries to get additional i
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Patient-match"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -24221,11 +24511,11 @@ The _since parameter is provided to support periodic queries to get additional i
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Patient-match"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Find patient matches using MPI based logic"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24287,7 +24577,7 @@ To ask an MPI to match a patient, clients use the &quot;$match&quot; operation,
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="PlanDefinition-apply"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -24296,11 +24586,11 @@ To ask an MPI to match a patient, clients use the &quot;$match&quot; operation,
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/PlanDefinition-apply"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Apply"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24420,7 +24710,7 @@ To ask an MPI to match a patient, clients use the &quot;$match&quot; operation,
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="PlanDefinition-data-requirements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -24429,11 +24719,11 @@ To ask an MPI to match a patient, clients use the &quot;$match&quot; operation,
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/PlanDefinition-data-requirements"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Data Requirements"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24469,7 +24759,7 @@ To ask an MPI to match a patient, clients use the &quot;$match&quot; operation,
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-convert"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
@@ -24478,11 +24768,11 @@ To ask an MPI to match a patient, clients use the &quot;$match&quot; operation,
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-convert"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Convert from one form to another"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24540,7 +24830,7 @@ Implementers are encouraged to provide feedback to HL7 about their use of this o
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-graph"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
@@ -24549,11 +24839,11 @@ Implementers are encouraged to provide feedback to HL7 about their use of this o
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-graph"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Return a graph of resources"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24596,7 +24886,7 @@ Implementers are encouraged to provide feedback to HL7 about their use of this o
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-graphql"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
@@ -24605,11 +24895,11 @@ Implementers are encouraged to provide feedback to HL7 about their use of this o
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-graphql"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Execute a graphql statement"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24653,7 +24943,7 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-meta"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -24662,11 +24952,11 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-meta"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Access a list of profiles, tags, and security labels"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24706,7 +24996,7 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-meta-add"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -24715,11 +25005,11 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-meta-add"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Add profiles, tags, and security labels to a resource"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24762,7 +25052,7 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-meta-delete"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
@@ -24771,11 +25061,11 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-meta-delete"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Delete profiles, tags, and security labels for a resource"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24818,7 +25108,7 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource-validate"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -24827,14 +25117,14 @@ For the purposes of graphQL compatibility, this operation can also be invoked us
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.1.0"></valueCode>
+     <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/Resource-validate"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Validate a resource"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24885,7 +25175,7 @@ Future versions of this specifcation may add additional validation parameters. A
      <type value="code"></type>
      <binding>
       <strength value="required"></strength>
-      <valueSet value="http://hl7.org/fhir/ValueSet/resource-validation-mode|4.1.0"></valueSet>
+      <valueSet value="http://hl7.org/fhir/ValueSet/resource-validation-mode|4.2.0"></valueSet>
      </binding>
     </parameter>
     <parameter>
@@ -24913,7 +25203,7 @@ Future versions of this specifcation may add additional validation parameters. A
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="SpecimenDefinition-apply"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
@@ -24922,11 +25212,11 @@ Future versions of this specifcation may add additional validation parameters. A
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/SpecimenDefinition-apply"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Apply"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -25028,7 +25318,7 @@ Future versions of this specifcation may add additional validation parameters. A
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="StructureDefinition-questionnaire"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -25037,11 +25327,11 @@ Future versions of this specifcation may add additional validation parameters. A
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/StructureDefinition-questionnaire"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Build Questionnaire"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -25116,7 +25406,7 @@ This operation is intended to enable auto-generation of simple interfaces for ar
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="StructureDefinition-snapshot"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -25125,11 +25415,11 @@ This operation is intended to enable auto-generation of simple interfaces for ar
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/StructureDefinition-snapshot"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Generate Snapshot"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -25183,7 +25473,7 @@ If the operation is not called at the instance level, either *definition* or *ur
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="StructureMap-transform"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="2"></valueInteger>
@@ -25192,11 +25482,11 @@ If the operation is not called at the instance level, either *definition* or *ur
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/StructureMap-transform"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Model Instance Transformation"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -25248,7 +25538,7 @@ If the operation is not called at the instance level, either *definition* or *ur
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ValueSet-expand"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -25257,14 +25547,14 @@ If the operation is not called at the instance level, either *definition* or *ur
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.1.0"></valueCode>
+     <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ValueSet-expand"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Value Set Expansion"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -25500,7 +25790,7 @@ Text Search engines such as Lucene or Solr, long with their considerable functio
    <OperationDefinition xmlns="http://hl7.org/fhir">
     <id value="ValueSet-validate-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
@@ -25509,14 +25799,14 @@ Text Search engines such as Lucene or Solr, long with their considerable functio
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.1.0"></valueCode>
+     <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/OperationDefinition/ValueSet-validate-code"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Value Set based Validation"></name>
     <status value="draft"></status>
     <kind value="operation"></kind>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -25676,7 +25966,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Resource"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -25691,10 +25981,10 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Resource"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Resource"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -25709,7 +25999,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
      </telecom>
     </contact>
     <description value="This is the base resource type for everything."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -25718,6 +26008,8 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
     <kind value="resource"></kind>
     <abstract value="true"></abstract>
     <type value="Resource"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"></baseDefinition>
+    <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Resource">
       <path value="Resource"></path>
@@ -25732,6 +26024,10 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
       </base>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
       <mapping>
        <identity value="rim"></identity>
        <map value="Entity. Role, or Act"></map>
@@ -25752,7 +26048,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -25874,7 +26170,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -25940,7 +26236,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Account"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -25958,10 +26254,10 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
      <valueString value="Financial.General"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Account"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Account"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -25976,7 +26272,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
      </telecom>
     </contact>
     <description value="A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -26078,7 +26374,7 @@ Note that. 'abstract' is a property defined by many HL7 code systems that indica
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -26385,7 +26681,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the account is available to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/account-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/account-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -26602,7 +26898,7 @@ Where the order is important, a local/jurisdictional extension may be defined to
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -26867,7 +27163,7 @@ A coverage may only be responsible for specific types of charges, and the sequen
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -27132,7 +27428,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the account is available to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/account-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/account-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -27413,7 +27709,7 @@ A coverage may only be responsible for specific types of charges, and the sequen
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ActivityDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -27431,10 +27727,10 @@ A coverage may only be responsible for specific types of charges, and the sequen
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActivityDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -27449,7 +27745,7 @@ A coverage may only be responsible for specific types of charges, and the sequen
      </telecom>
     </contact>
     <description value="This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -27473,11 +27769,7 @@ A coverage may only be responsible for specific types of charges, and the sequen
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ActivityDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ActivityDefinition">
@@ -27492,64 +27784,14 @@ A coverage may only be responsible for specific types of charges, and the sequen
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="adf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -27574,7 +27816,7 @@ A coverage may only be responsible for specific types of charges, and the sequen
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -27956,7 +28198,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -28066,7 +28308,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -28857,7 +29099,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The kind of activity the definition is describing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -28960,7 +29202,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ActivityDefinition.priority">
@@ -28993,7 +29235,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ActivityDefinition.doNotPerform">
@@ -29145,7 +29387,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -29271,7 +29513,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant in the activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -29613,7 +29855,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -29778,7 +30020,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="adf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -29886,7 +30128,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="rim"></identity>
@@ -29945,7 +30187,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -30415,7 +30657,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The kind of activity the definition is describing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30474,7 +30716,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ActivityDefinition.priority">
@@ -30492,7 +30734,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ActivityDefinition.doNotPerform">
@@ -30586,7 +30828,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant in the activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30803,7 +31045,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="AdministrableProductDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -30821,10 +31063,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/AdministrableProductDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdministrableProductDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -30839,7 +31081,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="A pharmaceutical product described in terms of its composition and dose form."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -30931,7 +31173,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -31392,7 +31634,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -31618,7 +31860,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -31904,7 +32146,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -32065,7 +32307,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -32539,7 +32781,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="AdverseEvent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -32557,10 +32799,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/AdverseEvent"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -32575,7 +32817,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="An event (i.e. any change to current patient status) that may be related to unintended effects on a patient or research subject.  The unintended effects may require additional monitoring, treatment or hospitalization or may result in death.  The AdverseEvent resource also extends to potential or avoided events that could have had such effects."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -32681,7 +32923,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -32986,7 +33228,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of an event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -33028,7 +33270,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Overall nature of the adverse event, e.g. real or potential."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -33037,7 +33279,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="AdverseEvent.category">
       <path value="AdverseEvent.category"></path>
-      <short value="product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment"></short>
+      <short value="wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment | hospital-aquired-infection | wrong-body-site"></short>
       <definition value="The overall type of event, intended for search and filtering purposes."></definition>
       <min value="0"></min>
       <max value="*"></max>
@@ -33063,7 +33305,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
         <valueString value="AdverseEventCategory"></valueString>
        </extension>
-       <strength value="extensible"></strength>
+       <strength value="example"></strength>
        <description value="Overall categorization of the event, e.g. product-related or situational."></description>
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-category"></valueSet>
       </binding>
@@ -33159,9 +33401,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="AdverseEvent.encounter">
       <path value="AdverseEvent.encounter"></path>
-      <short value="The Encounter during which this AdverseEvent was created"></short>
-      <definition value="The Encounter during which AdverseEvent was created or to which the creation of this record is tightly associated."></definition>
-      <comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.  For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context.  If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context."></comment>
+      <short value="The Encounter associated with the start of the AdverseEvent"></short>
+      <definition value="The Encounter associated with the start of the AdverseEvent."></definition>
+      <comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the associated encounter. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the associated encounter."></comment>
       <min value="0"></min>
       <max value="1"></max>
       <base>
@@ -33491,7 +33733,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -33709,7 +33951,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -33881,7 +34123,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34112,7 +34354,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34291,7 +34533,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34468,7 +34710,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34644,7 +34886,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -34859,7 +35101,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of an event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -34888,7 +35130,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Overall nature of the adverse event, e.g. real or potential."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -34897,7 +35139,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="AdverseEvent.category">
       <path value="AdverseEvent.category"></path>
-      <short value="product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment"></short>
+      <short value="wrong-patient | procedure-mishap | medication-mishap | device | unsafe-physical-environment | hospital-aquired-infection | wrong-body-site"></short>
       <definition value="The overall type of event, intended for search and filtering purposes."></definition>
       <min value="0"></min>
       <max value="*"></max>
@@ -34909,7 +35151,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
         <valueString value="AdverseEventCategory"></valueString>
        </extension>
-       <strength value="extensible"></strength>
+       <strength value="example"></strength>
        <description value="Overall categorization of the event, e.g. product-related or situational."></description>
        <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-category"></valueSet>
       </binding>
@@ -34977,9 +35219,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="AdverseEvent.encounter">
       <path value="AdverseEvent.encounter"></path>
-      <short value="The Encounter during which this AdverseEvent was created"></short>
-      <definition value="The Encounter during which AdverseEvent was created or to which the creation of this record is tightly associated."></definition>
-      <comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.  For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context.  If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context."></comment>
+      <short value="The Encounter associated with the start of the AdverseEvent"></short>
+      <definition value="The Encounter associated with the start of the AdverseEvent."></definition>
+      <comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the associated encounter. If the patient reports the AdverseEvent during a second encounter, that second encounter is not the associated encounter."></comment>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -35482,7 +35724,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="AllergyIntolerance"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -35500,10 +35742,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntolerance"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -35519,7 +35761,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance."></description>
     <purpose value="To record a clinical assessment of a propensity, or potential risk to an individual, of an adverse reaction upon future exposure to the specified substance, or class of substance."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -35642,7 +35884,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -35958,7 +36200,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="The clinical status of the allergy or intolerance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -36003,7 +36245,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -36047,7 +36289,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Identification of the underlying physiological mechanism for a Reaction Risk."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -36097,7 +36339,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Category of an identified substance associated with allergies or intolerances."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -36147,7 +36389,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -36554,7 +36796,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -36828,7 +37070,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -36981,7 +37223,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="The clinical status of the allergy or intolerance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -37013,7 +37255,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -37043,7 +37285,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Identification of the underlying physiological mechanism for a Reaction Risk."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -37079,7 +37321,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Category of an identified substance associated with allergies or intolerances."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -37115,7 +37357,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -37463,7 +37705,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
        </extension>
        <strength value="required"></strength>
        <description value="Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -37518,7 +37760,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Appointment"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -37536,10 +37778,10 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
      <valueString value="Base.Workflow"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Appointment"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Appointment"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -37554,7 +37796,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
      </telecom>
     </contact>
     <description value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -37698,7 +37940,7 @@ The data type is CodeableConcept because clinicalStatus has some clinical judgme
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -38019,7 +38261,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="The free/busy status of an appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/appointmentstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/appointmentstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -38243,19 +38485,23 @@ This element is labeled as a modifier because the status contains the code enter
        <map value="CLASSIFICATION"></map>
       </mapping>
      </element>
-     <element id="Appointment.reasonCode">
-      <path value="Appointment.reasonCode"></path>
-      <short value="Coded reason this appointment is scheduled"></short>
-      <definition value="The coded reason that this appointment is being scheduled. This is more clinical than administrative."></definition>
+     <element id="Appointment.reason">
+      <path value="Appointment.reason"></path>
+      <short value="Reason this appointment is scheduled"></short>
+      <definition value="The reason that this appointment is being scheduled. This is more clinical than administrative. This can be coded, or as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Appointment.reasonCode"></path>
+       <path value="Appointment.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -38288,43 +38534,6 @@ This element is labeled as a modifier because the status contains the code enter
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="Appointment.reasonReference">
-      <path value="Appointment.reasonReference"></path>
-      <short value="Reason the appointment is to take place (resource)"></short>
-      <definition value="Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Appointment.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".inboundRelationship[@typeCode = 'RSON'].observation"></map>
-      </mapping>
-     </element>
      <element id="Appointment.priority">
       <path value="Appointment.priority"></path>
       <short value="Used to make informed decisions if needing to re-prioritize"></short>
@@ -38822,7 +39031,7 @@ This element is labeled as a modifier because the status contains the code enter
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -39042,7 +39251,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Is the Participant required to attend the appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/participantrequired|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/participantrequired|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -39083,7 +39292,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The Participation status of an appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -39261,7 +39470,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="The free/busy status of an appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/appointmentstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/appointmentstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -39415,14 +39624,18 @@ This element is labeled as a modifier because the status contains the code enter
        <map value="CLASSIFICATION"></map>
       </mapping>
      </element>
-     <element id="Appointment.reasonCode">
-      <path value="Appointment.reasonCode"></path>
-      <short value="Coded reason this appointment is scheduled"></short>
-      <definition value="The coded reason that this appointment is being scheduled. This is more clinical than administrative."></definition>
+     <element id="Appointment.reason">
+      <path value="Appointment.reason"></path>
+      <short value="Reason this appointment is scheduled"></short>
+      <definition value="The reason that this appointment is being scheduled. This is more clinical than administrative. This can be coded, or as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -39446,28 +39659,6 @@ This element is labeled as a modifier because the status contains the code enter
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="Appointment.reasonReference">
-      <path value="Appointment.reasonReference"></path>
-      <short value="Reason the appointment is to take place (resource)"></short>
-      <definition value="Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".inboundRelationship[@typeCode = 'RSON'].observation"></map>
-      </mapping>
-     </element>
      <element id="Appointment.priority">
       <path value="Appointment.priority"></path>
       <short value="Used to make informed decisions if needing to re-prioritize"></short>
@@ -39854,7 +40045,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="Is the Participant required to attend the appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/participantrequired|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/participantrequired|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -39881,7 +40072,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="The Participation status of an appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -39945,7 +40136,7 @@ The duration (usually in minutes) could also be provided to indicate the length
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="AppointmentResponse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -39963,10 +40154,10 @@ The duration (usually in minutes) could also be provided to indicate the length
      <valueString value="Base.Workflow"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/AppointmentResponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AppointmentResponse"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -39981,7 +40172,7 @@ The duration (usually in minutes) could also be provided to indicate the length
      </telecom>
     </contact>
     <description value="A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -40111,7 +40302,7 @@ The duration (usually in minutes) could also be provided to indicate the length
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -40633,7 +40824,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The Participation status of an appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -40895,7 +41086,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The Participation status of an appointment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -40943,7 +41134,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="AuditEvent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -40961,10 +41152,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Security"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/AuditEvent"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEvent"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Security)"></publisher>
     <contact>
      <telecom>
@@ -40979,7 +41170,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A record of an event relevant for purposes such as operations, privacy, security, maintenance, and performance analysis."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -41108,7 +41299,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -41481,7 +41672,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicator for type of action performed during the event that generated the event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -41527,7 +41718,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The severity of the audit entry."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -41662,7 +41853,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the event succeeded or failed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -41843,7 +42034,7 @@ For example, an activity may be initiated by one user for other users or involve
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -42419,7 +42610,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -42589,7 +42780,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of network access point of this agent in the audit event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/network-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/network-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -42707,7 +42898,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -43002,7 +43193,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -43487,7 +43678,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -43773,7 +43964,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicator for type of action performed during the event that generated the event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -43805,7 +43996,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The severity of the audit entry."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -43897,7 +44088,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the event succeeded or failed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -44381,7 +44572,7 @@ For example, an activity may be initiated by one user for other users or involve
        </extension>
        <strength value="required"></strength>
        <description value="The type of network access point of this agent in the audit event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/network-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/network-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -44895,7 +45086,7 @@ For example, an activity may be initiated by one user for other users or involve
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Basic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -44913,10 +45104,10 @@ For example, an activity may be initiated by one user for other users or involve
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Basic"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Basic"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -44932,7 +45123,7 @@ For example, an activity may be initiated by one user for other users or involve
     </contact>
     <description value="Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification."></description>
     <purpose value="Need some way to safely (without breaking interoperability) allow implementers to exchange content not supported by the initial set of declared resources."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -45035,7 +45226,7 @@ For example, an activity may be initiated by one user for other users or involve
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -45618,7 +45809,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Binary"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -45639,10 +45830,10 @@ This element is labeled as a modifier because it defines the meaning of the reso
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Binary"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Binary"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -45658,7 +45849,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
     </contact>
     <description value="A resource that represents the data of a single raw artifact as digital content accessible in its native format.  A Binary resource can contain any content, whether text, image, pdf, zip archive, etc."></description>
     <purpose value="There are situations where it is useful or required to handle pure binary content using the same framework as other resources."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -45712,7 +45903,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -45844,7 +46035,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -45949,7 +46140,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -45999,7 +46190,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="BiologicallyDerivedProduct"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -46017,10 +46208,10 @@ This element is labeled as a modifier because it defines the meaning of the reso
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BiologicallyDerivedProduct"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -46036,7 +46227,7 @@ This element is labeled as a modifier because it defines the meaning of the reso
     </contact>
     <description value="A material substance originating from a biological entity intended to be transplanted or infused
 into another (possibly the same) biological entity."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -46143,7 +46334,7 @@ into another (possibly the same) biological entity."></definition>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -46452,7 +46643,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Biologically Derived Product Category."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/product-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/product-category|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="BiologicallyDerivedProduct.productCode">
@@ -46517,7 +46708,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Biologically Derived Product Status."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/product-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/product-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="BiologicallyDerivedProduct.request">
@@ -46638,7 +46829,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -46856,7 +47047,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -47104,7 +47295,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -47293,7 +47484,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -47469,7 +47660,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="BiologicallyDerived Product Storage Scale."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/product-storage-scale|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/product-storage-scale|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="BiologicallyDerivedProduct.storage.duration">
@@ -47550,7 +47741,7 @@ into another (possibly the same) biological entity."></definition>
        </extension>
        <strength value="required"></strength>
        <description value="Biologically Derived Product Category."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/product-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/product-category|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="BiologicallyDerivedProduct.productCode">
@@ -47585,7 +47776,7 @@ into another (possibly the same) biological entity."></definition>
        </extension>
        <strength value="required"></strength>
        <description value="Biologically Derived Product Status."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/product-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/product-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="BiologicallyDerivedProduct.request">
@@ -47808,7 +47999,7 @@ into another (possibly the same) biological entity."></definition>
        </extension>
        <strength value="required"></strength>
        <description value="BiologicallyDerived Product Storage Scale."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/product-storage-scale|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/product-storage-scale|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="BiologicallyDerivedProduct.storage.duration">
@@ -47831,7 +48022,7 @@ into another (possibly the same) biological entity."></definition>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="BodyStructure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -47849,10 +48040,10 @@ into another (possibly the same) biological entity."></definition>
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/BodyStructure"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BodyStructure"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -47867,7 +48058,7 @@ into another (possibly the same) biological entity."></definition>
      </telecom>
     </contact>
     <description value="Record details about an anatomical structure.  This resource may be used when a coded concept does not provide the necessary detail needed for the use case."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -47982,7 +48173,7 @@ into another (possibly the same) biological entity."></definition>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -48817,7 +49008,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Bundle"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -48838,10 +49029,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Bundle"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Bundle"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -48856,7 +49047,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A container for a collection of resources."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -48991,7 +49182,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -49155,7 +49346,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the purpose of a bundle - how it is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/bundle-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/bundle-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -49278,7 +49469,7 @@ This specification defines some specific uses of Bundle.link for [searching](sea
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -49479,7 +49670,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -49686,7 +49877,7 @@ Note that the fullUrl is not the same as the canonical URL - it's an absolute ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -49813,7 +50004,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-entry-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-entry-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Bundle.entry.search.score">
@@ -49885,7 +50076,7 @@ See [Patient Match](patient-operation-match.html) for the EMPI search which rela
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -50011,7 +50202,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/http-verb|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/http-verb|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Bundle.entry.request.url">
@@ -50181,7 +50372,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -50550,7 +50741,7 @@ This outcome is not used for error responses in batch/transaction, only for hint
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the purpose of a bundle - how it is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/bundle-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/bundle-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -50729,7 +50920,7 @@ Note that the fullUrl is not the same as the canonical URL - it's an absolute ur
        </extension>
        <strength value="required"></strength>
        <description value="Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-entry-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-entry-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Bundle.entry.search.score">
@@ -50774,7 +50965,7 @@ See [Patient Match](patient-operation-match.html) for the EMPI search which rela
        </extension>
        <strength value="required"></strength>
        <description value="HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/http-verb|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/http-verb|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Bundle.entry.request.url">
@@ -50926,36 +51117,33 @@ This outcome is not used for error responses in batch/transaction, only for hint
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/StructureDefinition/CapabilityStatement"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
-    <id value="CapabilityStatement"></id>
+    <id value="CanonicalResource"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-interface">
+     <valueBoolean value="true"></valueBoolean>
+    </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
+     <valueCode value="4.2.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
-     <valueCode value="anonymous"></valueCode>
-    </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
-     <valueString value="Foundation.Conformance"></valueString>
-    </extension>
-    <url value="http://hl7.org/fhir/StructureDefinition/CapabilityStatement"></url>
-    <version value="4.1.0"></version>
-    <name value="CapabilityStatement"></name>
+    <url value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></url>
+    <version value="4.2.0"></version>
+    <name value="CanonicalResource"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -50969,13 +51157,8 @@ This outcome is not used for error responses in batch/transaction, only for hint
       <value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"></value>
      </telecom>
     </contact>
-    <description value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
-    <mapping>
-     <identity value="rim"></identity>
-     <uri value="http://hl7.org/v3"></uri>
-     <name value="RIM Mapping"></name>
-    </mapping>
+    <description value="Common Ancestor declaration for conformance and knowledge artifact resources."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -50991,84 +51174,35 @@ This outcome is not used for error responses in batch/transaction, only for hint
      <uri value="http://hl7.org/fhir/object-implementation"></uri>
      <name value="Object Implementation Information"></name>
     </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
     <kind value="resource"></kind>
-    <abstract value="false"></abstract>
-    <type value="CapabilityStatement"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <abstract value="true"></abstract>
+    <type value="CanonicalResource"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
-     <element id="CapabilityStatement">
-      <path value="CapabilityStatement"></path>
-      <short value="A statement of system capabilities"></short>
-      <definition value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation."></definition>
-      <comment value="Applications may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, then a CapabilityStatement describes the system's support for a particular version of FHIR, and the server will have multiple statements, one for each version."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
+     <element id="CanonicalResource">
+      <path value="CanonicalResource"></path>
+      <short value="Common Ancestor declaration for definitional resources"></short>
+      <definition value="Common Ancestor declaration for conformance and knowledge artifact resources."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
       <base>
-       <path value="CapabilityStatement"></path>
-       <min value="0"></min>
-       <max value="*"></max>
+       <path value="CanonicalResource"></path>
+       <min value="1"></min>
+       <max value="1"></max>
       </base>
       <constraint>
-       <key value="cpb-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
       </constraint>
-      <constraint>
-       <key value="cpb-1"></key>
-       <severity value="error"></severity>
-       <human value="A Capability Statement SHALL have at least one of REST, messaging or document element."></human>
-       <expression value="rest.exists() or messaging.exists() or document.exists()"></expression>
-       <xpath value="exists(f:rest) or exists(f:messaging) or exists(f:document)"></xpath>
-      </constraint>
-      <constraint>
-       <key value="cpb-2"></key>
-       <severity value="error"></severity>
-       <human value="A Capability Statement SHALL have at least one of description, software, or implementation element."></human>
-       <expression value="(description.count() + software.count() + implementation.count()) &gt; 0"></expression>
-       <xpath value="count(f:software | f:implementation | f:description) &gt; 0"></xpath>
-      </constraint>
-      <constraint>
-       <key value="cpb-3"></key>
-       <severity value="error"></severity>
-       <human value="Messaging end-point is required (and is only permitted) when a statement is for an implementation."></human>
-       <expression value="messaging.endpoint.empty() or kind = 'instance'"></expression>
-       <xpath value="not(exists(f:messaging/f:endpoint)) or f:kind/@value = 'instance'"></xpath>
-      </constraint>
-      <constraint>
-       <key value="cpb-7"></key>
-       <severity value="error"></severity>
-       <human value="The set of documents must be unique by the combination of profile and mode."></human>
-       <expression value="document.select(profile&amp;mode).isDistinct()"></expression>
-       <xpath value="count(f:document[f:mode/@value='producer'])=count(distinct-values(f:document[f:mode/@value='producer']/f:profile/f:reference/@value)) and count(f:document[f:mode/@value='consumer'])=count(distinct-values(f:document[f:mode/@value='consumer']/f:profile/f:reference/@value))"></xpath>
-      </constraint>
-      <constraint>
-       <key value="cpb-14"></key>
-       <severity value="error"></severity>
-       <human value="If kind = instance, implementation must be present and software may be present"></human>
-       <expression value="(kind != 'instance') or implementation.exists()"></expression>
-       <xpath value="not(f:kind/@value='instance') or exists(f:implementation)"></xpath>
-      </constraint>
-      <constraint>
-       <key value="cpb-15"></key>
-       <severity value="error"></severity>
-       <human value="If kind = capability, implementation must be absent, software must be present"></human>
-       <expression value="(kind != 'capability') or (implementation.exists().not() and software.exists())"></expression>
-       <xpath value=" not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"></xpath>
-      </constraint>
-      <constraint>
-       <key value="cpb-16"></key>
-       <severity value="error"></severity>
-       <human value="If kind = requirements, implementation and software must be absent"></human>
-       <expression value="(kind!='requirements') or (implementation.exists().not() and software.exists().not())"></expression>
-       <xpath value="not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"></xpath>
-      </constraint>
       <constraint>
        <key value="dom-2"></key>
        <severity value="error"></severity>
@@ -51121,6 +51255,1280 @@ This outcome is not used for error responses in batch/transaction, only for hint
        <identity value="rim"></identity>
        <map value="Entity. Role, or Act"></map>
       </mapping>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.id">
+      <path value="CanonicalResource.id"></path>
+      <short value="Logical id of this artifact"></short>
+      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."></definition>
+      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="id"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="CanonicalResource.meta">
+      <path value="CanonicalResource.meta"></path>
+      <short value="Metadata about the resource"></short>
+      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.meta"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="CanonicalResource.implicitRules">
+      <path value="CanonicalResource.implicitRules"></path>
+      <short value="A set of rules under which this content was created"></short>
+      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."></definition>
+      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.implicitRules"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"></isModifierReason>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="CanonicalResource.language">
+      <path value="CanonicalResource.language"></path>
+      <short value="Language of the resource content"></short>
+      <definition value="The base language in which the resource is written."></definition>
+      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.language"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+     <element id="CanonicalResource.text">
+      <path value="CanonicalResource.text"></path>
+      <short value="Text summary of the resource, for human interpretation"></short>
+      <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."></definition>
+      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."></comment>
+      <alias value="narrative"></alias>
+      <alias value="html"></alias>
+      <alias value="xhtml"></alias>
+      <alias value="display"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="DomainResource.text"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Narrative"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="Act.text?"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.contained">
+      <path value="CanonicalResource.contained"></path>
+      <short value="Contained, inline Resources"></short>
+      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."></definition>
+      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."></comment>
+      <alias value="inline resources"></alias>
+      <alias value="anonymous resources"></alias>
+      <alias value="contained resources"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DomainResource.contained"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Resource"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.extension">
+      <path value="CanonicalResource.extension"></path>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DomainResource.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.modifierExtension">
+      <path value="CanonicalResource.modifierExtension"></path>
+      <short value="Extensions that cannot be ignored"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
+
+Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DomainResource.modifierExtension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"></isModifierReason>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.url">
+      <path value="CanonicalResource.url"></path>
+      <short value="Canonical identifier for this {{title}}, represented as a URI (globally unique)"></short>
+      <definition value="An absolute URI that is used to identify this {{title}} when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this {{title}} is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the {{title}} is stored on different servers."></definition>
+      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.
+
+The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). 
+
+In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found."></comment>
+      <requirements value="Allows the {{title}} to be referenced by a single globally unique identifier."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.url"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.url"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.identifier"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.identifier">
+      <path value="CanonicalResource.identifier"></path>
+      <short value="Additional identifier for the {{title}}"></short>
+      <definition value="A formal identifier that is used to identify this {{title}} when it is represented in other formats, or referenced in a specification, model, design or an instance."></definition>
+      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this {{title}} outside of FHIR, where it is not possible to use the logical URI."></comment>
+      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated with the module."></requirements>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="CanonicalResource.identifier"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.identifier"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.identifier"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.version">
+      <path value="CanonicalResource.version"></path>
+      <short value="Business version of the {{title}}"></short>
+      <definition value="The identifier that is used to identify this version of the {{title}} when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the {{title}} author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."></definition>
+      <comment value="There may be different {{title}} instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the {{title}} with the format [url]|[version]."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.version"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.version"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.version"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.name">
+      <path value="CanonicalResource.name"></path>
+      <short value="Name for this {{title}} (computer friendly)"></short>
+      <definition value="A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation."></definition>
+      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly."></comment>
+      <requirements value="Support human navigation and code generation."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.name"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <condition value="cnl-0"></condition>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="CanonicalResource.title">
+      <path value="CanonicalResource.title"></path>
+      <short value="Name for this {{title}} (human friendly)"></short>
+      <definition value="A short, descriptive, user-friendly title for the {{title}}."></definition>
+      <comment value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.title"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.title"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.status">
+      <path value="CanonicalResource.status"></path>
+      <short value="draft | active | retired | unknown"></short>
+      <definition value="The status of this {{title}}. Enables tracking the life-cycle of the content."></definition>
+      <comment value="Allows filtering of {{title}}s that are appropriate for use versus not."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.status"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use a retired {{title}} without due consideration"></isModifierReason>
+      <isSummary value="true"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PublicationStatus"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The lifecycle status of an artifact."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.status"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.status"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.experimental">
+      <path value="CanonicalResource.experimental"></path>
+      <short value="For testing purposes, not real usage"></short>
+      <definition value="A Boolean value to indicate that this {{title}} is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage."></definition>
+      <comment value="Allows filtering of {{title}}s that are appropriate for use versus not."></comment>
+      <requirements value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level {{title}}."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.experimental"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.experimental"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.class"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.date">
+      <path value="CanonicalResource.date"></path>
+      <short value="Date last changed"></short>
+      <definition value="The date  (and optionally time) when the {{title}} was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the {{title}} changes."></definition>
+      <comment value="Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the {{title}}. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."></comment>
+      <alias value="Revision Date"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.date"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.date"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.recorded"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.publisher">
+      <path value="CanonicalResource.publisher"></path>
+      <short value="Name of the publisher (organization or individual)"></short>
+      <definition value="The name of the organization or individual that published the {{title}}."></definition>
+      <comment value="Usually an organization but may be an individual. The publisher (or steward) of the {{title}} is the organization or individual primarily responsible for the maintenance and upkeep of the {{title}}. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the {{title}}. This item SHOULD be populated unless the information is available from context."></comment>
+      <requirements value="Helps establish the &quot;authority/credibility&quot; of the {{title}}.  May also allow for contact."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.publisher"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.publisher"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.witness"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.contact">
+      <path value="CanonicalResource.contact"></path>
+      <short value="Contact details for the publisher"></short>
+      <definition value="Contact details to assist a user in finding and communicating with the publisher."></definition>
+      <comment value="May be a web site, an email address, a telephone number, etc."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="CanonicalResource.contact"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.contact"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.description">
+      <path value="CanonicalResource.description"></path>
+      <short value="Natural language description of the {{title}}"></short>
+      <definition value="A free text natural language description of the {{title}} from a consumer's perspective."></definition>
+      <comment value="This description can be used to capture details such as why the {{title}} was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the {{title}} as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the {{title}} is presumed to be the predominant language in the place the {{title}} was created)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.description"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.description"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.useContext">
+      <path value="CanonicalResource.useContext"></path>
+      <short value="The context that the content is intended to support"></short>
+      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate {{title}} instances."></definition>
+      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
+      <requirements value="Assist in searching for appropriate content."></requirements>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="CanonicalResource.useContext"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.useContext"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.jurisdiction">
+      <path value="CanonicalResource.jurisdiction"></path>
+      <short value="Intended jurisdiction for {{title}} (if applicable)"></short>
+      <definition value="A legal or geographic region in which the {{title}} is intended to be used."></definition>
+      <comment value="It may be possible for the {{title}} to be used in jurisdictions other than those for which it was originally designed or intended."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="CanonicalResource.jurisdiction"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Jurisdiction"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Countries and regions within which this artifact is targeted for use."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.jurisdiction"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.purpose">
+      <path value="CanonicalResource.purpose"></path>
+      <short value="Why this {{title}} is defined"></short>
+      <definition value="Explanation of why this {{title}} is needed and why it has been designed as it has."></definition>
+      <comment value="This element does not describe the usage of the {{title}}. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this {{title}}."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.purpose"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.purpose"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.why[x]"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.copyright">
+      <path value="CanonicalResource.copyright"></path>
+      <short value="Use and/or publishing restrictions"></short>
+      <definition value="A copyright statement relating to the {{title}} and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the {{title}}."></definition>
+      <requirements value="Consumers must be able to determine any legal restrictions on the use of the {{title}} and/or its content."></requirements>
+      <alias value="License"></alias>
+      <alias value="Restrictions"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CanonicalResource.copyright"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.copyright"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="CanonicalResource">
+      <path value="CanonicalResource"></path>
+      <short value="Common Ancestor declaration for definitional resources"></short>
+      <definition value="Common Ancestor declaration for conformance and knowledge artifact resources."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.url">
+      <path value="CanonicalResource.url"></path>
+      <short value="Canonical identifier for this {{title}}, represented as a URI (globally unique)"></short>
+      <definition value="An absolute URI that is used to identify this {{title}} when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this {{title}} is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the {{title}} is stored on different servers."></definition>
+      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.
+
+The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). 
+
+In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found."></comment>
+      <requirements value="Allows the {{title}} to be referenced by a single globally unique identifier."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.url"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.identifier"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.identifier">
+      <path value="CanonicalResource.identifier"></path>
+      <short value="Additional identifier for the {{title}}"></short>
+      <definition value="A formal identifier that is used to identify this {{title}} when it is represented in other formats, or referenced in a specification, model, design or an instance."></definition>
+      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this {{title}} outside of FHIR, where it is not possible to use the logical URI."></comment>
+      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated with the module."></requirements>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Identifier"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.identifier"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.identifier"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.version">
+      <path value="CanonicalResource.version"></path>
+      <short value="Business version of the {{title}}"></short>
+      <definition value="The identifier that is used to identify this version of the {{title}} when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the {{title}} author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."></definition>
+      <comment value="There may be different {{title}} instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the {{title}} with the format [url]|[version]."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.version"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.version"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.name">
+      <path value="CanonicalResource.name"></path>
+      <short value="Name for this {{title}} (computer friendly)"></short>
+      <definition value="A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation."></definition>
+      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly."></comment>
+      <requirements value="Support human navigation and code generation."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <condition value="cnl-0"></condition>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="CanonicalResource.title">
+      <path value="CanonicalResource.title"></path>
+      <short value="Name for this {{title}} (human friendly)"></short>
+      <definition value="A short, descriptive, user-friendly title for the {{title}}."></definition>
+      <comment value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.title"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.status">
+      <path value="CanonicalResource.status"></path>
+      <short value="draft | active | retired | unknown"></short>
+      <definition value="The status of this {{title}}. Enables tracking the life-cycle of the content."></definition>
+      <comment value="Allows filtering of {{title}}s that are appropriate for use versus not."></comment>
+      <min value="1"></min>
+      <max value="1"></max>
+      <type>
+       <code value="code"></code>
+      </type>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use a retired {{title}} without due consideration"></isModifierReason>
+      <isSummary value="true"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PublicationStatus"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="required"></strength>
+       <description value="The lifecycle status of an artifact."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.status"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.status"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.experimental">
+      <path value="CanonicalResource.experimental"></path>
+      <short value="For testing purposes, not real usage"></short>
+      <definition value="A Boolean value to indicate that this {{title}} is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage."></definition>
+      <comment value="Allows filtering of {{title}}s that are appropriate for use versus not."></comment>
+      <requirements value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level {{title}}."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="boolean"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.experimental"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.class"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.date">
+      <path value="CanonicalResource.date"></path>
+      <short value="Date last changed"></short>
+      <definition value="The date  (and optionally time) when the {{title}} was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the {{title}} changes."></definition>
+      <comment value="Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the {{title}}. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."></comment>
+      <alias value="Revision Date"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="dateTime"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.date"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.recorded"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.publisher">
+      <path value="CanonicalResource.publisher"></path>
+      <short value="Name of the publisher (organization or individual)"></short>
+      <definition value="The name of the organization or individual that published the {{title}}."></definition>
+      <comment value="Usually an organization but may be an individual. The publisher (or steward) of the {{title}} is the organization or individual primarily responsible for the maintenance and upkeep of the {{title}}. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the {{title}}. This item SHOULD be populated unless the information is available from context."></comment>
+      <requirements value="Helps establish the &quot;authority/credibility&quot; of the {{title}}.  May also allow for contact."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.publisher"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.witness"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.contact">
+      <path value="CanonicalResource.contact"></path>
+      <short value="Contact details for the publisher"></short>
+      <definition value="Contact details to assist a user in finding and communicating with the publisher."></definition>
+      <comment value="May be a web site, an email address, a telephone number, etc."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="ContactDetail"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.contact"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.description">
+      <path value="CanonicalResource.description"></path>
+      <short value="Natural language description of the {{title}}"></short>
+      <definition value="A free text natural language description of the {{title}} from a consumer's perspective."></definition>
+      <comment value="This description can be used to capture details such as why the {{title}} was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the {{title}} as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the {{title}} is presumed to be the predominant language in the place the {{title}} was created)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.description"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.useContext">
+      <path value="CanonicalResource.useContext"></path>
+      <short value="The context that the content is intended to support"></short>
+      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate {{title}} instances."></definition>
+      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
+      <requirements value="Assist in searching for appropriate content."></requirements>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.useContext"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.jurisdiction">
+      <path value="CanonicalResource.jurisdiction"></path>
+      <short value="Intended jurisdiction for {{title}} (if applicable)"></short>
+      <definition value="A legal or geographic region in which the {{title}} is intended to be used."></definition>
+      <comment value="It may be possible for the {{title}} to be used in jurisdictions other than those for which it was originally designed or intended."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Jurisdiction"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Countries and regions within which this artifact is targeted for use."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.jurisdiction"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.purpose">
+      <path value="CanonicalResource.purpose"></path>
+      <short value="Why this {{title}} is defined"></short>
+      <definition value="Explanation of why this {{title}} is needed and why it has been designed as it has."></definition>
+      <comment value="This element does not describe the usage of the {{title}}. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this {{title}}."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.purpose"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.why[x]"></map>
+      </mapping>
+     </element>
+     <element id="CanonicalResource.copyright">
+      <path value="CanonicalResource.copyright"></path>
+      <short value="Use and/or publishing restrictions"></short>
+      <definition value="A copyright statement relating to the {{title}} and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the {{title}}."></definition>
+      <requirements value="Consumers must be able to determine any legal restrictions on the use of the {{title}} and/or its content."></requirements>
+      <alias value="License"></alias>
+      <alias value="Restrictions"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.copyright"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/CapabilityStatement"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="CapabilityStatement"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
+     <valueCode value="anonymous"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
+     <valueString value="Foundation.Conformance"></valueString>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/CapabilityStatement"></url>
+    <version value="4.2.0"></version>
+    <name value="CapabilityStatement"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="w5"></identity>
+     <uri value="http://hl7.org/fhir/fivews"></uri>
+     <name value="FiveWs Pattern Mapping"></name>
+    </mapping>
+    <mapping>
+     <identity value="objimpl"></identity>
+     <uri value="http://hl7.org/fhir/object-implementation"></uri>
+     <name value="Object Implementation Information"></name>
+    </mapping>
+    <kind value="resource"></kind>
+    <abstract value="false"></abstract>
+    <type value="CapabilityStatement"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="CapabilityStatement">
+      <path value="CapabilityStatement"></path>
+      <short value="A statement of system capabilities"></short>
+      <definition value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation."></definition>
+      <comment value="Applications may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, then a CapabilityStatement describes the system's support for a particular version of FHIR, and the server will have multiple statements, one for each version."></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="CapabilityStatement"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-1"></key>
+       <severity value="error"></severity>
+       <human value="A Capability Statement SHALL have at least one of REST, messaging or document element."></human>
+       <expression value="rest.exists() or messaging.exists() or document.exists()"></expression>
+       <xpath value="exists(f:rest) or exists(f:messaging) or exists(f:document)"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-2"></key>
+       <severity value="error"></severity>
+       <human value="A Capability Statement SHALL have at least one of description, software, or implementation element."></human>
+       <expression value="(description.count() + software.count() + implementation.count()) &gt; 0"></expression>
+       <xpath value="count(f:software | f:implementation | f:description) &gt; 0"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-3"></key>
+       <severity value="error"></severity>
+       <human value="Messaging end-point is required (and is only permitted) when a statement is for an implementation."></human>
+       <expression value="messaging.endpoint.empty() or kind = 'instance'"></expression>
+       <xpath value="not(exists(f:messaging/f:endpoint)) or f:kind/@value = 'instance'"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-7"></key>
+       <severity value="error"></severity>
+       <human value="The set of documents must be unique by the combination of profile and mode."></human>
+       <expression value="document.select(profile&amp;mode).isDistinct()"></expression>
+       <xpath value="count(f:document[f:mode/@value='producer'])=count(distinct-values(f:document[f:mode/@value='producer']/f:profile/f:reference/@value)) and count(f:document[f:mode/@value='consumer'])=count(distinct-values(f:document[f:mode/@value='consumer']/f:profile/f:reference/@value))"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-14"></key>
+       <severity value="error"></severity>
+       <human value="If kind = instance, implementation must be present and software may be present"></human>
+       <expression value="(kind != 'instance') or implementation.exists()"></expression>
+       <xpath value="not(f:kind/@value='instance') or exists(f:implementation)"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-15"></key>
+       <severity value="error"></severity>
+       <human value="If kind = capability, implementation must be absent, software must be present"></human>
+       <expression value="(kind != 'capability') or (implementation.exists().not() and software.exists())"></expression>
+       <xpath value=" not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"></xpath>
+      </constraint>
+      <constraint>
+       <key value="cpb-16"></key>
+       <severity value="error"></severity>
+       <human value="If kind = requirements, implementation and software must be absent"></human>
+       <expression value="(kind!='requirements') or (implementation.exists().not() and software.exists().not())"></expression>
+       <xpath value="not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"></xpath>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
+      </mapping>
       <mapping>
        <identity value="rim"></identity>
        <map value="n/a"></map>
@@ -51141,7 +52549,7 @@ This outcome is not used for error responses in batch/transaction, only for hint
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -51472,7 +52880,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -51549,7 +52957,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -51907,7 +53315,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a capability statement is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.instantiates">
@@ -52012,7 +53420,7 @@ A capability statement that imports another CapabilityStatement automatically in
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -52226,7 +53634,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -52435,7 +53843,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.format">
@@ -52472,7 +53880,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.patchFormat">
@@ -52509,7 +53917,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.implementationGuide">
@@ -52587,7 +53995,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -52713,7 +54121,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mode of a RESTful capability statement."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.documentation">
@@ -52784,7 +54192,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -53012,7 +54420,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -53141,7 +54549,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.profile">
@@ -53270,7 +54678,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -53396,7 +54804,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the type or instance level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.interaction.documentation">
@@ -53459,7 +54867,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the system supports versioning for a resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/versioning-policy|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/versioning-policy|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.readHistory">
@@ -53583,7 +54991,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code that indicates how the server supports conditional read."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-read-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-read-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.conditionalUpdate">
@@ -53649,7 +55057,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code that indicates how the server supports conditional delete."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-delete-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-delete-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.referencePolicy">
@@ -53685,7 +55093,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A set of flags that defines how references are supported."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reference-handling-policy|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reference-handling-policy|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.searchInclude">
@@ -53787,7 +55195,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -53970,7 +55378,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.searchParam.documentation">
@@ -54041,7 +55449,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -54258,7 +55666,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -54384,7 +55792,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the system level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.interaction.documentation">
@@ -54532,7 +55940,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -54669,7 +56077,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -54915,7 +56323,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -55041,7 +56449,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mode of a message capability statement."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-capability-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-capability-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.messaging.supportedMessage.definition">
@@ -55114,7 +56522,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -55240,7 +56648,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether the application produces or consumes documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.document.documentation">
@@ -55304,6 +56712,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <comment value="Applications may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, then a CapabilityStatement describes the system's support for a particular version of FHIR, and the server will have multiple statements, one for each version."></comment>
       <min value="0"></min>
       <max value="*"></max>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
       <constraint>
        <key value="cpb-7"></key>
        <severity value="error"></severity>
@@ -55353,13 +56768,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <expression value="rest.exists() or messaging.exists() or document.exists()"></expression>
        <xpath value="exists(f:rest) or exists(f:messaging) or exists(f:document)"></xpath>
       </constraint>
-      <constraint>
-       <key value="cpb-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
       <mapping>
        <identity value="rim"></identity>
        <map value="n/a"></map>
@@ -55421,7 +56829,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="CapabilityStatement.title">
@@ -55462,7 +56870,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -55677,7 +57085,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a capability statement is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.instantiates">
@@ -55829,7 +57237,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.format">
@@ -55852,7 +57260,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.patchFormat">
@@ -55875,7 +57283,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.implementationGuide">
@@ -55926,7 +57334,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="The mode of a RESTful capability statement."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.documentation">
@@ -56032,7 +57440,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.profile">
@@ -56103,7 +57511,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the type or instance level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.interaction.documentation">
@@ -56136,7 +57544,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="How the system supports versioning for a resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/versioning-policy|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/versioning-policy|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.readHistory">
@@ -56200,7 +57608,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="A code that indicates how the server supports conditional read."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-read-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-read-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.conditionalUpdate">
@@ -56236,7 +57644,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="A code that indicates how the server supports conditional delete."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-delete-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conditional-delete-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.referencePolicy">
@@ -56257,7 +57665,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="A set of flags that defines how references are supported."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reference-handling-policy|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reference-handling-policy|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.searchInclude">
@@ -56341,7 +57749,7 @@ A capability statement that imports another CapabilityStatement automatically in
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.resource.searchParam.documentation">
@@ -56431,7 +57839,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the system level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.rest.interaction.documentation">
@@ -56579,7 +57987,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
        </extension>
        <strength value="required"></strength>
        <description value="The mode of a message capability statement."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-capability-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-capability-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.messaging.supportedMessage.definition">
@@ -56625,7 +58033,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
        </extension>
        <strength value="required"></strength>
        <description value="Whether the application produces or consumes documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement.document.documentation">
@@ -56661,7 +58069,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CapabilityStatement2"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -56679,10 +58087,10 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CapabilityStatement2"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CapabilityStatement2"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -56697,7 +58105,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
      </telecom>
     </contact>
     <description value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -56721,11 +58129,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="CapabilityStatement2"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="CapabilityStatement2">
@@ -56741,7 +58145,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="cp2-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -56782,57 +58186,11 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
        <expression value="(kind!='requirements') or (implementation.exists().not() and software.exists().not())"></expression>
        <xpath value="not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -56854,7 +58212,7 @@ If an operation that is listed in multiple CapabilityStatement.rest.resource.ope
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -57185,7 +58543,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -57262,7 +58620,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -57617,7 +58975,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a capability statement is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.instantiates">
@@ -57722,7 +59080,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -57936,7 +59294,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -58145,7 +59503,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.format">
@@ -58182,7 +59540,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.patchFormat">
@@ -58219,7 +59577,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.implementationGuide">
@@ -58297,7 +59655,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -58423,7 +59781,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mode of a RESTful capability statement."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.documentation">
@@ -58499,7 +59857,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -58628,7 +59986,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.resource.profile">
@@ -58757,7 +60115,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -58883,7 +60241,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the type or instance level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.resource.interaction.documentation">
@@ -58953,7 +60311,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -59136,7 +60494,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.resource.searchParam.documentation">
@@ -59207,7 +60565,7 @@ If an operation that is listed in multiple CapabilityStatement2.rest.resource.op
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -59424,7 +60782,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -59550,7 +60908,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the system level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.interaction.documentation">
@@ -59662,6 +61020,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <comment value="Applications may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement2-operation-versions.html) operation). If they do, then a CapabilityStatement2 describes the system's support for a particular version of FHIR, and the server will have multiple statements, one for each version."></comment>
       <min value="0"></min>
       <max value="*"></max>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
       <constraint>
        <key value="cp2-14"></key>
        <severity value="error"></severity>
@@ -59690,13 +61055,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <expression value="(kind != 'capability') or (implementation.exists().not() and software.exists())"></expression>
        <xpath value=" not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"></xpath>
       </constraint>
-      <constraint>
-       <key value="cp2-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
       <constraint>
        <key value="cp2-1"></key>
        <severity value="error"></severity>
@@ -59765,7 +61123,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="CapabilityStatement2.title">
@@ -59806,7 +61164,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -60018,7 +61376,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a capability statement is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.instantiates">
@@ -60170,7 +61528,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.format">
@@ -60193,7 +61551,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.patchFormat">
@@ -60216,7 +61574,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.implementationGuide">
@@ -60267,7 +61625,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="The mode of a RESTful capability statement."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.documentation">
@@ -60318,7 +61676,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.resource.profile">
@@ -60389,7 +61747,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the type or instance level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.resource.interaction.documentation">
@@ -60456,7 +61814,7 @@ A capability statement that imports another CapabilityStatement2 automatically i
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.resource.searchParam.documentation">
@@ -60546,7 +61904,7 @@ If an operation that is listed in multiple CapabilityStatement2.rest.resource.op
        </extension>
        <strength value="required"></strength>
        <description value="Operations supported by REST at the system level."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CapabilityStatement2.rest.interaction.documentation">
@@ -60600,7 +61958,7 @@ If an operation that is listed in multiple CapabilityStatement2.rest.resource.op
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CarePlan"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -60618,10 +61976,10 @@ If an operation that is listed in multiple CapabilityStatement2.rest.resource.op
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CarePlan"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlan"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -60636,7 +61994,7 @@ If an operation that is listed in multiple CapabilityStatement2.rest.resource.op
      </telecom>
     </contact>
     <description value="Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -60751,7 +62109,7 @@ If an operation that is listed in multiple CapabilityStatement2.rest.resource.op
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -61244,7 +62602,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -61297,7 +62655,7 @@ This element is expected to be immutable. E.g. A &quot;proposal&quot; instance s
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a care plan."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -61680,21 +63038,22 @@ This element is expected to be immutable. E.g. A &quot;proposal&quot; instance s
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="CarePlan.addressesCode">
-      <path value="CarePlan.addressesCode"></path>
+     <element id="CarePlan.addresses">
+      <path value="CarePlan.addresses"></path>
       <short value="Health issues this plan addresses"></short>
       <definition value="Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan."></definition>
-      <comment value="Use CarePlan.addressesCode when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addressesReference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addressesCode and CarePlan.addressesReference are not meant to be duplicative. For a single concern, either CarePlan.addressesCode or CarePlan.addressesReference can be used. CarePlan.addressesCode may be a summary code, or CarePlan.addressesReference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addressesCode and CarePlan.addressesReference can be used if they are describing different concerns for the care plan."></comment>
+      <comment value="Use CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan."></comment>
       <requirements value="The element can identify risks addressed by the plan as well as concerns.  Also scopes plans - multiple plans may exist addressing different concerns."></requirements>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="CarePlan.addressesCode"></path>
+       <path value="CarePlan.addresses"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -61731,50 +63090,6 @@ This element is expected to be immutable. E.g. A &quot;proposal&quot; instance s
        <map value=".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"></map>
       </mapping>
      </element>
-     <element id="CarePlan.addressesReference">
-      <path value="CarePlan.addressesReference"></path>
-      <short value="Health issues this plan addresses"></short>
-      <definition value="Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan."></definition>
-      <comment value="When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.  Use CarePlan.addressesCode when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addressesReference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addressesCode and CarePlan.addressesReference are not meant to be duplicative. For a single concern, either CarePlan.addressesCode or CarePlan.addressesReference can be used. CarePlan.addressesCode may be a summary code, or CarePlan.addressesReference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addressesCode and CarePlan.addressesReference can be used if they are describing different concerns for the care plan."></comment>
-      <requirements value="Links plan to the conditions it manages.  The element can identify risks addressed by the plan as well as active conditions.  (The Condition resource can include things like &quot;at risk for hypertension&quot; or &quot;fall risk&quot;.)  Also scopes plans - multiple plans may exist addressing different concerns."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="CarePlan.addressesReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="PRB-4"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"></map>
-      </mapping>
-     </element>
      <element id="CarePlan.supportingInfo">
       <path value="CarePlan.supportingInfo"></path>
       <short value="Information considered as part of plan"></short>
@@ -61900,7 +63215,7 @@ NOTE: This is a list of contained Request-Event tuples!}"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -61996,20 +63311,22 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="N/A"></map>
       </mapping>
      </element>
-     <element id="CarePlan.activity.outcomeCodeableConcept">
-      <path value="CarePlan.activity.outcomeCodeableConcept"></path>
-      <short value="Results of the activity"></short>
-      <definition value="Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not)."></definition>
-      <comment value="Note that this should not duplicate the activity status (e.g. completed or in progress)."></comment>
+     <element id="CarePlan.activity.outcome">
+      <path value="CarePlan.activity.outcome"></path>
+      <short value="Results of the activity (concept, or Appointment, Encounter, Procedure, etc)"></short>
+      <definition value="Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not).  The reference to an &quot;event&quot; resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource)."></definition>
+      <comment value="Note that this should not duplicate the activity status (e.g. completed or in progress).  The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured."></comment>
+      <requirements value="Links plan to resulting actions."></requirements>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="CarePlan.activity.outcomeCodeableConcept"></path>
+       <path value="CarePlan.activity.outcome"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -62029,34 +63346,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <description value="Identifies the results of the activity."></description>
        <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-outcome"></valueSet>
       </binding>
-     </element>
-     <element id="CarePlan.activity.outcomeReference">
-      <path value="CarePlan.activity.outcomeReference"></path>
-      <short value="Appointment, Encounter, Procedure, etc."></short>
-      <definition value="Details of the outcome or action resulting from the activity.  The reference to an &quot;event&quot; resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource)."></definition>
-      <comment value="The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured."></comment>
-      <requirements value="Links plan to resulting actions."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="CarePlan.activity.outcomeReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
        <map value="{Event that is outcome of Request in activity.reference}"></map>
@@ -62193,7 +63482,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -62320,7 +63609,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -62448,20 +63737,24 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".code"></map>
       </mapping>
      </element>
-     <element id="CarePlan.activity.detail.reasonCode">
-      <path value="CarePlan.activity.detail.reasonCode"></path>
+     <element id="CarePlan.activity.detail.reason">
+      <path value="CarePlan.activity.detail.reason"></path>
       <short value="Why activity should be done or why activity was prohibited"></short>
-      <definition value="Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited."></definition>
-      <comment value="This could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead."></comment>
+      <definition value="Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited - either a coded concept, or another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan."></definition>
+      <comment value="This could be a diagnosis code.  If a full condition record exists, us reason.reference instead. Conditions can be identified at the activity level that are not identified as reasons for the overall plan."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="CarePlan.activity.detail.reasonCode"></path>
+       <path value="CarePlan.activity.detail.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -62486,40 +63779,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Request.reasonCode"></map>
       </mapping>
      </element>
-     <element id="CarePlan.activity.detail.reasonReference">
-      <path value="CarePlan.activity.detail.reasonReference"></path>
-      <short value="Why activity is needed"></short>
-      <definition value="Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan."></definition>
-      <comment value="Conditions can be identified at the activity level that are not identified as reasons for the overall plan."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="CarePlan.activity.detail.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-     </element>
      <element id="CarePlan.activity.detail.goal">
       <path value="CarePlan.activity.detail.goal"></path>
       <short value="Goals this activity relates to"></short>
@@ -62585,7 +63844,7 @@ The unknown code is not to be used to convey other statuses.  The unknown code s
        </extension>
        <strength value="required"></strength>
        <description value="Codes that reflect the current state of a care plan activity within its overall life cycle."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -63208,7 +64467,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -63248,7 +64507,7 @@ This element is expected to be immutable. E.g. A &quot;proposal&quot; instance s
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a care plan."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -63489,16 +64748,17 @@ This element is expected to be immutable. E.g. A &quot;proposal&quot; instance s
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="CarePlan.addressesCode">
-      <path value="CarePlan.addressesCode"></path>
+     <element id="CarePlan.addresses">
+      <path value="CarePlan.addresses"></path>
       <short value="Health issues this plan addresses"></short>
       <definition value="Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan."></definition>
-      <comment value="Use CarePlan.addressesCode when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addressesReference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addressesCode and CarePlan.addressesReference are not meant to be duplicative. For a single concern, either CarePlan.addressesCode or CarePlan.addressesReference can be used. CarePlan.addressesCode may be a summary code, or CarePlan.addressesReference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addressesCode and CarePlan.addressesReference can be used if they are describing different concerns for the care plan."></comment>
+      <comment value="Use CarePlan.addresses.concept when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addresses.reference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addresses.concept and CarePlan.addresses.reference are not meant to be duplicative. For a single concern, either CarePlan.addresses.concept or CarePlan.addresses.reference can be used. CarePlan.addresses.concept may be a summary code, or CarePlan.addresses.reference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addresses.concept and CarePlan.addresses.reference can be used if they are describing different concerns for the care plan."></comment>
       <requirements value="The element can identify risks addressed by the plan as well as concerns.  Also scopes plans - multiple plans may exist addressing different concerns."></requirements>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -63526,36 +64786,6 @@ This element is expected to be immutable. E.g. A &quot;proposal&quot; instance s
        <map value=".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"></map>
       </mapping>
      </element>
-     <element id="CarePlan.addressesReference">
-      <path value="CarePlan.addressesReference"></path>
-      <short value="Health issues this plan addresses"></short>
-      <definition value="Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan."></definition>
-      <comment value="When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.  Use CarePlan.addressesCode when a code sufficiently describes the concern (e.g. condition, problem, diagnosis, risk). Use CarePlan.addressesReference when referencing a resource, which allows more information to be conveyed, such as onset date. CarePlan.addressesCode and CarePlan.addressesReference are not meant to be duplicative. For a single concern, either CarePlan.addressesCode or CarePlan.addressesReference can be used. CarePlan.addressesCode may be a summary code, or CarePlan.addressesReference may be used to reference a very precise definition of the concern using Condition. Both CarePlan.addressesCode and CarePlan.addressesReference can be used if they are describing different concerns for the care plan."></comment>
-      <requirements value="Links plan to the conditions it manages.  The element can identify risks addressed by the plan as well as active conditions.  (The Condition resource can include things like &quot;at risk for hypertension&quot; or &quot;fall risk&quot;.)  Also scopes plans - multiple plans may exist addressing different concerns."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="PRB-4"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"></map>
-      </mapping>
-     </element>
      <element id="CarePlan.supportingInfo">
       <path value="CarePlan.supportingInfo"></path>
       <short value="Information considered as part of plan"></short>
@@ -63621,15 +64851,17 @@ NOTE: This is a list of contained Request-Event tuples!}"></map>
        <map value=".outboundRelationship[typeCode=COMP].target"></map>
       </mapping>
      </element>
-     <element id="CarePlan.activity.outcomeCodeableConcept">
-      <path value="CarePlan.activity.outcomeCodeableConcept"></path>
-      <short value="Results of the activity"></short>
-      <definition value="Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not)."></definition>
-      <comment value="Note that this should not duplicate the activity status (e.g. completed or in progress)."></comment>
+     <element id="CarePlan.activity.outcome">
+      <path value="CarePlan.activity.outcome"></path>
+      <short value="Results of the activity (concept, or Appointment, Encounter, Procedure, etc)"></short>
+      <definition value="Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not).  The reference to an &quot;event&quot; resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource)."></definition>
+      <comment value="Note that this should not duplicate the activity status (e.g. completed or in progress).  The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured."></comment>
+      <requirements value="Links plan to resulting actions."></requirements>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -63639,19 +64871,6 @@ NOTE: This is a list of contained Request-Event tuples!}"></map>
        <description value="Identifies the results of the activity."></description>
        <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-outcome"></valueSet>
       </binding>
-     </element>
-     <element id="CarePlan.activity.outcomeReference">
-      <path value="CarePlan.activity.outcomeReference"></path>
-      <short value="Appointment, Encounter, Procedure, etc."></short>
-      <definition value="Details of the outcome or action resulting from the activity.  The reference to an &quot;event&quot; resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource)."></definition>
-      <comment value="The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured."></comment>
-      <requirements value="Links plan to resulting actions."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
-      </type>
       <mapping>
        <identity value="workflow"></identity>
        <map value="{Event that is outcome of Request in activity.reference}"></map>
@@ -63744,7 +64963,7 @@ NOTE: This is a list of contained Request-Event tuples!}"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -63827,15 +65046,19 @@ NOTE: This is a list of contained Request-Event tuples!}"></map>
        <map value=".code"></map>
       </mapping>
      </element>
-     <element id="CarePlan.activity.detail.reasonCode">
-      <path value="CarePlan.activity.detail.reasonCode"></path>
+     <element id="CarePlan.activity.detail.reason">
+      <path value="CarePlan.activity.detail.reason"></path>
       <short value="Why activity should be done or why activity was prohibited"></short>
-      <definition value="Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited."></definition>
-      <comment value="This could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead."></comment>
+      <definition value="Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited - either a coded concept, or another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan."></definition>
+      <comment value="This could be a diagnosis code.  If a full condition record exists, us reason.reference instead. Conditions can be identified at the activity level that are not identified as reasons for the overall plan."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -63850,25 +65073,6 @@ NOTE: This is a list of contained Request-Event tuples!}"></map>
        <map value="Request.reasonCode"></map>
       </mapping>
      </element>
-     <element id="CarePlan.activity.detail.reasonReference">
-      <path value="CarePlan.activity.detail.reasonReference"></path>
-      <short value="Why activity is needed"></short>
-      <definition value="Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan."></definition>
-      <comment value="Conditions can be identified at the activity level that are not identified as reasons for the overall plan."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-     </element>
      <element id="CarePlan.activity.detail.goal">
       <path value="CarePlan.activity.detail.goal"></path>
       <short value="Goals this activity relates to"></short>
@@ -63905,7 +65109,7 @@ The unknown code is not to be used to convey other statuses.  The unknown code s
        </extension>
        <strength value="required"></strength>
        <description value="Codes that reflect the current state of a care plan activity within its overall life cycle."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -64202,7 +65406,7 @@ The unknown code is not to be used to convey other statuses.  The unknown code s
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CareTeam"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -64220,10 +65424,10 @@ The unknown code is not to be used to convey other statuses.  The unknown code s
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CareTeam"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CareTeam"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -64238,7 +65442,7 @@ The unknown code is not to be used to convey other statuses.  The unknown code s
      </telecom>
     </contact>
     <description value="The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -64352,7 +65556,7 @@ The unknown code is not to be used to convey other statuses.  The unknown code s
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -64661,7 +65865,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the status of the care team."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -64865,7 +66069,7 @@ Allows for an organization to designate a team such as the PICC line team."></re
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -65106,19 +66310,20 @@ Member is optional because some participants may be known only by their role, pa
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
      </element>
-     <element id="CareTeam.reasonCode">
-      <path value="CareTeam.reasonCode"></path>
+     <element id="CareTeam.reason">
+      <path value="CareTeam.reason"></path>
       <short value="Why the care team exists"></short>
       <definition value="Describes why the care team exists."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="CareTeam.reasonCode"></path>
+       <path value="CareTeam.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -65143,36 +66348,6 @@ Member is optional because some participants may be known only by their role, pa
        <map value="FiveWs.why[x]"></map>
       </mapping>
      </element>
-     <element id="CareTeam.reasonReference">
-      <path value="CareTeam.reasonReference"></path>
-      <short value="Why the care team exists"></short>
-      <definition value="Condition(s) that this care team addresses."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="CareTeam.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
      <element id="CareTeam.managingOrganization">
       <path value="CareTeam.managingOrganization"></path>
       <short value="Organization responsible for the care team"></short>
@@ -65308,7 +66483,7 @@ Member is optional because some participants may be known only by their role, pa
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the status of the care team."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -65514,14 +66689,15 @@ Member is optional because some participants may be known only by their role, pa
        <code value="Timing"></code>
       </type>
      </element>
-     <element id="CareTeam.reasonCode">
-      <path value="CareTeam.reasonCode"></path>
+     <element id="CareTeam.reason">
+      <path value="CareTeam.reason"></path>
       <short value="Why the care team exists"></short>
       <definition value="Describes why the care team exists."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -65536,21 +66712,6 @@ Member is optional because some participants may be known only by their role, pa
        <map value="FiveWs.why[x]"></map>
       </mapping>
      </element>
-     <element id="CareTeam.reasonReference">
-      <path value="CareTeam.reasonReference"></path>
-      <short value="Why the care team exists"></short>
-      <definition value="Condition(s) that this care team addresses."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
      <element id="CareTeam.managingOrganization">
       <path value="CareTeam.managingOrganization"></path>
       <short value="Organization responsible for the care team"></short>
@@ -65595,7 +66756,7 @@ Member is optional because some participants may be known only by their role, pa
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CatalogEntry"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -65613,10 +66774,10 @@ Member is optional because some participants may be known only by their role, pa
      <valueString value="Foundation.Documents"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CatalogEntry"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CatalogEntry"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -65631,7 +66792,7 @@ Member is optional because some participants may be known only by their role, pa
      </telecom>
     </contact>
     <description value="Catalog entries are wrappers that contextualize items included in a catalog."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -65731,7 +66892,7 @@ Member is optional because some participants may be known only by their role, pa
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -66065,7 +67226,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of resources that can be attached to catalog entries."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CatalogEntry.status">
@@ -66103,7 +67264,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Public usability statuses for catalog entries."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CatalogEntry.effectivePeriod">
@@ -66242,7 +67403,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -66368,7 +67529,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of relationships between entries."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-relation-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-relation-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CatalogEntry.relatedEntry.target">
@@ -66686,7 +67847,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of resources that can be attached to catalog entries."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CatalogEntry.status">
@@ -66711,7 +67872,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Public usability statuses for catalog entries."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CatalogEntry.effectivePeriod">
@@ -66793,7 +67954,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of relationships between entries."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-relation-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-relation-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CatalogEntry.relatedEntry.target">
@@ -66925,7 +68086,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ChargeItem"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -66943,10 +68104,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Financial.General"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ChargeItem"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ChargeItem"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -66961,7 +68122,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -67079,7 +68240,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -67472,7 +68633,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of a ChargeItem."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -67776,7 +68937,7 @@ This element is labeled as a modifier because the status contains the code enter
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -68647,7 +69808,7 @@ This element is labeled as a modifier because the status contains the code enter
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of a ChargeItem."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -69268,7 +70429,7 @@ This element is labeled as a modifier because the status contains the code enter
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ChargeItemDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -69286,10 +70447,10 @@ This element is labeled as a modifier because the status contains the code enter
      <valueString value="Financial.General"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ChargeItemDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -69304,7 +70465,7 @@ This element is labeled as a modifier because the status contains the code enter
      </telecom>
     </contact>
     <description value="The ChargeItemDefinition resource provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -69328,11 +70489,7 @@ This element is labeled as a modifier because the status contains the code enter
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ChargeItemDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ChargeItemDefinition">
@@ -69347,63 +70504,17 @@ This element is labeled as a modifier because the status contains the code enter
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="cid-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -69425,7 +70536,7 @@ This element is labeled as a modifier because the status contains the code enter
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -69953,7 +71064,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -70504,7 +71615,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -70733,7 +71844,7 @@ FHIRPath expressions can traverse into other resources linked from the ChargeIte
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -70901,7 +72012,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -71027,7 +72138,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the kind of the price component."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -71130,7 +72241,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="cid-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -71316,7 +72427,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -71751,7 +72862,7 @@ FHIRPath expressions can traverse into other resources linked from the ChargeIte
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the kind of the price component."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -71810,7 +72921,7 @@ FHIRPath expressions can traverse into other resources linked from the ChargeIte
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Claim"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -71828,10 +72939,10 @@ FHIRPath expressions can traverse into other resources linked from the ChargeIte
      <valueString value="Financial.Billing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Claim"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Claim"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -71847,7 +72958,7 @@ FHIRPath expressions can traverse into other resources linked from the ChargeIte
     </contact>
     <description value="A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement."></description>
     <purpose value="The Claim resource is used by providers to exchange services and products rendered to patients or planned to be rendered with insurers for reimbuserment. It is also used by insurers to exchange claims information with statutory reporting and data analytics firms."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -71956,7 +73067,7 @@ FHIRPath expressions can traverse into other resources linked from the ChargeIte
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -72266,7 +73377,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -72386,7 +73497,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The purpose of the Claim: predetermination, preauthorization, claim."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -72720,7 +73831,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -73013,7 +74124,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -73285,7 +74396,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -73589,7 +74700,7 @@ Value codes"></alias>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -73931,7 +75042,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -74240,7 +75351,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -74537,7 +75648,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -74873,7 +75984,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -75104,7 +76215,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -75864,7 +76975,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -76341,7 +77452,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -76854,7 +77965,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -76931,7 +78042,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The purpose of the Claim: predetermination, preauthorization, claim."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -78611,7 +79722,7 @@ Value codes"></alias>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ClaimResponse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -78629,10 +79740,10 @@ Value codes"></alias>
      <valueString value="Financial.Billing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimResponse"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -78647,7 +79758,7 @@ Value codes"></alias>
      </telecom>
     </contact>
     <description value="This resource provides the adjudication details from the processing of a Claim resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -78753,7 +79864,7 @@ Value codes"></alias>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -79062,7 +80173,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -79182,7 +80293,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Claim, preauthorization, predetermination."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -79388,7 +80499,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The result of the claim processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ClaimResponse.disposition">
@@ -79555,7 +80666,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -79747,7 +80858,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -80011,7 +81122,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -80226,7 +81337,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -80441,7 +81552,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -81123,7 +82234,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -81500,7 +82611,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -81903,7 +83014,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -82104,7 +83215,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -82521,7 +83632,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -82677,7 +83788,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The presentation types of notes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ClaimResponse.processNote.text">
@@ -82824,7 +83935,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -83099,7 +84210,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -83360,7 +84471,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -83437,7 +84548,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Claim, preauthorization, predetermination."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -83558,7 +84669,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The result of the claim processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ClaimResponse.disposition">
@@ -84645,7 +85756,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The presentation types of notes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ClaimResponse.processNote.text">
@@ -84853,7 +85964,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ClinicalImpression"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -84871,10 +85982,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClinicalImpression"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -84889,7 +86000,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,  but this varies greatly depending on the clinical workflow. This resource is called &quot;ClinicalImpression&quot; rather than &quot;ClinicalAssessment&quot; to avoid confusion with the recording of assessment tools such as Apgar score."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -85003,7 +86114,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -85316,7 +86427,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The workflow state of a clinical impression."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -85745,7 +86856,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -85841,19 +86952,22 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="N/A"></map>
       </mapping>
      </element>
-     <element id="ClinicalImpression.finding.itemCodeableConcept">
-      <path value="ClinicalImpression.finding.itemCodeableConcept"></path>
+     <element id="ClinicalImpression.finding.item">
+      <path value="ClinicalImpression.finding.item"></path>
       <short value="What was found"></short>
-      <definition value="Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions."></definition>
+      <definition value="Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
-       <path value="ClinicalImpression.finding.itemCodeableConcept"></path>
+       <path value="ClinicalImpression.finding.item"></path>
        <min value="0"></min>
        <max value="1"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -85878,38 +86992,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="OBX"></map>
       </mapping>
      </element>
-     <element id="ClinicalImpression.finding.itemReference">
-      <path value="ClinicalImpression.finding.itemReference"></path>
-      <short value="What was found"></short>
-      <definition value="Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="ClinicalImpression.finding.itemReference"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="OBX"></map>
-      </mapping>
-     </element>
      <element id="ClinicalImpression.finding.basis">
       <path value="ClinicalImpression.finding.basis"></path>
       <short value="Which investigations support finding"></short>
@@ -86115,7 +87197,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The workflow state of a clinical impression."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -86356,14 +87438,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="BackboneElement"></code>
       </type>
      </element>
-     <element id="ClinicalImpression.finding.itemCodeableConcept">
-      <path value="ClinicalImpression.finding.itemCodeableConcept"></path>
+     <element id="ClinicalImpression.finding.item">
+      <path value="ClinicalImpression.finding.item"></path>
       <short value="What was found"></short>
-      <definition value="Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions."></definition>
+      <definition value="Specific text, code or reference for finding or diagnosis, which may include ruled-out or resolved conditions."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -86378,23 +87463,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="OBX"></map>
       </mapping>
      </element>
-     <element id="ClinicalImpression.finding.itemReference">
-      <path value="ClinicalImpression.finding.itemReference"></path>
-      <short value="What was found"></short>
-      <definition value="Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="OBX"></map>
-      </mapping>
-     </element>
      <element id="ClinicalImpression.finding.basis">
       <path value="ClinicalImpression.finding.basis"></path>
       <short value="Which investigations support finding"></short>
@@ -86474,7 +87542,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ClinicalUseIssue"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -86492,10 +87560,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClinicalUseIssue"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -86510,7 +87578,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A single usage issue - either an indication, contraindication, interaction or an undesirable effect for a medicinal product, medication, device or procedure."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -86601,7 +87669,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -86898,7 +87966,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Overall defining type of this clinical use issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/clinical-use-issue-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/clinical-use-issue-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ClinicalUseIssue.subject">
@@ -86970,7 +88038,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="1"></max>
       </base>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -87023,7 +88091,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -87260,7 +88328,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -87453,7 +88521,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -87763,7 +88831,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -87899,7 +88967,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -88192,7 +89260,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -88399,7 +89467,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Overall defining type of this clinical use issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/clinical-use-issue-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/clinical-use-issue-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ClinicalUseIssue.subject">
@@ -88438,7 +89506,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <isSummary value="true"></isSummary>
      </element>
@@ -88774,7 +89842,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CodeSystem"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -88795,10 +89863,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Terminology"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CodeSystem"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CodeSystem"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Vocabulary)"></publisher>
     <contact>
      <telecom>
@@ -88813,7 +89881,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -88837,11 +89905,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="CodeSystem"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="CodeSystem">
@@ -88856,7 +89920,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="csd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -88869,57 +89933,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <expression value="concept.code.combine($this.descendants().concept.code).isDistinct()"></expression>
        <xpath value="count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -88941,7 +89959,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -89311,7 +90329,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -89388,7 +90406,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -89804,7 +90822,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The meaning of the hierarchy of concepts in a code system."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.compositional">
@@ -89892,7 +90910,7 @@ Most code systems occasionally refine the displays defined for concepts between
        </extension>
        <strength value="required"></strength>
        <description value="The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.supplements">
@@ -89989,7 +91007,7 @@ Most code systems occasionally refine the displays defined for concepts between
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -90165,7 +91183,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of operation to perform as a part of a property based filter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.filter.value">
@@ -90236,7 +91254,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -90437,7 +91455,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of a property value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.concept">
@@ -90484,7 +91502,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -90697,7 +91715,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -90935,7 +91953,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -91138,7 +92156,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <xpath value="count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)"></xpath>
       </constraint>
       <constraint>
-       <key value="csd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -91230,7 +92248,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="CodeSystem.title">
@@ -91271,7 +92289,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -91516,7 +92534,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The meaning of the hierarchy of concepts in a code system."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.compositional">
@@ -91562,7 +92580,7 @@ Most code systems occasionally refine the displays defined for concepts between
        </extension>
        <strength value="required"></strength>
        <description value="The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.supplements">
@@ -91640,7 +92658,7 @@ Most code systems occasionally refine the displays defined for concepts between
        </extension>
        <strength value="required"></strength>
        <description value="The kind of operation to perform as a part of a property based filter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.filter.value">
@@ -91717,7 +92735,7 @@ Most code systems occasionally refine the displays defined for concepts between
        </extension>
        <strength value="required"></strength>
        <description value="The type of a property value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CodeSystem.concept">
@@ -91899,7 +92917,7 @@ Most code systems occasionally refine the displays defined for concepts between
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Communication"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -91917,10 +92935,10 @@ Most code systems occasionally refine the displays defined for concepts between
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Communication"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Communication"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -91935,7 +92953,7 @@ Most code systems occasionally refine the displays defined for concepts between
      </telecom>
     </contact>
     <description value="An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency communication to a provider/reporter in response to a case report for a reportable condition."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -92040,7 +93058,7 @@ Most code systems occasionally refine the displays defined for concepts between
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -92511,7 +93529,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the communication."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -92632,7 +93650,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the relative importance of a communication."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -92968,20 +93986,21 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="Communication.reasonCode">
-      <path value="Communication.reasonCode"></path>
+     <element id="Communication.reason">
+      <path value="Communication.reason"></path>
       <short value="Indication for message"></short>
       <definition value="The reason or justification for the communication."></definition>
-      <comment value="Textual reasons can be captured using reasonCode.text."></comment>
+      <comment value="Textual reasons can be captured using reason.concept.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Communication.reasonCode"></path>
+       <path value="Communication.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -93014,44 +94033,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="Communication.reasonReference">
-      <path value="Communication.reasonReference"></path>
-      <short value="Why was communication done?"></short>
-      <definition value="Indicates another resource whose existence justifies this communication."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Communication.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="Communication.payload">
       <path value="Communication.payload"></path>
       <short value="Message payload"></short>
@@ -93092,7 +94073,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -93398,7 +94379,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        </extension>
        <strength value="required"></strength>
        <description value="The status of the communication."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -93476,7 +94457,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the relative importance of a communication."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -93679,15 +94660,16 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="Communication.reasonCode">
-      <path value="Communication.reasonCode"></path>
+     <element id="Communication.reason">
+      <path value="Communication.reason"></path>
       <short value="Indication for message"></short>
       <definition value="The reason or justification for the communication."></definition>
-      <comment value="Textual reasons can be captured using reasonCode.text."></comment>
+      <comment value="Textual reasons can be captured using reason.concept.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -93711,30 +94693,6 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="Communication.reasonReference">
-      <path value="Communication.reasonReference"></path>
-      <short value="Why was communication done?"></short>
-      <definition value="Indicates another resource whose existence justifies this communication."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="Communication.payload">
       <path value="Communication.payload"></path>
       <short value="Message payload"></short>
@@ -93791,7 +94749,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CommunicationRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -93809,10 +94767,10 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CommunicationRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommunicationRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -93827,7 +94785,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
      </telecom>
     </contact>
     <description value="A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -93932,7 +94890,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -94349,7 +95307,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the communication request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -94473,7 +95431,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the relative importance of a communication request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -94700,7 +95658,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -95036,20 +95994,21 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="CommunicationRequest.reasonCode">
-      <path value="CommunicationRequest.reasonCode"></path>
+     <element id="CommunicationRequest.reason">
+      <path value="CommunicationRequest.reason"></path>
       <short value="Why is communication needed?"></short>
       <definition value="Describes why the request is being made in coded or textual form."></definition>
       <comment value="Textual reasons can be captured using reasonCode.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="CommunicationRequest.reasonCode"></path>
+       <path value="CommunicationRequest.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -95082,44 +96041,6 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="CommunicationRequest.reasonReference">
-      <path value="CommunicationRequest.reasonReference"></path>
-      <short value="Why is communication needed?"></short>
-      <definition value="Indicates another resource whose existence justifies this request."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="CommunicationRequest.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="CommunicationRequest.note">
       <path value="CommunicationRequest.note"></path>
       <short value="Comments made about communication request"></short>
@@ -95272,7 +96193,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        </extension>
        <strength value="required"></strength>
        <description value="The status of the communication request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -95352,7 +96273,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the relative importance of a communication request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -95631,15 +96552,16 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="CommunicationRequest.reasonCode">
-      <path value="CommunicationRequest.reasonCode"></path>
+     <element id="CommunicationRequest.reason">
+      <path value="CommunicationRequest.reason"></path>
       <short value="Why is communication needed?"></short>
       <definition value="Describes why the request is being made in coded or textual form."></definition>
       <comment value="Textual reasons can be captured using reasonCode.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -95663,30 +96585,6 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="CommunicationRequest.reasonReference">
-      <path value="CommunicationRequest.reasonReference"></path>
-      <short value="Why is communication needed?"></short>
-      <definition value="Indicates another resource whose existence justifies this request."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="CommunicationRequest.note">
       <path value="CommunicationRequest.note"></path>
       <short value="Comments made about communication request"></short>
@@ -95715,7 +96613,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CompartmentDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -95733,10 +96631,10 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CompartmentDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CompartmentDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -95751,7 +96649,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
      </telecom>
     </contact>
     <description value="A compartment definition that defines how resources are accessed on a server."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -95780,11 +96678,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="CompartmentDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="CompartmentDefinition">
@@ -95800,63 +96694,17 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="cpd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="v2"></identity>
@@ -95882,7 +96730,7 @@ When using contentCodeableConcept, the CodeableConcept is what is being communic
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -96213,7 +97061,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -96260,7 +97108,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -96536,7 +97384,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Which type a compartment definition describes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CompartmentDefinition.search">
@@ -96605,7 +97453,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -96734,7 +97582,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CompartmentDefinition.resource.param">
@@ -96798,7 +97646,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="cpd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -96869,7 +97717,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="CompartmentDefinition.status">
@@ -96894,7 +97742,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -97056,7 +97904,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Which type a compartment definition describes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CompartmentDefinition.search">
@@ -97101,7 +97949,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CompartmentDefinition.resource.param">
@@ -97136,7 +97984,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Composition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -97154,10 +98002,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Documents"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Composition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Composition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Structured Documents)"></publisher>
     <contact>
      <telecom>
@@ -97173,7 +98021,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
     </contact>
     <description value="A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.)."></description>
     <purpose value="To support documents, and also to capture the EN13606 notion of an attested commit to the patient EHR, and to allow a set of disparate resources at the information/engineering level to be gathered into a clinical statement."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -97301,7 +98149,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -97624,7 +98472,7 @@ Some reporting work flows require that the original narrative of a final documen
        </extension>
        <strength value="required"></strength>
        <description value="The workflow/clinical status of the composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -98089,7 +98937,7 @@ Some reporting work flows require that the original narrative of a final documen
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98216,7 +99064,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The way in which a person authenticated a composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -98397,7 +99245,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98524,7 +99372,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship between documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -98634,7 +99482,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -98912,7 +99760,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -99233,7 +100081,7 @@ If the section has content (instead of sub-sections), the section.code does not
        </extension>
        <strength value="required"></strength>
        <description value="The processing mode that applies to this section."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -99484,7 +100332,7 @@ Some reporting work flows require that the original narrative of a final documen
        </extension>
        <strength value="required"></strength>
        <description value="The workflow/clinical status of the composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -99823,7 +100671,7 @@ Some reporting work flows require that the original narrative of a final documen
        </extension>
        <strength value="required"></strength>
        <description value="The way in which a person authenticated a composition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -99946,7 +100794,7 @@ Some reporting work flows require that the original narrative of a final documen
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship between documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -100257,7 +101105,7 @@ If the section has content (instead of sub-sections), the section.code does not
        </extension>
        <strength value="required"></strength>
        <description value="The processing mode that applies to this section."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -100378,7 +101226,7 @@ If the section has content (instead of sub-sections), the section.code does not
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ConceptMap"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -100396,10 +101244,10 @@ If the section has content (instead of sub-sections), the section.code does not
      <valueString value="Foundation.Terminology"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ConceptMap"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConceptMap"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Vocabulary)"></publisher>
     <contact>
      <telecom>
@@ -100414,7 +101262,7 @@ If the section has content (instead of sub-sections), the section.code does not
      </telecom>
     </contact>
     <description value="A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -100438,11 +101286,7 @@ If the section has content (instead of sub-sections), the section.code does not
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ConceptMap"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ConceptMap">
@@ -100457,63 +101301,17 @@ If the section has content (instead of sub-sections), the section.code does not
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="cmd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -100535,7 +101333,7 @@ If the section has content (instead of sub-sections), the section.code does not
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -100905,7 +101703,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -100982,7 +101780,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -101409,7 +102207,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -101663,7 +102461,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -101886,7 +102684,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -102068,7 +102866,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The relationship between concepts."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConceptMap.group.element.target.comment">
@@ -102140,7 +102938,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -102417,7 +103215,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -102543,7 +103341,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines which action to take if there is no match in the group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConceptMap.group.unmapped.code">
@@ -102632,7 +103430,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="cmd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -102724,7 +103522,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="ConceptMap.title">
@@ -102765,7 +103563,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -103167,7 +103965,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The relationship between concepts."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConceptMap.group.element.target.comment">
@@ -103285,7 +104083,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Defines which action to take if there is no match in the group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConceptMap.group.unmapped.code">
@@ -103330,7 +104128,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Condition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -103348,10 +104146,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Condition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Condition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -103366,7 +104164,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -103525,7 +104323,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -103841,7 +104639,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The clinical status of the condition or diagnosis."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -103900,7 +104698,7 @@ The data type is CodeableConcept because verificationStatus has some clinical ju
        </extension>
        <strength value="required"></strength>
        <description value="The verification status to support or decline the clinical status of the condition or diagnosis."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -104506,7 +105304,7 @@ OR &lt; 272379006 |Event|"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -104720,9 +105518,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="Condition.evidence">
       <path value="Condition.evidence"></path>
-      <short value="Supporting evidence"></short>
+      <short value="Supporting evidence for the verification status"></short>
       <definition value="Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition."></definition>
-      <comment value="The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both."></comment>
+      <comment value="If the condition was confirmed, but subsequently refuted, then the evidence can be cumulative including all evidence over time.  The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -104770,7 +105568,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -105087,7 +105885,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The clinical status of the condition or diagnosis."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -105133,7 +105931,7 @@ The data type is CodeableConcept because verificationStatus has some clinical ju
        </extension>
        <strength value="required"></strength>
        <description value="The verification status to support or decline the clinical status of the condition or diagnosis."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -105625,9 +106423,9 @@ OR &lt; 272379006 |Event|"></map>
      </element>
      <element id="Condition.evidence">
       <path value="Condition.evidence"></path>
-      <short value="Supporting evidence"></short>
+      <short value="Supporting evidence for the verification status"></short>
       <definition value="Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition."></definition>
-      <comment value="The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both."></comment>
+      <comment value="If the condition was confirmed, but subsequently refuted, then the evidence can be cumulative including all evidence over time.  The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
@@ -105734,7 +106532,7 @@ OR &lt; 272379006 |Event|"></map>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ConditionDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -105752,10 +106550,10 @@ OR &lt; 272379006 |Event|"></map>
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ConditionDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -105770,7 +106568,7 @@ OR &lt; 272379006 |Event|"></map>
      </telecom>
     </contact>
     <description value="A definition of a condition and information relevant to managing it."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -105794,11 +106592,7 @@ OR &lt; 272379006 |Event|"></map>
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ConditionDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ConditionDefinition">
@@ -105813,63 +106607,17 @@ OR &lt; 272379006 |Event|"></map>
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="cdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
       </constraint>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
      </element>
      <element id="ConditionDefinition.id">
@@ -105887,7 +106635,7 @@ OR &lt; 272379006 |Event|"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -106257,7 +107005,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -106359,7 +107107,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -106882,7 +107630,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -107084,7 +107832,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -107286,7 +108034,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -107412,7 +108160,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Kind of precondition for the condition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-precondition-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-precondition-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConditionDefinition.precondition.code">
@@ -107542,7 +108290,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -107668,7 +108416,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The use of a questionnaire."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-questionnaire-purpose|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-questionnaire-purpose|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConditionDefinition.questionnaire.reference">
@@ -107737,7 +108485,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -107893,7 +108641,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="cdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -107981,7 +108729,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="ConditionDefinition.title">
@@ -108032,7 +108780,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -108417,7 +109165,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Kind of precondition for the condition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-precondition-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-precondition-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConditionDefinition.precondition.code">
@@ -108487,7 +109235,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The use of a questionnaire."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/condition-questionnaire-purpose|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/condition-questionnaire-purpose|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ConditionDefinition.questionnaire.reference">
@@ -108542,7 +109290,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Consent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -108560,10 +109308,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Security"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Consent"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Consent"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Community Based Collaborative Care)"></publisher>
     <contact>
      <telecom>
@@ -108578,7 +109326,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="A record of a healthcare consumer’s  choices  or choices made on their behalf by a third party, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -108728,7 +109476,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -109048,7 +109796,7 @@ Note: An implementation-specific requirement will be needed"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the state of the consent."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/consent-state-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-state-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -109258,7 +110006,7 @@ Note: Scope can be derived from category if going from V2 to FHIR."></map>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.performer"></map>
+       <map value="Event.performer.actor"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -109414,7 +110162,7 @@ Note: An implementation-specific requirement will be needed"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -109644,7 +110392,7 @@ Note: An implementation-specific requirement will be needed"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -109765,6 +110513,68 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="true"></isSummary>
      </element>
+     <element id="Consent.verification.verificationType">
+      <path value="Consent.verification.verificationType"></path>
+      <short value="Business case of verification"></short>
+      <definition value="Extensible list of verification type starting with verification and re-validation."></definition>
+      <comment value="This allows the verification element to hold multiple use cases including RelatedPerson verification of the Grantee decision and periodic re-validation of the consent."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Consent.verification.verificationType"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConsentVerificationType"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Types of Verification/Validation."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-verification"></valueSet>
+      </binding>
+     </element>
+     <element id="Consent.verification.verifiedBy">
+      <path value="Consent.verification.verifiedBy"></path>
+      <short value="Person conducting verification"></short>
+      <definition value="The person who conducted the verification/validation of the Grantee decision."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Consent.verification.verifiedBy"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
      <element id="Consent.verification.verifiedWith">
       <path value="Consent.verification.verifiedWith"></path>
       <short value="Person who verified"></short>
@@ -109795,13 +110605,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="Consent.verification.verificationDate">
       <path value="Consent.verification.verificationDate"></path>
       <short value="When consent verified"></short>
-      <definition value="Date verification was collected."></definition>
+      <definition value="Date(s) verification was collected."></definition>
+      <comment value="Allows for history of verification/validation."></comment>
       <min value="0"></min>
-      <max value="1"></max>
+      <max value="*"></max>
       <base>
        <path value="Consent.verification.verificationDate"></path>
        <min value="0"></min>
-       <max value="1"></max>
+       <max value="*"></max>
       </base>
       <type>
        <code value="dateTime"></code>
@@ -109860,7 +110671,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -109986,7 +110797,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How a rule statement is applied, such as adding additional consent or removing consent."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/consent-provision-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-provision-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Consent.provision.period">
@@ -110063,7 +110874,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -110469,7 +111280,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -110595,7 +111406,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How a resource reference is interpreted when testing consent restrictions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/consent-data-meaning|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-data-meaning|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Consent.provision.data.reference">
@@ -110751,7 +111562,7 @@ Note: An implementation-specific requirement will be needed"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the state of the consent."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/consent-state-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-state-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -110892,7 +111703,7 @@ Note: Scope can be derived from category if going from V2 to FHIR."></map>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.performer"></map>
+       <map value="Event.performer.actor"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -111046,6 +111857,38 @@ Note: An implementation-specific requirement will be needed"></map>
       </type>
       <isSummary value="true"></isSummary>
      </element>
+     <element id="Consent.verification.verificationType">
+      <path value="Consent.verification.verificationType"></path>
+      <short value="Business case of verification"></short>
+      <definition value="Extensible list of verification type starting with verification and re-validation."></definition>
+      <comment value="This allows the verification element to hold multiple use cases including RelatedPerson verification of the Grantee decision and periodic re-validation of the consent."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="ConsentVerificationType"></valueString>
+       </extension>
+       <strength value="extensible"></strength>
+       <description value="Types of Verification/Validation."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-verification"></valueSet>
+      </binding>
+     </element>
+     <element id="Consent.verification.verifiedBy">
+      <path value="Consent.verification.verifiedBy"></path>
+      <short value="Person conducting verification"></short>
+      <definition value="The person who conducted the verification/validation of the Grantee decision."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"></targetProfile>
+      </type>
+     </element>
      <element id="Consent.verification.verifiedWith">
       <path value="Consent.verification.verifiedWith"></path>
       <short value="Person who verified"></short>
@@ -111061,9 +111904,10 @@ Note: An implementation-specific requirement will be needed"></map>
      <element id="Consent.verification.verificationDate">
       <path value="Consent.verification.verificationDate"></path>
       <short value="When consent verified"></short>
-      <definition value="Date verification was collected."></definition>
+      <definition value="Date(s) verification was collected."></definition>
+      <comment value="Allows for history of verification/validation."></comment>
       <min value="0"></min>
-      <max value="1"></max>
+      <max value="*"></max>
       <type>
        <code value="dateTime"></code>
       </type>
@@ -111098,7 +111942,7 @@ Note: An implementation-specific requirement will be needed"></map>
        </extension>
        <strength value="required"></strength>
        <description value="How a rule statement is applied, such as adding additional consent or removing consent."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/consent-provision-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-provision-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Consent.provision.period">
@@ -111314,7 +112158,7 @@ Note: An implementation-specific requirement will be needed"></map>
        </extension>
        <strength value="required"></strength>
        <description value="How a resource reference is interpreted when testing consent restrictions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/consent-data-meaning|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/consent-data-meaning|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Consent.provision.data.reference">
@@ -111347,7 +112191,7 @@ Note: An implementation-specific requirement will be needed"></map>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Contract"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -111365,10 +112209,10 @@ Note: An implementation-specific requirement will be needed"></map>
      <valueString value="Financial.General"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Contract"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Contract"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -111383,7 +112227,7 @@ Note: An implementation-specific requirement will be needed"></map>
      </telecom>
     </contact>
     <description value="Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -111492,7 +112336,7 @@ Note: An implementation-specific requirement will be needed"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -111855,7 +112699,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contract-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contract-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -112547,7 +113391,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -112792,7 +113636,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Status of the publication of contract content."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Contract.contentDefinition.copyright">
@@ -112871,7 +113715,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -113258,7 +114102,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -113525,7 +114369,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -113689,7 +114533,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -114045,7 +114889,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -114330,7 +115174,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -114631,7 +115475,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -115076,7 +115920,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -115646,7 +116490,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -115852,7 +116696,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -116385,19 +117229,25 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
      </element>
-     <element id="Contract.term.action.reasonCode">
-      <path value="Contract.term.action.reasonCode"></path>
+     <element id="Contract.term.action.reason">
+      <path value="Contract.term.action.reason"></path>
       <short value="Why is action (not) needed?"></short>
-      <definition value="Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited."></definition>
+      <definition value="Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited. Either a coded concept, or another resource whose existence justifies permitting or not permitting this action."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Contract.term.action.reasonCode"></path>
+       <path value="Contract.term.action.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -116418,62 +117268,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"></valueSet>
       </binding>
      </element>
-     <element id="Contract.term.action.reasonReference">
-      <path value="Contract.term.action.reasonReference"></path>
-      <short value="Why is action (not) needed?"></short>
-      <definition value="Indicates another resource whose existence justifies permitting or not permitting this action."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Contract.term.action.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-     </element>
-     <element id="Contract.term.action.reason">
-      <path value="Contract.term.action.reason"></path>
-      <short value="Why action is to be performed"></short>
-      <definition value="Describes why the action is to be performed or not performed in textual form."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Contract.term.action.reason"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="string"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-     </element>
      <element id="Contract.term.action.reasonLinkId">
       <path value="Contract.term.action.reasonLinkId"></path>
       <short value="Pointer to specific item"></short>
@@ -116681,7 +117475,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -116944,7 +117738,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -117130,7 +117924,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -117316,7 +118110,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -117567,7 +118361,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contract-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contract-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -118010,7 +118804,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Status of the publication of contract content."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Contract.contentDefinition.copyright">
@@ -119314,14 +120108,20 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <code value="string"></code>
       </type>
      </element>
-     <element id="Contract.term.action.reasonCode">
-      <path value="Contract.term.action.reasonCode"></path>
+     <element id="Contract.term.action.reason">
+      <path value="Contract.term.action.reason"></path>
       <short value="Why is action (not) needed?"></short>
-      <definition value="Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited."></definition>
+      <definition value="Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited. Either a coded concept, or another resource whose existence justifies permitting or not permitting this action."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -119332,32 +120132,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"></valueSet>
       </binding>
      </element>
-     <element id="Contract.term.action.reasonReference">
-      <path value="Contract.term.action.reasonReference"></path>
-      <short value="Why is action (not) needed?"></short>
-      <definition value="Indicates another resource whose existence justifies permitting or not permitting this action."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
-      </type>
-     </element>
-     <element id="Contract.term.action.reason">
-      <path value="Contract.term.action.reason"></path>
-      <short value="Why action is to be performed"></short>
-      <definition value="Describes why the action is to be performed or not performed in textual form."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="string"></code>
-      </type>
-     </element>
      <element id="Contract.term.action.reasonLinkId">
       <path value="Contract.term.action.reasonLinkId"></path>
       <short value="Pointer to specific item"></short>
@@ -119680,7 +120454,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Coverage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -119698,10 +120472,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Financial.Support"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Coverage"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Coverage"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -119717,7 +120491,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment."></description>
     <purpose value="Coverage provides a link between covered parties (patients) and the payors of their healthcare costs (both insurance and self-pay)."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -119842,7 +120616,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -120168,7 +120942,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -120629,7 +121403,7 @@ For selfpay it may provide multiple paying persons and/or organizations."></comm
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -120944,7 +121718,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -121162,7 +121936,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -121463,7 +122237,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -122032,7 +122806,7 @@ For selfpay it may provide multiple paying persons and/or organizations."></comm
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CoverageEligibilityRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -122050,10 +122824,10 @@ For selfpay it may provide multiple paying persons and/or organizations."></comm
      <valueString value="Financial.Support"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageEligibilityRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -122068,7 +122842,7 @@ For selfpay it may provide multiple paying persons and/or organizations."></comm
      </telecom>
     </contact>
     <description value="The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -122178,7 +122952,7 @@ For selfpay it may provide multiple paying persons and/or organizations."></comm
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -122487,7 +123261,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -122571,7 +123345,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the types of information being requested."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -122866,7 +123640,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -123087,7 +123861,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -123307,7 +124081,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -123699,7 +124473,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -123912,7 +124686,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -123967,7 +124741,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the types of information being requested."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -124420,7 +125194,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CoverageEligibilityResponse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -124438,10 +125212,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Financial.Support"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageEligibilityResponse"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -124456,7 +125230,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -124566,7 +125340,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -124875,7 +125649,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -124917,7 +125691,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the types of information being requested."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -125145,7 +125919,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The outcome of the processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CoverageEligibilityResponse.disposition">
@@ -125253,7 +126027,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -125481,7 +126255,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -125949,7 +126723,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -126350,7 +127124,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -126535,7 +127309,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -126563,7 +127337,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the types of information being requested."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -126705,7 +127479,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The outcome of the processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="CoverageEligibilityResponse.disposition">
@@ -127191,7 +127965,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DetectedIssue"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -127209,10 +127983,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DetectedIssue"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -127227,7 +128001,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -127349,7 +128123,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -127666,7 +128440,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the status of the identified issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -127758,7 +128532,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the potential degree of impact of the identified issue on the patient."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/detectedissue-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/detectedissue-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -127989,7 +128763,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -128263,7 +129037,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -128531,7 +129305,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the status of the identified issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -128595,7 +129369,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the potential degree of impact of the identified issue on the patient."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/detectedissue-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/detectedissue-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -128892,7 +129666,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Device"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -128910,10 +129684,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Device"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Device"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -128929,7 +129703,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device."></description>
     <purpose value="Allows institutions to track their devices."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -129043,7 +129817,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -129402,7 +130176,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -129717,7 +130491,7 @@ http://hl7.org/fhir/NamingSystem/iccbba-other"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Codes to identify how UDI data was entered."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/udi-entry-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/udi-entry-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -129756,7 +130530,7 @@ http://hl7.org/fhir/NamingSystem/iccbba-other"></map>
        </extension>
        <strength value="required"></strength>
        <description value="The availability status of the device."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -130073,7 +130847,7 @@ http://hl7.org/fhir/NamingSystem/iccbba-other"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -130226,7 +131000,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
        </extension>
        <strength value="required"></strength>
        <description value="The type of name the device is referred by."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -130377,7 +131151,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -130568,7 +131342,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -130784,7 +131558,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -131422,7 +132196,7 @@ http://hl7.org/fhir/NamingSystem/iccbba-other"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Codes to identify how UDI data was entered."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/udi-entry-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/udi-entry-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -131448,7 +132222,7 @@ http://hl7.org/fhir/NamingSystem/iccbba-other"></map>
        </extension>
        <strength value="required"></strength>
        <description value="The availability status of the device."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -131657,7 +132431,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
        </extension>
        <strength value="required"></strength>
        <description value="The type of name the device is referred by."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -131994,7 +132768,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DeviceDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -132012,10 +132786,10 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -132030,7 +132804,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
      </telecom>
     </contact>
     <description value="The characteristics, operational status and capabilities of a medical-related component of a medical device."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="w5"></identity>
      <uri value="http://hl7.org/fhir/fivews"></uri>
@@ -132127,7 +132901,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -132438,7 +133212,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -132686,7 +133460,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -132839,7 +133613,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
        </extension>
        <strength value="required"></strength>
        <description value="The type of name the device is referred by."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -132956,7 +133730,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -133279,7 +134053,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -133465,7 +134239,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -133883,7 +134657,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -134177,7 +134951,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
        </extension>
        <strength value="required"></strength>
        <description value="The type of name the device is referred by."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -134540,7 +135314,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DeviceMetric"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -134558,10 +135332,10 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DeviceMetric"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetric"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Health Care Devices)"></publisher>
     <contact>
      <telecom>
@@ -134576,7 +135350,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
      </telecom>
     </contact>
     <description value="Describes a measurement, calculation or setting capability of a medical device."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="w5"></identity>
      <uri value="http://hl7.org/fhir/fivews"></uri>
@@ -134673,7 +135447,7 @@ UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName |
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -135099,7 +135873,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the operational status of the DeviceMetric."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-operational-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-operational-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.color">
@@ -135132,7 +135906,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the typical color of representation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-color|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-color|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.category">
@@ -135165,7 +135939,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the category of the metric."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-category|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -135237,7 +136011,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -135363,7 +136137,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the type of a metric calibration."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.calibration.state">
@@ -135396,7 +136170,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the state of a metric calibration."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-state|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-state|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.calibration.time">
@@ -135534,7 +136308,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the operational status of the DeviceMetric."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-operational-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-operational-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.color">
@@ -135553,7 +136327,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the typical color of representation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-color|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-color|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.category">
@@ -135572,7 +136346,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the category of the metric."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-category|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -135617,7 +136391,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the type of a metric calibration."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.calibration.state">
@@ -135636,7 +136410,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Describes the state of a metric calibration."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-state|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-state|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DeviceMetric.calibration.time">
@@ -135660,7 +136434,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DeviceRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -135678,10 +136452,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -135696,7 +136470,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -135819,7 +136593,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -136333,7 +137107,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes representing the status of the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -136387,7 +137161,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of diagnostic request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -136437,7 +137211,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -136569,7 +137343,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -137102,19 +137876,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="DeviceRequest.reasonCode">
-      <path value="DeviceRequest.reasonCode"></path>
-      <short value="Coded Reason for request"></short>
+     <element id="DeviceRequest.reason">
+      <path value="DeviceRequest.reason"></path>
+      <short value="Coded/Linked Reason for request"></short>
       <definition value="Reason or justification for the use of this device."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="DeviceRequest.reasonCode"></path>
+       <path value="DeviceRequest.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -137155,51 +137933,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Action.indication.reason"></map>
       </mapping>
      </element>
-     <element id="DeviceRequest.reasonReference">
-      <path value="DeviceRequest.reasonReference"></path>
-      <short value="Linked Reason for request"></short>
-      <definition value="Reason or justification for the use of this device."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="DeviceRequest.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="DeviceRequest.insurance">
       <path value="DeviceRequest.insurance"></path>
       <short value="Associated insurance coverage"></short>
@@ -137554,7 +138287,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes representing the status of the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -137595,7 +138328,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of diagnostic request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -137631,7 +138364,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -138028,14 +138761,18 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="DeviceRequest.reasonCode">
-      <path value="DeviceRequest.reasonCode"></path>
-      <short value="Coded Reason for request"></short>
+     <element id="DeviceRequest.reason">
+      <path value="DeviceRequest.reason"></path>
+      <short value="Coded/Linked Reason for request"></short>
       <definition value="Reason or justification for the use of this device."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -138067,37 +138804,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Action.indication.reason"></map>
       </mapping>
      </element>
-     <element id="DeviceRequest.reasonReference">
-      <path value="DeviceRequest.reasonReference"></path>
-      <short value="Linked Reason for request"></short>
-      <definition value="Reason or justification for the use of this device."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="DeviceRequest.insurance">
       <path value="DeviceRequest.insurance"></path>
       <short value="Associated insurance coverage"></short>
@@ -138206,7 +138912,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DeviceUseStatement"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -138224,10 +138930,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DeviceUseStatement"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceUseStatement"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -138242,7 +138948,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A record of a device being used by a patient where the record is the result of a report from the patient or another clinician."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -138361,7 +139067,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -138712,7 +139418,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept indicating the current status of the Device Usage."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-statement-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-statement-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -138953,19 +139659,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="DeviceUse.device"></map>
       </mapping>
      </element>
-     <element id="DeviceUseStatement.reasonCode">
-      <path value="DeviceUseStatement.reasonCode"></path>
+     <element id="DeviceUseStatement.reason">
+      <path value="DeviceUseStatement.reason"></path>
       <short value="Why device was used"></short>
-      <definition value="Reason or justification for the use of the device."></definition>
+      <definition value="Reason or justification for the use of the device. A coded concept, or another resource whose existence justifies this DeviceUseStatement."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="DeviceUseStatement.reasonCode"></path>
+       <path value="DeviceUseStatement.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -138985,55 +139695,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <identity value="w5"></identity>
        <map value="FiveWs.why[x]"></map>
       </mapping>
-      <mapping>
-       <identity value="quick"></identity>
-       <map value="Action.indication.reason"></map>
-      </mapping>
-     </element>
-     <element id="DeviceUseStatement.reasonReference">
-      <path value="DeviceUseStatement.reasonReference"></path>
-      <short value="Why was DeviceUseStatement performed?"></short>
-      <definition value="Indicates another resource whose existence justifies this DeviceUseStatement."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="DeviceUseStatement.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="EVN.4 or by domain"></map>
-      </mapping>
       <mapping>
        <identity value="rim"></identity>
        <map value=".outboundRelationship[typeCode=RSON].target"></map>
       </mapping>
+      <mapping>
+       <identity value="quick"></identity>
+       <map value="Action.indication.reason"></map>
+      </mapping>
      </element>
      <element id="DeviceUseStatement.bodySite">
       <path value="DeviceUseStatement.bodySite"></path>
@@ -139195,7 +139864,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept indicating the current status of the Device Usage."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/device-statement-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/device-statement-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -139352,14 +140021,18 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="DeviceUse.device"></map>
       </mapping>
      </element>
-     <element id="DeviceUseStatement.reasonCode">
-      <path value="DeviceUseStatement.reasonCode"></path>
+     <element id="DeviceUseStatement.reason">
+      <path value="DeviceUseStatement.reason"></path>
       <short value="Why device was used"></short>
-      <definition value="Reason or justification for the use of the device."></definition>
+      <definition value="Reason or justification for the use of the device. A coded concept, or another resource whose existence justifies this DeviceUseStatement."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <mapping>
@@ -139370,41 +140043,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <identity value="w5"></identity>
        <map value="FiveWs.why[x]"></map>
       </mapping>
-      <mapping>
-       <identity value="quick"></identity>
-       <map value="Action.indication.reason"></map>
-      </mapping>
-     </element>
-     <element id="DeviceUseStatement.reasonReference">
-      <path value="DeviceUseStatement.reasonReference"></path>
-      <short value="Why was DeviceUseStatement performed?"></short>
-      <definition value="Indicates another resource whose existence justifies this DeviceUseStatement."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="EVN.4 or by domain"></map>
-      </mapping>
       <mapping>
        <identity value="rim"></identity>
        <map value=".outboundRelationship[typeCode=RSON].target"></map>
       </mapping>
+      <mapping>
+       <identity value="quick"></identity>
+       <map value="Action.indication.reason"></map>
+      </mapping>
      </element>
      <element id="DeviceUseStatement.bodySite">
       <path value="DeviceUseStatement.bodySite"></path>
@@ -139462,7 +140108,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DiagnosticReport"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -139480,10 +140126,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiagnosticReport"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -139499,7 +140145,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="The findings and interpretation of diagnostic  tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports."></description>
     <purpose value="To support reporting for any diagnostic report into a clinical data repository."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -139624,7 +140270,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -139989,7 +140635,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the diagnostic report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -140562,7 +141208,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -140939,7 +141585,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the diagnostic report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -141434,7 +142080,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DocumentManifest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -141452,10 +142098,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Documents"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DocumentManifest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentManifest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Structured Documents)"></publisher>
     <contact>
      <telecom>
@@ -141470,7 +142116,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A collection of documents compiled for a purpose together with metadata that applies to the collection."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -141589,7 +142235,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -141952,7 +142598,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the document reference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -142356,7 +143002,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -142602,7 +143248,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the document reference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -142894,7 +143540,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DocumentReference"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -142912,10 +143558,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Documents"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentReference"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -142930,7 +143576,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this &quot;document&quot; encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare.  The DocumentReference resource provides metadata about the document so that the document can be discovered and managed.  The actual content may be inline base64 encoded data or provided by direct reference."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -143068,7 +143714,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -143447,7 +144093,7 @@ This element is labeled as a modifier because the status contains the codes that
        </extension>
        <strength value="required"></strength>
        <description value="The status of the document reference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -143501,7 +144147,7 @@ This element is labeled as a modifier because the status contains the codes that
        </extension>
        <strength value="required"></strength>
        <description value="Status of the underlying document."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -143953,7 +144599,7 @@ The typeCode should be mapped from the ClinicalDocument/code element to a set of
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -144080,7 +144726,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship between documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="fhircomposition"></identity>
@@ -144281,7 +144927,7 @@ In the HL7 Healthcare Privacy and Security Classification (HCS) there are code s
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -144519,7 +145165,7 @@ Composition.date"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -145092,7 +145738,7 @@ This element is labeled as a modifier because the status contains the codes that
        </extension>
        <strength value="required"></strength>
        <description value="The status of the document reference."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -145132,7 +145778,7 @@ This element is labeled as a modifier because the status contains the codes that
        </extension>
        <strength value="required"></strength>
        <description value="Status of the underlying document."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/composition-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -145472,7 +146118,7 @@ The typeCode should be mapped from the ClinicalDocument/code element to a set of
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship between documents."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="fhircomposition"></identity>
@@ -145933,7 +146579,7 @@ serviceEvent/effectiveTime/high/
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DomainResource"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -145948,10 +146594,10 @@ serviceEvent/effectiveTime/high/
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DomainResource"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DomainResource"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -145966,7 +146612,7 @@ serviceEvent/effectiveTime/high/
      </telecom>
     </contact>
     <description value="A resource that includes narrative, extensions, and contained resources."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -146052,7 +146698,7 @@ serviceEvent/effectiveTime/high/
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -146466,7 +147112,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Encounter"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -146484,10 +147130,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Management"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Encounter"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Encounter"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -146502,7 +147148,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -146617,7 +147263,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -146932,7 +147578,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Current state of the encounter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -146999,7 +147645,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -147125,7 +147771,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Current state of the encounter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -147253,7 +147899,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -147766,7 +148412,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -148103,22 +148749,26 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".lengthOfStayQuantity"></map>
       </mapping>
      </element>
-     <element id="Encounter.reasonCode">
-      <path value="Encounter.reasonCode"></path>
-      <short value="Coded reason the encounter takes place"></short>
-      <definition value="Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis."></definition>
+     <element id="Encounter.reason">
+      <path value="Encounter.reason"></path>
+      <short value="Reason the encounter takes place (core or reference)"></short>
+      <definition value="Reason the encounter takes place, expressed as a code or a reference to another resource. For admissions, this can be used for a coded admission diagnosis."></definition>
       <comment value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."></comment>
       <alias value="Indication"></alias>
       <alias value="Admission diagnosis"></alias>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Encounter.reasonCode"></path>
+       <path value="Encounter.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -148140,55 +148790,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".reasonCode"></map>
-      </mapping>
-     </element>
-     <element id="Encounter.reasonReference">
-      <path value="Encounter.reasonReference"></path>
-      <short value="Reason the encounter takes place (reference)"></short>
-      <definition value="Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis."></definition>
-      <comment value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."></comment>
-      <alias value="Indication"></alias>
-      <alias value="Admission diagnosis"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Encounter.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -148250,7 +148852,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -148538,7 +149140,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -149026,7 +149628,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -149195,7 +149797,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the location."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-location-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-location-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -149407,7 +150009,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
        </extension>
        <strength value="required"></strength>
        <description value="Current state of the encounter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -149459,7 +150061,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
        </extension>
        <strength value="required"></strength>
        <description value="Current state of the encounter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -149939,17 +150541,21 @@ There may be many levels in the hierachy, and this may only pic specific levels
        <map value=".lengthOfStayQuantity"></map>
       </mapping>
      </element>
-     <element id="Encounter.reasonCode">
-      <path value="Encounter.reasonCode"></path>
-      <short value="Coded reason the encounter takes place"></short>
-      <definition value="Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis."></definition>
+     <element id="Encounter.reason">
+      <path value="Encounter.reason"></path>
+      <short value="Reason the encounter takes place (core or reference)"></short>
+      <definition value="Reason the encounter takes place, expressed as a code or a reference to another resource. For admissions, this can be used for a coded admission diagnosis."></definition>
       <comment value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."></comment>
       <alias value="Indication"></alias>
       <alias value="Admission diagnosis"></alias>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -149962,41 +150568,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".reasonCode"></map>
-      </mapping>
-     </element>
-     <element id="Encounter.reasonReference">
-      <path value="Encounter.reasonReference"></path>
-      <short value="Reason the encounter takes place (reference)"></short>
-      <definition value="Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis."></definition>
-      <comment value="For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis)."></comment>
-      <alias value="Indication"></alias>
-      <alias value="Admission diagnosis"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -150402,7 +150974,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
        </extension>
        <strength value="required"></strength>
        <description value="The status of the location."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-location-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/encounter-location-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -150500,7 +151072,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Endpoint"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -150518,10 +151090,10 @@ There may be many levels in the hierachy, and this may only pic specific levels
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Endpoint"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Endpoint"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -150536,7 +151108,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
      </telecom>
     </contact>
     <description value="The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -150636,7 +151208,7 @@ There may be many levels in the hierachy, and this may only pic specific levels
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -150943,7 +151515,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the endpoint."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -151192,7 +151764,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -151312,7 +151884,7 @@ and not &quot;https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345
        </extension>
        <strength value="required"></strength>
        <description value="The status of the endpoint."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -151462,7 +152034,7 @@ and not &quot;https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -151513,7 +152085,7 @@ and not &quot;https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="EnrollmentRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -151531,10 +152103,10 @@ and not &quot;https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345
      <valueString value="Financial.Support"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/EnrollmentRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EnrollmentRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -151549,7 +152121,7 @@ and not &quot;https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345
      </telecom>
     </contact>
     <description value="This resource provides the insurance enrollment details to the insurer regarding a specified coverage."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -151659,7 +152231,7 @@ and not &quot;https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -151962,7 +152534,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -152183,7 +152755,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -152293,7 +152865,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="EnrollmentResponse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -152311,10 +152883,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Financial.Support"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/EnrollmentResponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EnrollmentResponse"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -152329,7 +152901,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -152439,7 +153011,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -152742,7 +153314,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -152816,7 +153388,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The outcome of the processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EnrollmentResponse.disposition">
@@ -152989,7 +153561,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -153033,7 +153605,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The outcome of the processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EnrollmentResponse.disposition">
@@ -153110,7 +153682,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="EpisodeOfCare"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -153128,10 +153700,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Management"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EpisodeOfCare"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -153146,7 +153718,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -153256,7 +153828,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -153563,7 +154135,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the episode of care."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -153614,7 +154186,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -153740,7 +154312,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the episode of care."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EpisodeOfCare.statusHistory.period">
@@ -153853,7 +154425,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -154319,7 +154891,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the episode of care."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -154355,7 +154927,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the episode of care."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EpisodeOfCare.statusHistory.period">
@@ -154591,7 +155163,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="EventDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -154609,10 +155181,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/EventDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EventDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -154627,7 +155199,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The EventDefinition resource provides a reusable description of when a particular event can occur."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -154651,11 +155223,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="EventDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="EventDefinition">
@@ -154670,53 +155238,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="evd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -154724,10 +155246,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -154748,7 +155266,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -155118,7 +155636,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -155220,7 +155738,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -155920,7 +156438,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="evd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -156012,7 +156530,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="EventDefinition.title">
@@ -156063,7 +156581,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -156459,7 +156977,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Evidence"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -156477,10 +156995,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Specialized.Evidence-Based Medicine"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Evidence"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Evidence"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -156495,7 +157013,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="This represents statistics, certainty, both the intended and actual population, and evidence variables."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -156519,11 +157037,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="Evidence"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Evidence">
@@ -156538,53 +157052,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="evi-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -156593,8 +157061,8 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
      </element>
      <element id="Evidence.id">
@@ -156612,7 +157080,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -157027,7 +157495,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -157038,37 +157506,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.status"></map>
       </mapping>
      </element>
-     <element id="Evidence.useContext">
-      <path value="Evidence.useContext"></path>
-      <short value="Use context"></short>
-      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances."></definition>
-      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
-      <requirements value="Assist in searching for appropriate content."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Evidence.useContext"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="UsageContext"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.useContext"></map>
-      </mapping>
-     </element>
      <element id="Evidence.date">
       <path value="Evidence.date"></path>
       <short value="Date last changed"></short>
@@ -157104,6 +157541,37 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.recorded"></map>
       </mapping>
      </element>
+     <element id="Evidence.useContext">
+      <path value="Evidence.useContext"></path>
+      <short value="Use context"></short>
+      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances."></definition>
+      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
+      <requirements value="Assist in searching for appropriate content."></requirements>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Evidence.useContext"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.useContext"></map>
+      </mapping>
+     </element>
      <element id="Evidence.approvalDate">
       <path value="Evidence.approvalDate"></path>
       <short value="When the summary was approved by publisher"></short>
@@ -157343,7 +157811,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -157614,7 +158082,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -158034,7 +158502,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -158253,7 +158721,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -158474,7 +158942,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="evi-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -158585,7 +159053,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -158596,23 +159064,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.status"></map>
       </mapping>
      </element>
-     <element id="Evidence.useContext">
-      <path value="Evidence.useContext"></path>
-      <short value="Use context"></short>
-      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances."></definition>
-      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
-      <requirements value="Assist in searching for appropriate content."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="UsageContext"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.useContext"></map>
-      </mapping>
-     </element>
      <element id="Evidence.date">
       <path value="Evidence.date"></path>
       <short value="Date last changed"></short>
@@ -158634,6 +159085,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.recorded"></map>
       </mapping>
      </element>
+     <element id="Evidence.useContext">
+      <path value="Evidence.useContext"></path>
+      <short value="Use context"></short>
+      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances."></definition>
+      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
+      <requirements value="Assist in searching for appropriate content."></requirements>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="UsageContext"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.useContext"></map>
+      </mapping>
+     </element>
      <element id="Evidence.approvalDate">
       <path value="Evidence.approvalDate"></path>
       <short value="When the summary was approved by publisher"></short>
@@ -159068,7 +159536,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="EvidenceVariable"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -159086,10 +159554,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Evidence-Based Medicine"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/EvidenceVariable"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EvidenceVariable"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -159105,7 +159573,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="The EvidenceVariable resource describes a &quot;PICO&quot; element that knowledge (evidence, assertion, recommendation) is about."></description>
     <purpose value="Need to be able to define and reuse the definition of individual elements of a research question."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -159129,11 +159597,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="EvidenceVariable"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="EvidenceVariable">
@@ -159149,53 +159613,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="evv-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -159203,10 +159621,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -159227,7 +159641,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -159597,7 +160011,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -159725,7 +160139,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -160306,7 +160720,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/variable-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/variable-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EvidenceVariable.actual">
@@ -160375,7 +160789,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -160741,7 +161155,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Possible group measure aggregates (E.g. Mean, Median)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-measure|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-measure|4.2.0"></valueSet>
       </binding>
      </element>
     </snapshot>
@@ -160754,7 +161168,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="evv-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -160846,7 +161260,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="EvidenceVariable.title">
@@ -160909,7 +161323,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -161228,7 +161642,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/variable-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/variable-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="EvidenceVariable.actual">
@@ -161389,7 +161803,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Possible group measure aggregates (E.g. Mean, Median)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-measure|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-measure|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
@@ -161402,7 +161816,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ExampleScenario"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -161420,10 +161834,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ExampleScenario"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleScenario"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -161438,7 +161852,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="Example of workflow instance."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -161462,11 +161876,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ExampleScenario"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ExampleScenario">
@@ -161481,53 +161891,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="esc-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -161536,8 +161900,8 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
      </element>
      <element id="ExampleScenario.id">
@@ -161555,7 +161919,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -161925,7 +162289,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -161972,7 +162336,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -162190,43 +162554,6 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <map value="Definition.jurisdiction"></map>
       </mapping>
      </element>
-     <element id="ExampleScenario.copyright">
-      <path value="ExampleScenario.copyright"></path>
-      <short value="Use and/or publishing restrictions"></short>
-      <definition value="A copyright statement relating to the example scenario and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the example scenario."></definition>
-      <comment value="nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required."></comment>
-      <requirements value="Consumers must be able to determine any legal restrictions on the use of the example scenario and/or its content."></requirements>
-      <alias value="License"></alias>
-      <alias value="Restrictions"></alias>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="ExampleScenario.copyright"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="markdown"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.copyright"></map>
-      </mapping>
-      <mapping>
-       <identity value="objimpl"></identity>
-       <map value="no-gen-base"></map>
-      </mapping>
-     </element>
      <element id="ExampleScenario.purpose">
       <path value="ExampleScenario.purpose"></path>
       <short value="The purpose of the example, e.g. to illustrate a scenario"></short>
@@ -162265,6 +162592,43 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <map value="no-gen-base"></map>
       </mapping>
      </element>
+     <element id="ExampleScenario.copyright">
+      <path value="ExampleScenario.copyright"></path>
+      <short value="Use and/or publishing restrictions"></short>
+      <definition value="A copyright statement relating to the example scenario and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the example scenario."></definition>
+      <comment value="nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required."></comment>
+      <requirements value="Consumers must be able to determine any legal restrictions on the use of the example scenario and/or its content."></requirements>
+      <alias value="License"></alias>
+      <alias value="Restrictions"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="ExampleScenario.copyright"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.copyright"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
      <element id="ExampleScenario.actor">
       <path value="ExampleScenario.actor"></path>
       <short value="Actor participating in the resource"></short>
@@ -162305,7 +162669,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -162457,7 +162821,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of actor - system or human."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExampleScenario.actor.name">
@@ -162552,7 +162916,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -162703,7 +163067,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExampleScenario.instance.name">
@@ -162796,7 +163160,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -162982,7 +163346,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -163168,7 +163532,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -163404,7 +163768,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -163588,7 +163952,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -163970,7 +164334,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -164174,7 +164538,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="esc-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -164262,7 +164626,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="ExampleScenario.status">
@@ -164287,7 +164651,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -164421,28 +164785,6 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <map value="Definition.jurisdiction"></map>
       </mapping>
      </element>
-     <element id="ExampleScenario.copyright">
-      <path value="ExampleScenario.copyright"></path>
-      <short value="Use and/or publishing restrictions"></short>
-      <definition value="A copyright statement relating to the example scenario and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the example scenario."></definition>
-      <comment value="nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required."></comment>
-      <requirements value="Consumers must be able to determine any legal restrictions on the use of the example scenario and/or its content."></requirements>
-      <alias value="License"></alias>
-      <alias value="Restrictions"></alias>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="markdown"></code>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.copyright"></map>
-      </mapping>
-      <mapping>
-       <identity value="objimpl"></identity>
-       <map value="no-gen-base"></map>
-      </mapping>
-     </element>
      <element id="ExampleScenario.purpose">
       <path value="ExampleScenario.purpose"></path>
       <short value="The purpose of the example, e.g. to illustrate a scenario"></short>
@@ -164466,6 +164808,28 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        <map value="no-gen-base"></map>
       </mapping>
      </element>
+     <element id="ExampleScenario.copyright">
+      <path value="ExampleScenario.copyright"></path>
+      <short value="Use and/or publishing restrictions"></short>
+      <definition value="A copyright statement relating to the example scenario and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the example scenario."></definition>
+      <comment value="nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required."></comment>
+      <requirements value="Consumers must be able to determine any legal restrictions on the use of the example scenario and/or its content."></requirements>
+      <alias value="License"></alias>
+      <alias value="Restrictions"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="markdown"></code>
+      </type>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.copyright"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
      <element id="ExampleScenario.actor">
       <path value="ExampleScenario.actor"></path>
       <short value="Actor participating in the resource"></short>
@@ -164502,7 +164866,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The type of actor - system or human."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExampleScenario.actor.name">
@@ -164562,7 +164926,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The type of resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExampleScenario.instance.name">
@@ -164889,7 +165253,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ExplanationOfBenefit"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -164907,10 +165271,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Financial.General"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExplanationOfBenefit"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -164925,7 +165289,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -165036,7 +165400,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -165345,7 +165709,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -165469,7 +165833,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Complete, proposed, exploratory, other."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -165846,7 +166210,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -166132,7 +166496,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -166454,7 +166818,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The result of the claim processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExplanationOfBenefit.disposition">
@@ -166581,7 +166945,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -166877,7 +167241,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -167216,7 +167580,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -167525,7 +167889,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -167847,7 +168211,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -168068,7 +168432,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -168299,7 +168663,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -169080,7 +169444,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -169343,7 +169707,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -169868,7 +170232,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -170397,7 +170761,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -171061,7 +171425,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -171432,7 +171796,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -171829,7 +172193,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -172033,7 +172397,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -172412,7 +172776,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -172568,7 +172932,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The presentation types of notes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExplanationOfBenefit.processNote.text">
@@ -172708,7 +173072,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -173064,7 +173428,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -173309,7 +173673,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -173390,7 +173754,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Complete, proposed, exploratory, other."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/claim-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -173814,7 +174178,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The result of the claim processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExplanationOfBenefit.disposition">
@@ -175998,7 +176362,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The presentation types of notes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ExplanationOfBenefit.processNote.text">
@@ -176249,7 +176613,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="FamilyMemberHistory"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -176267,10 +176631,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FamilyMemberHistory"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -176285,7 +176649,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Significant health conditions for a person related to the patient relevant in the context of care for the patient."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -176417,7 +176781,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -176802,7 +177166,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code that identifies the status of the family history record."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/history-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/history-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -177177,20 +177541,26 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG)  For age, you'd hang an observation off the role"></map>
       </mapping>
      </element>
-     <element id="FamilyMemberHistory.reasonCode">
-      <path value="FamilyMemberHistory.reasonCode"></path>
+     <element id="FamilyMemberHistory.reason">
+      <path value="FamilyMemberHistory.reason"></path>
       <short value="Why was family member history performed?"></short>
-      <definition value="Describes why the family member history occurred in coded or textual form."></definition>
+      <definition value="Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event."></definition>
       <comment value="Textual reasons can be captured using reasonCode.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="FamilyMemberHistory.reasonCode"></path>
+       <path value="FamilyMemberHistory.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -177212,7 +177582,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -177223,49 +177593,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="FamilyMemberHistory.reasonReference">
-      <path value="FamilyMemberHistory.reasonReference"></path>
-      <short value="Why was family member history performed?"></short>
-      <definition value="Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="FamilyMemberHistory.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="FamilyMemberHistory.note">
       <path value="FamilyMemberHistory.note"></path>
       <short value="General note about related person"></short>
@@ -177343,7 +177670,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -177646,7 +177973,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -178018,7 +178345,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code that identifies the status of the family history record."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/history-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/history-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -178252,15 +178579,21 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG)  For age, you'd hang an observation off the role"></map>
       </mapping>
      </element>
-     <element id="FamilyMemberHistory.reasonCode">
-      <path value="FamilyMemberHistory.reasonCode"></path>
+     <element id="FamilyMemberHistory.reason">
+      <path value="FamilyMemberHistory.reason"></path>
       <short value="Why was family member history performed?"></short>
-      <definition value="Describes why the family member history occurred in coded or textual form."></definition>
+      <definition value="Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event."></definition>
       <comment value="Textual reasons can be captured using reasonCode.text."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -178273,7 +178606,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -178284,35 +178617,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="FamilyMemberHistory.reasonReference">
-      <path value="FamilyMemberHistory.reasonReference"></path>
-      <short value="Why was family member history performed?"></short>
-      <definition value="Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="FamilyMemberHistory.note">
       <path value="FamilyMemberHistory.note"></path>
       <short value="General note about related person"></short>
@@ -178535,7 +178839,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Flag"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -178553,10 +178857,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Management"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Flag"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Flag"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -178571,7 +178875,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Prospective warnings of potential issues when providing care to the patient."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -178674,7 +178978,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -178983,7 +179287,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/flag-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/flag-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -179278,7 +179582,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/flag-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/flag-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -179443,7 +179747,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Goal"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -179461,10 +179765,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Goal"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Goal"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -179479,7 +179783,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -179589,7 +179893,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -179899,7 +180203,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes that reflect the current state of a goal and whether the goal is still being targeted."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/goal-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -180242,7 +180546,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -180623,21 +180927,22 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"></map>
       </mapping>
      </element>
-     <element id="Goal.outcomeCode">
-      <path value="Goal.outcomeCode"></path>
+     <element id="Goal.outcome">
+      <path value="Goal.outcome"></path>
       <short value="What result was achieved regarding the goal?"></short>
       <definition value="Identifies the change (or lack of change) at the point when the status of the goal is assessed."></definition>
-      <comment value="Note that this should not duplicate the goal status."></comment>
+      <comment value="Note that this should not duplicate the goal status; The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured."></comment>
       <requirements value="Outcome tracking is a key aspect of care planning."></requirements>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Goal.outcomeCode"></path>
+       <path value="Goal.outcome"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -180658,34 +180963,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"></valueSet>
       </binding>
      </element>
-     <element id="Goal.outcomeReference">
-      <path value="Goal.outcomeReference"></path>
-      <short value="Observation that resulted from goal"></short>
-      <definition value="Details of what's changed (or not changed)."></definition>
-      <comment value="The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured."></comment>
-      <requirements value="Outcome tracking is a key aspect of care planning."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Goal.outcomeReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-     </element>
     </snapshot>
     <differential>
      <element id="Goal">
@@ -180744,7 +181021,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes that reflect the current state of a goal and whether the goal is still being targeted."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/goal-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/goal-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -181128,16 +181405,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"></map>
       </mapping>
      </element>
-     <element id="Goal.outcomeCode">
-      <path value="Goal.outcomeCode"></path>
+     <element id="Goal.outcome">
+      <path value="Goal.outcome"></path>
       <short value="What result was achieved regarding the goal?"></short>
       <definition value="Identifies the change (or lack of change) at the point when the status of the goal is assessed."></definition>
-      <comment value="Note that this should not duplicate the goal status."></comment>
+      <comment value="Note that this should not duplicate the goal status; The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured."></comment>
       <requirements value="Outcome tracking is a key aspect of care planning."></requirements>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -181148,19 +181426,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"></valueSet>
       </binding>
      </element>
-     <element id="Goal.outcomeReference">
-      <path value="Goal.outcomeReference"></path>
-      <short value="Observation that resulted from goal"></short>
-      <definition value="Details of what's changed (or not changed)."></definition>
-      <comment value="The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured."></comment>
-      <requirements value="Outcome tracking is a key aspect of care planning."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-      </type>
-     </element>
     </differential>
    </StructureDefinition>
   </resource>
@@ -181171,7 +181436,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="GraphDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -181189,10 +181454,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/GraphDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GraphDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -181207,7 +181472,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A formal computable definition of a graph of resources - that is, a coherent set of resources that form a graph by following references. The Graph Definition resource defines a set and makes rules about the set."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -181231,11 +181496,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="GraphDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="GraphDefinition">
@@ -181250,53 +181511,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="gdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -181305,8 +181520,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -181328,7 +181543,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -181659,7 +181874,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -181706,7 +181921,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -182025,7 +182240,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.profile">
@@ -182095,7 +182310,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -182357,7 +182572,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -182486,7 +182701,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.params">
@@ -182581,7 +182796,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -182708,7 +182923,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines how a compartment rule is used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-use|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.compartment.code">
@@ -182741,7 +182956,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies a compartment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.compartment.rule">
@@ -182774,7 +182989,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How a compartment must be linked."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.compartment.expression">
@@ -182859,7 +183074,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="gdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -182926,7 +183141,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="GraphDefinition.status">
@@ -182951,7 +183166,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -183142,7 +183357,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.profile">
@@ -183246,7 +183461,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.params">
@@ -183297,7 +183512,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Defines how a compartment rule is used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-use|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.compartment.code">
@@ -183315,7 +183530,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Identifies a compartment."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.compartment.rule">
@@ -183333,7 +183548,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a compartment must be linked."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="GraphDefinition.link.target.compartment.expression">
@@ -183374,7 +183589,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Group"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -183392,10 +183607,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Base.Individuals"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Group"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Group"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -183410,7 +183625,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively, and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -183527,7 +183742,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -183878,7 +184093,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of resources that are part of group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -184106,7 +184321,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -184391,7 +184606,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -184665,7 +184880,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Types of resources that are part of group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/group-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -184943,7 +185158,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="GuidanceResponse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -184961,10 +185176,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/GuidanceResponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GuidanceResponse"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -184980,7 +185195,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken."></description>
     <purpose value="The GuidanceResponse resource supports recording the results of decision support interactions, reportability determination for public health, as well as the communication of additional data requirements for subsequent interactions."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -185085,7 +185300,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -185456,7 +185671,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of a guidance response."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -185608,52 +185823,19 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="GuidanceResponse.reasonCode">
-      <path value="GuidanceResponse.reasonCode"></path>
+     <element id="GuidanceResponse.reason">
+      <path value="GuidanceResponse.reason"></path>
       <short value="Why guidance is needed"></short>
-      <definition value="Describes the reason for the guidance response in coded or textual form."></definition>
+      <definition value="Describes the reason for the guidance response in coded or textual form, or Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="GuidanceResponse.reasonCode"></path>
+       <path value="GuidanceResponse.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="GuidanceResponse.reasonReference">
-      <path value="GuidanceResponse.reasonReference"></path>
-      <short value="Why guidance is needed"></short>
-      <definition value="Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="GuidanceResponse.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -185671,7 +185853,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -185898,7 +186080,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of a guidance response."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -185990,32 +186172,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.actor"></map>
       </mapping>
      </element>
-     <element id="GuidanceResponse.reasonCode">
-      <path value="GuidanceResponse.reasonCode"></path>
+     <element id="GuidanceResponse.reason">
+      <path value="GuidanceResponse.reason"></path>
       <short value="Why guidance is needed"></short>
-      <definition value="Describes the reason for the guidance response in coded or textual form."></definition>
+      <definition value="Describes the reason for the guidance response in coded or textual form, or Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="GuidanceResponse.reasonReference">
-      <path value="GuidanceResponse.reasonReference"></path>
-      <short value="Why guidance is needed"></short>
-      <definition value="Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -186023,7 +186187,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </type>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -186098,7 +186262,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="HealthcareService"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -186116,10 +186280,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/HealthcareService"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HealthcareService"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -186134,7 +186298,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The details of a healthcare service available at a location."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -186243,7 +186407,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -187005,7 +187169,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -187393,7 +187557,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -187519,7 +187683,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The days of the week."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -187659,7 +187823,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -188352,7 +188516,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The days of the week."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -188484,7 +188648,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ImagingStudy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -188502,10 +188666,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImagingStudy"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Imaging Integration)"></publisher>
     <contact>
      <telecom>
@@ -188520,7 +188684,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -188643,7 +188807,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -188962,7 +189126,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the ImagingStudy."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -189439,7 +189603,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -189631,19 +189795,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="(0008,1040) | (0040,0243)"></map>
       </mapping>
      </element>
-     <element id="ImagingStudy.reasonCode">
-      <path value="ImagingStudy.reasonCode"></path>
-      <short value="Why the study was requested"></short>
-      <definition value="Description of clinical condition indicating why the ImagingStudy was requested."></definition>
+     <element id="ImagingStudy.reason">
+      <path value="ImagingStudy.reason"></path>
+      <short value="Why the study was requested / performed"></short>
+      <definition value="Description of clinical condition indicating why the ImagingStudy was requested, and/or Indicates another resource whose existence justifies this Study."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="ImagingStudy.reasonCode"></path>
+       <path value="ImagingStudy.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -189665,7 +189833,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -189680,51 +189848,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="(0040,1002)"></map>
       </mapping>
      </element>
-     <element id="ImagingStudy.reasonReference">
-      <path value="ImagingStudy.reasonReference"></path>
-      <short value="Why was study performed"></short>
-      <definition value="Indicates another resource whose existence justifies this Study."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="ImagingStudy.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="EVN.4 or by domain"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="ImagingStudy.note">
       <path value="ImagingStudy.note"></path>
       <short value="User-defined comments"></short>
@@ -189836,7 +189959,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -190362,7 +190485,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -190585,7 +190708,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -190906,7 +191029,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the ImagingStudy."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -191281,14 +191404,18 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="(0008,1040) | (0040,0243)"></map>
       </mapping>
      </element>
-     <element id="ImagingStudy.reasonCode">
-      <path value="ImagingStudy.reasonCode"></path>
-      <short value="Why the study was requested"></short>
-      <definition value="Description of clinical condition indicating why the ImagingStudy was requested."></definition>
+     <element id="ImagingStudy.reason">
+      <path value="ImagingStudy.reason"></path>
+      <short value="Why the study was requested / performed"></short>
+      <definition value="Description of clinical condition indicating why the ImagingStudy was requested, and/or Indicates another resource whose existence justifies this Study."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -191301,7 +191428,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -191316,37 +191443,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="(0040,1002)"></map>
       </mapping>
      </element>
-     <element id="ImagingStudy.reasonReference">
-      <path value="ImagingStudy.reasonReference"></path>
-      <short value="Why was study performed"></short>
-      <definition value="Indicates another resource whose existence justifies this Study."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="EVN.4 or by domain"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="ImagingStudy.note">
       <path value="ImagingStudy.note"></path>
       <short value="User-defined comments"></short>
@@ -191835,7 +191931,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Immunization"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -191853,10 +191949,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Immunization"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Immunization"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Public Health and Emergency Response)"></publisher>
     <contact>
      <telecom>
@@ -191871,7 +191967,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -191994,7 +192090,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -192309,7 +192405,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A set of codes indicating the current status of an Immunization."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -193015,7 +193111,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -193230,19 +193326,22 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="note"></map>
       </mapping>
      </element>
-     <element id="Immunization.reasonCode">
-      <path value="Immunization.reasonCode"></path>
+     <element id="Immunization.reason">
+      <path value="Immunization.reason"></path>
       <short value="Why immunization occurred"></short>
-      <definition value="Describes why the immunization occurred in coded or textual form."></definition>
+      <definition value="Describes why the immunization occurred in coded or textual form, or Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Immunization.reasonCode"></path>
+       <path value="Immunization.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -193264,49 +193363,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
        <map value="[actionNegationInd=false].reasonCode"></map>
       </mapping>
      </element>
-     <element id="Immunization.reasonReference">
-      <path value="Immunization.reasonReference"></path>
-      <short value="Why immunization occurred"></short>
-      <definition value="Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Immunization.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="N/A"></map>
-      </mapping>
-     </element>
      <element id="Immunization.isSubpotent">
       <path value="Immunization.isSubpotent"></path>
       <short value="Dose potency"></short>
@@ -193431,7 +193494,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -193782,7 +193845,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -194022,7 +194085,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -194346,7 +194409,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A set of codes indicating the current status of an Immunization."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -194880,14 +194943,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="note"></map>
       </mapping>
      </element>
-     <element id="Immunization.reasonCode">
-      <path value="Immunization.reasonCode"></path>
+     <element id="Immunization.reason">
+      <path value="Immunization.reason"></path>
       <short value="Why immunization occurred"></short>
-      <definition value="Describes why the immunization occurred in coded or textual form."></definition>
+      <definition value="Describes why the immunization occurred in coded or textual form, or Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -194899,34 +194965,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
        <map value="[actionNegationInd=false].reasonCode"></map>
       </mapping>
      </element>
-     <element id="Immunization.reasonReference">
-      <path value="Immunization.reasonReference"></path>
-      <short value="Why immunization occurred"></short>
-      <definition value="Indicates another resource (Condition, Observation or DiagnosticReport) whose existence justifies this immunization."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="N/A"></map>
-      </mapping>
-     </element>
      <element id="Immunization.isSubpotent">
       <path value="Immunization.isSubpotent"></path>
       <short value="Dose potency"></short>
@@ -195294,7 +195339,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ImmunizationEvaluation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -195312,10 +195357,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationEvaluation"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Public Health and Emergency Response)"></publisher>
     <contact>
      <telecom>
@@ -195330,7 +195375,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes a comparison of an immunization event against published recommendations to determine if the administration is &quot;valid&quot; in relation to those  recommendations."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -195444,7 +195489,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -195750,7 +195795,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the evaluation being done."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -196184,7 +196229,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the evaluation being done."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -196414,7 +196459,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ImmunizationRecommendation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -196432,10 +196477,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationRecommendation"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Public Health and Emergency Response)"></publisher>
     <contact>
      <telecom>
@@ -196450,7 +196495,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -196568,7 +196613,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -197016,7 +197061,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -197367,7 +197412,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -198225,7 +198270,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ImplementationGuide"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -198243,10 +198288,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ImplementationGuide"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImplementationGuide"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -198262,7 +198307,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts."></description>
     <purpose value="An implementation guide is able to define default profiles that must apply to any use of a resource, so validation services may need to take one or more implementation guide resources when validating."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -198286,11 +198331,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ImplementationGuide"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ImplementationGuide">
@@ -198305,53 +198346,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="ig-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -198367,8 +198362,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -198390,7 +198385,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -198725,7 +198720,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -198802,7 +198797,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -199142,13 +199137,13 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.fhirVersion">
       <path value="ImplementationGuide.fhirVersion"></path>
       <short value="FHIR Version(s) this Implementation Guide targets"></short>
-      <definition value="The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.1.0. for this version."></definition>
+      <definition value="The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.2.0. for this version."></definition>
       <comment value="Most implementation guides target a single version - e.g. they describe how to use a particular version, and the profiles and examples etc are valid for that version. But some implementation guides describe how to use multiple different versions of FHIR to solve the same problem, or in concert with each other. Typically, the requirement to support multiple versions arises as implementation matures and different implementation communities are stuck at different versions by regulation or market dynamics."></comment>
       <min value="1"></min>
       <max value="*"></max>
@@ -199179,7 +199174,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.dependsOn">
@@ -199222,7 +199217,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -199437,7 +199432,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -199567,7 +199562,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.global.profile">
@@ -199644,7 +199639,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -199781,7 +199776,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -199967,7 +199962,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -200124,7 +200119,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.definition.resource.name">
@@ -200280,7 +200275,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -200461,14 +200456,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code that indicates how the page is generated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.definition.page.page">
       <path value="ImplementationGuide.definition.page.page"></path>
       <short value="Nested Pages / Sections"></short>
       <definition value="Nested Pages/Sections under this page."></definition>
-      <comment value="The implementation guide breadcrumbs are generated from this structure."></comment>
+      <comment value="The implementation guide breadcrumbs may be generated from this structure."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -200491,7 +200486,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="ImplementationGuide.definition.parameter">
       <path value="ImplementationGuide.definition.parameter"></path>
       <short value="Defines how IG is built by tools"></short>
-      <definition value="Defines how IG is built by tools."></definition>
+      <definition value="A set of parameters that defines how the implementation guide is built. The parameters are defined by the relevant tools that build the implementation guides."></definition>
+      <comment value="see [confluence](https://confluence.hl7.org/display/FHIR/Implementation+Guide+Parameters) for the parameters defined by the HL7 IG publisher."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -200528,7 +200524,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -200626,8 +200622,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="ImplementationGuide.definition.parameter.code">
       <path value="ImplementationGuide.definition.parameter.code"></path>
-      <short value="apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template"></short>
-      <definition value="apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template."></definition>
+      <short value="Code that identifies parameter"></short>
+      <definition value="Code that identifies parameter."></definition>
       <min value="1"></min>
       <max value="1"></max>
       <base>
@@ -200714,7 +200710,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -200925,7 +200921,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -201089,7 +201085,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -201312,7 +201308,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -201548,7 +201544,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="ig-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -201626,7 +201622,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="ImplementationGuide.title">
@@ -201667,7 +201663,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -201865,13 +201861,13 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.fhirVersion">
       <path value="ImplementationGuide.fhirVersion"></path>
       <short value="FHIR Version(s) this Implementation Guide targets"></short>
-      <definition value="The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.1.0. for this version."></definition>
+      <definition value="The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.2.0. for this version."></definition>
       <comment value="Most implementation guides target a single version - e.g. they describe how to use a particular version, and the profiles and examples etc are valid for that version. But some implementation guides describe how to use multiple different versions of FHIR to solve the same problem, or in concert with each other. Typically, the requirement to support multiple versions arises as implementation matures and different implementation communities are stuck at different versions by regulation or market dynamics."></comment>
       <min value="1"></min>
       <max value="*"></max>
@@ -201888,7 +201884,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.dependsOn">
@@ -201970,7 +201966,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.global.profile">
@@ -202075,7 +202071,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.definition.resource.name">
@@ -202181,14 +202177,14 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="A code that indicates how the page is generated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ImplementationGuide.definition.page.page">
       <path value="ImplementationGuide.definition.page.page"></path>
       <short value="Nested Pages / Sections"></short>
       <definition value="Nested Pages/Sections under this page."></definition>
-      <comment value="The implementation guide breadcrumbs are generated from this structure."></comment>
+      <comment value="The implementation guide breadcrumbs may be generated from this structure."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <contentReference value="#ImplementationGuide.definition.page"></contentReference>
@@ -202196,7 +202192,8 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <element id="ImplementationGuide.definition.parameter">
       <path value="ImplementationGuide.definition.parameter"></path>
       <short value="Defines how IG is built by tools"></short>
-      <definition value="Defines how IG is built by tools."></definition>
+      <definition value="A set of parameters that defines how the implementation guide is built. The parameters are defined by the relevant tools that build the implementation guides."></definition>
+      <comment value="see [confluence](https://confluence.hl7.org/display/FHIR/Implementation+Guide+Parameters) for the parameters defined by the HL7 IG publisher."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
@@ -202205,8 +202202,8 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </element>
      <element id="ImplementationGuide.definition.parameter.code">
       <path value="ImplementationGuide.definition.parameter.code"></path>
-      <short value="apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template"></short>
-      <definition value="apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template."></definition>
+      <short value="Code that identifies parameter"></short>
+      <definition value="Code that identifies parameter."></definition>
       <min value="1"></min>
       <max value="1"></max>
       <type>
@@ -202417,7 +202414,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Ingredient"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -202435,10 +202432,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Ingredient"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Ingredient"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -202453,7 +202450,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="An ingredient of a manufactured item or pharmaceutical product."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -202544,7 +202541,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -202927,7 +202924,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -203143,7 +203140,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -203431,7 +203428,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -203697,7 +203694,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -204147,7 +204144,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="InsurancePlan"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -204165,10 +204162,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Financial.General"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/InsurancePlan"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InsurancePlan"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -204183,7 +204180,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Details of a Health Insurance product/plan provided by an organization."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="w5"></identity>
      <uri value="http://hl7.org/fhir/fivews"></uri>
@@ -204286,7 +204283,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -204598,7 +204595,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -204864,7 +204861,7 @@ For searching knowing previous names that the product/plan was known by can be v
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -205186,7 +205183,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -205377,7 +205374,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -205563,7 +205560,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -205751,7 +205748,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -205998,7 +205995,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -206234,7 +206231,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -206398,7 +206395,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -206559,7 +206556,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -206710,7 +206707,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether the cost applies to in-network or out-of-network providers."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="InsurancePlan.plan.specificCost.benefit.cost.qualifiers">
@@ -206822,7 +206819,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -207342,7 +207339,7 @@ For searching knowing previous names that the product/plan was known by can be v
        </extension>
        <strength value="required"></strength>
        <description value="Whether the cost applies to in-network or out-of-network providers."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="InsurancePlan.plan.specificCost.benefit.cost.qualifiers">
@@ -207375,7 +207372,7 @@ For searching knowing previous names that the product/plan was known by can be v
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Invoice"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -207393,10 +207390,10 @@ For searching knowing previous names that the product/plan was known by can be v
      <valueString value="Financial.Billing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Invoice"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Invoice"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -207411,7 +207408,7 @@ For searching knowing previous names that the product/plan was known by can be v
      </telecom>
     </contact>
     <description value="Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -207525,7 +207522,7 @@ For searching knowing previous names that the product/plan was known by can be v
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -207836,7 +207833,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of an Invoice."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -208094,7 +208091,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -208376,7 +208373,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -208582,7 +208579,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -208708,7 +208705,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the kind of the price component."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -209033,7 +209030,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of an Invoice."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -209362,7 +209359,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the kind of the price component."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -209526,7 +209523,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Library"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -209544,10 +209541,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Management"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Library"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Library"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -209562,7 +209559,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -209586,11 +209583,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="Library"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Library">
@@ -209605,53 +209598,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="lib-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -209660,8 +209607,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -209683,7 +209630,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -210065,7 +210012,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -210175,7 +210122,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -211038,7 +210985,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="lib-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -211142,7 +211089,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="rim"></identity>
@@ -211201,7 +211148,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -211715,7 +211662,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Linkage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -211733,10 +211680,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Linkage"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Linkage"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -211751,7 +211698,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="Identifies two or more records (resource instances) that refer to the same real-world &quot;occurrence&quot;."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -211858,7 +211805,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -212206,7 +212153,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -212332,7 +212279,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Used to distinguish different roles a resource can play within a set of linked resources."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/linkage-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/linkage-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Linkage.item.resource">
@@ -212446,7 +212393,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Used to distinguish different roles a resource can play within a set of linked resources."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/linkage-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/linkage-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Linkage.item.resource">
@@ -212471,7 +212418,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="List"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -212489,10 +212436,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Management"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/List"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="List"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -212507,7 +212454,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A list is a curated collection of resources."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -212631,7 +212578,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -212938,7 +212885,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The current state of the list."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -212982,7 +212929,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The processing mode that applies to this list."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -213336,7 +213283,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -213679,7 +213626,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The current state of the list."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -213710,7 +213657,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The processing mode that applies to this list."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/list-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -214028,7 +213975,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Location"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -214046,10 +213993,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Location"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Location"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -214064,7 +214011,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -214173,7 +214120,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -214484,7 +214431,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the location is still in use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/location-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/location-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -214669,7 +214616,7 @@ For searching knowing previous names that the location was known by can be very
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether a resource instance represents a specific location or a class of locations."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/location-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/location-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -214876,7 +214823,7 @@ For searching knowing previous names that the location was known by can be very
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -215172,7 +215119,7 @@ Specific services within the location may have their own hours which could be sh
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -215298,7 +215245,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The days of the week."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -215511,7 +215458,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether the location is still in use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/location-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/location-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -215625,7 +215572,7 @@ For searching knowing previous names that the location was known by can be very
        </extension>
        <strength value="required"></strength>
        <description value="Indicates whether a resource instance represents a specific location or a class of locations."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/location-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/location-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -215855,7 +215802,7 @@ Specific services within the location may have their own hours which could be sh
        </extension>
        <strength value="required"></strength>
        <description value="The days of the week."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -215944,7 +215891,7 @@ Specific services within the location may have their own hours which could be sh
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ManufacturedItemDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -215962,10 +215909,10 @@ Specific services within the location may have their own hours which could be sh
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ManufacturedItemDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ManufacturedItemDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -215980,7 +215927,7 @@ Specific services within the location may have their own hours which could be sh
      </telecom>
     </contact>
     <description value="The definition and characteristics of a medicinal manufactured item, such as a tablet or capsule, as contained in a packaged medicinal product."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -216071,7 +216018,7 @@ Specific services within the location may have their own hours which could be sh
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -216480,7 +216427,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -216765,7 +216712,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Measure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -216783,10 +216730,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Quality Reporting &amp;amp; Testing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Measure"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Measure"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Quality Information)"></publisher>
     <contact>
      <telecom>
@@ -216801,7 +216748,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The Measure resource provides the definition of a quality measure."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -216825,11 +216772,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="Measure"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Measure">
@@ -216844,53 +216787,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="mea-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -216905,10 +216802,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -216929,7 +216822,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -217299,7 +217192,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -217401,7 +217294,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -218349,7 +218242,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Measure.definition">
@@ -218444,7 +218337,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -218630,7 +218523,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -218850,7 +218743,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -219062,7 +218955,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -219274,7 +219167,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -219486,6 +219379,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <definition value="The Measure resource provides the definition of a quality measure."></definition>
       <min value="0"></min>
       <max value="*"></max>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
       <constraint>
        <key value="mea-1"></key>
        <severity value="error"></severity>
@@ -219493,13 +219393,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <expression value="group.stratifier.all((code | description | criteria).exists() xor component.exists())"></expression>
        <xpath value="exists(f:group/stratifier/code) or exists(f:group/stratifier/component)"></xpath>
       </constraint>
-      <constraint>
-       <key value="mea-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -219586,7 +219479,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="Measure.title">
@@ -219637,7 +219530,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -220152,7 +220045,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Measure.definition">
@@ -220408,7 +220301,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MeasureReport"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -220426,10 +220319,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Specialized.Quality Reporting &amp;amp; Testing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MeasureReport"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureReport"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Quality Information)"></publisher>
     <contact>
      <telecom>
@@ -220444,7 +220337,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="w5"></identity>
      <uri value="http://hl7.org/fhir/fivews"></uri>
@@ -220554,7 +220447,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -220859,7 +220752,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the measure report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -220898,7 +220791,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of the measure report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -221094,7 +220987,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MeasureReport.group">
@@ -221138,7 +221031,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -221299,7 +221192,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -221544,7 +221437,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -221708,7 +221601,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -221869,7 +221762,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -222058,7 +221951,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -222348,7 +222241,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the measure report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -222373,7 +222266,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of the measure report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -222486,7 +222379,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MeasureReport.group">
@@ -222728,7 +222621,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Medication"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -222746,10 +222639,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Medication"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Medication"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Pharmacy)"></publisher>
     <contact>
      <telecom>
@@ -222764,7 +222657,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="script10.6"></identity>
      <uri value="http://ncpdp.org/SCRIPT10_6"></uri>
@@ -222878,7 +222771,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -223236,7 +223129,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept defining if the medication is in active use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -223405,7 +223298,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -223577,7 +223470,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="Medication.ingredient.strength[x]">
       <path value="Medication.ingredient.strength[x]"></path>
       <short value="Quantity of ingredient present"></short>
-      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet."></definition>
+      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet but can also be expressed a quantity when the denominator is assumed to be 1 tablet."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
@@ -223591,6 +223484,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="CodeableConcept"></code>
       </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -223670,7 +223566,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -223932,7 +223828,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept defining if the medication is in active use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -224074,7 +223970,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="Medication.ingredient.strength[x]">
       <path value="Medication.ingredient.strength[x]"></path>
       <short value="Quantity of ingredient present"></short>
-      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet."></definition>
+      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet but can also be expressed a quantity when the denominator is assumed to be 1 tablet."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -224083,6 +223979,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="CodeableConcept"></code>
       </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
         <valueString value="MedicationIngredientStrength"></valueString>
@@ -224176,7 +224075,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicationAdministration"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -224194,10 +224093,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationAdministration"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Pharmacy)"></publisher>
     <contact>
      <telecom>
@@ -224212,7 +224111,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -224233,11 +224132,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <uri value="http://hl7.org/v2"></uri>
      <name value="HL7 v2 Mapping"></name>
     </mapping>
-    <mapping>
-     <identity value="w3c.prov"></identity>
-     <uri value="http://www.w3.org/ns/prov"></uri>
-     <name value="W3C PROV"></name>
-    </mapping>
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="MedicationAdministration"></type>
@@ -224331,7 +224225,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -224768,7 +224662,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A set of codes indicating the current status of a MedicationAdministration."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -225015,7 +224909,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="MedicationAdministration.supportingInformation">
       <path value="MedicationAdministration.supportingInformation"></path>
       <short value="Additional information to support administration"></short>
-      <definition value="Additional information (for example, patient height and weight) that supports the administration of the medication."></definition>
+      <definition value="Additional information (for example, patient height and weight) that supports the administration of the medication.  This attribute can be used to provide documentation of specific characteristics of the patient present at the time of administration.  For example, if the dose says &quot;give &quot;x&quot; if the heartrate exceeds &quot;y&quot;&quot;, then the heart rate can be included using this attribute."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -225175,7 +225069,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -225350,19 +225244,22 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".role"></map>
       </mapping>
      </element>
-     <element id="MedicationAdministration.reasonCode">
-      <path value="MedicationAdministration.reasonCode"></path>
-      <short value="Reason administration performed"></short>
-      <definition value="A code indicating why the medication was given."></definition>
+     <element id="MedicationAdministration.reason">
+      <path value="MedicationAdministration.reason"></path>
+      <short value="Concept, condition or observation that supports why the medication was administered"></short>
+      <definition value="A code, Condition or observation that supports why the medication was administered."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="MedicationAdministration.reasonCode"></path>
+       <path value="MedicationAdministration.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -225384,7 +225281,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="v2"></identity>
@@ -225395,51 +225292,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="MedicationAdministration.reasonReference">
-      <path value="MedicationAdministration.reasonReference"></path>
-      <short value="Condition or observation that supports why the medication was administered"></short>
-      <definition value="Condition or observation that supports why the medication was administered."></definition>
-      <comment value="This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MedicationAdministration.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason for use ASSERTION&quot;].value"></map>
-      </mapping>
-      <mapping>
-       <identity value="w3c.prov"></identity>
-       <map value="no mapping"></map>
-      </mapping>
-     </element>
      <element id="MedicationAdministration.request">
       <path value="MedicationAdministration.request"></path>
       <short value="Request administration performed against"></short>
@@ -225597,7 +225449,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -226078,7 +225930,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A set of codes indicating the current status of a MedicationAdministration."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -226252,7 +226104,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="MedicationAdministration.supportingInformation">
       <path value="MedicationAdministration.supportingInformation"></path>
       <short value="Additional information to support administration"></short>
-      <definition value="Additional information (for example, patient height and weight) that supports the administration of the medication."></definition>
+      <definition value="Additional information (for example, patient height and weight) that supports the administration of the medication.  This attribute can be used to provide documentation of specific characteristics of the patient present at the time of administration.  For example, if the dose says &quot;give &quot;x&quot; if the heartrate exceeds &quot;y&quot;&quot;, then the heart rate can be included using this attribute."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
@@ -226390,14 +226242,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".role"></map>
       </mapping>
      </element>
-     <element id="MedicationAdministration.reasonCode">
-      <path value="MedicationAdministration.reasonCode"></path>
-      <short value="Reason administration performed"></short>
-      <definition value="A code indicating why the medication was given."></definition>
+     <element id="MedicationAdministration.reason">
+      <path value="MedicationAdministration.reason"></path>
+      <short value="Concept, condition or observation that supports why the medication was administered"></short>
+      <definition value="A code, Condition or observation that supports why the medication was administered."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -226409,7 +226264,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="v2"></identity>
@@ -226420,36 +226275,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="MedicationAdministration.reasonReference">
-      <path value="MedicationAdministration.reasonReference"></path>
-      <short value="Condition or observation that supports why the medication was administered"></short>
-      <definition value="Condition or observation that supports why the medication was administered."></definition>
-      <comment value="This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason for use ASSERTION&quot;].value"></map>
-      </mapping>
-      <mapping>
-       <identity value="w3c.prov"></identity>
-       <map value="no mapping"></map>
-      </mapping>
-     </element>
      <element id="MedicationAdministration.request">
       <path value="MedicationAdministration.request"></path>
       <short value="Request administration performed against"></short>
@@ -226695,7 +226520,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicationDispense"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -226713,10 +226538,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationDispense"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Pharmacy)"></publisher>
     <contact>
      <telecom>
@@ -226731,7 +226556,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -226857,7 +226682,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -227237,7 +227062,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept specifying the state of the dispense event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -227482,7 +227307,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="MedicationDispense.supportingInformation">
       <path value="MedicationDispense.supportingInformation"></path>
       <short value="Information that supports the dispensing of the medication"></short>
-      <definition value="Additional information that supports the medication being dispensed."></definition>
+      <definition value="Additional information that supports the medication being dispensed.  For example, there may be requirements that a specific lab test has been completed prior to dispensing or the patient's weight at the time of dispensing is documented."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -227561,7 +227386,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -228115,6 +227940,36 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"></map>
       </mapping>
      </element>
+     <element id="MedicationDispense.renderedDosageInstruction">
+      <path value="MedicationDispense.renderedDosageInstruction"></path>
+      <short value="Full representation of the dosage instructions"></short>
+      <definition value="The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses."></definition>
+      <comment value="The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicationDispense.renderedDosageInstruction"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SubstanceAdministration.text"></map>
+      </mapping>
+     </element>
      <element id="MedicationDispense.dosageInstruction">
       <path value="MedicationDispense.dosageInstruction"></path>
       <short value="How the medication is to be used by the patient or administered by the caregiver"></short>
@@ -228193,7 +228048,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -228609,7 +228464,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept specifying the state of the dispense event."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -228781,7 +228636,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="MedicationDispense.supportingInformation">
       <path value="MedicationDispense.supportingInformation"></path>
       <short value="Information that supports the dispensing of the medication"></short>
-      <definition value="Additional information that supports the medication being dispensed."></definition>
+      <definition value="Additional information that supports the medication being dispensed.  For example, there may be requirements that a specific lab test has been completed prior to dispensing or the patient's weight at the time of dispensing is documented."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
@@ -229094,6 +228949,21 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"></map>
       </mapping>
      </element>
+     <element id="MedicationDispense.renderedDosageInstruction">
+      <path value="MedicationDispense.renderedDosageInstruction"></path>
+      <short value="Full representation of the dosage instructions"></short>
+      <definition value="The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses."></definition>
+      <comment value="The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SubstanceAdministration.text"></map>
+      </mapping>
+     </element>
      <element id="MedicationDispense.dosageInstruction">
       <path value="MedicationDispense.dosageInstruction"></path>
       <short value="How the medication is to be used by the patient or administered by the caregiver"></short>
@@ -229263,7 +229133,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicationKnowledge"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -229281,10 +229151,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MedicationKnowledge"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationKnowledge"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Pharmacy)"></publisher>
     <contact>
      <telecom>
@@ -229299,7 +229169,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Information about a medication that is used to support knowledge."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="script10.6"></identity>
      <uri value="http://ncpdp.org/SCRIPT10_6"></uri>
@@ -229405,7 +229275,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -229755,7 +229625,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept defining if the medication is in active use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -229946,7 +229816,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -230184,7 +230054,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -230371,7 +230241,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -230538,20 +230408,26 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="NA"></map>
       </mapping>
      </element>
-     <element id="MedicationKnowledge.ingredient.strength">
-      <path value="MedicationKnowledge.ingredient.strength"></path>
+     <element id="MedicationKnowledge.ingredient.strength[x]">
+      <path value="MedicationKnowledge.ingredient.strength[x]"></path>
       <short value="Quantity of ingredient present"></short>
-      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet."></definition>
+      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet but can also be expressed a quantity when the denominator is assumed to be 1 tablet."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
-       <path value="MedicationKnowledge.ingredient.strength"></path>
+       <path value="MedicationKnowledge.ingredient.strength[x]"></path>
        <min value="0"></min>
        <max value="1"></max>
       </base>
       <type>
        <code value="Ratio"></code>
       </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -230562,6 +230438,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="MedicationIngredientStrength"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A coded concpet defining the strength of an ingredient."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-ingredientstrength"></valueSet>
+      </binding>
       <mapping>
        <identity value="script10.6"></identity>
        <map value="//element(*,DrugCodedType)/Strength"></map>
@@ -230700,7 +230584,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -230911,7 +230795,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -231097,7 +230981,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -231233,7 +231117,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -231448,7 +231332,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -231638,7 +231522,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -231824,7 +231708,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -232094,7 +231978,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -232328,7 +232212,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -232490,7 +232374,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -232701,7 +232585,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -232888,7 +232772,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -233114,7 +232998,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept defining if the medication is in active use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -233344,15 +233228,29 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="NA"></map>
       </mapping>
      </element>
-     <element id="MedicationKnowledge.ingredient.strength">
-      <path value="MedicationKnowledge.ingredient.strength"></path>
+     <element id="MedicationKnowledge.ingredient.strength[x]">
+      <path value="MedicationKnowledge.ingredient.strength[x]"></path>
       <short value="Quantity of ingredient present"></short>
-      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet."></definition>
+      <definition value="Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet but can also be expressed a quantity when the denominator is assumed to be 1 tablet."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
        <code value="Ratio"></code>
       </type>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <type>
+       <code value="Quantity"></code>
+      </type>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="MedicationIngredientStrength"></valueString>
+       </extension>
+       <strength value="example"></strength>
+       <description value="A coded concpet defining the strength of an ingredient."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-ingredientstrength"></valueSet>
+      </binding>
       <mapping>
        <identity value="script10.6"></identity>
        <map value="//element(*,DrugCodedType)/Strength"></map>
@@ -233863,7 +233761,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicationRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -233881,10 +233779,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Pharmacy)"></publisher>
     <contact>
      <telecom>
@@ -233899,7 +233797,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called &quot;MedicationRequest&quot; rather than &quot;MedicationPrescription&quot; or &quot;MedicationOrder&quot; to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -234024,7 +233922,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -234344,7 +234242,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -234437,7 +234335,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of medication order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -234528,7 +234426,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -235043,20 +234941,22 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"></map>
       </mapping>
      </element>
-     <element id="MedicationRequest.reasonCode">
-      <path value="MedicationRequest.reasonCode"></path>
+     <element id="MedicationRequest.reason">
+      <path value="MedicationRequest.reason"></path>
       <short value="Reason or indication for ordering or not ordering the medication"></short>
       <definition value="The reason or the indication for ordering or not ordering the medication."></definition>
       <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="MedicationRequest.reasonCode"></path>
+       <path value="MedicationRequest.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -235094,51 +234994,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="reason.observation.reasonCode"></map>
-      </mapping>
-     </element>
-     <element id="MedicationRequest.reasonReference">
-      <path value="MedicationRequest.reasonReference"></path>
-      <short value="Condition or observation that supports why the prescription is being written"></short>
-      <definition value="Condition or observation that supports why the medication was ordered."></definition>
-      <comment value="This is a reference to a condition or observation that is the reason for the medication request.  It is not intended to be used to reference a goal.  If only a code exists, use reasonCode."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MedicationRequest.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="script10.6"></identity>
-       <map value="no mapping"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="reason.observation[code=ASSERTION].value"></map>
+       <map value="reason.observation.reasonCode | reason.observation[code=ASSERTION].value"></map>
       </mapping>
      </element>
      <element id="MedicationRequest.instantiatesCanonical">
@@ -235386,6 +235242,36 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].value"></map>
       </mapping>
      </element>
+     <element id="MedicationRequest.renderedDosageInstruction">
+      <path value="MedicationRequest.renderedDosageInstruction"></path>
+      <short value="Full representation of the dosage instructions"></short>
+      <definition value="The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses."></definition>
+      <requirements value="The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicationRequest.renderedDosageInstruction"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SubstanceAdministration.text"></map>
+      </mapping>
+     </element>
      <element id="MedicationRequest.dosageInstruction">
       <path value="MedicationRequest.dosageInstruction"></path>
       <short value="How the medication should be taken"></short>
@@ -235468,7 +235354,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -235609,7 +235495,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -235938,14 +235824,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="expectedUseTime"></map>
       </mapping>
      </element>
-     <element id="MedicationRequest.dispenseRequest.performer">
-      <path value="MedicationRequest.dispenseRequest.performer"></path>
-      <short value="Intended dispenser"></short>
-      <definition value="Indicates the intended dispensing Organization specified by the prescriber."></definition>
+     <element id="MedicationRequest.dispenseRequest.dispenser">
+      <path value="MedicationRequest.dispenseRequest.dispenser"></path>
+      <short value="Intended performer of dispense"></short>
+      <definition value="Indicates the intended performing Organization that will dispense the medication as specified by the prescriber."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
-       <path value="MedicationRequest.dispenseRequest.performer"></path>
+       <path value="MedicationRequest.dispenseRequest.dispenser"></path>
        <min value="0"></min>
        <max value="1"></max>
       </base>
@@ -236020,7 +235906,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -236390,7 +236276,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -236455,7 +236341,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of medication order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -236517,7 +236403,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -236860,15 +236746,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"></map>
       </mapping>
      </element>
-     <element id="MedicationRequest.reasonCode">
-      <path value="MedicationRequest.reasonCode"></path>
+     <element id="MedicationRequest.reason">
+      <path value="MedicationRequest.reason"></path>
       <short value="Reason or indication for ordering or not ordering the medication"></short>
       <definition value="The reason or the indication for ordering or not ordering the medication."></definition>
       <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -236896,36 +236784,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="reason.observation.reasonCode"></map>
-      </mapping>
-     </element>
-     <element id="MedicationRequest.reasonReference">
-      <path value="MedicationRequest.reasonReference"></path>
-      <short value="Condition or observation that supports why the prescription is being written"></short>
-      <definition value="Condition or observation that supports why the medication was ordered."></definition>
-      <comment value="This is a reference to a condition or observation that is the reason for the medication request.  It is not intended to be used to reference a goal.  If only a code exists, use reasonCode."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="script10.6"></identity>
-       <map value="no mapping"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="reason.observation[code=ASSERTION].value"></map>
+       <map value="reason.observation.reasonCode | reason.observation[code=ASSERTION].value"></map>
       </mapping>
      </element>
      <element id="MedicationRequest.instantiatesCanonical">
@@ -237072,6 +236931,21 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].value"></map>
       </mapping>
      </element>
+     <element id="MedicationRequest.renderedDosageInstruction">
+      <path value="MedicationRequest.renderedDosageInstruction"></path>
+      <short value="Full representation of the dosage instructions"></short>
+      <definition value="The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses."></definition>
+      <requirements value="The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SubstanceAdministration.text"></map>
+      </mapping>
+     </element>
      <element id="MedicationRequest.dosageInstruction">
       <path value="MedicationRequest.dosageInstruction"></path>
       <short value="How the medication should be taken"></short>
@@ -237252,10 +237126,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="expectedUseTime"></map>
       </mapping>
      </element>
-     <element id="MedicationRequest.dispenseRequest.performer">
-      <path value="MedicationRequest.dispenseRequest.performer"></path>
-      <short value="Intended dispenser"></short>
-      <definition value="Indicates the intended dispensing Organization specified by the prescriber."></definition>
+     <element id="MedicationRequest.dispenseRequest.dispenser">
+      <path value="MedicationRequest.dispenseRequest.dispenser"></path>
+      <short value="Intended performer of dispense"></short>
+      <definition value="Indicates the intended performing Organization that will dispense the medication as specified by the prescriber."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -237425,7 +237299,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicationUsage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -237443,10 +237317,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Medications"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationUsage"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Pharmacy)"></publisher>
     <contact>
      <telecom>
@@ -237463,7 +237337,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <description value="A record of a medication that is being consumed by a patient.   A MedicationUsage may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. 
 
 The primary difference between a medicationusage and a medicationadministration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medicationusage is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the Medication Usage information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -237579,7 +237453,7 @@ The primary difference between a medicationusage and a medicationadministration
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -237967,7 +237841,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept indicating the current status of a MedicationUsage."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -238339,20 +238213,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"></map>
       </mapping>
      </element>
-     <element id="MedicationUsage.reasonCode">
-      <path value="MedicationUsage.reasonCode"></path>
+     <element id="MedicationUsage.reason">
+      <path value="MedicationUsage.reason"></path>
       <short value="Reason for why the medication is being/was taken"></short>
-      <definition value="A reason for why the medication is being/was taken."></definition>
+      <definition value="A concept, Condition or observation that supports why the medication is being/was taken."></definition>
       <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="MedicationUsage.reasonCode"></path>
+       <path value="MedicationUsage.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -238374,7 +238251,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -238385,47 +238262,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="MedicationUsage.reasonReference">
-      <path value="MedicationUsage.reasonReference"></path>
-      <short value="Condition or observation that supports why the medication is being/was taken"></short>
-      <definition value="Condition or observation that supports why the medication is being/was taken."></definition>
-      <comment value="This is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MedicationUsage.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason for use&quot;].value"></map>
-      </mapping>
-     </element>
      <element id="MedicationUsage.note">
       <path value="MedicationUsage.note"></path>
       <short value="Further information about the usage"></short>
@@ -238459,6 +238295,36 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].value"></map>
       </mapping>
      </element>
+     <element id="MedicationUsage.renderedDosageInstruction">
+      <path value="MedicationUsage.renderedDosageInstruction"></path>
+      <short value="Full representation of the dosage instructions"></short>
+      <definition value="The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses."></definition>
+      <requirements value="The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicationUsage.renderedDosageInstruction"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SubstanceAdministration.text"></map>
+      </mapping>
+     </element>
      <element id="MedicationUsage.dosage">
       <path value="MedicationUsage.dosage"></path>
       <short value="Details of how medication is/was taken or should be taken"></short>
@@ -238628,7 +238494,7 @@ The primary difference between a medicationusage and a medicationadministration
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept indicating the current status of a MedicationUsage."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -238871,15 +238737,18 @@ The primary difference between a medicationusage and a medicationadministration
        <map value=".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"></map>
       </mapping>
      </element>
-     <element id="MedicationUsage.reasonCode">
-      <path value="MedicationUsage.reasonCode"></path>
+     <element id="MedicationUsage.reason">
+      <path value="MedicationUsage.reason"></path>
       <short value="Reason for why the medication is being/was taken"></short>
-      <definition value="A reason for why the medication is being/was taken."></definition>
+      <definition value="A concept, Condition or observation that supports why the medication is being/was taken."></definition>
       <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -238891,7 +238760,7 @@ The primary difference between a medicationusage and a medicationadministration
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -238902,32 +238771,6 @@ The primary difference between a medicationusage and a medicationadministration
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="MedicationUsage.reasonReference">
-      <path value="MedicationUsage.reasonReference"></path>
-      <short value="Condition or observation that supports why the medication is being/was taken"></short>
-      <definition value="Condition or observation that supports why the medication is being/was taken."></definition>
-      <comment value="This is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason for use&quot;].value"></map>
-      </mapping>
-     </element>
      <element id="MedicationUsage.note">
       <path value="MedicationUsage.note"></path>
       <short value="Further information about the usage"></short>
@@ -238946,6 +238789,21 @@ The primary difference between a medicationusage and a medicationadministration
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].value"></map>
       </mapping>
      </element>
+     <element id="MedicationUsage.renderedDosageInstruction">
+      <path value="MedicationUsage.renderedDosageInstruction"></path>
+      <short value="Full representation of the dosage instructions"></short>
+      <definition value="The full representation of the dose of the medication included in all dosage instructions.  To be used when multiple dosage instructions are included to represent complex dosing such as increasing or tapering doses."></definition>
+      <requirements value="The content of the renderedDosageInstructions must not be different than the dose represented in the dosageInstruction content."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="SubstanceAdministration.text"></map>
+      </mapping>
+     </element>
      <element id="MedicationUsage.dosage">
       <path value="MedicationUsage.dosage"></path>
       <short value="Details of how medication is/was taken or should be taken"></short>
@@ -238985,7 +238843,7 @@ The primary difference between a medicationusage and a medicationadministration
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MedicinalProductDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -239003,10 +238861,10 @@ The primary difference between a medicationusage and a medicationadministration
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicinalProductDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -239021,7 +238879,7 @@ The primary difference between a medicationusage and a medicationadministration
      </telecom>
     </contact>
     <description value="Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use)."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="idmp"></identity>
      <uri value="https://en.wikipedia.org/wiki/Identification_of_medicinal_products"></uri>
@@ -239121,7 +238979,7 @@ The primary difference between a medicationusage and a medicationadministration
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -239451,6 +239309,72 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="n/a"></map>
       </mapping>
      </element>
+     <element id="MedicinalProductDefinition.version">
+      <path value="MedicinalProductDefinition.version"></path>
+      <short value="A business level identifier of the product"></short>
+      <definition value="A business level identifier of the product."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicinalProductDefinition.version"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="Medicinal Product.Header.Version Number"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.status">
+      <path value="MedicinalProductDefinition.status"></path>
+      <short value="The status within the lifecycle of this product. A high level status, this is not intended to duplicate details carried elswhere such as legal status, or authorization status"></short>
+      <definition value="The status within the lifecycle of this product. A high level status, this is not intended to duplicate details carried elswhere such as legal status, or authorization status."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicinalProductDefinition.status"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PublicationStatus"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="Identifies the level of importance to be assigned to actioning the request."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
      <element id="MedicinalProductDefinition.description">
       <path value="MedicinalProductDefinition.description"></path>
       <short value="General description of this product"></short>
@@ -239463,7 +239387,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="1"></max>
       </base>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -239902,7 +239826,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -240132,7 +240056,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -240330,7 +240254,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -240528,7 +240452,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -240722,9 +240646,182 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
+      <type>
+       <code value="BackboneElement"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="Product Cross-Reference"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.id">
+      <path value="MedicinalProductDefinition.crossReference.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="id"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.extension">
+      <path value="MedicinalProductDefinition.crossReference.extension"></path>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.modifierExtension">
+      <path value="MedicinalProductDefinition.crossReference.modifierExtension"></path>
+      <short value="Extensions that cannot be ignored even if unrecognized"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
+
+Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <alias value="modifiers"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="BackboneElement.modifierExtension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"></isModifierReason>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.product[x]">
+      <path value="MedicinalProductDefinition.crossReference.product[x]"></path>
+      <short value="Reference to another product, e.g. for linking authorised to investigational product"></short>
+      <definition value="Reference to another product, e.g. for linking authorised to investigational product."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicinalProductDefinition.crossReference.product[x]"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
       <type>
        <code value="Identifier"></code>
       </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition"></targetProfile>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="Product Cross-Reference"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.type">
+      <path value="MedicinalProductDefinition.crossReference.type"></path>
+      <short value="The type of relationship, for instance branded to generic, product to development product (investigational), parallel import version"></short>
+      <definition value="The type of relationship, for instance branded to generic, product to development product (investigational), parallel import version."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MedicinalProductDefinition.crossReference.type"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Coding"></code>
+      </type>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -240784,7 +240881,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -240880,19 +240977,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="N/A"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.operationType">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.operationType"></path>
-      <short value="The type of manufacturing operation e.g. manufacturing itself, re-packaging"></short>
-      <definition value="The type of manufacturing operation e.g. manufacturing itself, re-packaging."></definition>
+     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.type[x]">
+      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.type[x]"></path>
+      <short value="The type of manufacturing operation e.g. manufacturing itself, re-packaging. This may be a subtype of some other wider scope of authorized operation, referenced by the authorization attribute"></short>
+      <definition value="The type of manufacturing operation e.g. manufacturing itself, re-packaging. This may be a subtype of some other wider scope of authorized operation, referenced by the authorization attribute."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
-       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.operationType"></path>
+       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.type[x]"></path>
        <min value="0"></min>
        <max value="1"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -240909,39 +241010,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturing / Business Operation.Operation Type"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.authorisationReferenceNumber">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.authorisationReferenceNumber"></path>
-      <short value="Regulatory authorization reference number"></short>
-      <definition value="Regulatory authorization reference number."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.authorisationReferenceNumber"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="Identifier"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Manufacturing / Business Operation.Manufacturing Authorisation Reference Number"></map>
-      </mapping>
-     </element>
      <element id="MedicinalProductDefinition.manufacturingBusinessOperation.effectiveDate">
       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.effectiveDate"></path>
-      <short value="Regulatory authorization date"></short>
-      <definition value="Regulatory authorization date."></definition>
+      <short value="Date range of applicability"></short>
+      <definition value="Date range of applicability."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
@@ -240967,35 +241039,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturing / Business Operation.Effective Date"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator"></path>
-      <short value="To indicate if this proces is commercially confidential"></short>
-      <definition value="To indicate if this proces is commercially confidential."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Manufacturing / Business Operation.Confidentiality Indicator"></map>
-      </mapping>
-     </element>
      <element id="MedicinalProductDefinition.manufacturingBusinessOperation.manufacturer">
       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.manufacturer"></path>
       <short value="The manufacturer or establishment associated with the process"></short>
@@ -241026,20 +241069,20 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturer / Establishment (Organisation)"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.regulator">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.regulator"></path>
-      <short value="A regulator which oversees the operation"></short>
-      <definition value="A regulator which oversees the operation."></definition>
+     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.authorization">
+      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.authorization"></path>
+      <short value="An authorization for this process, either as a logical reference, holding just an identifier, or a full refererence to a resource that captures the details. The authorization mayu possibly apply to several products or a wider scope of process of which this is a part"></short>
+      <definition value="An authorization for this process, either as a logical reference, holding just an identifier, or a full refererence to a resource that captures the details. The authorization mayu possibly apply to several products or a wider scope of process of which this is a part."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
-       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.regulator"></path>
+       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.authorization"></path>
        <min value="0"></min>
        <max value="1"></max>
       </base>
       <type>
        <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RegulatedAuthorization"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -241053,186 +241096,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="idmp"></identity>
-       <map value="Medicines Regulatory Agency (Organisation)"></map>
+       <map value="An authorization for this process, possibly applying to several products or a wider scope of process of which this is a part"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.specialDesignation">
-      <path value="MedicinalProductDefinition.specialDesignation"></path>
-      <short value="Indicates if the medicinal product has an orphan designation for the treatment of a rare disease"></short>
-      <definition value="Indicates if the medicinal product has an orphan designation for the treatment of a rare disease."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="BackboneElement"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Orphan Designation"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.id">
-      <path value="MedicinalProductDefinition.specialDesignation.id"></path>
-      <representation value="xmlAttr"></representation>
-      <short value="Unique id for inter-element referencing"></short>
-      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator">
+      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator"></path>
+      <short value="To indicate if this proces is commercially confidential"></short>
+      <definition value="To indicate if this proces is commercially confidential."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
-       <path value="Element.id"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
-      <type>
-       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
-       </extension>
-       <code value="http://hl7.org/fhirpath/System.String"></code>
-      </type>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.extension">
-      <path value="MedicinalProductDefinition.specialDesignation.extension"></path>
-      <short value="Additional content defined by implementations"></short>
-      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
-      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
-      <alias value="extensions"></alias>
-      <alias value="user content"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Element.extension"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Extension"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <constraint>
-       <key value="ext-1"></key>
-       <severity value="error"></severity>
-       <human value="Must have either extensions or value[x], not both"></human>
-       <expression value="extension.exists() != value.exists()"></expression>
-       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
-       <source value="Extension"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.modifierExtension">
-      <path value="MedicinalProductDefinition.specialDesignation.modifierExtension"></path>
-      <short value="Extensions that cannot be ignored even if unrecognized"></short>
-      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
-
-Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
-      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
-      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
-      <alias value="extensions"></alias>
-      <alias value="user content"></alias>
-      <alias value="modifiers"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="BackboneElement.modifierExtension"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Extension"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <constraint>
-       <key value="ext-1"></key>
-       <severity value="error"></severity>
-       <human value="Must have either extensions or value[x], not both"></human>
-       <expression value="extension.exists() != value.exists()"></expression>
-       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
-       <source value="Extension"></source>
-      </constraint>
-      <isModifier value="true"></isModifier>
-      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"></isModifierReason>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="N/A"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.identifier">
-      <path value="MedicinalProductDefinition.specialDesignation.identifier"></path>
-      <short value="Identifier for the designation, or procedure number"></short>
-      <definition value="Identifier for the designation, or procedure number."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.identifier"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Identifier"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Orphan Designation.Orphan Procedure Number"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.type">
-      <path value="MedicinalProductDefinition.specialDesignation.type"></path>
-      <short value="The type of special designation, e.g. orphan drug, minor use"></short>
-      <definition value="The type of special designation, e.g. orphan drug, minor use."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.type"></path>
+       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator"></path>
        <min value="0"></min>
        <max value="1"></max>
       </base>
@@ -241251,156 +241125,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="idmp"></identity>
-       <map value="n/a (generalises Orphan and other types)"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.intendedUse">
-      <path value="MedicinalProductDefinition.specialDesignation.intendedUse"></path>
-      <short value="The intended use of the product, e.g. prevention, treatment"></short>
-      <definition value="The intended use of the product, e.g. prevention, treatment."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.intendedUse"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Orphan Designation.Orphan Indication Type"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.indication[x]">
-      <path value="MedicinalProductDefinition.specialDesignation.indication[x]"></path>
-      <short value="Condition for which the medicinal use applies"></short>
-      <definition value="Condition for which the medicinal use applies."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.indication[x]"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.status">
-      <path value="MedicinalProductDefinition.specialDesignation.status"></path>
-      <short value="For example granted, pending, expired or withdrawn"></short>
-      <definition value="For example granted, pending, expired or withdrawn."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.status"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.date">
-      <path value="MedicinalProductDefinition.specialDesignation.date"></path>
-      <short value="Date when the designation was granted"></short>
-      <definition value="Date when the designation was granted."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.date"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="dateTime"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.species">
-      <path value="MedicinalProductDefinition.specialDesignation.species"></path>
-      <short value="Animal species for which this applies"></short>
-      <definition value="Animal species for which this applies."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MedicinalProductDefinition.specialDesignation.species"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
+       <map value="Manufacturing / Business Operation.Confidentiality Indicator"></map>
       </mapping>
      </element>
     </snapshot>
@@ -241462,6 +241187,44 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="n/a"></map>
       </mapping>
      </element>
+     <element id="MedicinalProductDefinition.version">
+      <path value="MedicinalProductDefinition.version"></path>
+      <short value="A business level identifier of the product"></short>
+      <definition value="A business level identifier of the product."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="Medicinal Product.Header.Version Number"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.status">
+      <path value="MedicinalProductDefinition.status"></path>
+      <short value="The status within the lifecycle of this product. A high level status, this is not intended to duplicate details carried elswhere such as legal status, or authorization status"></short>
+      <definition value="The status within the lifecycle of this product. A high level status, this is not intended to duplicate details carried elswhere such as legal status, or authorization status."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Coding"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="PublicationStatus"></valueString>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="Identifies the level of importance to be assigned to actioning the request."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status"></valueSet>
+      </binding>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
      <element id="MedicinalProductDefinition.description">
       <path value="MedicinalProductDefinition.description"></path>
       <short value="General description of this product"></short>
@@ -241469,7 +241232,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <isSummary value="true"></isSummary>
       <mapping>
@@ -241892,9 +241655,43 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <definition value="Reference to another product, e.g. for linking authorised to investigational product."></definition>
       <min value="0"></min>
       <max value="*"></max>
+      <type>
+       <code value="BackboneElement"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="Product Cross-Reference"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.product[x]">
+      <path value="MedicinalProductDefinition.crossReference.product[x]"></path>
+      <short value="Reference to another product, e.g. for linking authorised to investigational product"></short>
+      <definition value="Reference to another product, e.g. for linking authorised to investigational product."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
       <type>
        <code value="Identifier"></code>
       </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicinalProductDefinition"></targetProfile>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="idmp"></identity>
+       <map value="Product Cross-Reference"></map>
+      </mapping>
+     </element>
+     <element id="MedicinalProductDefinition.crossReference.type">
+      <path value="MedicinalProductDefinition.crossReference.type"></path>
+      <short value="The type of relationship, for instance branded to generic, product to development product (investigational), parallel import version"></short>
+      <definition value="The type of relationship, for instance branded to generic, product to development product (investigational), parallel import version."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Coding"></code>
+      </type>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="idmp"></identity>
@@ -241916,14 +241713,18 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturing / Business Operation"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.operationType">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.operationType"></path>
-      <short value="The type of manufacturing operation e.g. manufacturing itself, re-packaging"></short>
-      <definition value="The type of manufacturing operation e.g. manufacturing itself, re-packaging."></definition>
+     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.type[x]">
+      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.type[x]"></path>
+      <short value="The type of manufacturing operation e.g. manufacturing itself, re-packaging. This may be a subtype of some other wider scope of authorized operation, referenced by the authorization attribute"></short>
+      <definition value="The type of manufacturing operation e.g. manufacturing itself, re-packaging. This may be a subtype of some other wider scope of authorized operation, referenced by the authorization attribute."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="Coding"></code>
+      </type>
+      <type>
+       <code value="Reference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <mapping>
@@ -241931,25 +241732,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturing / Business Operation.Operation Type"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.authorisationReferenceNumber">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.authorisationReferenceNumber"></path>
-      <short value="Regulatory authorization reference number"></short>
-      <definition value="Regulatory authorization reference number."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="Identifier"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Manufacturing / Business Operation.Manufacturing Authorisation Reference Number"></map>
-      </mapping>
-     </element>
      <element id="MedicinalProductDefinition.manufacturingBusinessOperation.effectiveDate">
       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.effectiveDate"></path>
-      <short value="Regulatory authorization date"></short>
-      <definition value="Regulatory authorization date."></definition>
+      <short value="Date range of applicability"></short>
+      <definition value="Date range of applicability."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -241961,21 +241747,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturing / Business Operation.Effective Date"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator"></path>
-      <short value="To indicate if this proces is commercially confidential"></short>
-      <definition value="To indicate if this proces is commercially confidential."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Manufacturing / Business Operation.Confidentiality Indicator"></map>
-      </mapping>
-     </element>
      <element id="MedicinalProductDefinition.manufacturingBusinessOperation.manufacturer">
       <path value="MedicinalProductDefinition.manufacturingBusinessOperation.manufacturer"></path>
       <short value="The manufacturer or establishment associated with the process"></short>
@@ -241992,56 +241763,26 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Manufacturer / Establishment (Organisation)"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.regulator">
-      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.regulator"></path>
-      <short value="A regulator which oversees the operation"></short>
-      <definition value="A regulator which oversees the operation."></definition>
+     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.authorization">
+      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.authorization"></path>
+      <short value="An authorization for this process, either as a logical reference, holding just an identifier, or a full refererence to a resource that captures the details. The authorization mayu possibly apply to several products or a wider scope of process of which this is a part"></short>
+      <definition value="An authorization for this process, either as a logical reference, holding just an identifier, or a full refererence to a resource that captures the details. The authorization mayu possibly apply to several products or a wider scope of process of which this is a part."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
        <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/RegulatedAuthorization"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="idmp"></identity>
-       <map value="Medicines Regulatory Agency (Organisation)"></map>
+       <map value="An authorization for this process, possibly applying to several products or a wider scope of process of which this is a part"></map>
       </mapping>
      </element>
-     <element id="MedicinalProductDefinition.specialDesignation">
-      <path value="MedicinalProductDefinition.specialDesignation"></path>
-      <short value="Indicates if the medicinal product has an orphan designation for the treatment of a rare disease"></short>
-      <definition value="Indicates if the medicinal product has an orphan designation for the treatment of a rare disease."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="BackboneElement"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Orphan Designation"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.identifier">
-      <path value="MedicinalProductDefinition.specialDesignation.identifier"></path>
-      <short value="Identifier for the designation, or procedure number"></short>
-      <definition value="Identifier for the designation, or procedure number."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Identifier"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Orphan Designation.Orphan Procedure Number"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.type">
-      <path value="MedicinalProductDefinition.specialDesignation.type"></path>
-      <short value="The type of special designation, e.g. orphan drug, minor use"></short>
-      <definition value="The type of special designation, e.g. orphan drug, minor use."></definition>
+     <element id="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator">
+      <path value="MedicinalProductDefinition.manufacturingBusinessOperation.confidentialityIndicator"></path>
+      <short value="To indicate if this proces is commercially confidential"></short>
+      <definition value="To indicate if this proces is commercially confidential."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -242050,86 +241791,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="idmp"></identity>
-       <map value="n/a (generalises Orphan and other types)"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.intendedUse">
-      <path value="MedicinalProductDefinition.specialDesignation.intendedUse"></path>
-      <short value="The intended use of the product, e.g. prevention, treatment"></short>
-      <definition value="The intended use of the product, e.g. prevention, treatment."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="Orphan Designation.Orphan Indication Type"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.indication[x]">
-      <path value="MedicinalProductDefinition.specialDesignation.indication[x]"></path>
-      <short value="Condition for which the medicinal use applies"></short>
-      <definition value="Condition for which the medicinal use applies."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalUseIssue"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.status">
-      <path value="MedicinalProductDefinition.specialDesignation.status"></path>
-      <short value="For example granted, pending, expired or withdrawn"></short>
-      <definition value="For example granted, pending, expired or withdrawn."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.date">
-      <path value="MedicinalProductDefinition.specialDesignation.date"></path>
-      <short value="Date when the designation was granted"></short>
-      <definition value="Date when the designation was granted."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="dateTime"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
-      </mapping>
-     </element>
-     <element id="MedicinalProductDefinition.specialDesignation.species">
-      <path value="MedicinalProductDefinition.specialDesignation.species"></path>
-      <short value="Animal species for which this applies"></short>
-      <definition value="Animal species for which this applies."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="idmp"></identity>
-       <map value="n/a"></map>
+       <map value="Manufacturing / Business Operation.Confidentiality Indicator"></map>
       </mapping>
      </element>
     </differential>
@@ -242142,7 +241804,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MessageDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -242160,10 +241822,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MessageDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MessageDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Infrastructure And Messaging)"></publisher>
     <contact>
      <telecom>
@@ -242179,7 +241841,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted."></description>
     <purpose value="Allows messages to be defined once and re-used across systems."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -242208,11 +241870,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="MessageDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="MessageDefinition">
@@ -242228,53 +241886,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="msd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -242283,8 +241895,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="v2"></identity>
@@ -242310,7 +241922,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -242680,7 +242292,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -242783,7 +242395,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -243228,7 +242840,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The impact of the content of a message."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/message-significance-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/message-significance-category|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MessageDefinition.focus">
@@ -243278,7 +242890,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -243408,7 +243020,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MessageDefinition.focus.profile">
@@ -243525,7 +243137,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -243573,7 +243185,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -243756,7 +243368,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="msd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -243852,7 +243464,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="MessageDefinition.title">
@@ -243905,7 +243517,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -244167,7 +243779,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The impact of the content of a message."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/message-significance-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/message-significance-category|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MessageDefinition.focus">
@@ -244208,7 +243820,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MessageDefinition.focus.profile">
@@ -244266,7 +243878,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -244326,7 +243938,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MessageHeader"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -244344,10 +243956,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MessageHeader"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MessageHeader"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Infrastructure And Messaging)"></publisher>
     <contact>
      <telecom>
@@ -244363,7 +243975,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
     </contact>
     <description value="The header for a message exchange that is either requesting or responding to an action.  The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle."></description>
     <purpose value="Many implementations are not prepared to use REST and need a messaging based infrastructure."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -244472,7 +244084,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -244824,7 +244436,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -245245,7 +244857,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -245648,7 +245260,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -245810,7 +245422,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of response to a message."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/response-code|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/response-code|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -246420,7 +246032,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of response to a message."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/response-code|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/response-code|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -246492,13 +246104,533 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    </StructureDefinition>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="MetadataResource"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-interface">
+     <valueBoolean value="true"></valueBoolean>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.2.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></url>
+    <version value="4.2.0"></version>
+    <name value="MetadataResource"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="Common Ancestor declaration for conformance and knowledge artifact resources."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="workflow"></identity>
+     <uri value="http://hl7.org/fhir/workflow"></uri>
+     <name value="Workflow Pattern"></name>
+    </mapping>
+    <mapping>
+     <identity value="objimpl"></identity>
+     <uri value="http://hl7.org/fhir/object-implementation"></uri>
+     <name value="Object Implementation Information"></name>
+    </mapping>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="resource"></kind>
+    <abstract value="true"></abstract>
+    <type value="MetadataResource"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="MetadataResource">
+      <path value="MetadataResource"></path>
+      <short value="Common Ancestor declaration for definitional resources"></short>
+      <definition value="Common Ancestor declaration for conformance and knowledge artifact resources."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MetadataResource"></path>
+       <min value="1"></min>
+       <max value="1"></max>
+      </base>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.id">
+      <path value="MetadataResource.id"></path>
+      <short value="Logical id of this artifact"></short>
+      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."></definition>
+      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="id"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="MetadataResource.meta">
+      <path value="MetadataResource.meta"></path>
+      <short value="Metadata about the resource"></short>
+      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.meta"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Meta"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="MetadataResource.implicitRules">
+      <path value="MetadataResource.implicitRules"></path>
+      <short value="A set of rules under which this content was created"></short>
+      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."></definition>
+      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.implicitRules"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"></isModifierReason>
+      <isSummary value="true"></isSummary>
+     </element>
+     <element id="MetadataResource.language">
+      <path value="MetadataResource.language"></path>
+      <short value="Language of the resource content"></short>
+      <definition value="The base language in which the resource is written."></definition>
+      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Resource.language"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="code"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <binding>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
+        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
+        <valueString value="Language"></valueString>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
+        <valueBoolean value="true"></valueBoolean>
+       </extension>
+       <strength value="preferred"></strength>
+       <description value="A human language."></description>
+       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
+      </binding>
+     </element>
+     <element id="MetadataResource.text">
+      <path value="MetadataResource.text"></path>
+      <short value="Text summary of the resource, for human interpretation"></short>
+      <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."></definition>
+      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."></comment>
+      <alias value="narrative"></alias>
+      <alias value="html"></alias>
+      <alias value="xhtml"></alias>
+      <alias value="display"></alias>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="DomainResource.text"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Narrative"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="Act.text?"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.contained">
+      <path value="MetadataResource.contained"></path>
+      <short value="Contained, inline Resources"></short>
+      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."></definition>
+      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."></comment>
+      <alias value="inline resources"></alias>
+      <alias value="anonymous resources"></alias>
+      <alias value="contained resources"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DomainResource.contained"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Resource"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.extension">
+      <path value="MetadataResource.extension"></path>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DomainResource.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.modifierExtension">
+      <path value="MetadataResource.modifierExtension"></path>
+      <short value="Extensions that cannot be ignored"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
+
+Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DomainResource.modifierExtension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"></isModifierReason>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.approvalDate">
+      <path value="MetadataResource.approvalDate"></path>
+      <short value="When the {{title}} was approved by publisher"></short>
+      <definition value="The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage."></definition>
+      <comment value="The 'date' element may be more recent than the approval date because of minor changes or editorial corrections."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MetadataResource.approvalDate"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.approvalDate"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.lastReviewDate">
+      <path value="MetadataResource.lastReviewDate"></path>
+      <short value="When the {{title}} was last reviewed"></short>
+      <definition value="The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date."></definition>
+      <comment value="If specified, this date follows the original approval date."></comment>
+      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MetadataResource.lastReviewDate"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="date"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.lastReviewDate"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.effectivePeriod">
+      <path value="MetadataResource.effectivePeriod"></path>
+      <short value="When the {{title}} is expected to be used"></short>
+      <definition value="The period during which the {{title}} content was or is planned to be in active use."></definition>
+      <comment value="The effective period for a {{title}}  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015."></comment>
+      <requirements value="Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the {{title}} are or are expected to be used instead."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="MetadataResource.effectivePeriod"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.effectivePeriod"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="MetadataResource">
+      <path value="MetadataResource"></path>
+      <short value="Common Ancestor declaration for definitional resources"></short>
+      <definition value="Common Ancestor declaration for conformance and knowledge artifact resources."></definition>
+      <min value="1"></min>
+      <max value="1"></max>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.approvalDate">
+      <path value="MetadataResource.approvalDate"></path>
+      <short value="When the {{title}} was approved by publisher"></short>
+      <definition value="The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage."></definition>
+      <comment value="The 'date' element may be more recent than the approval date because of minor changes or editorial corrections."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="date"></code>
+      </type>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.approvalDate"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.lastReviewDate">
+      <path value="MetadataResource.lastReviewDate"></path>
+      <short value="When the {{title}} was last reviewed"></short>
+      <definition value="The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date."></definition>
+      <comment value="If specified, this date follows the original approval date."></comment>
+      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="date"></code>
+      </type>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.lastReviewDate"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+     <element id="MetadataResource.effectivePeriod">
+      <path value="MetadataResource.effectivePeriod"></path>
+      <short value="When the {{title}} is expected to be used"></short>
+      <definition value="The period during which the {{title}} content was or is planned to be in active use."></definition>
+      <comment value="The effective period for a {{title}}  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015."></comment>
+      <requirements value="Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the {{title}} are or are expected to be used instead."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Period"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.effectivePeriod"></map>
+      </mapping>
+      <mapping>
+       <identity value="objimpl"></identity>
+       <map value="no-gen-base"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MolecularSequence"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -246516,10 +246648,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MolecularSequence"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Genomics)"></publisher>
     <contact>
      <telecom>
@@ -246534,7 +246666,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Raw data describing a biological sequence."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="w5"></identity>
      <uri value="http://hl7.org/fhir/fivews"></uri>
@@ -246637,7 +246769,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -246939,7 +247071,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type if a sequence -- DNA, RNA, or amino acid sequence."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/sequence-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/sequence-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.coordinateSystem">
@@ -247150,7 +247282,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -247334,7 +247466,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for orientation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/orientation-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/orientation-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.referenceSeq.referenceSeqId">
@@ -247451,7 +247583,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for strand."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/strand-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/strand-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.referenceSeq.windowStart">
@@ -247544,7 +247676,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -247856,7 +247988,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -247982,7 +248114,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for quality report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quality-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quality-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.quality.standardSequence">
@@ -248366,7 +248498,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -248702,7 +248834,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -248828,7 +248960,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for access of external URI."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/repository-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/repository-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.repository.url">
@@ -249022,7 +249154,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -249148,7 +249280,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="DNA change type."></description>
-       <valueSet value="http://loinc.org/vs/LL379-9|4.1.0"></valueSet>
+       <valueSet value="http://loinc.org/vs/LL379-9|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.structureVariant.exact">
@@ -249241,7 +249373,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -249427,7 +249559,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -249621,7 +249753,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type if a sequence -- DNA, RNA, or amino acid sequence."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/sequence-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/sequence-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.coordinateSystem">
@@ -249765,7 +249897,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for orientation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/orientation-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/orientation-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.referenceSeq.referenceSeqId">
@@ -249826,7 +249958,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for strand."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/strand-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/strand-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.referenceSeq.windowStart">
@@ -249967,7 +250099,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for quality report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quality-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quality-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.quality.standardSequence">
@@ -250255,7 +250387,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Type for access of external URI."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/repository-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/repository-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.repository.url">
@@ -250352,7 +250484,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="DNA change type."></description>
-       <valueSet value="http://loinc.org/vs/LL379-9|4.1.0"></valueSet>
+       <valueSet value="http://loinc.org/vs/LL379-9|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="MolecularSequence.structureVariant.exact">
@@ -250453,7 +250585,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="NamingSystem"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -250471,10 +250603,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Terminology"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/NamingSystem"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NamingSystem"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -250489,7 +250621,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc.  Represents a &quot;System&quot; used within the Identifier and Coding data types."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -250513,11 +250645,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="NamingSystem"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="NamingSystem">
@@ -250532,53 +250660,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="nsd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -250601,8 +250683,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="v2"></identity>
@@ -250628,7 +250710,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -250870,6 +250952,79 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="N/A"></map>
       </mapping>
      </element>
+     <element id="NamingSystem.url">
+      <path value="NamingSystem.url"></path>
+      <short value="Canonical identifier for this naming system, represented as a URI (globally unique)"></short>
+      <definition value="An absolute URI that is used to identify this naming system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this naming system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the naming system is stored on different servers."></definition>
+      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.
+
+The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). 
+
+In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found."></comment>
+      <requirements value="Allows the naming system to be referenced by a single globally unique identifier."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="NamingSystem.url"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.url"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.identifier"></map>
+      </mapping>
+     </element>
+     <element id="NamingSystem.version">
+      <path value="NamingSystem.version"></path>
+      <short value="Business version of the naming system"></short>
+      <definition value="The identifier that is used to identify this version of the naming system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the naming system author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."></definition>
+      <comment value="There may be different naming system instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the naming system with the format [url]|[version]."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="NamingSystem.version"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.version"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.version"></map>
+      </mapping>
+     </element>
      <element id="NamingSystem.name">
       <path value="NamingSystem.name"></path>
       <short value="Name for this naming system (computer friendly)"></short>
@@ -250886,7 +251041,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -250933,7 +251088,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -250974,7 +251129,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the purpose of the naming system."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -251316,7 +251471,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -251443,7 +251598,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the style of unique identifier used to identify a namespace."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="NamingSystem.uniqueId.value">
@@ -251570,7 +251725,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <xpath value="not(f:kind/@value='root' and f:uniqueId/f:type/@value='uuid')"></xpath>
       </constraint>
       <constraint>
-       <key value="nsd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -251592,6 +251747,51 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="N/A"></map>
       </mapping>
      </element>
+     <element id="NamingSystem.url">
+      <path value="NamingSystem.url"></path>
+      <short value="Canonical identifier for this naming system, represented as a URI (globally unique)"></short>
+      <definition value="An absolute URI that is used to identify this naming system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this naming system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the naming system is stored on different servers."></definition>
+      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.
+
+The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). 
+
+In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found."></comment>
+      <requirements value="Allows the naming system to be referenced by a single globally unique identifier."></requirements>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="uri"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.url"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.identifier"></map>
+      </mapping>
+     </element>
+     <element id="NamingSystem.version">
+      <path value="NamingSystem.version"></path>
+      <short value="Business version of the naming system"></short>
+      <definition value="The identifier that is used to identify this version of the naming system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the naming system author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."></definition>
+      <comment value="There may be different naming system instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the naming system with the format [url]|[version]."></comment>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="workflow"></identity>
+       <map value="Definition.version"></map>
+      </mapping>
+      <mapping>
+       <identity value="w5"></identity>
+       <map value="FiveWs.version"></map>
+      </mapping>
+     </element>
      <element id="NamingSystem.name">
       <path value="NamingSystem.name"></path>
       <short value="Name for this naming system (computer friendly)"></short>
@@ -251603,7 +251803,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="NamingSystem.status">
@@ -251628,7 +251828,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -251655,7 +251855,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the purpose of the naming system."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -251855,7 +252055,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the style of unique identifier used to identify a namespace."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="NamingSystem.uniqueId.value">
@@ -251917,7 +252117,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="NutritionIntake"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -251932,10 +252132,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="oo"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/NutritionIntake"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NutritionIntake"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -251950,7 +252150,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A record of food or fluid that is being consumed by a patient.   A NutritionIntake may indicate that the patient may be consuming the food or fluid now or has consumed the food or fluid in the past.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay or through an app that tracks food or fluids consumed.   The consumption information may come from sources such as the patient's memory, from a nutrition label,  or from a clinician documenting observed intake."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -252059,7 +252259,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -252435,7 +252635,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept indicating the current status of a NutritionIntake."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -252561,7 +252761,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -252884,7 +253084,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -253230,7 +253430,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="NutritionIntake.reasonCode">
       <path value="NutritionIntake.reasonCode"></path>
       <short value="Reason for why the food or fluid is /was consumed"></short>
-      <definition value="A reason for why the food or fluid is /was consumed."></definition>
+      <definition value="A reason, Condition or observation for why the food or fluid is /was consumed."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -253239,40 +253439,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="NutritionIntake.reasonReference">
-      <path value="NutritionIntake.reasonReference"></path>
-      <short value="Condition or observation that supports why the food or fluid is /was consumed"></short>
-      <definition value="Condition or observation that supports why the food or fluid is /was consumed."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="NutritionIntake.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -253289,7 +253456,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -253421,7 +253588,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept indicating the current status of a NutritionIntake."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -253718,36 +253885,18 @@ This element is labeled as a modifier because the status contains codes that mar
      <element id="NutritionIntake.reasonCode">
       <path value="NutritionIntake.reasonCode"></path>
       <short value="Reason for why the food or fluid is /was consumed"></short>
-      <definition value="A reason for why the food or fluid is /was consumed."></definition>
+      <definition value="A reason, Condition or observation for why the food or fluid is /was consumed."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="NutritionIntake.reasonReference">
-      <path value="NutritionIntake.reasonReference"></path>
-      <short value="Condition or observation that supports why the food or fluid is /was consumed"></short>
-      <definition value="Condition or observation that supports why the food or fluid is /was consumed."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
       </type>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -253778,7 +253927,7 @@ This element is labeled as a modifier because the status contains codes that mar
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="NutritionOrder"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -253796,10 +253945,10 @@ This element is labeled as a modifier because the status contains codes that mar
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NutritionOrder"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -253814,7 +253963,7 @@ This element is labeled as a modifier because the status contains codes that mar
      </telecom>
     </contact>
     <description value="A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -253945,7 +254094,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -254376,7 +254525,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of the nutrition order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -254429,7 +254578,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a nutrition order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -254780,7 +254929,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -255011,7 +255160,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -255238,7 +255387,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -255558,7 +255707,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -255895,7 +256044,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -256279,7 +256428,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -256739,7 +256888,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of the nutrition order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -256779,7 +256928,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a nutrition order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -257720,7 +257869,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Observation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -257741,10 +257890,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Observation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Observation"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -257760,7 +257909,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Measurements and simple assertions made about a patient, device or other subject."></description>
     <purpose value="Observations are a key aspect of healthcare.  This resource is used to capture those that do not require more sophisticated mechanisms."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -257911,7 +258060,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -258321,7 +258470,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -258491,7 +258640,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -259184,7 +259333,7 @@ If the use case requires BodySite to be handled as a separate resource (e.g. to
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -259633,7 +259782,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -260149,7 +260298,7 @@ The alternate way is to use the value element for actual observations and use th
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status of an observation."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -260276,7 +260425,7 @@ The alternate way is to use the value element for actual observations and use th
       </mapping>
       <mapping>
        <identity value="rim"></identity>
-       <map value="participation[typeCode=RTGT] "></map>
+       <map value="participation[typeCode=RTGT]"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -261156,7 +261305,7 @@ The alternate way is to use the value element for actual observations and use th
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ObservationDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -261174,10 +261323,10 @@ The alternate way is to use the value element for actual observations and use th
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ObservationDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -261193,7 +261342,7 @@ The alternate way is to use the value element for actual observations and use th
     </contact>
     <description value="Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service."></description>
     <purpose value="In a catalog of health-related services that use or produce observations and measurements, this resource describes the expected characteristics of these observation / measurements."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -261305,7 +261454,7 @@ OMC"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -261737,7 +261886,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the state of an ObservationDefinition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ObservationDefinition.experimental">
@@ -262245,7 +262394,7 @@ OMC-4"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Permitted data type for observation value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -262495,7 +262644,7 @@ Example: 702659008 |Automated count technique|."></comment>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -262767,7 +262916,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -262897,7 +263046,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the category of observation range."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-range-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-range-category|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -263046,7 +263195,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -263333,7 +263482,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -263500,7 +263649,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Permitted data type for observation value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ObservationDefinition.component.quantitativeDetails">
@@ -263662,7 +263811,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the state of an ObservationDefinition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ObservationDefinition.experimental">
@@ -263926,7 +264075,7 @@ OMC-4"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Permitted data type for observation value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -264161,7 +264310,7 @@ Example: 702659008 |Automated count technique|."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the category of observation range."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-range-category|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-range-category|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -264250,7 +264399,7 @@ Example: 702659008 |Automated count technique|."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -264428,7 +264577,7 @@ Example: 702659008 |Automated count technique|."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="Permitted data type for observation value."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/permitted-data-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ObservationDefinition.component.quantitativeDetails">
@@ -264457,7 +264606,7 @@ Example: 702659008 |Automated count technique|."></comment>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="OperationDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -264478,10 +264627,10 @@ Example: 702659008 |Automated count technique|."></comment>
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OperationDefinition"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -264496,7 +264645,7 @@ Example: 702659008 |Automated count technique|."></comment>
      </telecom>
     </contact>
     <description value="A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction)."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -264520,11 +264669,7 @@ Example: 702659008 |Automated count technique|."></comment>
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="OperationDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="OperationDefinition">
@@ -264539,53 +264684,7 @@ Example: 702659008 |Automated count technique|."></comment>
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="opd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -264593,10 +264692,6 @@ Example: 702659008 |Automated count technique|."></comment>
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -264621,7 +264716,7 @@ Example: 702659008 |Automated count technique|."></comment>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -264952,7 +265047,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -265033,7 +265128,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -265075,7 +265170,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Whether an operation is a normal operation or a query."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -265505,7 +265600,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -265703,7 +265798,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -265856,7 +265951,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether an operation parameter is an input or an output parameter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.min">
@@ -265969,7 +266064,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.targetProfile">
@@ -266033,7 +266128,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.binding">
@@ -266076,7 +266171,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -266208,7 +266303,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indication of the degree of conformance expectations associated with a binding."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.binding.valueSet">
@@ -266282,7 +266377,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -266494,7 +266589,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -266649,7 +266744,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="opd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -266720,7 +266815,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
@@ -266765,7 +266860,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -266793,7 +266888,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Whether an operation is a normal operation or a query."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -267038,7 +267133,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -267161,7 +267256,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Whether an operation parameter is an input or an output parameter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.min">
@@ -267214,7 +267309,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.targetProfile">
@@ -267248,7 +267343,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.binding">
@@ -267282,7 +267377,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Indication of the degree of conformance expectations associated with a binding."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="OperationDefinition.parameter.binding.valueSet">
@@ -267382,7 +267477,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="OperationOutcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -267400,10 +267495,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/OperationOutcome"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OperationOutcome"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -267418,7 +267513,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="A collection of error, warning, or information messages that result from a system action."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -267519,7 +267614,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -267809,7 +267904,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -267937,7 +268032,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the issue affects the success of the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/issue-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/issue-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -267981,7 +268076,7 @@ The required element provides a base level of computable interoperability across
        </extension>
        <strength value="required"></strength>
        <description value="A code that describes the type of issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/issue-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/issue-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -268194,7 +268289,7 @@ For resource issues, this will be a simple XPath limited to element names, repet
        </extension>
        <strength value="required"></strength>
        <description value="How the issue affects the success of the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/issue-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/issue-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -268224,7 +268319,7 @@ The required element provides a base level of computable interoperability across
        </extension>
        <strength value="required"></strength>
        <description value="A code that describes the type of issue."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/issue-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/issue-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -268340,7 +268435,7 @@ For resource issues, this will be a simple XPath limited to element names, repet
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Organization"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -268358,10 +268453,10 @@ For resource issues, this will be a simple XPath limited to element names, repet
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Organization"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Organization"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -268376,7 +268471,7 @@ For resource issues, this will be a simple XPath limited to element names, repet
      </telecom>
     </contact>
     <description value="A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -268510,7 +268605,7 @@ For resource issues, this will be a simple XPath limited to element names, repet
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -269172,7 +269267,7 @@ For searching knowing previous names that the organization was known by can be v
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -269853,7 +269948,7 @@ For searching knowing previous names that the organization was known by can be v
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="OrganizationAffiliation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -269871,10 +269966,10 @@ For searching knowing previous names that the organization was known by can be v
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/OrganizationAffiliation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OrganizationAffiliation"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -269890,7 +269985,7 @@ For searching knowing previous names that the organization was known by can be v
     </contact>
     <description value="Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship."></description>
     <purpose value="Need to define relationships between organizations that are not sub-divisions of the same organization (part-of relationships)."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -269990,7 +270085,7 @@ For searching knowing previous names that the organization was known by can be v
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -270861,7 +270956,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="PackagedProductDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -270879,10 +270974,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/PackagedProductDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PackagedProductDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -270897,7 +270992,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A medicinal product in a container or package."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -270988,7 +271083,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -271473,7 +271568,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -271659,7 +271754,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -271971,7 +272066,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -272172,7 +272267,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -272673,7 +272768,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Parameters"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -272691,10 +272786,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Parameters"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Parameters"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -272709,7 +272804,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This resource is a non-persisted resource used to pass information into and back from an [operation](operations.html). It has no other use, and there is no RESTful endpoint associated with it."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -272768,7 +272863,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -272914,7 +273009,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -273076,6 +273171,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -273334,6 +273432,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -273490,7 +273591,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Patient"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -273511,10 +273612,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Individuals"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Patient"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Patient"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -273530,7 +273631,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Demographics and other administrative information about an individual or animal receiving care or other health-related services."></description>
     <purpose value="Tracking patient is the center of the healthcare process."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -273659,7 +273760,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -274118,7 +274219,7 @@ Deceased patients may also be marked as inactive for the same reasons, but may b
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -274467,7 +274568,7 @@ Deceased patients may also be marked as inactive for the same reasons, but may b
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -274758,7 +274859,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -274900,7 +275001,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -275223,7 +275324,7 @@ Jurisdictions may decide that they can profile this down to 1 if desired, or 1 p
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -275392,7 +275493,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of link between this patient resource and another patient resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -275573,7 +275674,7 @@ Deceased patients may also be marked as inactive for the same reasons, but may b
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -275926,7 +276027,7 @@ Deceased patients may also be marked as inactive for the same reasons, but may b
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -276193,7 +276294,7 @@ Jurisdictions may decide that they can profile this down to 1 if desired, or 1 p
        </extension>
        <strength value="required"></strength>
        <description value="The type of link between this patient resource and another patient resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -276214,7 +276315,7 @@ Jurisdictions may decide that they can profile this down to 1 if desired, or 1 p
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="PaymentNotice"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -276232,10 +276333,10 @@ Jurisdictions may decide that they can profile this down to 1 if desired, or 1 p
      <valueString value="Financial.Payment"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/PaymentNotice"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PaymentNotice"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -276250,7 +276351,7 @@ Jurisdictions may decide that they can profile this down to 1 if desired, or 1 p
      </telecom>
     </contact>
     <description value="This resource provides the status of the payment for goods and services rendered, and the request and response resource references."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -276369,7 +276470,7 @@ Jurisdictions may decide that they can profile this down to 1 if desired, or 1 p
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -276682,7 +276783,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -277096,7 +277197,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -277314,7 +277415,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="PaymentReconciliation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -277332,10 +277433,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Financial.Payment"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/PaymentReconciliation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PaymentReconciliation"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -277350,7 +277451,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This resource provides the details including amount of a payment and allocates the payment items being paid."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -277460,7 +277561,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -277769,7 +277870,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -277983,7 +278084,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The outcome of the processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PaymentReconciliation.disposition">
@@ -278139,7 +278240,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -278595,7 +278696,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -278725,7 +278826,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The presentation types of notes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PaymentReconciliation.processNote.text">
@@ -278810,7 +278911,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -278937,7 +279038,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The outcome of the processing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PaymentReconciliation.disposition">
@@ -279189,7 +279290,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The presentation types of notes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/note-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PaymentReconciliation.processNote.text">
@@ -279217,7 +279318,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Person"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -279235,10 +279336,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Individuals"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Person"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Person"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -279254,7 +279355,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Demographics and administrative information about a person independent of a specific health-related context."></description>
     <purpose value="Need to track persons potentially across multiple roles."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -279360,7 +279461,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -279745,7 +279846,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -279969,7 +280070,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -280128,7 +280229,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The level of confidence that this link represents the same actual person, based on NIST Authentication Levels."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -280235,7 +280336,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -280391,7 +280492,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The level of confidence that this link represents the same actual person, based on NIST Authentication Levels."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -280408,7 +280509,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="PlanDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -280426,10 +280527,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PlanDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -280444,7 +280545,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -280468,11 +280569,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="PlanDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="PlanDefinition">
@@ -280487,53 +280584,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="pdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -280541,10 +280592,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -280565,7 +280612,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -280935,7 +280982,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -281070,7 +281117,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -281807,7 +281854,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -282134,7 +282181,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -282364,7 +282411,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -282602,7 +282649,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.code">
@@ -282818,7 +282865,7 @@ In addition, because the subject needs to be resolved during realization, use of
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -282945,7 +282992,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the kinds of conditions that can appear on actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.condition.expression">
@@ -283065,7 +283112,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -283216,7 +283263,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.relatedAction.offset[x]">
@@ -283327,7 +283374,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -283453,7 +283500,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.participant.role">
@@ -283552,7 +283599,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.selectionBehavior">
@@ -283585,7 +283632,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.requiredBehavior">
@@ -283618,7 +283665,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.precheckBehavior">
@@ -283651,7 +283698,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.cardinalityBehavior">
@@ -283684,7 +283731,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.definition[x]">
@@ -283791,7 +283838,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -283975,7 +284022,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="pdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -284067,7 +284114,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="PlanDefinition.title">
@@ -284137,7 +284184,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -284774,7 +284821,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.code">
@@ -284886,7 +284933,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines the kinds of conditions that can appear on actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.condition.expression">
@@ -284956,7 +285003,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.relatedAction.offset[x]">
@@ -285022,7 +285069,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.participant.role">
@@ -285076,7 +285123,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.selectionBehavior">
@@ -285094,7 +285141,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.requiredBehavior">
@@ -285112,7 +285159,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.precheckBehavior">
@@ -285130,7 +285177,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.cardinalityBehavior">
@@ -285148,7 +285195,7 @@ In addition, because the subject needs to be resolved during realization, use of
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="PlanDefinition.action.definition[x]">
@@ -285239,7 +285286,7 @@ In addition, because the subject needs to be resolved during realization, use of
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Practitioner"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -285257,10 +285304,10 @@ In addition, because the subject needs to be resolved during realization, use of
      <valueString value="Base.Individuals"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Practitioner"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Practitioner"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -285276,7 +285323,7 @@ In addition, because the subject needs to be resolved during realization, use of
     </contact>
     <description value="A person who is directly or indirectly involved in the provisioning of healthcare."></description>
     <purpose value="Need to track doctors, staff, locums etc. for both healthcare practitioners, funders, etc."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -285403,7 +285450,7 @@ In addition, because the subject needs to be resolved during realization, use of
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -285894,7 +285941,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -286045,7 +286092,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -286523,7 +286570,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -286742,7 +286789,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="PractitionerRole"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -286760,10 +286807,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Individuals"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PractitionerRole"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -286779,7 +286826,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time."></description>
     <purpose value="Need to track services that a healthcare provider is able to provide at an organization's location, and the services that they can perform there."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -286906,7 +286953,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -287583,7 +287630,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -287709,7 +287756,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The days of the week."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -287849,7 +287896,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -288367,7 +288414,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The days of the week."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -288500,7 +288547,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Procedure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -288518,10 +288565,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Summary"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Procedure"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Procedure"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Care)"></publisher>
     <contact>
      <telecom>
@@ -288536,7 +288583,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -288650,7 +288697,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -289119,7 +289166,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the procedure."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -289593,7 +289640,7 @@ Age is generally used when the patient reports an age at which the procedure was
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -289855,20 +289902,25 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=LOC].role[classCode=SDLOC]"></map>
       </mapping>
      </element>
-     <element id="Procedure.reasonCode">
-      <path value="Procedure.reasonCode"></path>
-      <short value="Coded reason procedure performed"></short>
-      <definition value="The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text."></definition>
-      <comment value="Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."></comment>
+     <element id="Procedure.reason">
+      <path value="Procedure.reason"></path>
+      <short value="The justification that the procedure was performed"></short>
+      <definition value="The coded reason or reference why the procedure was performed. This may be a coded entity of some type, or may simply be present as text, or may be a reference to one of several resources that justify the procedure."></definition>
+      <comment value="Use Procedure.reason.concept when a code sufficiently describes the reason.  Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reason.concept and Procedure.reason.reference are not meant to be duplicative.  For a single reason, either Procedure.reason.concept or Procedure.reason.reference can be used.  Procedure.reason.concept may be a summary code, or Procedure.reason.reference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reason.concept and Procedure.reason.reference can be used if they are describing different reasons for the procedure."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Procedure.reasonCode"></path>
+       <path value="Procedure.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -289890,7 +289942,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -289905,50 +289957,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="Procedure.reasonReference">
-      <path value="Procedure.reasonReference"></path>
-      <short value="The justification that the procedure was performed"></short>
-      <definition value="The justification of why the procedure was performed."></definition>
-      <comment value="It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). 
-Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Procedure.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".reasonCode"></map>
-      </mapping>
-     </element>
      <element id="Procedure.bodySite">
       <path value="Procedure.bodySite"></path>
       <short value="Target body sites"></short>
@@ -290249,7 +290257,7 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -290412,8 +290420,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=DEV].role[classCode=SDLOC]"></map>
       </mapping>
      </element>
-     <element id="Procedure.usedReference">
-      <path value="Procedure.usedReference"></path>
+     <element id="Procedure.used">
+      <path value="Procedure.used"></path>
       <short value="Items used during procedure"></short>
       <definition value="Identifies medications, devices and any other substance used as part of the procedure."></definition>
       <comment value="For devices actually implanted or removed, use Procedure.device."></comment>
@@ -290421,12 +290429,12 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="Procedure.usedReference"></path>
+       <path value="Procedure.used"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"></targetProfile>
@@ -290442,37 +290450,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".participation[typeCode=DEV].role[classCode=MANU] or
-.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"></map>
-      </mapping>
-     </element>
-     <element id="Procedure.usedCode">
-      <path value="Procedure.usedCode"></path>
-      <short value="Coded items used during the procedure"></short>
-      <definition value="Identifies coded items that were used as part of the procedure."></definition>
-      <comment value="For devices actually implanted or removed, use Procedure.device."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="Procedure.usedCode"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
         <valueString value="ProcedureUsed"></valueString>
@@ -290647,7 +290624,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the procedure."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -291075,15 +291052,20 @@ Age is generally used when the patient reports an age at which the procedure was
        <map value=".participation[typeCode=LOC].role[classCode=SDLOC]"></map>
       </mapping>
      </element>
-     <element id="Procedure.reasonCode">
-      <path value="Procedure.reasonCode"></path>
-      <short value="Coded reason procedure performed"></short>
-      <definition value="The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text."></definition>
-      <comment value="Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."></comment>
+     <element id="Procedure.reason">
+      <path value="Procedure.reason"></path>
+      <short value="The justification that the procedure was performed"></short>
+      <definition value="The coded reason or reference why the procedure was performed. This may be a coded entity of some type, or may simply be present as text, or may be a reference to one of several resources that justify the procedure."></definition>
+      <comment value="Use Procedure.reason.concept when a code sufficiently describes the reason.  Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reason.concept and Procedure.reason.reference are not meant to be duplicative.  For a single reason, either Procedure.reason.concept or Procedure.reason.reference can be used.  Procedure.reason.concept may be a summary code, or Procedure.reason.reference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reason.concept and Procedure.reason.reference can be used if they are describing different reasons for the procedure."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -291096,7 +291078,7 @@ Age is generally used when the patient reports an age at which the procedure was
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -291111,36 +291093,6 @@ Age is generally used when the patient reports an age at which the procedure was
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="Procedure.reasonReference">
-      <path value="Procedure.reasonReference"></path>
-      <short value="The justification that the procedure was performed"></short>
-      <definition value="The justification of why the procedure was performed."></definition>
-      <comment value="It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). 
-Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".reasonCode"></map>
-      </mapping>
-     </element>
      <element id="Procedure.bodySite">
       <path value="Procedure.bodySite"></path>
       <short value="Target body sites"></short>
@@ -291345,8 +291297,8 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
        <map value=".participation[typeCode=DEV].role[classCode=SDLOC]"></map>
       </mapping>
      </element>
-     <element id="Procedure.usedReference">
-      <path value="Procedure.usedReference"></path>
+     <element id="Procedure.used">
+      <path value="Procedure.used"></path>
       <short value="Items used during procedure"></short>
       <definition value="Identifies medications, devices and any other substance used as part of the procedure."></definition>
       <comment value="For devices actually implanted or removed, use Procedure.device."></comment>
@@ -291354,28 +291306,12 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"></targetProfile>
       </type>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".participation[typeCode=DEV].role[classCode=MANU] or
-.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"></map>
-      </mapping>
-     </element>
-     <element id="Procedure.usedCode">
-      <path value="Procedure.usedCode"></path>
-      <short value="Coded items used during the procedure"></short>
-      <definition value="Identifies coded items that were used as part of the procedure."></definition>
-      <comment value="For devices actually implanted or removed, use Procedure.device."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
         <valueString value="ProcedureUsed"></valueString>
@@ -291399,7 +291335,7 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Provenance"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -291417,10 +291353,10 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
      <valueString value="Foundation.Security"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Provenance"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Provenance"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Security)"></publisher>
     <contact>
      <telecom>
@@ -291435,7 +291371,7 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
      </telecom>
     </contact>
     <description value="Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -291562,7 +291498,7 @@ Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Pro
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -292178,7 +292114,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -292500,7 +292436,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -292626,7 +292562,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an entity was used in an activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -293157,7 +293093,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an entity was used in an activity."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -293234,7 +293170,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Questionnaire"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -293252,10 +293188,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Questionnaire"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Questionnaire"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -293271,7 +293207,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection."></description>
     <purpose value="To support structured, hierarchical registration of data gathered using digital forms and other questionnaires.  Questionnaires provide greater control over presentation and allow capture of data in a domain-independent way (i.e. capturing information that would otherwise require multiple distinct types of resources)."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -293300,11 +293236,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="Questionnaire"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Questionnaire">
@@ -293322,53 +293254,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="que-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -293383,10 +293269,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </constraint>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -293411,7 +293293,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -293789,7 +293671,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -293909,7 +293791,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -293997,7 +293879,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -294593,7 +294475,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -294732,7 +294614,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
 * maxLength (ElementDefinition.maxLength) 
 * answerValueSet (ElementDefinition.binding)
 * options (ElementDefinition.binding)."></definition>
-      <comment value="The uri refers to an ElementDefinition in a [StructureDefinition](structuredefinition.html#) and always starts with the [canonical URL](references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."></comment>
+      <comment value="The uri refers to an ElementDefinition in a [StructureDefinition](structuredefinition.html#) and always starts with the [canonical URL](references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](types-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."></comment>
       <requirements value="A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition."></requirements>
       <min value="0"></min>
       <max value="1"></max>
@@ -294893,7 +294775,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Distinguishes groups from questions and display text and indicates data type for questions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/item-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/item-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -294954,7 +294836,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -295110,7 +294992,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The criteria by which a question is enabled."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -295215,7 +295097,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Controls how multiple enableWhen values are interpreted -  whether all or any must be true."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -295438,7 +295320,7 @@ The value may come from the ElementDefinition referred to by .definition."></com
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -295667,7 +295549,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -295876,6 +295758,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <alias value="Survey"></alias>
       <min value="0"></min>
       <max value="*"></max>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
       <constraint>
        <key value="que-2"></key>
        <severity value="error"></severity>
@@ -295883,13 +295772,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <expression value="descendants().linkId.isDistinct()"></expression>
        <xpath value="count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value))"></xpath>
       </constraint>
-      <constraint>
-       <key value="que-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
       <mapping>
        <identity value="workflow"></identity>
        <map value="Definition"></map>
@@ -295988,7 +295870,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
       <mapping>
        <identity value="rim"></identity>
@@ -296057,7 +295939,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -296117,7 +295999,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -296538,7 +296420,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
 * maxLength (ElementDefinition.maxLength) 
 * answerValueSet (ElementDefinition.binding)
 * options (ElementDefinition.binding)."></definition>
-      <comment value="The uri refers to an ElementDefinition in a [StructureDefinition](structuredefinition.html#) and always starts with the [canonical URL](references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."></comment>
+      <comment value="The uri refers to an ElementDefinition in a [StructureDefinition](structuredefinition.html#) and always starts with the [canonical URL](references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](types-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."></comment>
       <requirements value="A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition."></requirements>
       <min value="0"></min>
       <max value="1"></max>
@@ -296624,7 +296506,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Distinguishes groups from questions and display text and indicates data type for questions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/item-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/item-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -296686,7 +296568,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The criteria by which a question is enabled."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -296761,7 +296643,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Controls how multiple enableWhen values are interpreted -  whether all or any must be true."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -297034,7 +296916,7 @@ The value may come from the ElementDefinition referred to by .definition."></com
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="QuestionnaireResponse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -297052,10 +296934,10 @@ The value may come from the ElementDefinition referred to by .definition."></com
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireResponse"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -297071,7 +296953,7 @@ The value may come from the ElementDefinition referred to by .definition."></com
     </contact>
     <description value="A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to."></description>
     <purpose value="To support structured, hierarchical reporting of data gathered using digital forms and other questionnaires."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -297183,7 +297065,7 @@ The value may come from the ElementDefinition referred to by .definition."></com
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -297606,7 +297488,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Lifecycle status of the questionnaire response."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -297894,7 +297776,7 @@ This element is optional to allow for systems that might not know the value, how
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -298128,7 +298010,7 @@ There is no need for this element if the item pointed to by the linkId has a def
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -298485,7 +298367,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Lifecycle status of the questionnaire response."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -298830,7 +298712,7 @@ There is no need for this element if the item pointed to by the linkId has a def
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="RegulatedAuthorization"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -298848,10 +298730,10 @@ There is no need for this element if the item pointed to by the linkId has a def
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/RegulatedAuthorization"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RegulatedAuthorization"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -298866,7 +298748,7 @@ There is no need for this element if the item pointed to by the linkId has a def
      </telecom>
     </contact>
     <description value="The regulatory authorization of a medicinal product."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -298957,7 +298839,7 @@ There is no need for this element if the item pointed to by the linkId has a def
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -299243,6 +299125,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ObservationDefinition"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -299292,7 +299175,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="1"></max>
       </base>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -299470,7 +299353,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -299737,7 +299620,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -299993,6 +299876,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/ObservationDefinition"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
      </element>
@@ -300014,7 +299898,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <isSummary value="true"></isSummary>
      </element>
@@ -300222,7 +300106,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="RelatedPerson"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -300240,10 +300124,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Individuals"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RelatedPerson"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -300259,7 +300143,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process."></description>
     <purpose value="Need to track persons related to the patient or the healthcare process."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -300373,7 +300257,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -300890,7 +300774,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -301097,7 +300981,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -301464,7 +301348,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The gender of a person used for administrative purposes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -301639,7 +301523,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="RequestGroup"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -301657,10 +301541,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/RequestGroup"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RequestGroup"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -301675,7 +301559,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A group of related requests that can be used to capture intended activities that have inter-dependencies such as &quot;give this medication after that one&quot;."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -301780,7 +301664,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -302245,7 +302129,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -302289,7 +302173,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -302331,7 +302215,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -302518,52 +302402,19 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.author"></map>
       </mapping>
      </element>
-     <element id="RequestGroup.reasonCode">
-      <path value="RequestGroup.reasonCode"></path>
+     <element id="RequestGroup.reason">
+      <path value="RequestGroup.reason"></path>
       <short value="Why the request group is needed"></short>
       <definition value="Describes the reason for the request group in coded or textual form."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="RequestGroup.reasonCode"></path>
+       <path value="RequestGroup.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="RequestGroup.reasonReference">
-      <path value="RequestGroup.reasonReference"></path>
-      <short value="Why the request group is needed"></short>
-      <definition value="Indicates another resource whose existence justifies this request group."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="RequestGroup.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -302581,7 +302432,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -302664,7 +302515,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -302890,7 +302741,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -302996,7 +302847,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -303123,7 +302974,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of condition for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.condition.expression">
@@ -303192,7 +303043,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -303343,7 +303194,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.relatedAction.offset[x]">
@@ -303519,7 +303370,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.selectionBehavior">
@@ -303552,7 +303403,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.requiredBehavior">
@@ -303585,7 +303436,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.precheckBehavior">
@@ -303618,7 +303469,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.cardinalityBehavior">
@@ -303651,7 +303502,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.resource">
@@ -303843,7 +303694,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the lifecycle stage of a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -303874,7 +303725,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -303902,7 +303753,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -304015,32 +303866,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="FiveWs.author"></map>
       </mapping>
      </element>
-     <element id="RequestGroup.reasonCode">
-      <path value="RequestGroup.reasonCode"></path>
+     <element id="RequestGroup.reason">
+      <path value="RequestGroup.reason"></path>
       <short value="Why the request group is needed"></short>
       <definition value="Describes the reason for the request group in coded or textual form."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="RequestGroup.reasonReference">
-      <path value="RequestGroup.reasonReference"></path>
-      <short value="Why the request group is needed"></short>
-      <definition value="Indicates another resource whose existence justifies this request group."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -304048,7 +303881,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </type>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -304143,7 +303976,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -304205,7 +304038,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of condition for the action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.condition.expression">
@@ -304254,7 +304087,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the types of relationships between actions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.relatedAction.offset[x]">
@@ -304355,7 +304188,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines organization behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.selectionBehavior">
@@ -304373,7 +304206,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection behavior of a group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.requiredBehavior">
@@ -304391,7 +304224,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines expectations around whether an action or action group is required."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.precheckBehavior">
@@ -304409,7 +304242,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines selection frequency behavior for an action or group."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.cardinalityBehavior">
@@ -304427,7 +304260,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RequestGroup.action.resource">
@@ -304462,7 +304295,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ResearchStudy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -304480,10 +304313,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Public Health &amp;amp; Research"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ResearchStudy"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchStudy"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -304498,7 +304331,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge.  This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques.  A ResearchStudy involves the gathering of information about human or animal subjects."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="BRIDG5.1"></identity>
      <uri value="https://bridgmodel.nci.nih.gov"></uri>
@@ -304625,7 +304458,7 @@ StudyProtocolVersion"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -305047,7 +304880,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes that convey the current status of the research study."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/research-study-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/research-study-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -305783,7 +305616,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -306022,7 +305855,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -306320,7 +306153,7 @@ StudyProtocolVersion"></map>
        </extension>
        <strength value="required"></strength>
        <description value="Codes that convey the current status of the research study."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/research-study-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/research-study-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -306899,7 +306732,7 @@ StudyProtocolVersion"></map>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ResearchSubject"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -306917,10 +306750,10 @@ StudyProtocolVersion"></map>
      <valueString value="Specialized.Public Health &amp;amp; Research"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ResearchSubject"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchSubject"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -306935,7 +306768,7 @@ StudyProtocolVersion"></map>
      </telecom>
     </contact>
     <description value="A physical entity which is the primary unit of operational and/or administrative interest in a study."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="BRIDG5.1"></identity>
      <uri value="https://bridgmodel.nci.nih.gov"></uri>
@@ -307055,7 +306888,7 @@ StudyProtocolVersion"></map>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -307365,7 +307198,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the progression of a study subject through a study."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -307423,7 +307256,7 @@ It is likely that more than one &quot;state&quot; pattern will be recorded for a
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -307941,7 +307774,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Indicates the progression of a study subject through a study."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -308175,7 +308008,7 @@ It is likely that more than one &quot;state&quot; pattern will be recorded for a
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="RiskAssessment"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -308193,10 +308026,10 @@ It is likely that more than one &quot;state&quot; pattern will be recorded for a
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RiskAssessment"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Clinical Decision Support)"></publisher>
     <contact>
      <telecom>
@@ -308211,7 +308044,7 @@ It is likely that more than one &quot;state&quot; pattern will be recorded for a
      </telecom>
     </contact>
     <description value="An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -308339,7 +308172,7 @@ It is likely that more than one &quot;state&quot; pattern will be recorded for a
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -308712,7 +308545,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the risk assessment; e.g. preliminary, final, amended, etc."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -308997,52 +308830,19 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Information Provider"></map>
       </mapping>
      </element>
-     <element id="RiskAssessment.reasonCode">
-      <path value="RiskAssessment.reasonCode"></path>
+     <element id="RiskAssessment.reason">
+      <path value="RiskAssessment.reason"></path>
       <short value="Why the assessment was necessary?"></short>
       <definition value="The reason the risk assessment was performed."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="RiskAssessment.reasonCode"></path>
+       <path value="RiskAssessment.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="RiskAssessment.reasonReference">
-      <path value="RiskAssessment.reasonReference"></path>
-      <short value="Why the assessment was necessary?"></short>
-      <definition value="Resources supporting the reason the risk assessment was performed."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="RiskAssessment.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -309060,7 +308860,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isSummary value="false"></isSummary>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -309153,7 +308953,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -309620,7 +309420,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of the risk assessment; e.g. preliminary, final, amended, etc."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -309807,32 +309607,14 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value="Information Provider"></map>
       </mapping>
      </element>
-     <element id="RiskAssessment.reasonCode">
-      <path value="RiskAssessment.reasonCode"></path>
+     <element id="RiskAssessment.reason">
+      <path value="RiskAssessment.reason"></path>
       <short value="Why the assessment was necessary?"></short>
       <definition value="The reason the risk assessment was performed."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Event.reasonCode"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-     </element>
-     <element id="RiskAssessment.reasonReference">
-      <path value="RiskAssessment.reasonReference"></path>
-      <short value="Why the assessment was necessary?"></short>
-      <definition value="Resources supporting the reason the risk assessment was performed."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
+       <code value="CodeableReference"></code>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
@@ -309840,7 +309622,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </type>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Event.reasonReference"></map>
+       <map value="Event.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -310050,7 +309832,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Schedule"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -310068,10 +309850,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Workflow"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Schedule"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Schedule"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -310086,7 +309868,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A container for slots of time that may be available for booking appointments."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -310196,7 +309978,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -310924,7 +310706,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SearchParameter"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -310942,10 +310724,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SearchParameter"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SearchParameter"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -310960,7 +310742,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A search parameter that defines a named search item that can be used to search/filter on a resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -310989,11 +310771,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="SearchParameter"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="SearchParameter">
@@ -311009,53 +310787,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="spd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -311078,8 +310810,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="v2"></identity>
@@ -311105,7 +310837,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -311436,7 +311168,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -311510,7 +311242,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -311856,7 +311588,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.type">
@@ -311892,7 +311624,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.expression">
@@ -311980,7 +311712,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a search parameter relates to the set of elements returned by evaluating its xpath query."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-xpath-usage|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-xpath-usage|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.target">
@@ -312016,7 +311748,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.multipleOr">
@@ -312100,7 +311832,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="What Search Comparator Codes are supported in search."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-comparator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.modifier">
@@ -312133,7 +311865,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="A supported modifier for a search parameter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.chain">
@@ -312202,7 +311934,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -312360,7 +312092,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="spd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -312445,7 +312177,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="SearchParameter.derivedFrom">
@@ -312482,7 +312214,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -312687,7 +312419,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.type">
@@ -312709,7 +312441,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Data types allowed to be used for search parameters."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.expression">
@@ -312752,7 +312484,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a search parameter relates to the set of elements returned by evaluating its xpath query."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-xpath-usage|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-xpath-usage|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.target">
@@ -312773,7 +312505,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="One of the resource types defined as part of this version of FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.multipleOr">
@@ -312812,7 +312544,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="What Search Comparator Codes are supported in search."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-comparator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.modifier">
@@ -312830,7 +312562,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="A supported modifier for a search parameter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SearchParameter.chain">
@@ -312886,7 +312618,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ServiceRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -312904,10 +312636,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -312922,7 +312654,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -313056,7 +312788,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -313577,7 +313309,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of a service order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -313632,7 +313364,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of service request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -313729,7 +313461,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -314326,19 +314058,20 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.locationCode">
-      <path value="ServiceRequest.locationCode"></path>
+     <element id="ServiceRequest.location">
+      <path value="ServiceRequest.location"></path>
       <short value="Requested location"></short>
       <definition value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="ServiceRequest.locationCode"></path>
+       <path value="ServiceRequest.location"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -314367,54 +314100,24 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.locationReference">
-      <path value="ServiceRequest.locationReference"></path>
-      <short value="Requested location"></short>
-      <definition value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="ServiceRequest.locationReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.actor"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"></map>
-      </mapping>
-     </element>
-     <element id="ServiceRequest.reasonCode">
-      <path value="ServiceRequest.reasonCode"></path>
+     <element id="ServiceRequest.reason">
+      <path value="ServiceRequest.reason"></path>
       <short value="Explanation/Justification for procedure or service"></short>
       <definition value="An explanation or justification for why this service is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in `supportingInfo`."></definition>
-      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.   Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)."></comment>
+      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise, use `concept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="ServiceRequest.reasonCode"></path>
+       <path value="ServiceRequest.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -314436,7 +314139,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -314451,52 +314154,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.reasonReference">
-      <path value="ServiceRequest.reasonReference"></path>
-      <short value="Explanation/Justification for service or service"></short>
-      <definition value="Indicates another resource that provides a justification for why this service is being requested.   May relate to the resources referred to in `supportingInfo`."></definition>
-      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.    To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise when referencing  *DiagnosticReport*  it should contain a finding  in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`.   When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request.  Use  the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="ServiceRequest.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="ServiceRequest.insurance">
       <path value="ServiceRequest.insurance"></path>
       <short value="Associated insurance coverage"></short>
@@ -314987,7 +314644,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The status of a service order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -315029,7 +314686,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of service request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -315098,7 +314755,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -315528,14 +315185,15 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.locationCode">
-      <path value="ServiceRequest.locationCode"></path>
+     <element id="ServiceRequest.location">
+      <path value="ServiceRequest.location"></path>
       <short value="Requested location"></short>
       <definition value="The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -315555,35 +315213,19 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.locationReference">
-      <path value="ServiceRequest.locationReference"></path>
-      <short value="Requested location"></short>
-      <definition value="A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.actor"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"></map>
-      </mapping>
-     </element>
-     <element id="ServiceRequest.reasonCode">
-      <path value="ServiceRequest.reasonCode"></path>
+     <element id="ServiceRequest.reason">
+      <path value="ServiceRequest.reason"></path>
       <short value="Explanation/Justification for procedure or service"></short>
       <definition value="An explanation or justification for why this service is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in `supportingInfo`."></definition>
-      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.   Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)."></comment>
+      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise, use `concept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)."></comment>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <isSummary value="true"></isSummary>
       <binding>
@@ -315596,7 +315238,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -315611,38 +315253,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="ServiceRequest.reasonReference">
-      <path value="ServiceRequest.reasonReference"></path>
-      <short value="Explanation/Justification for service or service"></short>
-      <definition value="Indicates another resource that provides a justification for why this service is being requested.   May relate to the resources referred to in `supportingInfo`."></definition>
-      <comment value="This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.    To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise when referencing  *DiagnosticReport*  it should contain a finding  in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`.   When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request.  Use  the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html)."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="ServiceRequest.insurance">
       <path value="ServiceRequest.insurance"></path>
       <short value="Associated insurance coverage"></short>
@@ -315827,7 +315437,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Slot"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -315845,10 +315455,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Workflow"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Slot"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Slot"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -315863,7 +315473,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A slot of time on a schedule that may be available for booking appointments."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -315972,7 +315582,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -316444,7 +316054,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The free/busy status of the slot."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/slotstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/slotstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="ical"></identity>
@@ -316717,7 +316327,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The free/busy status of the slot."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/slotstatus|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/slotstatus|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="ical"></identity>
@@ -316793,7 +316403,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Specimen"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -316811,10 +316421,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Diagnostics"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Specimen"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Specimen"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -316829,7 +316439,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A sample to be used for analysis."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -316934,7 +316544,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -317282,7 +316892,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status/availability of a specimen."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -317541,7 +317151,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -317948,7 +317558,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -318220,7 +317830,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -318682,7 +318292,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes providing the status/availability of a specimen."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -319285,7 +318895,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SpecimenDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -319303,10 +318913,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Definitional Artifacts"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SpecimenDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -319321,7 +318931,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A kind of specimen with associated set of requirements."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -319425,7 +319035,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -319855,7 +319465,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the status of a SpecimenDefinition resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SpecimenDefinition.experimental">
@@ -320393,7 +320003,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -320589,7 +320199,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Degree of preference of a type of conditioned specimen."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -320636,7 +320246,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -320973,7 +320583,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -321299,7 +320909,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -321652,7 +321262,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Codes identifying the status of a SpecimenDefinition resource."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="SpecimenDefinition.experimental">
@@ -321972,7 +321582,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Degree of preference of a type of conditioned specimen."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -322304,7 +321914,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="StructureDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -322325,10 +321935,10 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/StructureDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureDefinition"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -322343,7 +321953,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
      </telecom>
     </contact>
     <description value="A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -322372,11 +321982,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="StructureDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="StructureDefinition">
@@ -322393,53 +321999,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="sdf-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -322573,8 +322133,8 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -322596,7 +322156,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -322983,7 +322543,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -323060,7 +322620,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -323438,7 +322998,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <element id="StructureDefinition.fhirVersion">
       <path value="StructureDefinition.fhirVersion"></path>
       <short value="FHIR Version this StructureDefinition targets"></short>
-      <definition value="The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.1.0. for this version."></definition>
+      <definition value="The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.2.0. for this version."></definition>
       <comment value="A StructureDefinition does not need to specify the target it applies to as StructureDefinitions will often be valid across multiple versions of FHIR. FHIR tooling can determine whether a StructureDefinition is consistent with a particular StructureDefinition if desired."></comment>
       <min value="0"></min>
       <max value="1"></max>
@@ -323469,7 +323029,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.mapping">
@@ -323519,7 +323079,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -323749,7 +323309,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Defines the type of structure that a definition is describing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.abstract">
@@ -323819,7 +323379,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -323945,7 +323505,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an extension context is interpreted."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.context.expression">
@@ -324099,7 +323659,7 @@ The type must match the elements defined in the differential and the snapshot. F
        </extension>
        <strength value="required"></strength>
        <description value="How a type relates to its baseDefinition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.snapshot">
@@ -324164,7 +323724,7 @@ The type must match the elements defined in the differential and the snapshot. F
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -324354,7 +323914,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -324489,6 +324049,13 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <alias value="Profile"></alias>
       <min value="0"></min>
       <max value="*"></max>
+      <constraint>
+       <key value="cnl-0"></key>
+       <severity value="warning"></severity>
+       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
+       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
+       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
+      </constraint>
       <constraint>
        <key value="sdf-9"></key>
        <requirements value="Because these 3 fields seem to be have overlapping meaning with the ones in the root of StructureDefinition"></requirements>
@@ -324592,13 +324159,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <expression value="differential.element.defaultValue.exists() implies (derivation = 'specialization')"></expression>
        <xpath value="not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')])) or (f:derivation/@value = 'specialization')"></xpath>
       </constraint>
-      <constraint>
-       <key value="sdf-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
       <constraint>
        <key value="sdf-6"></key>
        <severity value="error"></severity>
@@ -324724,7 +324284,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="StructureDefinition.title">
@@ -324765,7 +324325,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -325000,7 +324560,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <element id="StructureDefinition.fhirVersion">
       <path value="StructureDefinition.fhirVersion"></path>
       <short value="FHIR Version this StructureDefinition targets"></short>
-      <definition value="The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.1.0. for this version."></definition>
+      <definition value="The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.2.0. for this version."></definition>
       <comment value="A StructureDefinition does not need to specify the target it applies to as StructureDefinitions will often be valid across multiple versions of FHIR. FHIR tooling can determine whether a StructureDefinition is consistent with a particular StructureDefinition if desired."></comment>
       <min value="0"></min>
       <max value="1"></max>
@@ -325017,7 +324577,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="All published FHIR Versions."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.mapping">
@@ -325097,7 +324657,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Defines the type of structure that a definition is describing."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.abstract">
@@ -325140,7 +324700,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How an extension context is interpreted."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.context.expression">
@@ -325224,7 +324784,7 @@ The type must match the elements defined in the differential and the snapshot. F
        </extension>
        <strength value="required"></strength>
        <description value="How a type relates to its baseDefinition."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureDefinition.snapshot">
@@ -325332,7 +324892,7 @@ The type must match the elements defined in the differential and the snapshot. F
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="StructureMap"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -325350,10 +324910,10 @@ The type must match the elements defined in the differential and the snapshot. F
      <valueString value="Foundation.Conformance"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/StructureMap"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMap"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -325368,7 +324928,7 @@ The type must match the elements defined in the differential and the snapshot. F
      </telecom>
     </contact>
     <description value="A Map of relationships between 2 structures that can be used to transform data."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -325392,11 +324952,7 @@ The type must match the elements defined in the differential and the snapshot. F
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="StructureMap"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="StructureMap">
@@ -325413,53 +324969,7 @@ The type must match the elements defined in the differential and the snapshot. F
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="smp-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -325468,8 +324978,8 @@ The type must match the elements defined in the differential and the snapshot. F
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -325491,7 +325001,7 @@ The type must match the elements defined in the differential and the snapshot. F
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -325865,7 +325375,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -325942,7 +325452,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -326305,7 +325815,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -326457,7 +325967,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the referenced structure is used in this mapping."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-model-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-model-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.structure.alias">
@@ -326577,7 +326087,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -326754,7 +326264,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="If this is the default rule set to apply for the source type, or this combination of types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-group-type-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-group-type-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.documentation">
@@ -326823,7 +326333,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -326999,7 +326509,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Mode for this instance of data."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-input-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-input-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.input.documentation">
@@ -327067,7 +326577,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -327228,7 +326738,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -327466,6 +326976,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -327652,7 +327165,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="If field is a list, how to manage the source."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-source-list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-source-list-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.source.variable">
@@ -327810,7 +327323,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -327961,7 +327474,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How to interpret the context."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-context-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-context-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.target.element">
@@ -328044,7 +327557,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="If field is a list, how to manage the production."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-target-list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-target-list-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.target.listRuleId">
@@ -328102,7 +327615,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How data is copied/created."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-transform|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-transform|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.target.parameter">
@@ -328145,7 +327658,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -328341,7 +327854,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -328523,7 +328036,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="smp-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -328619,7 +328132,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="StructureMap.title">
@@ -328660,7 +328173,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -328893,7 +328406,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How the referenced structure is used in this mapping."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-model-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-model-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.structure.alias">
@@ -328980,7 +328493,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="If this is the default rule set to apply for the source type, or this combination of types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-group-type-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-group-type-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.documentation">
@@ -329044,7 +328557,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="Mode for this instance of data."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-input-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-input-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.input.documentation">
@@ -329171,6 +328684,9 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -329320,7 +328836,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="If field is a list, how to manage the source."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-source-list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-source-list-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.source.variable">
@@ -329420,7 +328936,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How to interpret the context."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-context-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-context-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.target.element">
@@ -329461,7 +328977,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="If field is a list, how to manage the production."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-target-list-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-target-list-mode|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.target.listRuleId">
@@ -329491,7 +329007,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How data is copied/created."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/map-transform|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/map-transform|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="StructureMap.group.rule.target.parameter">
@@ -329590,7 +329106,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Subscription"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -329608,10 +329124,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Subscription"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Subscription"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -329626,7 +329142,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="The subscription resource describes a particular client's request to be notified about a Topic."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -329729,7 +329245,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -330059,7 +329575,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The status of a subscription."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -330163,11 +329679,11 @@ This element is labeled as a modifier because the status contains codes that mar
       <path value="Subscription.reason"></path>
       <short value="Description of why this subscription was created"></short>
       <definition value="A description of why this subscription is defined."></definition>
-      <min value="1"></min>
+      <min value="0"></min>
       <max value="1"></max>
       <base>
        <path value="Subscription.reason"></path>
-       <min value="1"></min>
+       <min value="0"></min>
        <max value="1"></max>
       </base>
       <type>
@@ -330228,7 +329744,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -330379,7 +329895,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Operator to apply to filter label."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Subscription.filterBy.value">
@@ -330444,7 +329960,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="Subscription.eventCount">
       <path value="Subscription.eventCount"></path>
       <short value="Notification event counter"></short>
-      <definition value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter."></definition>
+      <definition value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter.  Valid values are unsigned integers (0+).  The decmial type is used to ensure that counts can grow larger than 32-bit values."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
@@ -330506,7 +330022,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -330604,7 +330120,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="Subscription.channel.type">
       <path value="Subscription.channel.type"></path>
-      <short value="rest-hook | websocket | email | sms | message"></short>
+      <short value="rest-hook | websocket | email | message"></short>
       <definition value="The type of channel to send notifications on."></definition>
       <min value="1"></min>
       <max value="1"></max>
@@ -330639,7 +330155,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <path value="Subscription.channel.endpoint"></path>
       <short value="Where the channel points to"></short>
       <definition value="The url that describes the actual end-point to send messages to."></definition>
-      <comment value="For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)."></comment>
+      <comment value="For rest-hook the end-point must be an http: or https: URL; for websocket ws: or wss:; for email, a mailto: url; and for message the endpoint can be in any form of url the server understands (usually, http/s: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)."></comment>
       <min value="0"></min>
       <max value="1"></max>
       <base>
@@ -330752,7 +330268,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -330851,7 +330367,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <element id="Subscription.channel.payload.contentType">
       <path value="Subscription.channel.payload.contentType"></path>
       <short value="MIME type to send, or omit for no payload"></short>
-      <definition value="The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. The mime type &quot;text/plain&quot; may also be used for Email and SMS subscriptions."></definition>
+      <definition value="The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. The MIME types &quot;text/plain&quot; and &quot;text/html&quot; may also be used for Email subscriptions."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <base>
@@ -330881,7 +330397,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Subscription.channel.payload.content">
@@ -330915,7 +330431,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Codes to represent how much resource content to send in the notification payload."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-payload-content|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-payload-content|4.2.0"></valueSet>
       </binding>
      </element>
     </snapshot>
@@ -330981,7 +330497,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The status of a subscription."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -331043,7 +330559,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <path value="Subscription.reason"></path>
       <short value="Description of why this subscription was created"></short>
       <definition value="A description of why this subscription is defined."></definition>
-      <min value="1"></min>
+      <min value="0"></min>
       <max value="1"></max>
       <type>
        <code value="string"></code>
@@ -331092,7 +330608,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="Operator to apply to filter label."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Subscription.filterBy.value">
@@ -331129,7 +330645,7 @@ This element is labeled as a modifier because the status contains codes that mar
      <element id="Subscription.eventCount">
       <path value="Subscription.eventCount"></path>
       <short value="Notification event counter"></short>
-      <definition value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter."></definition>
+      <definition value="A record of  the number of events for which the server has attempted delivery on this subscription (i.e., the number of events that occurred while the subscription is in an &quot;active&quot; or &quot;error&quot; state -- not &quot;requested&quot; or &quot;off&quot;).   Server Initializes to 0 for a new subscription.  Repeated attempts at delivery of the *same* event notification do not increment this counter.  Valid values are unsigned integers (0+).  The decmial type is used to ensure that counts can grow larger than 32-bit values."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -331150,7 +330666,7 @@ This element is labeled as a modifier because the status contains codes that mar
      </element>
      <element id="Subscription.channel.type">
       <path value="Subscription.channel.type"></path>
-      <short value="rest-hook | websocket | email | sms | message"></short>
+      <short value="rest-hook | websocket | email | message"></short>
       <definition value="The type of channel to send notifications on."></definition>
       <min value="1"></min>
       <max value="1"></max>
@@ -331171,7 +330687,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <path value="Subscription.channel.endpoint"></path>
       <short value="Where the channel points to"></short>
       <definition value="The url that describes the actual end-point to send messages to."></definition>
-      <comment value="For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)."></comment>
+      <comment value="For rest-hook the end-point must be an http: or https: URL; for websocket ws: or wss:; for email, a mailto: url; and for message the endpoint can be in any form of url the server understands (usually, http/s: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)."></comment>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -331216,7 +330732,7 @@ This element is labeled as a modifier because the status contains codes that mar
      <element id="Subscription.channel.payload.contentType">
       <path value="Subscription.channel.payload.contentType"></path>
       <short value="MIME type to send, or omit for no payload"></short>
-      <definition value="The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. The mime type &quot;text/plain&quot; may also be used for Email and SMS subscriptions."></definition>
+      <definition value="The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. The MIME types &quot;text/plain&quot; and &quot;text/html&quot; may also be used for Email subscriptions."></definition>
       <min value="0"></min>
       <max value="1"></max>
       <type>
@@ -331232,7 +330748,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Subscription.channel.payload.content">
@@ -331252,7 +330768,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="Codes to represent how much resource content to send in the notification payload."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-payload-content|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/subscription-payload-content|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
@@ -331265,7 +330781,7 @@ This element is labeled as a modifier because the status contains codes that mar
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Substance"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -331283,10 +330799,10 @@ This element is labeled as a modifier because the status contains codes that mar
      <valueString value="Base.Entities"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Substance"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Substance"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -331301,7 +330817,7 @@ This element is labeled as a modifier because the status contains codes that mar
      </telecom>
     </contact>
     <description value="A homogeneous material with a definite composition."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -331410,7 +330926,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -331717,7 +331233,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code to indicate if the substance is actively used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/substance-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/substance-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -331890,7 +331406,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -332118,7 +331634,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -332339,7 +331855,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code to indicate if the substance is actively used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/substance-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/substance-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -332554,7 +332070,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstanceDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -332572,10 +332088,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstanceDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -332590,7 +332106,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="The detailed description of a substance, typically at a level beyond what is used for prescribing."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -332681,7 +332197,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -332948,6 +332464,31 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <isModifier value="false"></isModifier>
       <isSummary value="true"></isSummary>
      </element>
+     <element id="SubstanceDefinition.version">
+      <path value="SubstanceDefinition.version"></path>
+      <short value="A business level identifier of the substance"></short>
+      <definition value="A business level identifier of the substance."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="SubstanceDefinition.version"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="string"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+     </element>
      <element id="SubstanceDefinition.status">
       <path value="SubstanceDefinition.status"></path>
       <short value="Status of substance within the catalogue e.g. approved"></short>
@@ -333035,7 +332576,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="1"></max>
       </base>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -333191,7 +332732,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -333530,7 +333071,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -333876,7 +333417,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -334112,7 +333653,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -334348,7 +333889,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -334633,7 +334174,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -334844,7 +334385,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -335106,7 +334647,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -335463,7 +335004,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -335723,7 +335264,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -336132,6 +335673,17 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </type>
       <isSummary value="true"></isSummary>
      </element>
+     <element id="SubstanceDefinition.version">
+      <path value="SubstanceDefinition.version"></path>
+      <short value="A business level identifier of the substance"></short>
+      <definition value="A business level identifier of the substance."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="string"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+     </element>
      <element id="SubstanceDefinition.status">
       <path value="SubstanceDefinition.status"></path>
       <short value="Status of substance within the catalogue e.g. approved"></short>
@@ -336172,7 +335724,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="string"></code>
+       <code value="markdown"></code>
       </type>
       <isSummary value="true"></isSummary>
      </element>
@@ -337062,7 +336614,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstanceNucleicAcid"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -337077,10 +336629,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="brr"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceNucleicAcid"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -337095,7 +336647,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -337186,7 +336738,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -337568,7 +337120,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -337854,7 +337406,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -338090,7 +337642,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -338500,7 +338052,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstancePolymer"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -338518,10 +338070,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstancePolymer"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstancePolymer"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -338536,7 +338088,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Todo."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -338627,7 +338179,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -339009,7 +338561,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -339170,7 +338722,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -339406,7 +338958,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -339617,7 +339169,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -339828,7 +339380,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -340014,7 +339566,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -340490,7 +340042,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstanceProtein"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -340505,10 +340057,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="brr"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstanceProtein"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceProtein"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -340523,7 +340075,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -340614,7 +340166,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -340971,7 +340523,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -341418,7 +340970,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstanceReferenceInformation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -341436,10 +340988,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Specialized.Medication Definition"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceReferenceInformation"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -341454,7 +341006,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Todo."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -341545,7 +341097,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -341852,7 +341404,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -342064,7 +341616,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -342276,7 +341828,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -342513,7 +342065,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -343098,7 +342650,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstanceSourceMaterial"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -343113,10 +342665,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="brr"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceSourceMaterial"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Biomedical Research and Regulation)"></publisher>
     <contact>
      <telecom>
@@ -343131,7 +342683,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -343222,7 +342774,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -343754,7 +343306,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -343940,7 +343492,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -344201,7 +343753,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -344387,7 +343939,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -344648,7 +344200,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -344884,7 +344436,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -345445,7 +344997,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SupplyDelivery"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -345463,10 +345015,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SupplyDelivery"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyDelivery"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -345481,7 +345033,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Record of delivery of what is supplied."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -345595,7 +345147,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -345983,7 +345535,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Status of the supply delivery."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -346058,7 +345610,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of supply dispense."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -346113,7 +345665,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -346534,7 +346086,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Status of the supply delivery."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -346579,7 +346131,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of supply dispense."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -346743,7 +346295,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SupplyRequest"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -346761,10 +346313,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Request &amp;amp; Response"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SupplyRequest"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyRequest"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -346779,7 +346331,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A record of a request for a medication, substance or device used in the healthcare setting."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -346897,7 +346449,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -347213,7 +346765,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Status of the supply request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -347309,7 +346861,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -347453,7 +347005,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -347826,19 +347378,23 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="SupplyRequest.reasonCode">
-      <path value="SupplyRequest.reasonCode"></path>
+     <element id="SupplyRequest.reason">
+      <path value="SupplyRequest.reason"></path>
       <short value="The reason why the supply item was requested"></short>
       <definition value="The reason why the supply item was requested."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="SupplyRequest.reasonCode"></path>
+       <path value="SupplyRequest.reason"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -347860,7 +347416,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -347875,51 +347431,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="SupplyRequest.reasonReference">
-      <path value="SupplyRequest.reasonReference"></path>
-      <short value="The reason why the supply item was requested"></short>
-      <definition value="The reason why the supply item was requested."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="SupplyRequest.reasonReference"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="SupplyRequest.deliverFrom">
       <path value="SupplyRequest.deliverFrom"></path>
       <short value="The origin of the supply"></short>
@@ -348059,7 +347570,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Status of the supply request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -348127,7 +347638,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -348404,14 +347915,18 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"></map>
       </mapping>
      </element>
-     <element id="SupplyRequest.reasonCode">
-      <path value="SupplyRequest.reasonCode"></path>
+     <element id="SupplyRequest.reason">
+      <path value="SupplyRequest.reason"></path>
       <short value="The reason why the supply item was requested"></short>
       <definition value="The reason why the supply item was requested."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
-       <code value="CodeableConcept"></code>
+       <code value="CodeableReference"></code>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
+       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
       </type>
       <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
@@ -348423,7 +347938,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       </binding>
       <mapping>
        <identity value="workflow"></identity>
-       <map value="Request.reasonCode"></map>
+       <map value="Request.reason"></map>
       </mapping>
       <mapping>
        <identity value="w5"></identity>
@@ -348438,36 +347953,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <map value=".reasonCode"></map>
       </mapping>
      </element>
-     <element id="SupplyRequest.reasonReference">
-      <path value="SupplyRequest.reasonReference"></path>
-      <short value="The reason why the supply item was requested"></short>
-      <definition value="The reason why the supply item was requested."></definition>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="Reference"></code>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"></targetProfile>
-       <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"></targetProfile>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Request.reasonReference"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.why[x]"></map>
-      </mapping>
-      <mapping>
-       <identity value="v2"></identity>
-       <map value="ORC.16"></map>
-      </mapping>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value=".outboundRelationship[typeCode=RSON].target"></map>
-      </mapping>
-     </element>
      <element id="SupplyRequest.deliverFrom">
       <path value="SupplyRequest.deliverFrom"></path>
       <short value="The origin of the supply"></short>
@@ -348519,7 +348004,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Task"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -348537,10 +348022,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Base.Workflow"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Task"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Task"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Orders and Observations)"></publisher>
     <contact>
      <telecom>
@@ -348555,7 +348040,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="A task to be performed."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -348676,7 +348161,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -349160,7 +348645,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The current status of the task."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/task-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/task-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -349282,7 +348767,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="Distinguishes whether the task is a proposal, plan or full order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/task-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/task-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -349329,7 +348814,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="The task's priority."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -350066,7 +349551,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -350307,7 +349792,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -350483,6 +349968,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -350663,7 +350151,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -350839,6 +350327,9 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -351142,7 +350633,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The current status of the task."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/task-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/task-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -351222,7 +350713,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="Distinguishes whether the task is a proposal, plan or full order."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/task-intent|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/task-intent|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -351254,7 +350745,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
        </extension>
        <strength value="required"></strength>
        <description value="The task's priority."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -351846,6 +351337,9 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -352046,6 +351540,9 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -352181,7 +351678,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="TerminologyCapabilities"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -352199,10 +351696,10 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
      <valueString value="Foundation.Terminology"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/TerminologyCapabilities"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TerminologyCapabilities"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Vocabulary)"></publisher>
     <contact>
      <telecom>
@@ -352217,7 +351714,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
      </telecom>
     </contact>
     <description value="A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -352241,11 +351738,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="TerminologyCapabilities"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="TerminologyCapabilities">
@@ -352260,53 +351753,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="tcp-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -352343,8 +351790,8 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -352366,7 +351813,7 @@ In most cases, Tasks will have an intent of &quot;order&quot;."></comment>
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -352697,7 +352144,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -352774,7 +352221,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -353130,7 +352577,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a capability statement is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TerminologyCapabilities.software">
@@ -353174,7 +352621,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -353363,7 +352810,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -353583,7 +353030,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -353746,7 +353193,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -353983,7 +353430,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -354219,7 +353666,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -354430,7 +353877,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -354633,7 +354080,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The degree to which the server supports the code search parameter on ValueSet, if it is supported."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/code-search-support|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/code-search-support|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TerminologyCapabilities.validateCode">
@@ -354676,7 +354123,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -354837,7 +354284,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -354998,7 +354445,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -355128,7 +354575,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="tcp-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -355223,7 +354670,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="TerminologyCapabilities.title">
@@ -355264,7 +354711,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -355478,7 +354925,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="How a capability statement is intended to be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TerminologyCapabilities.software">
@@ -355793,7 +355240,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The degree to which the server supports the code search parameter on ValueSet, if it is supported."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/code-search-support|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/code-search-support|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TerminologyCapabilities.validateCode">
@@ -355866,7 +355313,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="TestReport"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -355884,10 +355331,10 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      <valueString value="Specialized.Quality Reporting &amp;amp; Testing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/TestReport"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestReport"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -355902,7 +355349,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
      </telecom>
     </contact>
     <description value="A summary of information based on the results of executing a TestScript."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -356011,7 +355458,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -356346,7 +355793,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The current status of the test report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-status-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-status-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -356410,7 +355857,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The reported execution result."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-result-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-result-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.score">
@@ -356539,7 +355986,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -356665,7 +356112,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.participant.uri">
@@ -356758,7 +356205,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -356905,7 +356352,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -357041,7 +356488,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -357167,7 +356614,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The results of executing an action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.setup.action.operation.message">
@@ -357260,7 +356707,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -357386,7 +356833,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The results of executing an action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.setup.action.assert.message">
@@ -357479,7 +356926,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -357676,7 +357123,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -357858,7 +357305,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -357998,7 +357445,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -358186,7 +357633,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The current status of the test report."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-status-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-status-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="w5"></identity>
@@ -358222,7 +357669,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The reported execution result."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-result-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-result-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.score">
@@ -358294,7 +357741,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The type of participant."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-participant-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-participant-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.participant.uri">
@@ -358373,7 +357820,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The results of executing an action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.setup.action.operation.message">
@@ -358421,7 +357868,7 @@ This element is labeled as a modifier because the status contains codes that mar
        </extension>
        <strength value="required"></strength>
        <description value="The results of executing an action."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestReport.setup.action.assert.message">
@@ -358553,7 +358000,7 @@ This element is labeled as a modifier because the status contains codes that mar
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="TestScript"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -358571,10 +358018,10 @@ This element is labeled as a modifier because the status contains codes that mar
      <valueString value="Specialized.Quality Reporting &amp;amp; Testing"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/TestScript"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestScript"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -358589,7 +358036,7 @@ This element is labeled as a modifier because the status contains codes that mar
      </telecom>
     </contact>
     <description value="A structured set of tests against a FHIR server or client implementation to determine compliance against the FHIR specification."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -358613,11 +358060,7 @@ This element is labeled as a modifier because the status contains codes that mar
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="TestScript"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="TestScript">
@@ -358632,53 +358075,7 @@ This element is labeled as a modifier because the status contains codes that mar
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="tst-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -358687,8 +358084,8 @@ This element is labeled as a modifier because the status contains codes that mar
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -358710,7 +358107,7 @@ This element is labeled as a modifier because the status contains codes that mar
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -359084,7 +358481,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -359161,7 +358558,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -359524,7 +358921,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -359726,7 +359123,7 @@ The origin indices provided elsewhere in the test script must be one of these or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -359934,7 +359331,7 @@ The destination indices provided elsewhere in the test script must be one of the
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -360070,7 +359467,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -360257,7 +359654,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -360570,7 +359967,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -360818,7 +360215,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -361160,7 +360557,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -361307,7 +360704,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -361450,7 +360847,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -361614,7 +361011,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.label">
@@ -361707,7 +361104,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.contentType">
@@ -361748,7 +361145,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.destination">
@@ -361833,7 +361230,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The allowable request method or HTTP operation codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.origin">
@@ -361929,7 +361326,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -362268,7 +361665,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -362447,7 +361844,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of direction to use for assertion."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/assert-direction-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/assert-direction-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.compareToSourceId">
@@ -362565,7 +361962,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.expression">
@@ -362703,7 +362100,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of operator to use for assertion."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/assert-operator-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/assert-operator-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.path">
@@ -362763,7 +362160,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The allowable request method or HTTP operation codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.requestURL">
@@ -362826,7 +362223,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.response">
@@ -362860,7 +362257,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of response code to use for assertion."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/assert-response-code-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/assert-response-code-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.responseCode">
@@ -363033,7 +362430,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -363230,7 +362627,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -363441,7 +362838,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -363581,7 +362978,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -363716,7 +363113,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="tst-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -363812,7 +363209,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="TestScript.title">
@@ -363853,7 +363250,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -364512,7 +363909,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.label">
@@ -364560,7 +363957,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.contentType">
@@ -364586,7 +363983,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.destination">
@@ -364626,7 +364023,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The allowable request method or HTTP operation codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.operation.origin">
@@ -364808,7 +364205,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The type of direction to use for assertion."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/assert-direction-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/assert-direction-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.compareToSourceId">
@@ -364866,7 +364263,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.expression">
@@ -364929,7 +364326,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The type of operator to use for assertion."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/assert-operator-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/assert-operator-codes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.path">
@@ -364959,7 +364356,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The allowable request method or HTTP operation codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/http-operations|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.requestURL">
@@ -364992,7 +364389,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/defined-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.response">
@@ -365011,7 +364408,7 @@ The destination indices provided elsewhere in the test script must be one of the
        </extension>
        <strength value="required"></strength>
        <description value="The type of response code to use for assertion."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/assert-response-code-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/assert-response-code-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TestScript.setup.action.assert.responseCode">
@@ -365214,7 +364611,7 @@ The destination indices provided elsewhere in the test script must be one of the
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Topic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -365232,10 +364629,10 @@ The destination indices provided elsewhere in the test script must be one of the
      <valueString value="Foundation.Other"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Topic"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Topic"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
     <contact>
      <telecom>
@@ -365250,7 +364647,7 @@ The destination indices provided elsewhere in the test script must be one of the
      </telecom>
     </contact>
     <description value="Describes a stream of resource state changes identified by trigger criteria and annotated with labels useful to filter projections from this topic."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -365364,7 +364761,7 @@ The destination indices provided elsewhere in the test script must be one of the
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -365872,7 +365269,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -366376,7 +365773,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -366528,7 +365925,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Resource types defined as part FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Topic.resourceTrigger.methodCriteria">
@@ -366561,7 +365958,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="FHIR RESTful interaction used for topic trigger."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/interaction-trigger|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/interaction-trigger|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Topic.resourceTrigger.queryCriteria">
@@ -366604,7 +366001,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -366805,8 +366202,8 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </element>
      <element id="Topic.canFilterBy">
       <path value="Topic.canFilterBy"></path>
-      <short value="Properties by which the topic can be filtered"></short>
-      <definition value="List of properties by which messages on the topic can be filtered."></definition>
+      <short value="Properties by which a Subscription can further filter a Topic"></short>
+      <definition value="List of properties by which Subscriptions on the topic can be filtered."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <base>
@@ -366843,7 +366240,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -366995,7 +366392,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Operator to apply to filter label."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/topic-match-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/topic-match-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Topic.canFilterBy.documentation">
@@ -367209,7 +366606,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -367540,7 +366937,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Resource types defined as part FHIR."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Topic.resourceTrigger.methodCriteria">
@@ -367559,7 +366956,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="FHIR RESTful interaction used for topic trigger."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/interaction-trigger|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/interaction-trigger|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Topic.resourceTrigger.queryCriteria">
@@ -367622,8 +367019,8 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
      </element>
      <element id="Topic.canFilterBy">
       <path value="Topic.canFilterBy"></path>
-      <short value="Properties by which the topic can be filtered"></short>
-      <definition value="List of properties by which messages on the topic can be filtered."></definition>
+      <short value="Properties by which a Subscription can further filter a Topic"></short>
+      <definition value="List of properties by which Subscriptions on the topic can be filtered."></definition>
       <min value="0"></min>
       <max value="*"></max>
       <type>
@@ -367659,7 +367056,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        </extension>
        <strength value="required"></strength>
        <description value="Operator to apply to filter label."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/topic-match-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/topic-match-operator|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Topic.canFilterBy.documentation">
@@ -367683,7 +367080,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ValueSet"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -367704,10 +367101,10 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
      <valueString value="Foundation.Terminology"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ValueSet"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ValueSet"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Vocabulary)"></publisher>
     <contact>
      <telecom>
@@ -367722,7 +367119,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
      </telecom>
     </contact>
     <description value="A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [[[CodeSystem]]] definitions and their use in [coded elements](terminologies.html)."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -367746,11 +367143,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
     <kind value="resource"></kind>
     <abstract value="false"></abstract>
     <type value="ValueSet"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource">
-     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super">
-      <valueString value="MetadataResource"></valueString>
-     </extension>
-    </baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CanonicalResource"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ValueSet">
@@ -367765,53 +367158,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
        <max value="*"></max>
       </base>
       <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="vsd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -367820,8 +367167,8 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
       <isModifier value="false"></isModifier>
       <isSummary value="false"></isSummary>
       <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
+       <identity value="workflow"></identity>
+       <map value="Definition"></map>
       </mapping>
       <mapping>
        <identity value="rim"></identity>
@@ -367843,7 +367190,7 @@ Unknown does not represent &quot;other&quot; - one of the defined statuses must
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -368217,7 +367564,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -368294,7 +367641,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -368698,7 +368045,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -368921,7 +368268,7 @@ The Value Set Definition specification defines an ActiveOnly element, which is t
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -369128,7 +368475,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -369325,7 +368672,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -369566,7 +368913,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -369722,7 +369069,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The kind of operation to perform as a part of a property based filter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -369889,7 +369236,7 @@ Expansion.parameter is  a simplified list of parameters - a subset of the featur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -370131,7 +369478,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -370336,7 +369683,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -370543,7 +369890,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -370862,7 +370209,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -371059,7 +370406,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <constraint>
-       <key value="vsd-0"></key>
+       <key value="cnl-0"></key>
        <severity value="warning"></severity>
        <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
        <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
@@ -371155,7 +370502,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
       <type>
        <code value="string"></code>
       </type>
-      <condition value="inv-0"></condition>
+      <condition value="cnl-0"></condition>
       <isSummary value="true"></isSummary>
      </element>
      <element id="ValueSet.title">
@@ -371196,7 +370543,7 @@ In some cases, the resource can no longer be found at the stated url, but the ur
        </extension>
        <strength value="required"></strength>
        <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -371694,7 +371041,7 @@ The Value Set Definition specification defines an ActiveOnly element, which is t
        </extension>
        <strength value="required"></strength>
        <description value="The kind of operation to perform as a part of a property based filter."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -372074,7 +371421,7 @@ Expansion.parameter is  a simplified list of parameters - a subset of the featur
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="VerificationResult"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -372092,10 +371439,10 @@ Expansion.parameter is  a simplified list of parameters - a subset of the featur
      <valueString value="Base.Workflow"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/VerificationResult"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VerificationResult"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Patient Administration)"></publisher>
     <contact>
      <telecom>
@@ -372110,7 +371457,7 @@ Expansion.parameter is  a simplified list of parameters - a subset of the featur
      </telecom>
     </contact>
     <description value="Describes validation requirements, source(s), status and dates for one or more elements."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="w5"></identity>
      <uri value="http://hl7.org/fhir/fivews"></uri>
@@ -372206,7 +371553,7 @@ Expansion.parameter is  a simplified list of parameters - a subset of the featur
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -372562,7 +371909,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The validation status of the target."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="VerificationResult.statusDate">
@@ -372804,7 +372151,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -373162,7 +372509,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -373512,7 +372859,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -373751,7 +373098,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The validation status of the target."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-status|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="VerificationResult.statusDate">
@@ -374141,7 +373488,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="VisionPrescription"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -374159,10 +373506,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueString value="Clinical.Care Provision"></valueString>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/VisionPrescription"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VisionPrescription"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven International (Financial Management)"></publisher>
     <contact>
      <telecom>
@@ -374177,7 +373524,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="An authorization for the provision of glasses and/or contact lenses to a patient."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="workflow"></identity>
      <uri value="http://hl7.org/fhir/workflow"></uri>
@@ -374291,7 +373638,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -374608,7 +373955,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -374870,7 +374217,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -375040,7 +374387,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept listing the eye codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/vision-eye-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/vision-eye-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -375184,7 +374531,7 @@ Often insurance will not cover a lens with power between +75 and -75."></comment
       <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
       <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
+        <valueUri value="id"></valueUri>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"></code>
       </type>
@@ -375341,7 +374688,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept listing the base codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/vision-base-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/vision-base-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -375653,7 +375000,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A code specifying the state of the resource instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/fm-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="workflow"></identity>
@@ -375861,7 +375208,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept listing the eye codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/vision-eye-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/vision-eye-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -375961,7 +375308,7 @@ Often insurance will not cover a lens with power between +75 and -75."></comment
        </extension>
        <strength value="required"></strength>
        <description value="A coded concept listing the base codes."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/vision-base-codes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/vision-base-codes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -376093,1083 +375440,4 @@ Often insurance will not cover a lens with power between +75 and -75."></comment
    </StructureDefinition>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></fullUrl>
-  <resource>
-   <StructureDefinition xmlns="http://hl7.org/fhir">
-    <id value="MetadataResource"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/StructureDefinition/MetadataResource"></url>
-    <version value="4.1.0"></version>
-    <name value="MetadataResource"></name>
-    <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="Health Level Seven International (FHIR Infrastructure)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/fiwg/index.cfm"></value>
-     </telecom>
-    </contact>
-    <description value="Common Ancestor declaration for conformance and knowledge artifact resources."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
-    <mapping>
-     <identity value="workflow"></identity>
-     <uri value="http://hl7.org/fhir/workflow"></uri>
-     <name value="Workflow Pattern"></name>
-    </mapping>
-    <mapping>
-     <identity value="w5"></identity>
-     <uri value="http://hl7.org/fhir/fivews"></uri>
-     <name value="FiveWs Pattern Mapping"></name>
-    </mapping>
-    <mapping>
-     <identity value="rim"></identity>
-     <uri value="http://hl7.org/v3"></uri>
-     <name value="RIM Mapping"></name>
-    </mapping>
-    <kind value="logical"></kind>
-    <abstract value="false"></abstract>
-    <type value="MetadataResource"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"></baseDefinition>
-    <derivation value="specialization"></derivation>
-    <snapshot>
-     <element id="MetadataResource">
-      <path value="MetadataResource"></path>
-      <short value="Common Ancestor declaration for definitional resources"></short>
-      <definition value="Common Ancestor declaration for conformance and knowledge artifact resources."></definition>
-      <min value="1"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource"></path>
-       <min value="1"></min>
-       <max value="1"></max>
-      </base>
-      <constraint>
-       <key value="dom-2"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"></human>
-       <expression value="contained.contained.empty()"></expression>
-       <xpath value="not(parent::f:contained and f:contained)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-3"></key>
-       <severity value="error"></severity>
-       <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"></human>
-       <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"></expression>
-       <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-4"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"></human>
-       <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="dom-5"></key>
-       <severity value="error"></severity>
-       <human value="If a resource is contained in another resource, it SHALL NOT have a security label"></human>
-       <expression value="contained.meta.security.empty()"></expression>
-       <xpath value="not(exists(f:contained/*/f:meta/f:security))"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
-        <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."></valueMarkdown>
-       </extension>
-       <key value="dom-6"></key>
-       <severity value="warning"></severity>
-       <human value="A resource should have narrative for robust management"></human>
-       <expression value="text.`div`.exists()"></expression>
-       <xpath value="exists(f:text/h:div)"></xpath>
-       <source value="DomainResource"></source>
-      </constraint>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <constraint>
-       <key value="inv-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Entity. Role, or Act"></map>
-      </mapping>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.id">
-      <path value="MetadataResource.id"></path>
-      <short value="Logical id of this artifact"></short>
-      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."></definition>
-      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="Resource.id"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
-      <type>
-       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
-        <valueUri value="string"></valueUri>
-       </extension>
-       <code value="http://hl7.org/fhirpath/System.String"></code>
-      </type>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-     </element>
-     <element id="MetadataResource.meta">
-      <path value="MetadataResource.meta"></path>
-      <short value="Metadata about the resource"></short>
-      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."></definition>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="Resource.meta"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="Meta"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-     </element>
-     <element id="MetadataResource.implicitRules">
-      <path value="MetadataResource.implicitRules"></path>
-      <short value="A set of rules under which this content was created"></short>
-      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."></definition>
-      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="Resource.implicitRules"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="uri"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="true"></isModifier>
-      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"></isModifierReason>
-      <isSummary value="true"></isSummary>
-     </element>
-     <element id="MetadataResource.language">
-      <path value="MetadataResource.language"></path>
-      <short value="Language of the resource content"></short>
-      <definition value="The base language in which the resource is written."></definition>
-      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="Resource.language"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="code"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <binding>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
-        <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"></valueCanonical>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-        <valueString value="Language"></valueString>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <strength value="preferred"></strength>
-       <description value="A human language."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/languages"></valueSet>
-      </binding>
-     </element>
-     <element id="MetadataResource.text">
-      <path value="MetadataResource.text"></path>
-      <short value="Text summary of the resource, for human interpretation"></short>
-      <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."></definition>
-      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."></comment>
-      <alias value="narrative"></alias>
-      <alias value="html"></alias>
-      <alias value="xhtml"></alias>
-      <alias value="display"></alias>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="DomainResource.text"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="Narrative"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="Act.text?"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.contained">
-      <path value="MetadataResource.contained"></path>
-      <short value="Contained, inline Resources"></short>
-      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."></definition>
-      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."></comment>
-      <alias value="inline resources"></alias>
-      <alias value="anonymous resources"></alias>
-      <alias value="contained resources"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="DomainResource.contained"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Resource"></code>
-      </type>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="N/A"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.extension">
-      <path value="MetadataResource.extension"></path>
-      <short value="Additional content defined by implementations"></short>
-      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
-      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
-      <alias value="extensions"></alias>
-      <alias value="user content"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="DomainResource.extension"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Extension"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <constraint>
-       <key value="ext-1"></key>
-       <severity value="error"></severity>
-       <human value="Must have either extensions or value[x], not both"></human>
-       <expression value="extension.exists() != value.exists()"></expression>
-       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
-       <source value="Extension"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="N/A"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.modifierExtension">
-      <path value="MetadataResource.modifierExtension"></path>
-      <short value="Extensions that cannot be ignored"></short>
-      <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
-
-Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
-      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
-      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
-      <alias value="extensions"></alias>
-      <alias value="user content"></alias>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="DomainResource.modifierExtension"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="Extension"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <constraint>
-       <key value="ext-1"></key>
-       <severity value="error"></severity>
-       <human value="Must have either extensions or value[x], not both"></human>
-       <expression value="extension.exists() != value.exists()"></expression>
-       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
-       <source value="Extension"></source>
-      </constraint>
-      <isModifier value="true"></isModifier>
-      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"></isModifierReason>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="rim"></identity>
-       <map value="N/A"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.url">
-      <path value="MetadataResource.url"></path>
-      <short value="Canonical identifier for this metadata resource, represented as a URI (globally unique)"></short>
-      <definition value="An absolute URI that is used to identify this metadata resource when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this metadata resource is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the metadata resource is stored on different servers."></definition>
-      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.
-
-The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). 
-
-In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found."></comment>
-      <requirements value="Allows the metadata resource to be referenced by a single globally unique identifier."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.url"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="uri"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.url"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.identifier"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.version">
-      <path value="MetadataResource.version"></path>
-      <short value="Business version of the metadata resource"></short>
-      <definition value="The identifier that is used to identify this version of the metadata resource when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the metadata resource author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."></definition>
-      <comment value="There may be different metadata resource instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the metadata resource with the format [url]|[version]."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.version"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="string"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.version"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.version"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.name">
-      <path value="MetadataResource.name"></path>
-      <short value="Name for this metadata resource (computer friendly)"></short>
-      <definition value="A natural language name identifying the metadata resource. This name should be usable as an identifier for the module by machine processing applications such as code generation."></definition>
-      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly."></comment>
-      <requirements value="Support human navigation and code generation."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.name"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="string"></code>
-      </type>
-      <condition value="inv-0"></condition>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-     </element>
-     <element id="MetadataResource.title">
-      <path value="MetadataResource.title"></path>
-      <short value="Name for this metadata resource (human friendly)"></short>
-      <definition value="A short, descriptive, user-friendly title for the metadata resource."></definition>
-      <comment value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.title"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="string"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.title"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.status">
-      <path value="MetadataResource.status"></path>
-      <short value="draft | active | retired | unknown"></short>
-      <definition value="The status of this metadata resource. Enables tracking the life-cycle of the content."></definition>
-      <comment value="Allows filtering of metadata resources that are appropriate for use versus not."></comment>
-      <min value="1"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.status"></path>
-       <min value="1"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="code"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="true"></isModifier>
-      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use a retired {{title}} without due consideration"></isModifierReason>
-      <isSummary value="true"></isSummary>
-      <binding>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-        <valueString value="PublicationStatus"></valueString>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <strength value="required"></strength>
-       <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
-      </binding>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.status"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.status"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.experimental">
-      <path value="MetadataResource.experimental"></path>
-      <short value="For testing purposes, not real usage"></short>
-      <definition value="A Boolean value to indicate that this metadata resource is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage."></definition>
-      <comment value="Allows filtering of metadata resources that are appropriate for use versus not."></comment>
-      <requirements value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level metadata resource."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.experimental"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="boolean"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.experimental"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.class"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.date">
-      <path value="MetadataResource.date"></path>
-      <short value="Date last changed"></short>
-      <definition value="The date  (and optionally time) when the metadata resource was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the metadata resource changes."></definition>
-      <comment value="Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the metadata resource. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."></comment>
-      <alias value="Revision Date"></alias>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.date"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="dateTime"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.date"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.recorded"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.publisher">
-      <path value="MetadataResource.publisher"></path>
-      <short value="Name of the publisher (organization or individual)"></short>
-      <definition value="The name of the organization or individual that published the metadata resource."></definition>
-      <comment value="Usually an organization but may be an individual. The publisher (or steward) of the metadata resource is the organization or individual primarily responsible for the maintenance and upkeep of the metadata resource. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the metadata resource. This item SHOULD be populated unless the information is available from context."></comment>
-      <requirements value="Helps establish the &quot;authority/credibility&quot; of the metadata resource.  May also allow for contact."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.publisher"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="string"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.publisher"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.witness"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.contact">
-      <path value="MetadataResource.contact"></path>
-      <short value="Contact details for the publisher"></short>
-      <definition value="Contact details to assist a user in finding and communicating with the publisher."></definition>
-      <comment value="May be a web site, an email address, a telephone number, etc."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MetadataResource.contact"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="ContactDetail"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.contact"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.description">
-      <path value="MetadataResource.description"></path>
-      <short value="Natural language description of the metadata resource"></short>
-      <definition value="A free text natural language description of the metadata resource from a consumer's perspective."></definition>
-      <comment value="This description can be used to capture details such as why the metadata resource was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the metadata resource as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the metadata resource is presumed to be the predominant language in the place the metadata resource was created)."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <base>
-       <path value="MetadataResource.description"></path>
-       <min value="0"></min>
-       <max value="1"></max>
-      </base>
-      <type>
-       <code value="markdown"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="false"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.description"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.useContext">
-      <path value="MetadataResource.useContext"></path>
-      <short value="The context that the content is intended to support"></short>
-      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate metadata resource instances."></definition>
-      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
-      <requirements value="Assist in searching for appropriate content."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MetadataResource.useContext"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="UsageContext"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.useContext"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.jurisdiction">
-      <path value="MetadataResource.jurisdiction"></path>
-      <short value="Intended jurisdiction for metadata resource (if applicable)"></short>
-      <definition value="A legal or geographic region in which the metadata resource is intended to be used."></definition>
-      <comment value="It may be possible for the metadata resource to be used in jurisdictions other than those for which it was originally designed or intended."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <base>
-       <path value="MetadataResource.jurisdiction"></path>
-       <min value="0"></min>
-       <max value="*"></max>
-      </base>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <constraint>
-       <key value="ele-1"></key>
-       <severity value="error"></severity>
-       <human value="All FHIR elements must have a @value or children"></human>
-       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
-       <xpath value="@value|f:*|h:div"></xpath>
-       <source value="Element"></source>
-      </constraint>
-      <isModifier value="false"></isModifier>
-      <isSummary value="true"></isSummary>
-      <binding>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-        <valueString value="Jurisdiction"></valueString>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <strength value="extensible"></strength>
-       <description value="Countries and regions within which this artifact is targeted for use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"></valueSet>
-      </binding>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.jurisdiction"></map>
-      </mapping>
-     </element>
-    </snapshot>
-    <differential>
-     <element id="MetadataResource">
-      <path value="MetadataResource"></path>
-      <short value="Common Ancestor declaration for definitional resources"></short>
-      <definition value="Common Ancestor declaration for conformance and knowledge artifact resources."></definition>
-      <min value="1"></min>
-      <max value="1"></max>
-      <constraint>
-       <key value="inv-0"></key>
-       <severity value="warning"></severity>
-       <human value="Name should be usable as an identifier for the module by machine processing applications such as code generation"></human>
-       <expression value="name.matches('[A-Z]([A-Za-z0-9_]){0,254}')"></expression>
-       <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"></xpath>
-      </constraint>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.url">
-      <path value="MetadataResource.url"></path>
-      <short value="Canonical identifier for this metadata resource, represented as a URI (globally unique)"></short>
-      <definition value="An absolute URI that is used to identify this metadata resource when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this metadata resource is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the metadata resource is stored on different servers."></definition>
-      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.
-
-The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). 
-
-In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found."></comment>
-      <requirements value="Allows the metadata resource to be referenced by a single globally unique identifier."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="uri"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.url"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.identifier"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.version">
-      <path value="MetadataResource.version"></path>
-      <short value="Business version of the metadata resource"></short>
-      <definition value="The identifier that is used to identify this version of the metadata resource when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the metadata resource author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."></definition>
-      <comment value="There may be different metadata resource instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the metadata resource with the format [url]|[version]."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="string"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.version"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.version"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.name">
-      <path value="MetadataResource.name"></path>
-      <short value="Name for this metadata resource (computer friendly)"></short>
-      <definition value="A natural language name identifying the metadata resource. This name should be usable as an identifier for the module by machine processing applications such as code generation."></definition>
-      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly."></comment>
-      <requirements value="Support human navigation and code generation."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="string"></code>
-      </type>
-      <condition value="inv-0"></condition>
-      <isSummary value="true"></isSummary>
-     </element>
-     <element id="MetadataResource.title">
-      <path value="MetadataResource.title"></path>
-      <short value="Name for this metadata resource (human friendly)"></short>
-      <definition value="A short, descriptive, user-friendly title for the metadata resource."></definition>
-      <comment value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="string"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.title"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.status">
-      <path value="MetadataResource.status"></path>
-      <short value="draft | active | retired | unknown"></short>
-      <definition value="The status of this metadata resource. Enables tracking the life-cycle of the content."></definition>
-      <comment value="Allows filtering of metadata resources that are appropriate for use versus not."></comment>
-      <min value="1"></min>
-      <max value="1"></max>
-      <type>
-       <code value="code"></code>
-      </type>
-      <isModifier value="true"></isModifier>
-      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use a retired {{title}} without due consideration"></isModifierReason>
-      <isSummary value="true"></isSummary>
-      <binding>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-        <valueString value="PublicationStatus"></valueString>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <strength value="required"></strength>
-       <description value="The lifecycle status of an artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|4.1.0"></valueSet>
-      </binding>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.status"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.status"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.experimental">
-      <path value="MetadataResource.experimental"></path>
-      <short value="For testing purposes, not real usage"></short>
-      <definition value="A Boolean value to indicate that this metadata resource is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage."></definition>
-      <comment value="Allows filtering of metadata resources that are appropriate for use versus not."></comment>
-      <requirements value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level metadata resource."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="boolean"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.experimental"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.class"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.date">
-      <path value="MetadataResource.date"></path>
-      <short value="Date last changed"></short>
-      <definition value="The date  (and optionally time) when the metadata resource was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the metadata resource changes."></definition>
-      <comment value="Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the metadata resource. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."></comment>
-      <alias value="Revision Date"></alias>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="dateTime"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.date"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.recorded"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.publisher">
-      <path value="MetadataResource.publisher"></path>
-      <short value="Name of the publisher (organization or individual)"></short>
-      <definition value="The name of the organization or individual that published the metadata resource."></definition>
-      <comment value="Usually an organization but may be an individual. The publisher (or steward) of the metadata resource is the organization or individual primarily responsible for the maintenance and upkeep of the metadata resource. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the metadata resource. This item SHOULD be populated unless the information is available from context."></comment>
-      <requirements value="Helps establish the &quot;authority/credibility&quot; of the metadata resource.  May also allow for contact."></requirements>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="string"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.publisher"></map>
-      </mapping>
-      <mapping>
-       <identity value="w5"></identity>
-       <map value="FiveWs.witness"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.contact">
-      <path value="MetadataResource.contact"></path>
-      <short value="Contact details for the publisher"></short>
-      <definition value="Contact details to assist a user in finding and communicating with the publisher."></definition>
-      <comment value="May be a web site, an email address, a telephone number, etc."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="ContactDetail"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.contact"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.description">
-      <path value="MetadataResource.description"></path>
-      <short value="Natural language description of the metadata resource"></short>
-      <definition value="A free text natural language description of the metadata resource from a consumer's perspective."></definition>
-      <comment value="This description can be used to capture details such as why the metadata resource was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the metadata resource as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the metadata resource is presumed to be the predominant language in the place the metadata resource was created)."></comment>
-      <min value="0"></min>
-      <max value="1"></max>
-      <type>
-       <code value="markdown"></code>
-      </type>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.description"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.useContext">
-      <path value="MetadataResource.useContext"></path>
-      <short value="The context that the content is intended to support"></short>
-      <definition value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate metadata resource instances."></definition>
-      <comment value="When multiple useContexts are specified, there is no expectation that all or any of the contexts apply."></comment>
-      <requirements value="Assist in searching for appropriate content."></requirements>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="UsageContext"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.useContext"></map>
-      </mapping>
-     </element>
-     <element id="MetadataResource.jurisdiction">
-      <path value="MetadataResource.jurisdiction"></path>
-      <short value="Intended jurisdiction for metadata resource (if applicable)"></short>
-      <definition value="A legal or geographic region in which the metadata resource is intended to be used."></definition>
-      <comment value="It may be possible for the metadata resource to be used in jurisdictions other than those for which it was originally designed or intended."></comment>
-      <min value="0"></min>
-      <max value="*"></max>
-      <type>
-       <code value="CodeableConcept"></code>
-      </type>
-      <isSummary value="true"></isSummary>
-      <binding>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
-        <valueString value="Jurisdiction"></valueString>
-       </extension>
-       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
-        <valueBoolean value="true"></valueBoolean>
-       </extension>
-       <strength value="extensible"></strength>
-       <description value="Countries and regions within which this artifact is targeted for use."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"></valueSet>
-      </binding>
-      <mapping>
-       <identity value="workflow"></identity>
-       <map value="Definition.jurisdiction"></map>
-      </mapping>
-     </element>
-    </differential>
-   </StructureDefinition>
-  </resource>
- </entry>
 </Bundle>
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-types.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-types.xml
index 3964bf6686d..c28c3afe155 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-types.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/profile/profiles-types.xml
@@ -1,7 +1,7 @@
 <Bundle xmlns="http://hl7.org/fhir">
  <id value="types"></id>
  <meta>
-  <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
  </meta>
  <type value="collection"></type>
  <entry>
@@ -10,7 +10,7 @@
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Element"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -19,10 +19,10 @@
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Element"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Element"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -31,7 +31,7 @@
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Element Type: Base definition for all elements in a resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -40,6 +40,8 @@
     <kind value="complex-type"></kind>
     <abstract value="true"></abstract>
     <type value="Element"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"></baseDefinition>
+    <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Element">
       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -227,7 +229,7 @@
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="BackboneElement"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -236,10 +238,10 @@
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BackboneElement"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -248,7 +250,7 @@
      </telecom>
     </contact>
     <description value="Base StructureDefinition for BackboneElement Type: Base definition for all elements that are defined inside a resource - but not those in a data type."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -464,7 +466,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="base64Binary"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -473,10 +475,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/base64Binary"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="base64Binary"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -485,11 +487,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for base64Binary Type: A stream of bytes"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="base64Binary"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="base64Binary">
@@ -636,7 +638,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="boolean"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -645,10 +647,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/boolean"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="boolean"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -657,11 +659,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for boolean Type: Value of &quot;true&quot; or &quot;false&quot;"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="boolean"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="boolean">
@@ -806,7 +808,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="canonical"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -815,10 +817,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/canonical"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="canonical"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -827,7 +829,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for canonical type: A URI that is a reference to a canonical URL on a FHIR resource"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="canonical"></type>
@@ -978,7 +980,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -987,10 +989,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/code"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="code"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -999,7 +1001,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for code type: A string which has at least one character and no leading or trailing whitespace and where there is no whitespace other than single spaces in the contents"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="code"></type>
@@ -1148,7 +1150,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="date"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -1157,10 +1159,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/date"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="date"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -1169,11 +1171,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for date Type: A date or partial date (e.g. just year or year + month). There is no time zone. The format is a union of the schema types gYear, gYearMonth and date.  Dates SHALL be valid dates."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="date"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="date">
@@ -1318,7 +1320,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="dateTime"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -1327,10 +1329,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/dateTime"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="dateTime"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -1339,11 +1341,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="dateTime"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="dateTime">
@@ -1488,7 +1490,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="decimal"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -1497,10 +1499,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/decimal"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="decimal"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -1509,11 +1511,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for decimal Type: A rational number with implicit precision"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="decimal"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="decimal">
@@ -1660,7 +1662,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="id"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -1669,10 +1671,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/id"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="id"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -1681,7 +1683,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for id type: Any combination of letters, numerals, &quot;-&quot; and &quot;.&quot;, with a length limit of 64 characters.  (This might be an integer, an unprefixed OID, UUID or any other identifier pattern that meets these constraints.)  Ids are case-insensitive."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="id"></type>
@@ -1832,7 +1834,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="instant"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -1841,10 +1843,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/instant"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="instant"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -1853,11 +1855,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for instant Type: An instant in time - known at least to the second"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="instant"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="instant">
@@ -2004,7 +2006,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="integer"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -2013,10 +2015,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/integer"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="integer"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -2025,11 +2027,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for integer Type: A whole number"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="integer"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="integer">
@@ -2174,13 +2176,185 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    </StructureDefinition>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/integer64"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="integer64"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/integer64"></url>
+    <version value="4.2.0"></version>
+    <name value="integer64"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 FHIR Standard"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base StructureDefinition for integer64 Type: A very large whole number"></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <kind value="primitive-type"></kind>
+    <abstract value="false"></abstract>
+    <type value="integer64"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="integer64">
+      <path value="integer64"></path>
+      <short value="Primitive Type integer64"></short>
+      <definition value="A very large whole number"></definition>
+      <comment value="Typically this is used for record counters (e.g. database keys)"></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="integer64"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="integer64.id">
+      <path value="integer64.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="xml:id (or equivalent in JSON)"></short>
+      <definition value="unique id for the element within a resource (for internal references)"></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="integer64.extension">
+      <path value="integer64.extension"></path>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+     <element id="integer64.value">
+      <path value="integer64.value"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Primitive value for integer64"></short>
+      <definition value="The actual value"></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="integer64.value"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (c) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="integer64"></valueUri>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/regex">
+        <valueString value="-?([0]|([1-9][0-9]*))"></valueString>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.Integer"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="integer64">
+      <path value="integer64"></path>
+      <short value="Primitive Type integer64"></short>
+      <definition value="A very large whole number"></definition>
+      <comment value="Typically this is used for record counters (e.g. database keys)"></comment>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="integer64.value">
+      <path value="integer64.value"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Primitive value for integer64"></short>
+      <definition value="Primitive value for integer64"></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (a) -->
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (b) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="integer64"></valueUri>
+       </extension>
+       <extension url="http://hl7.org/fhir/StructureDefinition/regex">
+        <valueString value="-?([0]|([1-9][0-9]*))"></valueString>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.Integer"></code>
+      </type>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/StructureDefinition/markdown"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="markdown"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -2189,10 +2363,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/markdown"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="markdown"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -2201,7 +2375,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for markdown type: A string that may contain Github Flavored Markdown syntax for optional processing by a mark down presentation engine"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="markdown"></type>
@@ -2352,7 +2526,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="oid"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -2361,10 +2535,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/oid"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="oid"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -2373,7 +2547,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for oid type: An OID represented as a URI"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="oid"></type>
@@ -2524,7 +2698,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="positiveInt"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -2533,10 +2707,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/positiveInt"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="positiveInt"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -2545,7 +2719,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for positiveInt type: An integer with a value that is positive (e.g. &gt;0)"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="positiveInt"></type>
@@ -2694,7 +2868,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="string"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -2703,10 +2877,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/string"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="string"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -2715,11 +2889,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for string Type: A sequence of Unicode characters"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="string"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="string">
@@ -2868,7 +3042,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="time"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -2877,10 +3051,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/time"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="time"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -2889,11 +3063,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for time Type: A time during the day, with no date specified"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="time"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="time">
@@ -3038,7 +3212,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="unsignedInt"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -3047,10 +3221,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/unsignedInt"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="unsignedInt"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -3059,7 +3233,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for unsignedInt type: An integer with a value that is not negative (e.g. &gt;= 0)"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="unsignedInt"></type>
@@ -3208,7 +3382,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="uri"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -3217,10 +3391,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/uri"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="uri"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -3229,11 +3403,11 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for uri Type: String of characters used to identify a name or a resource"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="uri"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="uri">
@@ -3380,7 +3554,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="url"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -3389,10 +3563,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/url"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="url"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -3401,7 +3575,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for url type: A URI that is a literal reference"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="url"></type>
@@ -3550,7 +3724,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="uuid"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -3559,10 +3733,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/uuid"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="uuid"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -3571,7 +3745,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for uuid type: A UUID, represented as a URI"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="uuid"></type>
@@ -3722,7 +3896,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="xhtml"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -3731,10 +3905,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/xhtml"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="xhtml"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -3743,7 +3917,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for xhtml Type"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <kind value="primitive-type"></kind>
     <abstract value="false"></abstract>
     <type value="xhtml"></type>
@@ -3887,7 +4061,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Address"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -3896,10 +4070,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Address"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Address"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -3909,7 +4083,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Address Type: An address expressed using postal conventions (as opposed to GPS or other location definition formats).  This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery.  There are a variety of postal address formats defined around the world."></description>
     <purpose value="Need to be able to record postal addresses, along with notes about their use."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -3933,7 +4107,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Address"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Address">
@@ -3954,7 +4128,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -4092,7 +4265,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The use of an address."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/address-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/address-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -4142,7 +4315,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of an address (physical / postal)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/address-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/address-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -4559,7 +4732,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The use of an address."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/address-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/address-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -4595,7 +4768,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of an address (physical / postal)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/address-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/address-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -4858,16 +5031,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Age"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Age"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Age"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -4876,7 +5049,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Age Type: A duration of time during which an organism (or a process) has existed."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -5098,7 +5271,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -5260,7 +5433,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Annotation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -5269,10 +5442,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Annotation"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Annotation"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -5281,7 +5454,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Annotation Type: A  text note which also  contains information about who made the statement and when."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -5295,7 +5468,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Annotation"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Annotation">
@@ -5316,7 +5489,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -5619,7 +5791,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Attachment"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -5628,10 +5800,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Attachment"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Attachment"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -5641,7 +5813,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Attachment Type: For referring to data content defined in other formats."></description>
     <purpose value="Many models need to include data defined in other specifications that is complex and opaque to the healthcare model. This includes documents, media recordings, structured data, etc."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -5655,7 +5827,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Attachment"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Attachment">
@@ -5676,7 +5848,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="att-1"></key>
        <severity value="error"></severity>
@@ -5818,7 +5989,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -5965,7 +6136,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <max value="1"></max>
       </base>
       <type>
-       <code value="unsignedInt"></code>
+       <code value="integer64"></code>
       </type>
       <constraint>
        <key value="ele-1"></key>
@@ -6293,7 +6464,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -6392,7 +6563,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="1"></max>
       <type>
-       <code value="unsignedInt"></code>
+       <code value="integer64"></code>
       </type>
       <isSummary value="true"></isSummary>
       <mapping>
@@ -6543,13 +6714,340 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    </StructureDefinition>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/BackboneType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="BackboneType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/BackboneType"></url>
+    <version value="4.2.0"></version>
+    <name value="BackboneType"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 FHIR Standard"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base StructureDefinition for BackboneType Type: Base definition for the few data types that are allowed to carry modifier extensions."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="true"></abstract>
+    <type value="BackboneType"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="BackboneType">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="BackboneType"></path>
+      <short value="Base for datatypes that can carry modifier extensions"></short>
+      <definition value="Base definition for the few data types that are allowed to carry modifier extensions."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="BackboneType"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="BackboneType.id">
+      <path value="BackboneType.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="BackboneType.extension">
+      <path value="BackboneType.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="BackboneType.modifierExtension">
+      <path value="BackboneType.modifierExtension"></path>
+      <short value="Extensions that cannot be ignored even if unrecognized"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
+
+Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <alias value="modifiers"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="BackboneType.modifierExtension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"></isModifierReason>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="BackboneType">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="BackboneType"></path>
+      <short value="Base for datatypes that can carry modifier extensions"></short>
+      <definition value="Base definition for the few data types that are allowed to carry modifier extensions."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="BackboneType.modifierExtension">
+      <path value="BackboneType.modifierExtension"></path>
+      <short value="Extensions that cannot be ignored even if unrecognized"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
+
+Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)."></requirements>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <alias value="modifiers"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <isModifier value="true"></isModifier>
+      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"></isModifierReason>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/Base"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="Base"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/Base"></url>
+    <version value="4.2.0"></version>
+    <name value="Base"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 FHIR Standard"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base StructureDefinition for Base Type: Base definition for all types defined in FHIR type system."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="true"></abstract>
+    <type value="Base"></type>
+    <snapshot>
+     <element id="Base">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="Base"></path>
+      <short value="Base for all types and resources"></short>
+      <definition value="Base definition for all types defined in FHIR type system."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Base"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="Base">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="Base"></path>
+      <short value="Base for all types and resources"></short>
+      <definition value="Base definition for all types defined in FHIR type system."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/StructureDefinition/CodeableConcept"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="CodeableConcept"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -6558,10 +7056,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/CodeableConcept"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CodeableConcept"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -6571,7 +7069,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for CodeableConcept Type: A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."></description>
     <purpose value="This is a common pattern in healthcare - a concept that may be defined by one or more codes from formal definitions including LOINC and SNOMED CT, and/or defined by the provision of text that captures a human sense of the concept."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -6590,7 +7088,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="CodeableConcept"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="CodeableConcept">
@@ -6611,7 +7109,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -6878,13 +7375,256 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    </StructureDefinition>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/CodeableReference"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="CodeableReference"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/CodeableReference"></url>
+    <version value="4.2.0"></version>
+    <name value="CodeableReference"></name>
+    <status value="draft"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 FHIR Standard"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base StructureDefinition for CodeableReference Type: A reference to a resource (by instance), or instead, a reference to a cencept defined in a terminology or ontology (by class)."></description>
+    <purpose value="This is a common pattern in record keeping - a reference may be made to a specific condition, observation, plan, or definition, or a reference may be made to a general concept defined in a knowledge base somewhere."></purpose>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="false"></abstract>
+    <type value="CodeableReference"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="CodeableReference">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="draft"></valueCode>
+      </extension>
+      <path value="CodeableReference"></path>
+      <short value="Reference to a resource or a concept"></short>
+      <definition value="A reference to a resource (by instance), or instead, a reference to a cencept defined in a terminology or ontology (by class)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="CodeableReference"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="CodeableReference.id">
+      <path value="CodeableReference.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="CodeableReference.extension">
+      <path value="CodeableReference.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="CodeableReference.concept">
+      <path value="CodeableReference.concept"></path>
+      <short value="Reference to a concept (by class)"></short>
+      <definition value="A reference to a concept - e.g. the information is identified by it's general classto the degree of precision found in the terminology."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CodeableReference.concept"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="CodeableReference.reference">
+      <path value="CodeableReference.reference"></path>
+      <short value="Reference to a resource (by instance)"></short>
+      <definition value="A reference to a resource the provides exact details about the information being referenced."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="CodeableReference.reference"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="CodeableReference">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="draft"></valueCode>
+      </extension>
+      <path value="CodeableReference"></path>
+      <short value="Reference to a resource or a concept"></short>
+      <definition value="A reference to a resource (by instance), or instead, a reference to a cencept defined in a terminology or ontology (by class)."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+     </element>
+     <element id="CodeableReference.concept">
+      <path value="CodeableReference.concept"></path>
+      <short value="Reference to a concept (by class)"></short>
+      <definition value="A reference to a concept - e.g. the information is identified by it's general classto the degree of precision found in the terminology."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="CodeableConcept"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+     <element id="CodeableReference.reference">
+      <path value="CodeableReference.reference"></path>
+      <short value="Reference to a resource (by instance)"></short>
+      <definition value="A reference to a resource the provides exact details about the information being referenced."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <type>
+       <code value="Reference"></code>
+      </type>
+      <isSummary value="true"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="N/A"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/StructureDefinition/Coding"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Coding"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -6893,10 +7633,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Coding"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Coding"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -6906,7 +7646,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Coding Type: A reference to a code defined by a terminology system."></description>
     <purpose value="References to codes are very common in healthcare models."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -6925,7 +7665,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Coding"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Coding">
@@ -6946,7 +7686,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -7405,7 +8144,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ContactDetail"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -7414,10 +8153,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ContactDetail"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContactDetail"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -7427,7 +8166,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for ContactDetail Type: Specifies contact information for a person or organization."></description>
     <purpose value="Need to track contact information in the same way across multiple resources."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -7436,7 +8175,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="ContactDetail"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ContactDetail">
@@ -7456,7 +8195,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -7644,7 +8382,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ContactPoint"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -7653,10 +8391,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ContactPoint"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContactPoint"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -7666,7 +8404,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for ContactPoint Type: Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc."></description>
     <purpose value="Need to track phone, fax, mobile, sms numbers, email addresses, twitter tags, etc."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -7685,7 +8423,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="ContactPoint"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ContactPoint">
@@ -7705,7 +8443,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="cpt-2"></key>
        <severity value="error"></severity>
@@ -7844,7 +8581,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Telecommunications form for contact point."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -7931,7 +8668,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Use of contact point."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -8068,7 +8805,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Telecommunications form for contact point."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -8128,7 +8865,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Use of contact point."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -8196,16 +8933,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Contributor"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Contributor"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Contributor"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -8215,7 +8952,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Contributor Type: A contributor to the content of a knowledge asset, including authors, editors, reviewers, and endorsers."></description>
     <purpose value="Need to track contributor information in the same way across multiple resources."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -8224,7 +8961,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Contributor"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Contributor">
@@ -8241,7 +8978,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -8360,7 +9096,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of contributor."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contributor-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contributor-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Contributor.name">
@@ -8441,7 +9177,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="The type of contributor."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/contributor-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/contributor-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Contributor.name">
@@ -8476,16 +9212,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Count"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Count"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Count"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -8495,7 +9231,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Count Type: A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies."></description>
     <purpose value="Need to able to capture all sorts of measured values, even if the measured value are not precisely quantified. Values include exact measures such as 3.51g, customary units such as 3 tablets, and currencies such as $100.32USD."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -8702,7 +9438,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -8858,16 +9594,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="DataRequirement"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/DataRequirement"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataRequirement"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -8876,7 +9612,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for DataRequirement Type: Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -8885,7 +9621,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="DataRequirement"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="DataRequirement">
@@ -8902,7 +9638,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -9024,7 +9759,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DataRequirement.profile">
@@ -9698,7 +10433,7 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
        </extension>
        <strength value="required"></strength>
        <description value="The possible sort directions, ascending or descending."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/sort-direction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/sort-direction|4.2.0"></valueSet>
       </binding>
      </element>
     </snapshot>
@@ -9732,7 +10467,7 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="DataRequirement.profile">
@@ -9960,29 +10695,197 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
        </extension>
        <strength value="required"></strength>
        <description value="The possible sort directions, ascending or descending."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/sort-direction|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/sort-direction|4.2.0"></valueSet>
       </binding>
      </element>
     </differential>
    </StructureDefinition>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/DataType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="DataType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/DataType"></url>
+    <version value="4.2.0"></version>
+    <name value="DataType"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 FHIR Standard"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base StructureDefinition for DataType Type: The base class for all re-useable types defined as part of the FHIR Specification."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="true"></abstract>
+    <type value="DataType"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="DataType">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="DataType"></path>
+      <short value="Reuseable Types"></short>
+      <definition value="The base class for all re-useable types defined as part of the FHIR Specification."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="DataType"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <condition value="ele-1"></condition>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="DataType.id">
+      <path value="DataType.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="DataType.extension">
+      <path value="DataType.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="DataType">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="DataType"></path>
+      <short value="Reuseable Types"></short>
+      <definition value="The base class for all re-useable types defined as part of the FHIR Specification."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/StructureDefinition/Distance"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Distance"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Distance"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Distance"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -9991,7 +10894,7 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Distance Type: A length - a value with a unit that is a physical distance."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -10213,7 +11116,7 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -10375,16 +11278,16 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Dosage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Dosage"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Dosage"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -10393,7 +11296,7 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Dosage Type: Indicates how the medication is/was taken or should be taken by the patient."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -10407,7 +11310,7 @@ The value of mustSupport SHALL be a FHIRPath resolveable on the type of the Data
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Dosage"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Dosage">
@@ -10530,7 +11433,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -11625,7 +12528,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Duration"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -11634,10 +12537,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Duration"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Duration"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -11646,7 +12549,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Duration Type: A length of time."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -11871,7 +12774,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -12036,7 +12939,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ElementDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -12045,10 +12948,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ElementDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ElementDefinition"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -12057,7 +12960,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for ElementDefinition Type: Captures constraints on each element within the resource, profile, or extension."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -12086,7 +12989,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="ElementDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ElementDefinition">
@@ -12322,7 +13225,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -12421,7 +13324,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How a property is represented when serialized."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -12858,7 +13761,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How an element value is interpreted when discrimination is evaluated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -12999,7 +13902,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How slices are interpreted when evaluating an instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -13573,7 +14476,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <key value="eld-17"></key>
        <severity value="error"></severity>
        <human value="targetProfile is only allowed if the type is Reference or canonical"></human>
-       <expression value="(code='Reference' or code = 'canonical') or targetProfile.empty()"></expression>
+       <expression value="(code='Reference' or code = 'canonical' or code = 'CodeableReference') or targetProfile.empty()"></expression>
        <xpath value="not(exists(f:targetProfile)) or (f:code/@value = 'Reference')"></xpath>
       </constraint>
       <constraint>
@@ -13834,7 +14737,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How resource references can be aggregated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -13876,7 +14779,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether a reference needs to be version specific or version independent, or whether either can be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -13927,6 +14830,9 @@ No default values are ever defined in the FHIR specification, nor can they be de
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -14169,6 +15075,9 @@ No default values are ever defined in the FHIR specification, nor can they be de
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -14363,6 +15272,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -14678,6 +15590,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -14851,6 +15766,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="positiveInt"></code>
       </type>
@@ -14905,6 +15823,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="positiveInt"></code>
       </type>
@@ -15202,7 +16123,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="SHALL applications comply with this constraint?"></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -15638,7 +16559,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="Indication of the degree of conformance expectations associated with a binding."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -15909,7 +16830,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -16148,7 +17069,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="How a property is represented when serialized."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/property-representation|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -16339,7 +17260,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="How an element value is interpreted when discrimination is evaluated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -16424,7 +17345,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="How slices are interpreted when evaluating an instance."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -16751,7 +17672,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        <key value="eld-17"></key>
        <severity value="error"></severity>
        <human value="targetProfile is only allowed if the type is Reference or canonical"></human>
-       <expression value="(code='Reference' or code = 'canonical') or targetProfile.empty()"></expression>
+       <expression value="(code='Reference' or code = 'canonical' or code = 'CodeableReference') or targetProfile.empty()"></expression>
        <xpath value="not(exists(f:targetProfile)) or (f:code/@value = 'Reference')"></xpath>
       </constraint>
       <isSummary value="true"></isSummary>
@@ -16873,7 +17794,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="How resource references can be aggregated."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -16901,7 +17822,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="Whether a reference needs to be version specific or version independent, or whether either can be used."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -16947,6 +17868,9 @@ No default values are ever defined in the FHIR specification, nor can they be de
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -17147,6 +18071,9 @@ No default values are ever defined in the FHIR specification, nor can they be de
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -17327,6 +18254,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -17526,6 +18456,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -17685,6 +18618,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="positiveInt"></code>
       </type>
@@ -17725,6 +18661,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="positiveInt"></code>
       </type>
@@ -17855,7 +18794,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="SHALL applications comply with this constraint?"></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -18077,7 +19016,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="Indication of the degree of conformance expectations associated with a binding."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -18204,7 +19143,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -18256,16 +19195,16 @@ When pattern[x] is used to constrain a complex object, it means that each proper
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Expression"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Expression"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Expression"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -18274,7 +19213,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Expression Type: A expression that is evaluated in a specified context and returns a value. The context of use of the expression must specify the context in which the expression is evaluated, and how the result of the expression is used."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -18283,7 +19222,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Expression"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Expression">
@@ -18300,7 +19239,6 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -18629,7 +19567,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Extension"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -18638,10 +19576,10 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Extension"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Extension"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -18651,7 +19589,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     </contact>
     <description value="Base StructureDefinition for Extension Type: Optional Extension Element - found in all resources."></description>
     <purpose value="The ability to add extensions in a structured way is what keeps FHIR resources simple."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -18660,7 +19598,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Extension"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Extension">
@@ -18680,7 +19618,6 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -18848,6 +19785,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -19065,6 +20005,9 @@ When pattern[x] is used to constrain a complex object, it means that each proper
       <type>
        <code value="integer"></code>
       </type>
+      <type>
+       <code value="integer64"></code>
+      </type>
       <type>
        <code value="markdown"></code>
       </type>
@@ -19200,7 +20143,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="HumanName"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -19209,10 +20152,10 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/HumanName"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HumanName"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -19222,7 +20165,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     </contact>
     <description value="Base StructureDefinition for HumanName Type: A human's name with the ability to identify parts and usage."></description>
     <purpose value="Need to be able to record names, along with notes about their use."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -19241,7 +20184,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="HumanName"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="HumanName">
@@ -19262,7 +20205,6 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -19396,7 +20338,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="The use of a human name."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -19684,7 +20626,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="The use of a human name."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -19850,7 +20792,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Identifier"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -19859,10 +20801,10 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Identifier"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Identifier"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -19872,7 +20814,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     </contact>
     <description value="Base StructureDefinition for Identifier Type: An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers."></description>
     <purpose value="Need to be able to identify things with confidence and be sure that the identification is not subject to misinterpretation."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -19891,7 +20833,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Identifier"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Identifier">
@@ -19911,7 +20853,6 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -20045,7 +20986,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the purpose for this identifier, if known ."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -20310,7 +21251,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
        </extension>
        <strength value="required"></strength>
        <description value="Identifies the purpose for this identifier, if known ."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -20468,16 +21409,16 @@ When pattern[x] is used to constrain a complex object, it means that each proper
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MarketingStatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MarketingStatus"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MarketingStatus"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -20486,7 +21427,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
      </telecom>
     </contact>
     <description value="Base StructureDefinition for MarketingStatus Type: The marketing status describes the date when a medicinal product is actually put on the market or the date as of which it is no longer available."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -20495,7 +21436,7 @@ When pattern[x] is used to constrain a complex object, it means that each proper
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="MarketingStatus"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="MarketingStatus">
@@ -20614,7 +21555,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -20847,7 +21788,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Meta"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -20856,10 +21797,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Meta"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Meta"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -20868,7 +21809,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Meta Type: The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -21291,7 +22232,7 @@ This element can be used to indicate where the current master source of a resour
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Money"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -21300,10 +22241,10 @@ This element can be used to indicate where the current master source of a resour
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Money"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Money"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -21312,7 +22253,7 @@ This element can be used to indicate where the current master source of a resour
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Money Type: An amount of economic utility in some recognized currency."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -21326,7 +22267,7 @@ This element can be used to indicate where the current master source of a resour
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Money"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Money">
@@ -21346,7 +22287,6 @@ This element can be used to indicate where the current master source of a resour
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -21504,7 +22444,7 @@ This element can be used to indicate where the current master source of a resour
        </extension>
        <strength value="required"></strength>
        <description value="A code indicating the currency, taken from ISO 4217."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/currencies|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/currencies|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -21567,7 +22507,7 @@ This element can be used to indicate where the current master source of a resour
        </extension>
        <strength value="required"></strength>
        <description value="A code indicating the currency, taken from ISO 4217."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/currencies|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/currencies|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -21584,7 +22524,7 @@ This element can be used to indicate where the current master source of a resour
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Narrative"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -21593,10 +22533,10 @@ This element can be used to indicate where the current master source of a resour
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Narrative"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Narrative"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -21605,7 +22545,7 @@ This element can be used to indicate where the current master source of a resour
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Narrative Type: A human-readable summary of the resource conveying the essential clinical and business information for the resource."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -21614,7 +22554,7 @@ This element can be used to indicate where the current master source of a resour
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Narrative"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Narrative">
@@ -21634,7 +22574,6 @@ This element can be used to indicate where the current master source of a resour
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -21757,7 +22696,7 @@ This element can be used to indicate where the current master source of a resour
        </extension>
        <strength value="required"></strength>
        <description value="The status of a resource narrative."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -21842,7 +22781,7 @@ This element can be used to indicate where the current master source of a resour
        </extension>
        <strength value="required"></strength>
        <description value="The status of a resource narrative."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -21888,16 +22827,16 @@ This element can be used to indicate where the current master source of a resour
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="OrderedDistribution"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/OrderedDistribution"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OrderedDistribution"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -21906,7 +22845,7 @@ This element can be used to indicate where the current master source of a resour
      </telecom>
     </contact>
     <description value="Base StructureDefinition for OrderedDistribution Type: An ordered list (distribution) of statistics."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -21915,7 +22854,7 @@ This element can be used to indicate where the current master source of a resour
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="OrderedDistribution"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="OrderedDistribution">
@@ -22041,7 +22980,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -22514,16 +23453,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ParameterDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ParameterDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParameterDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -22532,7 +23471,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for ParameterDefinition Type: The parameters to the module. This collection specifies both the input and output parameters. Input parameters are provided by the caller as part of the $evaluate operation. Output parameters are included in the GuidanceResponse."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -22541,7 +23480,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="ParameterDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ParameterDefinition">
@@ -22558,7 +23497,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -22702,7 +23640,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether the parameter is input or output."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ParameterDefinition.min">
@@ -22813,7 +23751,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ParameterDefinition.profile">
@@ -22881,7 +23819,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Whether the parameter is input or output."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ParameterDefinition.min">
@@ -22936,7 +23874,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/all-types|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="ParameterDefinition.profile">
@@ -22961,7 +23899,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Period"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -22970,10 +23908,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Period"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Period"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -22982,7 +23920,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -22996,7 +23934,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Period"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Period">
@@ -23019,7 +23957,6 @@ Period is not used for a duration (a measure of elapsed time). See [Duration](da
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -23280,16 +24217,16 @@ Period is not used for a duration (a measure of elapsed time). See [Duration](da
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Population"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Population"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Population"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -23298,7 +24235,7 @@ Period is not used for a duration (a measure of elapsed time). See [Duration](da
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Population Type: A populatioof people with some set of grouping criteria."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -23307,7 +24244,7 @@ Period is not used for a duration (a measure of elapsed time). See [Duration](da
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Population"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Population">
@@ -23426,7 +24363,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -23623,22 +24560,189 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    </StructureDefinition>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></fullUrl>
+  <resource>
+   <StructureDefinition xmlns="http://hl7.org/fhir">
+    <id value="PrimitiveType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/StructureDefinition/PrimitiveType"></url>
+    <version value="4.2.0"></version>
+    <name value="PrimitiveType"></name>
+    <status value="active"></status>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 FHIR Standard"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base StructureDefinition for PrimitiveType Type: The base type for all re-useable types defined that have a simple property."></description>
+    <fhirVersion value="4.2.0"></fhirVersion>
+    <mapping>
+     <identity value="rim"></identity>
+     <uri value="http://hl7.org/v3"></uri>
+     <name value="RIM Mapping"></name>
+    </mapping>
+    <kind value="complex-type"></kind>
+    <abstract value="true"></abstract>
+    <type value="PrimitiveType"></type>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
+    <derivation value="specialization"></derivation>
+    <snapshot>
+     <element id="PrimitiveType">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="PrimitiveType"></path>
+      <short value="Parent type for DataTypes with a simple value"></short>
+      <definition value="The base type for all re-useable types defined that have a simple property."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="PrimitiveType"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="PrimitiveType.id">
+      <path value="PrimitiveType.id"></path>
+      <representation value="xmlAttr"></representation>
+      <short value="Unique id for inter-element referencing"></short>
+      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."></definition>
+      <min value="0"></min>
+      <max value="1"></max>
+      <base>
+       <path value="Element.id"></path>
+       <min value="0"></min>
+       <max value="1"></max>
+      </base>
+      <!-- Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic (j) -->
+      <type>
+       <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
+        <valueUri value="string"></valueUri>
+       </extension>
+       <code value="http://hl7.org/fhirpath/System.String"></code>
+      </type>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+     <element id="PrimitiveType.extension">
+      <path value="PrimitiveType.extension"></path>
+      <slicing>
+       <discriminator>
+        <type value="value"></type>
+        <path value="url"></path>
+       </discriminator>
+       <description value="Extensions are always sliced by (at least) url"></description>
+       <rules value="open"></rules>
+      </slicing>
+      <short value="Additional content defined by implementations"></short>
+      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."></definition>
+      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."></comment>
+      <alias value="extensions"></alias>
+      <alias value="user content"></alias>
+      <min value="0"></min>
+      <max value="*"></max>
+      <base>
+       <path value="Element.extension"></path>
+       <min value="0"></min>
+       <max value="*"></max>
+      </base>
+      <type>
+       <code value="Extension"></code>
+      </type>
+      <constraint>
+       <key value="ele-1"></key>
+       <severity value="error"></severity>
+       <human value="All FHIR elements must have a @value or children"></human>
+       <expression value="hasValue() or (children().count() &gt; id.count())"></expression>
+       <xpath value="@value|f:*|h:div"></xpath>
+       <source value="Element"></source>
+      </constraint>
+      <constraint>
+       <key value="ext-1"></key>
+       <severity value="error"></severity>
+       <human value="Must have either extensions or value[x], not both"></human>
+       <expression value="extension.exists() != value.exists()"></expression>
+       <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"></xpath>
+       <source value="Extension"></source>
+      </constraint>
+      <isModifier value="false"></isModifier>
+      <isSummary value="false"></isSummary>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+    </snapshot>
+    <differential>
+     <element id="PrimitiveType">
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+       <valueCode value="normative"></valueCode>
+      </extension>
+      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+       <valueCode value="4.0.0"></valueCode>
+      </extension>
+      <path value="PrimitiveType"></path>
+      <short value="Parent type for DataTypes with a simple value"></short>
+      <definition value="The base type for all re-useable types defined that have a simple property."></definition>
+      <min value="0"></min>
+      <max value="*"></max>
+      <mapping>
+       <identity value="rim"></identity>
+       <map value="n/a"></map>
+      </mapping>
+     </element>
+    </differential>
+   </StructureDefinition>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/StructureDefinition/ProdCharacteristic"></fullUrl>
   <resource>
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ProdCharacteristic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ProdCharacteristic"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProdCharacteristic"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -23647,7 +24751,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for ProdCharacteristic Type: The marketing status describes the date when a medicinal product is actually put on the market or the date as of which it is no longer available."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -23656,7 +24760,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="ProdCharacteristic"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ProdCharacteristic">
@@ -23775,7 +24879,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -24224,16 +25328,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="ProductShelfLife"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/ProductShelfLife"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProductShelfLife"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -24242,7 +25346,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for ProductShelfLife Type: The shelf-life and storage information for a medicinal product item or container can be described using this class."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -24251,7 +25355,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="ProductShelfLife"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="ProductShelfLife">
@@ -24370,7 +25474,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -24567,7 +25671,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Quantity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -24576,10 +25680,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Quantity"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Quantity"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -24589,7 +25693,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Quantity Type: A measured amount (or an amount that can potentially be measured). Note that measured amounts include amounts that are not precisely quantified, including amounts involving arbitrary units and floating currencies."></description>
     <purpose value="Need to able to capture all sorts of measured values, even if the measured value are not precisely quantified. Values include exact measures such as 3.51g, customary units such as 3 tablets, and currencies such as $100.32USD."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -24603,7 +25707,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Quantity"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Quantity">
@@ -24624,7 +25728,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -24796,7 +25899,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -24986,7 +26089,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -25072,7 +26175,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Range"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -25081,10 +26184,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Range"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Range"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -25094,7 +26197,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Range Type: A set of ordered Quantities defined by a low and high limit."></description>
     <purpose value="Need to be able to specify ranges of values."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -25108,7 +26211,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Range"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Range">
@@ -25129,7 +26232,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -25386,7 +26488,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Ratio"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -25395,10 +26497,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Ratio"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Ratio"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -25408,7 +26510,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Ratio Type: A relationship of two Quantity values - expressed as a numerator and a denominator."></description>
     <purpose value="Need to able to capture ratios for some measurements (titers) and some rates (costs)."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -25422,7 +26524,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Ratio"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Ratio">
@@ -25443,7 +26545,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -25676,7 +26777,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Reference"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -25685,10 +26786,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Reference"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Reference"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -25697,7 +26798,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Reference Type: A reference from one resource to another."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -25706,7 +26807,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Reference"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Reference">
@@ -25727,7 +26828,6 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -26088,16 +27188,16 @@ Reference is intended to point to a structure that can potentially be expressed
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="RelatedArtifact"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/RelatedArtifact"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RelatedArtifact"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -26107,7 +27207,7 @@ Reference is intended to point to a structure that can potentially be expressed
     </contact>
     <description value="Base StructureDefinition for RelatedArtifact Type: Related artifacts such as additional documentation, justification, or bibliographic references."></description>
     <purpose value="Knowledge resources must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -26116,7 +27216,7 @@ Reference is intended to point to a structure that can potentially be expressed
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="RelatedArtifact"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="RelatedArtifact">
@@ -26134,7 +27234,6 @@ Reference is intended to point to a structure that can potentially be expressed
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -26253,7 +27352,7 @@ Reference is intended to point to a structure that can potentially be expressed
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship to the related artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/related-artifact-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/related-artifact-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RelatedArtifact.label">
@@ -26439,7 +27538,7 @@ Reference is intended to point to a structure that can potentially be expressed
        </extension>
        <strength value="required"></strength>
        <description value="The type of relationship to the related artifact."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/related-artifact-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/related-artifact-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="RelatedArtifact.label">
@@ -26522,16 +27621,16 @@ Reference is intended to point to a structure that can potentially be expressed
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SampledData"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SampledData"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SampledData"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -26541,7 +27640,7 @@ Reference is intended to point to a structure that can potentially be expressed
     </contact>
     <description value="Base StructureDefinition for SampledData Type: A series of measurements taken by a device, with upper and lower limits. There may be more than one dimension in the data."></description>
     <purpose value="There is a need for a concise way to handle the data produced by devices that sample a physical state at a high frequency."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -26555,7 +27654,7 @@ Reference is intended to point to a structure that can potentially be expressed
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="SampledData"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="SampledData">
@@ -26573,7 +27672,6 @@ Reference is intended to point to a structure that can potentially be expressed
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -27018,16 +28116,16 @@ Reference is intended to point to a structure that can potentially be expressed
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Signature"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Signature"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Signature"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -27037,7 +28135,7 @@ Reference is intended to point to a structure that can potentially be expressed
     </contact>
     <description value="Base StructureDefinition for Signature Type: A signature along with supporting context. The signature may be a digital signature that is cryptographic in nature, or some other signature acceptable to the domain. This other signature may be as simple as a graphical image representing a hand-written signature, or a signature ceremony Different signature approaches have different utilities."></description>
     <purpose value="There are a number of places where content must be signed in healthcare."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -27046,7 +28144,7 @@ Reference is intended to point to a structure that can potentially be expressed
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Signature"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Signature">
@@ -27064,7 +28162,6 @@ Reference is intended to point to a structure that can potentially be expressed
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -27316,7 +28413,7 @@ Reference is intended to point to a structure that can potentially be expressed
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Signature.sigFormat">
@@ -27352,7 +28449,7 @@ Reference is intended to point to a structure that can potentially be expressed
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Signature.data">
@@ -27486,7 +28583,7 @@ Reference is intended to point to a structure that can potentially be expressed
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Signature.sigFormat">
@@ -27507,7 +28604,7 @@ Reference is intended to point to a structure that can potentially be expressed
        </extension>
        <strength value="required"></strength>
        <description value="The mime type of an attachment. Any valid mime type is allowed."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="Signature.data">
@@ -27531,16 +28628,16 @@ Reference is intended to point to a structure that can potentially be expressed
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Statistic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Statistic"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Statistic"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -27549,7 +28646,7 @@ Reference is intended to point to a structure that can potentially be expressed
      </telecom>
     </contact>
     <description value="Base StructureDefinition for Statistic Type: A fact or piece of data from a  study of a large quantity of numerical data.  A mathematical or quantified characteristic of a group of observations."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -27558,7 +28655,7 @@ Reference is intended to point to a structure that can potentially be expressed
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Statistic"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Statistic">
@@ -27677,7 +28774,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -28904,16 +30001,16 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SubstanceAmount"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SubstanceAmount"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceAmount"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -28922,7 +30019,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      </telecom>
     </contact>
     <description value="Base StructureDefinition for SubstanceAmount Type: Chemical substances are a single substance type whose primary defining element is the molecular structure. Chemical substances shall be defined on the basis of their complete covalent molecular structure; the presence of a salt (counter-ion) and/or solvates (water, alcohols) is also captured. Purity, grade, physical form or particle size are not taken into account in the definition of a chemical substance or in the assignment of a Substance ID."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -28931,7 +30028,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="SubstanceAmount"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="SubstanceAmount">
@@ -29050,7 +30147,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -29405,7 +30502,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="Timing"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -29414,10 +30511,10 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/Timing"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Timing"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -29427,7 +30524,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     </contact>
     <description value="Base StructureDefinition for Timing Type: Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur. The most common usage is in dosage instructions for medications. They are also used when planning care of various kinds, and may be used for reporting the schedule to which past regular activities were carried out."></description>
     <purpose value="Need to able to track proposed timing schedules. There are several different ways to do this: one or more specified times, a simple rules like three times a day, or  before/after meals."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -29441,7 +30538,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="Timing"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneElement"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/BackboneType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="Timing">
@@ -29574,7 +30671,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       <min value="0"></min>
       <max value="*"></max>
       <base>
-       <path value="BackboneElement.modifierExtension"></path>
+       <path value="BackboneType.modifierExtension"></path>
        <min value="0"></min>
        <max value="*"></max>
       </base>
@@ -29989,7 +31086,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A unit of time (units from UCUM)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30143,7 +31240,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="A unit of time (units from UCUM)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30180,7 +31277,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
         <valueString value="DayOfWeek"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30249,7 +31346,7 @@ Modifier extensions SHALL NOT change the meaning of any elements on Resource or
        </extension>
        <strength value="required"></strength>
        <description value="Real world event relating to the schedule."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-timing|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-timing|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30547,7 +31644,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="A unit of time (units from UCUM)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30631,7 +31728,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="A unit of time (units from UCUM)."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/units-of-time|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30654,7 +31751,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
         <valueString value="DayOfWeek"></valueString>
        </extension>
        <strength value="required"></strength>
-       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30695,7 +31792,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="Real world event relating to the schedule."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/event-timing|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/event-timing|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="rim"></identity>
@@ -30751,16 +31848,16 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="TriggerDefinition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/TriggerDefinition"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TriggerDefinition"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -30769,7 +31866,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
      </telecom>
     </contact>
     <description value="Base StructureDefinition for TriggerDefinition Type: A description of a triggering event. Triggering events can be named events, data events, or periodic, as determined by the type element."></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -30778,7 +31875,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="TriggerDefinition"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="TriggerDefinition">
@@ -30796,7 +31893,6 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -30936,7 +32032,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="The type of trigger."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/trigger-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/trigger-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TriggerDefinition.name">
@@ -31103,7 +32199,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="The type of trigger."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/trigger-type|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/trigger-type|4.2.0"></valueSet>
       </binding>
      </element>
      <element id="TriggerDefinition.name">
@@ -31174,16 +32270,16 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="UsageContext"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/UsageContext"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UsageContext"></name>
     <status value="draft"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -31193,7 +32289,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
     </contact>
     <description value="Base StructureDefinition for UsageContext Type: Specifies clinical/business/etc. metadata that can be used to retrieve, index and/or categorize an artifact. This metadata can either be specific to the applicable population (e.g., age category, DRG) or the specific context of care (e.g., venue, care setting, provider of care)."></description>
     <purpose value="Consumers of the resource must be able to determine the intended applicability for the resource. Ideally, this information would be used programmatically to determine when and how it should be incorporated or exposed."></purpose>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="rim"></identity>
      <uri value="http://hl7.org/v3"></uri>
@@ -31202,7 +32298,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
     <kind value="complex-type"></kind>
     <abstract value="false"></abstract>
     <type value="UsageContext"></type>
-    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"></baseDefinition>
+    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DataType"></baseDefinition>
     <derivation value="specialization"></derivation>
     <snapshot>
      <element id="UsageContext">
@@ -31219,7 +32315,6 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -31466,7 +32561,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="MoneyQuantity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -31475,10 +32570,10 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/MoneyQuantity"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MoneyQuantity"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -31487,7 +32582,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
      </telecom>
     </contact>
     <description value="An amount of money. With regard to precision, see [Decimal Precision](datatypes.html#precision)"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -31516,7 +32611,6 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -31695,7 +32789,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
@@ -31840,7 +32934,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
    <StructureDefinition xmlns="http://hl7.org/fhir">
     <id value="SimpleQuantity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -31849,10 +32943,10 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SimpleQuantity"></name>
     <status value="active"></status>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR Standard"></publisher>
     <contact>
      <telecom>
@@ -31861,7 +32955,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
      </telecom>
     </contact>
     <description value="A fixed quantity (no comparator)"></description>
-    <fhirVersion value="4.1.0"></fhirVersion>
+    <fhirVersion value="4.2.0"></fhirVersion>
     <mapping>
      <identity value="v2"></identity>
      <uri value="http://hl7.org/v2"></uri>
@@ -31890,7 +32984,6 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        <min value="0"></min>
        <max value="*"></max>
       </base>
-      <condition value="ele-1"></condition>
       <constraint>
        <key value="ele-1"></key>
        <severity value="error"></severity>
@@ -32069,7 +33162,7 @@ A Timing schedule can be a list of events and/or criteria for when the event hap
        </extension>
        <strength value="required"></strength>
        <description value="How the Quantity should be understood and represented."></description>
-       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.1.0"></valueSet>
+       <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.2.0"></valueSet>
       </binding>
       <mapping>
        <identity value="v2"></identity>
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v2-tables.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v2-tables.xml
index a2d3a7cdf94..fa5557f5728 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v2-tables.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v2-tables.xml
@@ -1,14 +1,14 @@
 <Bundle xmlns="http://hl7.org/fhir">
  <id value="v2-valuesets"></id>
  <meta>
-  <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
  </meta>
  <type value="collection"></type>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0927"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0001"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0927"></id>
+    <id value="v2-0001"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -19,10 +19,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0927"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0001"></url>
     <version value="2.9"></version>
-    <name value="v2.0927"></name>
-    <title value="v2 Arm Stick"></title>
+    <name value="v2.0001"></name>
+    <title value="v2 SEX"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -32,21 +32,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0927 ( Arm Stick)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0001 ( SEX)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0927"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0001"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0925"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0002"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0925"></id>
+    <id value="v2-0002"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -57,10 +57,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0925"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0002"></url>
     <version value="2.9"></version>
-    <name value="v2.0925"></name>
-    <title value="v2 Phlebotomy Issue"></title>
+    <name value="v2.0002"></name>
+    <title value="v2 MARITAL STATUS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -70,21 +70,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0925 ( Phlebotomy Issue)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0002 ( MARITAL STATUS)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0925"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0002"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0926"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0003"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0926"></id>
+    <id value="v2-0003"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -95,10 +95,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0926"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0003"></url>
     <version value="2.9"></version>
-    <name value="v2.0926"></name>
-    <title value="v2 Phlebotomy Status"></title>
+    <name value="v2.0003"></name>
+    <title value="v2 EVENT TYPE CODE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -108,21 +108,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0926 ( Phlebotomy Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0003 ( EVENT TYPE CODE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0926"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0003"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0923"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0004"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0923"></id>
+    <id value="v2-0004"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -133,10 +133,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0923"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0004"></url>
     <version value="2.9"></version>
-    <name value="v2.0923"></name>
-    <title value="v2 Process Interruption"></title>
+    <name value="v2.0004"></name>
+    <title value="v2 PATIENT CLASS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -146,21 +146,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0923 ( Process Interruption)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0004 ( PATIENT CLASS)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0923"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0004"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0924"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.1-0006"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0924"></id>
+    <id value="v2-2.1-0006"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -171,10 +171,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0924"></url>
-    <version value="2.9"></version>
-    <name value="v2.0924"></name>
-    <title value="v2 Cumulative Dosage Limit UoM"></title>
+    <url value="http://terminology.hl7.org/ValueSet/v2-2.1-0006"></url>
+    <version value="0006"></version>
+    <name value="v2.0006.2.1"></name>
+    <title value="v2 table 0006, Version 2.1"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -184,21 +184,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0924 ( Cumulative Dosage Limit UoM)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0006 ver 2.1 ( RELIGION)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0924"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0006|2.1"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0921"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.4-0006"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0921"></id>
+    <id value="v2-2.4-0006"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -209,10 +209,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0921"></url>
-    <version value="2.9"></version>
-    <name value="v2.0921"></name>
-    <title value="v2 Certification Type Code"></title>
+    <url value="http://terminology.hl7.org/ValueSet/v2-2.4-0006"></url>
+    <version value="0006"></version>
+    <name value="v2.0006.2.4"></name>
+    <title value="v2 table 0006, Version 2.4"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -222,21 +222,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0921 ( Certification Type Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0006 ver 2.9 ( Religion)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0921"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0006|2.4"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0922"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0007"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0922"></id>
+    <id value="v2-0007"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -247,10 +247,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0922"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0007"></url>
     <version value="2.9"></version>
-    <name value="v2.0922"></name>
-    <title value="v2 Certification Category Code"></title>
+    <name value="v2.0007"></name>
+    <title value="v2 ADMISSION TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -260,21 +260,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0922 ( Certification Category Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0007 ( ADMISSION TYPE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0922"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0007"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0920"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0008"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0920"></id>
+    <id value="v2-0008"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -285,10 +285,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0920"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0008"></url>
     <version value="2.9"></version>
-    <name value="v2.0920"></name>
-    <title value="v2 Preferred Specimen/Attribute Status"></title>
+    <name value="v2.0008"></name>
+    <title value="v2 ACKNOWLEDGMENT CODE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -298,21 +298,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0920 ( Preferred Specimen/Attribute Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0008 ( ACKNOWLEDGMENT CODE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0920"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0008"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.6-0391"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0009"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-2.6-0391"></id>
+    <id value="v2-0009"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -323,10 +323,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-2.6-0391"></url>
-    <version value="0391"></version>
-    <name value="v2.0391.2.6"></name>
-    <title value="v2 table 0391, Version 2.6"></title>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0009"></url>
+    <version value="2.9"></version>
+    <name value="v2.0009"></name>
+    <title value="v2 AMBULATORY STATUS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -336,21 +336,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0391 ver 2.9 ( Segment Group)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0009 ( AMBULATORY STATUS)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0391|2.6"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0009"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0935"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0012"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0935"></id>
+    <id value="v2-0012"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -361,10 +361,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0935"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0012"></url>
     <version value="2.9"></version>
-    <name value="v2.0935"></name>
-    <title value="v2 Process Interruption Reason"></title>
+    <name value="v2.0012"></name>
+    <title value="v2 STOCK LOCATION"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -374,21 +374,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0935 ( Process Interruption Reason)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0012 ( STOCK LOCATION)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0935"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0012"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0933"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0017"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0933"></id>
+    <id value="v2-0017"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -399,10 +399,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0933"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0017"></url>
     <version value="2.9"></version>
-    <name value="v2.0933"></name>
-    <title value="v2 Intended Procedure Type"></title>
+    <name value="v2.0017"></name>
+    <title value="v2 Transaction Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -412,21 +412,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0933 ( Intended Procedure Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0017 ( Transaction Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0933"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0017"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0507"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0023"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0507"></id>
+    <id value="v2-0023"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -437,10 +437,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0507"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0023"></url>
     <version value="2.9"></version>
-    <name value="v2.0507"></name>
-    <title value="v2 Observation Result Handling"></title>
+    <name value="v2.0023"></name>
+    <title value="v2 Admit source"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -450,21 +450,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0507 ( Observation Result Handling)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0023 ( Admit source)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0507"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0023"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0508"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0027"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0508"></id>
+    <id value="v2-0027"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -475,10 +475,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0508"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0027"></url>
     <version value="2.9"></version>
-    <name value="v2.0508"></name>
-    <title value="v2 Blood Product Processing Requirements"></title>
+    <name value="v2.0027"></name>
+    <title value="v2 PRIORITY (COMPONENT 6 QTY/TIMING[735])"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -488,21 +488,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0508 ( Blood Product Processing Requirements)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0027 ( PRIORITY (COMPONENT 6 QTY/TIMING[735]))"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0508"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0027"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0505"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0033"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0505"></id>
+    <id value="v2-0033"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -513,10 +513,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0505"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0033"></url>
     <version value="2.9"></version>
-    <name value="v2.0505"></name>
-    <title value="v2 Cyclic Entry/Exit Indicator"></title>
+    <name value="v2.0033"></name>
+    <title value="v2 ROUTE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -526,21 +526,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0505 ( Cyclic Entry/Exit Indicator)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0033 ( ROUTE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0505"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0033"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0506"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0034"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0506"></id>
+    <id value="v2-0034"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -551,10 +551,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0506"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0034"></url>
     <version value="2.9"></version>
-    <name value="v2.0506"></name>
-    <title value="v2 Service Request Relationship"></title>
+    <name value="v2.0034"></name>
+    <title value="v2 SITE ADMINISTERED"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -564,21 +564,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0506 ( Service Request Relationship)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0034 ( SITE ADMINISTERED)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0506"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0034"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0503"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0038"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0503"></id>
+    <id value="v2-0038"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -589,10 +589,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0503"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0038"></url>
     <version value="2.9"></version>
-    <name value="v2.0503"></name>
-    <title value="v2 Sequence/Results Flag"></title>
+    <name value="v2.0038"></name>
+    <title value="v2 ORDER STATUS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -602,21 +602,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0503 ( Sequence/Results Flag)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0038 ( ORDER STATUS)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0503"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0038"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0504"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0043"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0504"></id>
+    <id value="v2-0043"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -627,10 +627,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0504"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0043"></url>
     <version value="2.9"></version>
-    <name value="v2.0504"></name>
-    <title value="v2 Sequence Condition Code"></title>
+    <name value="v2.0043"></name>
+    <title value="v2 Condition code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -640,21 +640,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0504 ( Sequence Condition Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0043 ( Condition code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0504"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0043"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0501"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0048"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0501"></id>
+    <id value="v2-0048"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -665,10 +665,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0501"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0048"></url>
     <version value="2.9"></version>
-    <name value="v2.0501"></name>
-    <title value="v2 Consent Non-Disclosure Reason"></title>
+    <name value="v2.0048"></name>
+    <title value="v2 WHAT SUBJECT FILTER"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -678,21 +678,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0501 ( Consent Non-Disclosure Reason)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0048 ( WHAT SUBJECT FILTER)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0501"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0048"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0502"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0052"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0502"></id>
+    <id value="v2-0052"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -703,10 +703,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0502"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0052"></url>
     <version value="2.9"></version>
-    <name value="v2.0502"></name>
-    <title value="v2 Non-Subject Consenter Reason"></title>
+    <name value="v2.0052"></name>
+    <title value="v2 Diagnosis Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -716,21 +716,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0502 ( Non-Subject Consenter Reason)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0052 ( Diagnosis Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0502"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0052"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0500"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0061"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0500"></id>
+    <id value="v2-0061"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -741,10 +741,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0500"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0061"></url>
     <version value="2.9"></version>
-    <name value="v2.0500"></name>
-    <title value="v2 Consent Disclosure Level"></title>
+    <name value="v2.0061"></name>
+    <title value="v2 CHECK DIGIT SCHEME"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -754,21 +754,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0500 ( Consent Disclosure Level)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0061 ( CHECK DIGIT SCHEME)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0500"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0061"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0518"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0062"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0518"></id>
+    <id value="v2-0062"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -779,10 +779,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0518"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0062"></url>
     <version value="2.9"></version>
-    <name value="v2.0518"></name>
-    <title value="v2 Override type"></title>
+    <name value="v2.0062"></name>
+    <title value="v2 EVENT REASON"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -792,21 +792,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0518 ( Override type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0062 ( EVENT REASON)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0518"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0062"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0516"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0063"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0516"></id>
+    <id value="v2-0063"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -817,10 +817,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0516"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0063"></url>
     <version value="2.9"></version>
-    <name value="v2.0516"></name>
-    <title value="v2 Error severity"></title>
+    <name value="v2.0063"></name>
+    <title value="v2 Relationship"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -830,21 +830,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0516 ( Error severity)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0063 ( Relationship)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0516"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0063"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0517"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0065"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0517"></id>
+    <id value="v2-0065"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -855,10 +855,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0517"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0065"></url>
     <version value="2.9"></version>
-    <name value="v2.0517"></name>
-    <title value="v2 Inform person code"></title>
+    <name value="v2.0065"></name>
+    <title value="v2 ACTION CODE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -868,21 +868,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0517 ( Inform person code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0065 ( ACTION CODE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0517"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0065"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0514"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0066"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0514"></id>
+    <id value="v2-0066"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -893,10 +893,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0514"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0066"></url>
     <version value="2.9"></version>
-    <name value="v2.0514"></name>
-    <title value="v2 Transfusion Adverse Reaction"></title>
+    <name value="v2.0066"></name>
+    <title value="v2 Employment status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -906,21 +906,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0514 ( Transfusion Adverse Reaction)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0066 ( Employment status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0514"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0066"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0513"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0069"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0513"></id>
+    <id value="v2-0069"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -931,10 +931,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0513"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0069"></url>
     <version value="2.9"></version>
-    <name value="v2.0513"></name>
-    <title value="v2 Blood Product Transfusion/Disposition Status"></title>
+    <name value="v2.0069"></name>
+    <title value="v2 Hospital service"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -944,21 +944,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0513 ( Blood Product Transfusion/Disposition Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0069 ( Hospital service)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0513"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0069"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0510"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0070"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0510"></id>
+    <id value="v2-0070"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -969,10 +969,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0510"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0070"></url>
     <version value="2.9"></version>
-    <name value="v2.0510"></name>
-    <title value="v2 Blood Product Dispense Status"></title>
+    <name value="v2.0070"></name>
+    <title value="v2 SOURCE OF SPECIMEN"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -982,21 +982,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0510 ( Blood Product Dispense Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0070 ( SOURCE OF SPECIMEN)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0510"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0070"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0511"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0074"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0511"></id>
+    <id value="v2-0074"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1007,10 +1007,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0511"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0074"></url>
     <version value="2.9"></version>
-    <name value="v2.0511"></name>
-    <title value="v2 BP Observation Status Codes Interpretation"></title>
+    <name value="v2.0074"></name>
+    <title value="v2 DIAGNOSTIC SERVICE SECTION ID"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1020,11 +1020,205 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0511 ( BP Observation Status Codes Interpretation)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0074 ( DIAGNOSTIC SERVICE SECTION ID)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0511"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0076"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0076"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0076"></url>
+    <version value="2.9"></version>
+    <name value="v2.0076"></name>
+    <title value="v2 MESSAGE TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0076 ( MESSAGE TYPE)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0076"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0078"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0078"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0078"></url>
+    <version value="2.9"></version>
+    <name value="v2.0078"></name>
+    <title value="v2 ABNORMAL FLAGS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="HL7-defined code system of concepts which specify a categorical assessment of an observation value.   
+ 
+ Notes:
+ 
+ This is being communicated in v2.x in OBX-8 (Observation Interpretation), in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR in    Observation.interpretation."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0078"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0080"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0080"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0080"></url>
+    <version value="2.9"></version>
+    <name value="v2.0080"></name>
+    <title value="v2 NATURE OF ABNORMAL TESTING"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0080 ( NATURE OF ABNORMAL TESTING)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0080"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0083"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0083"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0083"></url>
+    <version value="2.9"></version>
+    <name value="v2.0083"></name>
+    <title value="v2 Outlier Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0083 ( Outlier Type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0083"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0085"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0085"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0085"></url>
+    <version value="2.9"></version>
+    <name value="v2.0085"></name>
+    <title value="v2 OBSERVATION RESULT STATUS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0085 ( OBSERVATION RESULT STATUS)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0085"></system>
      </include>
     </compose>
    </ValueSet>
@@ -1109,120 +1303,6 @@
    </ValueSet>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.1-0006"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-2.1-0006"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-2.1-0006"></url>
-    <version value="0006"></version>
-    <name value="v2.0006.2.1"></name>
-    <title value="v2 table 0006, Version 2.1"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0006 ver 2.1 ( RELIGION)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0006|2.1"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0085"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0085"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0085"></url>
-    <version value="2.9"></version>
-    <name value="v2.0085"></name>
-    <title value="v2 OBSERVATION RESULT STATUS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0085 ( OBSERVATION RESULT STATUS)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0085"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0083"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0083"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0083"></url>
-    <version value="2.9"></version>
-    <name value="v2.0083"></name>
-    <title value="v2 Outlier Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0083 ( Outlier Type)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0083"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0098"></fullUrl>
   <resource>
@@ -1262,10 +1342,10 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0909"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0100"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0909"></id>
+    <id value="v2-0100"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1276,10 +1356,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0909"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0100"></url>
     <version value="2.9"></version>
-    <name value="v2.0909"></name>
-    <title value="v2 Patient Results Release Categorization Scheme"></title>
+    <name value="v2.0100"></name>
+    <title value="v2 WHEN TO CHARGE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1289,21 +1369,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0909 ( Patient Results Release Categorization Scheme)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0100 ( WHEN TO CHARGE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0909"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0100"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0907"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0102"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0907"></id>
+    <id value="v2-0102"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1314,10 +1394,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0907"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0102"></url>
     <version value="2.9"></version>
-    <name value="v2.0907"></name>
-    <title value="v2 Confidentiality"></title>
+    <name value="v2.0102"></name>
+    <title value="v2 DELAYED ACKNOWLEDGMENT TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1327,21 +1407,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0907 ( Confidentiality)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0102 ( DELAYED ACKNOWLEDGMENT TYPE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0907"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0102"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0905"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0103"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0905"></id>
+    <id value="v2-0103"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1352,10 +1432,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0905"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0103"></url>
     <version value="2.9"></version>
-    <name value="v2.0905"></name>
-    <title value="v2 Shipment Status"></title>
+    <name value="v2.0103"></name>
+    <title value="v2 PROCESSING ID"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1365,21 +1445,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0905 ( Shipment Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0103 ( PROCESSING ID)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0905"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0103"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0906"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0104"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0906"></id>
+    <id value="v2-0104"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1390,10 +1470,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0906"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0104"></url>
     <version value="2.9"></version>
-    <name value="v2.0906"></name>
-    <title value="v2 ActPriority"></title>
+    <name value="v2.0104"></name>
+    <title value="v2 VERSION CONTROL TABLE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1403,21 +1483,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0906 ( ActPriority)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0104 ( VERSION CONTROL TABLE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0906"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0104"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0904"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0105"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0904"></id>
+    <id value="v2-0105"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1428,10 +1508,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0904"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0105"></url>
     <version value="2.9"></version>
-    <name value="v2.0904"></name>
-    <title value="v2 Security Check Scheme"></title>
+    <name value="v2.0105"></name>
+    <title value="v2 SOURCE OF COMMENT"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1441,21 +1521,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0904 ( Security Check Scheme)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0105 ( SOURCE OF COMMENT)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0904"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0105"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0918"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0106"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0918"></id>
+    <id value="v2-0106"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1466,10 +1546,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0918"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0106"></url>
     <version value="2.9"></version>
-    <name value="v2.0918"></name>
-    <title value="v2 PCA Type"></title>
+    <name value="v2.0106"></name>
+    <title value="v2 QUERY FORMAT CODE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1479,21 +1559,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0918 ( PCA Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0106 ( QUERY FORMAT CODE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0918"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0106"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0919"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0107"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0919"></id>
+    <id value="v2-0107"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1504,10 +1584,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0919"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0107"></url>
     <version value="2.9"></version>
-    <name value="v2.0919"></name>
-    <title value="v2 Exclusive Test"></title>
+    <name value="v2.0107"></name>
+    <title value="v2 DEFERRED RESPONSE TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1517,38 +1597,114 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0919 ( Exclusive Test)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0107 ( DEFERRED RESPONSE TYPE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0919"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0107"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0916"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0108"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0916"></id>
+    <id value="v2-0108"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <language value="en"></language>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
+     <valueCode value="external"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0108"></url>
+    <version value="2.9"></version>
+    <name value="v2.0108"></name>
+    <title value="v2 QUERY RESULTS LEVEL"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0108 ( QUERY RESULTS LEVEL)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0108"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0109"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0109"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0109"></url>
+    <version value="2.9"></version>
+    <name value="v2.0109"></name>
+    <title value="v2 REPORT PRIORITY"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0109 ( REPORT PRIORITY)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0109"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0116"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0116"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0916"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0116"></url>
     <version value="2.9"></version>
-    <name value="v2.0916"></name>
-    <title value="v2 Relevant Clincial Information"></title>
+    <name value="v2.0116"></name>
+    <title value="v2 BED STATUS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1558,21 +1714,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0916 ( Relevant Clincial Information)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0116 ( BED STATUS)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0916"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0116"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0917"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0119"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0917"></id>
+    <id value="v2-0119"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1583,10 +1739,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0917"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0119"></url>
     <version value="2.9"></version>
-    <name value="v2.0917"></name>
-    <title value="v2 Bolus Type"></title>
+    <name value="v2.0119"></name>
+    <title value="v2 ORDER CONTROL"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1596,21 +1752,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0917 ( Bolus Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0119 ( ORDER CONTROL)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0917"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0119"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0914"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0121"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0914"></id>
+    <id value="v2-0121"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1621,10 +1777,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0914"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0121"></url>
     <version value="2.9"></version>
-    <name value="v2.0914"></name>
-    <title value="v2 Root Cause"></title>
+    <name value="v2.0121"></name>
+    <title value="v2 RESPONSE FLAG"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1634,21 +1790,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0914 ( Root Cause)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0121 ( RESPONSE FLAG)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0914"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0121"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0912"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0122"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0912"></id>
+    <id value="v2-0122"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1659,10 +1815,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0912"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0122"></url>
     <version value="2.9"></version>
-    <name value="v2.0912"></name>
-    <title value="v2 Participation"></title>
+    <name value="v2.0122"></name>
+    <title value="v2 CHARGE TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1672,21 +1828,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0912 ( Participation)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0122 ( CHARGE TYPE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0912"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0122"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-4000"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0123"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-4000"></id>
+    <id value="v2-0123"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1697,10 +1853,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-4000"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0123"></url>
     <version value="2.9"></version>
-    <name value="v2.4000"></name>
-    <title value="v2 Name/address representation"></title>
+    <name value="v2.0123"></name>
+    <title value="v2 RESULT STATUS - OBR"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1710,21 +1866,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 4000 ( Name/address representation)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0123 ( RESULT STATUS - OBR)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-4000"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0123"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0027"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0124"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0027"></id>
+    <id value="v2-0124"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1735,10 +1891,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0027"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0124"></url>
     <version value="2.9"></version>
-    <name value="v2.0027"></name>
-    <title value="v2 PRIORITY (COMPONENT 6 QTY/TIMING[735])"></title>
+    <name value="v2.0124"></name>
+    <title value="v2 TRANSPORTATION MODE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1748,21 +1904,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0027 ( PRIORITY (COMPONENT 6 QTY/TIMING[735]))"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0124 ( TRANSPORTATION MODE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0027"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0124"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0023"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0126"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0023"></id>
+    <id value="v2-0126"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1773,10 +1929,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0023"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0126"></url>
     <version value="2.9"></version>
-    <name value="v2.0023"></name>
-    <title value="v2 Admit source"></title>
+    <name value="v2.0126"></name>
+    <title value="v2 QUANTITY LIMITED REQUEST"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1786,21 +1942,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0023 ( Admit source)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0126 ( QUANTITY LIMITED REQUEST)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0023"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0126"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0038"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0127"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0038"></id>
+    <id value="v2-0127"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1811,10 +1967,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0038"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0127"></url>
     <version value="2.9"></version>
-    <name value="v2.0038"></name>
-    <title value="v2 ORDER STATUS"></title>
+    <name value="v2.0127"></name>
+    <title value="v2 ALLERGY TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1824,21 +1980,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0038 ( ORDER STATUS)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0127 ( ALLERGY TYPE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0038"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0127"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0033"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0128"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0033"></id>
+    <id value="v2-0128"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1849,10 +2005,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0033"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0128"></url>
     <version value="2.9"></version>
-    <name value="v2.0033"></name>
-    <title value="v2 ROUTE"></title>
+    <name value="v2.0128"></name>
+    <title value="v2 ALLERGY SEVERITY"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1862,21 +2018,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0033 ( ROUTE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0128 ( ALLERGY SEVERITY)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0033"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0128"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0034"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0130"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0034"></id>
+    <id value="v2-0130"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1887,10 +2043,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0034"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0130"></url>
     <version value="2.9"></version>
-    <name value="v2.0034"></name>
-    <title value="v2 SITE ADMINISTERED"></title>
+    <name value="v2.0130"></name>
+    <title value="v2 Visit user code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1900,21 +2056,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0034 ( SITE ADMINISTERED)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0130 ( Visit user code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0034"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0130"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0008"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0131"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0008"></id>
+    <id value="v2-0131"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1925,10 +2081,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0008"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0131"></url>
     <version value="2.9"></version>
-    <name value="v2.0008"></name>
-    <title value="v2 ACKNOWLEDGMENT CODE"></title>
+    <name value="v2.0131"></name>
+    <title value="v2 Contact Role"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1938,21 +2094,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0008 ( ACKNOWLEDGMENT CODE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0131 ( Contact Role)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0008"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0131"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0009"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0133"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0009"></id>
+    <id value="v2-0133"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -1963,10 +2119,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0009"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0133"></url>
     <version value="2.9"></version>
-    <name value="v2.0009"></name>
-    <title value="v2 AMBULATORY STATUS"></title>
+    <name value="v2.0133"></name>
+    <title value="v2 PROCEDURE PRACTITIONER TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -1976,21 +2132,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0009 ( AMBULATORY STATUS)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0133 ( PROCEDURE PRACTITIONER TYPE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0009"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0133"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0007"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0135"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0007"></id>
+    <id value="v2-0135"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2001,10 +2157,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0007"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0135"></url>
     <version value="2.9"></version>
-    <name value="v2.0007"></name>
-    <title value="v2 ADMISSION TYPE"></title>
+    <name value="v2.0135"></name>
+    <title value="v2 ASSIGNMENT OF BENEFITS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2014,21 +2170,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0007 ( ADMISSION TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0135 ( ASSIGNMENT OF BENEFITS)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0007"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0135"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0004"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0136"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0004"></id>
+    <id value="v2-0136"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2039,10 +2195,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0004"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0136"></url>
     <version value="2.9"></version>
-    <name value="v2.0004"></name>
-    <title value="v2 PATIENT CLASS"></title>
+    <name value="v2.0136"></name>
+    <title value="v2 Y/N Indicator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2052,21 +2208,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0004 ( PATIENT CLASS)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0136 ( Y/N Indicator)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0004"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0136"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0488"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0137"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0488"></id>
+    <id value="v2-0137"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2077,10 +2233,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0488"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0137"></url>
     <version value="2.9"></version>
-    <name value="v2.0488"></name>
-    <title value="v2 Specimen Collection Method"></title>
+    <name value="v2.0137"></name>
+    <title value="v2 MAIL CLAIM PARTY"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2090,21 +2246,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0488 ( Specimen Collection Method)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0137 ( MAIL CLAIM PARTY)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0488"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0137"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0489"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0140"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0489"></id>
+    <id value="v2-0140"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2115,10 +2271,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0489"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0140"></url>
     <version value="2.9"></version>
-    <name value="v2.0489"></name>
-    <title value="v2 Risk Codes"></title>
+    <name value="v2.0140"></name>
+    <title value="v2 Military service"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2128,21 +2284,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0489 ( Risk Codes)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0140 ( Military service)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0489"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0140"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0005"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0141"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0005"></id>
+    <id value="v2-0141"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2153,10 +2309,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0005"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0141"></url>
     <version value="2.9"></version>
-    <name value="v2.0005"></name>
-    <title value="v2 ETHNIC GROUP"></title>
+    <name value="v2.0141"></name>
+    <title value="v2 Military rank/grade"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2166,44 +2322,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0005 ( ETHNIC GROUP)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0141 ( Military rank/grade)"></description>
+    <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-Race"></system>
-      <concept>
-       <code value="1002-5"></code>
-       <display value="American Indian or Alaska Native"></display>
-      </concept>
-      <concept>
-       <code value="2028-9"></code>
-       <display value="Asian"></display>
-      </concept>
-      <concept>
-       <code value="2054-5"></code>
-       <display value="Black or African American"></display>
-      </concept>
-      <concept>
-       <code value="2076-8"></code>
-       <display value="Native Hawaiian or Other Pacific Islander"></display>
-      </concept>
-      <concept>
-       <code value="2106-3"></code>
-       <display value="White"></display>
-      </concept>
-      <concept>
-       <code value="2131-1"></code>
-       <display value="Other Race"></display>
-      </concept>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0141"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0002"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0142"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0002"></id>
+    <id value="v2-0142"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2214,10 +2347,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0002"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0142"></url>
     <version value="2.9"></version>
-    <name value="v2.0002"></name>
-    <title value="v2 MARITAL STATUS"></title>
+    <name value="v2.0142"></name>
+    <title value="v2 Military status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2227,21 +2360,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0002 ( MARITAL STATUS)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0142 ( Military status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0002"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0142"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0003"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0144"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0003"></id>
+    <id value="v2-0144"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2252,10 +2385,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0003"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0144"></url>
     <version value="2.9"></version>
-    <name value="v2.0003"></name>
-    <title value="v2 EVENT TYPE CODE"></title>
+    <name value="v2.0144"></name>
+    <title value="v2 ELIGIBILITY SOURCE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2265,21 +2398,6031 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0003 ( EVENT TYPE CODE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0144 ( ELIGIBILITY SOURCE)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0003"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0144"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0487"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0145"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0487"></id>
+    <id value="v2-0145"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0145"></url>
+    <version value="2.9"></version>
+    <name value="v2.0145"></name>
+    <title value="v2 Room Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0145 ( Room Type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0145"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0146"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0146"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0146"></url>
+    <version value="2.9"></version>
+    <name value="v2.0146"></name>
+    <title value="v2 AMOUNT TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0146 ( AMOUNT TYPE)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0146"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0147"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0147"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0147"></url>
+    <version value="2.9"></version>
+    <name value="v2.0147"></name>
+    <title value="v2 POLICY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0147 ( POLICY TYPE)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0147"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0148"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0148"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0148"></url>
+    <version value="2.9"></version>
+    <name value="v2.0148"></name>
+    <title value="v2 PENALTY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0148 ( PENALTY TYPE)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0148"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0149"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0149"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0149"></url>
+    <version value="2.9"></version>
+    <name value="v2.0149"></name>
+    <title value="v2 DAY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0149 ( DAY TYPE)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0149"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0150"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0150"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0150"></url>
+    <version value="2.9"></version>
+    <name value="v2.0150"></name>
+    <title value="v2 PRECERTIFICATION PATIENT TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0150 ( PRECERTIFICATION PATIENT TYPE)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0150"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0153"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0153"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0153"></url>
+    <version value="2.9"></version>
+    <name value="v2.0153"></name>
+    <title value="v2 Value code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0153 ( Value code)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0153"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0155"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0155"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0155"></url>
+    <version value="2.9"></version>
+    <name value="v2.0155"></name>
+    <title value="v2 ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0155 ( ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0155"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0156"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0156"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0156"></url>
+    <version value="2.9"></version>
+    <name value="v2.0156"></name>
+    <title value="v2 DATE/TIME QUALIFIER"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0156 ( DATE/TIME QUALIFIER)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0156"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0157"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0157"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0157"></url>
+    <version value="2.9"></version>
+    <name value="v2.0157"></name>
+    <title value="v2 WHIHC DATE/TIME STATUS QUALIFIER"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
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+     <valueCode value="external"></valueCode>
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+    <publisher value="HL7, Inc"></publisher>
+    <contact>
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+    <publisher value="HL7, Inc"></publisher>
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+      <value value="http://hl7.org"></value>
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+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0357"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0357"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0357"></url>
+    <version value="2.9"></version>
+    <name value="v2.0357"></name>
+    <title value="v2 Message error condition  codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0357 ( Message error condition  codes)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0357"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0359"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0359"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0359"></url>
+    <version value="2.9"></version>
+    <name value="v2.0359"></name>
+    <title value="v2 Diagnosis priority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0359 ( Diagnosis priority)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0359"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.3.1-0360"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-2.3.1-0360"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-2.3.1-0360"></url>
+    <version value="0360"></version>
+    <name value="v2.0360.2.3.1"></name>
+    <title value="v2 table 0360, Version 2.3.1"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0360 ver 2.6 ( Degree/license/certificate)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0360|2.3.1"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.7-0360"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-2.7-0360"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-2.7-0360"></url>
+    <version value="0360"></version>
+    <name value="v2.0360.2.7"></name>
+    <title value="v2 table 0360, Version 2.7"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0360 ver 2.9 ( Degree/License/Certificate)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0360|2.7"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0363"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0363"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0363"></url>
+    <version value="2.9"></version>
+    <name value="v2.0363"></name>
+    <title value="v2 Assigning authority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0363 ( Assigning authority)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0363"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0364"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0364"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0364"></url>
+    <version value="2.9"></version>
+    <name value="v2.0364"></name>
+    <title value="v2 Comment type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0364 ( Comment type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0364"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0365"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0365"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0365"></url>
+    <version value="2.9"></version>
+    <name value="v2.0365"></name>
+    <title value="v2 Equipment state"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0365 ( Equipment state)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0365"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0366"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0366"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0366"></url>
+    <version value="2.9"></version>
+    <name value="v2.0366"></name>
+    <title value="v2 Local/remote control state"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0366 ( Local/remote control state)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0366"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0367"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0367"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0367"></url>
+    <version value="2.9"></version>
+    <name value="v2.0367"></name>
+    <title value="v2 Alert level"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0367 ( Alert level)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0367"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0368"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0368"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0368"></url>
+    <version value="2.9"></version>
+    <name value="v2.0368"></name>
+    <title value="v2 Remote control command"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0368 ( Remote control command)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0368"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0369"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0369"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0369"></url>
+    <version value="2.9"></version>
+    <name value="v2.0369"></name>
+    <title value="v2 Specimen role"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0369 ( Specimen role)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0369"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0370"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0370"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0370"></url>
+    <version value="2.9"></version>
+    <name value="v2.0370"></name>
+    <title value="v2 Container status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0370 ( Container status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0370"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0371"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0371"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2293,10 +8436,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="oo"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0487"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0371"></url>
     <version value="2.9"></version>
-    <name value="v2.0487"></name>
-    <title value="v2 Specimen Type"></title>
+    <name value="v2.0371"></name>
+    <title value="v2 Additive"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2306,21 +8449,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0487 ( Specimen Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0371 ( Additive)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0487"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0371"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0484"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0372"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0484"></id>
+    <id value="v2-0372"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2331,10 +8474,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0484"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0372"></url>
     <version value="2.9"></version>
-    <name value="v2.0484"></name>
-    <title value="v2 Dispense Type"></title>
+    <name value="v2.0372"></name>
+    <title value="v2 Specimen component"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2344,21 +8487,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0484 ( Dispense Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0372 ( Specimen component)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0484"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0372"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0001"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0373"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0001"></id>
+    <id value="v2-0373"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2369,10 +8512,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0001"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0373"></url>
     <version value="2.9"></version>
-    <name value="v2.0001"></name>
-    <title value="v2 SEX"></title>
+    <name value="v2.0373"></name>
+    <title value="v2 Treatment"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2382,21 +8525,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0001 ( SEX)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0373 ( Treatment)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0001"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0373"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0485"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0374"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0485"></id>
+    <id value="v2-0374"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2407,10 +8550,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0485"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0374"></url>
     <version value="2.9"></version>
-    <name value="v2.0485"></name>
-    <title value="v2 Extended Priority Codes"></title>
+    <name value="v2.0374"></name>
+    <title value="v2 System induced contaminants"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2420,11 +8563,2671 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0485 ( Extended Priority Codes)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0374 ( System induced contaminants)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0485"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0374"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0375"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0375"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0375"></url>
+    <version value="2.9"></version>
+    <name value="v2.0375"></name>
+    <title value="v2 Artificial blood"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0375 ( Artificial blood)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0375"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0376"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0376"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0376"></url>
+    <version value="2.9"></version>
+    <name value="v2.0376"></name>
+    <title value="v2 Special handling considerations"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0376 ( Special handling considerations)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0376"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0377"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0377"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0377"></url>
+    <version value="2.9"></version>
+    <name value="v2.0377"></name>
+    <title value="v2 Other environmental factors"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0377 ( Other environmental factors)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0377"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0383"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0383"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0383"></url>
+    <version value="2.9"></version>
+    <name value="v2.0383"></name>
+    <title value="v2 Substance status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0383 ( Substance status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0383"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0384"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0384"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0384"></url>
+    <version value="2.9"></version>
+    <name value="v2.0384"></name>
+    <title value="v2 Substance type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0384 ( Substance type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0384"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0387"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0387"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0387"></url>
+    <version value="2.9"></version>
+    <name value="v2.0387"></name>
+    <title value="v2 Command response"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0387 ( Command response)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0387"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0388"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0388"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0388"></url>
+    <version value="2.9"></version>
+    <name value="v2.0388"></name>
+    <title value="v2 Processing type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0388 ( Processing type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0388"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0389"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0389"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0389"></url>
+    <version value="2.9"></version>
+    <name value="v2.0389"></name>
+    <title value="v2 Analyte repeat status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0389 ( Analyte repeat status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0389"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.4-0391"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-2.4-0391"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-2.4-0391"></url>
+    <version value="0391"></version>
+    <name value="v2.0391.2.4"></name>
+    <title value="v2 table 0391, Version 2.4"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0391 ver 2.5.1 ( Segment group)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0391|2.4"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.6-0391"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-2.6-0391"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-2.6-0391"></url>
+    <version value="0391"></version>
+    <name value="v2.0391.2.6"></name>
+    <title value="v2 table 0391, Version 2.6"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0391 ver 2.9 ( Segment Group)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0391|2.6"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0392"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0392"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0392"></url>
+    <version value="2.9"></version>
+    <name value="v2.0392"></name>
+    <title value="v2 Match reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0392 ( Match reason)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0392"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0393"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0393"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0393"></url>
+    <version value="2.9"></version>
+    <name value="v2.0393"></name>
+    <title value="v2 Match algorithms"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0393 ( Match algorithms)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0393"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0394"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0394"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0394"></url>
+    <version value="2.9"></version>
+    <name value="v2.0394"></name>
+    <title value="v2 Response modality"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0394 ( Response modality)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0394"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0395"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0395"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0395"></url>
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+    <version value="2.9"></version>
+    <name value="v2.0425"></name>
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+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0466"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0466"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0466"></url>
+    <version value="2.9"></version>
+    <name value="v2.0466"></name>
+    <title value="v2 Ambulatory payment classification code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0466 ( Ambulatory payment classification code)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0466"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0468"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0468"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0468"></url>
+    <version value="2.9"></version>
+    <name value="v2.0468"></name>
+    <title value="v2 Payment adjustment code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment adjustment code)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0468"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0469"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0469"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0469"></url>
+    <version value="2.9"></version>
+    <name value="v2.0469"></name>
+    <title value="v2 Packaging status code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0469 ( Packaging status code)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0469"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0470"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0470"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0470"></url>
+    <version value="2.9"></version>
+    <name value="v2.0470"></name>
+    <title value="v2 Reimbursement type code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0470 ( Reimbursement type code)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0470"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0472"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0472"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0472"></url>
+    <version value="2.9"></version>
+    <name value="v2.0472"></name>
+    <title value="v2 TQ Conjunction ID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0472 ( TQ Conjunction ID)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0472"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0473"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0473"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0473"></url>
+    <version value="2.9"></version>
+    <name value="v2.0473"></name>
+    <title value="v2 Formulary status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0473 ( Formulary status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0473"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0474"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0474"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0474"></url>
+    <version value="2.9"></version>
+    <name value="v2.0474"></name>
+    <title value="v2 Practitioner Organization Unit Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0474 ( Practitioner Organization Unit Type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0474"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0475"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0475"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0475"></url>
+    <version value="2.9"></version>
+    <name value="v2.0475"></name>
+    <title value="v2 Charge Type Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0475 ( Charge Type Reason)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0475"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0477"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0477"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0477"></url>
+    <version value="2.9"></version>
+    <name value="v2.0477"></name>
+    <title value="v2 Controlled Substance Schedule"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0477 ( Controlled Substance Schedule)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0477"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0478"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0478"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0478"></url>
+    <version value="2.9"></version>
+    <name value="v2.0478"></name>
+    <title value="v2 Formulary Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0478 ( Formulary Status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0478"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0480"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0480"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0480"></url>
+    <version value="2.9"></version>
+    <name value="v2.0480"></name>
+    <title value="v2 Pharmacy Order Types"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0480 ( Pharmacy Order Types)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0480"></system>
      </include>
     </compose>
    </ValueSet>
@@ -2507,10 +11310,10 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0480"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0484"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0480"></id>
+    <id value="v2-0484"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2521,10 +11324,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0480"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0484"></url>
     <version value="2.9"></version>
-    <name value="v2.0480"></name>
-    <title value="v2 Pharmacy Order Types"></title>
+    <name value="v2.0484"></name>
+    <title value="v2 Dispense Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2534,21 +11337,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0480 ( Pharmacy Order Types)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0484 ( Dispense Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0480"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0484"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0017"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0485"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0017"></id>
+    <id value="v2-0485"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2559,10 +11362,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0017"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0485"></url>
     <version value="2.9"></version>
-    <name value="v2.0017"></name>
-    <title value="v2 Transaction Type"></title>
+    <name value="v2.0485"></name>
+    <title value="v2 Extended Priority Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2572,35 +11375,38 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0017 ( Transaction Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0485 ( Extended Priority Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0017"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0485"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0499"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0487"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0499"></id>
+    <id value="v2-0487"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <language value="en"></language>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
+     <valueCode value="draft"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
+     <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0499"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0487"></url>
     <version value="2.9"></version>
-    <name value="v2.0499"></name>
-    <title value="v2 Consent Bypass Reason"></title>
+    <name value="v2.0487"></name>
+    <title value="v2 Specimen Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2610,21 +11416,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0499 ( Consent Bypass Reason)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0487 ( Specimen Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0499"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0487"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0497"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0488"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0497"></id>
+    <id value="v2-0488"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2635,10 +11441,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0497"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0488"></url>
     <version value="2.9"></version>
-    <name value="v2.0497"></name>
-    <title value="v2 Consent Mode"></title>
+    <name value="v2.0488"></name>
+    <title value="v2 Specimen Collection Method"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2648,21 +11454,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0497 ( Consent Mode)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0488 ( Specimen Collection Method)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0497"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0488"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0498"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0489"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0498"></id>
+    <id value="v2-0489"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2673,10 +11479,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0498"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0489"></url>
     <version value="2.9"></version>
-    <name value="v2.0498"></name>
-    <title value="v2 Consent Status"></title>
+    <name value="v2.0489"></name>
+    <title value="v2 Risk Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2686,21 +11492,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0498 ( Consent Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0489 ( Risk Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0498"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0489"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0495"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0490"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0495"></id>
+    <id value="v2-0490"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2711,10 +11517,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0495"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0490"></url>
     <version value="2.9"></version>
-    <name value="v2.0495"></name>
-    <title value="v2 Body Site Modifier"></title>
+    <name value="v2.0490"></name>
+    <title value="v2 Specimen Reject Reason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2724,21 +11530,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0495 ( Body Site Modifier)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0490 ( Specimen Reject Reason)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0495"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0490"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0012"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0491"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0012"></id>
+    <id value="v2-0491"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2749,10 +11555,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0012"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0491"></url>
     <version value="2.9"></version>
-    <name value="v2.0012"></name>
-    <title value="v2 STOCK LOCATION"></title>
+    <name value="v2.0491"></name>
+    <title value="v2 Specimen Quality"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2762,21 +11568,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0012 ( STOCK LOCATION)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0491 ( Specimen Quality)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0012"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0491"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0496"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0492"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0496"></id>
+    <id value="v2-0492"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2787,10 +11593,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0496"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0492"></url>
     <version value="2.9"></version>
-    <name value="v2.0496"></name>
-    <title value="v2 Consent Type"></title>
+    <name value="v2.0492"></name>
+    <title value="v2 Specimen Appropriateness"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2800,11 +11606,11 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0496 ( Consent Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0492 ( Specimen Appropriateness)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0496"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0492"></system>
      </include>
     </compose>
    </ValueSet>
@@ -2890,10 +11696,10 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0491"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0495"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0491"></id>
+    <id value="v2-0495"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2904,10 +11710,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0491"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0495"></url>
     <version value="2.9"></version>
-    <name value="v2.0491"></name>
-    <title value="v2 Specimen Quality"></title>
+    <name value="v2.0495"></name>
+    <title value="v2 Body Site Modifier"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2917,21 +11723,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0491 ( Specimen Quality)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0495 ( Body Site Modifier)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0491"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0495"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0492"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0496"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0492"></id>
+    <id value="v2-0496"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2942,10 +11748,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0492"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0496"></url>
     <version value="2.9"></version>
-    <name value="v2.0492"></name>
-    <title value="v2 Specimen Appropriateness"></title>
+    <name value="v2.0496"></name>
+    <title value="v2 Consent Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2955,21 +11761,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0492 ( Specimen Appropriateness)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0496 ( Consent Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0492"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0496"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0490"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0497"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0490"></id>
+    <id value="v2-0497"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -2980,10 +11786,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0490"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0497"></url>
     <version value="2.9"></version>
-    <name value="v2.0490"></name>
-    <title value="v2 Specimen Reject Reason"></title>
+    <name value="v2.0497"></name>
+    <title value="v2 Consent Mode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -2993,21 +11799,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0490 ( Specimen Reject Reason)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0497 ( Consent Mode)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0490"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0497"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0070"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0498"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0070"></id>
+    <id value="v2-0498"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3018,10 +11824,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0070"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0498"></url>
     <version value="2.9"></version>
-    <name value="v2.0070"></name>
-    <title value="v2 SOURCE OF SPECIMEN"></title>
+    <name value="v2.0498"></name>
+    <title value="v2 Consent Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3031,21 +11837,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0070 ( SOURCE OF SPECIMEN)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0498 ( Consent Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0070"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0498"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0069"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0499"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0069"></id>
+    <id value="v2-0499"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3056,10 +11862,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0069"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0499"></url>
     <version value="2.9"></version>
-    <name value="v2.0069"></name>
-    <title value="v2 Hospital service"></title>
+    <name value="v2.0499"></name>
+    <title value="v2 Consent Bypass Reason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3069,21 +11875,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0069 ( Hospital service)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0499 ( Consent Bypass Reason)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0069"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0499"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0066"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0500"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0066"></id>
+    <id value="v2-0500"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3094,10 +11900,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0066"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0500"></url>
     <version value="2.9"></version>
-    <name value="v2.0066"></name>
-    <title value="v2 Employment status"></title>
+    <name value="v2.0500"></name>
+    <title value="v2 Consent Disclosure Level"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3107,21 +11913,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0066 ( Employment status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0500 ( Consent Disclosure Level)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0066"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0500"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0065"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0501"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0065"></id>
+    <id value="v2-0501"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3132,10 +11938,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0065"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0501"></url>
     <version value="2.9"></version>
-    <name value="v2.0065"></name>
-    <title value="v2 ACTION CODE"></title>
+    <name value="v2.0501"></name>
+    <title value="v2 Consent Non-Disclosure Reason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3145,21 +11951,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0065 ( ACTION CODE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0501 ( Consent Non-Disclosure Reason)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0065"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0501"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0062"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0502"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0062"></id>
+    <id value="v2-0502"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3170,10 +11976,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0062"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0502"></url>
     <version value="2.9"></version>
-    <name value="v2.0062"></name>
-    <title value="v2 EVENT REASON"></title>
+    <name value="v2.0502"></name>
+    <title value="v2 Non-Subject Consenter Reason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3183,21 +11989,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0062 ( EVENT REASON)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0502 ( Non-Subject Consenter Reason)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0062"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0502"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0063"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0503"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0063"></id>
+    <id value="v2-0503"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3208,10 +12014,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0063"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0503"></url>
     <version value="2.9"></version>
-    <name value="v2.0063"></name>
-    <title value="v2 Relationship"></title>
+    <name value="v2.0503"></name>
+    <title value="v2 Sequence/Results Flag"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3221,21 +12027,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0063 ( Relationship)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0503 ( Sequence/Results Flag)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0063"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0503"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0061"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0504"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0061"></id>
+    <id value="v2-0504"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3246,10 +12052,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0061"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0504"></url>
     <version value="2.9"></version>
-    <name value="v2.0061"></name>
-    <title value="v2 CHECK DIGIT SCHEME"></title>
+    <name value="v2.0504"></name>
+    <title value="v2 Sequence Condition Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3259,21 +12065,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0061 ( CHECK DIGIT SCHEME)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0504 ( Sequence Condition Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0061"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0504"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0080"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0505"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0080"></id>
+    <id value="v2-0505"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3284,10 +12090,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0080"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0505"></url>
     <version value="2.9"></version>
-    <name value="v2.0080"></name>
-    <title value="v2 NATURE OF ABNORMAL TESTING"></title>
+    <name value="v2.0505"></name>
+    <title value="v2 Cyclic Entry/Exit Indicator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3297,21 +12103,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0080 ( NATURE OF ABNORMAL TESTING)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0505 ( Cyclic Entry/Exit Indicator)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0080"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0505"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0078"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0506"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0078"></id>
+    <id value="v2-0506"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3322,10 +12128,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0078"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0506"></url>
     <version value="2.9"></version>
-    <name value="v2.0078"></name>
-    <title value="v2 ABNORMAL FLAGS"></title>
+    <name value="v2.0506"></name>
+    <title value="v2 Service Request Relationship"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3335,25 +12141,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="HL7-defined code system of concepts which specify a categorical assessment of an observation value.   
- 
- Notes:
- 
- This is being communicated in v2.x in OBX-8 (Observation Interpretation), in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR in    Observation.interpretation."></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0506 ( Service Request Relationship)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0078"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0506"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0076"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0507"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0076"></id>
+    <id value="v2-0507"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3364,10 +12166,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0076"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0507"></url>
     <version value="2.9"></version>
-    <name value="v2.0076"></name>
-    <title value="v2 MESSAGE TYPE"></title>
+    <name value="v2.0507"></name>
+    <title value="v2 Observation Result Handling"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3377,21 +12179,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0076 ( MESSAGE TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0507 ( Observation Result Handling)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0076"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0507"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0074"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0508"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0074"></id>
+    <id value="v2-0508"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3402,10 +12204,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0074"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0508"></url>
     <version value="2.9"></version>
-    <name value="v2.0074"></name>
-    <title value="v2 DIAGNOSTIC SERVICE SECTION ID"></title>
+    <name value="v2.0508"></name>
+    <title value="v2 Blood Product Processing Requirements"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3415,21 +12217,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0074 ( DIAGNOSTIC SERVICE SECTION ID)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0508 ( Blood Product Processing Requirements)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0508"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0048"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0510"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0048"></id>
+    <id value="v2-0510"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3440,10 +12242,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0048"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0510"></url>
     <version value="2.9"></version>
-    <name value="v2.0048"></name>
-    <title value="v2 WHAT SUBJECT FILTER"></title>
+    <name value="v2.0510"></name>
+    <title value="v2 Blood Product Dispense Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3453,21 +12255,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0048 ( WHAT SUBJECT FILTER)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0510 ( Blood Product Dispense Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0048"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0510"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0043"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0511"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0043"></id>
+    <id value="v2-0511"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3478,10 +12280,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0043"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0511"></url>
     <version value="2.9"></version>
-    <name value="v2.0043"></name>
-    <title value="v2 Condition code"></title>
+    <name value="v2.0511"></name>
+    <title value="v2 BP Observation Status Codes Interpretation"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3491,21 +12293,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0043 ( Condition code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0511 ( BP Observation Status Codes Interpretation)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0043"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0511"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0052"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0513"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0052"></id>
+    <id value="v2-0513"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3516,10 +12318,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0052"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0513"></url>
     <version value="2.9"></version>
-    <name value="v2.0052"></name>
-    <title value="v2 Diagnosis Type"></title>
+    <name value="v2.0513"></name>
+    <title value="v2 Blood Product Transfusion/Disposition Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3529,21 +12331,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0052 ( Diagnosis Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0513 ( Blood Product Transfusion/Disposition Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0052"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0513"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0428"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0514"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0428"></id>
+    <id value="v2-0514"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3554,10 +12356,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0428"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0514"></url>
     <version value="2.9"></version>
-    <name value="v2.0428"></name>
-    <title value="v2 Incident type code"></title>
+    <name value="v2.0514"></name>
+    <title value="v2 Transfusion Adverse Reaction"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3567,21 +12369,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0428 ( Incident type code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0514 ( Transfusion Adverse Reaction)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0428"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0514"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0429"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0516"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0429"></id>
+    <id value="v2-0516"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3592,10 +12394,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0429"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0516"></url>
     <version value="2.9"></version>
-    <name value="v2.0429"></name>
-    <title value="v2 Production class Code"></title>
+    <name value="v2.0516"></name>
+    <title value="v2 Error severity"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3605,21 +12407,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0429 ( Production class Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0516 ( Error severity)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0429"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0516"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0426"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0517"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0426"></id>
+    <id value="v2-0517"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3630,10 +12432,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0426"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0517"></url>
     <version value="2.9"></version>
-    <name value="v2.0426"></name>
-    <title value="v2 Blood product code"></title>
+    <name value="v2.0517"></name>
+    <title value="v2 Inform person code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3643,21 +12445,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0426 ( Blood product code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0517 ( Inform person code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0426"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0517"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0427"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0518"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0427"></id>
+    <id value="v2-0518"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3668,10 +12470,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0427"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0518"></url>
     <version value="2.9"></version>
-    <name value="v2.0427"></name>
-    <title value="v2 Risk management incident code"></title>
+    <name value="v2.0518"></name>
+    <title value="v2 Override type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3681,21 +12483,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0427 ( Risk management incident code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0518 ( Override type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0427"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0518"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0424"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0520"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0424"></id>
+    <id value="v2-0520"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3706,10 +12508,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0424"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0520"></url>
     <version value="2.9"></version>
-    <name value="v2.0424"></name>
-    <title value="v2 Gestation category code"></title>
+    <name value="v2.0520"></name>
+    <title value="v2 Message waiting priority"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3719,21 +12521,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0424 ( Gestation category code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0520 ( Message waiting priority)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0424"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0520"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0425"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0523"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0425"></id>
+    <id value="v2-0523"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3744,10 +12546,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0425"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0523"></url>
     <version value="2.9"></version>
-    <name value="v2.0425"></name>
-    <title value="v2 Newborn code"></title>
+    <name value="v2.0523"></name>
+    <title value="v2 Computation type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3757,21 +12559,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0425 ( Newborn code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0523 ( Computation type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0425"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0523"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0422"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0524"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0422"></id>
+    <id value="v2-0524"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3782,10 +12584,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0422"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0524"></url>
     <version value="2.9"></version>
-    <name value="v2.0422"></name>
-    <title value="v2 Triage code"></title>
+    <name value="v2.0524"></name>
+    <title value="v2 Sequence condition"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3795,21 +12597,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0422 ( Triage code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0524 ( Sequence condition)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0422"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0524"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0423"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0527"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0423"></id>
+    <id value="v2-0527"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3820,10 +12622,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0423"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0527"></url>
     <version value="2.9"></version>
-    <name value="v2.0423"></name>
-    <title value="v2 Case category code"></title>
+    <name value="v2.0527"></name>
+    <title value="v2 Calendar alignment"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3833,21 +12635,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0423 ( Case category code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0527 ( Calendar alignment)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0423"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0527"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0421"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0528"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0421"></id>
+    <id value="v2-0528"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3858,10 +12660,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0421"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0528"></url>
     <version value="2.9"></version>
-    <name value="v2.0421"></name>
-    <title value="v2 Severity of illness code"></title>
+    <name value="v2.0528"></name>
+    <title value="v2 Event related period"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3871,21 +12673,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0421 ( Severity of illness code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0528 ( Event related period)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0421"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0528"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0437"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0529"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0437"></id>
+    <id value="v2-0529"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3896,10 +12698,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0437"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0529"></url>
     <version value="2.9"></version>
-    <name value="v2.0437"></name>
-    <title value="v2 Alert device code"></title>
+    <name value="v2.0529"></name>
+    <title value="v2 Precision"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3909,21 +12711,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0437 ( Alert device code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0529 ( Precision)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0437"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0529"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0438"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0530"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0438"></id>
+    <id value="v2-0530"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3934,10 +12736,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0438"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0530"></url>
     <version value="2.9"></version>
-    <name value="v2.0438"></name>
-    <title value="v2 Allergy clinical status"></title>
+    <name value="v2.0530"></name>
+    <title value="v2 Organization, agency, department"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3947,21 +12749,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0438 ( Allergy clinical status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0530 ( Organization, agency, department)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0438"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0530"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0435"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0534"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0435"></id>
+    <id value="v2-0534"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -3972,10 +12774,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0435"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0534"></url>
     <version value="2.9"></version>
-    <name value="v2.0435"></name>
-    <title value="v2 Advance directive code"></title>
+    <name value="v2.0534"></name>
+    <title value="v2 Notify Clergy Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -3985,21 +12787,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0435 ( Advance directive code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0534 ( Notify Clergy Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0435"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0534"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0436"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0535"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0436"></id>
+    <id value="v2-0535"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4010,10 +12812,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0436"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0535"></url>
     <version value="2.9"></version>
-    <name value="v2.0436"></name>
-    <title value="v2 Sensitivity to Causative Agent code"></title>
+    <name value="v2.0535"></name>
+    <title value="v2 Signature Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4023,21 +12825,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0436 ( Sensitivity to Causative Agent code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0535 ( Signature Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0436"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0535"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0433"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0536"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0433"></id>
+    <id value="v2-0536"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4048,10 +12850,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0433"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0536"></url>
     <version value="2.9"></version>
-    <name value="v2.0433"></name>
-    <title value="v2 Precaution code"></title>
+    <name value="v2.0536"></name>
+    <title value="v2 Certificate Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4061,21 +12863,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0433 ( Precaution code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0536 ( Certificate Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0433"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0536"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0434"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0538"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0434"></id>
+    <id value="v2-0538"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4086,10 +12888,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0434"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0538"></url>
     <version value="2.9"></version>
-    <name value="v2.0434"></name>
-    <title value="v2 Patient condition code"></title>
+    <name value="v2.0538"></name>
+    <title value="v2 Institution Relationship Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4099,21 +12901,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0434 ( Patient condition code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0538 ( Institution Relationship Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0434"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0538"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0431"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0540"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0431"></id>
+    <id value="v2-0540"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4124,10 +12926,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0431"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0540"></url>
     <version value="2.9"></version>
-    <name value="v2.0431"></name>
-    <title value="v2 Recreational drug use code"></title>
+    <name value="v2.0540"></name>
+    <title value="v2 Inactive Reason Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4137,21 +12939,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0431 ( Recreational drug use code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0540 ( Inactive Reason Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0431"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0540"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0432"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0544"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0432"></id>
+    <id value="v2-0544"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4162,10 +12964,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0432"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0544"></url>
     <version value="2.9"></version>
-    <name value="v2.0432"></name>
-    <title value="v2 Admission level of care code"></title>
+    <name value="v2.0544"></name>
+    <title value="v2 Container Condition"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4175,21 +12977,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0432 ( Admission level of care code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0544 ( Container Condition)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0432"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0544"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0430"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0547"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0430"></id>
+    <id value="v2-0547"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4200,10 +13002,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0430"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0547"></url>
     <version value="2.9"></version>
-    <name value="v2.0430"></name>
-    <title value="v2 Mode of arrival code"></title>
+    <name value="v2.0547"></name>
+    <title value="v2 Jurisdictional Breadth"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4213,21 +13015,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0430 ( Mode of arrival code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0547 ( Jurisdictional Breadth)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0430"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0547"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0409"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0548"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0409"></id>
+    <id value="v2-0548"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4238,10 +13040,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0409"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0548"></url>
     <version value="2.9"></version>
-    <name value="v2.0409"></name>
-    <title value="v2 Application change type"></title>
+    <name value="v2.0548"></name>
+    <title value="v2 Signatory's Relationship to Subject"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4251,21 +13053,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0409 ( Application change type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0548 ( Signatory's Relationship to Subject)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0409"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0548"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0406"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0550"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0406"></id>
+    <id value="v2-0550"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4276,10 +13078,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0406"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0550"></url>
     <version value="2.9"></version>
-    <name value="v2.0406"></name>
-    <title value="v2 Participant Organization Unit Type"></title>
+    <name value="v2.0550"></name>
+    <title value="v2 Body Parts"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4289,21 +13091,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0406 ( Participant Organization Unit Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0550 ( Body Parts)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0406"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0550"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0404"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0553"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0404"></id>
+    <id value="v2-0553"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4314,10 +13116,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0404"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0553"></url>
     <version value="2.9"></version>
-    <name value="v2.0404"></name>
-    <title value="v2 Language proficiency"></title>
+    <name value="v2.0553"></name>
+    <title value="v2 Invoice Control Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4327,21 +13129,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0404 ( Language proficiency)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0553 ( Invoice Control Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0404"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0553"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0402"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0554"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0402"></id>
+    <id value="v2-0554"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4352,10 +13154,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0402"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0554"></url>
     <version value="2.9"></version>
-    <name value="v2.0402"></name>
-    <title value="v2 School type"></title>
+    <name value="v2.0554"></name>
+    <title value="v2 Invoice Reason Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4365,21 +13167,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0402 ( School type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0554 ( Invoice Reason Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0402"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0554"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0403"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0555"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0403"></id>
+    <id value="v2-0555"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4390,10 +13192,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0403"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0555"></url>
     <version value="2.9"></version>
-    <name value="v2.0403"></name>
-    <title value="v2 Language ability"></title>
+    <name value="v2.0555"></name>
+    <title value="v2 Invoice Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4403,21 +13205,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0403 ( Language ability)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0555 ( Invoice Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0403"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0555"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0401"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0556"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0401"></id>
+    <id value="v2-0556"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4428,10 +13230,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0401"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0556"></url>
     <version value="2.9"></version>
-    <name value="v2.0401"></name>
-    <title value="v2 Government reimbursement program"></title>
+    <name value="v2.0556"></name>
+    <title value="v2 Benefit Group"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4441,21 +13243,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0401 ( Government reimbursement program)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0556 ( Benefit Group)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0401"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0556"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0882"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0557"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0882"></id>
+    <id value="v2-0557"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4466,10 +13268,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0882"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0557"></url>
     <version value="2.9"></version>
-    <name value="v2.0882"></name>
-    <title value="v2 Medical Role Executing Physician"></title>
+    <name value="v2.0557"></name>
+    <title value="v2 Payee Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4479,21 +13281,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0882 ( Medical Role Executing Physician)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0557 ( Payee Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0882"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0557"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0881"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0558"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0881"></id>
+    <id value="v2-0558"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4504,10 +13306,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0881"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0558"></url>
     <version value="2.9"></version>
-    <name value="v2.0881"></name>
-    <title value="v2 Role Executing Physician"></title>
+    <name value="v2.0558"></name>
+    <title value="v2 Payee Relationship to Invoice"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4517,21 +13319,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0881 ( Role Executing Physician)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0558 ( Payee Relationship to Invoice)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0881"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0558"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0417"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0559"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0417"></id>
+    <id value="v2-0559"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4542,10 +13344,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0417"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0559"></url>
     <version value="2.9"></version>
-    <name value="v2.0417"></name>
-    <title value="v2 Tissue type code"></title>
+    <name value="v2.0559"></name>
+    <title value="v2 Product/Service Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4555,21 +13357,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0417 ( Tissue type code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0559 ( Product/Service Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0417"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0559"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0418"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0561"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0418"></id>
+    <id value="v2-0561"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4580,10 +13382,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0418"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0561"></url>
     <version value="2.9"></version>
-    <name value="v2.0418"></name>
-    <title value="v2 Procedure priority"></title>
+    <name value="v2.0561"></name>
+    <title value="v2 Product/Services Clarification Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4593,21 +13395,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0418 ( Procedure priority)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0561 ( Product/Services Clarification Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0418"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0561"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0415"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0562"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0415"></id>
+    <id value="v2-0562"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4618,10 +13420,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0415"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0562"></url>
     <version value="2.9"></version>
-    <name value="v2.0415"></name>
-    <title value="v2 DRG transfer type"></title>
+    <name value="v2.0562"></name>
+    <title value="v2 Processing Consideration Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4631,21 +13433,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0415 ( DRG transfer type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0562 ( Processing Consideration Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0415"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0562"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0416"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0564"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0416"></id>
+    <id value="v2-0564"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4656,10 +13458,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0416"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0564"></url>
     <version value="2.9"></version>
-    <name value="v2.0416"></name>
-    <title value="v2 Procedure DRG type"></title>
+    <name value="v2.0564"></name>
+    <title value="v2 Adjustment Category Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4669,21 +13471,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0416 ( Procedure DRG type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0564 ( Adjustment Category Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0416"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0564"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0411"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0565"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0411"></id>
+    <id value="v2-0565"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4694,10 +13496,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0411"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0565"></url>
     <version value="2.9"></version>
-    <name value="v2.0411"></name>
-    <title value="v2 Supplemental service information values"></title>
+    <name value="v2.0565"></name>
+    <title value="v2 Provider Adjustment Reason Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4707,21 +13509,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0411 ( Supplemental service information values)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0565 ( Provider Adjustment Reason Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0411"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0565"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0895"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0566"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0895"></id>
+    <id value="v2-0566"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4732,10 +13534,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0895"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0566"></url>
     <version value="2.9"></version>
-    <name value="v2.0895"></name>
-    <title value="v2 Present On Admission (POA) Indicator"></title>
+    <name value="v2.0566"></name>
+    <title value="v2 Blood Unit Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4745,21 +13547,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0895 ( Present On Admission (POA) Indicator)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0566 ( Blood Unit Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0895"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0566"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0894"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0569"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0894"></id>
+    <id value="v2-0569"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4770,10 +13572,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0894"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0569"></url>
     <version value="2.9"></version>
-    <name value="v2.0894"></name>
-    <title value="v2 Side of body"></title>
+    <name value="v2.0569"></name>
+    <title value="v2 Adjustment Action"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4783,21 +13585,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0894 ( Side of body)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0569 ( Adjustment Action)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0894"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0569"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0468"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0570"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0468"></id>
+    <id value="v2-0570"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4808,10 +13610,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0468"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0570"></url>
     <version value="2.9"></version>
-    <name value="v2.0468"></name>
-    <title value="v2 Payment adjustment code"></title>
+    <name value="v2.0570"></name>
+    <title value="v2 Payment Method Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4821,21 +13623,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment adjustment code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0570 ( Payment Method Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0468"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0570"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0469"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0571"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0469"></id>
+    <id value="v2-0571"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4846,10 +13648,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0469"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0571"></url>
     <version value="2.9"></version>
-    <name value="v2.0469"></name>
-    <title value="v2 Packaging status code"></title>
+    <name value="v2.0571"></name>
+    <title value="v2 Invoice Processing Results Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4859,21 +13661,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0469 ( Packaging status code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0571 ( Invoice Processing Results Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0469"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0571"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0466"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0572"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0466"></id>
+    <id value="v2-0572"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -4884,10 +13686,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0466"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0572"></url>
     <version value="2.9"></version>
-    <name value="v2.0466"></name>
-    <title value="v2 Ambulatory payment classification code"></title>
+    <name value="v2.0572"></name>
+    <title value="v2 Tax status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -4897,923 +13699,11 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0466 ( Ambulatory payment classification code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0572 ( Tax status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0466"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0465"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0465"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0465"></url>
-    <version value="2.9"></version>
-    <name value="v2.0465"></name>
-    <title value="v2 Name/address representation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0465 ( Name/address representation)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0465"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0460"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0460"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0460"></url>
-    <version value="2.9"></version>
-    <name value="v2.0460"></name>
-    <title value="v2 Denial or rejection code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0460 ( Denial or rejection code)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0460"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0477"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0477"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0477"></url>
-    <version value="2.9"></version>
-    <name value="v2.0477"></name>
-    <title value="v2 Controlled Substance Schedule"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0477 ( Controlled Substance Schedule)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0477"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0478"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0478"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0478"></url>
-    <version value="2.9"></version>
-    <name value="v2.0478"></name>
-    <title value="v2 Formulary Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0478 ( Formulary Status)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0478"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0475"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0475"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0475"></url>
-    <version value="2.9"></version>
-    <name value="v2.0475"></name>
-    <title value="v2 Charge Type Reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0475 ( Charge Type Reason)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0475"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0473"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0473"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0473"></url>
-    <version value="2.9"></version>
-    <name value="v2.0473"></name>
-    <title value="v2 Formulary status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0473 ( Formulary status)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0473"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0474"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0474"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0474"></url>
-    <version value="2.9"></version>
-    <name value="v2.0474"></name>
-    <title value="v2 Practitioner Organization Unit Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0474 ( Practitioner Organization Unit Type)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0474"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0472"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0472"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0472"></url>
-    <version value="2.9"></version>
-    <name value="v2.0472"></name>
-    <title value="v2 TQ Conjunction ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0472 ( TQ Conjunction ID)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0472"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0470"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0470"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0470"></url>
-    <version value="2.9"></version>
-    <name value="v2.0470"></name>
-    <title value="v2 Reimbursement type code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
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-      <system value="http://terminology.hl7.org/CodeSystem/v2-0618"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0572"></system>
      </include>
     </compose>
    </ValueSet>
@@ -5896,10 +13786,10 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0149"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0617"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0149"></id>
+    <id value="v2-0617"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -5910,10 +13800,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0149"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0617"></url>
     <version value="2.9"></version>
-    <name value="v2.0149"></name>
-    <title value="v2 DAY TYPE"></title>
+    <name value="v2.0617"></name>
+    <title value="v2 Address Usage"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -5923,21 +13813,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0149 ( DAY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0617 ( Address Usage)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0149"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0617"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0147"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0618"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0147"></id>
+    <id value="v2-0618"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -5948,10 +13838,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0147"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0618"></url>
     <version value="2.9"></version>
-    <name value="v2.0147"></name>
-    <title value="v2 POLICY TYPE"></title>
+    <name value="v2.0618"></name>
+    <title value="v2 Protection Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -5961,21 +13851,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0147 ( POLICY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0618 ( Protection Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0147"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0618"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0148"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0625"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0148"></id>
+    <id value="v2-0625"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -5986,10 +13876,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0148"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0625"></url>
     <version value="2.9"></version>
-    <name value="v2.0148"></name>
-    <title value="v2 PENALTY TYPE"></title>
+    <name value="v2.0625"></name>
+    <title value="v2 Item Status Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -5999,21 +13889,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0148 ( PENALTY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0625 ( Item Status Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0148"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0625"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0145"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0634"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0145"></id>
+    <id value="v2-0634"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6024,10 +13914,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0145"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0634"></url>
     <version value="2.9"></version>
-    <name value="v2.0145"></name>
-    <title value="v2 Room Type"></title>
+    <name value="v2.0634"></name>
+    <title value="v2 Item Importance Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6037,21 +13927,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0145 ( Room Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0634 ( Item Importance Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0145"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0634"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0146"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0642"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0146"></id>
+    <id value="v2-0642"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6062,10 +13952,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0146"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0642"></url>
     <version value="2.9"></version>
-    <name value="v2.0146"></name>
-    <title value="v2 AMOUNT TYPE"></title>
+    <name value="v2.0642"></name>
+    <title value="v2 Reorder Theory Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6075,21 +13965,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0146 ( AMOUNT TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0642 ( Reorder Theory Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0146"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0642"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0144"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0651"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0144"></id>
+    <id value="v2-0651"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6100,10 +13990,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0144"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0651"></url>
     <version value="2.9"></version>
-    <name value="v2.0144"></name>
-    <title value="v2 ELIGIBILITY SOURCE"></title>
+    <name value="v2.0651"></name>
+    <title value="v2 Labor Calculation Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6113,21 +14003,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0144 ( ELIGIBILITY SOURCE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0651 ( Labor Calculation Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0144"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0651"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0141"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0653"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0141"></id>
+    <id value="v2-0653"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6138,10 +14028,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0141"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0653"></url>
     <version value="2.9"></version>
-    <name value="v2.0141"></name>
-    <title value="v2 Military rank/grade"></title>
+    <name value="v2.0653"></name>
+    <title value="v2 Date Format"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6151,21 +14041,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0141 ( Military rank/grade)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0653 ( Date Format)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0141"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0653"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0142"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0657"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0142"></id>
+    <id value="v2-0657"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6176,10 +14066,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0142"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0657"></url>
     <version value="2.9"></version>
-    <name value="v2.0142"></name>
-    <title value="v2 Military status"></title>
+    <name value="v2.0657"></name>
+    <title value="v2 Device Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6189,21 +14079,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0142 ( Military status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0657 ( Device Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0142"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0657"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0140"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0659"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0140"></id>
+    <id value="v2-0659"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6214,10 +14104,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0140"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0659"></url>
     <version value="2.9"></version>
-    <name value="v2.0140"></name>
-    <title value="v2 Military service"></title>
+    <name value="v2.0659"></name>
+    <title value="v2 Lot Control"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6227,21 +14117,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0140 ( Military service)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0659 ( Lot Control)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0140"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0659"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0158"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0667"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0158"></id>
+    <id value="v2-0667"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6252,10 +14142,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0158"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0667"></url>
     <version value="2.9"></version>
-    <name value="v2.0158"></name>
-    <title value="v2 DATE/TIME SELECTION QUALIFIER"></title>
+    <name value="v2.0667"></name>
+    <title value="v2 Device Data State"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6265,21 +14155,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0158 ( DATE/TIME SELECTION QUALIFIER)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0667 ( Device Data State)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0158"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0667"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0159"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0669"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0159"></id>
+    <id value="v2-0669"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6290,10 +14180,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0159"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0669"></url>
     <version value="2.9"></version>
-    <name value="v2.0159"></name>
-    <title value="v2 DIET TYPE"></title>
+    <name value="v2.0669"></name>
+    <title value="v2 Load Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6303,21 +14193,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0159 ( DIET TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0669 ( Load Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0159"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0669"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0156"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0682"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0156"></id>
+    <id value="v2-0682"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6328,10 +14218,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0156"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0682"></url>
     <version value="2.9"></version>
-    <name value="v2.0156"></name>
-    <title value="v2 DATE/TIME QUALIFIER"></title>
+    <name value="v2.0682"></name>
+    <title value="v2 Device Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6341,21 +14231,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0156 ( DATE/TIME QUALIFIER)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0682 ( Device Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0156"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0682"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0157"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0702"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0157"></id>
+    <id value="v2-0702"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6366,10 +14256,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0157"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0702"></url>
     <version value="2.9"></version>
-    <name value="v2.0157"></name>
-    <title value="v2 WHIHC DATE/TIME STATUS QUALIFIER"></title>
+    <name value="v2.0702"></name>
+    <title value="v2 Cycle Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6379,21 +14269,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0157 ( WHIHC DATE/TIME STATUS QUALIFIER)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0702 ( Cycle Type)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0157"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0702"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0155"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0717"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0155"></id>
+    <id value="v2-0717"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6404,10 +14294,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0155"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0717"></url>
     <version value="2.9"></version>
-    <name value="v2.0155"></name>
-    <title value="v2 ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS"></title>
+    <name value="v2.0717"></name>
+    <title value="v2 Access Restriction Value"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6417,21 +14307,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0155 ( ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0717 ( Access Restriction Value)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0155"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0717"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0153"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0719"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0153"></id>
+    <id value="v2-0719"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6442,10 +14332,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0153"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0719"></url>
     <version value="2.9"></version>
-    <name value="v2.0153"></name>
-    <title value="v2 Value code"></title>
+    <name value="v2.0719"></name>
+    <title value="v2 Access Restriction Reason Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6455,21 +14345,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0153 ( Value code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0719 ( Access Restriction Reason Code)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0153"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0719"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0150"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0725"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0150"></id>
+    <id value="v2-0725"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6480,10 +14370,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0150"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0725"></url>
     <version value="2.9"></version>
-    <name value="v2.0150"></name>
-    <title value="v2 PRECERTIFICATION PATIENT TYPE"></title>
+    <name value="v2.0725"></name>
+    <title value="v2 Mood Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6493,21 +14383,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0150 ( PRECERTIFICATION PATIENT TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0725 ( Mood Codes)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0150"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0725"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0127"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0728"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0127"></id>
+    <id value="v2-0728"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6518,10 +14408,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0127"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0728"></url>
     <version value="2.9"></version>
-    <name value="v2.0127"></name>
-    <title value="v2 ALLERGY TYPE"></title>
+    <name value="v2.0728"></name>
+    <title value="v2 CCL Value"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6531,21 +14421,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0127 ( ALLERGY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0728 ( CCL Value)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0127"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0728"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0128"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0731"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0128"></id>
+    <id value="v2-0731"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -6556,10 +14446,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0128"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0731"></url>
     <version value="2.9"></version>
-    <name value="v2.0128"></name>
-    <title value="v2 ALLERGY SEVERITY"></title>
+    <name value="v2.0731"></name>
+    <title value="v2 DRG Diagnosis Determination Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -6569,11 +14459,1747 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0128 ( ALLERGY SEVERITY)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0731 ( DRG Diagnosis Determination Status)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0128"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0731"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0734"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0734"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0734"></url>
+    <version value="2.9"></version>
+    <name value="v2.0734"></name>
+    <title value="v2 Grouper Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0734 ( Grouper Status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0734"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0739"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0739"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0739"></url>
+    <version value="2.9"></version>
+    <name value="v2.0739"></name>
+    <title value="v2 Status Patient"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0739 ( Status Patient)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0739"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0742"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0742"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0742"></url>
+    <version value="2.9"></version>
+    <name value="v2.0742"></name>
+    <title value="v2 DRG Status Financial Calculation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0742 ( DRG Status Financial Calculation)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0742"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0749"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0749"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0749"></url>
+    <version value="2.9"></version>
+    <name value="v2.0749"></name>
+    <title value="v2 DRG Grouping Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0749 ( DRG Grouping Status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0749"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0755"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0755"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0755"></url>
+    <version value="2.9"></version>
+    <name value="v2.0755"></name>
+    <title value="v2 Status Weight At Birth"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0755 ( Status Weight At Birth)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0755"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0757"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0757"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0757"></url>
+    <version value="2.9"></version>
+    <name value="v2.0757"></name>
+    <title value="v2 Status Respiration Minutes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0757 ( Status Respiration Minutes)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0757"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0759"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0759"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0759"></url>
+    <version value="2.9"></version>
+    <name value="v2.0759"></name>
+    <title value="v2 Status Admission"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0759 ( Status Admission)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0759"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0761"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0761"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0761"></url>
+    <version value="2.9"></version>
+    <name value="v2.0761"></name>
+    <title value="v2 DRG Procedure Determination Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0761 ( DRG Procedure Determination Status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0761"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0763"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0763"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0763"></url>
+    <version value="2.9"></version>
+    <name value="v2.0763"></name>
+    <title value="v2 DRG Procedure Relevance"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0763 ( DRG Procedure Relevance)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0763"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0776"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0776"></id>
+    <meta>
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+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0926"></url>
+    <version value="2.9"></version>
+    <name value="v2.0926"></name>
+    <title value="v2 Phlebotomy Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0926 ( Phlebotomy Status)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0926"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0927"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0927"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0927"></url>
+    <version value="2.9"></version>
+    <name value="v2.0927"></name>
+    <title value="v2 Arm Stick"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0927 ( Arm Stick)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0927"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0933"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0933"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0933"></url>
+    <version value="2.9"></version>
+    <name value="v2.0933"></name>
+    <title value="v2 Intended Procedure Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0933 ( Intended Procedure Type)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0933"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0935"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0935"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0935"></url>
+    <version value="2.9"></version>
+    <name value="v2.0935"></name>
+    <title value="v2 Process Interruption Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0935 ( Process Interruption Reason)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-0935"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-4000"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-4000"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-4000"></url>
+    <version value="2.9"></version>
+    <name value="v2.4000"></name>
+    <title value="v2 Name/address representation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 4000 ( Name/address representation)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v2-4000"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0005"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v2-0005"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0005"></url>
+    <version value="2.9"></version>
+    <name value="v2.0005"></name>
+    <title value="v2 ETHNIC GROUP"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0005 ( ETHNIC GROUP)"></description>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Race"></system>
+      <concept>
+       <code value="1002-5"></code>
+       <display value="American Indian or Alaska Native"></display>
+      </concept>
+      <concept>
+       <code value="2028-9"></code>
+       <display value="Asian"></display>
+      </concept>
+      <concept>
+       <code value="2054-5"></code>
+       <display value="Black or African American"></display>
+      </concept>
+      <concept>
+       <code value="2076-8"></code>
+       <display value="Native Hawaiian or Other Pacific Islander"></display>
+      </concept>
+      <concept>
+       <code value="2106-3"></code>
+       <display value="White"></display>
+      </concept>
+      <concept>
+       <code value="2131-1"></code>
+       <display value="Other Race"></display>
+      </concept>
      </include>
     </compose>
    </ValueSet>
@@ -7016,10 +16642,10 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0126"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0353"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0126"></id>
+    <id value="v2-0353"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -7030,10 +16656,10 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0126"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v2-0353"></url>
     <version value="2.9"></version>
-    <name value="v2.0126"></name>
-    <title value="v2 QUANTITY LIMITED REQUEST"></title>
+    <name value="v2.0353"></name>
+    <title value="v2 CWE statuses"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -7043,2332 +16669,22 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0126 ( QUANTITY LIMITED REQUEST)"></description>
-    <immutable value="true"></immutable>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0353 ( CWE statuses)"></description>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0126"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0123"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0123"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0123"></url>
-    <version value="2.9"></version>
-    <name value="v2.0123"></name>
-    <title value="v2 RESULT STATUS - OBR"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0123 ( RESULT STATUS - OBR)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0123"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0124"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0124"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0124"></url>
-    <version value="2.9"></version>
-    <name value="v2.0124"></name>
-    <title value="v2 TRANSPORTATION MODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0124 ( TRANSPORTATION MODE)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0124"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0121"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0121"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0121"></url>
-    <version value="2.9"></version>
-    <name value="v2.0121"></name>
-    <title value="v2 RESPONSE FLAG"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0121 ( RESPONSE FLAG)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0121"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0122"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0122"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0122"></url>
-    <version value="2.9"></version>
-    <name value="v2.0122"></name>
-    <title value="v2 CHARGE TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0122 ( CHARGE TYPE)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0122"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0136"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0136"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0136"></url>
-    <version value="2.9"></version>
-    <name value="v2.0136"></name>
-    <title value="v2 Y/N Indicator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0136 ( Y/N Indicator)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0136"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0137"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0137"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0137"></url>
-    <version value="2.9"></version>
-    <name value="v2.0137"></name>
-    <title value="v2 MAIL CLAIM PARTY"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0137 ( MAIL CLAIM PARTY)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0137"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0135"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0135"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0135"></url>
-    <version value="2.9"></version>
-    <name value="v2.0135"></name>
-    <title value="v2 ASSIGNMENT OF BENEFITS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0135 ( ASSIGNMENT OF BENEFITS)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0135"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0133"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0133"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0133"></url>
-    <version value="2.9"></version>
-    <name value="v2.0133"></name>
-    <title value="v2 PROCEDURE PRACTITIONER TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0133 ( PROCEDURE PRACTITIONER TYPE)"></description>
-    <immutable value="true"></immutable>
-    <compose>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0523"></url>
-    <version value="2.9"></version>
-    <name value="v2.0523"></name>
-    <title value="v2 Computation type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0523 ( Computation type)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0523"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0524"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0524"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0524"></url>
-    <version value="2.9"></version>
-    <name value="v2.0524"></name>
-    <title value="v2 Sequence condition"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0524 ( Sequence condition)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0524"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0520"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0520"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0520"></url>
-    <version value="2.9"></version>
-    <name value="v2.0520"></name>
-    <title value="v2 Message waiting priority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0520 ( Message waiting priority)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0520"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-2.7-0360"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-2.7-0360"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-2.7-0360"></url>
-    <version value="0360"></version>
-    <name value="v2.0360.2.7"></name>
-    <title value="v2 table 0360, Version 2.7"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0360 ver 2.9 ( Degree/License/Certificate)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0360|2.7"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0538"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0538"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0538"></url>
-    <version value="2.9"></version>
-    <name value="v2.0538"></name>
-    <title value="v2 Institution Relationship Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0538 ( Institution Relationship Type)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0538"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0536"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0536"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0536"></url>
-    <version value="2.9"></version>
-    <name value="v2.0536"></name>
-    <title value="v2 Certificate Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0536 ( Certificate Status)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0536"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0534"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0534"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0534"></url>
-    <version value="2.9"></version>
-    <name value="v2.0534"></name>
-    <title value="v2 Notify Clergy Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0534 ( Notify Clergy Code)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0534"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0535"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0535"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0535"></url>
-    <version value="2.9"></version>
-    <name value="v2.0535"></name>
-    <title value="v2 Signature Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0535 ( Signature Code)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0535"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"></system>
+      <concept>
+       <code value="NA"></code>
+       <display value="Not applicable"></display>
+      </concept>
+      <concept>
+       <code value="NASK"></code>
+       <display value="Not asked"></display>
+      </concept>
+      <concept>
+       <code value="NAV"></code>
+       <display value="Not available"></display>
+      </concept>
      </include>
     </compose>
    </ValueSet>
@@ -9472,7326 +16788,10 @@
   </resource>
  </entry>
  <entry>
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-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0530"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0530"></url>
-    <version value="2.9"></version>
-    <name value="v2.0530"></name>
-    <title value="v2 Organization, agency, department"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0530 ( Organization, agency, department)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0530"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0109"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0109"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0109"></url>
-    <version value="2.9"></version>
-    <name value="v2.0109"></name>
-    <title value="v2 REPORT PRIORITY"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0109 ( REPORT PRIORITY)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0109"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0107"></fullUrl>
-  <resource>
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-    <id value="v2-0107"></id>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0107"></url>
-    <version value="2.9"></version>
-    <name value="v2.0107"></name>
-    <title value="v2 DEFERRED RESPONSE TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0107 ( DEFERRED RESPONSE TYPE)"></description>
-    <immutable value="true"></immutable>
-    <compose>
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-      <system value="http://terminology.hl7.org/CodeSystem/v2-0107"></system>
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-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0108"></fullUrl>
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-    <id value="v2-0108"></id>
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-    <language value="en"></language>
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/ValueSet/v2-0108"></url>
-    <version value="2.9"></version>
-    <name value="v2.0108"></name>
-    <title value="v2 QUERY RESULTS LEVEL"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0108 ( QUERY RESULTS LEVEL)"></description>
-    <immutable value="true"></immutable>
-    <compose>
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-      <system value="http://terminology.hl7.org/CodeSystem/v2-0108"></system>
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/ValueSet/v2-0105"></url>
-    <version value="2.9"></version>
-    <name value="v2.0105"></name>
-    <title value="v2 SOURCE OF COMMENT"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0105 ( SOURCE OF COMMENT)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0105"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0106"></fullUrl>
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-    <id value="v2-0106"></id>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0106"></url>
-    <version value="2.9"></version>
-    <name value="v2.0106"></name>
-    <title value="v2 QUERY FORMAT CODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0106 ( QUERY FORMAT CODE)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0106"></system>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/ValueSet/v2-0103"></url>
-    <version value="2.9"></version>
-    <name value="v2.0103"></name>
-    <title value="v2 PROCESSING ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0103 ( PROCESSING ID)"></description>
-    <immutable value="true"></immutable>
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-    <description value="FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0335"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0332"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0332"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0332"></url>
-    <version value="2.9"></version>
-    <name value="v2.0332"></name>
-    <title value="v2 Network Source Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0332 ( Network Source Type)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0332"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0330"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0330"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0330"></url>
-    <version value="2.9"></version>
-    <name value="v2.0330"></name>
-    <title value="v2 Marketing Basis"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0330 ( Marketing Basis)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0330"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v2-0331"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v2-0331"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v2-0331"></url>
-    <version value="2.9"></version>
-    <name value="v2.0331"></name>
-    <title value="v2 Facility Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0331 ( Facility Type)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v2-0331"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0290"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0001"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0290"></id>
+    <id value="v2-0001"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -16802,14 +16802,14 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0290"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0001"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.180"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.2"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0290"></name>
-    <title value="v2 MIME base64 encoding Characters"></title>
+    <name value="v2.0001"></name>
+    <title value="v2 SEX"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -16819,7 +16819,521 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0290 ( MIME base64 encoding Characters)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0001 ( SEX)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Ambiguous"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="mehrdeutig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ambigu"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Female"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="weiblich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vrouw"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Male"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="männlich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Man"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Not applicable"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht zutreffend"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet van toepassing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="andere"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0002"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0002"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0002"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.179"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0002"></name>
+    <title value="v2 MARITAL STATUS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0002 ( MARITAL STATUS)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Separated"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="getrennt lebend"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uit elkaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B"></code>
+     <display value="Unmarried"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ledig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet getrouwd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Common law"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="eheähnliche Gemeinschaft"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volgens jurisprudentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Divorced"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geschieden"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gescheiden na huwelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Legally Separated"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="rechtskräftig getrennt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wettelijk gescheiden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Living together"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zusammenlebend"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Samenlevend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Interlocutory"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijke overeenkomst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Married"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="verheiratet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Getrouwd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Annulled"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="annulliert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nietig verklaard"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="sonstiges"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Domestic partner"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="häuslicher Partner"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Huisgenoot"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Registered domestic partner"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geregistreerd partnerschap"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Single"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="allein lebend"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleenstaand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Unreported"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Angabe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet vermeld"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Widowed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="verwitwet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Weduwe/weduwnaar"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0003"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0003"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0003"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.4"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0003"></name>
+    <title value="v2 EVENT TYPE CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0003 ( EVENT TYPE CODE)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -16834,15 +17348,5107 @@
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="(pad)"></code>
-     <display value="="></display>
+     <code value="A01"></code>
+     <display value="ADT/ACK - Admit/visit notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="stationäre Aufnahme"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="="></value>
+      <value value="ADT/ACK - Opname/bezoek notificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A02"></code>
+     <display value="ADT/ACK - Transfer a patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlegung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Overplaatsing van een patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A03"></code>
+     <display value="ADT/ACK -  Discharge/end visit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entlassung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Ontslag/einde bezoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A04"></code>
+     <display value="ADT/ACK -  Register a patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Besuchsmeldung (nicht-stationär)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Registratie van een patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A05"></code>
+     <display value="ADT/ACK -  Pre-admit a patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voraufnahme eines Patienten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vooropname van een patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A06"></code>
+     <display value="ADT/ACK -  Change an outpatient to an inpatient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung von ambulant in stationär"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig poliklinische patiënt naar klinische patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A07"></code>
+     <display value="ADT/ACK -  Change an inpatient to an outpatient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung von stationär in ambulant"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig klinische patiënt naar poliklinische patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A08"></code>
+     <display value="ADT/ACK -  Update patient information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung von Patienteninformationen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Update patiëntinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A09"></code>
+     <display value="ADT/ACK -  Patient departing - tracking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient verläßt Einrichtung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Patiënt vertrekt - tracking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A10"></code>
+     <display value="ADT/ACK -  Patient arriving - tracking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient erreicht Einrichtung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Patiënt keert terug - tracking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A11"></code>
+     <display value="ADT/ACK -  Cancel admit/visit notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung für A01 und A04"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer opname/bezoek notificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A12"></code>
+     <display value="ADT/ACK -  Cancel transfer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung für A02"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annulering overplaatsing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A13"></code>
+     <display value="ADT/ACK -  Cancel discharge/end visit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung für A03"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer ontslag/einde bezoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A14"></code>
+     <display value="ADT/ACK -  Pending admit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geplante Aufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Geplande opname"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A15"></code>
+     <display value="ADT/ACK -  Pending transfer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geplante Verlegung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Geplande overplaatsing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A16"></code>
+     <display value="ADT/ACK -  Pending discharge"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geplante Entlassung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Gepland ontslag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A17"></code>
+     <display value="ADT/ACK -  Swap patients"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bettentausch zweier Patienten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Bedwissel patiënten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A18"></code>
+     <display value="ADT/ACK -  Merge patient information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patienteninformation zusammenführen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Samenvoeging patiëntinformatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A19"></code>
+     <display value="QRY/ADR -  Patient query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage nach Patientendaten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiëntopvraging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A20"></code>
+     <display value="ADT/ACK -  Bed status update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung des Bettenstatus"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Update bedstatus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A21"></code>
+     <display value="ADT/ACK -  Patient goes on a &quot;leave of absence&quot;"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beginn einer Patientenabwesenheit"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Patiënt gaat met “verlof”"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A22"></code>
+     <display value="ADT/ACK -  Patient returns from a &quot;leave of absence&quot;"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ende einer Patientenabwesenheit"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Patiënt keert terug van “verlof”"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A23"></code>
+     <display value="ADT/ACK -  Delete a patient record"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Löschen eines Patientensatzes"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Verwijder een patiëntrecord"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A24"></code>
+     <display value="ADT/ACK -  Link patient information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verknüpfen von Patientendaten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Koppel patiëntinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A25"></code>
+     <display value="ADT/ACK -  Cancel pending discharge"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung einer eingeleiteten Entlassung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer gepland ontslag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A26"></code>
+     <display value="ADT/ACK -  Cancel pending transfer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung einer eingeleiteten Verlegung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer geplande overplaatsing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A27"></code>
+     <display value="ADT/ACK -  Cancel pending admit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung einer eingeleiteten Aufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer geplande opname"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A28"></code>
+     <display value="ADT/ACK -  Add person information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Personendaten hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg persoonsinformatie toe"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A29"></code>
+     <display value="ADT/ACK -  Delete person information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Löschung von personenbezogenen Daten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Verwijder persoonsinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A30"></code>
+     <display value="ADT/ACK -  Merge person information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="veraltet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg persoonsinformatie samen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A31"></code>
+     <display value="ADT/ACK -  Update person information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ändern personenbezogener Daten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Update persoonsinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A32"></code>
+     <display value="ADT/ACK -  Cancel patient arriving - tracking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung eines Patientenzugangs (Bettenzuweisung)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer aankomst patiënt - tracking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A33"></code>
+     <display value="ADT/ACK -  Cancel patient departing - tracking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung eines Patientenabgangs (Bettenfreigabe)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer vertrek patiënt - tracking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A34"></code>
+     <display value="ADT/ACK -  Merge patient information - patient ID only"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abgleich nur der Patientennummer (veraltet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg patiëntinformatie samen - alleen patiënt ID"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A35"></code>
+     <display value="ADT/ACK -  Merge patient information - account number only"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abgleich nur der Abrechnungsnummer / Debitorenkontonummer (veraltet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg patiëntinformatie samen - alleen accountnummer"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A36"></code>
+     <display value="ADT/ACK -  Merge patient information - patient ID and account number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abgleich von Patientennummer und Abrechnungsnummer / Debitorenkontonummer (veraltet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg patiëntinformatie samen - patiënt ID en accountnummer"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A37"></code>
+     <display value="ADT/ACK -  Unlink patient information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auflösung einer Verknüpfung von Patientendaten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Ontkoppel patiëntinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A38"></code>
+     <display value="ADT/ACK - Cancel pre-admit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung zu A05"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer opname op wachtlijst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A39"></code>
+     <display value="ADT/ACK - Merge person - patient ID"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusammenführung von Information über externe ID (veraltet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg persoon samen - patiënt ID"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A40"></code>
+     <display value="ADT/ACK - Merge patient - patient identifier list"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusammenführung v. Pat-Information über ID-Liste"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Voeg patiënt samen - lijst patiënt ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A41"></code>
+     <display value="ADT/ACK - Merge account - patient account number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusammenführung von Konten über Kontonummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Samenvoeging account - patiënt accountnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A42"></code>
+     <display value="ADT/ACK - Merge visit - visit number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusammenführung v.Fall-Information über Fallnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Samenvoeging bezoek - bezoeknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A43"></code>
+     <display value="ADT/ACK - Move patient information - patient identifier list"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Korrektur einer falschen Zuordnung bzgl. PID-Liste"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Verplaats patiëntinformatie - lijst patiënt ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A44"></code>
+     <display value="ADT/ACK - Move account information - patient account number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Korrektur einer falschen Zuordnung bzgl.Abrechungsnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Verplaats accountinformatie - patiënt accountnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A45"></code>
+     <display value="ADT/ACK - Move visit information - visit number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Korrektur einer falschen Zuordnung bzgl.Fallnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Verplaats bezoekinformatie - bezoeknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A46"></code>
+     <display value="ADT/ACK - Change patient ID"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung der externen Pat.ID (PID-2)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig patiënt ID"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A47"></code>
+     <display value="ADT/ACK - Change patient identifier list"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung der internen Pat.ID (PID-3)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig lijst patiënt ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A48"></code>
+     <display value="ADT/ACK - Change alternate patient ID"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung der alternativen Pat.ID (PID-4)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig alternatief patiënt ID"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A49"></code>
+     <display value="ADT/ACK - Change patient account number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung der Abrechungsnummer (PID-18)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig patiënt accountnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A50"></code>
+     <display value="ADT/ACK - Change visit number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung der Fallnummer (PV1-19)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig bezoeknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A51"></code>
+     <display value="ADT/ACK - Change alternate visit ID"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung der alternativen Fallnummer (PV1-50)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig alternatief bezoeknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A52"></code>
+     <display value="ADT/ACK - Cancel leave of absence for a patient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer verlof voor een patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A53"></code>
+     <display value="ADT/ACK - Cancel patient returns from a leave of absence"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer terugkeer van verlof voor een patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A54"></code>
+     <display value="ADT/ACK - Change attending doctor"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung des behandelnden Arztes"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig behandelend arts"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A55"></code>
+     <display value="ADT/ACK - Cancel change attending doctor"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung der Änderung des behandelnden Arztes"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer wijzigen behandelend arts"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A60"></code>
+     <display value="ADT/ACK - Update allergy information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aktualisierung der Allergie-Informationen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Update allergie-informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A61"></code>
+     <display value="ADT/ACK - Change consulting doctor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Wijzig consulterend arts"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A62"></code>
+     <display value="ADT/ACK - Cancel change consulting doctor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ADT/ACK - Annuleer wijzigen consulterend arts"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B01"></code>
+     <display value="PMU/ACK - Add personnel record"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Voeg personeelrecord toe"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B02"></code>
+     <display value="PMU/ACK - Update personnel record"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Update personeelrecord"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B03"></code>
+     <display value="PMU/ACK - Delete personnel re cord"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Verwijder personeelrecord"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B04"></code>
+     <display value="PMU/ACK - Active practicing person"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Activeer praktiserend persoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B05"></code>
+     <display value="PMU/ACK - Deactivate practicing person"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Deactiveer praktiserend persoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B06"></code>
+     <display value="PMU/ACK - Terminate practicing person"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Beëindig praktiserend persoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B07"></code>
+     <display value="PMU/ACK - Grant Certificate/Permission"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Geef certificaat/toestemming"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B08"></code>
+     <display value="PMU/ACK - Revoke Certificate/Permission"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PMU/ACK - Trek certificaat/toestemming in"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C01"></code>
+     <display value="CRM - Register a patient on a clinical trial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Registrierung eines Patienten f.eine klin.Studie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Registreer patiënt voor clinical trial"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C02"></code>
+     <display value="CRM - Cancel a patient registration on clinical trial (for clerical mistakes only)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Löschung der Registrierung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Annuleer patiëntregistratie voor clinical trial (invoerfout)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C03"></code>
+     <display value="CRM - Correct/update registration information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Korrektur/Änderung der Registrierung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Corrigeer/update registratie-informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C04"></code>
+     <display value="CRM - Patient has gone off a clinical trial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient ist aus der Studie ausgeschieden"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Patiënt heeft clinical trial verlaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C05"></code>
+     <display value="CRM - Patient enters phase of clinical trial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient tritt in Studienphase ein"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Patiënt gaat in fase van clinical trial"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C06"></code>
+     <display value="CRM - Cancel patient entering a phase (clerical mistake)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Löschung des Eintritts in eine Studienphase"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Annuleer patiënt gaat in fase van clinical trial (invoerfout)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C07"></code>
+     <display value="CRM - Correct/update phase information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Korrektur/Änderung der Angaben zur Studienphase"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Corrigeer/update fase-informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C08"></code>
+     <display value="CRM - Patient has gone off phase of clinical trial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient ist aus Studienphase ausgeschieden"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CRM - Patiënt heeft fase clinical trial verlaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C09"></code>
+     <display value="CSU - Automated time intervals for reporting, like monthly"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Festlegung des Zeitintervalls für autom. Berichte"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CSU - Geautomatiseerde rapportageintervallen, zoals maandelijks"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C10"></code>
+     <display value="CSU - Patient completes the clinical trial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient beendet Studie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CSU - Patiënt voltooit de clinical trial"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C11"></code>
+     <display value="CSU - Patient completes a phase of the clinical trial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient beendet eine Studienphase"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CSU - Patiënt voltooit een fase van de clinical trial"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C12"></code>
+     <display value="CSU - Update/correction of patient order/result information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Korrektur/Änderung von Anforderungen/Ergebnissen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="CSU - Update/correctie van patiënt aanvraag-/resultaatinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CNQ"></code>
+     <display value="Cancel Query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung einer Anfrage"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer query"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E01"></code>
+     <display value="Submit HealthCare Services Invoice"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dien factuur zorgproducten in"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E02"></code>
+     <display value="Cancel HealthCare Services Invoice"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer factuur zorgproducten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E03"></code>
+     <display value="HealthCare Services Invoice Status"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Status factuur zorgproducten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E04"></code>
+     <display value="Re-Assess HealthCare Services Invoice Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beoordeel factuuraanvraag zorgproducten opnieuw"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E10"></code>
+     <display value="Edit/Adjudication Results"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wijzig/beslissing resultaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E12"></code>
+     <display value="Request Additional Information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verzoek om aanvullende informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E13"></code>
+     <display value="Additional Information Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoord aanvullende informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E15"></code>
+     <display value="Payment/Remittance Advice"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Advies betaling/teruggave"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E20"></code>
+     <display value="Submit Authorization Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dien autorisatieverzoek in"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E21"></code>
+     <display value="Cancel Authorization Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer autorisatieverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E22"></code>
+     <display value="Authorization Request Status"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Status autorisatieverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E24"></code>
+     <display value="Authorization Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoord autorisatieverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="reserved for future/not yet defined">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="gereserveerd voor toekomst/nog niet gedefnieerd"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="E30"></code>
+     <display value="Submit Health Document related to Authorization Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dien zorgdocument gerelateerd aan autorisatieverzoek in"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="reserved for future/not yet defined">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="gereserveerd voor toekomst/nog niet gedefnieerd"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="E31"></code>
+     <display value="Cancel Health Document related to Authorization Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer zorgdocument gerelateerd aan autorisatieverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I01"></code>
+     <display value="RQI/RPI - Request for insurance information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung von Versicherungsdaten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQI/RPI - Verzoek om verzekeringsgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I02"></code>
+     <display value="RQI/RPL - Request/receipt of patient selection display list"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderg.einer Patientenauswahlliste (zur Anzeige)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQI/RPL - Verzoek/afschrift van patiëntselectie weergavelijst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I03"></code>
+     <display value="RQI/RPR - Request/receipt of patient selection list"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderg.einer strukt. Patientenauswahlliste"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQI/RPR - Verzoek/afschrift van patiëntselectielijst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I04"></code>
+     <display value="RQD/RPI - Request for patient demographic data"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung demographischer Informationen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQD/RPI - Verzoek om demografische patiëntgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="I05"></code>
+     <display value="RQC/RCI - Request for patient clinical information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung klinischer Informationen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQC/RCI - Verzoek om klinische patiëntgegevens"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="I06"></code>
+     <display value="RQC/RCL - Request/receipt of clinical data listing"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung strukt. klinischer Informationen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQC/RCL - Verzoek/afschrift van overzicht klinische gegevens"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="I07"></code>
+     <display value="PIN/ACK - Unsolicited insurance information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unaufgeforderte Übermittlung v. Versicherungsdaten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PIN/ACK - Ongevraagde verzekeringsinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I08"></code>
+     <display value="RQA/RPA - Request for treatment authorization information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung Kostenübernahmeerklärung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQA/RPA - Verzoek om autorisatie-informatie behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I09"></code>
+     <display value="RQA/RPA - Request for modification to an authorization"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderg bzgl. Änderung Kostenübernahmeerklärung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQA/RPA - Verzoek om wijziging in autorisatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I10"></code>
+     <display value="RQA/RPA - Request for resubmission of an authorization"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="erneute Anforderung Kostenübernahmeerklärung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQA/RPA - Verzoek om autorisatie opnieuw in te dienen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I11"></code>
+     <display value="RQA/RPA - Request for cancellation of an authorization"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfordrg Stornierg einer Kostenübernahmeerklärung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQA/RPA - Verzoek om annulering van een autorisatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I12"></code>
+     <display value="REF/RRI - Patient referral"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Überweisung eines Patienten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="REF/RRI - Patiëntverwijzing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I13"></code>
+     <display value="REF/RRI - Modify patient referral"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung einer Patientenüberweisung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="REF/RRI - Wijzig patiëntverwijzing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I14"></code>
+     <display value="REF/RRI - Cancel patient referral"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung einer Patientenüberweisung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="REF/RRI - Annuleer patiëntverwijzing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I15"></code>
+     <display value="REF/RRI - Request patient referral status"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Statusabfrage bzgl. Patientenüberweisung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="REF/RRI - Verzoek om status patiëntverwijzing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I16"></code>
+     <display value="Collaborative Care Referral"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Multidisciplinaire verwijzing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="I17"></code>
+     <display value="Modify Collaborative Care Referral"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wijzig multidisciplinaire verwijzing"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="I18"></code>
+     <display value="Cancel Collaborative Care Referral"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer multidisciplinaire verwijzing"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="I19"></code>
+     <display value="Collaborative Care Query/Collaborative Care Query Update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Query multidisciplinaire zorg/Query update multidisciplinaire zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I20"></code>
+     <display value="Asynchronous Collaborative Care Update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Asynchrone update multidisciplinaire zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I21"></code>
+     <display value="Collaborative Care Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Multidisciplinair bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I22"></code>
+     <display value="Collaborative Care Fetch / Collaborative Care Information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Multidisciplinaire zorg ophalen/multidisciplinaire zorg informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="J01"></code>
+     <display value="QCN/ACK - Cancel query/acknowledge message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QCN/ACK - Annuleer query/bevestigingsbericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="J02"></code>
+     <display value="QSX/ACK - Cancel subscription/acknowledge message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QSX/ACK - Annuleer abonnement/bevestigingsbericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K11"></code>
+     <display value="RSP - Segment pattern response in response to QBP^Q11"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Segmentpatroon antwoord op QBP^Q11"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K13"></code>
+     <display value="RTB - Tabular response in response to QBP^Q13"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RTB - Tabelpatroon antwoord op QBP^Q13"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K15"></code>
+     <display value="RDY - Display response in response to QBP^Q15"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RDY - Weergavepatroon antwoord op QBP^Q15"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K21"></code>
+     <display value="RSP - Get person demographics response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Antwoord query demografische persoonsgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K22"></code>
+     <display value="RSP - Find candidates response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Antwoord zoek kandidaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K23"></code>
+     <display value="RSP - Get corresponding identifiers response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Antwoord bijbehorende ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K24"></code>
+     <display value="RSP - Allocate identifiers response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Antwoord alloceer ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K25"></code>
+     <display value="RSP - Personnel Information by Segment Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Antwoord personeelsinformatie op segment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K31"></code>
+     <display value="RSP -Dispense History Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RSP - Antwoord verstrekkingshistorie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K32"></code>
+     <display value="Find Candidates including Visit Information Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoord zoek kandidaten inclusief bezoekinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K33"></code>
+     <display value="Get Donor Record Candidates Response Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoord zoek donorrecord-kandidaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K34"></code>
+     <display value="Segment Pattern Response Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Segmentpatroon antwoordbericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="M01"></code>
+     <display value="MFN/MFK - Master file not otherwise specified"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung (veraltet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - niet anderszins gespecificeerd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="M02"></code>
+     <display value="MFN/MFK - Master file - staff practitioner"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Ärzte"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Medewerker zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="M03"></code>
+     <display value="MFN/MFK - Master file - test/observation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Tests / Untersuchungen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Test/observatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="M04"></code>
+     <display value="MFN/MFK - Master files charge description"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - delayed appl ack"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Prijsomschrijving"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M05"></code>
+     <display value="MFN/MFK - Patient location master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Aufenthaltsorte"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Patiëntlocatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M06"></code>
+     <display value="MFN/MFK - Clinical study with phases and schedules master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Abrechnungskataloge"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Klinische studie met fases en planning"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M07"></code>
+     <display value="MFN/MFK - Clinical study without phases but with schedules master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - klinische Studien ohne Phasen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Klinische studie zonder fases maar met planning"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M08"></code>
+     <display value="MFN/MFK - Test/observation (numeric) master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Tests/Untersuchung mit numerischen Ergebnissen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Test/observatie (numeriek)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M09"></code>
+     <display value="MFN/MFK - Test/observation (categorical) master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Tests mit nicht numerischen Ergebnissen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Test/observatie (categorieën)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M10"></code>
+     <display value="MFN/MFK - Test /observation batteries master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - Testprofile"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Test/observatie batteries"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M11"></code>
+     <display value="MFN/MFK - Test/calculated observations master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammdatenänderung - berechnete Ergebnisse"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Test/berekende observaties"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M12"></code>
+     <display value="MFN/MFK - Master file notification message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Notificatiebericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M13"></code>
+     <display value="MFN/MFK - Master file notification - general"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Notificatiebericht algemeen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M14"></code>
+     <display value="MFN/MFK - Master file notification - site defined"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand - Notificatiebericht lokale overeenkomst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M15"></code>
+     <display value="MFN/MFK - Inventory item master file notification"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand voorraaditems - Notificatiebericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M16"></code>
+     <display value="MFN/MFK - Master File Notification Inventory Item Enhanced"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Masterbestand voorraaditems - Notificatiebericht verbeterd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M17"></code>
+     <display value="DRG Master File Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DRG - Masterbestand bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M18"></code>
+     <display value="MFN/MFK - Master file notification - Test/Observation (Payer)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFN/MFK - Master file notification - Test/Observatie (Betaler)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="N01"></code>
+     <display value="NMQ/NMR - Application management query message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="NMQ/NMR - Query Applicatiemanagement"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="N02"></code>
+     <display value="NMD/ACK - Application management data message (unsolicited)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="NMD/NMR - Applicatiemanagementgegevens (ongevraagd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="O01"></code>
+     <display value="ORM - Order message (also RDE, RDS, RGV, RAS)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag / Verordnung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORM - Aanvraagbericht (ook RDE, RDS, RGV, RAS)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="O02"></code>
+     <display value="ORR - Order response (also RRE, RRD, RRG, RRA)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsbestätigung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORR - Antwoord aanvraagbericht (ook RRE, RRD, RRG, RRA)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O03"></code>
+     <display value="OMD - Diet order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMD - Maaltijdaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O04"></code>
+     <display value="ORD - Diet order acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORD - Bevestiging maaltijdaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O05"></code>
+     <display value="OMS - Stock requisition order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMS - Aanvraag aanvulling voorraad"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O06"></code>
+     <display value="ORS - Stock requisition acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORS - Bevestiging aanvraag aanvulling voorraad"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O07"></code>
+     <display value="OMN - Non-stock requisition order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMN - Aanvraag aanvulling niet-voorraad"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O08"></code>
+     <display value="ORN - Non-stock requisition acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORN - Bevestiging aanvraag aanvulling niet-voorraad"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O09"></code>
+     <display value="OMP - Pharmacy/treatment order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMP - Medicatie/therapie aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O10"></code>
+     <display value="ORP - Pharmacy/treatment order acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORP - Bevestiging medicatie/therapie aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O11"></code>
+     <display value="RDE - Pharmacy/treatment encoded order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RDE - Gecodeerde aanvraag medicatie/therapie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O12"></code>
+     <display value="RRE - Pharmacy/treatment encoded order acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RRE - Bevestiging gecodeerde aanvraag medicatie/therapie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O13"></code>
+     <display value="RDS - Pharmacy/treatment dispense"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RDS - Medicatie/therapieverstrekking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O14"></code>
+     <display value="RRD - Pharmacy/treatment dispense acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RRD - Bevestiging medicatie/therapieverstrekking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O15"></code>
+     <display value="RGV - Pharmacy/treatment give"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RGV - Medicatie/therapie gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O16"></code>
+     <display value="RRG - Pharmacy/treatment give acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RRG - Bevestiging medicatie/therapie gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O17"></code>
+     <display value="RAS - Pharmacy/treatment administration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RAS - Medicatie/therapietoediening"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O18"></code>
+     <display value="RRA - Pharmacy/treatment administration acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RRA - Bevestiging medicatie/therapietoediening"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O19"></code>
+     <display value="OMG - General clinical order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMG - Algemene klinische aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O20"></code>
+     <display value="ORG/ORL - General clinical order response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORG/ORL - Antwoord algemene klinische aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O21"></code>
+     <display value="OML - Laboratory order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OML - Laboratoriumaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O22"></code>
+     <display value="ORL - General laboratory order response message to any OML"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORL - Algemeen laboratoriumaanvraag antwoordbericht op alle OML"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O23"></code>
+     <display value="OMI - Imaging order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMI - Beeldaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O24"></code>
+     <display value="ORI - Imaging order response message to any OMI"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORI - Beeldaanvraag antwoordbericht op alle OMI"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O25"></code>
+     <display value="RDE - Pharmacy/treatment refill authorization request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RDE - Autorisatieverzoek voor herhaal medicatie/therapie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O26"></code>
+     <display value="RRE - Pharmacy/Treatment Refill Authorization Acknowledgement"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RRE - Antwoord autorisatieverzoek voor herhaal medicatie/therapie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O27"></code>
+     <display value="OMB - Blood product order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OMB - Bloedproductaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O28"></code>
+     <display value="ORB - Blood product order acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORB - Antwoordbericht bloedproductaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O29"></code>
+     <display value="BPS - Blood product dispense status"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BPS - Bloedproduct verstrekkingstatus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O30"></code>
+     <display value="BRP - Blood product dispense status acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BRP - Antwoordbericht bloedproduct verstrekkingstatus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O31"></code>
+     <display value="BTS - Blood product transfusion/disposition"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BTS - Bloedproduct transfusie/dispositie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O32"></code>
+     <display value="BRT - Blood product transfusion/disposition acknowledgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BRT - Antwoordbericht bloedproduct transfusie/dispositie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O33"></code>
+     <display value="OML - Laboratory order for multiple orders related to a single specimen"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OML - Laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één monster"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O34"></code>
+     <display value="ORL - Laboratory order response message to a multiple order related to single specimen OML"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORL - Antwoordbericht laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één monster OML"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O35"></code>
+     <display value="OML - Laboratory order for multiple orders related to a single container of a specimen"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OML - Laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één container van een monster OML"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O36"></code>
+     <display value="ORL - Laboratory order response message to a single container of a specimen OML"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORL - Antwoordbericht laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één container van een monster OML"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O37"></code>
+     <display value="OPL - Population/Location-Based Laboratory Order Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OPL - Populatie/locatie-gebaseerd laboratoriumaanvraag bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O38"></code>
+     <display value="OPR - Population/Location-Based Laboratory Order Acknowledgment Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OPR - Bevestiging populatie/locatie-gebaseerd laboratoriumaanvraag bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O39"></code>
+     <display value="Specimen shipment centric laboratory order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Monsterverzending-georiënteerde laboratoriumaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O40"></code>
+     <display value="Specimen Shipment Centric Laboratory Order Acknowledgment Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoord monsterverzending-georiënteerde laboratoriumaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O41"></code>
+     <display value="DBC - Create Donor Record Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DBC - Maak donorrecord bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O42"></code>
+     <display value="DBU - Update Donor Record Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DBU - Update donorrecord bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O43"></code>
+     <display value="General Order Message with Document Payload Acknowledgement Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Algemeen aanvraagbericht met documentinhoud bevestigingsbericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O44"></code>
+     <display value="Donor Registration - Minimal Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Donorregistratie - minimaal bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O45"></code>
+     <display value="Donor Eligibility Observations Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Donorkwalificatie observaties bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O46"></code>
+     <display value="Donor Eligiblity Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Donorkwalificatie bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O47"></code>
+     <display value="Donor Request to Collect Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verzoekbericht donatie verzameling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O48"></code>
+     <display value="Donation Procedure Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Procedurebericht donatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O49"></code>
+     <display value="Pharmacy/Treatment Dispense Request Message"></display>
+    </concept>
+    <concept>
+     <code value="O50"></code>
+     <display value="Pharmacy/Treatment Encoded Order Acknowledgment"></display>
+    </concept>
+    <concept>
+     <code value="O51"></code>
+     <display value="OSU – Order Status Update"></display>
+    </concept>
+    <concept>
+     <code value="O52"></code>
+     <display value="OSU – Order Status Update Acknowledgement"></display>
+    </concept>
+    <concept>
+     <code value="O53"></code>
+     <display value="ORL - General Laboratory Order Acknowledgment Message (Patient Optional)"></display>
+    </concept>
+    <concept>
+     <code value="O54"></code>
+     <display value="ORL - Laboratory Order Acknowledgment Message  – Multiple Order Per Specimen (Patient Optional)"></display>
+    </concept>
+    <concept>
+     <code value="O55"></code>
+     <display value="ORL - Laboratory Order Acknowledgment Message  – Multiple Order Per Container of Specimen (Patient Optional)"></display>
+    </concept>
+    <concept>
+     <code value="O56"></code>
+     <display value="ORL - Specimen Shipment Centric Laboratory Order Acknowledgment Message (Patient Optional)"></display>
+    </concept>
+    <concept>
+     <code value="O57"></code>
+     <display value="OMQ- General Order Message with Document Payload"></display>
+    </concept>
+    <concept>
+     <code value="O58"></code>
+     <display value="ORX - General Order Message with Document Payload Acknowledgement Message"></display>
+    </concept>
+    <concept>
+     <code value="O59"></code>
+     <display value="OML - Laboratory order for additional work up"></display>
+    </concept>
+    <concept>
+     <code value="P01"></code>
+     <display value="BAR/ACK - Add patient accounts"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eröffnung eines Patientenkontos"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BAR/ACK - Voeg patiëntaccounts toe"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P02"></code>
+     <display value="BAR/ACK - Purge patient accounts"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Löschen der Abrechnungsdaten eines Patientenkontos"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BAR/ACK - Verwijder patiëntaccounts"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P03"></code>
+     <display value="DFT/ACK - Post detail financial transaction"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Leistungs- und Abrechnungsinformationen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Details financiële verrichting"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="P04"></code>
+     <display value="QRY/DSP - Generate bill and A/R statements"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Druck und Anzeige von Rechnungen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY/DSP - Maak factuur en verkregen diensten"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="P05"></code>
+     <display value="BAR/ACK - Update account"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung eines Patientenkontos"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BAR/ACK - Update account"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P06"></code>
+     <display value="BAR/ACK - End account"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abschluß eines Patientenkontos"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BAR/ACK - Beëindig account"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P07"></code>
+     <display value="PEX - Unsolicited initial individual product experience report"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unaufgeforderte individueller Produktersterfahrungsbericht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PEX - Ongevraagd initieel rapport individueel productervaringen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P08"></code>
+     <display value="PEX - Unsolicited update individual product experience report"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung individueller Produktersterfahrungsbericht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PEX - Ongevraagde update rapport individueel productervaringen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="P09"></code>
+     <display value="SUR - Summary product experience report"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zusammenfassender Produkterfahrungsbericht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SUR - Samenvatting rapport productervaringen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="P10"></code>
+     <display value="BAR/ACK -Transmit Ambulatory Payment  Classification(APC)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BAR/ACK - Verstuur Ambulatory Payment Classification (APC)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P11"></code>
+     <display value="DFT/ACK - Post Detail Financial Transactions - New"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DFT/ACK - Verstuur financiële verrichtingen - Nieuw"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P12"></code>
+     <display value="BAR/ACK - Update Diagnosis/Procedure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BAR/ACK - Update diagnose/behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC1"></code>
+     <display value="PPR - PC/ problem add"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Problem hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPR - PC/Voeg probleem toe"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC2"></code>
+     <display value="PPR - PC/ problem update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Problem ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPR - PC/Update probleem"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC3"></code>
+     <display value="PPR - PC/ problem delete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Problem löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPR - PC/Verwijder probleem"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PC4"></code>
+     <display value="QRY - PC/ problem query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Problem abfragen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPR - PC/Query problemen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PC5"></code>
+     <display value="PRR - PC/ problem response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Problem Anfrage beantworten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPR - PC/Antwoord problemen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PC6"></code>
+     <display value="PGL - PC/ goal add"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziel hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PGL - PC/Voeg doel toe"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC7"></code>
+     <display value="PGL - PC/ goal update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziel ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PGL - PC/Update doel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC8"></code>
+     <display value="PGL - PC/ goal delete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziel löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PGL - PC/Verwijder doel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PC9"></code>
+     <display value="QRY - PC/ goal query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziel abfragen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PGL - PC/Query doelen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PCA"></code>
+     <display value="PPV - PC/ goal response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziel Anfrage beantworten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPV - PC/Antwoord doelen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PCB"></code>
+     <display value="PPP - PC/ pathway (problem-oriented) add"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(problemorientierte) Leitlinie hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPP - PC/Voeg zorgpad toe (probleemgeoriënteerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PCC"></code>
+     <display value="PPP - PC/ pathway (problem-oriented) update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(problemorientierte) Leitlinie ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPP - PC/Update zorgpad (probleemgeoriënteerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PCD"></code>
+     <display value="PPP - PC/ pathway (problem-oriented) delete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(problemorientierte) Leitlinie löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPP - PC/Verwijder zorgpad (probleemgeoriënteerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PCE"></code>
+     <display value="QRY - PC/ pathway (problem-oriented) query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(problemorientierte) Leitlinie abfragen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY - PC/Query zorgpaden (probleemgeoriënteerd)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PCF"></code>
+     <display value="PTR - PC/ pathway (problem-oriented) query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(problemorientierte) Leitlinie Anfrage beantworten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PTR - PC/Antwoord zorgpaden (probleemgeoriënteerd)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PCG"></code>
+     <display value="PPG - PC/ pathway (goal-oriented) add"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(zielorientierte) Leitlinie hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPG - PC/Voeg zorgpad toe (doelgeoriënteerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PCH"></code>
+     <display value="PPG - PC/ pathway (goal-oriented) update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(zielorientierte) Leitlinie ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPG - PC/Update zorgpad (doelgeoriënteerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PCJ"></code>
+     <display value="PPG - PC/ pathway (goal-oriented) delete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(zielorientierte) Leitlinie löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPG - PC/Verwijder zorgpad (doelgeoriënteerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PCK"></code>
+     <display value="QRY - PC/ pathway (goal-oriented) query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(zielorientierte) Leitlinie abfragen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY - PC/Query zorgpaden (doelgeoriënteerd)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PCL"></code>
+     <display value="PPT - PC/ pathway (goal-oriented) query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(zielorientierte) Leitlinie Anfrage beantworten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PPT - PC/Antwoord zorgpaden (doelgeoriënteerd)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2014-02"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q01"></code>
+     <display value="QRY/DSR - Query sent for immediate response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage mit sofortiger Antwort"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY/DSR - Query verzonden voor directe beantwoording"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q02"></code>
+     <display value="QRY/QCK - Query sent for deferred response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage mit verzögerter Antwort"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY/QCK - Query verzonden voor indirecte beantwoording"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q03"></code>
+     <display value="DSR/ACK - Deferred response to a query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verzögerte Antwort auf Anfrage"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DSR/ACK - Indirect antwoord op een query"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q04"></code>
+     <display value="EQQ - Embedded query language query"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="EQQ - Embedded query language query"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q05"></code>
+     <display value="UDM/ACK - Unsolicited display update message"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sofortige Bildschirmanzeige (Eilmeldung)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="UDM/ACK - Ongevraagd bericht voor weergave update"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q06"></code>
+     <display value="OSQ/OSR - Query for order status"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abfrage des Auftragsstatus"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OSQ/OSR - Query om aanvraagstatus"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q07"></code>
+     <display value="VQQ - Virtual table query"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VQQ - Virtuele tabel query"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q08"></code>
+     <display value="SPQ - Stored procedure request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SPQ - Verzoek stored procedure"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q09"></code>
+     <display value="RQQ - event replay query"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RQQ - Query event replay"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q11"></code>
+     <display value="QBP - Query by parameter requesting an RSP segment pattern response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query op parameter met als antwoord een RSP-segmentpatroon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q13"></code>
+     <display value="QBP - Query by parameter requesting an  RTB - tabular response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query op parameter met als antwoord een RTB-tabelpatroon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q15"></code>
+     <display value="QBP - Query by parameter requesting an RDY display response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query op parameter met als antwoord een RDY-weergavepatroon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q16"></code>
+     <display value="QSB - Create subscription"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QSB - Maak abonnement"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q17"></code>
+     <display value="QVR - Query for previous events"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QVR - Query op vorige events"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q21"></code>
+     <display value="QBP - Get person demographics"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query persoonsgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q22"></code>
+     <display value="QBP - Find candidates"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Zoek kandidaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q23"></code>
+     <display value="QBP - Get corresponding identifiers"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query bijbehorende ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q24"></code>
+     <display value="QBP - Allocate identifiers"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Alloceer ID's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q25"></code>
+     <display value="QBP - Personnel Information by Segment Query"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query personeelinformatie op segment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q26"></code>
+     <display value="ROR - Pharmacy/treatment order response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ROR - Antwoordbericht aanvraag medicatie/therapie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q27"></code>
+     <display value="RAR - Pharmacy/treatment administration information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RAR - Medicatie/therapie toedieningsinformatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q28"></code>
+     <display value="RDR - Pharmacy/treatment dispense information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RDR - Medicatie/therapie verstrekkingsinformatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q29"></code>
+     <display value="RER - Pharmacy/treatment encoded order information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RER - Medicatie/therapie gecodeerde aanvraag-informatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Q30"></code>
+     <display value="RGR - Pharmacy/treatment dose information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RER - Medicatie/therapie doseringsinformatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Q31"></code>
+     <display value="QBP Query Dispense history"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Query verstrekkingshistorie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q32"></code>
+     <display value="Find Candidates including Visit Information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zoek kandidaten inclusief bezoekinformatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q33"></code>
+     <display value="QBP - Get Donor Record Candidates"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Ophalen donorrecord kandidaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q34"></code>
+     <display value="QBP - Get Donor Record"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QBP - Ophalen donorrecord"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R01"></code>
+     <display value="ORU/ACK - Unsolicited transmission of an observation message"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unangeforderte Übermittlung eines Befundes"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORU/ACK - Ongevraagde verzending van een observatiebericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="R02"></code>
+     <display value="QRY - Query for results of observation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage nach Untersuchungsergebnis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Query op observatieresultaten"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R03"></code>
+     <display value="QRY/DSR Display-oriented results, query/unsol. update (for backward compatibility only) (Replaced by Q05)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anzeigeorientiertes Ergebnis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY/DSR - Weergave-georiënteerde resultaten, query/ongevr. update (voor backward compatibiliteit) (Vervangen door Q05)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="R04"></code>
+     <display value="ORF - Response to query; transmission of requested observation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort auf Anfrage / Übermittlung eines angeforderten Ergebnisses"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORF - Antwoord op query; verzending van aangevraagde observatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R05"></code>
+     <display value="QRY/DSR - query for display results (See Q01)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage nach anzeigeorientierten Ergebnissen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY/DSR - Query op weergave resultaten (zie Q01)"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16854,15 +22460,23 @@
      </property>
     </concept>
     <concept>
-     <code value="0"></code>
-     <display value="A"></display>
+     <code value="R06"></code>
+     <display value="UDM - unsolicited update/display results (See Q05)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unaufgeforderte Änderung anzeigeorientierter Ergebnisse"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="A"></value>
+      <value value="UDM - Ongevraagde update/weergave resultaten (zie Q05)"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16874,15 +22488,275 @@
      </property>
     </concept>
     <concept>
-     <code value="1"></code>
-     <display value="B"></display>
+     <code value="R07"></code>
+     <display value="EDR - Enhanced Display Response"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="B"></value>
+      <value value="EDR - Antwoord verrijkte weergave"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R08"></code>
+     <display value="TBR - Tabular Data Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TBR - Antwoord gegevens in tabelvorm"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R09"></code>
+     <display value="ERP - Event Replay Response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ERP - Antwoord event replay"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R0R"></code>
+     <display value="R0R - Pharmacy prescription order query response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="R0R - Medicatievoorschriftaanvraag query antwoord"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1999-05"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="R21"></code>
+     <display value="OUL - Unsolicited laboratory observation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OUL - Ongevraagde laboratoriumobservatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R22"></code>
+     <display value="OUL - Unsolicited Specimen Oriented Observation Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OUL - Ongevraagde monster-georiënteerde observatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R23"></code>
+     <display value="OUL - Unsolicited Specimen Container Oriented Observation Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OUL - Ongevraagde monstercontainer-georiënteerde observatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R24"></code>
+     <display value="OUL - Unsolicited Order Oriented Observation Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OUL - Ongevraagde aanvraag-georiënteerde observatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R25"></code>
+     <display value="OPU - Unsolicited Population/Location-Based Laboratory Observation Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OPU - Ongevraagde populatie/locatie-gebaseerd laboratoriumobservatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R26"></code>
+     <display value="OSM - Unsolicited Specimen Shipment Manifest Message"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OSM - Ongevraagde monsterverzending manifest"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R30"></code>
+     <display value="ORU - Unsolicited Point-Of-Care Observation Message Without Existing Order - Place An Order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORU - Ongevraagde Point-Of-Care observatie zonder voorafgaande aanvraag - Plaats een aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R31"></code>
+     <display value="ORU - Unsolicited New Point-Of-Care Observation Message - Search For An Order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORU - Ongevraagde nieuwe Point-Of-Care observatie - Zoek een aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R32"></code>
+     <display value="ORU - Unsolicited Pre-Ordered Point-Of-Care Observation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORU - Ongevraagde pre-ordered Point-Of-Care observatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R33"></code>
+     <display value="ORA - Observation Report Acknowledgement"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORA - Bevestiging observatieverslag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R40"></code>
+     <display value="ORU - Unsolicited Report Alarm"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORU - Ongevraagd rapport alarm"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R41"></code>
+     <display value="Observation Report Alert Acknowledgement"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bevestiging observatierapport waarschuwing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R42"></code>
+     <display value="ORU – Unsolicited Device Event Observation Message"></display>
+    </concept>
+    <concept>
+     <code value="R43"></code>
+     <display value="ORU – Unsolicited Patient-Device Association Observation Message"></display>
+    </concept>
+    <concept>
+     <code value="RAR"></code>
+     <display value="RAR - Pharmacy administration information query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort bzgl. der Behandlungs-/Darreichungsform"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RAR - Medicatietoediening-informatie query antwoord"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16894,15 +22768,23 @@
      </property>
     </concept>
     <concept>
-     <code value="10"></code>
-     <display value="K"></display>
+     <code value="RDR"></code>
+     <display value="RDR - Pharmacy dispense information query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort bzgl. des zu verabreichenden Medikamentes bzw. der Behandlung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="K"></value>
+      <value value="RDR - Medicatieverstrekking-informatie query antwoord"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16914,15 +22796,23 @@
      </property>
     </concept>
     <concept>
-     <code value="11"></code>
-     <display value="L"></display>
+     <code value="RER"></code>
+     <display value="RER - Pharmacy encoded order information query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort bzgl. des zu verabreichenden Medikamentes bzw. der Behandlung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="L"></value>
+      <value value="RER - Medicatie gecodeerde aanvraaginformatie query antwoord"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16934,15 +22824,23 @@
      </property>
     </concept>
     <concept>
-     <code value="12"></code>
-     <display value="M"></display>
+     <code value="RGR"></code>
+     <display value="RGR - Pharmacy dose information query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort bzgl. der Dosis bzw. der Frequenz der Behandlung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="M"></value>
+      <value value="RGR - Medicatiedosering-informatie query antwoord"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16954,15 +22852,35 @@
      </property>
     </concept>
     <concept>
-     <code value="13"></code>
-     <display value="N"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ROR"></code>
+     <display value="ROR - Pharmacy prescription order query response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort bzgl. der Verschreibungsanforderung des Arzneiverordnung bzw. d.Behandlg"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="N"></value>
+      <value value="ROR - Medicatievoorschrift aanvraag query antwoord"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16970,19 +22888,519 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="14"></code>
-     <display value="O"></display>
+     <code value="S01"></code>
+     <display value="SRM/SRR - Request new appointment booking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Terminanforderung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="O"></value>
+      <value value="SRM/SRR - Verzoek boeken nieuwe afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S02"></code>
+     <display value="SRM/SRR - Request appointment rescheduling"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung für Terminverschiebung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek verzetten afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S03"></code>
+     <display value="SRM/SRR - Request appointment modification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung für inhaltliche Terminänderung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek aanpassen afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S04"></code>
+     <display value="SRM/SRR - Request appointment cancellation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Absage eines Termins"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek annuleren afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S05"></code>
+     <display value="SRM/SRR - Request appointment discontinuation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aussetzung des aktuellen oder weiterer Termine"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek stopzetten afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S06"></code>
+     <display value="SRM/SRR - Request appointment deletion"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung eines Termins"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek verwijderen afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S07"></code>
+     <display value="SRM/SRR - Request addition of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anforderung zusätzlicher Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek toevoegen dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S08"></code>
+     <display value="SRM/SRR - Request modification of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderungsanforderung für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek wijzigen dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S09"></code>
+     <display value="SRM/SRR - Request cancellation of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Absage für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek annuleren dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S10"></code>
+     <display value="SRM/SRR - Request discontinuation of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aussetzung für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek stopzetten dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S11"></code>
+     <display value="SRM/SRR - Request deletion of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SRM/SRR - Verzoek verwijderen dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S12"></code>
+     <display value="SIU/ACK - Notification of new appointment booking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über Terminvergabe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van nieuw geboekte afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S13"></code>
+     <display value="SIU/ACK - Notification of appointment rescheduling"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung für Terminverschiebung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van verzetten afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S14"></code>
+     <display value="SIU/ACK - Notification of appointment modification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung für inhaltliche Terminänderung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van wijzigen afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S15"></code>
+     <display value="SIU/ACK - Notification of appointment cancellation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über Terminabsage"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van annuleren afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S16"></code>
+     <display value="SIU/ACK - Notification of appointment discontinuation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über Aussetzung des aktuellen oder weiterer Termine"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van stopzetten afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S17"></code>
+     <display value="SIU/ACK - Notification of appointment deletion"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über Stornierung eines Termins"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van verwijderen afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S18"></code>
+     <display value="SIU/ACK - Notification of addition of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über  zusätzlicher Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van toevoegen dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S19"></code>
+     <display value="SIU/ACK - Notification of modification of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderungsbenachrichtigung f.zusätzl. Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van wijzigen dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S20"></code>
+     <display value="SIU/ACK - Notification of cancellation of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung f. zusätzliche Leistungen/Voraussetzungen zu einem Terminabsage"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van annuleren dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S21"></code>
+     <display value="SIU/ACK - Notification of discontinuation of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über Aussetzung für zusätzliche Leistungen/Voraussetzungen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van stopzetten dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S22"></code>
+     <display value="SIU/ACK - Notification of deletion of service/resource on appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung Stornierg.f.zusätzl.Leistungen/Voraussetzungen zu einem Termin"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van verwijderen dienst/resource bij afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S23"></code>
+     <display value="SIU/ACK - Notification of blocked schedule time slot(s)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über nicht verfügbare Zeitbereiche"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van geblokkeerde agenda tijdblok(ken)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S24"></code>
+     <display value="SIU/ACK - Notification of opened (&quot;unblocked&quot;) schedule time slot(s)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über (wieder) verfügbare Zeitbereiche"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Notificatie van open (niet-geblokkeerde) agenda tijdblok(ken)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="S25"></code>
+     <display value="SQM/SQR - Schedule query message and response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage nach Zeitplaninformation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SQM/SQR - Query agenda-informatie en antwoord"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -16990,19 +23408,411 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="15"></code>
-     <display value="P"></display>
+     <code value="S26"></code>
+     <display value="SIU/ACK Notification that patient did not show up for schedule appointment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über Nichterscheinen eines Patienten"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="P"></value>
+      <value value="SIU/ACK - Notificatie dat patiënt niet is komen opdagen voor agenda-afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S27"></code>
+     <display value="SIU/ACK - Broadcast Notification of Scheduled Appointments"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SIU/ACK - Broadcast notificatie van geplande afspraken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S28"></code>
+     <display value="SLR/SLS - Request new sterilization lot"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SLR/SLS - Verzoek nieuwe lot sterilisatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S29"></code>
+     <display value="SLR/SLS - Request Sterilization lot deletion"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SLR/SLS - Verzoek verwijderen lot sterilisatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S30"></code>
+     <display value="STI/STS - Request item"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="STI/STS - Verzoek item"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S31"></code>
+     <display value="SDR/SDS - Request anti-microbial device data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SDR/SDS - Verzoek anti-microbisch apparaatgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S32"></code>
+     <display value="SMD/SMS - Request anti-microbial device cycle data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SMD/SMS - Verzoek anti-microbisch apparaatomloopgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S33"></code>
+     <display value="STC/ACK - Notification of sterilization configuration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="STC/ACK - Notificatie van sterilisatie configuratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S34"></code>
+     <display value="SLN/ACK - Notification of sterilization lot"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SLN/ACK - Notificatie van sterilisatie lot"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S35"></code>
+     <display value="SLN/ACK - Notification of sterilization lot deletion"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SLN/ACK - Notificatie verwijdering van sterilisatie lot"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S36"></code>
+     <display value="SDN/ACK - Notification of anti-microbial device data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SDN/ACK - Notificatie anti-microbisch apparaatgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S37"></code>
+     <display value="SCN/ACK - Notification of anti-microbial device cycle data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SDN/ACK - Notificatie anti-microbisch apparaatomloopgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T01"></code>
+     <display value="MDM/ACK - Original document notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Neuanlage eines Dokuments ohne Inhalt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie origineel document"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T02"></code>
+     <display value="MDM/ACK - Original document notification and content"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Neuanlage eines Dokuments mit Inhaltsübermittlung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie origineel document met inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T03"></code>
+     <display value="MDM/ACK - Document status change notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Statusänderung eines Dokuments (ohne Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie wijzigen documentstatus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T04"></code>
+     <display value="MDM/ACK - Document status change notification and content"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Statusänderung eines Dokuments (mit Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie wijzigen documentstatus met inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T05"></code>
+     <display value="MDM/ACK - Document addendum notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Ergänzung eines Dokuments (ohne Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie documentaddendum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T06"></code>
+     <display value="MDM/ACK - Document addendum notification and content"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Ergänzung eines Dokuments (mit Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie documentaddendum met inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T07"></code>
+     <display value="MDM/ACK - Document edit notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Änderung eines Dokuments (ohne Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie wijziging document"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T08"></code>
+     <display value="MDM/ACK - Document edit notification and content"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Änderung eines Dokuments (mit Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie wijziging document met inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T09"></code>
+     <display value="MDM/ACK - Document replacement notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über den Austausch eines Dokuments (ohne Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie vervanging document"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T10"></code>
+     <display value="MDM/ACK - Document replacement notification and content"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über den Austausch eines Dokuments (mit Inhalt)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie vervanging document met inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T11"></code>
+     <display value="MDM/ACK - Document cancel notification"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Benachrichtigung über die Löschung eines Dokuments"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MDM/ACK - Notificatie annuleren document"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="T12"></code>
+     <display value="QRY/DOC - Document query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dokumentanfrage"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QRY/DOC - Query documenten"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17010,19 +23820,199 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="16"></code>
-     <display value="Q"></display>
+     <code value="U01"></code>
+     <display value="ESU/ACK - Automated equipment status update"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Q"></value>
+      <value value="ESU/ACK - Geautomatiseerde materiaal status update"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U02"></code>
+     <display value="ESR/ACK - Automated equipment status request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ESR/ACK - Geautomatiseerde materiaal status verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U03"></code>
+     <display value="SSU/ACK - Specimen status update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SSU/ACK - Monster status update"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U04"></code>
+     <display value="SSR/ACK - specimen status request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SSR/ACK - Monster status verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U05"></code>
+     <display value="INU/ACK  - Automated equipment inventory update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="INU/ACK - Geautomatiseerde materiaal voorraad update"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U06"></code>
+     <display value="INR/ACK - Automated equipment inventory request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="INR/ACK - Geautomatiseerde materiaal voorraad verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U07"></code>
+     <display value="EAC/ACK - Automated equipment command"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="EAC/ACK - Geautomatiseerde materiaal commando"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U08"></code>
+     <display value="EAR/ACK - Automated equipment response"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="EAR/ACK - Geautomatiseerde materiaal antwoord"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U09"></code>
+     <display value="EAN/ACK - Automated equipment notification"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="EAN/ACK - Geautomatiseerde materiaal notificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U10"></code>
+     <display value="TCU/ACK - Automated equipment test code settings update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TCU/ACK - Geautomatiseerde materiaal testcode instellingen update"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U11"></code>
+     <display value="TCR/ACK - Automated equipment test code settings request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TCR/ACK - Geautomatiseerde materiaal testcode instellingen verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U12"></code>
+     <display value="LSU/ACK - Automated equipment log/service update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="LSU/ACK - Geautomatiseerde materiaal log/service update"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U13"></code>
+     <display value="LSR/ACK - Automated equipment log/service request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="LSR/ACK - Geautomatiseerde materiaal log/service verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U14"></code>
+     <display value="INR/ACK – Automated Equipment Inventory Request"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="V01"></code>
+     <display value="VXQ - Query for vaccination record"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anfrage nach Impfstatus eines Patienten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VQX - Query op vaccinatiegegevens"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17030,19 +24020,39 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="17"></code>
-     <display value="R"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="V02"></code>
+     <display value="VXX - Response to vaccination query returning multiple PID matches"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort auf Impfstatusanfrage bei nicht-eindeutiger Patienten-ID"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="R"></value>
+      <value value="VXX - Antwoord op query vaccinatiegegevens met meerdere PID's"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17050,19 +24060,39 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="18"></code>
-     <display value="S"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="V03"></code>
+     <display value="VXR - Vaccination record response"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort auf Impfstatusanfrage zu einem Patienten"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="S"></value>
+      <value value="VXR - Antwoord op query vaccinatiegegevens"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17070,19 +24100,79 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="19"></code>
-     <display value="T"></display>
+     <code value="V04"></code>
+     <display value="VXU - Unsolicited vaccination record update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unaufgeforderte Änderung zu dem Impfstatus eines Patienten"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="T"></value>
+      <value value="VXU - Ongevraagde update vaccinatiegegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Varies"></code>
+     <display value="MFQ/MFR - Master files query (use event same as asking for e.g., M05 - location)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="allgemeine Stammdatenanfrage"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MFQ/MFR - Masterbestanden query (gebruik event zoals bij vragen naar bijv. M05 - locatie)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="W01"></code>
+     <display value="ORU - Waveform result, unsolicited transmission of requested information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unaufgeforderte Übermittlung von Signaldaten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORU - Waveformresultaat, ongevraagde verzending van aangevraagde informatie"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17090,19 +24180,39 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="C"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="W02"></code>
+     <display value="QRF - Waveform result, response to query"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="angeforderte Übermittlung von Signaldaten"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="C"></value>
+      <value value="QRF - Waveformresultaat, antwoord op query"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17110,19 +24220,19 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2011-01"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="20"></code>
-     <display value="U"></display>
+     <code value="X01"></code>
+     <display value="PEX - Product experience"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="U"></value>
+      <value value="PEX - Productervaring"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -17130,1017 +24240,17 @@
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="56"></code>
-     <display value="4"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="57"></code>
-     <display value="5"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="5"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="58"></code>
-     <display value="6"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="6"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="59"></code>
-     <display value="7"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="7"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="G"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="G"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="60"></code>
-     <display value="8"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="8"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="61"></code>
-     <display value="9"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="9"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="62"></code>
-     <display value="+"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="+"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="63"></code>
-     <display value="/"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="/"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="H"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="H"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="I"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="I"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="J"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="J"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="1997-03"></valueDateTime>
      </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0291"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0004"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0291"></id>
+    <id value="v2-0004"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -18151,14 +24261,14 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0291"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0004"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.181"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.5"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0291"></name>
-    <title value="v2 Subtype of Referenced Data"></title>
+    <name value="v2.0004"></name>
+    <title value="v2 PATIENT CLASS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -18168,7 +24278,1715 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0291 ( Subtype of Referenced Data)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0004 ( PATIENT CLASS)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Obstetrics"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geburtshilfe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Obstetrie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Commercial Account"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Commercieel account"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Notfall"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Inpatient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="stationär"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Not Applicable"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Segment nicht anwendbar"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet van toepassing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Outpatient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ambulant"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Poliklinisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Preadmit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voraufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vooropname"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Recurring patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wiederholungspatient"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.1-0006"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-2.1-0006"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0006|2.1"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.7"></value>
+    </identifier>
+    <version value="0006"></version>
+    <name value="v2.0006.2.1"></name>
+    <title value="v2 table 0006, Version 2.1"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="v2 table definition for v2.0006.2.1"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="A"></code>
+     <display value="Atheist"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="B"></code>
+     <display value="Baptist"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Catholic"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Episcopalian"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="J"></code>
+     <display value="Judaism"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Lutheran"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Church of Latter Day Saints (Mormon)"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Hindu"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Protestant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.4-0006"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-2.4-0006"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0006|2.4"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.8"></value>
+    </identifier>
+    <version value="0006"></version>
+    <name value="v2.0006.2.4"></name>
+    <title value="v2 table 0006, Version 2.4"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="v2 table definition for v2.0006.2.4"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="ABC"></code>
+     <display value="Christian: American Baptist Church"></display>
+    </concept>
+    <concept>
+     <code value="AGN"></code>
+     <display value="Agnostic"></display>
+    </concept>
+    <concept>
+     <code value="AME"></code>
+     <display value="Christian: African Methodist Episcopal Zion"></display>
+    </concept>
+    <concept>
+     <code value="AMT"></code>
+     <display value="Christian: African Methodist Episcopal"></display>
+    </concept>
+    <concept>
+     <code value="ANG"></code>
+     <display value="Christian: Anglican"></display>
+    </concept>
+    <concept>
+     <code value="AOG"></code>
+     <display value="Christian: Assembly of God"></display>
+    </concept>
+    <concept>
+     <code value="ATH"></code>
+     <display value="Atheist"></display>
+    </concept>
+    <concept>
+     <code value="BAH"></code>
+     <display value="Baha'i"></display>
+    </concept>
+    <concept>
+     <code value="BAP"></code>
+     <display value="Christian: Baptist"></display>
+    </concept>
+    <concept>
+     <code value="BMA"></code>
+     <display value="Buddhist: Mahayana"></display>
+    </concept>
+    <concept>
+     <code value="BOT"></code>
+     <display value="Buddhist: Other"></display>
+    </concept>
+    <concept>
+     <code value="BRE"></code>
+     <display value="Brethren"></display>
+    </concept>
+    <concept>
+     <code value="BTA"></code>
+     <display value="Buddhist: Tantrayana"></display>
+    </concept>
+    <concept>
+     <code value="BTH"></code>
+     <display value="Buddhist: Theravada"></display>
+    </concept>
+    <concept>
+     <code value="BUD"></code>
+     <display value="Buddhist"></display>
+    </concept>
+    <concept>
+     <code value="CAT"></code>
+     <display value="Christian: Roman Catholic"></display>
+    </concept>
+    <concept>
+     <code value="CFR"></code>
+     <display value="Chinese Folk Religionist"></display>
+    </concept>
+    <concept>
+     <code value="CHR"></code>
+     <display value="Christian"></display>
+    </concept>
+    <concept>
+     <code value="CHS"></code>
+     <display value="Christian: Christian Science"></display>
+    </concept>
+    <concept>
+     <code value="CMA"></code>
+     <display value="Christian: Christian Missionary Alliance"></display>
+    </concept>
+    <concept>
+     <code value="CNF"></code>
+     <display value="Confucian"></display>
+    </concept>
+    <concept>
+     <code value="COC"></code>
+     <display value="Christian: Church of Christ"></display>
+    </concept>
+    <concept>
+     <code value="COG"></code>
+     <display value="Christian: Church of God"></display>
+    </concept>
+    <concept>
+     <code value="COI"></code>
+     <display value="Christian: Church of God in Christ"></display>
+    </concept>
+    <concept>
+     <code value="COL"></code>
+     <display value="Christian: Congregational"></display>
+    </concept>
+    <concept>
+     <code value="COM"></code>
+     <display value="Christian: Community"></display>
+    </concept>
+    <concept>
+     <code value="COP"></code>
+     <display value="Christian: Other Pentecostal"></display>
+    </concept>
+    <concept>
+     <code value="COT"></code>
+     <display value="Christian: Other"></display>
+    </concept>
+    <concept>
+     <code value="CRR"></code>
+     <display value="Christian: Christian Reformed"></display>
+    </concept>
+    <concept>
+     <code value="DOC"></code>
+     <display value="Disciples of Christ"></display>
+    </concept>
+    <concept>
+     <code value="EOT"></code>
+     <display value="Christian: Eastern Orthodox"></display>
+    </concept>
+    <concept>
+     <code value="EPI"></code>
+     <display value="Christian: Episcopalian"></display>
+    </concept>
+    <concept>
+     <code value="ERL"></code>
+     <display value="Ethnic Religionist"></display>
+    </concept>
+    <concept>
+     <code value="EVC"></code>
+     <display value="Christian: Evangelical Church"></display>
+    </concept>
+    <concept>
+     <code value="FRQ"></code>
+     <display value="Christian: Friends"></display>
+    </concept>
+    <concept>
+     <code value="FUL"></code>
+     <display value="Christian: Full Gospel"></display>
+    </concept>
+    <concept>
+     <code value="FWB"></code>
+     <display value="Christian: Free Will Baptist"></display>
+    </concept>
+    <concept>
+     <code value="GRE"></code>
+     <display value="Christian: Greek Orthodox"></display>
+    </concept>
+    <concept>
+     <code value="HIN"></code>
+     <display value="Hindu"></display>
+    </concept>
+    <concept>
+     <code value="HOT"></code>
+     <display value="Hindu: Other"></display>
+    </concept>
+    <concept>
+     <code value="HSH"></code>
+     <display value="Hindu: Shaivites"></display>
+    </concept>
+    <concept>
+     <code value="HVA"></code>
+     <display value="Hindu: Vaishnavites"></display>
+    </concept>
+    <concept>
+     <code value="JAI"></code>
+     <display value="Jain"></display>
+    </concept>
+    <concept>
+     <code value="JCO"></code>
+     <display value="Jewish: Conservative"></display>
+    </concept>
+    <concept>
+     <code value="JEW"></code>
+     <display value="Jewish"></display>
+    </concept>
+    <concept>
+     <code value="JOR"></code>
+     <display value="Jewish: Orthodox"></display>
+    </concept>
+    <concept>
+     <code value="JOT"></code>
+     <display value="Jewish: Other"></display>
+    </concept>
+    <concept>
+     <code value="JRC"></code>
+     <display value="Jewish: Reconstructionist"></display>
+    </concept>
+    <concept>
+     <code value="JRF"></code>
+     <display value="Jewish: Reform"></display>
+    </concept>
+    <concept>
+     <code value="JRN"></code>
+     <display value="Jewish: Renewal"></display>
+    </concept>
+    <concept>
+     <code value="JWN"></code>
+     <display value="Christian: Jehovah's Witness"></display>
+    </concept>
+    <concept>
+     <code value="LMS"></code>
+     <display value="Christian: Lutheran Missouri Synod"></display>
+    </concept>
+    <concept>
+     <code value="LUT"></code>
+     <display value="Christian: Lutheran"></display>
+    </concept>
+    <concept>
+     <code value="MEN"></code>
+     <display value="Christian: Mennonite"></display>
+    </concept>
+    <concept>
+     <code value="MET"></code>
+     <display value="Christian: Methodist"></display>
+    </concept>
+    <concept>
+     <code value="MOM"></code>
+     <display value="Christian: Latter-day Saints"></display>
+    </concept>
+    <concept>
+     <code value="MOS"></code>
+     <display value="Muslim"></display>
+    </concept>
+    <concept>
+     <code value="MOT"></code>
+     <display value="Muslim: Other"></display>
+    </concept>
+    <concept>
+     <code value="MSH"></code>
+     <display value="Muslim: Shiite"></display>
+    </concept>
+    <concept>
+     <code value="MSU"></code>
+     <display value="Muslim: Sunni"></display>
+    </concept>
+    <concept>
+     <code value="NAM"></code>
+     <display value="Native American"></display>
+    </concept>
+    <concept>
+     <code value="NAZ"></code>
+     <display value="Christian: Church of the Nazarene"></display>
+    </concept>
+    <concept>
+     <code value="NOE"></code>
+     <display value="Nonreligious"></display>
+    </concept>
+    <concept>
+     <code value="NRL"></code>
+     <display value="New Religionist"></display>
+    </concept>
+    <concept>
+     <code value="ORT"></code>
+     <display value="Christian: Orthodox"></display>
+    </concept>
+    <concept>
+     <code value="OTH"></code>
+     <display value="Other"></display>
+    </concept>
+    <concept>
+     <code value="PEN"></code>
+     <display value="Christian: Pentecostal"></display>
+    </concept>
+    <concept>
+     <code value="PRC"></code>
+     <display value="Christian: Other Protestant"></display>
+    </concept>
+    <concept>
+     <code value="PRE"></code>
+     <display value="Christian: Presbyterian"></display>
+    </concept>
+    <concept>
+     <code value="PRO"></code>
+     <display value="Christian: Protestant"></display>
+    </concept>
+    <concept>
+     <code value="QUA"></code>
+     <display value="Christian: Friends"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="REC"></code>
+     <display value="Christian: Reformed Church"></display>
+    </concept>
+    <concept>
+     <code value="REO"></code>
+     <display value="Christian: Reorganized Church of Jesus Christ-LDS"></display>
+    </concept>
+    <concept>
+     <code value="SAA"></code>
+     <display value="Christian: Salvation Army"></display>
+    </concept>
+    <concept>
+     <code value="SEV"></code>
+     <display value="Christian: Seventh Day Adventist"></display>
+    </concept>
+    <concept>
+     <code value="SHN"></code>
+     <display value="Shintoist"></display>
+    </concept>
+    <concept>
+     <code value="SIK"></code>
+     <display value="Sikh"></display>
+    </concept>
+    <concept>
+     <code value="SOU"></code>
+     <display value="Christian: Southern Baptist"></display>
+    </concept>
+    <concept>
+     <code value="SPI"></code>
+     <display value="Spiritist"></display>
+    </concept>
+    <concept>
+     <code value="UCC"></code>
+     <display value="Christian: United Church of Christ"></display>
+    </concept>
+    <concept>
+     <code value="UMD"></code>
+     <display value="Christian: United Methodist"></display>
+    </concept>
+    <concept>
+     <code value="UNI"></code>
+     <display value="Christian: Unitarian"></display>
+    </concept>
+    <concept>
+     <code value="UNU"></code>
+     <display value="Christian: Unitarian Universalist"></display>
+    </concept>
+    <concept>
+     <code value="VAR"></code>
+     <display value="Unknown"></display>
+    </concept>
+    <concept>
+     <code value="WES"></code>
+     <display value="Christian: Wesleyan"></display>
+    </concept>
+    <concept>
+     <code value="WMC"></code>
+     <display value="Christian: Wesleyan Methodist"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0007"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0007"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0007"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.9"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0007"></name>
+    <title value="v2 ADMISSION TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0007 ( ADMISSION TYPE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Accident"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Unfall / Notarztwagen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ongeluk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Elective"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="wahlfreie Aufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigen keuze"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Notfall ohne Einweisung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Labor and Delivery"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entbindung / Geburt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geboorte en bevalling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Newborn (Birth in healthcare facility)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Neugeborenes"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieuwgeborene (geboorte in zorginstelling)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Routine"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Normalaufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Urgent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="dringliche Aufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Urgent"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0008"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0008"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0008"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.10"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0008"></name>
+    <title value="v2 ACKNOWLEDGMENT CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0008 ( ACKNOWLEDGMENT CODE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AA"></code>
+     <display value="Original mode: Application Accept - Enhanced mode: Application acknowledgment: Accept"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="akzeptiert durch Anwendung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Original modus: Applicatiebevestiging - Enhanced modus: Applicatiebevestiging: accepteer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AE"></code>
+     <display value="Original mode: Application Error - Enhanced mode: Application acknowledgment: Error"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fehler in Anwendung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Original modus: Applicatiefout - Enhanced modus: Applicatiebevestiging: fout"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AR"></code>
+     <display value="Original mode: Application Reject - Enhanced mode: Application acknowledgment: Reject"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abgelehnt durch Anwendung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Original modus: Applicatieweigering - Enhanced modus: Applicatiebevestiging: weiger"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CA"></code>
+     <display value="Enhanced mode: Accept acknowledgment: Commit Accept"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bei Eingangsprüfung akzeptiert (&quot;committed&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enhanced modus: Ontvangstbevestiging: accepteer ontvangst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CE"></code>
+     <display value="Enhanced mode: Accept acknowledgment: Commit Error"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fehler bei Eingangsprüfung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enhanced modus: Ontvangstbevestiging: fout in ontvangst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CR"></code>
+     <display value="Enhanced mode: Accept acknowledgment: Commit Reject"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bei Eingangsprüfung abgelehnt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enhanced modus: Ontvangstbevestiging: weigering te ontvangen"></value>
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+    </concept>
+   </CodeSystem>
+  </resource>
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+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0009"></fullUrl>
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+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0009"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0009"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.11"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0009"></name>
+    <title value="v2 AMBULATORY STATUS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0009 ( AMBULATORY STATUS)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A0"></code>
+     <display value="No functional limitations"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Keine funktionalen Einschränkungen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen functionele beperkingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A1"></code>
+     <display value="Ambulates with assistive device"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient benötigt Hilfsmittel"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Loopt met ondersteunend middel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A2"></code>
+     <display value="Wheelchair/stretcher bound"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rollstuhl / Trage notwendig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebonden aan rolstoel/stretcher"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A3"></code>
+     <display value="Comatose; non-responsive"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Komatös; nicht ansprechbar"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Comateus; niet-responsief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A4"></code>
+     <display value="Disoriented"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Desorientiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gedesoriënteerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A5"></code>
+     <display value="Vision impaired"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sehstörung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Visueel beperkt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A6"></code>
+     <display value="Hearing impaired"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schwerhörigkeit"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auditief beperkt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A7"></code>
+     <display value="Speech impaired"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sprachstörung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spraak beperkt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A8"></code>
+     <display value="Non-English speaking"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="der Landessprache nicht mächtig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet-Engelssprekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="A9"></code>
+     <display value="Functional level unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Unbekannter Zustand"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Functioneel niveau onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B1"></code>
+     <display value="Oxygen therapy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sauerstofftherapie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zuurstoftherapie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B2"></code>
+     <display value="Special equipment (tubes, IVs, catheters)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Besondere Hilsfmittel"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Speciale middelen (slangen, infuzen, catethers)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B3"></code>
+     <display value="Amputee"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amputation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amputatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B4"></code>
+     <display value="Mastectomy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Brustamputation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mastectomie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B5"></code>
+     <display value="Paraplegic"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(Querschnitt-) Lähmung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dwarslaesie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B6"></code>
+     <display value="Pregnant"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schwanger"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zwanger"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0012"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0012"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0012"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.12"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0012"></name>
+    <title value="v2 STOCK LOCATION"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0012 ( STOCK LOCATION)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="AN"></code>
+     <display value="Filled from ancillary department stock"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(Tabelle 12 ist veraltet und wird nicht mehr verwendet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aangevuld uit verdere afdelingsvoorraad"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1994-12"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FL"></code>
+     <display value="Filled from floor stock"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Etagenlager"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aangevuld uit verdiepingsvoorraad"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1994-12"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0017"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0017"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0017"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.13"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0017"></name>
+    <title value="v2 Transaction Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0017 ( Transaction Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AJ"></code>
+     <display value="Adjustment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanpassing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CD"></code>
+     <display value="Credit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Krediet"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CG"></code>
+     <display value="Charge"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Belast"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CO"></code>
+     <display value="Co-payment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gedeelde betaling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PY"></code>
+     <display value="Payment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betaling"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0023"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0023"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0023"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.14"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0023"></name>
+    <title value="v2 Admit source"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0023 ( Admit source)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -18184,14 +26002,42 @@
     </property>
     <concept>
      <code value="..."></code>
-     <display value="Source RFC 2046"></display>
+     <display value="No suggested values defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Bron RFC 2046"></value>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Physician referral"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Überweisung durch Arzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijzing arts"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -18199,211 +26045,27 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
+      <valueDateTime value="2007-10"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="BASIC"></code>
-     <display value="ISDN PCM audio data"></display>
+     <code value="2"></code>
+     <display value="Clinic referral"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ISDN PCM audiogegevens"></value>
+      <value value="Überweisung durch Klinik"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="DICOM"></code>
-     <display value="Digital Imaging and Communications in Medicine"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Digital Imaging and Communications in Medicine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FAX"></code>
-     <display value="Facsimile data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Faxgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GIF"></code>
-     <display value="Graphics Interchange Format"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Graphics Interchange Format"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="HTML"></code>
-     <display value="Hypertext Markup Language"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hypertext Markup Language"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="JOT"></code>
-     <display value="Electronic ink data (Jot 1.0 standard)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electronische Inktgegevens (Jot 1.0 standaard)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="JPEG"></code>
-     <display value="Joint Photographic Experts Group"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Joint Photographic Expert Group"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Octet-stream"></code>
-     <display value="Uninterpreted binary data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ongeïnterpreteerde binaire gegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PICT"></code>
-     <display value="PICT format image data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PICT formaat beeldgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PostScript"></code>
-     <display value="PostScript program"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PostScript"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RTF"></code>
-     <display value="Rich Text Format"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rich Text Format"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SGML"></code>
-     <display value="Standard Generalized Markup Language (HL7 V2.3.1 and later)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Standard Generalized Markup Language (vanaf HL7 v2.3.1)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TIFF"></code>
-     <display value="TIFF image data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="TIFF afbeeldinggegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backwards compatibility only as of v2.6 and CDA R 2. Preferred value is text/xml.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit vanaf v2.6 en CDAr2. Voorkeurswaarde is text/xml."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="x-hl7-cda-level-one"></code>
-     <display value="HL7 Clinical Document Architecture Level One document"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="HL7 Clinical Document Architecture Level One document"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="XML"></code>
-     <display value="Extensible Markup Language (HL7 V2.3.1 and later)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Extensible Markup Language (vanaf HL7 v2.3.1)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="…"></code>
-     <display value="Source RFC 2046"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bron RFC 2046"></value>
+      <value value="Kliniek verwijzing"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -18411,17 +26073,213 @@
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="HMO referral"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="HMO verwijzing"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Transfer from a hospital"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlegung aus Krankenhaus"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overplaatsing vanuit een ziekenhuis"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Transfer from a skilled nursing facility"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlegung aus Pflegeeinrichtung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overplaatsing vanuit opgeleide verpleegkundige organisatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="Transfer from another health care facility"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlegung aus sonstiger Gesundheitseinrichtung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overplaatsing vanuit andere zorginstelling"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="Emergency room"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Notfallambulanz"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoedkamer"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Court/law enforcement"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zwangseinweisung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gerechterlijke/juridische dwang"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Information not available"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Information verfügbar"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Informatie niet beschikbaar"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
      </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0292"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0027"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0292"></id>
+    <id value="v2-0027"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -18432,14 +26290,14 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0292"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0027"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.182"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.15"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0292"></name>
-    <title value="v2 Vaccines Administered"></title>
+    <name value="v2.0027"></name>
+    <title value="v2 PRIORITY (COMPONENT 6 QTY/TIMING[735])"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -18449,7 +26307,144 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0292 ( Vaccines Administered)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0027 ( PRIORITY (COMPONENT 6 QTY/TIMING[735]))"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="As soon as possible (a priority lower than stat)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="schnellstmöglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zo snel mogelijk. (prioriteit lager dan stat)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Preoperative (to be done prior to surgery)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="präoperativ"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Preoperatief (doen voorafgaand aan operatie)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Routine"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Stat (do immediately)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="sofort"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stat (onmiddellijk uitvoeren)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Timing critical (do as near as possible to requested time)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zum vereinbarten Zeitpunkt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="timing kritiek (uitvoering zo dicht mogelijk bij gevraagde tijd)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0033"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0033"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0033"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.16"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0033"></name>
+    <title value="v2 ROUTE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0033 ( ROUTE)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -18464,4020 +26459,15 @@
      <type value="dateTime"></type>
     </property>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="diphtheria, tetanus toxoids and pertussis vaccine">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="difterie-kinkhoest-tetanus vaccin"></valueString>
-        </extension>
-       </extension>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0052"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.21"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0052"></name>
-    <title value="v2 Diagnosis Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0052 ( Diagnosis Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Admitting"></display>
+     <code value="AP"></code>
+     <display value="Apply externally"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Aufnahme"></value>
+      <value value="externe Applikatione"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -22485,19 +26475,27 @@
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Opname"></value>
+      <value value="Uitwendig gebruiken"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="F"></code>
-     <display value="Final"></display>
+     <code value="CH"></code>
+     <display value="Chew"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Enddiagnose"></value>
+      <value value="Kautablette"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -22505,389 +26503,27 @@
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Definitief"></value>
+      <value value="Kauwen"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="W"></code>
-     <display value="Working"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werk"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0294"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0294"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0294"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.183"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0294"></name>
-    <title value="v2 Time Selection Criteria Parameter Class Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0294 ( Time Selection Criteria Parameter Class Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Fri"></code>
-     <display value="An indicator that Friday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat vrijdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Mon"></code>
-     <display value="An indicator that Monday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat maandag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Geef in component 2 een tijd met formaat UUMM op basis van de 24-uurs kloknotatie, waarbij UU = uren en MM = minuten"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Prefend"></code>
-     <display value="An indicator that there is a preferred end time for the appointment request, service or resource."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De geprefereerde eindtijd voor de afspraakverzoek, service, of resource."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Geef in component 2 een tijd met formaat UUMM op basis van de 24-uurs kloknotatie, waarbij UU = uren en MM = minuten"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Prefstart"></code>
-     <display value="An indicator that there is a preferred start time for the appointment request, service or resource."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De geprefereerde starttijd voor de afspraakverzoek, service, of resource."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Sat"></code>
-     <display value="An indicator that Saturday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat zaterdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Sun"></code>
-     <display value="An indicator that Sunday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat zondag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Thu"></code>
-     <display value="An indicator that Thursday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat donderdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Tue"></code>
-     <display value="An indicator that Tuesday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat dinsdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In component 2, specify OK or NO.
-OK = Preferred appointment day NO = Day is not preferred">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Wed"></code>
-     <display value="An indicator that Wednesday is or is not preferred for the day on which the appointment will occur."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indicator dat woensdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0298"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0298"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0298"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.184"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0298"></name>
-    <title value="v2 CP Range Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0298 ( CP Range Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Flat-rate. Apply the entire price to this interval, do not pro-rate the price if the full interval has not occurred/been consumed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vaste prijs. Pas de gehele prijs toe op dit interval, bereken niet naar rato in het geval dat niet het hele interval is opgetreden/is verbruikt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Pro-rate. Apply this price to this interval, pro-rated by whatever portion of the interval has occurred/been consumed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pro rato. Pas deze prijs toe op dit interval, naar rato van het deel van het interval dat is opgetreden/is verbruikt"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0299"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0299"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0299"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.185"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0299"></name>
-    <title value="v2 Encoding"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0299 ( Encoding)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="No encoding - data are displayable ASCII characters."></display>
+     <code value="DU"></code>
+     <display value="Dust"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="keine Kodierung"></value>
+      <value value="Puder"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -22895,53 +26531,717 @@ OK = Preferred appointment day NO = Day is not preferred">
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="geen codering - gegevens zijn leesbare ASCII-tekens"></value>
+      <value value="Stof"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The Request For Comment (RFC) 1521 standard is available at: http://www.ietf.org/rfc/rfc1521.txt">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="De Request For Comment (RFC) 1521 standaard is vinden via: http://www.ietf.org/rfc/rfc1521.txt"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Base64"></code>
-     <display value="Encoding as defined by MIME (Multipurpose Internet Mail Extensions) standard RFC 1521. Four consecutive ASCII characters represent three consecutive octets of binary data. Base64 utilizes a 65-character subset of US-ASCII, consisting of both the upper and"></display>
+     <code value="EA"></code>
+     <display value="Ear"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ohr"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="codering zoals gedefinieerd door MIME (Multipurpose Internet Mail Extensions) standaard RFC 1521. Vier opeenvolgende ASCII-tekens stellen drie, enkelvoudige octetten binaire gegevens voor. Base64 gebruikt een subset van 65-tekens uit US-ASCII, bestaande uit zowel de alfabetische hoofd- als de kleine letters, de cijfers &quot;0&quot; tot en met &quot;9&quot;, &quot;+&quot;, &quot;/&quot; en &quot;=&quot;."></value>
+      <value value="Oor"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="Hex"></code>
-     <display value="Hexadecimal encoding - consecutive pairs of hexadecimal digits represent consecutive single octets."></display>
+     <code value="EY"></code>
+     <display value="Eye"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auge"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="hexadecimale codering - paarsgewijze hexadecimale getallen stellen sequentiële, enkelvoudige octetten voor"></value>
+      <value value="Oog"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IA"></code>
+     <display value="Intro-arterial"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intraarteriell"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intro-arteriaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ID"></code>
+     <display value="Intra-dermal"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intradermal"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intra-dermaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IF"></code>
+     <display value="Infiltrate"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="infiltrieren"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Infiltratie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IH"></code>
+     <display value="Inhalation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inhalation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inhalatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IM"></code>
+     <display value="Intra-muscular"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intramuskulär"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intra-musculair"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Intra-nasal"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intranasal"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intro-nasaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IR"></code>
+     <display value="Irrigate"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Einlauf"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Irrigatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IS"></code>
+     <display value="Inserted"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Implantat"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ingebracht"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IT"></code>
+     <display value="Intrathecal"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intrathekal"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intrathecaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="IV"></code>
+     <display value="Intravenous"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intravenös"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intraveneus"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NB"></code>
+     <display value="Nebulized"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="vernebelt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verneveld"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NG"></code>
+     <display value="Nathogasic"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nasogastral"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Peri-anally"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="peranal"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Peri-anaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PT"></code>
+     <display value="Paint"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="aufpinseln"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verf"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PU"></code>
+     <display value="IV push"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="intravenöser Bolus"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="IV push"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RC"></code>
+     <display value="Rectally"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="rektal"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rectaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SH"></code>
+     <display value="Shampoo"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Shampoo"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Shampoo"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SL"></code>
+     <display value="Sublingual"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="subligual"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sublinguaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SO"></code>
+     <display value="Soak"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="drchtränken"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Soppen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SS"></code>
+     <display value="IV soluset"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Iv-Lösung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="IV soluset"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="TP"></code>
+     <display value="Topically"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="topisch"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Topicaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="WA"></code>
+     <display value="Wash"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="waschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wassen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="WI"></code>
+     <display value="Wipe"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="wischen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vegen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0280"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0034"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0280"></id>
+    <id value="v2-0034"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -22952,14 +27252,14 @@ OK = Preferred appointment day NO = Day is not preferred">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0280"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0034"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.173"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.17"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0280"></name>
-    <title value="v2 Referral Priority"></title>
+    <name value="v2.0034"></name>
+    <title value="v2 SITE ADMINISTERED"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -22969,410 +27269,291 @@ OK = Preferred appointment day NO = Day is not preferred">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0280 ( Referral Priority)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0034 ( SITE ADMINISTERED)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="B"></code>
+     <display value="Buttock"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gesäß"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bil"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Left arm"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="linker Arm"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Linker arm"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0038"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0038"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0038"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.18"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0038"></name>
+    <title value="v2 ORDER STATUS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0038 ( ORDER STATUS)"></description>
     <content value="complete"></content>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString>
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Zo spoedig mogelijk"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
      <code value="A"></code>
-     <display value="ASAP"></display>
+     <display value="Some, but not all, results available"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="einige, aber nicht alle, Resultate verfügbar"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ZSM"></value>
+      <value value="Sommige maar niet alle resultaten beschikbaar"></value>
      </designation>
     </concept>
     <concept>
-     <code value="R"></code>
-     <display value="Routine"></display>
+     <code value="CA"></code>
+     <display value="Order was canceled"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag storniert"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Routine"></value>
+      <value value="Aanvraag is geannuleerd"></value>
      </designation>
     </concept>
     <concept>
-     <code value="S"></code>
-     <display value="STAT"></display>
+     <code value="CM"></code>
+     <display value="Order is completed"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="STAT"></value>
+      <value value="Auftrag ausgeführt"></value>
      </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0281"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0281"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0281"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.174"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0281"></name>
-    <title value="v2 Referral Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0281 ( Referral Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="Hom"></code>
-     <display value="Home Care"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Thuiszorg"></value>
+      <value value="Aanvraag is afgerond"></value>
      </designation>
     </concept>
     <concept>
-     <code value="Lab"></code>
-     <display value="Laboratory"></display>
+     <code value="DC"></code>
+     <display value="Order was discontinued"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ausführung des Auftrags abgebrochen"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Laboratorium"></value>
+      <value value="Aanvraag is afgebroken"></value>
      </designation>
     </concept>
     <concept>
-     <code value="Med"></code>
-     <display value="Medical"></display>
+     <code value="ER"></code>
+     <display value="Error, order not found"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag nicht gefunden"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medisch"></value>
+      <value value="Fout, aanvraag niet gevonden"></value>
      </designation>
     </concept>
     <concept>
-     <code value="Psy"></code>
-     <display value="Psychiatric"></display>
+     <code value="HD"></code>
+     <display value="Order is on hold"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsbearbeitung ausgesetzt"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Psychiatrisch"></value>
+      <value value="Aanvraag is aangehouden"></value>
      </designation>
     </concept>
     <concept>
-     <code value="Rad"></code>
-     <display value="Radiology"></display>
+     <code value="IP"></code>
+     <display value="In process, unspecified"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Radiologie"></value>
+      <value value="Auftrag in Bearbeitung"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="Skn"></code>
-     <display value="Skilled Nursing"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0282"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0282"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0282"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.175"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0282"></name>
-    <title value="v2 Referral Disposition"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0282 ( Referral Disposition)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AM"></code>
-     <display value="Assume Management"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verondersteld management"></value>
+      <value value="Aanvraag loopt, niet-specificeerd"></value>
      </designation>
     </concept>
     <concept>
      <code value="RP"></code>
-     <display value="Return Patient After Evaluation"></display>
+     <display value="Order has been replaced"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag ist ersetzt worden"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Terugkomst patiënt na onderzoek"></value>
+      <value value="Aanvraag is vervangen"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SO"></code>
-     <display value="Second Opinion"></display>
+     <code value="SC"></code>
+     <display value="In process, scheduled"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Second opinion"></value>
+      <value value="Auftrag hat Termin oder ist in Ausführung"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="WR"></code>
-     <display value="Send Written Report"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Stuur geschreven verslag"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0283"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0283"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0283"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.176"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0283"></name>
-    <title value="v2 Referral Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0283 ( Referral Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Accepted"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geaccepteerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Expired"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verlopen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Pending"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bezig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Rejected"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geweigerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0284"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0284"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0284"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.177"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0284"></name>
-    <title value="v2 Referral Category"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0284 ( Referral Category)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Ambulatory"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dagbehandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Inpatient"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Outpatient"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Poliklinisch"></value>
+      <value value="Aanvraag loopt, is gepland"></value>
      </designation>
     </concept>
    </CodeSystem>
@@ -24595,264 +28776,6 @@ OK = Preferred appointment day NO = Day is not preferred">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0286"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0286"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0286"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.178"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0286"></name>
-    <title value="v2 Provider Role"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0286 ( Provider Role)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CP"></code>
-     <display value="Consulting Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Adviserende zorgverlener"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PP"></code>
-     <display value="Primary Care Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eerstelijns zorgverlener"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RP"></code>
-     <display value="Referring Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijzende zorgverlener"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RT"></code>
-     <display value="Referred to Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwezen naar zorgverlener"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0287"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0287"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0287"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.3"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0287"></name>
-    <title value="v2 Action Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0287 ( Action Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AD"></code>
-     <display value="ADD"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toevoegen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CO"></code>
-     <display value="CORRECT"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Corrigeren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DE"></code>
-     <display value="DELETE"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijderen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LI"></code>
-     <display value="LINK"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="verknüpfen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Koppelen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SP"></code>
-     <display value="Used in Snapshot mode"></display>
-    </concept>
-    <concept>
-     <code value="UC"></code>
-     <display value="UNCHANGED"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ongewijzigd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UN"></code>
-     <display value="UNLINK"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verknüpfung auflösen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ontkoppelen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UP"></code>
-     <display value="UPDATE"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Updaten"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0048"></fullUrl>
   <resource>
@@ -25894,6 +29817,1729 @@ OK = Preferred appointment day NO = Day is not preferred">
    </CodeSystem>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0052"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0052"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0052"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.21"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0052"></name>
+    <title value="v2 Diagnosis Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0052 ( Diagnosis Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Admitting"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opname"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Final"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enddiagnose"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Definitief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Working"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werk"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0061"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0061"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0061"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.22"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0061"></name>
+    <title value="v2 CHECK DIGIT SCHEME"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0061 ( CHECK DIGIT SCHEME)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een niet-gestanst nummer op bancaire kaarten en gebruikt voor validatie van de autenticiteit van de kaart en de person die de kaart heeft"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BCV"></code>
+     <display value="Bank Card Validation Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bancaire kaart validatienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ISO"></code>
+     <display value="ISO 7064: 1983"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ISO 7064: 1983"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ISO 7064: 1983"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M10"></code>
+     <display value="Mod 10 algorithm"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Modulo10-Verfahren"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mod 10 algoritme"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M11"></code>
+     <display value="Mod 11 algorithm"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Modulo11-Verfahren"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mod 11 algoritme"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NPI"></code>
+     <display value="Check digit algorithm in the US National Provider Identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Controlegetal algoritme van de Amerikaanse Nationale Provider identificatie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0062"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0062"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0062"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.23"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0062"></name>
+    <title value="v2 EVENT REASON"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0062 ( EVENT REASON)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="01"></code>
+     <display value="Patient request"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Veranlassung durch Patient"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Op verzoek patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="02"></code>
+     <display value="Physician/health practitioner order"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Veranlassung durch den Arzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Op aanvraag arts/zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="03"></code>
+     <display value="Census management"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Veranlassung durch Patientenverwaltung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gezamenlijk besluit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="andere Veranlassung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Veranlassung unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0063"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0063"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0063"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.24"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0063"></name>
+    <title value="v2 Relationship"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0063 ( Relationship)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ASC"></code>
+     <display value="Associate"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Collègue"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zakenpartner"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BRO"></code>
+     <display value="Brother"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bruder"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Broer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CGV"></code>
+     <display value="Care giver"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pflegeeltern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CHD"></code>
+     <display value="Child"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kind"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kind"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DEP"></code>
+     <display value="Handicapped dependent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Begleitperson für Hilfsbedürftige"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gehandicapt afhankelijke"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DOM"></code>
+     <display value="Life partner"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lebenspartner"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Levenspartner"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EMC"></code>
+     <display value="Emergency contact"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ansprechpartner in Notfällen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Noodgeval contact"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EME"></code>
+     <display value="Employee"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Angestellter"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werknemer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EMR"></code>
+     <display value="Employer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeitgeber"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eployer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EXF"></code>
+     <display value="Extended family"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="erweiterter Familienkreis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verre familie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FCH"></code>
+     <display value="Foster child"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pflegekind"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pleegkind"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FND"></code>
+     <display value="Friend"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Freund"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Friend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FTH"></code>
+     <display value="Father"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vater"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vader"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GCH"></code>
+     <display value="Grandchild"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enkel"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kleinkind"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GRD"></code>
+     <display value="Guardian"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pate"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voogd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GRP"></code>
+     <display value="Grandparent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Großeltern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Grootouder"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MGR"></code>
+     <display value="Manager"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Manager"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Manager"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MTH"></code>
+     <display value="Mother"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mutter"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Moeder"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NCH"></code>
+     <display value="Natural child"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="eigenes Kind"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Biologisch kind"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NON"></code>
+     <display value="None"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OAD"></code>
+     <display value="Other adult"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="anderer Erwachsener"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere volwassene"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OTH"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="andere"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OWN"></code>
+     <display value="Owner"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigentümer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigenaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PAR"></code>
+     <display value="Parent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eltern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ouder"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SCH"></code>
+     <display value="Stepchild"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stiefkind"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stiefkind"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SEL"></code>
+     <display value="Self"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="selbst"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zelf"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SIB"></code>
+     <display value="Sibling"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geschwister"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Broer/zus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SIS"></code>
+     <display value="Sister"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schwester"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SPO"></code>
+     <display value="Spouse"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Partner"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Huwelijkse partner"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TRA"></code>
+     <display value="Trainer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Trainer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Trainer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UNK"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WRD"></code>
+     <display value="Ward of court"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vormund"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wettelijke voogd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0065"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0065"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0065"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.25"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0065"></name>
+    <title value="v2 ACTION CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0065 ( ACTION CODE)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="A"></code>
+     <display value="Add ordered tests to the existing specimen"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusätzliche Tests zur vorhandenen Probe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voeg gevraagde tests toe aan bestaande monster"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Cancel order for battery or tests named"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornoauftrag zu bekannter Probe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer aanvraag voor genoemde battery of tests"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1990-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Generated order; reflex order"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nachgeordneter Auftrag / Auftrag als Reaktion auf Untersuchungsergebnis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gegenereerde aanvraag / reflexaanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Lab to obtain specimen from patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Holauftrag für Labor"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lab verzamelt monster van patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Specimen obtained by service other than Lab"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Probe wird / wurde mit dem Auftrag zur Verfügung gestellt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Monster wordt afgenomen door een service anders dan het Lab"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Pending specimen; Order sent prior to delivery"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Probe steht noch aus - Auftrag liegt schon vor"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wachtend op monster - Aanvraag gestuurd voorafgaand aan levering"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Revised order"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geänderter Auftrag"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Herziene aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Schedule the tests specified below"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spezifizierte Untersuchungen einplanen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Plan de tests zoals hieronder gespecificeerd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0066"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0066"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0066"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.26"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0066"></name>
+    <title value="v2 Employment status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0066 ( Employment status)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="see chapter 6"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zie hoofdstuk 6"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Full time employed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vollzeit"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voltijd baan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Part time employed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Teilzeit"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parttime baan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Unemployed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nicht erwerbstätig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werkloos"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Self-employed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Selbständig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zelfstandige"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Retired"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pensioniert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gepensioneerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="On active military duty"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Militärdienst"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="In actieve militaire dienst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Contract, per diem"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contract, per diem"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Per Diem"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Per diem"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Full Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voltijd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Leave of absence (e.g., family leave, sabbatical, etc.)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlof (bijv. familieomstandigheden, sabbatical, etc.)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Part Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parttime"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Temporarily unemployed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zeitweise ohne Anstellung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijk werkloos"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0069"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0069"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0069"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.27"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0069"></name>
+    <title value="v2 Hospital service"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0069 ( Hospital service)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CAR"></code>
+     <display value="Cardiac Service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hart behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MED"></code>
+     <display value="Medical Service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medisch behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PUL"></code>
+     <display value="Pulmonary Service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pulmonaire behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SUR"></code>
+     <display value="Surgical Service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chirurgische behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="URO"></code>
+     <display value="Urology Service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uologische behandeling"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0070"></fullUrl>
   <resource>
@@ -36208,1850 +41854,6 @@ Note: This can be applied to quantitative or qualitative observations.">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0061"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0061"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0061"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.22"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0061"></name>
-    <title value="v2 CHECK DIGIT SCHEME"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0061 ( CHECK DIGIT SCHEME)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een niet-gestanst nummer op bancaire kaarten en gebruikt voor validatie van de autenticiteit van de kaart en de person die de kaart heeft"></valueString>
-        </extension>
-       </extension>
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-    <concept>
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-     <display value="Other"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="andere"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-     <display value="Owner"></display>
-     <designation>
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-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Ouder"></value>
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-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Stiefkind"></value>
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-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="selbst"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Zelf"></value>
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-     <display value="Sibling"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Geschwister"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Broer/zus"></value>
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-    <concept>
-     <code value="SIS"></code>
-     <display value="Sister"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Schwester"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SPO"></code>
-     <display value="Spouse"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Partner"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Huwelijkse partner"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TRA"></code>
-     <display value="Trainer"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Trainer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Trainer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UNK"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WRD"></code>
-     <display value="Ward of court"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vormund"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wettelijke voogd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0065"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0065"></id>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0065"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
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-    <version value="2.9"></version>
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-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    <description value="FHIR Value set/code system definition for HL7 v2 table 0065 ( ACTION CODE)"></description>
-    <content value="complete"></content>
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-     <type value="code"></type>
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-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
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-     <type value="dateTime"></type>
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-    <concept>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Zusätzliche Tests zur vorhandenen Probe"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voeg gevraagde tests toe aan bestaande monster"></value>
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-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Cancel order for battery or tests named"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornoauftrag zu bekannter Probe"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer aanvraag voor genoemde battery of tests"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
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-    <concept>
-     <code value="G"></code>
-     <display value="Generated order; reflex order"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Nachgeordneter Auftrag / Auftrag als Reaktion auf Untersuchungsergebnis"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gegenereerde aanvraag / reflexaanvraag"></value>
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-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Lab to obtain specimen from patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Holauftrag für Labor"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lab verzamelt monster van patiënt"></value>
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-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Specimen obtained by service other than Lab"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Probe wird / wurde mit dem Auftrag zur Verfügung gestellt"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Monster wordt afgenomen door een service anders dan het Lab"></value>
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-     <display value="Pending specimen; Order sent prior to delivery"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Probe steht noch aus - Auftrag liegt schon vor"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Wachtend op monster - Aanvraag gestuurd voorafgaand aan levering"></value>
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-     <display value="Revised order"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Geänderter Auftrag"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Herziene aanvraag"></value>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Spezifizierte Untersuchungen einplanen"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Plan de tests zoals hieronder gespecificeerd"></value>
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-     <valueCode value="external"></valueCode>
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0066"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
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-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    <description value="FHIR Value set/code system definition for HL7 v2 table 0066 ( Employment status)"></description>
-    <content value="complete"></content>
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-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
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-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
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-    <concept>
-     <code value="..."></code>
-     <display value="see chapter 6"></display>
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-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="zie hoofdstuk 6"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
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-    <concept>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Vollzeit"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Voltijd baan"></value>
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-     <code value="2"></code>
-     <display value="Part time employed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Teilzeit"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Parttime baan"></value>
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-     <code value="3"></code>
-     <display value="Unemployed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Nicht erwerbstätig"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Werkloos"></value>
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-    <concept>
-     <code value="4"></code>
-     <display value="Self-employed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Selbständig"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Zelfstandige"></value>
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-    <concept>
-     <code value="5"></code>
-     <display value="Retired"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Pensioniert"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Gepensioneerd"></value>
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-    <concept>
-     <code value="6"></code>
-     <display value="On active military duty"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Militärdienst"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="In actieve militaire dienst"></value>
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-    <concept>
-     <code value="9"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="unbekannt"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Onbekend"></value>
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-    <concept>
-     <code value="C"></code>
-     <display value="Contract, per diem"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contract, per diem"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Per Diem"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Per diem"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Full Time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voltijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Leave of absence (e.g., family leave, sabbatical, etc.)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verlof (bijv. familieomstandigheden, sabbatical, etc.)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Part Time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parttime"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Temporarily unemployed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="zeitweise ohne Anstellung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijk werkloos"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0069"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0069"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0069"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.27"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0069"></name>
-    <title value="v2 Hospital service"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0069 ( Hospital service)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CAR"></code>
-     <display value="Cardiac Service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hart behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MED"></code>
-     <display value="Medical Service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medisch behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PUL"></code>
-     <display value="Pulmonary Service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pulmonaire behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SUR"></code>
-     <display value="Surgical Service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Chirurgische behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="URO"></code>
-     <display value="Urology Service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uologische behandeling"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0091"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0091"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0091"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.35"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0091"></name>
-    <title value="v2 QUERY PRIORITY"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0091 ( QUERY PRIORITY)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Deferred"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zeitverzögert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitgesteld"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Immediate"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sofort"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onmiddellijk"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0092"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0092"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0092"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.36"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0092"></name>
-    <title value="v2 RE-ADMISSION INDICATOR"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0092 ( RE-ADMISSION INDICATOR)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="R"></code>
-     <display value="Re-admission"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wiederaufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Heropname"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0098"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0098"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0098"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.37"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0098"></name>
-    <title value="v2 Type of Agreement"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0098 ( Type of Agreement)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="M"></code>
-     <display value="Maternity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Moederschap"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Standard"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Standaard"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unified"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geünificeerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0080"></fullUrl>
   <resource>
@@ -38616,10 +42418,10 @@ Note: This can be applied to quantitative or qualitative observations.">
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.3.1-0360"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0091"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-2.3.1-0360"></id>
+    <id value="v2-0091"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -38630,759 +42432,14 @@ Note: This can be applied to quantitative or qualitative observations.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0360|2.3.1"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0091"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.219"></value>
-    </identifier>
-    <version value="0360"></version>
-    <name value="v2.0360.2.3.1"></name>
-    <title value="v2 table 0360, Version 2.3.1"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="v2 table definition for v2.0360.2.3.1"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="AA"></code>
-     <display value="Associate of Arts"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AAS"></code>
-     <display value="Associate of Applied Science"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ABA"></code>
-     <display value="Associate of Business Administration"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AE"></code>
-     <display value="Associate of Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AS"></code>
-     <display value="Associate of Science"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BA"></code>
-     <display value="Bachelor of Arts"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BBA"></code>
-     <display value="Bachelor of Business Administration"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BE"></code>
-     <display value="Bachelor or Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BFA"></code>
-     <display value="Bachelor of Fine Arts"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BN"></code>
-     <display value="Bachelor of Nursing"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BS"></code>
-     <display value="Bachelor of Science"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BSL"></code>
-     <display value="Bachelor of Science - Law"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BSN"></code>
-     <display value="Bachelor on Science - Nursing"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BT"></code>
-     <display value="Bachelor of Theology"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANP"></code>
-     <display value="Certified Adult Nurse Practitioner"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CER"></code>
-     <display value="Certificate"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CMA"></code>
-     <display value="Certified Medical Assistant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CNM"></code>
-     <display value="Certified Nurse Midwife"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CNP"></code>
-     <display value="Certified Nurse Practitioner"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CNS"></code>
-     <display value="Certified Nurse Specialist"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CPNP"></code>
-     <display value="Certified Pediatric Nurse Practitioner"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CRN"></code>
-     <display value="Certified Registered Nurse"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DBA"></code>
-     <display value="Doctor of Business Administration"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DED"></code>
-     <display value="Doctor of Education"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DIP"></code>
-     <display value="Diploma"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DO"></code>
-     <display value="Doctor of Osteopathy"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="EMT"></code>
-     <display value="Emergency Medical Technician"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="EMTP"></code>
-     <display value="Emergency Medical Technician - Paramedic"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="FPNP"></code>
-     <display value="Family Practice Nurse Practitioner"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="HS"></code>
-     <display value="High School Graduate"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="JD"></code>
-     <display value="Juris Doctor"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MA"></code>
-     <display value="Master of Arts"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MBA"></code>
-     <display value="Master of Business Administration"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MCE"></code>
-     <display value="Master of Civil Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MD"></code>
-     <display value="Doctor of Medicine"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MDA"></code>
-     <display value="Medical Assistant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MDI"></code>
-     <display value="Master of Divinity"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ME"></code>
-     <display value="Master of Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MED"></code>
-     <display value="Master of Education"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MEE"></code>
-     <display value="Master of Electrical Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MFA"></code>
-     <display value="Master of Fine Arts"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MME"></code>
-     <display value="Master of Mechanical Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MS"></code>
-     <display value="Master of Science"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MSL"></code>
-     <display value="Master of Science - Law"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MSN"></code>
-     <display value="Master of Science - Nursing"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MT"></code>
-     <display value="Master of Theology"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="NG"></code>
-     <display value="Non-Graduate"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="NP"></code>
-     <display value="Nurse Practitioner"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Physician Assistant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PHD"></code>
-     <display value="Doctor of Philosophy"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PHE"></code>
-     <display value="Doctor of Engineering"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PHS"></code>
-     <display value="Doctor of Science"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PN"></code>
-     <display value="Advanced Practice Nurse"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PharmD"></code>
-     <display value="Doctor of Pharmacy"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RMA"></code>
-     <display value="Registered Medical Assistant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RPH"></code>
-     <display value="Registered Pharmacist"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="SEC"></code>
-     <display value="Secretarial Certificate"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="TS"></code>
-     <display value="Trade School Graduate"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0216"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0216"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0216"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.120"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.35"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0216"></name>
-    <title value="v2 Patient Status Code"></title>
+    <name value="v2.0091"></name>
+    <title value="v2 QUERY PRIORITY"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -39392,40 +42449,116 @@ Note: This can be applied to quantitative or qualitative observations.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0216 ( Patient Status Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0091 ( QUERY PRIORITY)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AI"></code>
-     <display value="Active Inpatient"></display>
+     <code value="D"></code>
+     <display value="Deferred"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeitverzögert"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Actieve patiënt"></value>
+      <value value="Uitgesteld"></value>
      </designation>
     </concept>
     <concept>
-     <code value="DI"></code>
-     <display value="Discharged Inpatient"></display>
+     <code value="I"></code>
+     <display value="Immediate"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sofort"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ontslagen patiënt"></value>
+      <value value="Onmiddellijk"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0217"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0092"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0217"></id>
+    <id value="v2-0092"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0092"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.36"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0092"></name>
+    <title value="v2 RE-ADMISSION INDICATOR"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0092 ( RE-ADMISSION INDICATOR)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="R"></code>
+     <display value="Re-admission"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wiederaufnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Heropname"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0098"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0098"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -39436,14 +42569,14 @@ Note: This can be applied to quantitative or qualitative observations.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0217"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0098"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.121"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.37"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0217"></name>
-    <title value="v2 Visit priority code"></title>
+    <name value="v2.0098"></name>
+    <title value="v2 Type of Agreement"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -39453,182 +42586,23 @@ Note: This can be applied to quantitative or qualitative observations.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0217 ( Visit priority code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0098 ( Type of Agreement)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="1"></code>
-     <display value="Emergency"></display>
+     <code value="M"></code>
+     <display value="Maternity"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Spoed"></value>
+      <value value="Moederschap"></value>
      </designation>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="Urgent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Urgent"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Elective"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zelf gekozen"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0459"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0459"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0459"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.293"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0459"></name>
-    <title value="v2 Reimbursement Action Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="OCE line item denial or rejection is not ignored"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="OCE line item denial or rejection is ignored"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="External line item denial. Line item is denied even if no OCE edits"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="External line item rejection. Line item is rejected even if no OCE edits"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0450"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0450"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0450"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.286"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0450"></name>
-    <title value="v2 Event type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0450 ( Event type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="LOG"></code>
-     <display value="Log Event"></display>
-    </concept>
-    <concept>
-     <code value="SER"></code>
-     <display value="Service Event"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0210"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0210"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0210"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.115"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0210"></name>
-    <title value="v2 Relational Conjunction"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0210 ( Relational Conjunction)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AND"></code>
-     <display value="Default"></display>
+     <code value="S"></code>
+     <display value="Standard"></display>
      <designation>
       <language value="nl"></language>
       <use>
@@ -39639,24 +42613,25 @@ Note: This can be applied to quantitative or qualitative observations.">
      </designation>
     </concept>
     <concept>
-     <code value="OR"></code>
+     <code value="U"></code>
+     <display value="Unified"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="OF"></value>
+      <value value="Geünificeerd"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0211"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0100"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0211"></id>
+    <id value="v2-0100"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -39667,14 +42642,14 @@ Note: This can be applied to quantitative or qualitative observations.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0211"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0100"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.116"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.38"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0211"></name>
-    <title value="v2 Alternate Character Sets"></title>
+    <name value="v2.0100"></name>
+    <title value="v2 WHEN TO CHARGE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -39684,636 +42659,18 @@ Note: This can be applied to quantitative or qualitative observations.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0211 ( Alternate Character Sets)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="8859/1"></code>
-     <display value="The printable characters from the ISO 8859/1 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/1 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/15"></code>
-     <display value="The printable characters from the ISO 8859/15 (Latin-15)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/15 tekenset (Latin-15)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/2"></code>
-     <display value="The printable characters from the ISO 8859/2 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/2 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/3"></code>
-     <display value="The printable characters from the ISO 8859/3 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/3 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/4"></code>
-     <display value="The printable characters from the ISO 8859/4 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/4 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/5"></code>
-     <display value="The printable characters from the ISO 8859/5 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/5 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/6"></code>
-     <display value="The printable characters from the ISO 8859/6 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/6 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/7"></code>
-     <display value="The printable characters from the ISO 8859/7 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/7 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/8"></code>
-     <display value="The printable characters from the ISO 8859/8 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/8 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8859/9"></code>
-     <display value="The printable characters from the ISO 8859/9 Character set"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare tekens uit de ISO 8859/9 tekenset"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(This is the default if this field is omitted)">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Dit is de standaardwaarde als het veld wordt leeggelaten."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ASCII"></code>
-     <display value="The printable 7-bit ASCII character set."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De leesbare 7-bit ASCII tekenset."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Does not need an escape sequence.
-
-BIG-5 does not need an escape sequence. ASCII is a 7 bit character set, which means that the top bit of the byte is “0”. The parser knows that when the top bit of the byte is “0”, the character set is ASCII. When it is “1”, the following bytes should be handled as 2 bytes (or more). No escape technique is needed. However, since some servers do not correctly interpret when they receive a top bit “1”, it is advised, in internet RFC, to not use these kind of non-safe non-escape extension.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Heeft geen escape-sequentie nodig. BIG-5 heeft geen escape-sequentie nodig. ASCII is een 7-bit tekenset wat betekent dat het top bit van de byte &quot;0&quot; is. De parser weet dat wanneer de top bit van de byte &quot;0&quot; is, de tekenset ASCII is. Als het &quot;1&quot; is, moeten de volgende bytes in paren van 2 bytes (of meer) worden verwerkt. Er is geen escape techniek vereist. Echter, omdat sommige servers niet goed verwerken bij een top bit van &quot;1&quot;, wordt geadviseerd in de internet RFC, om dit type onveilige extensie, zonder escaping, niet te gebruiken."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BIG-5"></code>
-     <display value="Code for Taiwanese Character Set (BIG-5)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor Taiwanese tekenset (BIG-5)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Does not need an escape sequence.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Heeft geen escape-sequentie nodig."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CNS 11643-1992"></code>
-     <display value="Code for Taiwanese Character Set (CNS 11643-1992)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor Taiwanese tekenset (CNS 11643-1992)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Does not need an escape sequence.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Heeft geen escape-sequentie nodig."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="GB 18030-2000"></code>
-     <display value="Code for Chinese Character Set (GB 18030-2000)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor Chinese tekenset (GB 18030-2000)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Note that the code contains a space, i.e., &quot;ISO IR14&quot;.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Merk op dat de code een spatie bevat, dus &quot;ISO IR14&quot;."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ISO IR14"></code>
-     <display value="Code for Information Exchange (one byte)(JIS X 0201-1976)."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor informatieuitwisseling (één byte)(JIS X 0201-1976)."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Note that the code contains a space, i.e., &quot;ISO IR159&quot;.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Merk op dat de code een spatie bevat, dus &quot;ISO IR159&quot;."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ISO IR159"></code>
-     <display value="Code of the supplementary Japanese Graphic Character set for information interchange (JIS X 0212-1990)."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor het aanvullende Japanse ideogramschrift voor informatieuitwisseling (JIS X 0212-1990)."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="http://www.itscj.ipsj.or.jp/ISO-IR/006.pdf">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="http://www.itscj.ipsj.or.jp/ISO-IR/006.pdf"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ISO IR6"></code>
-     <display value="ASCII graphic character set consisting of 94 characters."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ASCII ideogramtekenset bestaande uit 94 tekens."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Note that the code contains a space, i.e., “ISO IR87”.
-
-The JIS X 0208 needs an escape sequence. In Japan, the escape technique is ISO 2022. From basic ASCII, escape sequence “escape” $ B (in HEX, 1B 24 42) lets the parser know that following bytes should be handled 2-byte wise. Back to ASCII is 1B 28 42.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Merk op dat de code een spatie bevat, dus &quot;ISO IR87&quot;. De JIS X 0208 heeft een escape-sequentie nodig. In Japan is de escape-techniek ISO 2020. Vanuit basiaal ASCII laat escape-sequentie &quot;escape&quot; $ B (in HEX, 1B 24 42) de parser weten dat de volgende bytes in paren van 2 bytes moeten worden verwerkt. Terug in ASCII is dat dan 1B 28 42."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ISO IR87"></code>
-     <display value="Code for the Japanese Graphic Character set for information interchange (JIS X 0208-1990),"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor de Japanse ideogramschrift voor informatieuitwisseling (JIS X 0208-1990)."></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="JAS2020"></code>
-     <display value="A subset of ISO2020 used for most Kanjii transmissions"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een subset van ISO 2020 meestal gebruikt voor Kanjii verzendingen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="JIS X 0202"></code>
-     <display value="ISO 2022 with escape sequences for Kanjii"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ISO 2022 met escape-sequenties voor Kanjii"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="KS X 1001"></code>
-     <display value="Code for Korean Character Set (KS X 1001)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Code voor Koreaanse tekenset (KS X 1001)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated. Retained for backward compatibility only as v 2.5. Replaced by specific Unicode encoding codes.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen. Behouden voor backward compatibility sinds v2.5. Vervangen door specifieke codes voor Unicode tekstcodering."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UNICODE"></code>
-     <display value="The world wide character standard from ISO/IEC 10646-1-1993"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De wereldwijde tekensetstandaard van ISO/IEC 10646-1-1993"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="UTF-16 is identical to ISO/IEC 10646 UCS-2. Note that the code contains a space before UTF but not before and after the hyphen.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="UTF-16 is identiek aan ISO/IEC 10646 UCS-2. Merk op dat de code een spatie bevat voor UTF maar niet voor en na het koppelteken."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UNICODE UTF-16"></code>
-     <display value="UCS Transformation Format, 16-bit form"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="UCS Transformatieformaat, 16-bits vorm"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="UTF-32 is defined by Unicode Technical Report #19, and is an officially recognized encoding as of Unicode Version 3.1. UTF-32 is a proper subset of ISO/IEC 10646 UCS-4. Note that the code contains a space before UTF but not before and after the hyphen.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="UTF-32 wordt gedefinieerd door Unicode Technical Report #19 en is een officieel erkende codering sinds Unicode versie 3.1. UTF-32 is een geldige subset van ISO/IEC 10646 UCS-4. Merk op dat de code een spatie bevat voor UTF maar niet voor en na het koppelteken."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UNICODE UTF-32"></code>
-     <display value="UCS Transformation Format, 32-bit form"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="UCS Transformatieformaat, 32-bits vorm"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="UTF-8 is a variable-length encoding, each code value is represented by 1,2 or 3 bytes, depending on the code value. 7 bit ASCII is a proper subset of UTF-8. Note that the code contains a space before UTF but not before and after the hyphen. Since UTF-8 represents the full UNICODE character set, the following restriction apply to its use: 
-1. UTF-8 must be the default encoding of the message, UTF-8 cannot be specified as an additional character set in MSH-18
-2. There are no other character sets allowed in a message where UTF-8 is the default encoding in the message.
-In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
-3. A message encoded in UTF-8 must not use a Byte Order Mark (BOM).">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="UTF-8 is een tekstcodering met variabele lengte, waarbij iedere codewaarde wordt gerepresenteerd door 1, 2, of 3 bytes, afhankelijk van de codewaarde. 7-bits ASCII is een geldige subset van UTF-8. Merk op dat de code een spatie bevat voor UTF maar niet voor en na het koppelteken. Aangezien UTF-8 de volledige UNICODE tekenset vertegenwoordigt, zijn de volgende restricties van toepassing op gebruik:&lt;p/&gt;1. UTF-8 moet de standaardcodering zijn van het bericht, UTF-8 kan niet worden gespecificeerd als extra tekenset in MSH-18&lt;p/&gt;2. Er zijn geen andere tekensets toegestaan in een bericht waarin UTF-8 is standaard tekstcodering is.&lt;p/&gt;Met andere woorden, UNICODE UTF-8 kan niet met andere waarden voorkomen in MSH-18&lt;p/&gt;3. Een bericht in UTF-8 mag &lt;b&gt;geen&lt;/b&gt; Byte Order Mark (BOM) bevatten."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UNICODE UTF-8"></code>
-     <display value="UCS Transformation Format, 8-bit form"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="UCS Transformatieformaat, 8-bits vorm"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0213"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0213"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0213"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.117"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0213"></name>
-    <title value="v2 Purge Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0213 ( Purge Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0100 ( WHEN TO CHARGE)"></description>
     <content value="complete"></content>
     <concept>
      <code value="D"></code>
-     <display value="The visit is marked for deletion and the user cannot enter new data against it."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Het bezoek is gemarkeerd voor verwijdering en de gebruiker kan geen nieuwe gegevens bij het bezoek invoeren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="The visit is marked inactive and the user cannot enter new data against it."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Het bezoek is gemarkeerd als inactief en de gebruiker kan geen nieuwe gegevens bij het bezoek invoeren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Marked for purge.  User is no longer able to update the visit."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gemarkeerd voor opruiming. Gebruiker kan het bezoek niet langer bijwerken."></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0455"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0455"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0455"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.290"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0455"></name>
-    <title value="v2 Type of bill code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0455 ( Type of bill code)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
+     <display value="On discharge"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="keine Werte vorgeschlagen"></value>
+      <value value="Bei Entlassung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -40321,189 +42678,19 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="131"></code>
-     <display value="Hospital - Outpatient - Admit thru Discharge Claim"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="141"></code>
-     <display value="Hospital - Other - Admit thru Discharge Claim"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0214"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0214"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0214"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.118"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0214"></name>
-    <title value="v2 Special Program Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0214 ( Special Program Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CH"></code>
-     <display value="Child Health Assistance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Jeugdgezondheid assistentie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ES"></code>
-     <display value="Elective Surgery Program"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electief chirurgisch programma"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FP"></code>
-     <display value="Family Planning"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gezinsplanning"></value>
+      <value value="Bij ontslag"></value>
      </designation>
     </concept>
     <concept>
      <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0456"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0456"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0456"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.291"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0456"></name>
-    <title value="v2 Revenue code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0456 ( Revenue code)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
+     <display value="On receipt of order"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="keine Werte vorgeschlagen"></value>
+      <value value="Bei Auftragseingang"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -40511,622 +42698,77 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="260"></code>
-     <display value="IV Therapy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vruchtbaarheidstherapie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="280"></code>
-     <display value="Oncology"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Oncologie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="301"></code>
-     <display value="Lab/Chemistry"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lab/chemie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="991"></code>
-     <display value="Cafeteria /Guest Tray"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Cafetaria/gastdienblad"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="993"></code>
-     <display value="Telephone/Telegraph"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefoon/telegraaf"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="994"></code>
-     <display value="TV/Radio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="TV/radio"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0215"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0215"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0215"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.119"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0215"></name>
-    <title value="v2 Publicity Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0215 ( Publicity Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Family only"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen familie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="No Publicity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen publiciteit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0457"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0457"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0457"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.292"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0457"></name>
-    <title value="v2 Overall claim disposition code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall claim disposition code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="No edits present on claim"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Only edits present are for line item denial or rejection"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Multiple-day claim with one or more days denied or rejected"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Claim denied, rejected, suspended or returned to provider with only post payment edits"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Claim denied, rejected, suspended or returned to provider with only pre payment edits"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0205"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0205"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0205"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.110"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0205"></name>
-    <title value="v2 Price Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0205 ( Price Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AP"></code>
-     <display value="administrative price or handling fee"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Administratieve prijs of verwerkingsvergoeding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DC"></code>
-     <display value="direct unit cost"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Direct stuksprijs"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IC"></code>
-     <display value="indirect unit cost"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indirecte stuksprijs"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PF"></code>
-     <display value="professional fee for performing provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zakelijke vergoeding voor uitvoerende zorgverlener"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TF"></code>
-     <display value="technology fee for use of equipment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Technologievergoeding voor apparaatgebruik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TP"></code>
-     <display value="total price"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Totaalprijs"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UP"></code>
-     <display value="unit price, may be based on length of procedure or service"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stuksprijs, mogelijk gebaseerd op duur van behandeling of service"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0206"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0206"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0206"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.111"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0206"></name>
-    <title value="v2 Segment Action Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0206 ( Segment Action Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Add/Insert"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Einfügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toevoegen/invoegen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Delete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Löschen/Stornieren"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijderen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Used in Snapshot mode"></display>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Updaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="No Change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen wijziging"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0207"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0207"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0207"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.112"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0207"></name>
-    <title value="v2 Processing Mode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0207 ( Processing Mode)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Archive"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Archiveren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Initial load"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Initieel laden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString>
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Niet aanwezig (de standaardwaarde, betekent huidige verwerking)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Not present"></code>
-     <display value="Not present (the default, meaning current  processing)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet aanwezig"></value>
+      <value value="Bij ontvangst van aanvraag"></value>
      </designation>
     </concept>
     <concept>
      <code value="R"></code>
-     <display value="Restore from archive"></display>
+     <display value="At time service is completed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mit Ende der Leistungserbringung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Herstellen uit archief"></value>
+      <value value="Bij voltooiing service"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="At time service is started"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Am Beginn der Leistungserbringung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bij aanvang service"></value>
      </designation>
     </concept>
     <concept>
      <code value="T"></code>
-     <display value="Current processing, transmitted at intervals (scheduled or on demand)"></display>
+     <display value="At a designated date/time"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zum angegebenen Zeitpunkt"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Huidige verwerking, verstuurd op basis van intervallen (gepland of op aanvraag)"></value>
+      <value value="Op opgegeven moment"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0208"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0102"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0208"></id>
+    <id value="v2-0102"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -41137,14 +42779,14 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0208"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0102"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.113"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.39"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0208"></name>
-    <title value="v2 Query Response Status"></title>
+    <name value="v2.0102"></name>
+    <title value="v2 DELAYED ACKNOWLEDGMENT TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -41154,72 +42796,197 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0208 ( Query Response Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0102 ( DELAYED ACKNOWLEDGMENT TYPE)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="D"></code>
+     <display value="Message received, stored for later processing"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nachricht erhalten, zur Bearbeitung gespeichert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bericht ontvangen, opgeslagen voor verdere verwerking"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="acknowledgment after processing"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bestätigung nach Verarbeitung (veraltet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bevestiging na verwerking"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0103"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0103"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0103"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.40"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0103"></name>
+    <title value="v2 PROCESSING ID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0103 ( PROCESSING ID)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AE"></code>
-     <display value="Application error"></display>
+     <code value="D"></code>
+     <display value="Debugging"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Test"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Applicatiefout"></value>
+      <value value="Debugging"></value>
      </designation>
     </concept>
     <concept>
-     <code value="AR"></code>
-     <display value="Application reject"></display>
+     <code value="N"></code>
+     <display value="Non-Production Testing"></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Production"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine / Produktion"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Applicatieweigering"></value>
+      <value value="Productie"></value>
      </designation>
     </concept>
     <concept>
-     <code value="NF"></code>
-     <display value="No data found, no errors"></display>
+     <code value="T"></code>
+     <display value="Training"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schulung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geen gegevens gevonden, geen fouten"></value>
+      <value value="Training"></value>
      </designation>
     </concept>
     <concept>
-     <code value="OK"></code>
-     <display value="Data found, no errors (this is the default)"></display>
+     <code value="V"></code>
+     <display value="Validation"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gegevens gevonden, geen fouten (dit is de standaardwaarde)"></value>
+      <value value="Validierung"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="PD"></code>
-     <display value="Protected data"></display>
-    </concept>
-    <concept>
-     <code value="TM"></code>
-     <display value="Too much data found"></display>
-    </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0209"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0104"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0209"></id>
+    <id value="v2-0104"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -41230,14 +42997,14 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0209"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0104"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.114"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.41"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0209"></name>
-    <title value="v2 Relational Operator"></title>
+    <name value="v2.0104"></name>
+    <title value="v2 VERSION CONTROL TABLE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -41247,140 +43014,7 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0209 ( Relational Operator)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CT"></code>
-     <display value="Contains"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bevat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EQ"></code>
-     <display value="Equal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gelijk aan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GE"></code>
-     <display value="Greater than or equal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Groter of gelijk aan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GN"></code>
-     <display value="Generic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Generiek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GT"></code>
-     <display value="Greater than"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Groter dan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LE"></code>
-     <display value="Less than or equal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kleiner dan of gelijk aan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LT"></code>
-     <display value="Less than"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kleiner dan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NE"></code>
-     <display value="Not Equal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ongelijk aan"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0440"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0440"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0440"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.280"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0440"></name>
-    <title value="v2 Data types"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0440 ( Data types)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0104 ( VERSION CONTROL TABLE)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -41396,277 +43030,571 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
     </property>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaced by XAD as of v 2.3">
+      <valueString value="September 1988">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Vervangen door XAD vanaf v2.3"></valueString>
+         <valueString value="September 1988"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="AD"></code>
-     <display value="Address"></display>
+     <code value="2.0"></code>
+     <display value="Release 2.0"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Version 2.0, September 1988"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Adres"></value>
+      <value value="Versie 2.0"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 6.5.6.14 IN1-14, as of v 2.5.">
+      <valueString value="October 1988">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Vervangt het datatype CM uit sectie 6.5.6.14 IN1-14 vanaf v2.5"></valueString>
+         <valueString value="Oktober 1988"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="AUI"></code>
-     <display value="Authorization information"></display>
+     <code value="2.0D"></code>
+     <display value="Demo 2.0"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Version 2.0, October 1988 (nur zu Demonstrationszwecken)"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Autorisatie informatie"></value>
+      <value value="Demo 2.0"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 4.5.2.1 BLG-1, as of v 2.5.">
+      <valueString value="March 1990">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Vervangt het datatype CM uit sectie 4.5.2.1 BLG-1 vanaf v2.5"></valueString>
+         <valueString value="Maart 1990"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CCD"></code>
-     <display value="Charge code and date"></display>
+     <code value="2.1"></code>
+     <display value="Release 2.1"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Version 2.1, März 1990"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Facturatiecode en datum"></value>
+      <value value="Versie 2.1"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5.">
+      <valueString value="December 1994">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Vervangt het datatype CM uit sectie 7.14.1.5 OBX-5.3 vanaf v2.5 als OBX-5 Observation value (*) datatype CD heeft."></valueString>
+         <valueString value="December 1994"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CCP"></code>
-     <display value="Channel calibration parameters"></display>
+     <code value="2.2"></code>
+     <display value="Release 2.2"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Version 2.2, Dezember 1994"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Kanaalcalibratie parameters"></value>
+      <value value="Versie 2.2"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="For waveform data only;.">
+      <valueString value="March 1997">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Alleen voor waveform gegevens"></valueString>
+         <valueString value="Maart 1997"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CD"></code>
-     <display value="Channel definition"></display>
+     <code value="2.3"></code>
+     <display value="Release 2.3"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Kanaaldefinitie"></value>
+      <value value="Versie 2.3"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
+      <valueString value="May 1999">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
+         <valueString value="Mei 1999"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CE"></code>
-     <display value="Coded element"></display>
+     <code value="2.3.1"></code>
+     <display value="Release 2.3.1"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gecodeerd element"></value>
+      <value value="Versie 2.3.1"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="65536"></valueString>
-     </extension>
-     <code value="CF"></code>
-     <display value="Coded element with formatted values"></display>
+     <code value="2.3.2"></code>
+     <display value="Release 2.3.2"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gecodeerd element met waarden met opmaak"></value>
+      <value value="Versie 2.3.2"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1999-05"></valueDateTime>
+     </property>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
+      <valueString value="November 2000">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
+         <valueString value="November 2000"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CK"></code>
-     <display value="Composite ID with check digit"></display>
+     <code value="2.4"></code>
+     <display value="Release 2.4"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Samengesteld ID met controlegetal"></value>
+      <value value="Versie 2.4"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN Replaced by numerous new unambiguous data types in v 2.5">
+      <valueString value="May 2003">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="VERVALLEN Vervangen door vele nieuwe niet-ambigue datatypen in v2.5"></valueString>
+         <valueString value="Mei 2003"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CM"></code>
-     <display value="Composite"></display>
+     <code value="2.5"></code>
+     <display value="Release 2.5"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Samengesteld"></value>
+      <value value="Versie 2.5"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN. Replaced by XCN as of v 2.3">
+      <valueString value="January 2007">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="VERVALLEN Vervangen door XCN vanaf v2.3"></valueString>
+         <valueString value="Januari 2007"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CN"></code>
-     <display value="Composite ID number and name"></display>
+     <code value="2.5.1"></code>
+     <display value="Release 2.5.1"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Samengesteld ID en naam"></value>
+      <value value="Versie 2.5.1"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="705"></valueString>
-     </extension>
-     <code value="CNE"></code>
-     <display value="Coded with no exceptions"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecodeerd zonder uitzonderingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Restores the original data type CN as was initially implementable in the CM used in sections 4.5.3.32 and 7.4.1.32-(OBR-32), 4.5.3.33 and 7.4.1.33 - (OBR-33) 4.5.3.34 and 7.4.1.34 - (OBR-34) 4.5.3.35 and 7.4.1.35 - (OBR-35). Components 7 and 8, however, have been promoted to data type IS to be consistent with current practice without violating backward compatibility.">
+      <valueString value="July 2007">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Brengt het oude datatype CN terug zoals oorspronkelijk implementeerbaar was in de CM van secties 4.5.3.32 en 7.4.1.32 (OBR-32), 4.5.3.33 en 7.4.1.33 (OBR-33) 4.5.3.34 en 7.4.1.34 (OBR-34) 4.5.3.35 en 7.4.1.35 (OBR-35). Componenten 7 en 8 zijn echter gepromoveerd tot datatype IS om consistent te zijn met de huidige praktijk zonder backward compatibiliteit te schaden."></valueString>
+         <valueString value="Juli 2007"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="CNN"></code>
-     <display value="Composite ID number and name simplified"></display>
+     <code value="2.6"></code>
+     <display value="Release 2.6"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Samengesteld ID en naam vereenvoudigd"></value>
+      <value value="Versie 2.6"></value>
      </designation>
     </concept>
     <concept>
-     <code value="CNS"></code>
-     <display value="Composite ID number and name simplified"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="November 2010">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="November 2010"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="2.7"></code>
+     <display value="Release 2.7"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie 2.6"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="July 2012">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Juli 2012"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="2.7.1"></code>
+     <display value="Release 2.7.1"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie 2.7.1"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="February 2014">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Juli 2014"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="2.8"></code>
+     <display value="Release 2.8"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie 2.8"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="April 2014">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="April 2014"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="2.8.1"></code>
+     <display value="Release 2.8.1"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie 2.8.1"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="May 2015"></valueString>
+     </extension>
+     <code value="2.8.2"></code>
+     <display value="Release 2.8.2"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Sep. 2017"></valueString>
+     </extension>
+     <code value="2.9"></code>
+     <display value="Draft 2.9"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0105"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0105"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0105"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.42"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0105"></name>
+    <title value="v2 SOURCE OF COMMENT"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0105 ( SOURCE OF COMMENT)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="L"></code>
+     <display value="Ancillary (filler) department is source of comment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Leistungsstelle"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere (filler) afdeling is bron van opmerking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other system is source of comment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere Stelle"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ander systeem is bron van opmerking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Orderer (placer) is source of comment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftraggeber / auftraggebende Stelle"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvrager (placer) is bron van opmerking"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0106"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0106"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0106"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.43"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0106"></name>
+    <title value="v2 QUERY FORMAT CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0106 ( QUERY FORMAT CODE)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="D"></code>
+     <display value="Response is in display format"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwort im Anzeige-Format"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoord is in weergavestructuur"></value>
+     </designation>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
@@ -41677,1673 +43605,69 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
      </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="."></valueString>
-     </extension>
-     <code value="CP"></code>
-     <display value="Composite price"></display>
+     <code value="R"></code>
+     <display value="Response is in record-oriented format"></display>
      <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Samengestelde prijs"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="CQ cannot be legally expressed when embedded within another data type. Its use is constrained to a segment field.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="CQ kan niet correct worden uitgedrukt binnen een ander datatype. Het kan alleen worden gebruikt in een segmentveld."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CQ"></code>
-     <display value="Composite quantity with units"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Samengestelde hoeveelheid met eenheden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 7.14.1.5 OBX-5-3 vanaf v2.5 waarbij OBX-5 Observation value (*) het datatype CD heeft."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CSU"></code>
-     <display value="Channel sensitivity and units"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kanaal gevoeligheid en eenheden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="705"></valueString>
-     </extension>
-     <code value="CWE"></code>
-     <display value="Coded with exceptions"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecodeerd met uitzonderingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="1913"></valueString>
-     </extension>
-     <code value="CX"></code>
-     <display value="Extended composite ID with check digit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitgebreid samengesteld ID met controlegetal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.7.30  IN2-30, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.7.30 IN2-30 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DDI"></code>
-     <display value="Daily deductible information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dagelijks aftrekbaar informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 15.4.6.12 STF-12 and 15.4.6.14 STF-13, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 15.4.6.12 STF-12 en 15.4.6.14 STF-13 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DIN"></code>
-     <display value="Date and institution name"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datum en naam instelling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 8.8.4.9 - OM2-9, as of v 2.5">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 8.8.4.9 - OM2-9 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DLD"></code>
-     <display value="Discharge to location and date"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ontslag naar locatie en datum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="66"></valueString>
-     </extension>
-     <code value="DLN"></code>
-     <display value="Driver's license number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rijbewijsnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="45"></valueString>
-     </extension>
-     <code value="DLT"></code>
-     <display value="Delta"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Delta"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="53"></valueString>
-     </extension>
-     <code value="DR"></code>
-     <display value="Date/time range"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datum/tijd bereik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="8"></valueString>
-     </extension>
-     <code value="DT"></code>
-     <display value="Date"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="24"></valueString>
-     </extension>
-     <code value="DTM"></code>
-     <display value="Date/time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datum/tijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.8.11  IN3-11, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.8.11 IN3-11 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DTN"></code>
-     <display value="Day type and number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dag type en nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Supports ASCII MIME-encoding of binary data.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Ondersteunt ASCII MIM-codering voor binaire gegevens"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ED"></code>
-     <display value="Encapsulated data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ingekapselde gegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="427"></valueString>
-     </extension>
-     <code value="EI"></code>
-     <display value="Entity identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 4.5.1.8 - ORC-8, 4.5.3.29 - OBR-29, 7.3.1.29 - OBR-29, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.1.8 - ORC-8, 4.5.3.29 - OBR-29, 7.3.1.29 - OBR-29 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="EIP"></code>
-     <display value="Entity identifier pair"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit identificatie paar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ELD"></code>
-     <display value="Error location and description"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Foutlocatie en omschrijving"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="18"></valueString>
-     </extension>
-     <code value="ERL"></code>
-     <display value="Error location"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Foutlocatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="47"></valueString>
-     </extension>
-     <code value="FC"></code>
-     <display value="Financial class"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Financiële klasse"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Appears ONLY in the PPN, XCN, and XPN.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Komt ALLEEN voor in PPN, XCN en XPN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="FN"></code>
-     <display value="Family name"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Achternaam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="65536"></valueString>
-     </extension>
-     <code value="FT"></code>
-     <display value="Formatted text"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tekst met opmaak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="199"></valueString>
-     </extension>
-     <code value="GTS"></code>
-     <display value="General timing specification"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Algemene specificatie van tijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="227"></valueString>
-     </extension>
-     <code value="HD"></code>
-     <display value="Hierarchic designator"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hiërarchische aanduiding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.8.20  IN3-20, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.8.20 IN3-20 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ICD"></code>
-     <display value="Insurance certification definition"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzekeringcertificatie definitie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Variable"></valueString>
-     </extension>
-     <code value="ID"></code>
-     <display value="Coded values for HL7 tables"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecodeerd waarde voor HL7-tabellen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="20"></valueString>
-     </extension>
-     <code value="IS"></code>
-     <display value="Coded value for user-defined tables"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecodeerde waarde voor gebruiker-gedefinieerde tabellen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="292"></valueString>
-     </extension>
-     <code value="JCC"></code>
-     <display value="Job code/class"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Baan code/klassificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 4.14.1.8 RXO-8 and 4.14.4.8 RXE-8 as of v 2.5. Retained for backward compatibility only as of v 2.5">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 4.14.1.8 RXO-8 en 4.14.4.8 RXE-8 vanaf v2.5. Behouden vanwege backward compatibiliteit vanaf v2.5."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="LA1"></code>
-     <display value="Location with address variation 1"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Locatie met adres variatie 1"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 4.14.5.13 RXD-13, 4.14.6.11 RXG-11 and 4.14.7.11 RXA-11 as of v 2.5. Retained for backward compatibility only as of v 2.5,">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 4.14.5.13 RXD-13, 4.14.6.11 RXG-11 en 4.14.7.11 RXA-11 vanaf v2.5. Behouden vanwege backward compatibiliteit vanaf v2.5."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="LA2"></code>
-     <display value="Location with address variation 2"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Locatie met adres variatie 2"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="For waveform data only">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor waveformgegevens"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MA"></code>
-     <display value="Multiplexed array"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Multiplexed arred"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="20"></valueString>
-     </extension>
-     <code value="MO"></code>
-     <display value="Money"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 4.5.3.23 OBR-23 and 7.4.1.23- OBR-23 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.3.23 OBR-23 en 7.4.1.23 OBR-23 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MOC"></code>
-     <display value="Money and charge code"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geld en facturatiecode"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.8.5  IN3-5, as of v 2.5. This data type is restricted to this field.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.8.5 IN3-5 vanaf v2.5. Dit datatype kan alleen in dit veld worden gebruikt."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MOP"></code>
-     <display value="Money or percentage"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geld of percentage"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 2.16.9.9 MSH-9 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 2.16.9.9 MSH-9 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MSG"></code>
-     <display value="Message type"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berichttype"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="For waveform data only">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor waveformgegevens"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NA"></code>
-     <display value="Numeric array"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Numerieke array"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 4.5.3.32 and 7.4.1.32-( OBR-32) , 4.5.3.33 and 7.4.1.33  - ( OBR-33) 4.5.3.34 and 7.4.1.34 - ( OBR-34) 4.5.3.35 and 7.4.1.35 - ( OBR-35) as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.3.32 en 7.4.1.32- (OBR-32), 4.5.3.33 and 7.4.1.33 - (OBR-33) 4.5.3.34 and 7.4.1.34 - (OBR-34) 4.5.3.35 en 7.4.1.35 - (OBR-35) vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NDL"></code>
-     <display value="Name with date and location"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naam met datum en locatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="16"></valueString>
-     </extension>
-     <code value="NM"></code>
-     <display value="Numeric"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Numeriek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3and 8.8.4.6.4- OM2-6.4, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3 en 8.8.4.6.4- OM2-6.4 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NR"></code>
-     <display value="Numeric range"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Numeriek bereik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 6.5.10.10 UB1-16 and 6.5.11.7 UB2-7, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.10.10 UB1-16 en 6.5.11.7 UB2-7 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OCD"></code>
-     <display value="Occurrence code and date"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gebeurtenis code en datum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OSD"></code>
-     <display value="Order sequence definition"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraagvolgorde definitie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.11.8 UB2-8, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.11.8 UB2-8 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OSP"></code>
-     <display value="Occurrence span code and date"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gebeurtenis spanne code en datum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 15.4.5.7 PRA-7 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 15.4.5.7 PRA-7 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PIP"></code>
-     <display value="Practitioner institutional privileges"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgverlener instellingsprivileges"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="1230"></valueString>
-     </extension>
-     <code value="PL"></code>
-     <display value="Person location"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Persoon locatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 and 11.6.4.7 CTD-7 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 en 11.6.4.7 CTD-7 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PLN"></code>
-     <display value="Practitioner license or other ID number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgverlener licentie of ander ID"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PN"></code>
-     <display value="Person name"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Persoonsnaam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="equivalent of an XCN joined with a TS">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Equivalent van een XCN met een TS"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PPN"></code>
-     <display value="Performing person time stamp"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uivoerende persoon en tijdstip"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 4.5.3.26 - OBR-26 and 7.4.1.26 - OBR-26 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.3.26 - OBR-26 en 7.4.1.26 - OBR-26 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PRL"></code>
-     <display value="Parent result link"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parent resultaat link"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="3"></valueString>
-     </extension>
-     <code value="PT"></code>
-     <display value="Processing type"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwerkingstype"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.7.29  IN2-29, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.7.29 IN2-29 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PTA"></code>
-     <display value="Policy type and amount"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Polistype en hoeveelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="212"></valueString>
-     </extension>
-     <code value="QIP"></code>
-     <display value="Query input parameter list"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Query invoerparameterlijst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="219"></valueString>
-     </extension>
-     <code value="QSC"></code>
-     <display value="Query selection criteria"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Queryselectie criteria"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="19"></valueString>
-     </extension>
-     <code value="RCD"></code>
-     <display value="Row column definition"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rij-kolom definitie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 8.8.4.6 - OM2-6, 8.8.4.7 - OM2-7 and8.8.4.8 - OM2-8 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 8.8.4.6 CM2-6, 8.8.4.7 CM2-7 en 8.8.84.8 CM2-8 vanaf v2.5."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RFR"></code>
-     <display value="Reference range"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Referentiewaardenbereik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="206"></valueString>
-     </extension>
-     <code value="RI"></code>
-     <display value="Repeat interval"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Herhaalinterval"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in section 6.5.7.28  IN2-28, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.7.28 IN2-28 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RMC"></code>
-     <display value="Room coverage"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kamerdekking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="273"></valueString>
-     </extension>
-     <code value="RP"></code>
-     <display value="Reference pointer"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijzing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="984"></valueString>
-     </extension>
-     <code value="RPT"></code>
-     <display value="Repeat pattern"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Herhaalpatroon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Appears ONLY in the XAD data type.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Komt ALLEEN voor in het XAD datatype"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SAD"></code>
-     <display value="Street Address"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Straatadres"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="For scheduling data only. See Chapter 10">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Ten behoeve van planningsgegevens. Zie hoofdstuk 10"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SCV"></code>
-     <display value="Scheduling class value pair"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Planningsklasse waardepaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="4"></valueString>
-     </extension>
-     <code value="SI"></code>
-     <display value="Sequence ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sequence ID"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="36"></valueString>
-     </extension>
-     <code value="SN"></code>
-     <display value="Structured numeric"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gestructureerde numerieke waarde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Definition: a string whose characters are limited to &quot;+&quot; and the decimal digits 0 through 9.  As a string, leading zeros are always considered significant.  Maximum length: Not specified for the type. May be specified in the context of use.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Definitie: een string waarvan de tekens beperkt zijn tot &quot;+&quot; en de decimale getallen 0 tot 9. Als normaal in strings zijn voorloopnullen significant. Maximumlengte: niet bepaald. Kan in gebruikscontext worden bepaald."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SNM"></code>
-     <display value="String of telephone number digits"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="String met telefoonnummercijfers"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 15.4.5.5 PRA-5 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 15.4.5.5 PRA-5 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SPD"></code>
-     <display value="Specialty description"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Specialisme omschrijving"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SPS"></code>
-     <display value="Specimen source"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Monster bron"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="15"></valueString>
-     </extension>
-     <code value="SRT"></code>
-     <display value="Sort order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sorteervolgorde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="199"></valueString>
-     </extension>
-     <code value="ST"></code>
-     <display value="String data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Platte tekst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="16"></valueString>
-     </extension>
-     <code value="TM"></code>
-     <display value="Time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TN"></code>
-     <display value="Telephone number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefoonnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TQ"></code>
-     <display value="Timing/quantity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing/hoeveelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="WITHDRAWN">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="VERVALLEN"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TS"></code>
-     <display value="Time stamp"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdstempel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="65536"></valueString>
-     </extension>
-     <code value="TX"></code>
-     <display value="Text data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tekstuele gegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in sections 6.5.10.10 UB1-10 and 6.5.11.6 UB2-6, as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in secties 6.5.10.10 UB1-10 en 6.5.11.6 UB2-6 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UVC"></code>
-     <display value="UB value code and amount"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="UB waardecode en hoeveelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="41"></valueString>
-     </extension>
-     <code value="VH"></code>
-     <display value="Visiting hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bezoekuren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="973"></valueString>
-     </extension>
-     <code value="VID"></code>
-     <display value="Version identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 5.10.5.3.11 QRD-11 as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 5.10.5.3.11 QRD-11 vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="VR"></code>
-     <display value="Value range"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Waardebereik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 7.14.1.3.1 OBX-5.1 where OBX-5 Observation value (*) is data type CD as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie 7.14.1.3.1 OBX-5-1 vanaf v2.5 waarbij OBX-5 Observation value (*) datatype CD heeft"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WVI"></code>
-     <display value="Channel Identifier"></display>
-     <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Kanaal identificatie"></value>
+      <value value="Antwort im datensatzorientierten Format"></value>
      </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces the CM data type used in 7.14.1.4 OBX-5.2 where OBX-5 Observation value (*) is data type CD as of v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt het CM datatype gebruikt in sectie7.14.1.4 OBX-5-2 vanaf v2.5 waarbij OBX-5 Observation value (*) datatype CD heeft"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WVS"></code>
-     <display value="Waveform source"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Waveform bron"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces AD as of v 2.3">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt AD vanaf v2.3"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XAD"></code>
-     <display value="Extended address"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitgebreid adres"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces CN as of v 2.3">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt CN vanaf v2.3"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XCN"></code>
-     <display value="Extended composite ID number and name for persons"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitgebreide samengestelde ID en naam voor personen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="567"></valueString>
-     </extension>
-     <code value="XON"></code>
-     <display value="Extended composite name and ID number for organizations"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Uitgebreide samengestelde ID en naam voor organisaties"></value>
+      <value value="Antwoord is in record-georiënteerde structuur"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces PN as of v 2.3.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt PN vanaf v2.3"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XPN"></code>
-     <display value="Extended person name"></display>
+     <code value="T"></code>
+     <display value="Response is in tabular format"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Uitgebreide persoonsnaam"></value>
+      <value value="Antwort im tabellenorientierten Format"></value>
      </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Replaces TN as of v 2.3">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangt TN vanaf v2.3"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XTN"></code>
-     <display value="Extended telecommunications number"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Uitgebreid telecommunicatienummer"></value>
+      <value value="Antwoord is in tabelstructuur"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0682"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0107"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0682"></id>
+    <id value="v2-0107"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -43354,14 +43678,14 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0682"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0107"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.386"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.44"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0682"></name>
-    <title value="v2 Device Status"></title>
+    <name value="v2.0107"></name>
+    <title value="v2 DEFERRED RESPONSE TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -43371,139 +43695,7 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0682 ( Device Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Door Locked"></valueString>
-     </extension>
-     <code value="0"></code>
-     <display value="Ready"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Door Unlocked"></valueString>
-     </extension>
-     <code value="1"></code>
-     <display value="Not Ready"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0441"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0441"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0441"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.281"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0441"></name>
-    <title value="v2 Immunization registry status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0441 ( Immunization registry status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Active"></display>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Inactive"></display>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Inactive - Lost to follow-up (cancel contract)"></display>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Inactive - Moved or gone elsewhere (cancel contract)"></display>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Inactive - Permanently inactive (Do not reactivate or add new entries to the record)"></display>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0200"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0200"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0200"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.104"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0200"></name>
-    <title value="v2 Name Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0200 ( Name Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0107 ( DEFERRED RESPONSE TYPE)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -43518,39 +43710,43 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
+     <code value="B"></code>
+     <display value="Before the Date/Time specified"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vor dem angegebenen Zeitpunkt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voor de opgegeven datum/tijd"></value>
+     </designation>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
+      <valueDateTime value="2007-10"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call &quot;alias&quot; may fit into this category.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam toegekend aan een persoon. Redenen voor sommige organisaties om alternatieve namen toe te kennen, kunnen zijn dat ze de echte naam niet kennen of om anonimiteit te garanderen. Sommige maar niet noodzakelijk alle namen die mensen &quot;alias&quot; noemen vallen mogelijk in deze categorie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A"></code>
-     <display value="Assigned"></display>
+     <code value="L"></code>
+     <display value="Later than the Date/Time specified"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Aliasname"></value>
+      <value value="Nach dem angegebenen Zeitpunkt"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43558,32 +43754,76 @@ In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Toegekend"></value>
+      <value value="Na de opgegeven datum/tijd"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
     </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0108"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0108"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0108"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.45"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0108"></name>
+    <title value="v2 QUERY RESULTS LEVEL"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0108 ( QUERY RESULTS LEVEL)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.
-This is not for temporary names assigned at birth while a newborn is not yet named">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam die een persoon kort na geboorte had. Meestal voor familienamen maar kan worden gebruikt om namen bij geboorte te markeren die later mogelijk zijn veranderd. Dit is niet voor tijdelijke namen die bij geboorte zijn toegekend zolang een nieuwgeborene nog geen naam heeft"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="B"></code>
-     <display value="Birth name"></display>
+     <code value="O"></code>
+     <display value="Order plus order status"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geburtsname"></value>
+      <value value="Auftrag und Auftragsstatus"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43591,31 +43831,27 @@ This is not for temporary names assigned at birth while a newborn is not yet nam
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geboortenaam"></value>
+      <value value="Aanvraag plus aanvragstatus"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name that was wrongly used in the past and is now maintained only for the purposes of searching">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam die in het verleden verkeerd is gebruikt en nu alleen ten behoeve van zoeken wordt bewaard"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BAD"></code>
-     <display value="Bad Name"></display>
+     <code value="R"></code>
+     <display value="Results without bulk text"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ungültiger Name"></value>
+      <value value="Ergebnisse / Befunde ohne umfänglichen Text"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43623,31 +43859,228 @@ This is not for temporary names assigned at birth while a newborn is not yet nam
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Incorrecte naam"></value>
+      <value value="Resultaten zonder bulktest"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name acquired by adoption">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam verkregen via adoptie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
+     <code value="S"></code>
+     <display value="Status only"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nur Statusinformation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen status"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Full results"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Komplette Ergebnisse / Befunde"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volledige resultaten"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0109"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0109"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0109"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.46"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0109"></name>
+    <title value="v2 REPORT PRIORITY"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0109 ( REPORT PRIORITY)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="R"></code>
+     <display value="Routine"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Normaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Stat"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eilig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stat"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0116"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0116"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0116"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.47"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0116"></name>
+    <title value="v2 BED STATUS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0116 ( BED STATUS)"></description>
+    <content value="complete"></content>
+    <concept>
      <code value="C"></code>
-     <display value="Adopted Name"></display>
+     <display value="Closed"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="angenommener Name"></value>
+      <value value="Nicht verfügbar"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43655,31 +44088,19 @@ This is not for temporary names assigned at birth while a newborn is not yet nam
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Adoptienaam"></value>
+      <value value="Gesloten"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Known as/conventional/the one you use.  May also be known asa preferred name.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bekend als/conventioneel/de naam die de persoon gebruikt. Kan ook bekend zijn als geprefereerde naam."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="D"></code>
-     <display value="Customary Name"></display>
+     <code value="H"></code>
+     <display value="Housekeeping"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="angezeigter Name"></value>
+      <value value="Reinigung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43687,51 +44108,19 @@ This is not for temporary names assigned at birth while a newborn is not yet nam
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Reguliere naam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fathers Name ( Patronymic Name)">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vaders' naam (Patroniem)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="F"></code>
-     <display value="Fathers Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Name des Vaters"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vaders' naam"></value>
+      <value value="Onderhoud"></value>
      </designation>
     </concept>
     <concept>
      <code value="I"></code>
-     <display value="Licensing Name"></display>
+     <display value="Isolated"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="nicht verwendet"></value>
+      <value value="Isoliert"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43739,33 +44128,19 @@ This is not for temporary names assigned at birth while a newborn is not yet nam
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Licentienaam"></value>
+      <value value="In isolatie"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name used in a Professional or Business context. Also includes writer’s pseudonym, artist’s name, stage name, street name, etc.
-
-An example of use is where a person with multiple proper names (i.e. married) uses one of the particular names in a professional">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam gebruikt in professionele of zakelijke context. Hieronder vallen het pseudoniem van een schrijver, artiestennaam, podiumnaam, streetnaam, etc. Een voorbeeld is een persoon met meerdere correcte namen (bijv. getrouwd), één van deze naam in professionele context hanteert"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
      <code value="K"></code>
-     <display value="Business name"></display>
+     <display value="Contaminated"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geschäftsname"></value>
+      <value value="Kontaminiert"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -43773,247 +44148,19 @@ An example of use is where a person with multiple proper names (i.e. married) us
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zakelijke naam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The formal name as registered in an official (government) registry, but which name might not be commonly used. May correspond to legal name
-For many people, customary name is also their official name">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="De formele naam zoals geregistreerd in een officieel (overheids)register, maar welke mogelijk normaal niet wordt gebruikt. Voor veel mensen is hun reguliere naam gelijk aan hun officële naam"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="L"></code>
-     <display value="Official Registry Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="gesetzlicher Name"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Officieel geregistreerde naam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name you had just before you got married">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam die de persoon had voordat hij/zij trouwde"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="M"></code>
-     <display value="Maiden Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Name als ledige Person (Ledigenname)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eigennaam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.
-
-Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Er is informatie over bekend maar deze is niet verstrekt door de zender vanwege veiligheid, privacy of andere redenen. Er is mogelijk een alternatief mechanisme om toegang te krijgen tot deze informatie. NB: Deze null flavor geeft wel informatie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MSK"></code>
-     <display value="Masked"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Name ist maskiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gemaskeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Nickname /&quot;Call me&quot; Name/Street Name">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bijnaam/roepnaam/straatnaam/geuzennaam"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="N"></code>
-     <display value="Nickname"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spitzname"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bijnaam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Information is not available at this time but it is expected that it will be available later.
-Includes John or Jane Doe situations">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Informatie is niet beschikbaar op dit moment maar wordt wel op een later moment verwacht. Geldt ook voor John of Jane Doe situaties"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NAV"></code>
-     <display value="Temporarily Unavailable"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Name zeitweise nicht verfügbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijk niet beschikbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A name assigned on a temporary basis at birth. i.e. &quot;Baby of Smith&quot;">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een naam die tijdelijk bij geboorte wordt toegekend. Bijv &quot;Baby'tje Jansen&quot;"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NB"></code>
-     <display value="Newborn Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Name zeitweise nicht verfügbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naam nieuwgeborene"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Name not to be used anymore for personal reasons">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Naam niet meer gebruiken om persoonlijke redenen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NOUSE"></code>
-     <display value="No Longer To Be Used"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nicht länger in Benutzung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet langer gebruiken"></value>
+      <value value="Besmet"></value>
      </designation>
     </concept>
     <concept>
      <code value="O"></code>
-     <display value="Other"></display>
+     <display value="Occupied"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="sonstiger Name"></value>
+      <value value="belegt"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -44021,215 +44168,19 @@ Includes John or Jane Doe situations">
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Anders"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v2.7.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.7."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="P"></code>
-     <display value="Name of Partner/Spouse"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nicht verwendet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naam van partner/echtgenoot"></value>
+      <value value="Bezet"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(animals only)
-Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead - has same meaning">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="(alleen dieren) Alleen voor backward compatibiliteit sinds v2.7. Gebruik &quot;L&quot; - deze heeft dezelfde betekenis"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="R"></code>
-     <display value="Registered Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zuchtname bei Tieren"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geregistreerde naam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="e.g. Sister Mary Francis, Brother John">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bijv. Zuster Maria, Broeder Jan"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="REL"></code>
-     <display value="Religious"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Religieus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Coded Pseudo-Name to ensure anonymity">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Gecodeerde pseudonaam voor anonimiteit"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="S"></code>
-     <display value="Pseudonym"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pseudonym (z.B. für Studien)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pseudoniem"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Indigenous/Tribal/Community Name  e.g. Chief Red Cloud">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Inheemse-/tribale-/gemeenschapsnaam bijv. Chief Red Cloud"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="T"></code>
-     <display value="Indigenous/Tribal"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammesname"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Inheemse-/tribae naam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A temporary name. Note that a name valid time can provide more detailed information.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een tijdelijke naam. Merk op dat de geldigheid van de naam meer gedetailleerde informatie kan bevatten."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TEMP"></code>
-     <display value="Temporary Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="temporärer Name"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijke naam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Unknown"></valueString>
-     </extension>
      <code value="U"></code>
-     <display value="Unknown"></display>
+     <display value="Unoccupied"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Name unbekannt"></value>
+      <value value="Frei"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -44237,17 +44188,17 @@ Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Onbekend"></value>
+      <value value="Niet-bezet"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0442"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0119"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0442"></id>
+    <id value="v2-0119"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -44258,14 +44209,14 @@ Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0442"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0119"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.282"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.48"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0442"></name>
-    <title value="v2 Location service code"></title>
+    <name value="v2.0119"></name>
+    <title value="v2 ORDER CONTROL"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -44275,155 +44226,57 @@ Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0442 ( Location service code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0119 ( ORDER CONTROL)"></description>
     <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Diagnostic"></display>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency Room Casualty"></display>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Primary Care"></display>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Therapeutic"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0201"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0201"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0201"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.106"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0201"></name>
-    <title value="v2 Telecommunication Use Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0201 ( Telecommunication Use Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ASN"></code>
-     <display value="Answering Service Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsdienst"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoorddienstnummer"></value>
-     </designation>
-    </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility as of v 2.6">
+      <valueString value="Placer Applications.
+AF is a response to RF where the placer authorizing a refill or quantity of refills.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="alleen voor backward compatibiliteit sinds v2.6"></valueString>
+         <valueString value="Placer applicaties. AF is een antwoord op RF waarbij de placer een herhaling autoriseert of een bepaalde hoeveelheid om aan te vullen"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="BPN"></code>
-     <display value="Beeper Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pagernummer (Cityruf o.ä.)"></value>
-     </designation>
+     <code value="AF"></code>
+     <display value="Order/service refill request approval"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Beeper-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EMR"></code>
-     <display value="Emergency Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Notfallnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Noodnummer"></value>
+      <value value="Aanvraag/service herhaling verzoek goedgekeurd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility as of v 2.6">
+      <valueString value="Placer or Filler Applications.
+A cancellation is a request by the placer for the filler, or the filler to the placer, not to do a previously ordered service. Confirmation of the cancellation request is provided by the filler or placer, e.g., a message with an ORC-1-order control value of CR.
+Typical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="alleen voor backward compatibiliteit sinds v2.6"></valueString>
+         <valueString value="Placer of filler applicaties. Een annulering is een verzoek voor de placer aan de filler, of de filler aan de placer, om de eerder aangevraagde service niet te doen. Bevestiging van het annuleringverzoek wordt gegeven door de filler of de placer, bijv. een bericht met"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="NET"></code>
-     <display value="Network (email) Address"></display>
+     <code value="CA"></code>
+     <display value="Cancel order/service request"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Netzwerkadresse (E-Mail)"></value>
+      <value value="Auftrag stornieren"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -44431,83 +44284,32 @@ Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Netwerk (e-mail)adres"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ORN"></code>
-     <display value="Other Residence Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nebenwohnsitznummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ander privénummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRN"></code>
-     <display value="Primary Residence Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hauptwohnsitznummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Primair privénummer"></value>
+      <value value="Annuleer aanvraag/service verzoek"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Not tied to a location or role">
+      <valueString value="Placer or Filler Applications.
+Used in conjunction with the PA - Parent order control code. Refer to PA order control code for discussion.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="niet gebonden aan een locatie of rol"></valueString>
+         <valueString value="Placer of filler applicaties. Gebruikt in samenwerking met de code PA - Bovenliggende aanvraag/service. Zie PA voor verdere discussie."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PRS"></code>
-     <display value="Personal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Persoonlijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VHN"></code>
-     <display value="Vacation Home Number"></display>
+     <code value="CH"></code>
+     <display value="Child order/service"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ferienwohnsitznummer"></value>
+      <value value="nachgeordneter Auftrag"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -44515,137 +44317,44 @@ Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Vakantie privénummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WPN"></code>
-     <display value="Work Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dienstnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zakelijk nummer"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0443"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0443"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0443"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.283"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0443"></name>
-    <title value="v2 Provider role"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0443 ( Provider role)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="PV1-17 Admitting doctor"></valueString>
-     </extension>
-     <code value="AD"></code>
-     <display value="Admitting"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aufnehmender Arzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PV1-17 Admitting doctor"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AI"></code>
-     <display value="Assistant/Alternate Interpreter"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="alternativer (oder Assistent des) Befundsarzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Assistent/tweede vertaler"></value>
+      <value value="Onderliggende/deel aanvraag/service"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RXA-10 Administering Provider"></valueString>
+      <valueString value="Filler Applications.
+The combined result code provides a mechanism to transmit results that are associated with two or more orders. This situation occurs commonly in radiology reports when the radiologist dictates a single report for two or more exams represented as two or more orders. For example, knee and hand films for a rheumatoid arthritis patient might generate a single dictation on the part of the radiologist.
+When such results are reported the CN code replaces the RE code in all but the last ORC, and the results follow the last ORC and its OBR. An example follows of a single report following three ORCs:
+MSH|...&lt;cr&gt;
+PID|...&lt;cr&gt;
+ORC|CN|...&lt;cr&gt;
+OBR|1|A4461XA^HIS|81641^RAD|73666^Bilateral Feet|...&lt;cr&gt;
+ORC|CN|...&lt;cr&gt;
+OBR|2|A4461XB^HIS|81642^RAD|73642^Bilateral Hand PA|...&lt;cr&gt;
+ORC|RE|...&lt;cr&gt;
+OBR|3|A4461XC^HIS|81643^RAD|73916^Bilateral Knees|...&lt;cr&gt;
+OBX|1|CE|73916&amp;IMP|1|Radiologist’s Impression|...&lt;cr&gt;
+OBX|2|CE|73642&amp;IMP|1|Radiologist’s Impression|...&lt;cr&gt;
+OBX|3|FT|73642&amp;GDT|1|Description|...&lt;cr&gt;">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties. De gecombineerde resultaatcode geeft een mechanisme om resultaten te sturen die zijn gekoppeld aan twee of meer aanvragen. Deze situatie komt vaak voor in radiologieverslagen als de radioloog één verslag dicteert voor twee of meer onderzoeken"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="AP"></code>
-     <display value="Administering Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RXA-10 Administering Provider"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="PV1-7 Attending doctor"></valueString>
-     </extension>
-     <code value="AT"></code>
-     <display value="Attending"></display>
+     <code value="CN"></code>
+     <display value="Combined result"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Behandelnder Arzt"></value>
+      <value value="Kumulatives Ergebnis (zu mehreren Aufträgen)"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -44653,1309 +44362,92 @@ Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="PV1-7 Attending doctor"></value>
+      <value value="Gecombineerd resultaat"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="OBR-10 Collector Identifier"></valueString>
+      <valueString value="Filler Applications.
+The control code CP – Cancel process step should be used in the ORC-1 for communication Filler-to-Filler, e.g., LIS-to-Analyzer, to differentiate from code CA (Placer-to-Filler).
+The Filler should response with an acceptance of the cancellation using ORC-1 = CR and ORC-5 = CA.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties. De code CP - Annuleer processtap is bedoeld voor in ORC-1 bij Filler-naar-Filler communicatie, bijv. LIS-naar-Analyzer, om verschil te kunnen maken tussen code CDA (Placer-naar-Filler). De Filler moet antwoorden met een acceptatie van "></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="CLP"></code>
-     <display value="Collecting Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OBR-10 Collector Identifier"></value>
-     </designation>
-    </concept>
-    <concept>
      <code value="CP"></code>
-     <display value="Consulting Provider"></display>
+     <display value="Cancel process step"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annuleer processtap"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler or Placer Applications.
+A response by the filler or placer application that a request to cancel (CA by the placer application) was performed successfully.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler of Placer applicaties. Een antwoord van de filler of placer applicatie om aan te geven dat een verzoek om te annuleren (CA door de placer applicatie) succesvol is uitgevoerd."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CR"></code>
+     <display value="Canceled as requested"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Beratender Arzt"></value>
+      <value value="Auftrag anweisungsgemäß storniert"></value>
      </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RXD-10 Dispensing Provider"></valueString>
-     </extension>
-     <code value="DP"></code>
-     <display value="Dispensing Provider"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="RXD-10 Dispensing Provider"></value>
+      <value value="Geannuleerd zoals gevraagd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="ORC-10 Entered By"></valueString>
-     </extension>
-     <code value="EP"></code>
-     <display value="Entering Provider (probably not the same as transcriptionist?)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORC-10 Entered By"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FHCP"></code>
-     <display value="Family Health Care Professional"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hausarzt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="ORC-19 Action By"></valueString>
-     </extension>
-     <code value="IP"></code>
-     <display value="Initiating Provider (as in action by)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORC-19 Action By"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="OBX-25 Performing Organization Medical Director"></valueString>
-     </extension>
-     <code value="MDIR"></code>
-     <display value="Medical Director"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OBX-25 Performing Organization Medical Director"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="ORC-12 Ordering Provider, OBR-16 Ordering Provider, RXO-14 Ordering Provider's DEA Number, RXE-13 Ordering Provider's DEA Number, ORC-24 Ordering Provider Address"></valueString>
-     </extension>
-     <code value="OP"></code>
-     <display value="Ordering Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORC-12 Ordering Provider, OBR-16 Ordering Provider, RXO-14 Ordering Provider's DEA Number, RXE-13 Ordering Provider's DEA Number, ORC-24 Ordering Provider Address"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID">
+      <valueString value="Placer or Filler Applications.
+A request by the placer for the filler, or the filler to the placer,  to discontinue a previously requested service. The differentiation between discontinue and cancel is that discontinue effects the order/service and all future occurrences, cancel refers to just the present action. 
+Typical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID"></valueString>
+         <valueString value="Placer of filer applicaties. Een verzoek van de placer aan de filler, of van de filler aan de placer, om een eerder aangevraagde service af te breken. Het verschil tussen afbreken en annuleren is dat afbreken de aanvraag/service betreft en alle "></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PH"></code>
-     <display value="Pharmacist   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Apotheker (onduidelijk hoe je &quot;Pharmacist/Treatment Supplier's Verifier ID&quot; uit elkaar haalt)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PI"></code>
-     <display value="Primary Interpreter"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verantwortlicher Übersetzer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Primaire tolk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PP"></code>
-     <display value="Primary Care Provider"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Durchgangsarzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eerstelijns zorgverlener"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="OBX-16 Responsible Observer">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OBX-16 Responsible Observer"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RO"></code>
-     <display value="Responsible Observer"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verantwoordelijk observator"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="PV1-8 Referring doctor">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="PV1-8 Referring doctor"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RP"></code>
-     <display value="Referring Provider"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="überweisender/einweisender Arzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijzend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RT"></code>
-     <display value="Referred to Provider"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Überweisungsempfänger"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgverlener naar wie is verwezen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TN"></code>
-     <display value="Technician"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MTA"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Technisch personeel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TR"></code>
-     <display value="Transcriptionist"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Schreibkraft"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Transscribent"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="ORC-11 Verified By">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="ORC-11 Verified By"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="VP"></code>
-     <display value="Verifying Provider"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Controlerend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="VPS"></code>
-     <display value="Verifying Pharmaceutical Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Controlerend farmaceutische leverancier (onduidelijk hoe je &quot;Pharmacist/Treatment Supplier's Verifier ID&quot; uit elkaar haalt)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="VTS"></code>
-     <display value="Verifying Treatment Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Controlerend behandeling leverancier (onduidelijk hoe je &quot;Pharmacist/Treatment Supplier's Verifier ID&quot; uit elkaar haalt)"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0202"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0202"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0202"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.107"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0202"></name>
-    <title value="v2 Telecommunication Equipment Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0202 ( Telecommunication Equipment Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="BP"></code>
-     <display value="Beeper"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beeper/Pager"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beeper"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CP"></code>
-     <display value="Cellular or Mobile Phone"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mobiltelephon"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mobiel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FX"></code>
-     <display value="Fax"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fax"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fax"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Internet"></code>
-     <display value="Internet Address"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Internet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Internetadres"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MD"></code>
-     <display value="Modem"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Modem"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Modem"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PH"></code>
-     <display value="Telephone"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telephon"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SAT"></code>
-     <display value="Satellite Phone"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Satellitentelefon"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Satelliettelefoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TDD"></code>
-     <display value="Telecommunications Device for the Deaf"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telecommunicatie-apparaat voor doven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TTY"></code>
-     <display value="Teletypewriter"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Teletypewriter"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="X.400"></code>
-     <display value="X.400 email address"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="X.400-Nummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="X.400 e-mailadres"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0444"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0444"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0444"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.284"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0444"></name>
-    <title value="v2 Name assembly order"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0444 ( Name assembly order)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Prefix Family Middle Given Suffix"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Familienname zuerst"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Prefix Achternaam Middle Voornaam Suffix"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="Prefix Given Middle Family Suffix"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Familienname hinten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Prefix Voornaam Middle Achternaam Suffix"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0203"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0203"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0203"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.108"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0203"></name>
-    <title value="v2 Identifier Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0203 ( Identifier Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AC"></code>
-     <display value="Accreditation/Certification Identifier"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Accession Identifier">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Accession identificatie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ACSN"></code>
-     <display value="Accession ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Accession ID"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated and replaced by BC in v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AM"></code>
-     <display value="American Express"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="American Express"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="American Express"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A physician identifier assigned by the AMA.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een zorgverleneridentificatie toegekend door de AMA"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AMA"></code>
-     <display value="American Medical Association Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="American Medical Association nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to an account.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een unieke identificatie van het account"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AN"></code>
-     <display value="Account number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kontonummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Accountnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial
-A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.
-Kreditorenkontonummer">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel. Een preciesere definitie van een accountnummer: soms moeten 2 verschillende accountnummers moeten worden doorgegeven in hetzelfde bericht, een als crediteur, de andere als debiteur. Crediteuraccountnummer."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ANC"></code>
-     <display value="Account number Creditor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Accountnummer crediteur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial
-A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.
-Debitorenkontonummer">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel. Een preciesere definitie van een accountnummer: soms moeten 2 verschillende accountnummers moeten worden doorgegeven in hetzelfde bericht, een als crediteur, de andere als debiteur. Debiteuraccountnummer."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AND"></code>
-     <display value="Account number debitor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Accountnummer debiteur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier for a living subject whose real identity is protected or suppressed
-Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Verklaring: t.b.v. volksgezondheid-doeleinden worden anonieme identificaties soms gebruikt voor bescherming van de identiteit van de patiënt bij melden van bepaalde resultaten. Zo kan een gezondheidsafdeling van een overheid voor een algoritme voor het genereren van nummers kiezen bij patiënten met een positieve HIV-antilichamentest. Anonieme identificaties kunnen worden gebruikt in PID-3 door het medisch dossiernummer of ander niet-anonieme identificatie te vervangen. De toekennende autoriteit voor de anonieme identificatie is dan de betreffende overheidsafdeling."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ANON"></code>
-     <display value="Anonymous identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anonieme identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial
-Temporary version of an Account Number.
-Use Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel. Tijdelijke versie van een accountnummer. Use case: een satellietsysteem dat normaal geen accountnummers toekent, is de eerste plaats waar een patiënt wordt geregistreerd. Dit satellietsysteem zal een tijdelijk accountnummer genereren dat wordt gebruikt totdat een officieel accountnummer wordt toegekend."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ANT"></code>
-     <display value="Temporary Account Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijk accountnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board"></valueString>
-     </extension>
-     <code value="APRN"></code>
-     <display value="Advanced Practice Registered Nurse number"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een unieke identificatie voor het oorspronkelijke monster. Alle afgeleide (kind, kleinkind, etc.) monsters van het oorspronkelijke monster delen hetzelfde Oorspronkelijke monster ID"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ASID"></code>
-     <display value="Ancestor Specimen ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Oorspronkelijk monster ID"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BA"></code>
-     <display value="Bank Account Number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bank Kontonummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bankrekeningnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial
-An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel. Een identificatie die uniek is voor iemand's bankpas. Vervangt AM, DI, DS, MS en VS vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BC"></code>
-     <display value="Bank Card Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bankrekeningnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BCFN"></code>
-     <display value="Birth Certificate File Number"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a document identifying the event of a person's birth.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een nummer gekoppeld aan een document die de geboorte van een persoon documenteert."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BCT"></code>
-     <display value="Birth Certificate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geboortecertificaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier unique within the Assigning Authority that is the official legal record of a person's birth.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een nummer gekoppeld aan de toekennende autoriteit die het officieel wettelijk afschrift van de geboorte van een persoon bijhoudt."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BR"></code>
-     <display value="Birth registry number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geburtsregisternummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geboorteregister-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BRN"></code>
-     <display value="Breed Registry Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dierenras-registernummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Betriebsstättennummer - for use in the German realm.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Betriebsstättennummer - voor gebruik in Duitse context."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BSNR"></code>
-     <display value="Primary physician office number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Primair zorgverlenerpraktijknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial
-Use Case: needed especially for transmitting information about invoices.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel. Use case: specifiek nodig voor doorgeven van informatie over facturen."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CC"></code>
-     <display value="Cost Center number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kostenplaatsnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a document identifying a person's legal change of name.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan een document met daarop de officiële wijziging van persoonsnaam."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CONM"></code>
-     <display value="Change of Name Document"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naamswijzigingdocument"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CY"></code>
-     <display value="County number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="County-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number assigned by a person's country of residence to identify a person's citizenship.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan het land van inwonerschap van een persoon om iemand staatsburgerschap aan te duiden."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CZ"></code>
-     <display value="Citizenship Card"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Staatsburgerschapkaart"></value>
-     </designation>
-    </concept>
-    <concept>
      <code value="DC"></code>
-     <display value="Death Certificate ID"></display>
-    </concept>
-    <concept>
-     <code value="DCFN"></code>
-     <display value="Death Certificate File Number"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a dentist within the jurisdiction of the licensing board">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een tandarts binnen het rechtsgebied van de licentiegever."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DDS"></code>
-     <display value="Dentist license number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tandarts licentienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier for an individual or organization relative to controlled substance regulation and transactions.
-Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. 
-A DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Use case: dit is een registratienummer die een persoon of organisatie aanduidt, gerelateerd aan gereguleerde substantie-wetgeving en transacties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DEA"></code>
-     <display value="Drug Enforcement Administration registration number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse Drug Enforcement Administration registratienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier issued to a health care provider authorizing the person to write drug orders
-Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie uitgegeven aan een zorgverlener die de persoon autoriseert om medicatie voor te schrijven. Use case: een nurse practitioner heeft toestemming om farmaceutische substanties te verstrekken of voor te schrijven; deze identificatie staat in component 1."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DFN"></code>
-     <display value="Drug Furnishing or prescriptive authority Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicatieverstrekker of voorschrijver autoriteitnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated and replaced by BC in v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DI"></code>
-     <display value="Diner's Club card"></display>
+     <display value="Discontinue order/service request"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Diners Club"></value>
+      <value value="Auftragsausführung abbrechen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -45963,19 +44455,31 @@ Use Case: A nurse practitioner has authorization to furnish or prescribe pharmac
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Diner's Club"></value>
+      <value value="Breek aanvraag/service verzoek af"></value>
      </designation>
     </concept>
     <concept>
-     <code value="DL"></code>
-     <display value="Driver's license number"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer or Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer of filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DE"></code>
+     <display value="Data errors"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Führerscheinnummer"></value>
+      <value value="Datenfehler"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -45983,135 +44487,65 @@ Use Case: A nurse practitioner has authorization to furnish or prescribe pharmac
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Rijbewijsnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DN"></code>
-     <display value="Doctor number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Arztnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Artsnummer"></value>
+      <value value="Gegevens fouten"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to an osteopath within the jurisdiction of a licensing board.">
+      <valueString value="Placer Applications.
+In response to a Filler application requesting refill authorization (RF), DF indicates that the placer does not authorize refills for the order. ORC-16 Order Control Code reason may be used to indicate the reason for the request denial. Some suggested values include:
+AA	Patient unknown to the provider
+AB	Patient never under provider care
+AC	Patient no longer under provider care
+AD	Patient has requested refill too soon
+AE	Medication never prescribed for the patient
+AF	Patient should contact provider first
+AG	Refill not appropriate
+Note that these values originate from the NCPDP SCRIPT Response Segment Code List Qualifiers. Materials Reproduced with the consent of ©National Council for Prescription Drug Programs, Inc. 1988, 1992, 2002 NCPDP.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een osteopaat binnen het rechtsgebied van de licentiegever."></valueString>
+         <valueString value="Placer applicaties. In antwoord op een autorisatieverzoek om te herhalen (RF) door de filler applicatie, geeft DF aan dat de placer geen autorisatie geeft voor herhaling van de order. ORC-16 Order Control Code Reason kan worden gebruikt om de reden voor afkeuring aan te geven."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="DO"></code>
-     <display value="Osteopathic License number"></display>
+     <code value="DF"></code>
+     <display value="Order/service refill request denied"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Osteopatisch licentienummer"></value>
+      <value value="Aanvraag/service herhaal verzoek afgekeurd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number assigned to a diplomatic passport.">
+      <valueString value="Filler or Placer Applications.
+The filler or placer, in response to a request to discontinue (DC from the placer or filler application), has discontinued the order/service.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie van een diplomatiek paspoort."></valueString>
+         <valueString value="Filler of placer applicaties. De filler of placer heeft de aanvraag/service afgebroken, in antwoord op een verzoek deze af te breken (DC van de aplcer of filler applicatie)."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="DP"></code>
-     <display value="Diplomatic Passport"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diplomatiek paspoort"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een podoloog binnen het rechtsgebied van de licentiegever."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DPM"></code>
-     <display value="Podiatrist license number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Podoloog licentienummer"></value>
-     </designation>
-    </concept>
-    <concept>
      <code value="DR"></code>
-     <display value="Donor Registration Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Donorregistratienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated and replaced by BC in v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DS"></code>
-     <display value="Discover Card"></display>
+     <display value="Discontinued as requested"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Discover Card"></value>
+      <value value="Auftragsausführung anweisungsgemäß abgebrochen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -46119,31 +44553,57 @@ Use Case: A nurse practitioner has authorization to furnish or prescribe pharmac
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Discover kaart"></value>
+      <value value="Afgebroken zoals gevraagd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number that uniquely identifies an employee to an employer.">
+      <valueString value="Filler Applications.
+FU notifies the placer that the filler issued a refill for the order at the patient's request.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een aanduiding die een werknemer uniek identificeert ten opzichte van een werkgever"></valueString>
+         <valueString value="Filler applicaties. Deze code meldt aan de placer dat de filler een herhaling heeft gedaan voor de aanvraag op verzoek van de patiënt."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="EI"></code>
-     <display value="Employee number"></display>
+     <code value="FU"></code>
+     <display value="Order/service refilled, unsolicited"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag/service herhaald, ongevraagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer Applications.
+Typical responses include, but are not limited to, CR - Cancelled as requested, UC - Unable to Cancel.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer applicaties. De meest voorkomende, maar niet enige, antwoord zijn CR - Geannuleerd zoals gevraagd, UC - Kon niet annuleren."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="HD"></code>
+     <display value="Hold order request"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Arbeitnehmernummer"></value>
+      <value value="Auftragsbearbeitung aussetzen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -46151,19 +44611,31 @@ Use Case: A nurse practitioner has authorization to furnish or prescribe pharmac
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Werknemernummer"></value>
+      <value value="Houd aanvraag aan verzoek"></value>
      </designation>
     </concept>
     <concept>
-     <code value="EN"></code>
-     <display value="Employer number"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="HR"></code>
+     <display value="On hold as requested"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Arbeitgebernummer"></value>
+      <value value="Auftragsbearbeitung anweisungsgemäß ausgesetzt"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -46171,369 +44643,116 @@ Use Case: A nurse practitioner has authorization to furnish or prescribe pharmac
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Werkgevernummer"></value>
+      <value value="Aangehouden zoals gevraagd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).">
+      <valueString value="Placer or Filler Applications.
+Refer to Chapter 12 Patient Care for complete discussion.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een aanduiding die een medewerker uniek identificeert binnen een bedrijf (zoals geïdentificeerd door de toekennende autoriteit)"></valueString>
+         <valueString value="Placer of filler applicaties. Zie Hoofdstuk 12 Patient Care voor vollledige discussie."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="ESN"></code>
-     <display value="Staff Enterprise Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medewerker bedrijfsnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FDR"></code>
-     <display value="Fetal Death Report ID"></display>
-    </concept>
-    <concept>
-     <code value="FDRFN"></code>
-     <display value="Fetal Death Report File Number"></display>
-    </concept>
-    <concept>
-     <code value="FI"></code>
-     <display value="Facility ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afdeling-ID"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FILL"></code>
-     <display value="Filler Identifier"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="GI"></code>
-     <display value="Guarantor internal identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="interne ID des Zahlungspflichtigen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Interne garantsteller identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="GL"></code>
-     <display value="General ledger number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Grootboeknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Financial">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: financieel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="GN"></code>
-     <display value="Guarantor external  identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="externe ID des Zahlungspflichtigen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Externe garantsteller identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="HC"></code>
-     <display value="Health Card Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gezondheidskaartnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number assigned to a member of an indigenous or aboriginal group outside of Canada.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een nummer toegekend aan een lid van een inheemse of aboriginal groep buiten Canada."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="IND"></code>
-     <display value="Indigenous/Aboriginal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Inheems/Aboriginal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="2 use cases: a) CHI-nummer van rechtsgebied in Verenigd Koninkrijk; b) Canadees provinciaal gezondheidskaartnummer:"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="JHN"></code>
-     <display value="Jurisdictional health number (Canada)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rechtsgebied gezondheidsnummer (Canada)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een laboratorium accessie ID wordt gebruikt in het laboratoriumdomein. Het concept accessie wordt ook in andere domeinen gebruikt zoals radiologie, dus de LACSN wordt gebruikt om onderscheid te maken tussen een lab accessie ID en een radiologie accessie ID."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="LACSN"></code>
-     <display value="Laboratory Accession ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Laboratorium Accessie ID"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Lebenslange Arztnummer - for use in German realm.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Lebenslange Artznummer - voor gebruik in Duitse context."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="LANR"></code>
-     <display value="Lifelong physician number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Levenslang zorgverlenernummer"></value>
-     </designation>
-    </concept>
-    <concept>
      <code value="LI"></code>
-     <display value="Labor and industries number"></display>
+     <display value="Link order/service to patient care problem or goal"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Arbeid en industrienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LN"></code>
-     <display value="License number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Licentienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LR"></code>
-     <display value="Local Registry ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lokaal register ID"></value>
+      <value value="Koppel aanvraag/service aan patiënt zorgprobleem of doel"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance">
+      <valueString value="applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Klasse: verzekering"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MA"></code>
-     <display value="Patient Medicaid number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Armennummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicaid patiëntnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.
-Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Use case: persoon is gedekt door verzekeringspolis. Deze persoon is mogelijk tevens hoofdpolishouder."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MB"></code>
-     <display value="Member Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lidnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering"></valueString>
+         <valueString value="van toepassing op DFT^P03^DFT_P03 en DFT^P11^DFT_P11"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
      <code value="MC"></code>
-     <display value="Patient's Medicare number"></display>
+     <display value="Miscellaneous Charge - not associated with an order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overige charge - niet gekoppeld aan een aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer Applications.
+There are three circumstances that involve requesting an order number (ORC-2-placer order number or ORC-3-filler order number): 
+
+(1) When the filler application needs to request an ORC-3-filler order number from a centralized application (e.g., HIS).
+SN – The send order number code provides a mechanism for the filler to request an ORC-3-filler order number from some centralized application (called “other” in the table below), such as a central HIS, by sending an ORM message containing an ORC-1-order control value of SN. This ORC has a null ORC-3-filler order number and an ORC-2-placer order number created by the filler application when the filler originates the order.
+
+The order (SN type) message can be acknowledged by either one of two methods:
+a) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC with ORC-1-order control value of NA to provide the actual number assigned.
+
+b) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.
+
+NA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned filler order number. ORC-1-order control contains value of NA, ORC-2-placer order number (from the ORC with the SN value), and the newly-assigned filler order number. 
+Code	From	ORC-2-Placer Order Number	ORC-3-Filler Order Number
+SN	filler application	placer order number^filler application ID	Null
+NA	other application	placer order number^filler application ID	filler order number^filler application ID
+Note: Both the placer order number and the filler order number have the filler’s application ID
+
+(2) When the filler application needs to request an ORC-2-placer order number from some other application (e.g., Order Entry).
+
+SN – The send order number code provides a mechanism for the filler application to request an ORC-2-placer order number from another application (called “other” in the table below) by sending an order message containing an ORC-1-order control value of SN. This ORC has a null ORC-2-placer order number and an ORC-3-filler order number created by the filler application when the filler originates the order. 
+
+The order (SN type) message can be acknowledged by two methods:
+a) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC-1-order control value of NA to provide the actual number assigned.
+
+b) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.
+NA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned ORC-2-placer order number. The ORC contains an ORC-1-order control value of NA, the newly-assigned ORC-2-placer order number, and the ORC-3-filler order number (from the ORC with the SN value).
+Code	From	ORC-2-Placer Order Number	ORC-3-Filler Order Number
+SN	filler application	null	filler order number^filler application ID
+NA	other application	placer order number^placer application ID	filler order number^filler application ID
+Note: The new ORC-2-placer order number has the placer’s application ID
+
+(3) When an application (not the filler application) wants to assign an ORC-3-filler order number for a new order.
+NW – When the application creating an order (not the filler application) wants to assign a filler order number for a new order.
+or 
+RO – (RO following an RP). In this case, the “other” application completes ORC-3-filler order number, using the filler application ID as the second component of the filler order number.
+Code	From	ORC-2-Placer Order Number	ORC-3-Filler Order Number
+NW or RO	Other application to filler application	placer order number^placer application ID	filler order number^filler application ID">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer applicaties. Er zijn drie omstandigheden waarin verzoeken van een aanvraagnummer (ORC-2 Placer aanvraagnummer of ORC-3 Filler aanvraagnummer): (1) Als de filler applicatie een ORC-3 Filler aanvraagnummer moet aanvragen van een centrale applicatie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NA"></code>
+     <display value="Number assigned"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Rentnernummer"></value>
+      <value value="Nummer zugewiesen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -46541,164 +44760,36 @@ Use Case: Person is covered by an insurance policy. This person may or may not b
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medicare patiëntnummer"></value>
+      <value value="Nummer toegekend"></value>
      </designation>
     </concept>
+    <concept>
+     <code value="NR"></code>
+     <display value="Notification Received"></display>
+    </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance">
+      <valueString value="Placer Applications.
+See comments for NA - Number Assigned.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Klasse: verzekering"></valueString>
+         <valueString value="Placer applicaties. Zie opmerkingen voor NA - Nummer toegekend"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="MCD"></code>
-     <display value="Practitioner Medicaid number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicaid zorgverlenernummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MCN"></code>
-     <display value="Microchip Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Microchip-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MCR"></code>
-     <display value="Practitioner Medicare number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicare zorgverlenernummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a document identifying the event of a person's marriage.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan een document dat het huwelijk van een persoon aantoont."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MCT"></code>
-     <display value="Marriage Certificate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Huwelijkscertificaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.
-Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes).">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die unieke is voor een arts binnen het rechtsgebied van een licentiegever. Use case: deze licentienummers worden soms gebruikt ter identificatie. In sommige staten, geeft dezelfde autoriteit alle drie identificaties uit, bijv. medisch, osteopathisch, en arts-assistent licenties die alle worden uitgegeven door één overheidsinstantie. Voor dit geval vereist het CX datatype afzonderlijke identificatietypen om component 1 te kunnen interpreteren. Daarnaast is onderscheid tussen deze licentietypen essentieel in de meeste zorgsituaties (niet om volledige licentie-informatie door te geven, waarvoor een segment voor alle gerelateerde attributen nodig zou zijn)."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MD"></code>
-     <display value="Medical License number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geneeskundig licentienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie toegekend aan een persoon die in militaire dienst is geweest, maar op dit moment niet in actieve dienst. Het nummer wordt toegekend door de Amerikaanse Department of Defense (DOD) of Veteran's Affairs (VA)."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MI"></code>
-     <display value="Military ID number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Militaire identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan een patiënt binnen een set van medische dossiers, niet noodzakelijk uniek binnen een applicatie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MR"></code>
-     <display value="Medical record number"></display>
+     <code value="NW"></code>
+     <display value="New order/service"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Krankenaktennummer"></value>
+      <value value="Neuer Auftrag"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -46706,56 +44797,31 @@ Use Case: These license numbers are sometimes used as identifiers. In some state
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medisch dossiernummer"></value>
+      <value value="Nieuwe aanvraag/service"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Temporary version of a Medical Record Number
-Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned.">
+      <valueString value="Filler Applications.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Use case: een satellietsysteem dat normaal geen medische dossiernummer toekent is het eerste systeem waar een patiënt wordt geregistreerd. Dit satellietsysteem geeft een tijdelijk medisch dossiernummer uit dat alleen wordt gebruikt totdat het officiële medisch dossiernummer wordt toegekend."></valueString>
+         <valueString value="Filler applicaties."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="MRT"></code>
-     <display value="Temporary Medical Record Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijke medisch dossiernummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated and replaced by BC in v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MS"></code>
-     <display value="MasterCard"></display>
+     <code value="OC"></code>
+     <display value="Order/service canceled"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="MasterCard"></value>
+      <value value="Auftrag storniert"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -46763,312 +44829,244 @@ Use Case: An ancillary system that does not normally assign medical record numbe
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="MasterCard"></value>
+      <value value="Aanvraag/service geannuleerd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Nebenbetriebsstättennummer - for use in the German realm.">
+      <valueString value="Filler Applications.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Nebenbetriebsstättennummer - voor gebruik in Duitse context."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NBSNR"></code>
-     <display value="Secondary physician office number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Secundaire zorgverlenerpraktijknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a document identifying a person's retention of citizenship in a particular country.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan een document dat het verwerven van staatburgerschap in een bepaald land aantoont."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NCT"></code>
-     <display value="Naturalization Certificate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naturalisatiecertificaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="In de VS is de toekennende autoriteit voor deze waarde meestal CMS, maar het kan worden gebruikt voor alle zorgaanbieders/zorverleners en verzekeraars in HIPAA gerelateerde transacties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NE"></code>
-     <display value="National employer identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationale werkgeveridentificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-Used for the UK NHS national identifier.
-In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Ten behoeve de NHS nationale identificatie in het Verenigd Koninkrijk"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NH"></code>
-     <display value="National Health Plan Identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationaal zorgverzekeringsnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="In de VS is de toekennende autoriteit voor deze waarde normalerwijs CMS, maar het kan door alle zorgaanbieders en verzekeraars worden gebruikt in HIPAA-gerelateerde transacties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NI"></code>
-     <display value="National unique individual identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationale unieke identificatie persoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-In Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.
-Krankenkassen-ID der KV-Karte">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering. In Duitsland is dit een nationale identificatie voor een verzekeraar. Deze staat op de verzekeringskaart. De identificatie moet niet worden verward met het kaartnummer zelf. Krankenkassen-ID der KV-Karte"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NII"></code>
-     <display value="National Insurance Organization Identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Institutskennzeichen der Krankenkasse"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationale verzekeraar identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-In Germany the insurance identifier addressed as the payor.
-Krankenkassen-ID des Rechnungsempfängers
-Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering. In Duitsland is dit een nationale identificatie voor een betaler. Krankenkassen-ID des Rechnungsempfängers. Use case: een subdivisie geeft een kaart af met deze identificatie, maar de hoofddivisie betaalt de facturen."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NIIP"></code>
-     <display value="National Insurance Payor Identifier (Payor)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vertragskassennummer (VKNR)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationale verzekeraar betaler identificatie (Betaler)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NNxxx"></code>
-     <display value="National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationale persoonsidentificatie waarbij xxx de ISO-tabel 3166 3-tekens (alfabetisch) landcode is"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een nurse practitioner binnen het rechtsgebied van een certificeringsinstantie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NP"></code>
-     <display value="Nurse practitioner number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nurse practitioner nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering. UZI-nummer."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NPI"></code>
-     <display value="National provider identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nationale zorgaanbieder/zorgverlener identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OBI"></code>
-     <display value="Observation Instance Identifier"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number that is unique to an individual optometrist within the jurisdiction of the licensing board.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een optometrist binnen het rechtsgebied van een certificeringsinstantie"></valueString>
+         <valueString value="Filler applicaties."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
      <code value="OD"></code>
-     <display value="Optometrist license number"></display>
+     <display value="Order/service discontinued"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsausführung abgebrochen"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Optometrist nummer"></value>
+      <value value="Aanvraag/service afgebroken"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a physician assistant within the jurisdiction of a licensing board">
+      <valueString value="Filler Applications.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een zorgverlener binnen het rechtsgebied van een certificeringsinstantie"></valueString>
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OE"></code>
+     <display value="Order/service released"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag/service vrijgegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.
+OF directly responds to the placer system's request for a refill.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties. OF is een direct antwoord op het verzoek voor herhaling van een placer system."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OF"></code>
+     <display value="Order/service refilled as requested"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag/service herhaald zoals gevraagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OH"></code>
+     <display value="Order/service held"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsbearbeitung ausgesetzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag/service aangehouden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.
+See comments for NA - Number Assigned.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties. Zie opmerkingen voor NA - Nummer toegekend"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OK"></code>
+     <display value="Order/service accepted &amp; OK"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag akzeptiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag/service geaccepteerd en OK"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer Applications.
+These order control codes are used to communicate an order between systems where the order is intended for informational purposes. For example, an order that will be performed by a vendor outside the enterprise of communicating systems. The communicating systems may need to maintain information relative to the order for clinical continuity, but no actions to perform the ordered service are intended.
+OP represents an informational version of NW, PY represents the informational-only version of RO. NW and RO table notes also apply to OP and PY, respectively.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer applicaties. Deze aanvraagbeheer codes worden gebruikt voor communicatie van aanvragen tussen systemen waarbij de aanvraag bedoeld is ter informatie. Een aanvraag wordt bijvoorbeeld uitgevoerd door een leverancier anders dan de communicerende systemen."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OP"></code>
+     <display value="Notification of order for outside dispense"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Notificatie van aanvraag voor verstrekking door derde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OR"></code>
+     <display value="Released as requested"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsbearbeitung anweisungsgemäß wiederaufgenommen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vrijgegeven zoals gevraagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.
+The parent (PA) and child (CH) order control codes allow the spawning of “child” orders from a “parent” order without changing the parent (original order). One or more ORC segments with an ORC-1-order control value of PA are followed by one or more ORC segments with an ORC-1-order control value of CH. Whether OBR segments must be present is determined by the value of ORC-6-response flag. 
+
+For example, suppose that a microbiology culture produced two organisms and corresponding susceptibility reports. Then the sequence of segments would be as follows: (see figure 4-4)
+
+The assignment of placer order numbers in the parent-child paradigm depends on whether the placer or filler creates the child order and in the latter case, on whether the placer supports the SN/NA transaction. If the placer creates the child orders it will assign their placer order numbers according to its usual procedures. If the filler creates the child orders there are two possibilities: each child will inherit the placer order number of its parent, or the filler will use the SN/NA transaction to request that the placer assign a placer order number. In either case, the filler application creates the filler order numbers of the children according to its usual procedures.
+
+Whenever a child order is transmitted in a message the ORC segment’s ORC-8-parent is valued with the parent’s filler order number (if originating from the filler) and with the parent’s placer order number (if originating from the filler or if originating from the placer). 
+
+The parent child mechanism can be used to “expand” a parent order (e.g., an order for three EKGs on successive mornings).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties. De codes voor bovenliggende (PA) en onderliggende/deel (CH) ondersteunen het onderscheiden van &quot;onderliggende/deel&quot; aanvragen van een &quot;bovenliggende&quot; aanvraag zonder dat de bovenliggende (oorspronkelijke aanvraag) wijzigt. Een of meer ORC segmenten met een ORC-1 Aanvraagbeheer PA waarden worden gevolgd door"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
      <code value="PA"></code>
-     <display value="Physician Assistant number"></display>
+     <display value="Parent order/service"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Assistenzarztnummer"></value>
+      <value value="Hauptauftrag"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47076,127 +45074,125 @@ In the US, the Assigning Authority for this value is typically CMS, but it may b
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zorgverlener nummer"></value>
+      <value value="Bovenliggende aanvraag/service"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number identifying a person on parole.">
+      <valueString value="Placer Applications.
+PR indicates that this ORC is part of an ORU structure containing previous observation, which is embedded in the order.
+
+At least two main use cases require that the complete results of the previous observations be transmitted with the order. 
+
+•	Diagnostic laboratories referring tests to another lab for either confirmation of results (HIV, etc.) or due to not being equipped to do the tests (genetic testing, etc.). 
+
+•	Diagnostic laboratories sending test results to Knowledge Bases for the automated generation of diagnostic comments for inclusion into the lab report.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie van een persoon die subject is van reclassering"></valueString>
+         <valueString value="Placer applicaties. PR geeft aan dat deze ORC deel is van een ORU "></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PC"></code>
-     <display value="Parole Card"></display>
+     <code value="PR"></code>
+     <display value="Previous Results with new order/service"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Reclasseringskaart"></value>
+      <value value="Vorige resultaten met nieuwe aanvraag/service"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number assigned to individual who is incarcerated.">
+      <valueString value="Placer Applications.
+See comments for OP - Notification of order for outside dispense.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie toegekend aan een persoon die inbewaringgesteld/gevangengezet is"></valueString>
+         <valueString value="Placer applicatie. Zie opmerkingen voor OP - Notificatie van aanvraag voor verstrekking door derde."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PCN"></code>
-     <display value="Penitentiary/correctional institution Number"></display>
+     <code value="PY"></code>
+     <display value="Notification of replacement order for outside dispense"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Penitentiaire instellings-nummer"></value>
+      <value value="Notificatie van vervangende aanvraag voor verstrekking door derde"></value>
      </designation>
     </concept>
+    <concept>
+     <code value="RA"></code>
+     <display value="Recommendation Accepted"></display>
+    </concept>
+    <concept>
+     <code value="RC"></code>
+     <display value="Recommended Change"></display>
+    </concept>
+    <concept>
+     <code value="RD"></code>
+     <display value="Recommendation Declined"></display>
+    </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).">
+      <valueString value="Placer or Filler Applications.
+The observations-to-follow code is used to transmit patient-specific information with an order. An order detail segment (e.g., OBR) can be followed by one or more observation segments (OBX). Any observation that can be transmitted in an ORU message can be transmitted with this mechanism. When results are transmitted with an order, the results should immediately follow the order or orders that they support.
+
+The following example shows the sequence of segments for three Pharmacy orders. It illustrates the use of the RE code:
+Segment	Order Control	Comment
+MSH		
+PID		
+ORC	NW	First new order
+RXO		First order segment
+		
+ORC	NW	2nd new order
+RXO		2nd order segment
+[ORC	RE	Patient-specific observation, optional in V 2.2
+OBR]		Observation OBR, optional in V 2.2
+OBX		An observation segment
+OBX		Another observation segment
+OBX		Another observation segment
+OBX		Another observation segment
+		
+ORC	NW	3rd order
+RXO		3rd order segment
+
+In this version of HL7, results can be transmitted with an order as one or more OBX segments without the necessity of including the ORC and OBR segments.
+
+Observations can be transmitted in an ORU message without using an ORC. There are times when it is necessary to transmit information not included in the OBR segments of the ORU message. In this case, it is recommended that the ORC be included in the ORU message.
+
+The order control value of RE is required only in ORM messages to indicate that an order is followed by observation results (OBX). The RE code is not necessary in the ORU message because it is expected that the OBR segments can be followed by observation results (OBX).">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een levend wezen binnen een bedrijf (zoals geïdentificeerd door de toekennende autoriteit)."></valueString>
+         <valueString value="Placer of filler applicaties. Deze code wordt gebruikt voor het doorgeven van patiënt-specifieke informatie met een aanvraag. Een aanvraag-detailsegment (bijv. OBR) kan worden gevolgd door een of meer observatiesegmenten (OBX). Ieder observatie die kan worden ge"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PE"></code>
-     <display value="Living Subject Enterprise Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Levend wezen bedrijfs-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PEN"></code>
-     <display value="Pension Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pensioennummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PHC"></code>
-     <display value="Public Health Case Identifier"></display>
-    </concept>
-    <concept>
-     <code value="PHE"></code>
-     <display value="Public Health Event Identifier"></display>
-    </concept>
-    <concept>
-     <code value="PHO"></code>
-     <display value="Public Health Official ID"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number that is unique to a patient within an Assigning Authority.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een patiënt binnen een toekennende autoriteit."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PI"></code>
-     <display value="Patient internal identifier"></display>
+     <code value="RE"></code>
+     <display value="Observations/Performed Service to follow"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="interne Patienten-ID"></value>
+      <value value="Untersuchungsergebnisse folgen (in späteren Segmenten dieser Nachricht)"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47204,35 +45200,58 @@ In the US, the Assigning Authority for this value is typically CMS, but it may b
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Intern patiëntnummer"></value>
+      <value value="Observaties/uitgevoerde server volgen"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="PLAC"></code>
-     <display value="Placer Identifier"></display>
-    </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number that is unique to a living subject within an Assigning Authority.">
+      <valueString value="Placer or Filler Applications.
+RF accommodates requests by either the filler or the placer. The filler may be requesting refill authorization from the placer. A placer system may be requesting a refill to be done by the filler system.
+
+Typical responses include, but are not limited to: For a Filler request AF – Order/service refill request approval, DF – Order/service refill request denied; for a Placer request RE – Observations/Performed Service to follow, UF – Unable to refill.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een levend wezen binnen een toekennende autoriteit."></valueString>
+         <valueString value="Placer of filler applicaties. Deze code ondersteunt verzoeken door de filler of de placer. De filler kan een autorisatie voor herhaling vragen van de placer. Een placer-systeem kan een herhaling vragen van het filler-systeem. Meestal is het antwoord"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PN"></code>
-     <display value="Person number"></display>
+     <code value="RF"></code>
+     <display value="Refill order/service request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Herhaal aanvraag/service verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RL"></code>
+     <display value="Release previous hold"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Personen-ID"></value>
+      <value value="Auftragsberabeitung wiederaufnehmen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47240,79 +45259,93 @@ In the US, the Assigning Authority for this value is typically CMS, but it may b
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Persoonsnummer"></value>
+      <value value="Geef vorige vastgehouden vrij"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Temporary version of a Lining Subject Number.">
+      <valueString value="Placer or Filler Applications.
+A replacement is the substitution of one or more orders for one or more previously ordered services.
+
+The replaced orders are treated as though they were canceled. If and when an ordered service can be replaced are local site-specific determinations.
+
+Use the parent/child order control codes if the site specifies that the original order must remain intact. Do not use the replacement codes under this circumstance. 
+
+For each order to be replaced, use an ORC-1-order control value of RP (request for a replacement going to a filler) or RU (an unsolicited replacement created by the filler) used by the filler to notify the placer and/or other systems). By local agreement, the ORC segment (with RP or RU) may be followed by its original order detail segment. The ORC segments (with RP or RU) must be followed by an ORC segment with an ORC-1-order control value of RO (indicating the replacement order). By local agreement, the ORC with the RO value may be followed by an order detail segment. 
+
+For example, suppose that an ancillary application were replacing two OBR orders with three different orders. The sequence of segments would be as follows:
+
+Seg	Order Control	Comment
+ORC	RU	1st replaced ORC
+OBR		1st replaced order’s detail segment
+		
+ORC	RU	2nd replaced ORC
+OBR		2nd replaced order’s detail segment
+		
+ORC	RO	1st replacement ORC
+OBR		1st replacement order’s detail segment
+		
+ORC	RO	2nd replacement ORC
+OBR		2nd replacement order’s detail segment
+		
+ORC	RO	3rd replacement ORC
+OBR		3rd replacement order’s detail segment
+
+Whether the OBR segments must be present is determined by the value of ORC-6-response flag.
+
+The described replacement method will handle all possible cases of replacement: one into one, many into one, one into many, and many into many. If the placer sent this request to the filler with two RPs, and this was a response back from the filler to the placer, the two RUs (replaced unsolicited) would be two RQs (replaced as requested). (see figure 4-3)
+
+Seg	Order Control	Comment
+ORC	RQ	1st replaced ORC
+OBR		1st replaced order’s detail segment
+		
+ORC	RQ	2nd replaced ORC
+OBR		2nd replaced order’s detail segment
+		
+ORC	RO	1st replacement ORC
+OBR		1st replacement order’s detail segment
+		
+ORC	RO	2nd replacement ORC
+OBR		2nd replacement order’s detail segment
+		
+ORC	RO	3rd replacement ORC
+OBR		3rd replacement order’s detail segment
+
+The replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.
+
+The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
+
+In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
+
+In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
+
+If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
+
+ORC with an order control value of RO.
+
+Any OBR segments (can be replaced by any order detail segments).
+
+Optionally followed by observation result segments (OBX)
+NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Tijdelijke versie van een Levend wezen nummer"></valueString>
+         <valueString value="Placer of filler applicaties. Een vervanging is de substitutie van een of meer aanvragen voor een of meer eerder aangevraagde services. De vervangen aanvragen worden behandeld alsof ze zijn geannuleerd. Of en ondere welke omstandigheden een aanvraagde service vervangen kan worden hangt af van lokale "></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PNT"></code>
-     <display value="Temporary Living Subject Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijk levend wezen nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class:  Insurance">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PPIN"></code>
-     <display value="Medicare/CMS Performing Provider Identification Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicare/CMS Uitvoerende zorgaanbieder/zorgverlener identificatienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een wettig document dat bevestigt dat een persoon een staatsburger van het land is."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PPN"></code>
-     <display value="Passport number"></display>
+     <code value="RO"></code>
+     <display value="Replacement order"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Passnummer"></value>
+      <value value="Ersatzauftrag"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47320,56 +45353,50 @@ In the US, the Assigning Authority for this value is typically CMS, but it may b
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Paspoortnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRC"></code>
-     <display value="Permanent Resident Card Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Permanente verblijfsvergunning-nummer"></value>
+      <value value="Vervangende aanvraag"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.
-Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team).">
+      <valueString value="Placer Applications.
+A replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.
+
+The order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.
+
+The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
+
+In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
+
+In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
+
+If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
+
+a) ORC with an order control value of RO
+
+b) Any OBR segments (can be replaced by any order detail segments)
+
+c) Optionally followed by observation result segments (OBX)
+
+d) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Use case: hiermee wordt een persoon (zoals een verpleegkundige) of een groep/organisatie (orthopedisch chirurgisch team) aangeduid."></valueString>
+         <valueString value="Placer applicaties. Een vervanging is de substitutie van een of meer aanvragen voor eerder aangevraagde services. Zie opmerking 1 bij RO - Vervangende aanvraag voor verder discussie. De code voor vervangende aanvraag staat de filler toe om "></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PRN"></code>
-     <display value="Provider number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgaanbieder/zorgverlener-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PT"></code>
-     <display value="Patient external identifier"></display>
+     <code value="RP"></code>
+     <display value="Order/service replace request"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="externe Patienten-ID"></value>
+      <value value="Auftrag ersetzen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47377,116 +45404,85 @@ Use case: This allows PRN to represent either an individual (a nurse) or a group
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Extern patiëntnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="QA"></code>
-     <display value="QA number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Quality Assurance-nummer"></value>
+      <value value="Aanvraag/service vervanging verzoek"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A generalized resource identifier.
-Use Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity.">
+      <valueString value="Filler Applications.
+A replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.
+
+The order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.
+
+The replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.
+
+The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
+
+In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
+
+In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
+
+If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
+
+a) ORC with an order control value of RO
+
+b) Any OBR segments (can be replaced by any order detail segments)
+
+c) Optionally followed by observation result segments (OBX)
+
+d) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Use case: een identificatietype is nodig voor wat algemeen 'resources' heten. Hieronder vallen menselijke resources (bijv. een respiratoir therapeut), niet-menselijke resources (bijv., een begeleidend dier), niet-levende entiteiten (bijv. een onderzoeksruimte), organisaties (bijv. diabetesonderwijsklas) of andere fysieke of logische entiteiten."></valueString>
+         <valueString value="Filler applicaties. Een vervanging is de substitutie van een of meer aanvragen voor een of meer eerder aangevraagd services. Zie opmerking 1 bij RO - Vervangende aanvraag voor verder discussie. De code voor vervangende aanvraag staat de filler toe om "></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="RI"></code>
-     <display value="Resource identifier"></display>
+     <code value="RQ"></code>
+     <display value="Replaced as requested"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag anweisungsgemäß ersetzt"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Resource identicatie"></value>
+      <value value="Vervangen zoals gevraagd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.">
+      <valueString value="Placer or Filler Applications.
+Left in for backward compatibility. In the current version it is equivalent to an accept acknowledgment. The request-received code indicates that an order message has been received and will be processed later. The order has not yet undergone the processing that would permit a more exact response.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een geregistreerde verpleegkundige binnen het rechtsgebied van een licenserende instantie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RN"></code>
-     <display value="Registered Nurse Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verpleegkundige registratienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een apotheek binnen het rechtsgebied van een licenserende instantie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RPH"></code>
-     <display value="Pharmacist license number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Apotheek licentienummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een persoon binnen de Railroad Retirement Administration. Aanaloog aan, maar anders dan een SOFI-nummer."></valueString>
+         <valueString value="Placer of filler applicaties. Behouden vanwege backward compatibiliteit. In de huidige versie is deze equivalent aan een ontvangstbevestiging. De code RR geeft aan dat een aanvraagbericht is ontvangen en latere wordt verwerkt. De aanvraag heeft"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
      <code value="RR"></code>
-     <display value="Railroad Retirement number"></display>
+     <display value="Request received"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Seniorenkartennummer"></value>
+      <value value="Anforderung erhalten"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47494,165 +45490,183 @@ Use Case: An identifier type is needed to accommodate what are commonly known as
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Spoorwegen pensioneringsnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RRI"></code>
-     <display value="Regional registry ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Regionaal register-ID"></value>
+      <value value="Verzoek ontvangen"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class:  Insurance">
+      <valueString value="Filler Applications.
+A replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.
+
+The unsolicited replacement code permits the filler application to notify another application without being requested from the placer application.
+
+The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
+
+In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
+
+In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
+
+If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
+
+a) ORC with an order control value of RO
+
+b) Any OBR segments (can be replaced by any order detail segments)
+
+c) Optionally followed by observation result segments (OBX)
+
+d) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Klasse: verzekering."></valueString>
+         <valueString value="Filler applicaties. Een vervanging is de substitutie van een of meer aanvragen voor een of meer eerder aangevraagde services. Zie opmerking 1 bij RO - Vervangende aanvraag voor verder discussie. De code RU staat de filler applicatie toe om "></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="RRP"></code>
-     <display value="Railroad Retirement Provider"></display>
+     <code value="RU"></code>
+     <display value="Replaced unsolicited"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag ersetzt (ohne Anweisung)"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Spoorwegen pensioenaanbieder"></value>
+      <value value="Vervangen ongevraagd"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="SB"></code>
-     <display value="Social Beneficiary Identifier"></display>
-    </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifier for a specimen. Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID).">
+      <valueString value="Placer or Filler Applications.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een monster. Gebruikt wanneer onbekend is of het monsternummer een Uniek monsternummer (USID) of een Oorspronkelijk monsternummer (ASID) is."></valueString>
+         <valueString value="Placer of filler applicaties."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="SID"></code>
-     <display value="Specimen ID"></display>
+     <code value="SC"></code>
+     <display value="Status changed"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Monsternummer"></value>
+      <value value="Statusänderung"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="SL"></code>
-     <display value="State license"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Staat-licentie"></value>
+      <value value="Status gewijzigd"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-An identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.
-Use Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber.">
+      <valueString value="Placer Applications.
+See comments for NA - Number Assigned.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie voor een hoofdverzekerde onder een verzekeringspolis die uniek is voor, en normaal wordt toegekend door, een verzekeraar."></valueString>
+         <valueString value="Placer applicaties. Zie opmerkingen voor NA - Nummer toegekend."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
      <code value="SN"></code>
-     <display value="Subscriber Number"></display>
+     <display value="Send order/service number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrags- bzw. Bearbeitungsnummer zuweisen / übermitteln"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Hoofdverzekerdenummer"></value>
+      <value value="Stuur aanvraag/service nummer"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SNBSN"></code>
-     <display value="State assigned NDBS card Identifier"></display>
-    </concept>
-    <concept>
-     <code value="SNO"></code>
-     <display value="Serial Number"></display>
+     <code value="SQ"></code>
+     <display value="Supplemented as requested"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education.">
+      <valueString value="Filler Applications.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een visum voor een persoon die inwoner van rechtsgebied is ten behoeve van een opleiding."></valueString>
+         <valueString value="Filler applicaties."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="SP"></code>
-     <display value="Study Permit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Opleidingsvisum"></value>
-     </designation>
-    </concept>
-    <concept>
      <code value="SR"></code>
-     <display value="State registry ID"></display>
+     <display value="Response to send order/service status request"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsstatus (Antwort)"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Staat register-ID"></value>
+      <value value="Antwoord op stuur aanvraag/service status verzoek"></value>
      </designation>
     </concept>
     <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
      <code value="SS"></code>
-     <display value="Social Security number"></display>
+     <display value="Send order/service status request"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Sozialversicherungsnummer"></value>
+      <value value="Auftragsstatus senden"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -47660,368 +45674,396 @@ Use Case: A person is the subscriber of an insurance policy. The person’s fami
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="SOFI-nummer"></value>
+      <value value="Stuur aanvraag/service status verzoek"></value>
      </designation>
     </concept>
     <concept>
-     <code value="STN"></code>
-     <display value="Shipment Tracking Number"></display>
-    </concept>
-    <concept>
-     <code value="TAX"></code>
-     <display value="Tax ID number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Steueridentifikationsnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Belasting identificatie"></value>
-     </designation>
+     <code value="SU"></code>
+     <display value="Supplement this order"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number assigned to a member of an indigenous group in Canada.
-Use Case: First Nation.">
+      <valueString value="Filler Applications.
+An unable to accept code is used when a new order cannot be accepted by the filler. Possible reasons include requesting a prescription for a drug which the patient is allergic to or for an order which requires certain equipment resources which are not available such that the order cannot be filled. Note that this is different from the communication level acceptance as defined within the MSA segment.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Use case: First Nation."></valueString>
+         <valueString value="Filler applicaties. De code UA wordt gebruikt wanneer een nieuwe aanvraag niet worden geaccepteerd door de filler. Mogelijk redenen zijn voorschriften voor een medicijn waarvoor de patiënt allergisch is of een aanvraag waarvoor bepaalde apparatuur nodig is"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="TN"></code>
-     <display value="Treaty Number/ (Canada)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verdragnummer/ (Canada)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a document identifying a person's temporary permanent resident status.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie die uniek is voor een apotheek binnen het rechtsgebied van een licenserende instantie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TPR"></code>
-     <display value="Temporary Permanent Resident (Canada)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijk permanente inwoner (Canada)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TRL"></code>
-     <display value="Training License Number"></display>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unspecified identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet-gspecificeerde identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UDI"></code>
-     <display value="Universal Device Identifier"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Class: Insurance
-An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Klasse: verzekering. Een identificatie van een zorgverlener/zorgaanbieder binnen het CMS/Medicare programma. Een wereldwij unieke identificatie voor de zorgverlener/zorgaanbieder in het Medicare programma."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UPIN"></code>
-     <display value="Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicare/HCFA's Universele Zorgverlener Identificatie Nummers"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A unique identifier for a specimen.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een unieke identificatie voor een monster."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="USID"></code>
-     <display value="Unique Specimen ID"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uniek monsternummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VN"></code>
-     <display value="Visit number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fallnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bezoeknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a document identifying a person as a visitor of a jurisdiction or country.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan een visum voor een persoon als toerist in een bepaald rechtsgebied of land."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="VP"></code>
-     <display value="Visitor Permit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Besucherkennung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toeristenvisum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated and replaced by BC in v 2.5.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="VS"></code>
-     <display value="VISA"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VISA"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VISA"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WC"></code>
-     <display value="WIC identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="WIC identificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WCN"></code>
-     <display value="Workers' Comp Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werknemerscompensatie-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A number associated with a permit for a person who is granted permission to work in a country for a specified time period.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een identificatie gekoppeld aan een visum voor een persoon die voor een bepaalde periode in een land mag werken."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WP"></code>
-     <display value="Work Permit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werkvisum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="XV"></code>
-     <display value="Health Plan Identifier"></display>
-    </concept>
-    <concept>
-     <code value="XX"></code>
-     <display value="Organization identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Organisations-ID"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Organisatie identificatie"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0445"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0445"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0445"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.285"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0445"></name>
-    <title value="v2 Identity Reliability Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0445 ( Identity Reliability Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AL"></code>
-     <display value="Patient/Person Name is an Alias"></display>
-    </concept>
-    <concept>
      <code value="UA"></code>
-     <display value="Unknown/Default Address"></display>
+     <display value="Unable to accept order/service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsannahme nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon aanvraag/service niet accepteren"></value>
+     </designation>
     </concept>
     <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler or Placer Applications.
+An unable-to-cancel code is used when the ordered service is at a point that it cannot be canceled by the placer or filler or when local rules prevent cancellation by the filler. The use of this code is dependent on the value of ORC-6-response flag.
+If the filler initiated the request to cancel and the placer is unable to cancel while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer of filler applicaties. De code UC wordt gebruikt wanneer de aangevraagde service op een punt zit waarbij deze niet meer kan worden geannuleerd door de placer of de filler of als lokale regels annulering door de filler verhinderen. Gebruik van deze code is afhankelijk van de waarde"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UC"></code>
+     <display value="Unable to cancel"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsstornierung nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet annuleren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler or Placer Applications.
+An unable-to-discontinue code is used when the ordered service is at a point that it cannot be discontinued by the placer or filler or when local rules prevent discontinuance by the filler. The use of this code is dependent on the value of ORC-6-response flag.
+If the filler initiated the request to discontinue and the placer is unable to discontinue while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler of placer applicaties. Deze code wordt gebruikt als de aangevraagde service op een punt zit dat afgebreken door de placer of filler niet meer mogelijk is of wanneer lokale regels afbreken door de filler verhinderen. Gebruik van deze code hangt af van"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
      <code value="UD"></code>
-     <display value="Unknown/Default Date of Birth"></display>
+     <display value="Unable to discontinue"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abbrechen nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet afbreken"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="US"></code>
-     <display value="Unknown/Default Social Security Number"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.
+Negative response to RF Refill order/service request, indicating that the receiving application was not able to complete the refill request.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties. Negatief antwoord op RF - Herhaal aanvraag/service verzoek, dat aangeeft dat de ontvangende applicatie het herhaalverzoek niet kon uitvoeren."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UF"></code>
+     <display value="Unable to refill"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet herhalen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UH"></code>
+     <display value="Unable to put on hold"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aussetzen nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet aanhouden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UM"></code>
+     <display value="Unable to replace"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ersetzen nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet vervangen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer or Filler Applications.
+Refer to Chapter 12 Patient Care for complete discussion.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer of filler applicaties. Zie Hoofdstuk 12 Patient Care voor vollledige discussie."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UN"></code>
+     <display value="Unlink order/service from patient care problem or goal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ontkoppel aanvraag/service van patiënt zorgprobleem of doel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UR"></code>
+     <display value="Unable to release"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wiederaufnahme nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet vrijgeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UX"></code>
+     <display value="Unable to change"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung nicht möglich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kon niet wijzigen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Placer Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Placer applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XO"></code>
+     <display value="Change order/service request"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wijzig aanvraag/service verzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XR"></code>
+     <display value="Changed as requested"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag anweisungsgemäß geändert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gewijzigd zoals gevraagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Filler Applications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Filler applicaties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XX"></code>
+     <display value="Order/service changed, unsol."></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag geändert (ohne Anweisung)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Order/service gewijzigd, ongevraagd"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0204"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0121"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0204"></id>
+    <id value="v2-0121"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -48032,14 +46074,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0204"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0121"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.109"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.49"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0204"></name>
-    <title value="v2 Organizational Name Type"></title>
+    <name value="v2.0121"></name>
+    <title value="v2 RESPONSE FLAG"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -48049,38 +46091,18 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0204 ( Organizational Name Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0121 ( RESPONSE FLAG)"></description>
     <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Alias name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aliasname"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aliasnaam"></value>
-     </designation>
-    </concept>
     <concept>
      <code value="D"></code>
-     <display value="Display name"></display>
+     <display value="Same as R, also other associated segments"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="angezeigter Name"></value>
+      <value value="Wie R, zusätzlich Detail-Segmente (OBR usw.) von nachgeordneten und Ersatzaufträ"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -48088,19 +46110,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Weergavenaam"></value>
+      <value value="Zelfde als R, ook andere gekoppelde segmenten"></value>
      </designation>
     </concept>
     <concept>
-     <code value="L"></code>
-     <display value="Legal name"></display>
+     <code value="E"></code>
+     <display value="Report exceptions only"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="gesetzlicher Name"></value>
+      <value value="Nur OK oder Fehlercode nach Auftragsprüfung / -bearbeitung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -48108,676 +46130,77 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Juridische naam"></value>
+      <value value="Meld alleen uitzonderingen."></value>
      </designation>
     </concept>
-    <concept>
-     <code value="SL"></code>
-     <display value="Stock exchange listing name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Börsenlistenname"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beursgenoteerde naam"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0470"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0470"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0470"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.299"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0470"></name>
-    <title value="v2 Reimbursement type code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0470 ( Reimbursement type code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="Crnl"></code>
-     <display value="Corneal Tissue APC"></display>
-    </concept>
-    <concept>
-     <code value="DME"></code>
-     <display value="Durable Medical Equipment"></display>
-    </concept>
-    <concept>
-     <code value="EPO"></code>
-     <display value="Epotein"></display>
-    </concept>
-    <concept>
-     <code value="Lab"></code>
-     <display value="Clinical Laboratory APC"></display>
-    </concept>
-    <concept>
-     <code value="Mamm"></code>
-     <display value="Screening Mammography APC"></display>
-    </concept>
-    <concept>
-     <code value="NoPay"></code>
-     <display value="This APC is not paid"></display>
-    </concept>
-    <concept>
-     <code value="OPPS"></code>
-     <display value="Outpatient Prospective Payment System"></display>
-    </concept>
-    <concept>
-     <code value="PartH"></code>
-     <display value="Partial Hospitalization APC"></display>
-    </concept>
-    <concept>
-     <code value="Pckg"></code>
-     <display value="Packaged APC"></display>
-    </concept>
-    <concept>
-     <code value="Thrpy"></code>
-     <display value="Therapy APC"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0238"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0238"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0238"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.137"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0238"></name>
-    <title value="v2 Event Seriousness"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0238 ( Event Seriousness)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="N"></code>
-     <display value="No"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nein"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Significant"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Significant"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Yes"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0239"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0239"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0239"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.138"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0239"></name>
-    <title value="v2 Event Expected"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0239 ( Event Expected)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="N"></code>
-     <display value="No"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nein"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Yes"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0230"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0230"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0230"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.130"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0230"></name>
-    <title value="v2 Procedure Functional Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0230 ( Procedure Functional Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Anesthesia"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Narkose"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anesthesie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Diagnostic procedure"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diagnosestellung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diagnostische behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Invasive procedure not classified elsewhere (e.g., IV, catheter, etc.)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="operativer Eingriff"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Invasieve procedure niet anders geclassificeerd (bijv. infuus, catether, etc.)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Procedure for treatment (therapeutic, including operations)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Behandlung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Behandelingsprocedure (therapeutisch inclusief operaties)"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0472"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0472"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0472"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.300"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0472"></name>
-    <title value="v2 TQ Conjunction ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0472 ( TQ Conjunction ID)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Do the next specification in parallel with this one (unless otherwise constrained by the following fields: TQ1-7-start date/time and TQ1-8-end date/time).  The conjunction of &quot;A&quot; specifies two parallel instructions, as are sometimes used in medication, e.g., prednisone given at 1 tab on Monday, Wednesday, Friday, and at 1/2 tab on Tuesday, Thursday, Saturday, Sunday.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Doe de volgende specificatie parallel aan deze (tenzij anders aangegeven ion de volgende velden: TQ1-7-start date/time en TQ1-8-end date/time). Een specificatie &quot;A&quot; specificeert twee parallelle instructies, zoals soms bij medicatiedosering gebruikt, bijv. prednison 1 tablet op maandag, woesndag, vrijdag en een half tablet op dinsdag, donderdag, zaterdag en zondag."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A"></code>
-     <display value="Asynchronous"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Asynchroon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="It will be followed by a completion time for the service.  This code allows one to distinguish between the time and priority at which a service should be actuated (e.g., blood should be drawn) and the time and priority at which a service should be completed (e.g., results should be reported).">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Deze wordt gevolgd door een voltooiingstijd voor de service. Met deze code kan het verschil worden gemaakt tussen tijd en prioriteit waarop de service moet worden geactueerd (bijv. bloed moet worden afgenomen) en de tijd en prioriteit waarop de service moet zijn voltooid (bijv. wanneer resultaten moeten worden gemeld)."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Actuation Time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Actuatietijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Do the next specification after this one (unless otherwise constrained by the following fields: TQ1-7-start date/time and TQ1-8-end date/time). An &quot;S&quot; specification implies that the second timing sequence follows the first, e.g., when a service request is written to measure blood pressure Q15 minutes for the 1st hour, then every 2 hours for the next day.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Doe de volgende specificatie na deze (tenzij anders aangegeven ion de volgende velden: TQ1-7-start date/time en TQ1-8-end date/time). Een specificatie &quot;S&quot; impliceert dat de tweede tijdsequentie de eerste opvolgt, bijv. als een serviceverzoek wordt gedaan om bloeddruk te meten Q15 minuten na het eerste uur en dan de volgende dag elke twee uur."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="S"></code>
-     <display value="Synchronous"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Synchroon"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0231"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0231"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0231"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.131"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0231"></name>
-    <title value="v2 Student Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0231 ( Student Status)"></description>
-    <content value="complete"></content>
     <concept>
      <code value="F"></code>
-     <display value="Full-time student"></display>
+     <display value="Same as D, plus confirmations explicitly"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wie D, zusätzlich ausdrückliche Bestätigungen"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Voltijdsstudent"></value>
+      <value value="Zelfde als D, plus expliciete bevestigingen."></value>
      </designation>
     </concept>
     <concept>
      <code value="N"></code>
-     <display value="Not a student"></display>
+     <display value="Only the MSA segment is returned"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geen student"></value>
+      <value value="Nur Eingangsbestätigung"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Part-time student"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Deeltijdstudent"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0473"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0473"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0473"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.301"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0473"></name>
-    <title value="v2 Formulary status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0473 ( Formulary status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="G"></code>
-     <display value="This observation/service is on the formulary, and has guidelines"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deze test/service zit in het formularium en er zijn richtlijnen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="This observation/service is not on the formulary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deze test/service zit niet in het formularium"></value>
+      <value value="Alleen het MSA-segment wordt geretourneerd."></value>
      </designation>
     </concept>
     <concept>
      <code value="R"></code>
-     <display value="This observation/service is on the formulary, but is restricted"></display>
+     <display value="Same as E, also Replacement and Parent-Child"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Deze test/service zit in het formularium maar er gelden beperkingen"></value>
+      <value value="Wie E, zusätzlich ORC-Segmente von nachgeordneten und Ersatzaufträgen"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="This observation/service is on the formulary"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Deze test/service zit in het formularium"></value>
+      <value value="Zelfde als E, ook Vervanging en Parent-Child"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0232"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0122"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0232"></id>
+    <id value="v2-0122"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -48788,14 +46211,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0232"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0122"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.132"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.50"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0232"></name>
-    <title value="v2 Insurance Company Contact Reason"></title>
+    <name value="v2.0122"></name>
+    <title value="v2 CHARGE TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -48805,2780 +46228,38 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0232 ( Insurance Company Contact Reason)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0122 ( CHARGE TYPE)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="01"></code>
-     <display value="Medicare claim status"></display>
+     <code value="CH"></code>
+     <display value="Charge"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medicare declaratiestatus"></value>
+      <value value="Rechnung"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="02"></code>
-     <display value="Medicaid claim status"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medicaid declaratiestatus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="03"></code>
-     <display value="Name/address change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naam/adreswijziging"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0474"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0474"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0474"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.302"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0474"></name>
-    <title value="v2 Practitioner Organization Unit Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0474 ( Practitioner Organization Unit Type)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="D"></code>
-     <display value="Department"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afdeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Facility"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kliniek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Local market area"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Medical Center Area"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Subdivision"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Subdivisie"></value>
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-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0478 ( Formulary Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="G"></code>
-     <display value="Pharmaceutical substance is in the formulary, but guidelines apply"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Farmaceutische substantie zit in het formularium maar er zijn richtlijnen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Pharmaceutical substance is NOT in the formulary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Farmaceutische substantie zit NIET in het formularium"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Pharmaceutical substance is in the formulary, but restrictions apply"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Farmaceutische substantie zit in het formularium maar er zijn beperkingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Pharmaceutical substance is in the formulary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Farmaceutische substantie zit in het formularium"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0237"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0237"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0237"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.136"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0237"></name>
-    <title value="v2 Event Qualification"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0237 ( Event Qualification)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Abuse"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Misbruik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B"></code>
-     <display value="Unexpected beneficial effect"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onverwacht goedaardig effect"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Dependency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afhankelijkheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Interaction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Interactie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Lack of expect therapeutic effect"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitgebleven verwacht therapeutisch effect"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Misuse"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verkeerd gebruik"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Overdose"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overdosis"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Drug withdrawal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicatie onthouden"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0460"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0460"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0460"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.294"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0460"></name>
-    <title value="v2 Denial or rejection code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0460 ( Denial or rejection code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Line item not denied or rejected"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Line item denied or rejected"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Line item is on a multiple-day claim. The line item is not denied or rejected, but occurs on a day that has been denied or rejected."></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0227"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0227"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0227"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.127"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0227"></name>
-    <title value="v2 Manufacturers of Vaccines"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0227 ( Manufacturers of Vaccines)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(includes Ross Products Division)">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="(inclusief Ross Products Division)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AB"></code>
-     <display value="Abbott Laboratories"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abbott Laboratories"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AD"></code>
-     <display value="Adams Laboratories, Inc."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Adams Laboratories, Inc."></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ALP"></code>
-     <display value="Alpha Therapeutic Corporation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alpha Therapeutic Corporation"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="[Inactive--use AVB]">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="[Inactief - gebruik AVB]"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AR"></code>
-     <display value="Armour"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Armour"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(formerly Centeon L.L.C.; includes Armour Pharmaceutical Company) [Inactive--use ZLB] CDC Changes made on: Feb. 28, 2006">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="(Voormalig Centeon L.L.C.; inclusief Armour Pharmaceutical Company) [Inactief - gebruik ZLB] CDC wijzigingen op: 28 feb 2006"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AVB"></code>
-     <display value="Aventis Behring L.L.C."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aventis Behring L.L.C."></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AVI"></code>
-     <display value="Aviron"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aviron"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="[Inactive--use BAH]">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="[Inactief - gebruik BAH]"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BA"></code>
-     <display value="Baxter Healthcare Corporation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Baxter Healthcare Corporation"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(includes Hyland Immuno, Immuno International AG, and North American Vaccine, Inc.)">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="(inclusief Hyland Immuno, Immuno International AG, en North American Vaccine, Inc.)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BAH"></code>
-     <display value="Baxter Healthcare Corporation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Baxter Healthcare Corporation"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(includes Miles, Inc. and Cutter Laboratories)">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="(inclusief Miles, Inc. en Cutter Laboratories)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BAY"></code>
-     <display value="Bayer Corporation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bayer Corporation"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="[Inactive--use BPC]">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="[Inactief - gebruik BPC]"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BP"></code>
-     <display value="Berna Products"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berna Products"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="(includes Swiss Serum and Vaccine Institute Berne)">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="(inclusief Swiss Serum en Vaccin Institute Berne)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BPC"></code>
-     <display value="Berna Products Corporation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berna Products Corporation"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="[Inactive--use AVB]">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="[Inactief - gebruik AVB]"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CEN"></code>
-     <display value="Centeon L.L.C."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Centeon L.L.C."></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="[Inactive--use NOV] includes PowderJect Pharmaceuticals, Celltech Medeva Vaccines and Evans Medical Limited CDC Changes made on: July 14, 2006">
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-        <extension url="content">
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-     <display value="sanofi pasteur"></display>
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-        <extension url="content">
-         <valueString value="[Inactief - gebruik WAL]"></valueString>
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-     <display value="Praxis Biologics"></display>
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-    <concept>
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-     <display value="PowderJect Pharmaceuticals"></display>
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-    <concept>
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-     <display value="Sclavo, Inc."></display>
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-     <display value="Swiss Serum and Vaccine Inst."></display>
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-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0228"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0228"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0228"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.128"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0228"></name>
-    <title value="v2 Diagnosis Classification"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0228 ( Diagnosis Classification)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Consultation"></display>
+     <display value="Contract"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Behandlung"></value>
+      <value value="Vertrag"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -51586,5822 +46267,11 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Consult"></value>
+      <value value="Contract"></value>
      </designation>
     </concept>
     <concept>
-     <code value="D"></code>
-     <display value="Diagnosis"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diagnose"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diagnose"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Invasive procedure not classified elsewhere (I.V., catheter, etc.)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Maßnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Invasieve procedure niet anders geclassificeerd (infuus, catether, etc.)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Medication (antibiotic)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medikation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicatie (antibioticum)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="andere"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Radiological scheduling (not using ICDA codes)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Planung von radiologischen Untersuchungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Radiologische planning (zonder gebruik te maken van ICDA codes)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Sign and symptom"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Symptome"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Teken en symptoom"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Tissue diagnosis"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gewebebestimmung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Weefseldiagnose"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0229"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0229"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0229"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.129"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0229"></name>
-    <title value="v2 Outlier Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0229 ( Outlier Type)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString>
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Amerikaans zorgprogramma aanvullend op Medicare"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Champus"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Civilian Health and Medical Program of the Uniformed Services"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="Managed Care Organization"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Managed Care organisatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Medicare"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicare"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0220"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0220"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0220"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.122"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0220"></name>
-    <title value="v2 Living Arrangements"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0220 ( Living Arrangements)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Alone"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value=" Seul"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zelfstandig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Family"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Familie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Institution"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Instituut"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Relative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Familielid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Spouse Only"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen echtgenoot"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0223"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0223"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0223"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.124"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0223"></name>
-    <title value="v2 Living Dependency"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0223 ( Living Dependency)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="C"></code>
-     <display value="Small Children Dependent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afhankelijke kleine kinderen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CB"></code>
-     <display value="Common Bath"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gedeeld bad"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Spouse dependent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Echtgenoot afhankelijk"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Medical Supervision Required"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medisch toezicht vereist"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Spouse Dependent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Echtgenoot afhankelijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WU"></code>
-     <display value="Walk up"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Loopt naar boven"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0465"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0465"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0465"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.295"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0465"></name>
-    <title value="v2 Name/address representation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0465 ( Name/address representation)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Alphabetic (i.e., Default or some single-byte)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="alphabetisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Ideographic (i.e., Kanji)"></display>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Phonetic (i.e., ASCII, Katakana, Hiragana, etc.)"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0224"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0224"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0224"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.125"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0224"></name>
-    <title value="v2 Transport Arranged"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0224 ( Transport Arranged)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Arranged"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geregeld"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Not Arranged"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet geregeld"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0466"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0466"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0466"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.296"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0466"></name>
-    <title value="v2 Ambulatory payment classification code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0466 ( Ambulatory payment classification code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="031"></code>
-     <display value="Dental procedures"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tandheelkundige behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="163"></code>
-     <display value="Excision/biopsy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Excisie/biopt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="181"></code>
-     <display value="Level 1 skin repair."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niveau 1 huidherstel"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0225"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0225"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0225"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.126"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0225"></name>
-    <title value="v2 Escort Required"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0225 ( Escort Required)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="N"></code>
-     <display value="Not Required"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet vereist"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Required"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vereist"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0468"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0468"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0468"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.297"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0468"></name>
-    <title value="v2 Payment adjustment code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment adjustment code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="No payment adjustment"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Designated current drug or biological payment adjustment applies to APC (status indicator G)"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Designated new device payment adjustment applies to APC (status indicator H)"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Designated new drug or new biological payment adjustment applies to APC (status indicator J)"></display>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Deductible not applicable (specific list of HCPCS codes)"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0490"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0490"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0490"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.314"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0490"></name>
-    <title value="v2 Specimen Reject Reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0490 ( Specimen Reject Reason)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="EX"></code>
-     <display value="Expired"></display>
-    </concept>
-    <concept>
-     <code value="QS"></code>
-     <display value="Quantity not sufficient"></display>
-    </concept>
-    <concept>
-     <code value="RA"></code>
-     <display value="Missing patient ID number"></display>
-    </concept>
-    <concept>
-     <code value="RB"></code>
-     <display value="Broken container"></display>
-    </concept>
-    <concept>
-     <code value="RC"></code>
-     <display value="Clotting"></display>
-    </concept>
-    <concept>
-     <code value="RD"></code>
-     <display value="Missing collection date"></display>
-    </concept>
-    <concept>
-     <code value="RE"></code>
-     <display value="Missing patient name"></display>
-    </concept>
-    <concept>
-     <code value="RH"></code>
-     <display value="Hemolysis"></display>
-    </concept>
-    <concept>
-     <code value="RI"></code>
-     <display value="Identification problem"></display>
-    </concept>
-    <concept>
-     <code value="RM"></code>
-     <display value="Labeling"></display>
-    </concept>
-    <concept>
-     <code value="RN"></code>
-     <display value="Contamination"></display>
-    </concept>
-    <concept>
-     <code value="RP"></code>
-     <display value="Missing phlebotomist ID"></display>
-    </concept>
-    <concept>
-     <code value="RR"></code>
-     <display value="Improper storage"></display>
-    </concept>
-    <concept>
-     <code value="RS"></code>
-     <display value="Name misspelling"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0491"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0491"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0491"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.315"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0491"></name>
-    <title value="v2 Specimen Quality"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0491 ( Specimen Quality)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="Excellent"></display>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Fair"></display>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="Good"></display>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Poor"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0250"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0250"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0250"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.145"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0250"></name>
-    <title value="v2 Relatedness Assessment"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0250 ( Relatedness Assessment)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="H"></code>
-     <display value="Highly probable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zeer waarschijnlijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Improbable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet waarschijnlijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Moderately probable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gemiddeld waarschijnlijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Not related"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet gerelateerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Somewhat probable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Enigzins waarschijnlijk"></value>
-     </designation>
-    </concept>
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-  </resource>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0492"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0492"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0492"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.316"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0492"></name>
-    <title value="v2 Specimen Appropriateness"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0492 ( Specimen Appropriateness)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="??"></code>
-     <display value="Inappropriate due to ..."></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
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-     <telecom>
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-     <display value="Literature reports association of product with event"></display>
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-     <display value="Effect observed when patient receives placebo"></display>
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-     <display value="Blood product"></display>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0012"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.12"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0012"></name>
-    <title value="v2 STOCK LOCATION"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0012 ( STOCK LOCATION)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="AN"></code>
-     <display value="Filled from ancillary department stock"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(Tabelle 12 ist veraltet und wird nicht mehr verwendet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aangevuld uit verdere afdelingsvoorraad"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1994-12"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="FL"></code>
-     <display value="Filled from floor stock"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Etagenlager"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aangevuld uit verdiepingsvoorraad"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1994-12"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0254"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0254"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0254"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.149"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0254"></name>
-    <title value="v2 Kind of Quantity"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0254 ( Kind of Quantity)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ABS"></code>
-     <display value="Absorbance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Absorptie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString>
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="*"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ACNC"></code>
-     <display value="Concentration, Arbitrary Substance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Concentratie, arbitraire substantie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ACT"></code>
-     <display value="Activity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Activiteit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="APER"></code>
-     <display value="Appearance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voorkomen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ARB"></code>
-     <display value="Arbitrary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Arbitrair"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AREA"></code>
-     <display value="Area"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gebied"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ASPECT"></code>
-     <display value="Aspect"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aspect"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="CACT"></code>
-     <display value="Catalytic Activity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische activiteit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="CCNT"></code>
-     <display value="Catalytic Content"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CCRTO"></code>
-     <display value="Catalytic Concentration Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische concentratieverhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="CFR"></code>
-     <display value="Catalytic Fraction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische fractie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CLAS"></code>
-     <display value="Class"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klasse"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="CNC"></code>
-     <display value="Catalytic Concentration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische concentratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="CNST"></code>
-     <display value="Constant"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Constante"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="COEF"></code>
-     <display value="Coefficient"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Coëfficiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="COLOR"></code>
-     <display value="Color"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kleur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CONS"></code>
-     <display value="Consistency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Consistentie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="CRAT"></code>
-     <display value="Catalytic Rate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische snelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CRTO"></code>
-     <display value="Catalytic Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Katalytische verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DEN"></code>
-     <display value="Density"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dichtheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DEV"></code>
-     <display value="Device"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Apparaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="DIFF"></code>
-     <display value="Difference"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verschil"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ELAS"></code>
-     <display value="Elasticity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Elasticiteit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ELPOT"></code>
-     <display value="Electrical Potential (Voltage)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electrische potentiaal (voltage)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ELRAT"></code>
-     <display value="Electrical current (amperage)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electrische stroom (amperage)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ELRES"></code>
-     <display value="Electrical Resistance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electrische weerstand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ENGR"></code>
-     <display value="Energy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Energie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ENT"></code>
-     <display value="Entitic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit-gerelateerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ENTCAT"></code>
-     <display value="Entitic Catalytic Activity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit-gerelateerde katalytische activiteit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ENTNUM"></code>
-     <display value="Entitic Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit-gerelateerd aantal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ENTSUB"></code>
-     <display value="Entitic Substance of Amount"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit-gerelateerde substantie van hoeveelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="ENTVOL"></code>
-     <display value="Entitic Volume"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entiteit-gerelateerd volume"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EQL"></code>
-     <display value="Equilibrium"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Evenwicht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FORCE"></code>
-     <display value="Mechanical force"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mechanische kracht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FREQ"></code>
-     <display value="Frequency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Frequentie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IMP"></code>
-     <display value="Impression/ interpretation of study"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Indruk/interpretatie van onderzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="KINV"></code>
-     <display value="Kinematic Viscosity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kinematische viscositeit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LEN"></code>
-     <display value="Length"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lengte"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="LINC"></code>
-     <display value="Length Increment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lengte increment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="LIQ"></code>
-     <display value="Liquefaction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Liquefactie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MASS"></code>
-     <display value="Mass"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MCNC"></code>
-     <display value="Mass Concentration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa concentratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString>
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="*"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MCNT"></code>
-     <display value="Mass Content"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MCRTO"></code>
-     <display value="Mass Concentration Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa concentratie verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MFR"></code>
-     <display value="Mass Fraction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa fractie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MGFLUX"></code>
-     <display value="Magnetic flux"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Magnetische flux"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MINC"></code>
-     <display value="Mass Increment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa increment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MORPH"></code>
-     <display value="Morphology"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Morfologie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MOTIL"></code>
-     <display value="Motility"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beweeglijkheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MRAT"></code>
-     <display value="Mass Rate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa snelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="MRTO"></code>
-     <display value="Mass Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Massa verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="NCNC"></code>
-     <display value="Number Concentration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aantal concentratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="NCNT"></code>
-     <display value="Number Content"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aantal inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="NFR"></code>
-     <display value="Number Fraction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aantal fractie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="NRTO"></code>
-     <display value="Number Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aantal verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="NUM"></code>
-     <display value="Number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aantal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OD"></code>
-     <display value="Optical density"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Optische dichtheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="OSMOL"></code>
-     <display value="Osmolality"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Osmolaliteit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRES"></code>
-     <display value="Pressure (Partial)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Druk (partiële)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRID"></code>
-     <display value="Presence/Identity/Existence"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanwezigheid/identiteit/existentie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PWR"></code>
-     <display value="Power (wattage)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kracht (wattage)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RANGE"></code>
-     <display value="Ranges"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bereiken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RATIO"></code>
-     <display value="Ratios"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verhoudingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RCRLTM"></code>
-     <display value="Reciprocal Relative Time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wederzijdse relatieve tijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RDEN"></code>
-     <display value="Relative Density"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Relatieve dichtheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="REL"></code>
-     <display value="Relative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Relatief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RLMCNC"></code>
-     <display value="Relative Mass Concentration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Relatieve massa concentratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RLSCNC"></code>
-     <display value="Relative Substance Concentration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Relatieve substantie concentratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="RLTM"></code>
-     <display value="Relative Time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Relatieve tijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SATFR"></code>
-     <display value="Saturation Fraction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Saturatie factie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SCNC"></code>
-     <display value="Substance Concentration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie concentratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SCNCIN"></code>
-     <display value="Substance Concentration Increment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie concentratie increment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SCNT"></code>
-     <display value="Substance Content"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SCNTR"></code>
-     <display value="Substance Content Rate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie inhoud verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SCRTO"></code>
-     <display value="Substance Concentration Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie concentratie verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SFR"></code>
-     <display value="Substance Fraction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie fractie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SHAPE"></code>
-     <display value="Shape"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vorm"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SMELL"></code>
-     <display value="Smell"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Reuk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SRAT"></code>
-     <display value="Substance Rate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie snelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SRTO"></code>
-     <display value="Substance Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie verhouding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SUB"></code>
-     <display value="Substance Amount"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substantie hoeveelheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="SUSC"></code>
-     <display value="Susceptibility"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gevoeligheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TASTE"></code>
-     <display value="Taste"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Smaak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
-     </extension>
-     <code value="TEMP"></code>
-     <display value="Temperature"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Temperatuur"></value>
-     </designation>
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-    <concept>
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-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Temperatuurverschil"></value>
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-    <concept>
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-     <display value="Temperature Increment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-    <concept>
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-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-      <valueString value="*"></valueString>
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-     <display value="Time (e.g. seconds)"></display>
-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-      <valueString value="*"></valueString>
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-     <display value="Dilution Factor (Titer)"></display>
-     <designation>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <display value="Time Difference"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-      <valueString value="*"></valueString>
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-     <display value="Time Stamp-Date and Time"></display>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-      <valueString value="*"></valueString>
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-     <display value="Time Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <code value="TYPE"></code>
-     <display value="Type"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Type"></value>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <display value="Volume Content"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Volume inhoud"></value>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <code value="VEL"></code>
-     <display value="Velocity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Snelheid"></value>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <display value="Velocity Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Snelheid verhouding"></value>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <code value="VFR"></code>
-     <display value="Volume Fraction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Volume fractie"></value>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <code value="VISC"></code>
-     <display value="Viscosity"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Viscositeit"></value>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <code value="VOL"></code>
-     <display value="Volume"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Volume"></value>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <display value="Volume Rate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Volume snelheid"></value>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="*"></valueString>
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-     <display value="Volume Ratio"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Volume verhouding"></value>
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-  </resource>
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- <entry>
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-  <resource>
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-    <meta>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
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-    <content value="complete"></content>
-    <concept>
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-      <valueString value="Release of Info/ Disclosure"></valueString>
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-     <display value="Release of Information/MR / Authorization to Disclosure Protected Health Information"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="002"></code>
-     <display value="Medical Procedure (invasive)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Acknowledgement/ Notification"></valueString>
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-     <code value="003"></code>
-     <display value="Acknowledge Receipt of Privacy Notice"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <display value="Abortion"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="005"></code>
-     <display value="Abortion/Laminaria"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="006"></code>
-     <display value="Accutane - Information"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <display value="Accutane - Woman"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Acknowledgement/ Notification"></valueString>
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-     <code value="008"></code>
-     <display value="Advanced Beneficiary Notice"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <display value="AFP (Alpha Fetoprotein) Screening"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="010"></code>
-     <display value="Amniocentesis (consent &amp; refusal)"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Administrative"></valueString>
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-     <code value="011"></code>
-     <display value="Anatomical Gift (organ donation)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="012"></code>
-     <display value="Anesthesia - Complications"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="013"></code>
-     <display value="Anesthesia - Questionnaire"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="014"></code>
-     <display value="Angiogram"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="015"></code>
-     <display value="Angioplasty"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="016"></code>
-     <display value="Anticancer Drugs"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="017"></code>
-     <display value="Antipsychotic Medications"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="018"></code>
-     <display value="Arthrogram"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Administrative"></valueString>
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-     <code value="019"></code>
-     <display value="Autopsy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="020"></code>
-     <display value="AZT Therapy"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="021"></code>
-     <display value="Biliary Drainage"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="022"></code>
-     <display value="Biliary Stone Extraction"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="023"></code>
-     <display value="Biopsy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="024"></code>
-     <display value="Bleeding Time Test"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="025"></code>
-     <display value="Bronchogram"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="026"></code>
-     <display value="Cardiac Catheterization"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="027"></code>
-     <display value="Coronary Angiography"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="028"></code>
-     <display value="Coronary Angiography w/o Surgery Capability"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="029"></code>
-     <display value="Cataract Op/Implant of FDA Aprvd Lens"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="030"></code>
-     <display value="Cataract Op/Implant of Investigational Lens"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="031"></code>
-     <display value="Cataract Surgery"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="032"></code>
-     <display value="Cholera Immunization"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="033"></code>
-     <display value="Cholesterol Screening"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="034"></code>
-     <display value="Circumcision - Newborn"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="035"></code>
-     <display value="Colonoscopy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="036"></code>
-     <display value="Contact Lenses"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="037"></code>
-     <display value="CT Scan - Cervical &amp; Lumbar"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="038"></code>
-     <display value="CT Scan w/ IV Contrast Media into Vein"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="039"></code>
-     <display value="CVS (Chorionic Villus) Sampling"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="040"></code>
-     <display value="Cystospy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Release of Info/ Disclosure"></valueString>
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-     <code value="041"></code>
-     <display value="Disclosure of Protected Health Information to Family/Friends"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="042"></code>
-     <display value="D &amp; C and Conization"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="043"></code>
-     <display value="Dacryocystogram"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
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-     <code value="044"></code>
-     <display value="Diagnostic Isotope"></display>
-    </concept>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="130"></code>
-     <display value="Treadmill &amp; EKG"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="131"></code>
-     <display value="Treadmill, Thallium-201"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="132"></code>
-     <display value="Typhoid"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="133"></code>
-     <display value="Use of Investigational Device"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="134"></code>
-     <display value="Use of Investigational Drug"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Medical Treatment/ Procedure"></valueString>
-     </extension>
-     <code value="135"></code>
-     <display value="Venogram"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Release of Info/ Disclosure"></valueString>
-     </extension>
-     <code value="136"></code>
-     <display value="Videotape"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0255"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0255"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0255"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.150"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0255"></name>
-    <title value="v2 Duration Categories"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0255 ( Duration Categories)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Used for blood products."></valueString>
-     </extension>
-     <code value="*"></code>
-     <display value="(asterisk) Life of the &quot;unit&quot;"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(asterisk) Leven van de &quot;eenheid&quot;. Voor bloedproducten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="12H"></code>
-     <display value="12 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="12 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1H"></code>
-     <display value="1 hour"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1L"></code>
-     <display value="1 months (30 days)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 maand (30 dagen)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1W"></code>
-     <display value="1 week"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 week"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2.5H"></code>
-     <display value="2 1/2 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 1/2 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="24H"></code>
-     <display value="24 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="24 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2D"></code>
-     <display value="2 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2H"></code>
-     <display value="2 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2L"></code>
-     <display value="2 months"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 maanden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2W"></code>
-     <display value="2 weeks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 weken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="30M"></code>
-     <display value="30 minutes"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="30 minuten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3D"></code>
-     <display value="3 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3H"></code>
-     <display value="3 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3L"></code>
-     <display value="3 months"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 maanden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3W"></code>
-     <display value="3 weeks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 weken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4D"></code>
-     <display value="4 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4H"></code>
-     <display value="4 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4W"></code>
-     <display value="4 weeks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 weken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="5D"></code>
-     <display value="5 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="5 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="5H"></code>
-     <display value="5 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="6D"></code>
-     <display value="6 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="6 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="6H"></code>
-     <display value="6 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="6 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="7H"></code>
-     <display value="7 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="7 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8H"></code>
-     <display value="8 hours"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="8 uur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LU"></code>
-     <display value="Life of the &quot;unit&quot;"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="This is a synonym for &quot;spot&quot; or &quot;random&quot; as applied to ine measurements."></valueString>
-     </extension>
-     <code value="PT"></code>
-     <display value="point in time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voor identificatie metingen op een moment in de tijd. Dit is een een synoniem voor &quot;punt&quot; or &quot;willekeurig&quot; zoals toegepast in urinemetingen."></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0497"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0497"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0497"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.321"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0497"></name>
-    <title value="v2 Consent Mode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0497 ( Consent Mode)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="T"></code>
-     <display value="Telephone"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefonisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Verbal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mondeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Written"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Op schrift"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0256"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0256"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0256"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.151"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0256"></name>
-    <title value="v2 Time Delay Post Challenge"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0256 ( Time Delay Post Challenge)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="10D"></code>
-     <display value="10 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="10 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="10M"></code>
-     <display value="10 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="10 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="12H"></code>
-     <display value="12 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="12 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="15M"></code>
-     <display value="15 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="15 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1H"></code>
-     <display value="1 hour post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1L"></code>
-     <display value="1 month (30 days) post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 maand (30 dagen) post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1M"></code>
-     <display value="1 minute post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 minuut post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1W"></code>
-     <display value="1 week"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1 week"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2.5H"></code>
-     <display value="2 1/2 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 1/2 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="20M"></code>
-     <display value="20 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="20 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="24H"></code>
-     <display value="24 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="24 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="25M"></code>
-     <display value="25 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="25 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2D"></code>
-     <display value="2 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2H"></code>
-     <display value="2 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2L"></code>
-     <display value="2 months (60 days) post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 maanden (60 dagen) post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2M"></code>
-     <display value="2 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2W"></code>
-     <display value="2 weeks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="2 weken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="30M"></code>
-     <display value="30 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="30 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3D"></code>
-     <display value="3 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3H"></code>
-     <display value="3 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3L"></code>
-     <display value="3 months (90 days) post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 maanden (90 dagen) post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3M"></code>
-     <display value="3 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3W"></code>
-     <display value="3 weeks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="3 weken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4D"></code>
-     <display value="4 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4H"></code>
-     <display value="4 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4M"></code>
-     <display value="4 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4W"></code>
-     <display value="4 weeks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="4 weken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="5D"></code>
-     <display value="5 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="5 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="5H"></code>
-     <display value="5  hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="5 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="5M"></code>
-     <display value="5 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="5 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="6D"></code>
-     <display value="6 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="7 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="6H"></code>
-     <display value="6 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="6 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="6M"></code>
-     <display value="6 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="6 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="7D"></code>
-     <display value="7 days"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="7 dagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="7H"></code>
-     <display value="7 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="7 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="7M"></code>
-     <display value="7 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="7 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8H"></code>
-     <display value="8 hours post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="8 uur post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8H SHIFT"></code>
-     <display value="8 hours aligned on nursing shifts"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="8 uur volgens verleegdiensten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="8M"></code>
-     <display value="8 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="8 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="9M"></code>
-     <display value="9 minutes post challenge"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="9 minuten post uitdaging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BS"></code>
-     <display value="Baseline (time just before the challenge)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nulmeting (tijd net voor de uitdaging)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PEAK"></code>
-     <display value="The time post drug dose at which the highest drug level is reached (differs by drug)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De tijd na medicatiedosis waarop het hoogste medicatieniveau is bereikt (verschilt per medicament)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RANDOM"></code>
-     <display value="Time from the challenge, or dose not specified. (random)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijd vanaf uitdaging of dosis niet gespecificeerd. (willekeurig)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TROUGH"></code>
-     <display value="The time post drug dose at which the lowest drug level is reached (varies with drug)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De tijd na medicatiedosis waarop het laagste medicatieniveau is bereikt (verschilt per medicament)"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0498"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0498"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0498"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.322"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0498"></name>
-    <title value="v2 Consent Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0498 ( Consent Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Active - Consent has been granted"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Actief - Toestemming is gegeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B"></code>
-     <display value="Bypassed (Consent not sought)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overgeslagen - Toestemming is niet gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Limited - Consent has been granted with limitations"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beperkt - Toestemming is gegeven met beperkingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Pending - Consent has not yet been sought"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="In bewerking - Toestemming is nog niet gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Refused - Consent has been refused"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geweigerd - Toestemming is geweigerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="Rescinded - Consent was initially granted, but was subsequently revoked or ended."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ingetrokken - Toestemming is gegeven maar vervolgens ingetrokken of beëindigd"></value>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0257"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0257"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
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-    <version value="2.9"></version>
-    <name value="v2.0257"></name>
-    <title value="v2 Nature of Challenge"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0257 ( Nature of Challenge)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CFST"></code>
-     <display value="Fasting (no calorie intake) for the period specified in the time component of the term, e.g., 1H POST CFST"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vasten (geen calorische inname) voor de opgegeven periode in het tijdcomponent van de termijn, bijv. 1H POST CFST"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EXCZ"></code>
-     <display value="Exercise undertaken as challenge (can be quantified)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Oefening ondernomen als uitdaging (kan worden gekwantificeerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FFST"></code>
-     <display value="No fluid intake for the period specified in the time component of the term"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen vloeistofinname voor de opgegeven periode in het tijdcomponent van de termijn"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0499"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0499"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0499"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.323"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0499"></name>
-    <title value="v2 Consent Bypass Reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0499 ( Consent Bypass Reason)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Noodgeval"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PJ"></code>
-     <display value="Professional Judgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Professioneel oordeel"></value>
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-    </concept>
-   </CodeSystem>
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- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0258"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0258"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0258"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.153"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0258"></name>
-    <title value="v2 Relationship Modifier"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0258 ( Relationship Modifier)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="BPU"></code>
-     <display value="Blood product unit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bloedproducteenheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CONTROL"></code>
-     <display value="Control"></display>
-    </concept>
-    <concept>
-     <code value="DONOR"></code>
-     <display value="Donor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Donor"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PATIENT"></code>
-     <display value="Patient"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0017"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0017"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0017"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.13"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0017"></name>
-    <title value="v2 Transaction Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0017 ( Transaction Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AJ"></code>
-     <display value="Adjustment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nicht verwendet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanpassing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CD"></code>
+     <code value="CR"></code>
      <display value="Credit"></display>
      <designation>
       <language value="de"></language>
@@ -57409,7 +46279,7 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="nicht verwendet"></value>
+      <value value="Kredit"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -57421,15 +46291,15 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </designation>
     </concept>
     <concept>
-     <code value="CG"></code>
-     <display value="Charge"></display>
+     <code value="DP"></code>
+     <display value="Department"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="nicht verwendet"></value>
+      <value value="Abteilung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -57437,19 +46307,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Belast"></value>
+      <value value="Afdeling"></value>
      </designation>
     </concept>
     <concept>
-     <code value="CO"></code>
-     <display value="Co-payment"></display>
+     <code value="GR"></code>
+     <display value="Grant"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="nicht verwendet"></value>
+      <value value="Zuschuß"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -57457,19 +46327,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gedeelde betaling"></value>
+      <value value="Toelage"></value>
      </designation>
     </concept>
     <concept>
-     <code value="PY"></code>
-     <display value="Payment"></display>
+     <code value="NC"></code>
+     <display value="No Charge"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="nicht verwendet"></value>
+      <value value="Keine Rechnung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -57477,17 +46347,57 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Betaling"></value>
+      <value value="Niet belasten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC"></code>
+     <display value="Professional"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berufsgenossenschaft"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Professional"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RS"></code>
+     <display value="Research"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Forschung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Research"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0259"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0123"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0259"></id>
+    <id value="v2-0123"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -57498,14 +46408,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0259"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0123"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.154"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.51"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0259"></name>
-    <title value="v2 Modality"></title>
+    <name value="v2.0123"></name>
+    <title value="v2 RESULT STATUS - OBR"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -57515,851 +46425,18 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0259 ( Modality)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="AS"></code>
-     <display value="Angioscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Angioscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BS"></code>
-     <display value="Biomagnetic imaging"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Biomagnetische beeldvorming"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CD"></code>
-     <display value="Color flow Doppler"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kleurverloop Doppler"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CP"></code>
-     <display value="Colposcopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Colposcopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CR"></code>
-     <display value="Computed radiography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Computed Radiography"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CS"></code>
-     <display value="Cystoscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Cystoscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CT"></code>
-     <display value="Computed tomography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Computed Tomography"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DD"></code>
-     <display value="Duplex Doppler"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Duplex Doppler"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DG"></code>
-     <display value="Diapanography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mammografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DM"></code>
-     <display value="Digital microscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Digitale microscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="EC"></code>
-     <display value="Echocardiography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Echocardiografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ES"></code>
-     <display value="Endoscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Endoscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="FA"></code>
-     <display value="Fluorescein angiography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fluoresceïne angiografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="FS"></code>
-     <display value="Fundoscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fundoscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LP"></code>
-     <display value="Laparoscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Laparoscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LS"></code>
-     <display value="Laser surface scan"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Laser oppervlakte scan"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MA"></code>
-     <display value="Magnetic resonance angiography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Magnetische resonantie angiografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MS"></code>
-     <display value="Magnetic resonance spectroscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Magnetische resonantie spectrografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="NM"></code>
-     <display value="Nuclear Medicine (radioisotope study)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nucleaire geneeskunde (radio-isotopisch onderzoek)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OT"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PT"></code>
-     <display value="Positron emission tomography (PET)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Positron Emissie Tomografie (PET)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RF"></code>
-     <display value="Radio fluoroscopy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Radiofluoroscopie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ST"></code>
-     <display value="Single photon emission computed tomography (SPECT)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Single Photon Emission Tomography Computed Tomography (SPECT)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="TG"></code>
-     <display value="Thermography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Thermografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="US"></code>
-     <display value="Ultrasound"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ultrasound"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="XA"></code>
-     <display value="X-ray Angiography"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Röntgen angiografie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0480"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0480"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0480"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.306"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0480"></name>
-    <title value="v2 Pharmacy Order Types"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0480 ( Pharmacy Order Types)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Default value.  Includes, but is not limited to, tables, capsules, powders, puffs, and other non-injected/non-infused products."></valueString>
-     </extension>
-     <code value="M"></code>
-     <display value="Medication"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Includes, but is not limited to, piggybacks and syringes"></valueString>
-     </extension>
-     <code value="O"></code>
-     <display value="Other solution as medication orders"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Includes, but is not limited to, TPNs, admixtures, solutions and drips."></valueString>
-     </extension>
-     <code value="S"></code>
-     <display value="IV Large Volume Solutions"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0240"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0240"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0240"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.139"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0240"></name>
-    <title value="v2 Event Consequence"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0240 ( Event Consequence)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Congenital anomaly/birth defect"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Congenitale anomalie/geboorteafwijking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Death"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dood"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="H"></code>
-     <display value="Caused hospitalized"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Veroorzaakte hospitalisatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Incapacity which is significant, persistent or permanent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Significante beperking, langdurig of permanent"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="J"></code>
-     <display value="Disability which is significant, persistent or permanent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Significante handicap, langdurig of permanent"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Life threatening"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Levensbedreigend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Prolonged hospitalization"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verlenging hospitalisatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Required intervention to prevent permanent impairment/damage"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vereiste interventie ter preventie van permanente handicap/schade"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0482"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0482"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0482"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.307"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0482"></name>
-    <title value="v2 Order Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0482 ( Order Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="I"></code>
-     <display value="Inpatient Order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinische aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Outpatient Order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Poliklinische aanvraag"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0007"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0007"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0007"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.9"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0007"></name>
-    <title value="v2 ADMISSION TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0007 ( ADMISSION TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0123 ( RESULT STATUS - OBR)"></description>
     <content value="complete"></content>
     <concept>
      <code value="A"></code>
-     <display value="Accident"></display>
+     <display value="Some, but not all, results available"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Unfall / Notarztwagen"></value>
+      <value value="einige, aber nicht alle Ergebnisse verfügbar"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -58367,19 +46444,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ongeluk"></value>
+      <value value="Sommige maar nog niet alle resultaten beschikbaar"></value>
      </designation>
     </concept>
     <concept>
      <code value="C"></code>
-     <display value="Elective"></display>
+     <display value="Corrected, final"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="wahlfreie Aufnahme"></value>
+      <value value="korrigiertes Ergebnis, final"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -58387,735 +46464,804 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Eigen keuze"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Notfall ohne Einweisung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Labor and Delivery"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entbindung / Geburt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geboorte en bevalling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Newborn (Birth in healthcare facility)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Neugeborenes"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieuwgeborene (geboorte in zorginstelling)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Routine"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Normalaufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Urgent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="dringliche Aufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Urgent"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0008"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0008"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0008"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.10"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0008"></name>
-    <title value="v2 ACKNOWLEDGMENT CODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0008 ( ACKNOWLEDGMENT CODE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AA"></code>
-     <display value="Original mode: Application Accept - Enhanced mode: Application acknowledgment: Accept"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="akzeptiert durch Anwendung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Original modus: Applicatiebevestiging - Enhanced modus: Applicatiebevestiging: accepteer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AE"></code>
-     <display value="Original mode: Application Error - Enhanced mode: Application acknowledgment: Error"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fehler in Anwendung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Original modus: Applicatiefout - Enhanced modus: Applicatiebevestiging: fout"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AR"></code>
-     <display value="Original mode: Application Reject - Enhanced mode: Application acknowledgment: Reject"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abgelehnt durch Anwendung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Original modus: Applicatieweigering - Enhanced modus: Applicatiebevestiging: weiger"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CA"></code>
-     <display value="Enhanced mode: Accept acknowledgment: Commit Accept"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bei Eingangsprüfung akzeptiert (&quot;committed&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Enhanced modus: Ontvangstbevestiging: accepteer ontvangst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CE"></code>
-     <display value="Enhanced mode: Accept acknowledgment: Commit Error"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fehler bei Eingangsprüfung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Enhanced modus: Ontvangstbevestiging: fout in ontvangst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CR"></code>
-     <display value="Enhanced mode: Accept acknowledgment: Commit Reject"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bei Eingangsprüfung abgelehnt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Enhanced modus: Ontvangstbevestiging: weigering te ontvangen"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0009"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0009"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0009"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.11"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0009"></name>
-    <title value="v2 AMBULATORY STATUS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0009 ( AMBULATORY STATUS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A0"></code>
-     <display value="No functional limitations"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Keine funktionalen Einschränkungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen functionele beperkingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A1"></code>
-     <display value="Ambulates with assistive device"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient benötigt Hilfsmittel"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Loopt met ondersteunend middel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A2"></code>
-     <display value="Wheelchair/stretcher bound"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rollstuhl / Trage notwendig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gebonden aan rolstoel/stretcher"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A3"></code>
-     <display value="Comatose; non-responsive"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Komatös; nicht ansprechbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Comateus; niet-responsief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A4"></code>
-     <display value="Disoriented"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Desorientiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gedesoriënteerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A5"></code>
-     <display value="Vision impaired"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sehstörung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Visueel beperkt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A6"></code>
-     <display value="Hearing impaired"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Schwerhörigkeit"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auditief beperkt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A7"></code>
-     <display value="Speech impaired"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sprachstörung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spraak beperkt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A8"></code>
-     <display value="Non-English speaking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="der Landessprache nicht mächtig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet-Engelssprekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A9"></code>
-     <display value="Functional level unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Unbekannter Zustand"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Functioneel niveau onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B1"></code>
-     <display value="Oxygen therapy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sauerstofftherapie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zuurstoftherapie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B2"></code>
-     <display value="Special equipment (tubes, IVs, catheters)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Besondere Hilsfmittel"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Speciale middelen (slangen, infuzen, catethers)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B3"></code>
-     <display value="Amputee"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amputation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amputatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B4"></code>
-     <display value="Mastectomy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Brustamputation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mastectomie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B5"></code>
-     <display value="Paraplegic"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(Querschnitt-) Lähmung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dwarslaesie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B6"></code>
-     <display value="Pregnant"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Schwanger"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zwanger"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0241"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0241"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0241"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.140"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0241"></name>
-    <title value="v2 Patient Outcome"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0241 ( Patient Outcome)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Died"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overleden"></value>
+      <value value="Gecorrigeerde resultaten"></value>
      </designation>
     </concept>
     <concept>
      <code value="F"></code>
-     <display value="Fully recovered"></display>
+     <display value="Final results"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Endergebnis - Auftrag erledigt, Ergebnisse validiert"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Volledig hersteld"></value>
+      <value value="Definitieve resultaten; resultaten opgeslagen en geverifieerd. Kunnen alleen nog worden gewijzigd door een gecorrigeerd resultaat."></value>
      </designation>
     </concept>
     <concept>
-     <code value="N"></code>
-     <display value="Not recovering/unchanged"></display>
+     <code value="I"></code>
+     <display value="No results available; specimen received, procedure incomplete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Keine Ergebnisse - Probe liegt vor, Untersuchung unvollständig"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Herstelt niet/ongewijzigd"></value>
+      <value value="Geen resultaat beschikbaar; monster ontvangen, procedure incompleet"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Corrected, not final"></display>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Procedure completed, results pending"></display>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Order received; specimen not yet received"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftrag erhalten - Probe steht noch aus"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag ontvangen; monster nog niet gearriveerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Preliminary"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vorläufig - Validiertes Zwischenergebnis liegt vor, aber noch keine endgültigen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voorlopig: er is een geverifieerd eerste resultaat beschikbaar, definitieve resultaten nog niet beschikbaar"></value>
      </designation>
     </concept>
     <concept>
      <code value="R"></code>
-     <display value="Recovering"></display>
+     <display value="Results stored; not yet verified"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ergebnisse gespeichert, aber noch nicht validiert"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Herstellende"></value>
+      <value value="Resultaten opgeslagen; nog niet geverifieerd"></value>
      </designation>
     </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="No results available; procedure scheduled, but not done"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Keine Ergebnisse - Untersuchung eingeplant, aber noch nicht durchgeführt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen resultaat beschikbaar; procedure gepland maar nog niet uitgevoerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="No results available; Order canceled"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Keine Ergebnisse - Auftrag storniert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen resultaat beschikbaar; aanvraag geannuleerd."></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="No order on record for this test"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kein Auftrag zu dieser Untersuchung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen aanvraag opgeslagen voor deze test. (Alleen van toepassing bij queries)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Z"></code>
+     <display value="No record of this patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Keine Daten über diesen Patienten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiënt niet bekend. (Alleen van toepassing bij queries)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0124"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0124"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0124"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.52"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0124"></name>
+    <title value="v2 TRANSPORTATION MODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0124 ( TRANSPORTATION MODE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CART"></code>
+     <display value="Cart - patient travels on cart or gurney"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient wird auf Trage transportiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wagentje - patiënt reist per karretje of ziekenhuisbed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PORT"></code>
+     <display value="The examining device goes to patient's location"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Untersuchung am Krankenbett"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Het onderzoeksapparaat gaat naar de patiëntlocatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WALK"></code>
+     <display value="Patient walks to diagnostic service"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient geht zu Fuß zum Funktionsbereich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiënt loopt naar diagnostische service"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WHLC"></code>
+     <display value="Wheelchair"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rollstuhl"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rolstoel"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0126"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0126"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0126"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.53"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0126"></name>
+    <title value="v2 QUANTITY LIMITED REQUEST"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0126 ( QUANTITY LIMITED REQUEST)"></description>
+    <content value="complete"></content>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString>
+      <valueString value="RSP/RTB/RDY">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Restletsel"></valueString>
+         <valueString value="RSP/RTB/RDY"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="S"></code>
-     <display value="Sequelae"></display>
+     <code value="CH"></code>
+     <display value="Characters"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeichen"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Sequenlae"></value>
+      <value value="Tekens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RTB/RDY">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="RTB/RDY"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="LI"></code>
+     <display value="Lines"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeilen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Regels"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RDY">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="RDY"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PG"></code>
+     <display value="Pages"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Seiten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pagina's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RSP/RTB/RDY">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="RSP/RTB/RDY"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RD"></code>
+     <display value="Records"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datensätze"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Records"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ZO"></code>
+     <display value="Locally defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="lokal definiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lokaal gedefinieerd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0127"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0127"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0127"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.54"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0127"></name>
+    <title value="v2 ALLERGY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0127 ( ALLERGY TYPE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AA"></code>
+     <display value="Animal Allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tierallergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dierenallergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DA"></code>
+     <display value="Drug allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medikamentenallergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicatieallergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EA"></code>
+     <display value="Environmental Allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Allergie gegen Umwelteinflüsse"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Omgevingsallergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FA"></code>
+     <display value="Food allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nahrungsmittelallergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voedselallergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LA"></code>
+     <display value="Pollen Allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pollenallergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pollenallergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MA"></code>
+     <display value="Miscellaneous allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sonstige Allergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overige allergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MC"></code>
+     <display value="Miscellaneous contraindication"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sonstige Kontraindikation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overige contraindicatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Plant Allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pflanzenallergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Plantallergie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0128"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0128"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0128"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.55"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0128"></name>
+    <title value="v2 ALLERGY SEVERITY"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0128 ( ALLERGY SEVERITY)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="MI"></code>
+     <display value="Mild"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Leicht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mild"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MO"></code>
+     <display value="Moderate"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mittel"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gemiddeld"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SV"></code>
+     <display value="Severe"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lebensbedrohlich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ernstig"></value>
      </designation>
     </concept>
     <concept>
      <code value="U"></code>
      <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
@@ -59125,26 +47271,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="Onbekend"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Worsening"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verslechterend"></value>
-     </designation>
-    </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0483"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0130"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0483"></id>
+    <id value="v2-0130"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -59155,14 +47289,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0483"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0130"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.308"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.56"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0483"></name>
-    <title value="v2 Authorization Mode"></title>
+    <name value="v2.0130"></name>
+    <title value="v2 Visit user code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -59172,78 +47306,30 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0483 ( Authorization Mode)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0130 ( Visit user code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="EL"></code>
-     <display value="Electronic"></display>
+     <code value="HO"></code>
+     <display value="Home"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Electronisch"></value>
+      <value value="Thuis"></value>
      </designation>
     </concept>
     <concept>
-     <code value="EM"></code>
-     <display value="E-mail"></display>
+     <code value="MO"></code>
+     <display value="Mobile Unit"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="E-mail"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FX"></code>
-     <display value="Fax"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fax"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IP"></code>
-     <display value="In Person"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="In persoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MA"></code>
-     <display value="Mail"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Post"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Paper"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Papier"></value>
+      <value value="Mobiele eenheid"></value>
      </designation>
     </concept>
     <concept>
@@ -59259,67 +47345,49 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </designation>
     </concept>
     <concept>
-     <code value="RE"></code>
-     <display value="Reflexive (Automated system)"></display>
+     <code value="TE"></code>
+     <display value="Teaching"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Reflexief (geautomatiseerd systeem)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VC"></code>
-     <display value="Video-conference"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Videoconferentie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VO"></code>
-     <display value="Voice"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stem"></value>
+      <value value="Geeft onderwijs"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0242"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0131"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0242"></id>
+    <id value="v2-0131"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <language value="en"></language>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
+     <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0242"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0131"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.141"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.58"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0242"></name>
-    <title value="v2 Primary Observer's Qualification"></title>
+    <name value="v2.0131"></name>
+    <title value="v2 Contact Role"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -59329,212 +47397,30 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0242 ( Primary Observer's Qualification)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0131 ( Contact Role)"></description>
     <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
     <concept>
-     <code value="C"></code>
-     <display value="Health care consumer/patient"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgconsument/patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="H"></code>
-     <display value="Other health professional"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere zorgprofessional"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Lawyer/attorney"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Advocaat/aanklager"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Mid-level professional (nurse, nurse practitioner, physician's assistant)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mid-level professional (verpleegkundige, nurse practitioner, arts-assistent)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other non-health professional"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere niet-zorg professional"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Physician (osteopath, homeopath)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgverlener (osteopaat, homeopaat)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Pharmacist"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Apotheker"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0484"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0484"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0484"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.309"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0484"></name>
-    <title value="v2 Dispense Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0484 ( Dispense Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="Trial Quantity Balance"></display>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Compassionate Fill"></display>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="New/Renew - Full Fill"></display>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="New/Renew - Part Fill"></display>
-    </concept>
-    <concept>
-     <code value="Q"></code>
-     <display value="Refill - Part Fill"></display>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Refill - Full Fill"></display>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Manufacturer Sample"></display>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Trial Quantity"></display>
-    </concept>
-    <concept>
-     <code value="Z"></code>
-     <display value="Non-Prescription Fill"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0001"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0001"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0001"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.2"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0001"></name>
-    <title value="v2 SEX"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0001 ( SEX)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Ambiguous"></display>
+     <code value="BP"></code>
+     <display value="Billing contact person"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="mehrdeutig"></value>
+      <value value="Kontaktperson für Abrechnung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -59542,19 +47428,123 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ambigu"></value>
+      <value value="Facturatie contactpersoon"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Emergency Contact"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ansprechpartner in Notfällen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contact bij nood"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CP"></code>
+     <display value="Contact person"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kontaktperson"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contactpersoon"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Employer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeitgeber"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werkgever"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EP"></code>
+     <display value="Emergency contact person"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kontaktperson für Notfälle"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contactpersoon bij nood"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
     </concept>
     <concept>
      <code value="F"></code>
-     <display value="Female"></display>
+     <display value="Federal Agency"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="weiblich"></value>
+      <value value="Bundesbehörde"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -59562,19 +47552,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Vrouw"></value>
+      <value value="Federale overheidsinstelling"></value>
      </designation>
     </concept>
     <concept>
-     <code value="M"></code>
-     <display value="Male"></display>
+     <code value="I"></code>
+     <display value="Insurance Company"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="männlich"></value>
+      <value value="Versicherung"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -59582,19 +47572,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Man"></value>
+      <value value="Verzekeraar"></value>
      </designation>
     </concept>
     <concept>
      <code value="N"></code>
-     <display value="Not applicable"></display>
+     <display value="Next-of-Kin"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="nicht zutreffend"></value>
+      <value value="Kontaktperson"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -59602,7 +47592,7 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Niet van toepassing"></value>
+      <value value="Familielid"></value>
      </designation>
     </concept>
     <concept>
@@ -59625,6 +47615,54 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="Anders"></value>
      </designation>
     </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="Person preparing referral"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Person, die die Überweisung vorbereitet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Persoon die verwijzing voorbereidt"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="State Agency"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Landesbehörde"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Staat overheidsinstelling"></value>
+     </designation>
+    </concept>
     <concept>
      <code value="U"></code>
      <display value="Unknown"></display>
@@ -59649,10 +47687,10 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0243"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0133"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0243"></id>
+    <id value="v2-0133"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -59663,14 +47701,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0243"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0133"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.142"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.59"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0243"></name>
-    <title value="v2 Identity may be Divulged"></title>
+    <name value="v2.0133"></name>
+    <title value="v2 PROCEDURE PRACTITIONER TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -59680,7 +47718,397 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0243 ( Identity may be Divulged)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0133 ( PROCEDURE PRACTITIONER TYPE)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="AN"></code>
+     <display value="Anesthesiologist/Anesthetist"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anästhesist"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anesthesioloog/Anesthesist"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="AS"></code>
+     <display value="Assistant Surgeon"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Assistenzchirurg"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Assistent chirurg"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CM"></code>
+     <display value="Certified Nurse Midwife"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hebamme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gecertificeerde verloskundig verpleegkundige"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NP"></code>
+     <display value="Nurse Practitioner"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Krankenschwester"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nurse practitioner"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="Procedure MD/ Surgeon"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ausführender Arzt (Chirurg)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chirurg"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PS"></code>
+     <display value="Primary Surgeon"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="verantwortlicher Chirurg"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hoofdchirurg"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RD"></code>
+     <display value="Radiologist"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Radiologe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Radioloog"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RS"></code>
+     <display value="Resident"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Krankenhausarzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medewerker"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SN"></code>
+     <display value="Scrub Nurse"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Operatieassistent"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0135"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0135"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0135"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.60"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0135"></name>
+    <title value="v2 ASSIGNMENT OF BENEFITS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0135 ( ASSIGNMENT OF BENEFITS)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="M"></code>
+     <display value="Modified assignment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sonderabmachung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aangepaste toekenning"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nein"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Yes"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0136"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0136"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0136"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.347"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0136"></name>
+    <title value="v2 Y/N Indicator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0136 ( Y/N Indicator)"></description>
     <content value="complete"></content>
     <concept>
      <code value="N"></code>
@@ -59702,18 +48130,6 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="Nee"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="NA"></code>
-     <display value="Not applicable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet van toepassing"></value>
-     </designation>
-    </concept>
     <concept>
      <code value="Y"></code>
      <display value="Yes"></display>
@@ -59738,10 +48154,10 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0485"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0137"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0485"></id>
+    <id value="v2-0137"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -59752,14 +48168,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0485"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0137"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.310"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.61"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0485"></name>
-    <title value="v2 Extended Priority Codes"></title>
+    <name value="v2.0137"></name>
+    <title value="v2 MAIL CLAIM PARTY"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -59769,393 +48185,18 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0485 ( Extended Priority Codes)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0137 ( MAIL CLAIM PARTY)"></description>
     <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fill after S orders"></valueString>
-     </extension>
-     <code value="A"></code>
-     <display value="ASAP"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zo spoedig mogelijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Callback"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Terugbellen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Preop"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pre-op"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRN"></code>
-     <display value="As needed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zoals noodzakelijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Default"></valueString>
-     </extension>
-     <code value="R"></code>
-     <display value="Routine"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="With highest priority">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Met hoogste prioriteit"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="S"></code>
-     <display value="Stat"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="STAT"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A request implying that it is critical to come as close as possible to the requested time, e.g., for a trough anti-microbial level.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Een aanvraag waaruit af te leiden is dat het belangrijk is om zo dicht mogelijk binnen de gevraagde tijd te blijven, bijv. voor een anti-microbieel niveau."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="T"></code>
-     <display value="Timing critical"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Timing critical within &lt;integer&gt; days.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Timing kritiek binnen &lt;integer&gt; dagen."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TD&lt;integer&gt;"></code>
-     <display value="Timing critical within &lt;integer&gt; days."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek binnen &lt;integer&gt; dagen."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Timing critical within &lt;integer&gt; hours.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Timing kritiek binnen &lt;integer&gt; uur."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TH&lt;integer&gt;"></code>
-     <display value="Timing critical within &lt;integer&gt; hours."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek binnen &lt;integer&gt; uur."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Timing critical within &lt;integer&gt; months.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Timing kritiek binnen &lt;integer&gt; maanden."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TL&lt;integer&gt;"></code>
-     <display value="Timing critical within &lt;integer&gt; months."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek binnen &lt;integer&gt; maanden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Timing critical within &lt;integer&gt; minutes.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Timing kritiek binnen &lt;integer&gt; minuten."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TM&lt;integer&gt;"></code>
-     <display value="Timing critical within &lt;integer&gt; minutes."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek binnen &lt;integer&gt; minuten."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Timing critical within &lt;integer&gt; seconds.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Timing kritiek binnen &lt;integer&gt; seconden."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TS&lt;integer&gt;"></code>
-     <display value="Timing critical within &lt;integer&gt; seconds."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek binnen &lt;integer&gt; seconden."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Timing critical within &lt;integer&gt; weeks.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Timing kritiek binnen &lt;integer&gt; weken."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TW&lt;integer&gt;"></code>
-     <display value="Timing critical within &lt;integer&gt; weeks."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Timing kritiek binnen &lt;integer&gt; weken."></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0002"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0002"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0002"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.179"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0002"></name>
-    <title value="v2 MARITAL STATUS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0002 ( MARITAL STATUS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Separated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="getrennt lebend"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uit elkaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B"></code>
-     <display value="Unmarried"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ledig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet getrouwd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Common law"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="eheähnliche Gemeinschaft"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Volgens jurisprudentie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Divorced"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="geschieden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gescheiden na huwelijk"></value>
-     </designation>
-    </concept>
     <concept>
      <code value="E"></code>
-     <display value="Legally Separated"></display>
+     <display value="Employer"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="rechtskräftig getrennt"></value>
+      <value value="Arbeitgeber"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -60163,19 +48204,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Wettelijk gescheiden"></value>
+      <value value="Werkgever"></value>
      </designation>
     </concept>
     <concept>
      <code value="G"></code>
-     <display value="Living together"></display>
+     <display value="Guarantor"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="zusammenlebend"></value>
+      <value value="Zahlungspflichtiger"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -60183,19 +48224,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Samenlevend"></value>
+      <value value="Garantstaande"></value>
      </designation>
     </concept>
     <concept>
      <code value="I"></code>
-     <display value="Interlocutory"></display>
+     <display value="Insurance company"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="---"></value>
+      <value value="Versicherung / Krankenkasse"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -60203,47 +48244,7 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Tijdelijke overeenkomst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Married"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="verheiratet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Getrouwd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Annulled"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="annulliert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nietig verklaard"></value>
+      <value value="Verzekeraar"></value>
      </designation>
     </concept>
     <concept>
@@ -60255,7 +48256,7 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="sonstiges"></value>
+      <value value="andere"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -60268,14 +48269,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Domestic partner"></display>
+     <display value="Patient"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="häuslicher Partner"></value>
+      <value value="Patient / Selbstzahler"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -60283,117 +48284,17 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Huisgenoot"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Registered domestic partner"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geregistreerd partnerschap"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Single"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="allein lebend"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleenstaand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Unreported"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Angabe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet vermeld"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Widowed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="verwitwet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Weduwe/weduwnaar"></value>
+      <value value="Patiënt"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0003"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0140"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0003"></id>
+    <id value="v2-0140"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -60404,14 +48305,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0003"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0140"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.4"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.62"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0003"></name>
-    <title value="v2 EVENT TYPE CODE"></title>
+    <name value="v2.0140"></name>
+    <title value="v2 Military service"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -60421,7 +48322,176 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0003 ( EVENT TYPE CODE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0140 ( Military service)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AUSA"></code>
+     <display value="Australian Army"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Australische leger"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AUSAF"></code>
+     <display value="Australian Air Force"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Australische luchtmacht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AUSN"></code>
+     <display value="Australian Navy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Australische marine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NATO"></code>
+     <display value="North Atlantic Treaty Organization"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Noord-Atlantische Verdragsorganisatie (NAVO)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NOAA"></code>
+     <display value="National Oceanic and Atmospheric Administration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse oceanische en atmosferische dienst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USA"></code>
+     <display value="US Army"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaans leger"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USAF"></code>
+     <display value="US Air Force"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse luchtmacht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USCG"></code>
+     <display value="US Coast Guard"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse kustwacht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USMC"></code>
+     <display value="US Marine Corps"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse korps mariniers"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USN"></code>
+     <display value="US Navy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse marine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USPHS"></code>
+     <display value="US Public Health Service"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse volksgezondheiddienst"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0141"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0141"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0141"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.63"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0141"></name>
+    <title value="v2 Military rank/grade"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0141 ( Military rank/grade)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -60436,375 +48506,27 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="A01"></code>
-     <display value="ADT/ACK - Admit/visit notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="stationäre Aufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Opname/bezoek notificatie"></value>
-     </designation>
+     <code value="E1"></code>
+     <display value="Enlisted 1"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A02"></code>
-     <display value="ADT/ACK - Transfer a patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verlegung"></value>
-     </designation>
+     <code value="E1 ... E9"></code>
+     <display value="Enlisted"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ADT/ACK - Overplaatsing van een patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A03"></code>
-     <display value="ADT/ACK -  Discharge/end visit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Entlassung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Ontslag/einde bezoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A04"></code>
-     <display value="ADT/ACK -  Register a patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Besuchsmeldung (nicht-stationär)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Registratie van een patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A05"></code>
-     <display value="ADT/ACK -  Pre-admit a patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voraufnahme eines Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vooropname van een patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A06"></code>
-     <display value="ADT/ACK -  Change an outpatient to an inpatient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung von ambulant in stationär"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig poliklinische patiënt naar klinische patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A07"></code>
-     <display value="ADT/ACK -  Change an inpatient to an outpatient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung von stationär in ambulant"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig klinische patiënt naar poliklinische patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A08"></code>
-     <display value="ADT/ACK -  Update patient information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung von Patienteninformationen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Update patiëntinformatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A09"></code>
-     <display value="ADT/ACK -  Patient departing - tracking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient verläßt Einrichtung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Patiënt vertrekt - tracking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A10"></code>
-     <display value="ADT/ACK -  Patient arriving - tracking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient erreicht Einrichtung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Patiënt keert terug - tracking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A11"></code>
-     <display value="ADT/ACK -  Cancel admit/visit notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung für A01 und A04"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer opname/bezoek notificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A12"></code>
-     <display value="ADT/ACK -  Cancel transfer"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung für A02"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annulering overplaatsing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A13"></code>
-     <display value="ADT/ACK -  Cancel discharge/end visit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung für A03"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer ontslag/einde bezoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A14"></code>
-     <display value="ADT/ACK -  Pending admit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geplante Aufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Geplande opname"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A15"></code>
-     <display value="ADT/ACK -  Pending transfer"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geplante Verlegung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Geplande overplaatsing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A16"></code>
-     <display value="ADT/ACK -  Pending discharge"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geplante Entlassung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Gepland ontslag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A17"></code>
-     <display value="ADT/ACK -  Swap patients"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bettentausch zweier Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Bedwissel patiënten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A18"></code>
-     <display value="ADT/ACK -  Merge patient information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patienteninformation zusammenführen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Samenvoeging patiëntinformatie"></value>
+      <value value="Ingetekend"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -60812,39 +48534,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
+      <valueDateTime value="2000-11"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A19"></code>
-     <display value="QRY/ADR -  Patient query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage nach Patientendaten"></value>
-     </designation>
+     <code value="E1... E9"></code>
+     <display value="Enlisted"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Patiëntopvraging"></value>
+      <value value="Ingetekend"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -60852,239 +48554,127 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="A20"></code>
-     <display value="ADT/ACK -  Bed status update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung des Bettenstatus"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Update bedstatus"></value>
-     </designation>
+     <code value="E2"></code>
+     <display value="Enlisted 2"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A21"></code>
-     <display value="ADT/ACK -  Patient goes on a &quot;leave of absence&quot;"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beginn einer Patientenabwesenheit"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Patiënt gaat met “verlof”"></value>
-     </designation>
+     <code value="E3"></code>
+     <display value="Enlisted 3"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A22"></code>
-     <display value="ADT/ACK -  Patient returns from a &quot;leave of absence&quot;"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ende einer Patientenabwesenheit"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Patiënt keert terug van “verlof”"></value>
-     </designation>
+     <code value="E4"></code>
+     <display value="Enlisted 4"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A23"></code>
-     <display value="ADT/ACK -  Delete a patient record"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Löschen eines Patientensatzes"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Verwijder een patiëntrecord"></value>
-     </designation>
+     <code value="E5"></code>
+     <display value="Enlisted 5"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A24"></code>
-     <display value="ADT/ACK -  Link patient information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verknüpfen von Patientendaten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Koppel patiëntinformatie"></value>
-     </designation>
+     <code value="E6"></code>
+     <display value="Enlisted 6"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A25"></code>
-     <display value="ADT/ACK -  Cancel pending discharge"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung einer eingeleiteten Entlassung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer gepland ontslag"></value>
-     </designation>
+     <code value="E7"></code>
+     <display value="Enlisted 7"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A26"></code>
-     <display value="ADT/ACK -  Cancel pending transfer"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung einer eingeleiteten Verlegung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer geplande overplaatsing"></value>
-     </designation>
+     <code value="E8"></code>
+     <display value="Enlisted 8"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A27"></code>
-     <display value="ADT/ACK -  Cancel pending admit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung einer eingeleiteten Aufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer geplande opname"></value>
-     </designation>
+     <code value="E9"></code>
+     <display value="Enlisted 9"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A28"></code>
-     <display value="ADT/ACK -  Add person information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Personendaten hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg persoonsinformatie toe"></value>
-     </designation>
+     <code value="O1"></code>
+     <display value="Officers 1"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="A29"></code>
-     <display value="ADT/ACK -  Delete person information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Löschung von personenbezogenen Daten"></value>
-     </designation>
+     <code value="O1 ... O10"></code>
+     <display value="Officers"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ADT/ACK - Verwijder persoonsinformatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A30"></code>
-     <display value="ADT/ACK -  Merge person information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="veraltet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg persoonsinformatie samen"></value>
+      <value value="Officieren"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -61092,99 +48682,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
+      <valueDateTime value="2000-11"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="A31"></code>
-     <display value="ADT/ACK -  Update person information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ändern personenbezogener Daten"></value>
-     </designation>
+     <code value="O1 ... O9"></code>
+     <display value="Officers"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ADT/ACK - Update persoonsinformatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A32"></code>
-     <display value="ADT/ACK -  Cancel patient arriving - tracking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung eines Patientenzugangs (Bettenzuweisung)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer aankomst patiënt - tracking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A33"></code>
-     <display value="ADT/ACK -  Cancel patient departing - tracking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung eines Patientenabgangs (Bettenfreigabe)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer vertrek patiënt - tracking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A34"></code>
-     <display value="ADT/ACK -  Merge patient information - patient ID only"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abgleich nur der Patientennummer (veraltet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg patiëntinformatie samen - alleen patiënt ID"></value>
+      <value value="Officieren"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -61192,4352 +48702,12 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A35"></code>
-     <display value="ADT/ACK -  Merge patient information - account number only"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abgleich nur der Abrechnungsnummer / Debitorenkontonummer (veraltet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg patiëntinformatie samen - alleen accountnummer"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A36"></code>
-     <display value="ADT/ACK -  Merge patient information - patient ID and account number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abgleich von Patientennummer und Abrechnungsnummer / Debitorenkontonummer (veraltet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg patiëntinformatie samen - patiënt ID en accountnummer"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="A37"></code>
-     <display value="ADT/ACK -  Unlink patient information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auflösung einer Verknüpfung von Patientendaten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Ontkoppel patiëntinformatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A38"></code>
-     <display value="ADT/ACK - Cancel pre-admit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung zu A05"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer opname op wachtlijst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A39"></code>
-     <display value="ADT/ACK - Merge person - patient ID"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zusammenführung von Information über externe ID (veraltet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg persoon samen - patiënt ID"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="A40"></code>
-     <display value="ADT/ACK - Merge patient - patient identifier list"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zusammenführung v. Pat-Information über ID-Liste"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Voeg patiënt samen - lijst patiënt ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A41"></code>
-     <display value="ADT/ACK - Merge account - patient account number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zusammenführung von Konten über Kontonummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Samenvoeging account - patiënt accountnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A42"></code>
-     <display value="ADT/ACK - Merge visit - visit number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zusammenführung v.Fall-Information über Fallnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Samenvoeging bezoek - bezoeknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A43"></code>
-     <display value="ADT/ACK - Move patient information - patient identifier list"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Korrektur einer falschen Zuordnung bzgl. PID-Liste"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Verplaats patiëntinformatie - lijst patiënt ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A44"></code>
-     <display value="ADT/ACK - Move account information - patient account number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Korrektur einer falschen Zuordnung bzgl.Abrechungsnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Verplaats accountinformatie - patiënt accountnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A45"></code>
-     <display value="ADT/ACK - Move visit information - visit number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Korrektur einer falschen Zuordnung bzgl.Fallnummer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Verplaats bezoekinformatie - bezoeknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A46"></code>
-     <display value="ADT/ACK - Change patient ID"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung der externen Pat.ID (PID-2)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig patiënt ID"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="A47"></code>
-     <display value="ADT/ACK - Change patient identifier list"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung der internen Pat.ID (PID-3)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig lijst patiënt ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A48"></code>
-     <display value="ADT/ACK - Change alternate patient ID"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung der alternativen Pat.ID (PID-4)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig alternatief patiënt ID"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="A49"></code>
-     <display value="ADT/ACK - Change patient account number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung der Abrechungsnummer (PID-18)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig patiënt accountnummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A50"></code>
-     <display value="ADT/ACK - Change visit number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung der Fallnummer (PV1-19)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig bezoeknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A51"></code>
-     <display value="ADT/ACK - Change alternate visit ID"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung der alternativen Fallnummer (PV1-50)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig alternatief bezoeknummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A52"></code>
-     <display value="ADT/ACK - Cancel leave of absence for a patient"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer verlof voor een patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A53"></code>
-     <display value="ADT/ACK - Cancel patient returns from a leave of absence"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer terugkeer van verlof voor een patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A54"></code>
-     <display value="ADT/ACK - Change attending doctor"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung des behandelnden Arztes"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig behandelend arts"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A55"></code>
-     <display value="ADT/ACK - Cancel change attending doctor"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung der Änderung des behandelnden Arztes"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer wijzigen behandelend arts"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A60"></code>
-     <display value="ADT/ACK - Update allergy information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aktualisierung der Allergie-Informationen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Update allergie-informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A61"></code>
-     <display value="ADT/ACK - Change consulting doctor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Wijzig consulterend arts"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="A62"></code>
-     <display value="ADT/ACK - Cancel change consulting doctor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ADT/ACK - Annuleer wijzigen consulterend arts"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B01"></code>
-     <display value="PMU/ACK - Add personnel record"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Voeg personeelrecord toe"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B02"></code>
-     <display value="PMU/ACK - Update personnel record"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Update personeelrecord"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B03"></code>
-     <display value="PMU/ACK - Delete personnel re cord"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Verwijder personeelrecord"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B04"></code>
-     <display value="PMU/ACK - Active practicing person"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Activeer praktiserend persoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B05"></code>
-     <display value="PMU/ACK - Deactivate practicing person"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Deactiveer praktiserend persoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B06"></code>
-     <display value="PMU/ACK - Terminate practicing person"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Beëindig praktiserend persoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B07"></code>
-     <display value="PMU/ACK - Grant Certificate/Permission"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Geef certificaat/toestemming"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="B08"></code>
-     <display value="PMU/ACK - Revoke Certificate/Permission"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PMU/ACK - Trek certificaat/toestemming in"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C01"></code>
-     <display value="CRM - Register a patient on a clinical trial"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Registrierung eines Patienten f.eine klin.Studie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Registreer patiënt voor clinical trial"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C02"></code>
-     <display value="CRM - Cancel a patient registration on clinical trial (for clerical mistakes only)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Löschung der Registrierung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Annuleer patiëntregistratie voor clinical trial (invoerfout)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C03"></code>
-     <display value="CRM - Correct/update registration information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Korrektur/Änderung der Registrierung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Corrigeer/update registratie-informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C04"></code>
-     <display value="CRM - Patient has gone off a clinical trial"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient ist aus der Studie ausgeschieden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Patiënt heeft clinical trial verlaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C05"></code>
-     <display value="CRM - Patient enters phase of clinical trial"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient tritt in Studienphase ein"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Patiënt gaat in fase van clinical trial"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C06"></code>
-     <display value="CRM - Cancel patient entering a phase (clerical mistake)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Löschung des Eintritts in eine Studienphase"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Annuleer patiënt gaat in fase van clinical trial (invoerfout)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C07"></code>
-     <display value="CRM - Correct/update phase information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Korrektur/Änderung der Angaben zur Studienphase"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Corrigeer/update fase-informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C08"></code>
-     <display value="CRM - Patient has gone off phase of clinical trial"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient ist aus Studienphase ausgeschieden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CRM - Patiënt heeft fase clinical trial verlaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C09"></code>
-     <display value="CSU - Automated time intervals for reporting, like monthly"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Festlegung des Zeitintervalls für autom. Berichte"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CSU - Geautomatiseerde rapportageintervallen, zoals maandelijks"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C10"></code>
-     <display value="CSU - Patient completes the clinical trial"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient beendet Studie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CSU - Patiënt voltooit de clinical trial"></value>
-     </designation>
-    </concept>
-    <concept>
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-     <display value="CSU - Patient completes a phase of the clinical trial"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient beendet eine Studienphase"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CSU - Patiënt voltooit een fase van de clinical trial"></value>
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-    </concept>
-    <concept>
-     <code value="C12"></code>
-     <display value="CSU - Update/correction of patient order/result information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Korrektur/Änderung von Anforderungen/Ergebnissen"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="CSU - Update/correctie van patiënt aanvraag-/resultaatinformatie"></value>
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-    </concept>
-    <concept>
-     <code value="CNQ"></code>
-     <display value="Cancel Query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung einer Anfrage"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer query"></value>
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-    </concept>
-    <concept>
-     <code value="E01"></code>
-     <display value="Submit HealthCare Services Invoice"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dien factuur zorgproducten in"></value>
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-    </concept>
-    <concept>
-     <code value="E02"></code>
-     <display value="Cancel HealthCare Services Invoice"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Annuleer factuur zorgproducten"></value>
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-    </concept>
-    <concept>
-     <code value="E03"></code>
-     <display value="HealthCare Services Invoice Status"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Status factuur zorgproducten"></value>
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-    </concept>
-    <concept>
-     <code value="E04"></code>
-     <display value="Re-Assess HealthCare Services Invoice Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beoordeel factuuraanvraag zorgproducten opnieuw"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E10"></code>
-     <display value="Edit/Adjudication Results"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wijzig/beslissing resultaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E12"></code>
-     <display value="Request Additional Information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzoek om aanvullende informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E13"></code>
-     <display value="Additional Information Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord aanvullende informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E15"></code>
-     <display value="Payment/Remittance Advice"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Advies betaling/teruggave"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E20"></code>
-     <display value="Submit Authorization Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dien autorisatieverzoek in"></value>
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-    </concept>
-    <concept>
-     <code value="E21"></code>
-     <display value="Cancel Authorization Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer autorisatieverzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E22"></code>
-     <display value="Authorization Request Status"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Status autorisatieverzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E24"></code>
-     <display value="Authorization Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord autorisatieverzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="reserved for future/not yet defined">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="gereserveerd voor toekomst/nog niet gedefnieerd"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="E30"></code>
-     <display value="Submit Health Document related to Authorization Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dien zorgdocument gerelateerd aan autorisatieverzoek in"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="reserved for future/not yet defined">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="gereserveerd voor toekomst/nog niet gedefnieerd"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="E31"></code>
-     <display value="Cancel Health Document related to Authorization Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer zorgdocument gerelateerd aan autorisatieverzoek"></value>
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-    </concept>
-    <concept>
-     <code value="I01"></code>
-     <display value="RQI/RPI - Request for insurance information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung von Versicherungsdaten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RQI/RPI - Verzoek om verzekeringsgegevens"></value>
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-    </concept>
-    <concept>
-     <code value="I02"></code>
-     <display value="RQI/RPL - Request/receipt of patient selection display list"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderg.einer Patientenauswahlliste (zur Anzeige)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RQI/RPL - Verzoek/afschrift van patiëntselectie weergavelijst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I03"></code>
-     <display value="RQI/RPR - Request/receipt of patient selection list"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderg.einer strukt. Patientenauswahlliste"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQI/RPR - Verzoek/afschrift van patiëntselectielijst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I04"></code>
-     <display value="RQD/RPI - Request for patient demographic data"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung demographischer Informationen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQD/RPI - Verzoek om demografische patiëntgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="I05"></code>
-     <display value="RQC/RCI - Request for patient clinical information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Anforderung klinischer Informationen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQC/RCI - Verzoek om klinische patiëntgegevens"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
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-    </concept>
-    <concept>
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-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
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-       </extension>
-      </valueString>
-     </extension>
-     <code value="I06"></code>
-     <display value="RQC/RCL - Request/receipt of clinical data listing"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung strukt. klinischer Informationen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQC/RCL - Verzoek/afschrift van overzicht klinische gegevens"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="I07"></code>
-     <display value="PIN/ACK - Unsolicited insurance information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="unaufgeforderte Übermittlung v. Versicherungsdaten"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="PIN/ACK - Ongevraagde verzekeringsinformatie"></value>
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-    </concept>
-    <concept>
-     <code value="I08"></code>
-     <display value="RQA/RPA - Request for treatment authorization information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung Kostenübernahmeerklärung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQA/RPA - Verzoek om autorisatie-informatie behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I09"></code>
-     <display value="RQA/RPA - Request for modification to an authorization"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderg bzgl. Änderung Kostenübernahmeerklärung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQA/RPA - Verzoek om wijziging in autorisatie"></value>
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-    </concept>
-    <concept>
-     <code value="I10"></code>
-     <display value="RQA/RPA - Request for resubmission of an authorization"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="erneute Anforderung Kostenübernahmeerklärung"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQA/RPA - Verzoek om autorisatie opnieuw in te dienen"></value>
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-    <concept>
-     <code value="I11"></code>
-     <display value="RQA/RPA - Request for cancellation of an authorization"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Anfordrg Stornierg einer Kostenübernahmeerklärung"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="RQA/RPA - Verzoek om annulering van een autorisatie"></value>
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-    <concept>
-     <code value="I12"></code>
-     <display value="REF/RRI - Patient referral"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Überweisung eines Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="REF/RRI - Patiëntverwijzing"></value>
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-    </concept>
-    <concept>
-     <code value="I13"></code>
-     <display value="REF/RRI - Modify patient referral"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Änderung einer Patientenüberweisung"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="REF/RRI - Wijzig patiëntverwijzing"></value>
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-    </concept>
-    <concept>
-     <code value="I14"></code>
-     <display value="REF/RRI - Cancel patient referral"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Stornierung einer Patientenüberweisung"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="REF/RRI - Annuleer patiëntverwijzing"></value>
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-    </concept>
-    <concept>
-     <code value="I15"></code>
-     <display value="REF/RRI - Request patient referral status"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Statusabfrage bzgl. Patientenüberweisung"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="REF/RRI - Verzoek om status patiëntverwijzing"></value>
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-    </concept>
-    <concept>
-     <code value="I16"></code>
-     <display value="Collaborative Care Referral"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Multidisciplinaire verwijzing"></value>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
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-       </extension>
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-     </extension>
-     <code value="I17"></code>
-     <display value="Modify Collaborative Care Referral"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Wijzig multidisciplinaire verwijzing"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="I18"></code>
-     <display value="Cancel Collaborative Care Referral"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer multidisciplinaire verwijzing"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
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-    </concept>
-    <concept>
-     <code value="I19"></code>
-     <display value="Collaborative Care Query/Collaborative Care Query Update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Query multidisciplinaire zorg/Query update multidisciplinaire zorg"></value>
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-    </concept>
-    <concept>
-     <code value="I20"></code>
-     <display value="Asynchronous Collaborative Care Update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Asynchrone update multidisciplinaire zorg"></value>
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-    <concept>
-     <code value="I21"></code>
-     <display value="Collaborative Care Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Multidisciplinair bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I22"></code>
-     <display value="Collaborative Care Fetch / Collaborative Care Information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Multidisciplinaire zorg ophalen/multidisciplinaire zorg informatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="J01"></code>
-     <display value="QCN/ACK - Cancel query/acknowledge message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="QCN/ACK - Annuleer query/bevestigingsbericht"></value>
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-    </concept>
-    <concept>
-     <code value="J02"></code>
-     <display value="QSX/ACK - Cancel subscription/acknowledge message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="QSX/ACK - Annuleer abonnement/bevestigingsbericht"></value>
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-    </concept>
-    <concept>
-     <code value="K11"></code>
-     <display value="RSP - Segment pattern response in response to QBP^Q11"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Segmentpatroon antwoord op QBP^Q11"></value>
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-    </concept>
-    <concept>
-     <code value="K13"></code>
-     <display value="RTB - Tabular response in response to QBP^Q13"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RTB - Tabelpatroon antwoord op QBP^Q13"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K15"></code>
-     <display value="RDY - Display response in response to QBP^Q15"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RDY - Weergavepatroon antwoord op QBP^Q15"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K21"></code>
-     <display value="RSP - Get person demographics response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Antwoord query demografische persoonsgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K22"></code>
-     <display value="RSP - Find candidates response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Antwoord zoek kandidaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K23"></code>
-     <display value="RSP - Get corresponding identifiers response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Antwoord bijbehorende ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K24"></code>
-     <display value="RSP - Allocate identifiers response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Antwoord alloceer ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K25"></code>
-     <display value="RSP - Personnel Information by Segment Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Antwoord personeelsinformatie op segment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K31"></code>
-     <display value="RSP -Dispense History Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RSP - Antwoord verstrekkingshistorie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K32"></code>
-     <display value="Find Candidates including Visit Information Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord zoek kandidaten inclusief bezoekinformatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K33"></code>
-     <display value="Get Donor Record Candidates Response Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord zoek donorrecord-kandidaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K34"></code>
-     <display value="Segment Pattern Response Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Segmentpatroon antwoordbericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="M01"></code>
-     <display value="MFN/MFK - Master file not otherwise specified"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung (veraltet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - niet anderszins gespecificeerd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="M02"></code>
-     <display value="MFN/MFK - Master file - staff practitioner"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Ärzte"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Medewerker zorgverlener"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="M03"></code>
-     <display value="MFN/MFK - Master file - test/observation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Tests / Untersuchungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Test/observatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="M04"></code>
-     <display value="MFN/MFK - Master files charge description"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - delayed appl ack"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Prijsomschrijving"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M05"></code>
-     <display value="MFN/MFK - Patient location master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Aufenthaltsorte"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Patiëntlocatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M06"></code>
-     <display value="MFN/MFK - Clinical study with phases and schedules master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Abrechnungskataloge"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Klinische studie met fases en planning"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M07"></code>
-     <display value="MFN/MFK - Clinical study without phases but with schedules master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - klinische Studien ohne Phasen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Klinische studie zonder fases maar met planning"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M08"></code>
-     <display value="MFN/MFK - Test/observation (numeric) master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Tests/Untersuchung mit numerischen Ergebnissen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Test/observatie (numeriek)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M09"></code>
-     <display value="MFN/MFK - Test/observation (categorical) master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Tests mit nicht numerischen Ergebnissen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Test/observatie (categorieën)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M10"></code>
-     <display value="MFN/MFK - Test /observation batteries master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - Testprofile"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Test/observatie batteries"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M11"></code>
-     <display value="MFN/MFK - Test/calculated observations master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stammdatenänderung - berechnete Ergebnisse"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Test/berekende observaties"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M12"></code>
-     <display value="MFN/MFK - Master file notification message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Notificatiebericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M13"></code>
-     <display value="MFN/MFK - Master file notification - general"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Notificatiebericht algemeen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M14"></code>
-     <display value="MFN/MFK - Master file notification - site defined"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand - Notificatiebericht lokale overeenkomst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M15"></code>
-     <display value="MFN/MFK - Inventory item master file notification"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand voorraaditems - Notificatiebericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M16"></code>
-     <display value="MFN/MFK - Master File Notification Inventory Item Enhanced"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Masterbestand voorraaditems - Notificatiebericht verbeterd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M17"></code>
-     <display value="DRG Master File Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="DRG - Masterbestand bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M18"></code>
-     <display value="MFN/MFK - Master file notification - Test/Observation (Payer)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFN/MFK - Master file notification - Test/Observatie (Betaler)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="N01"></code>
-     <display value="NMQ/NMR - Application management query message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="NMQ/NMR - Query Applicatiemanagement"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="N02"></code>
-     <display value="NMD/ACK - Application management data message (unsolicited)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="NMD/NMR - Applicatiemanagementgegevens (ongevraagd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="O01"></code>
-     <display value="ORM - Order message (also RDE, RDS, RGV, RAS)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag / Verordnung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORM - Aanvraagbericht (ook RDE, RDS, RGV, RAS)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="O02"></code>
-     <display value="ORR - Order response (also RRE, RRD, RRG, RRA)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsbestätigung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORR - Antwoord aanvraagbericht (ook RRE, RRD, RRG, RRA)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O03"></code>
-     <display value="OMD - Diet order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMD - Maaltijdaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O04"></code>
-     <display value="ORD - Diet order acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORD - Bevestiging maaltijdaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O05"></code>
-     <display value="OMS - Stock requisition order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMS - Aanvraag aanvulling voorraad"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O06"></code>
-     <display value="ORS - Stock requisition acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORS - Bevestiging aanvraag aanvulling voorraad"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O07"></code>
-     <display value="OMN - Non-stock requisition order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMN - Aanvraag aanvulling niet-voorraad"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O08"></code>
-     <display value="ORN - Non-stock requisition acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORN - Bevestiging aanvraag aanvulling niet-voorraad"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O09"></code>
-     <display value="OMP - Pharmacy/treatment order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMP - Medicatie/therapie aanvraag"></value>
-     </designation>
-    </concept>
     <concept>
      <code value="O10"></code>
-     <display value="ORP - Pharmacy/treatment order acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORP - Bevestiging medicatie/therapie aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O11"></code>
-     <display value="RDE - Pharmacy/treatment encoded order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RDE - Gecodeerde aanvraag medicatie/therapie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O12"></code>
-     <display value="RRE - Pharmacy/treatment encoded order acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RRE - Bevestiging gecodeerde aanvraag medicatie/therapie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O13"></code>
-     <display value="RDS - Pharmacy/treatment dispense"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RDS - Medicatie/therapieverstrekking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O14"></code>
-     <display value="RRD - Pharmacy/treatment dispense acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RRD - Bevestiging medicatie/therapieverstrekking"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O15"></code>
-     <display value="RGV - Pharmacy/treatment give"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RGV - Medicatie/therapie gegeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O16"></code>
-     <display value="RRG - Pharmacy/treatment give acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RRG - Bevestiging medicatie/therapie gegeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O17"></code>
-     <display value="RAS - Pharmacy/treatment administration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RAS - Medicatie/therapietoediening"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O18"></code>
-     <display value="RRA - Pharmacy/treatment administration acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RRA - Bevestiging medicatie/therapietoediening"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O19"></code>
-     <display value="OMG - General clinical order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMG - Algemene klinische aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O20"></code>
-     <display value="ORG/ORL - General clinical order response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORG/ORL - Antwoord algemene klinische aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O21"></code>
-     <display value="OML - Laboratory order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OML - Laboratoriumaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O22"></code>
-     <display value="ORL - General laboratory order response message to any OML"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORL - Algemeen laboratoriumaanvraag antwoordbericht op alle OML"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O23"></code>
-     <display value="OMI - Imaging order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMI - Beeldaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O24"></code>
-     <display value="ORI - Imaging order response message to any OMI"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORI - Beeldaanvraag antwoordbericht op alle OMI"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O25"></code>
-     <display value="RDE - Pharmacy/treatment refill authorization request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RDE - Autorisatieverzoek voor herhaal medicatie/therapie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O26"></code>
-     <display value="RRE - Pharmacy/Treatment Refill Authorization Acknowledgement"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RRE - Antwoord autorisatieverzoek voor herhaal medicatie/therapie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O27"></code>
-     <display value="OMB - Blood product order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OMB - Bloedproductaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O28"></code>
-     <display value="ORB - Blood product order acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORB - Antwoordbericht bloedproductaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O29"></code>
-     <display value="BPS - Blood product dispense status"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BPS - Bloedproduct verstrekkingstatus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O30"></code>
-     <display value="BRP - Blood product dispense status acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BRP - Antwoordbericht bloedproduct verstrekkingstatus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O31"></code>
-     <display value="BTS - Blood product transfusion/disposition"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BTS - Bloedproduct transfusie/dispositie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O32"></code>
-     <display value="BRT - Blood product transfusion/disposition acknowledgment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BRT - Antwoordbericht bloedproduct transfusie/dispositie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O33"></code>
-     <display value="OML - Laboratory order for multiple orders related to a single specimen"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OML - Laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één monster"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O34"></code>
-     <display value="ORL - Laboratory order response message to a multiple order related to single specimen OML"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORL - Antwoordbericht laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één monster OML"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O35"></code>
-     <display value="OML - Laboratory order for multiple orders related to a single container of a specimen"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OML - Laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één container van een monster OML"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O36"></code>
-     <display value="ORL - Laboratory order response message to a single container of a specimen OML"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORL - Antwoordbericht laboratoriumaanvraag voor meerdere aanvragen met betrekking tot één container van een monster OML"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O37"></code>
-     <display value="OPL - Population/Location-Based Laboratory Order Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OPL - Populatie/locatie-gebaseerd laboratoriumaanvraag bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O38"></code>
-     <display value="OPR - Population/Location-Based Laboratory Order Acknowledgment Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OPR - Bevestiging populatie/locatie-gebaseerd laboratoriumaanvraag bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O39"></code>
-     <display value="Specimen shipment centric laboratory order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Monsterverzending-georiënteerde laboratoriumaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O40"></code>
-     <display value="Specimen Shipment Centric Laboratory Order Acknowledgment Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord monsterverzending-georiënteerde laboratoriumaanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O41"></code>
-     <display value="DBC - Create Donor Record Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="DBC - Maak donorrecord bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O42"></code>
-     <display value="DBU - Update Donor Record Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="DBU - Update donorrecord bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O43"></code>
-     <display value="General Order Message with Document Payload Acknowledgement Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Algemeen aanvraagbericht met documentinhoud bevestigingsbericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O44"></code>
-     <display value="Donor Registration - Minimal Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Donorregistratie - minimaal bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O45"></code>
-     <display value="Donor Eligibility Observations Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Donorkwalificatie observaties bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O46"></code>
-     <display value="Donor Eligiblity Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Donorkwalificatie bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O47"></code>
-     <display value="Donor Request to Collect Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzoekbericht donatie verzameling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O48"></code>
-     <display value="Donation Procedure Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Procedurebericht donatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O49"></code>
-     <display value="Pharmacy/Treatment Dispense Request Message"></display>
-    </concept>
-    <concept>
-     <code value="O50"></code>
-     <display value="Pharmacy/Treatment Encoded Order Acknowledgment"></display>
-    </concept>
-    <concept>
-     <code value="O51"></code>
-     <display value="OSU – Order Status Update"></display>
-    </concept>
-    <concept>
-     <code value="O52"></code>
-     <display value="OSU – Order Status Update Acknowledgement"></display>
-    </concept>
-    <concept>
-     <code value="O53"></code>
-     <display value="ORL - General Laboratory Order Acknowledgment Message (Patient Optional)"></display>
-    </concept>
-    <concept>
-     <code value="O54"></code>
-     <display value="ORL - Laboratory Order Acknowledgment Message  – Multiple Order Per Specimen (Patient Optional)"></display>
-    </concept>
-    <concept>
-     <code value="O55"></code>
-     <display value="ORL - Laboratory Order Acknowledgment Message  – Multiple Order Per Container of Specimen (Patient Optional)"></display>
-    </concept>
-    <concept>
-     <code value="O56"></code>
-     <display value="ORL - Specimen Shipment Centric Laboratory Order Acknowledgment Message (Patient Optional)"></display>
-    </concept>
-    <concept>
-     <code value="O57"></code>
-     <display value="OMQ- General Order Message with Document Payload"></display>
-    </concept>
-    <concept>
-     <code value="O58"></code>
-     <display value="ORX - General Order Message with Document Payload Acknowledgement Message"></display>
-    </concept>
-    <concept>
-     <code value="O59"></code>
-     <display value="OML - Laboratory order for additional work up"></display>
-    </concept>
-    <concept>
-     <code value="P01"></code>
-     <display value="BAR/ACK - Add patient accounts"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eröffnung eines Patientenkontos"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BAR/ACK - Voeg patiëntaccounts toe"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P02"></code>
-     <display value="BAR/ACK - Purge patient accounts"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Löschen der Abrechnungsdaten eines Patientenkontos"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BAR/ACK - Verwijder patiëntaccounts"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P03"></code>
-     <display value="DFT/ACK - Post detail financial transaction"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Leistungs- und Abrechnungsinformationen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Details financiële verrichting"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="P04"></code>
-     <display value="QRY/DSP - Generate bill and A/R statements"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Druck und Anzeige von Rechnungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY/DSP - Maak factuur en verkregen diensten"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="P05"></code>
-     <display value="BAR/ACK - Update account"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung eines Patientenkontos"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BAR/ACK - Update account"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P06"></code>
-     <display value="BAR/ACK - End account"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abschluß eines Patientenkontos"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BAR/ACK - Beëindig account"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P07"></code>
-     <display value="PEX - Unsolicited initial individual product experience report"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unaufgeforderte individueller Produktersterfahrungsbericht"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PEX - Ongevraagd initieel rapport individueel productervaringen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P08"></code>
-     <display value="PEX - Unsolicited update individual product experience report"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung individueller Produktersterfahrungsbericht"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PEX - Ongevraagde update rapport individueel productervaringen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="P09"></code>
-     <display value="SUR - Summary product experience report"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="zusammenfassender Produkterfahrungsbericht"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SUR - Samenvatting rapport productervaringen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="P10"></code>
-     <display value="BAR/ACK -Transmit Ambulatory Payment  Classification(APC)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BAR/ACK - Verstuur Ambulatory Payment Classification (APC)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P11"></code>
-     <display value="DFT/ACK - Post Detail Financial Transactions - New"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="DFT/ACK - Verstuur financiële verrichtingen - Nieuw"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P12"></code>
-     <display value="BAR/ACK - Update Diagnosis/Procedure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="BAR/ACK - Update diagnose/behandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC1"></code>
-     <display value="PPR - PC/ problem add"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Problem hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPR - PC/Voeg probleem toe"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC2"></code>
-     <display value="PPR - PC/ problem update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Problem ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPR - PC/Update probleem"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC3"></code>
-     <display value="PPR - PC/ problem delete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Problem löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPR - PC/Verwijder probleem"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PC4"></code>
-     <display value="QRY - PC/ problem query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Problem abfragen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPR - PC/Query problemen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PC5"></code>
-     <display value="PRR - PC/ problem response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Problem Anfrage beantworten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPR - PC/Antwoord problemen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PC6"></code>
-     <display value="PGL - PC/ goal add"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziel hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PGL - PC/Voeg doel toe"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC7"></code>
-     <display value="PGL - PC/ goal update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziel ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PGL - PC/Update doel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC8"></code>
-     <display value="PGL - PC/ goal delete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziel löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PGL - PC/Verwijder doel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PC9"></code>
-     <display value="QRY - PC/ goal query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziel abfragen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PGL - PC/Query doelen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PCA"></code>
-     <display value="PPV - PC/ goal response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziel Anfrage beantworten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPV - PC/Antwoord doelen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PCB"></code>
-     <display value="PPP - PC/ pathway (problem-oriented) add"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(problemorientierte) Leitlinie hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPP - PC/Voeg zorgpad toe (probleemgeoriënteerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PCC"></code>
-     <display value="PPP - PC/ pathway (problem-oriented) update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(problemorientierte) Leitlinie ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPP - PC/Update zorgpad (probleemgeoriënteerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PCD"></code>
-     <display value="PPP - PC/ pathway (problem-oriented) delete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(problemorientierte) Leitlinie löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPP - PC/Verwijder zorgpad (probleemgeoriënteerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PCE"></code>
-     <display value="QRY - PC/ pathway (problem-oriented) query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(problemorientierte) Leitlinie abfragen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY - PC/Query zorgpaden (probleemgeoriënteerd)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PCF"></code>
-     <display value="PTR - PC/ pathway (problem-oriented) query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(problemorientierte) Leitlinie Anfrage beantworten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PTR - PC/Antwoord zorgpaden (probleemgeoriënteerd)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PCG"></code>
-     <display value="PPG - PC/ pathway (goal-oriented) add"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(zielorientierte) Leitlinie hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPG - PC/Voeg zorgpad toe (doelgeoriënteerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PCH"></code>
-     <display value="PPG - PC/ pathway (goal-oriented) update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(zielorientierte) Leitlinie ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPG - PC/Update zorgpad (doelgeoriënteerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PCJ"></code>
-     <display value="PPG - PC/ pathway (goal-oriented) delete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(zielorientierte) Leitlinie löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPG - PC/Verwijder zorgpad (doelgeoriënteerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PCK"></code>
-     <display value="QRY - PC/ pathway (goal-oriented) query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(zielorientierte) Leitlinie abfragen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY - PC/Query zorgpaden (doelgeoriënteerd)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PCL"></code>
-     <display value="PPT - PC/ pathway (goal-oriented) query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(zielorientierte) Leitlinie Anfrage beantworten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PPT - PC/Antwoord zorgpaden (doelgeoriënteerd)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2014-02"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q01"></code>
-     <display value="QRY/DSR - Query sent for immediate response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage mit sofortiger Antwort"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY/DSR - Query verzonden voor directe beantwoording"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q02"></code>
-     <display value="QRY/QCK - Query sent for deferred response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage mit verzögerter Antwort"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY/QCK - Query verzonden voor indirecte beantwoording"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q03"></code>
-     <display value="DSR/ACK - Deferred response to a query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzögerte Antwort auf Anfrage"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="DSR/ACK - Indirect antwoord op een query"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q04"></code>
-     <display value="EQQ - Embedded query language query"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="EQQ - Embedded query language query"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q05"></code>
-     <display value="UDM/ACK - Unsolicited display update message"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sofortige Bildschirmanzeige (Eilmeldung)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="UDM/ACK - Ongevraagd bericht voor weergave update"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q06"></code>
-     <display value="OSQ/OSR - Query for order status"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abfrage des Auftragsstatus"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OSQ/OSR - Query om aanvraagstatus"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q07"></code>
-     <display value="VQQ - Virtual table query"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VQQ - Virtuele tabel query"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q08"></code>
-     <display value="SPQ - Stored procedure request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SPQ - Verzoek stored procedure"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q09"></code>
-     <display value="RQQ - event replay query"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RQQ - Query event replay"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q11"></code>
-     <display value="QBP - Query by parameter requesting an RSP segment pattern response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query op parameter met als antwoord een RSP-segmentpatroon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q13"></code>
-     <display value="QBP - Query by parameter requesting an  RTB - tabular response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query op parameter met als antwoord een RTB-tabelpatroon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q15"></code>
-     <display value="QBP - Query by parameter requesting an RDY display response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query op parameter met als antwoord een RDY-weergavepatroon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q16"></code>
-     <display value="QSB - Create subscription"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QSB - Maak abonnement"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q17"></code>
-     <display value="QVR - Query for previous events"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QVR - Query op vorige events"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q21"></code>
-     <display value="QBP - Get person demographics"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query persoonsgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q22"></code>
-     <display value="QBP - Find candidates"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Zoek kandidaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q23"></code>
-     <display value="QBP - Get corresponding identifiers"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query bijbehorende ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q24"></code>
-     <display value="QBP - Allocate identifiers"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Alloceer ID's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q25"></code>
-     <display value="QBP - Personnel Information by Segment Query"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query personeelinformatie op segment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q26"></code>
-     <display value="ROR - Pharmacy/treatment order response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ROR - Antwoordbericht aanvraag medicatie/therapie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q27"></code>
-     <display value="RAR - Pharmacy/treatment administration information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RAR - Medicatie/therapie toedieningsinformatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q28"></code>
-     <display value="RDR - Pharmacy/treatment dispense information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RDR - Medicatie/therapie verstrekkingsinformatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q29"></code>
-     <display value="RER - Pharmacy/treatment encoded order information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RER - Medicatie/therapie gecodeerde aanvraag-informatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="Q30"></code>
-     <display value="RGR - Pharmacy/treatment dose information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RER - Medicatie/therapie doseringsinformatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="Q31"></code>
-     <display value="QBP Query Dispense history"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Query verstrekkingshistorie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q32"></code>
-     <display value="Find Candidates including Visit Information"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zoek kandidaten inclusief bezoekinformatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q33"></code>
-     <display value="QBP - Get Donor Record Candidates"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Ophalen donorrecord kandidaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q34"></code>
-     <display value="QBP - Get Donor Record"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QBP - Ophalen donorrecord"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R01"></code>
-     <display value="ORU/ACK - Unsolicited transmission of an observation message"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unangeforderte Übermittlung eines Befundes"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORU/ACK - Ongevraagde verzending van een observatiebericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="R02"></code>
-     <display value="QRY - Query for results of observation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage nach Untersuchungsergebnis"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Query op observatieresultaten"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="R03"></code>
-     <display value="QRY/DSR Display-oriented results, query/unsol. update (for backward compatibility only) (Replaced by Q05)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anzeigeorientiertes Ergebnis"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY/DSR - Weergave-georiënteerde resultaten, query/ongevr. update (voor backward compatibiliteit) (Vervangen door Q05)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="R04"></code>
-     <display value="ORF - Response to query; transmission of requested observation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort auf Anfrage / Übermittlung eines angeforderten Ergebnisses"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORF - Antwoord op query; verzending van aangevraagde observatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="R05"></code>
-     <display value="QRY/DSR - query for display results (See Q01)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage nach anzeigeorientierten Ergebnissen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY/DSR - Query op weergave resultaten (zie Q01)"></value>
-     </designation>
+     <display value="Officers 10"></display>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
@@ -65548,23 +48718,123 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </property>
     </concept>
     <concept>
-     <code value="R06"></code>
-     <display value="UDM - unsolicited update/display results (See Q05)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unaufgeforderte Änderung anzeigeorientierter Ergebnisse"></value>
-     </designation>
+     <code value="O2"></code>
+     <display value="Officers 2"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O3"></code>
+     <display value="Officers 3"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O4"></code>
+     <display value="Officers 4"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O5"></code>
+     <display value="Officers 5"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O6"></code>
+     <display value="Officers 6"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O7"></code>
+     <display value="Officers 7"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O8"></code>
+     <display value="Officers 8"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="O9"></code>
+     <display value="Officers 9"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="W1"></code>
+     <display value="Warrant Officers 1"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="W1 ... W4"></code>
+     <display value="Warrant Officers"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="UDM - Ongevraagde update/weergave resultaten (zie Q05)"></value>
+      <value value="Warrant-officieren"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -65572,1794 +48842,71 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="R07"></code>
-     <display value="EDR - Enhanced Display Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="EDR - Antwoord verrijkte weergave"></value>
-     </designation>
+     <code value="W2"></code>
+     <display value="Warrant Officers 2"></display>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="R08"></code>
-     <display value="TBR - Tabular Data Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="TBR - Antwoord gegevens in tabelvorm"></value>
-     </designation>
+     <code value="W3"></code>
+     <display value="Warrant Officers 3"></display>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="R09"></code>
-     <display value="ERP - Event Replay Response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ERP - Antwoord event replay"></value>
-     </designation>
+     <code value="W4"></code>
+     <display value="Warrant Officers 4"></display>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="R0R"></code>
-     <display value="R0R - Pharmacy prescription order query response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="R0R - Medicatievoorschriftaanvraag query antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1999-05"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="R21"></code>
-     <display value="OUL - Unsolicited laboratory observation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OUL - Ongevraagde laboratoriumobservatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="R22"></code>
-     <display value="OUL - Unsolicited Specimen Oriented Observation Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OUL - Ongevraagde monster-georiënteerde observatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R23"></code>
-     <display value="OUL - Unsolicited Specimen Container Oriented Observation Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OUL - Ongevraagde monstercontainer-georiënteerde observatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R24"></code>
-     <display value="OUL - Unsolicited Order Oriented Observation Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OUL - Ongevraagde aanvraag-georiënteerde observatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R25"></code>
-     <display value="OPU - Unsolicited Population/Location-Based Laboratory Observation Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OPU - Ongevraagde populatie/locatie-gebaseerd laboratoriumobservatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R26"></code>
-     <display value="OSM - Unsolicited Specimen Shipment Manifest Message"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="OSM - Ongevraagde monsterverzending manifest"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R30"></code>
-     <display value="ORU - Unsolicited Point-Of-Care Observation Message Without Existing Order - Place An Order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORU - Ongevraagde Point-Of-Care observatie zonder voorafgaande aanvraag - Plaats een aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R31"></code>
-     <display value="ORU - Unsolicited New Point-Of-Care Observation Message - Search For An Order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORU - Ongevraagde nieuwe Point-Of-Care observatie - Zoek een aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R32"></code>
-     <display value="ORU - Unsolicited Pre-Ordered Point-Of-Care Observation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORU - Ongevraagde pre-ordered Point-Of-Care observatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R33"></code>
-     <display value="ORA - Observation Report Acknowledgement"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORA - Bevestiging observatieverslag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R40"></code>
-     <display value="ORU - Unsolicited Report Alarm"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORU - Ongevraagd rapport alarm"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R41"></code>
-     <display value="Observation Report Alert Acknowledgement"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bevestiging observatierapport waarschuwing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R42"></code>
-     <display value="ORU – Unsolicited Device Event Observation Message"></display>
-    </concept>
-    <concept>
-     <code value="R43"></code>
-     <display value="ORU – Unsolicited Patient-Device Association Observation Message"></display>
-    </concept>
-    <concept>
-     <code value="RAR"></code>
-     <display value="RAR - Pharmacy administration information query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort bzgl. der Behandlungs-/Darreichungsform"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RAR - Medicatietoediening-informatie query antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RDR"></code>
-     <display value="RDR - Pharmacy dispense information query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort bzgl. des zu verabreichenden Medikamentes bzw. der Behandlung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RDR - Medicatieverstrekking-informatie query antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RER"></code>
-     <display value="RER - Pharmacy encoded order information query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort bzgl. des zu verabreichenden Medikamentes bzw. der Behandlung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RER - Medicatie gecodeerde aanvraaginformatie query antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RGR"></code>
-     <display value="RGR - Pharmacy dose information query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort bzgl. der Dosis bzw. der Frequenz der Behandlung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="RGR - Medicatiedosering-informatie query antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ROR"></code>
-     <display value="ROR - Pharmacy prescription order query response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort bzgl. der Verschreibungsanforderung des Arzneiverordnung bzw. d.Behandlg"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ROR - Medicatievoorschrift aanvraag query antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="S01"></code>
-     <display value="SRM/SRR - Request new appointment booking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Terminanforderung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek boeken nieuwe afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S02"></code>
-     <display value="SRM/SRR - Request appointment rescheduling"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung für Terminverschiebung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek verzetten afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S03"></code>
-     <display value="SRM/SRR - Request appointment modification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung für inhaltliche Terminänderung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek aanpassen afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S04"></code>
-     <display value="SRM/SRR - Request appointment cancellation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Absage eines Termins"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek annuleren afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S05"></code>
-     <display value="SRM/SRR - Request appointment discontinuation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aussetzung des aktuellen oder weiterer Termine"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek stopzetten afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S06"></code>
-     <display value="SRM/SRR - Request appointment deletion"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung eines Termins"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek verwijderen afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S07"></code>
-     <display value="SRM/SRR - Request addition of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung zusätzlicher Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek toevoegen dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S08"></code>
-     <display value="SRM/SRR - Request modification of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderungsanforderung für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek wijzigen dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S09"></code>
-     <display value="SRM/SRR - Request cancellation of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Absage für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek annuleren dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S10"></code>
-     <display value="SRM/SRR - Request discontinuation of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aussetzung für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek stopzetten dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S11"></code>
-     <display value="SRM/SRR - Request deletion of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung für zusätzliche Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SRM/SRR - Verzoek verwijderen dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S12"></code>
-     <display value="SIU/ACK - Notification of new appointment booking"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über Terminvergabe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van nieuw geboekte afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S13"></code>
-     <display value="SIU/ACK - Notification of appointment rescheduling"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung für Terminverschiebung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van verzetten afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S14"></code>
-     <display value="SIU/ACK - Notification of appointment modification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung für inhaltliche Terminänderung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van wijzigen afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S15"></code>
-     <display value="SIU/ACK - Notification of appointment cancellation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über Terminabsage"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van annuleren afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S16"></code>
-     <display value="SIU/ACK - Notification of appointment discontinuation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über Aussetzung des aktuellen oder weiterer Termine"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van stopzetten afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S17"></code>
-     <display value="SIU/ACK - Notification of appointment deletion"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über Stornierung eines Termins"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van verwijderen afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S18"></code>
-     <display value="SIU/ACK - Notification of addition of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über  zusätzlicher Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van toevoegen dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S19"></code>
-     <display value="SIU/ACK - Notification of modification of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderungsbenachrichtigung f.zusätzl. Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van wijzigen dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S20"></code>
-     <display value="SIU/ACK - Notification of cancellation of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung f. zusätzliche Leistungen/Voraussetzungen zu einem Terminabsage"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van annuleren dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S21"></code>
-     <display value="SIU/ACK - Notification of discontinuation of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über Aussetzung für zusätzliche Leistungen/Voraussetzungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van stopzetten dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S22"></code>
-     <display value="SIU/ACK - Notification of deletion of service/resource on appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung Stornierg.f.zusätzl.Leistungen/Voraussetzungen zu einem Termin"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van verwijderen dienst/resource bij afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S23"></code>
-     <display value="SIU/ACK - Notification of blocked schedule time slot(s)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über nicht verfügbare Zeitbereiche"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van geblokkeerde agenda tijdblok(ken)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S24"></code>
-     <display value="SIU/ACK - Notification of opened (&quot;unblocked&quot;) schedule time slot(s)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über (wieder) verfügbare Zeitbereiche"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie van open (niet-geblokkeerde) agenda tijdblok(ken)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="S25"></code>
-     <display value="SQM/SQR - Schedule query message and response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage nach Zeitplaninformation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SQM/SQR - Query agenda-informatie en antwoord"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="S26"></code>
-     <display value="SIU/ACK Notification that patient did not show up for schedule appointment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über Nichterscheinen eines Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Notificatie dat patiënt niet is komen opdagen voor agenda-afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S27"></code>
-     <display value="SIU/ACK - Broadcast Notification of Scheduled Appointments"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SIU/ACK - Broadcast notificatie van geplande afspraken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S28"></code>
-     <display value="SLR/SLS - Request new sterilization lot"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SLR/SLS - Verzoek nieuwe lot sterilisatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S29"></code>
-     <display value="SLR/SLS - Request Sterilization lot deletion"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SLR/SLS - Verzoek verwijderen lot sterilisatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S30"></code>
-     <display value="STI/STS - Request item"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="STI/STS - Verzoek item"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S31"></code>
-     <display value="SDR/SDS - Request anti-microbial device data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SDR/SDS - Verzoek anti-microbisch apparaatgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S32"></code>
-     <display value="SMD/SMS - Request anti-microbial device cycle data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SMD/SMS - Verzoek anti-microbisch apparaatomloopgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S33"></code>
-     <display value="STC/ACK - Notification of sterilization configuration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="STC/ACK - Notificatie van sterilisatie configuratie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S34"></code>
-     <display value="SLN/ACK - Notification of sterilization lot"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SLN/ACK - Notificatie van sterilisatie lot"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S35"></code>
-     <display value="SLN/ACK - Notification of sterilization lot deletion"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SLN/ACK - Notificatie verwijdering van sterilisatie lot"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S36"></code>
-     <display value="SDN/ACK - Notification of anti-microbial device data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SDN/ACK - Notificatie anti-microbisch apparaatgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S37"></code>
-     <display value="SCN/ACK - Notification of anti-microbial device cycle data"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SDN/ACK - Notificatie anti-microbisch apparaatomloopgegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T01"></code>
-     <display value="MDM/ACK - Original document notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Neuanlage eines Dokuments ohne Inhalt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie origineel document"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T02"></code>
-     <display value="MDM/ACK - Original document notification and content"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Neuanlage eines Dokuments mit Inhaltsübermittlung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie origineel document met inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T03"></code>
-     <display value="MDM/ACK - Document status change notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Statusänderung eines Dokuments (ohne Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie wijzigen documentstatus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T04"></code>
-     <display value="MDM/ACK - Document status change notification and content"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Statusänderung eines Dokuments (mit Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie wijzigen documentstatus met inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T05"></code>
-     <display value="MDM/ACK - Document addendum notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Ergänzung eines Dokuments (ohne Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie documentaddendum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T06"></code>
-     <display value="MDM/ACK - Document addendum notification and content"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Ergänzung eines Dokuments (mit Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie documentaddendum met inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T07"></code>
-     <display value="MDM/ACK - Document edit notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Änderung eines Dokuments (ohne Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie wijziging document"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T08"></code>
-     <display value="MDM/ACK - Document edit notification and content"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Änderung eines Dokuments (mit Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie wijziging document met inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T09"></code>
-     <display value="MDM/ACK - Document replacement notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über den Austausch eines Dokuments (ohne Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie vervanging document"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T10"></code>
-     <display value="MDM/ACK - Document replacement notification and content"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über den Austausch eines Dokuments (mit Inhalt)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie vervanging document met inhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T11"></code>
-     <display value="MDM/ACK - Document cancel notification"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Benachrichtigung über die Löschung eines Dokuments"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MDM/ACK - Notificatie annuleren document"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="T12"></code>
-     <display value="QRY/DOC - Document query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dokumentanfrage"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRY/DOC - Query documenten"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="U01"></code>
-     <display value="ESU/ACK - Automated equipment status update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ESU/ACK - Geautomatiseerde materiaal status update"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U02"></code>
-     <display value="ESR/ACK - Automated equipment status request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ESR/ACK - Geautomatiseerde materiaal status verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U03"></code>
-     <display value="SSU/ACK - Specimen status update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SSU/ACK - Monster status update"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U04"></code>
-     <display value="SSR/ACK - specimen status request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="SSR/ACK - Monster status verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U05"></code>
-     <display value="INU/ACK  - Automated equipment inventory update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="INU/ACK - Geautomatiseerde materiaal voorraad update"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U06"></code>
-     <display value="INR/ACK - Automated equipment inventory request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="INR/ACK - Geautomatiseerde materiaal voorraad verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U07"></code>
-     <display value="EAC/ACK - Automated equipment command"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="EAC/ACK - Geautomatiseerde materiaal commando"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U08"></code>
-     <display value="EAR/ACK - Automated equipment response"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="EAR/ACK - Geautomatiseerde materiaal antwoord"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U09"></code>
-     <display value="EAN/ACK - Automated equipment notification"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="EAN/ACK - Geautomatiseerde materiaal notificatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U10"></code>
-     <display value="TCU/ACK - Automated equipment test code settings update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="TCU/ACK - Geautomatiseerde materiaal testcode instellingen update"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U11"></code>
-     <display value="TCR/ACK - Automated equipment test code settings request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="TCR/ACK - Geautomatiseerde materiaal testcode instellingen verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U12"></code>
-     <display value="LSU/ACK - Automated equipment log/service update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="LSU/ACK - Geautomatiseerde materiaal log/service update"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U13"></code>
-     <display value="LSR/ACK - Automated equipment log/service request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="LSR/ACK - Geautomatiseerde materiaal log/service verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U14"></code>
-     <display value="INR/ACK – Automated Equipment Inventory Request"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="V01"></code>
-     <display value="VXQ - Query for vaccination record"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anfrage nach Impfstatus eines Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VQX - Query op vaccinatiegegevens"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="V02"></code>
-     <display value="VXX - Response to vaccination query returning multiple PID matches"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort auf Impfstatusanfrage bei nicht-eindeutiger Patienten-ID"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VXX - Antwoord op query vaccinatiegegevens met meerdere PID's"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="V03"></code>
-     <display value="VXR - Vaccination record response"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort auf Impfstatusanfrage zu einem Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VXR - Antwoord op query vaccinatiegegevens"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="V04"></code>
-     <display value="VXU - Unsolicited vaccination record update"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unaufgeforderte Änderung zu dem Impfstatus eines Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VXU - Ongevraagde update vaccinatiegegevens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Varies"></code>
-     <display value="MFQ/MFR - Master files query (use event same as asking for e.g., M05 - location)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="allgemeine Stammdatenanfrage"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="MFQ/MFR - Masterbestanden query (gebruik event zoals bij vragen naar bijv. M05 - locatie)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="W01"></code>
-     <display value="ORU - Waveform result, unsolicited transmission of requested information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unaufgeforderte Übermittlung von Signaldaten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ORU - Waveformresultaat, ongevraagde verzending van aangevraagde informatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vervallen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="W02"></code>
-     <display value="QRF - Waveform result, response to query"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="angeforderte Übermittlung von Signaldaten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QRF - Waveformresultaat, antwoord op query"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="X01"></code>
-     <display value="PEX - Product experience"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="PEX - Productervaring"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0487"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0142"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0487"></id>
+    <id value="v2-0142"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <language value="en"></language>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
+     <valueCode value="external"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
+     <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0487"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0142"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.311"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.64"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0487"></name>
-    <title value="v2 Specimen Type"></title>
+    <name value="v2.0142"></name>
+    <title value="v2 Military status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -67369,3128 +48916,52 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0487 ( Specimen Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0142 ( Military status)"></description>
     <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
     <concept>
-     <code value="..."></code>
-     <display value="No suggested values"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
+     <code value="ACT"></code>
+     <display value="Active duty"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ABS"></code>
-     <display value="Abscess"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abszeß"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abces"></value>
+      <value value="Actieve dienst"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ACNE"></code>
-     <display value="Tissue, Acne"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Weefsel, Acné"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vocht"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ACNFLD"></code>
-     <display value="Fluid, Acne"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, Acné"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Milieu"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AIRS"></code>
-     <display value="Air Sample"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Luchtmonster"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ALL"></code>
-     <display value="Allograft"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Allograft"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AMN"></code>
-     <display value="Amniotic fluid"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amniotisch vocht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AMP"></code>
-     <display value="Amputation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amputatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="ANGI"></code>
-     <display value="Catheter Tip, Angio"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="ARTC"></code>
-     <display value="Catheter Tip, Arterial"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="ASERU"></code>
-     <display value="Serum, Acute"></display>
-    </concept>
-    <concept>
-     <code value="ASP"></code>
-     <display value="Aspirate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aspiraat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="ATTE"></code>
-     <display value="Environment, Attest"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="AUTOA"></code>
-     <display value="Environmental, Autoclave Ampule"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="AUTOC"></code>
-     <display value="Environmental, Autoclave Capsule"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AUTP"></code>
-     <display value="Autopsy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Autopsie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bloed"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BBL"></code>
-     <display value="Blood bag"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bloedzak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="BCYST"></code>
-     <display value="Cyst, Baker's"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Body submitted for autopsy / carcass submitted">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Lichaam/karkas ten behoeve van autopsie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BDY"></code>
-     <display value="Whole body"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Heel lichaam"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BIFL"></code>
-     <display value="Bile Fluid"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Galvloeistof"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Conditions"></valueString>
-     </extension>
-     <code value="BITE"></code>
-     <display value="Bite"></display>
-    </concept>
-    <concept>
-     <code value="BLD"></code>
-     <display value="Whole blood"></display>
-    </concept>
-    <concept>
-     <code value="BLDA"></code>
-     <display value="Blood arterial"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Arterieel bloed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BLDCO"></code>
-     <display value="Cord blood"></display>
-    </concept>
-    <concept>
-     <code value="BLDV"></code>
-     <display value="Blood venous"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Veneus bloed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition, Fluid/Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie, vocht/weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BLEB"></code>
-     <display value="Bleb"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Blaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition, Fluid/Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie, vocht/weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BLIST"></code>
-     <display value="Blister"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Blaas"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="BOIL"></code>
-     <display value="Boil"></display>
-    </concept>
-    <concept>
-     <code value="BON"></code>
-     <display value="Bone"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bot"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BONE"></code>
-     <display value="Bone"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2003-07"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BOWL"></code>
-     <display value="Bowel contents"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Darminhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="BPH"></code>
-     <display value="Basophils"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="BPU"></code>
-     <display value="Blood product unit"></display>
-    </concept>
-    <concept>
-     <code value="BRN"></code>
-     <display value="Burn"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verbranding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product; Brush or brushing (these may be 2 separate entries as in a physical brush or a portion thereof vs the substance obtained after a surface has been brushed)"></valueString>
-     </extension>
-     <code value="BRSH"></code>
-     <display value="Brush"></display>
-    </concept>
-    <concept>
-     <code value="BRTH"></code>
-     <display value="Breath (use EXHLD)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Adem (gebruik (EXHLD)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="BRUS"></code>
-     <display value="Brushing"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="BUB"></code>
-     <display value="Bubo"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="BULLA"></code>
-     <display value="Bulla/Bullae"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="BX"></code>
-     <display value="Biopsy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Biopt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CALC"></code>
-     <display value="Calculus (=Stone)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="CARBU"></code>
-     <display value="Carbuncle"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Apparaat"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CAT"></code>
-     <display value="Catheter"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Catether"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Conditions"></valueString>
-     </extension>
-     <code value="CBITE"></code>
-     <display value="Bite, Cat"></display>
-    </concept>
-    <concept>
-     <code value="CDM"></code>
-     <display value="Cardiac muscle"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hartspier"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="CLIPP"></code>
-     <display value="Clippings"></display>
-    </concept>
-    <concept>
-     <code value="CNJT"></code>
-     <display value="Conjunctiva"></display>
-    </concept>
-    <concept>
-     <code value="CNL"></code>
-     <display value="Cannula"></display>
-    </concept>
-    <concept>
-     <code value="COL"></code>
-     <display value="Colostrum"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue"></valueString>
-     </extension>
-     <code value="CONE"></code>
-     <display value="Biospy, Cone"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="CSCR"></code>
-     <display value="Scratch, Cat"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="CSERU"></code>
-     <display value="Serum, Convalescent"></display>
-    </concept>
-    <concept>
-     <code value="CSF"></code>
-     <display value="Cerebral spinal fluid"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="CSITE"></code>
-     <display value="Catheter Insertion Site"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="CSMY"></code>
-     <display value="Fluid,  Cystostomy Tube"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="CST"></code>
-     <display value="Fluid, Cyst"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Transfusion"></valueString>
-     </extension>
-     <code value="CSVR"></code>
-     <display value="Blood, Cell Saver"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="CTP"></code>
-     <display value="Catheter tip"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Uterine specimen obtained by curettage = Currettings"></valueString>
-     </extension>
-     <code value="CUR"></code>
-     <display value="Curretage"></display>
-    </concept>
-    <concept>
-     <code value="CVM"></code>
-     <display value="Cervical Mucus"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="CVPS"></code>
-     <display value="Site, CVP"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="CVPT"></code>
-     <display value="Catheter Tip, CVP"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="CYN"></code>
-     <display value="Nodule, Cystic"></display>
-    </concept>
-    <concept>
-     <code value="CYST"></code>
-     <display value="Cyst"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Conditions"></valueString>
-     </extension>
-     <code value="DBITE"></code>
-     <display value="Bite, Dog"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="DCS"></code>
-     <display value="Sputum, Deep Cough"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
      <code value="DEC"></code>
-     <display value="Ulcer, Decubitus"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="DEION"></code>
-     <display value="Environmental, Water  (Deionized)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="DIA"></code>
-     <display value="Dialysate"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid used for dialysis - is a product"></valueString>
-     </extension>
-     <code value="DIAF"></code>
-     <display value="Dialysis Fluid"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="DISCHG"></code>
-     <display value="Discharge"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="DIV"></code>
-     <display value="Diverticulum"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="DRN"></code>
-     <display value="Drain"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="DRNG"></code>
-     <display value="Drainage, Tube"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="DRNGP"></code>
-     <display value="Drainage, Penrose"></display>
-    </concept>
-    <concept>
-     <code value="DUFL"></code>
-     <display value="Duodenal fluid"></display>
-    </concept>
-    <concept>
-     <code value="EARW"></code>
-     <display value="Ear wax (cerumen)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="EBRUSH"></code>
-     <display value="Brush, Esophageal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="EEYE"></code>
-     <display value="Environmental, Eye Wash"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="EFF"></code>
-     <display value="Environmental, Effluent"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="EFFUS"></code>
-     <display value="Effusion"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="EFOD"></code>
-     <display value="Environmental, Food"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="EISO"></code>
-     <display value="Environmental, Isolette"></display>
-    </concept>
-    <concept>
-     <code value="ELT"></code>
-     <display value="Electrode"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="ENVIR"></code>
-     <display value="Environmental, Unidentified Substance"></display>
-    </concept>
-    <concept>
-     <code value="EOS"></code>
-     <display value="Eosinophils"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment; (Substance is Known but not in code Table)"></valueString>
-     </extension>
-     <code value="EOTH"></code>
-     <display value="Environmental, Other Substance"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="ESOI"></code>
-     <display value="Environmental, Soil"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="ESOS"></code>
-     <display value="Environmental, Solution (Sterile)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Aspirate"></valueString>
-     </extension>
-     <code value="ETA"></code>
-     <display value="Aspirate,  Endotrach"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="ETTP"></code>
-     <display value="Catheter Tip, Endotracheal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="ETTUB"></code>
-     <display value="Tube, Endotracheal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="EWHI"></code>
-     <display value="Environmental, Whirlpool"></display>
-    </concept>
-    <concept>
-     <code value="EXG"></code>
-     <display value="Gas, exhaled (=breath)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="EXS"></code>
-     <display value="Shunt, External"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="EXUDTE"></code>
-     <display value="Exudate"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="FAW"></code>
-     <display value="Environmental, Water  (Well)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bloed"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="FBLOOD"></code>
-     <display value="Blood, Fetal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bloed, feutaal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="FGA"></code>
-     <display value="Fluid,  Abdomen"></display>
-    </concept>
-    <concept>
-     <code value="FIB"></code>
-     <display value="Fibroblasts"></display>
-    </concept>
-    <concept>
-     <code value="FIST"></code>
-     <display value="Fistula"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fistel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vocht"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="FLD"></code>
-     <display value="Fluid, Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FLT"></code>
-     <display value="Filter"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Filter"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FLU"></code>
-     <display value="Fluid, Body unsp"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, lichaam niet-gesp."></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vocht"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="FLUID"></code>
-     <display value="Fluid"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="FOLEY"></code>
-     <display value="Catheter Tip, Foley"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="FRS"></code>
-     <display value="Fluid, Respiratory"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="FSCLP"></code>
-     <display value="Scalp, Fetal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="FUR"></code>
-     <display value="Furuncle"></display>
-    </concept>
-    <concept>
-     <code value="GAS"></code>
-     <display value="Gas"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Aspirate"></valueString>
-     </extension>
-     <code value="GASA"></code>
-     <display value="Aspirate, Gastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue"></valueString>
-     </extension>
-     <code value="GASAN"></code>
-     <display value="Antrum, Gastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="GASBR"></code>
-     <display value="Brushing, Gastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="GASD"></code>
-     <display value="Drainage, Gastric"></display>
-    </concept>
-    <concept>
-     <code value="GAST"></code>
-     <display value="Fluid/contents, Gastric"></display>
-    </concept>
-    <concept>
-     <code value="GENL"></code>
-     <display value="Genital lochia"></display>
-    </concept>
-    <concept>
-     <code value="GENV"></code>
-     <display value="Genital vaginal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Genitaal vaginaal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="GRAFT"></code>
-     <display value="Graft"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="GRAFTS"></code>
-     <display value="Graft Site"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="GRANU"></code>
-     <display value="Granuloma"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Granuloom"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="GROSH"></code>
-     <display value="Catheter, Groshong"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="GSOL"></code>
-     <display value="Solution, Gastrostomy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="GSPEC"></code>
-     <display value="Biopsy, Gastric"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Biopt, maag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="GT"></code>
-     <display value="Tube, Gastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="GTUBE"></code>
-     <display value="Drainage Tube, Drainage (Gastrostomy)"></display>
-    </concept>
-    <concept>
-     <code value="HAR"></code>
-     <display value="Hair"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Haar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Conditions">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="HBITE"></code>
-     <display value="Bite, Human"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beet, menselijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bloed"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="HBLUD"></code>
-     <display value="Blood, Autopsy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bloed, autopsie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="HEMAQ"></code>
-     <display value="Catheter Tip, Hemaquit"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="HEMO"></code>
-     <display value="Catheter Tip, Hemovac"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue"></valueString>
-     </extension>
-     <code value="HERNI"></code>
-     <display value="Tissue, Herniated"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="HEV"></code>
-     <display value="Drain, Hemovac"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="HIC"></code>
-     <display value="Catheter, Hickman"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="HYDC"></code>
-     <display value="Fluid, Hydrocele"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Conditions"></valueString>
-     </extension>
-     <code value="IBITE"></code>
-     <display value="Bite, Insect"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="ICYST"></code>
-     <display value="Cyst, Inclusion"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="IDC"></code>
-     <display value="Catheter Tip, Indwelling"></display>
-    </concept>
-    <concept>
-     <code value="IHG"></code>
-     <display value="Gas, Inhaled"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="ILEO"></code>
-     <display value="Drainage, Ileostomy"></display>
-    </concept>
-    <concept>
-     <code value="ILLEG"></code>
-     <display value="Source of Specimen Is Illegible"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Apparaat"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="IMP"></code>
-     <display value="Implant"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Implantaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="INCI"></code>
-     <display value="Site, Incision/Surgical"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="INFIL"></code>
-     <display value="Infiltrate"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Object">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Object"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="INS"></code>
-     <display value="Insect"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Insect"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="INTRD"></code>
-     <display value="Catheter Tip, Introducer"></display>
-    </concept>
-    <concept>
-     <code value="ISLT"></code>
-     <display value="Isolate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Isolaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IT"></code>
-     <display value="Intubation tube"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Intubatieslang"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device (Common Usage)"></valueString>
-     </extension>
-     <code value="IUD"></code>
-     <display value="Intrauterine Device"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="IVCAT"></code>
-     <display value="Catheter Tip, IV"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="IVFLD"></code>
-     <display value="Fluid, IV"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="IVTIP"></code>
-     <display value="Tubing Tip, IV"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="JEJU"></code>
-     <display value="Drainage, Jejunal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vocht"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="JNTFLD"></code>
-     <display value="Fluid, Joint"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, gewricht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="JP"></code>
-     <display value="Drainage, Jackson Pratt"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="KELOI"></code>
-     <display value="Lavage"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vocht"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="KIDFLD"></code>
-     <display value="Fluid, Kidney"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, nier"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="LAVG"></code>
-     <display value="Lavage, Bronhial"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="LAVGG"></code>
-     <display value="Lavage, Gastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="LAVGP"></code>
-     <display value="Lavage, Peritoneal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="LAVPG"></code>
-     <display value="Lavage, Pre-Bronch"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="LENS1"></code>
-     <display value="Contact Lens"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="LENS2"></code>
-     <display value="Contact Lens Case"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="LESN"></code>
-     <display value="Lesion"></display>
-    </concept>
-    <concept>
-     <code value="LIQ"></code>
-     <display value="Liquid, Unspecified"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, niet gespecificeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LIQO"></code>
-     <display value="Liquid, Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vocht, anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Arterial blood collected via arterial line"></valueString>
-     </extension>
-     <code value="LNA"></code>
-     <display value="Line arterial"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Venous blood collected via venous line"></valueString>
-     </extension>
-     <code value="LNV"></code>
-     <display value="Line venous"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="LSAC"></code>
-     <display value="Fluid, Lumbar Sac"></display>
-    </concept>
-    <concept>
-     <code value="LYM"></code>
-     <display value="Lymphocytes"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lymfocyten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MAC"></code>
-     <display value="Macrophages"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="MAHUR"></code>
-     <display value="Catheter Tip, Makurkour"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Bone marrow">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Beenmerg"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MAR"></code>
-     <display value="Marrow"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Merg"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="MASS"></code>
-     <display value="Mass"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bloed"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MBLD"></code>
-     <display value="Blood, Menstrual"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Menstruatiebloed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MEC"></code>
-     <display value="Meconium"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Meconium"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Mother's milk specimen">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Moedermelkmonster"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MILK"></code>
-     <display value="Breast milk"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Borstmelk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Food specimen">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Voedselmonster"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MLK"></code>
-     <display value="Milk"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Melk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="MUCOS"></code>
-     <display value="Mucosa"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MUCUS"></code>
-     <display value="Mucus"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Slijm"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Finger or toe nail sample">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vinger- of teennagel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NAIL"></code>
-     <display value="Nail"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nagel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="NASDR"></code>
-     <display value="Drainage, Nasal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Apparaat"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NEDL"></code>
-     <display value="Needle"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Naald"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="NEPH"></code>
-     <display value="Site, Nephrostomy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Aspirate"></valueString>
-     </extension>
-     <code value="NGASP"></code>
-     <display value="Aspirate, Nasogastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="NGAST"></code>
-     <display value="Drainage, Nasogastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="NGS"></code>
-     <display value="Site, Naso/Gastric"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="NODUL"></code>
-     <display value="Nodule(s)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NSECR"></code>
-     <display value="Secretion, Nasal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Secretie, nasaal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ORH"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition (Common Usage)"></valueString>
-     </extension>
-     <code value="ORL"></code>
-     <display value="Lesion, Oral"></display>
-    </concept>
-    <concept>
-     <code value="OTH"></code>
-     <display value="Source, Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bron, anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="PACEM"></code>
-     <display value="Pacemaker"></display>
-    </concept>
-    <concept>
-     <code value="PAFL"></code>
-     <display value="Pancreatic fluid"></display>
-    </concept>
-    <concept>
-     <code value="PCFL"></code>
-     <display value="Fluid, Pericardial"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="PDSIT"></code>
-     <display value="Site, Peritoneal Dialysis"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="PDTS"></code>
-     <display value="Site, Peritoneal Dialysis Tunnel"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PELVA"></code>
-     <display value="Abscess, Pelvic"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition (Common Usage)"></valueString>
-     </extension>
-     <code value="PENIL"></code>
-     <display value="Lesion, Penile"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition, Abscess &amp; Body Part"></valueString>
-     </extension>
-     <code value="PERIA"></code>
-     <display value="Abscess, Perianal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PILOC"></code>
-     <display value="Cyst, Pilonidal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="PINS"></code>
-     <display value="Site, Pin"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="PIS"></code>
-     <display value="Site, Pacemaker Insetion"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Object">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Object"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PLAN"></code>
-     <display value="Plant Material"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Plantaardig materiaal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bloed"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PLAS"></code>
-     <display value="Plasma"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Plasma"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Bloed"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PLB"></code>
-     <display value="Plasma bag"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Plasmazak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PLC"></code>
-     <display value="Placenta"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Placenta"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="PLEVS"></code>
-     <display value="Serum, Peak Level"></display>
-    </concept>
-    <concept>
-     <code value="PLR"></code>
-     <display value="Pleural fluid (thoracentesis fluid)"></display>
-    </concept>
-    <concept>
-     <code value="PMN"></code>
-     <display value="Polymorphonuclear neutrophils"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PND"></code>
-     <display value="Drainage, Penile"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="POL"></code>
-     <display value="Polyps"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="POPGS"></code>
-     <display value="Graft Site, Popliteal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="POPLG"></code>
-     <display value="Graft, Popliteal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="POPLV"></code>
-     <display value="Site, Popliteal Vein"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="PORTA"></code>
-     <display value="Catheter, Porta"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="PPP"></code>
-     <display value="Plasma, Platelet poor"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="PROST"></code>
-     <display value="Prosthetic Device"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="PRP"></code>
-     <display value="Plasma, Platelet rich"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PSC"></code>
-     <display value="Pseudocyst"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PUNCT"></code>
-     <display value="Wound, Puncture"></display>
-    </concept>
-    <concept>
-     <code value="PUS"></code>
-     <display value="Pus"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pus"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PUSFR"></code>
-     <display value="Pustule"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="PUST"></code>
-     <display value="Pus"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="QC3"></code>
-     <display value="Quality Control"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="RANDU"></code>
-     <display value="Urine, Random"></display>
-    </concept>
-    <concept>
-     <code value="RBC"></code>
-     <display value="Erythrocytes"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Conditions"></valueString>
-     </extension>
-     <code value="RBITE"></code>
-     <display value="Bite, Reptile"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="RECT"></code>
-     <display value="Drainage, Rectal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="RECTA"></code>
-     <display value="Abscess, Rectal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="RENALC"></code>
-     <display value="Cyst, Renal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="RENC"></code>
-     <display value="Fluid, Renal Cyst"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition (Ambiguous)"></valueString>
-     </extension>
-     <code value="RES"></code>
-     <display value="Respiratory"></display>
-    </concept>
-    <concept>
-     <code value="SAL"></code>
-     <display value="Saliva"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Speeksel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue"></valueString>
-     </extension>
-     <code value="SCAR"></code>
-     <display value="Tissue, Keloid (Scar)"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="SCLV"></code>
-     <display value="Catheter Tip, Subclavian"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SCROA"></code>
-     <display value="Abscess, Scrotal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abces, scrotaal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid/Secretion">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Vocht/secretie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SECRE"></code>
-     <display value="Secretion(s)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Secretie(s)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SER"></code>
-     <display value="Serum"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Serum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="SHU"></code>
-     <display value="Site, Shunt"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Fluid"></valueString>
-     </extension>
-     <code value="SHUNF"></code>
-     <display value="Fluid, Shunt"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SHUNT"></code>
-     <display value="Shunt"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="SITE"></code>
-     <display value="Site"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SKBP"></code>
-     <display value="Biopsy, Skin"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Biopt, huid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SKN"></code>
-     <display value="Skin"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Huid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SMM"></code>
-     <display value="Mass, Sub-Mandibular"></display>
-    </concept>
-    <concept>
-     <code value="SMN"></code>
-     <display value="Seminal fluid"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Seminaal vocht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SNV"></code>
-     <display value="Fluid, synovial (Joint fluid)"></display>
-    </concept>
-    <concept>
-     <code value="SPRM"></code>
-     <display value="Spermatozoa"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spermatozoïden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="SPRP"></code>
-     <display value="Catheter Tip, Suprapubic"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="SPRPB"></code>
-     <display value="Cathether Tip, Suprapubic"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="SPS"></code>
-     <display value="Environmental, Spore Strip"></display>
-    </concept>
-    <concept>
-     <code value="SPT"></code>
-     <display value="Sputum"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sputum"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SPTC"></code>
-     <display value="Sputum - coughed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sputum, opgehoest"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SPTT"></code>
-     <display value="Sputum - tracheal aspirate"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SPUT1"></code>
-     <display value="Sputum, Simulated"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SPUTIN"></code>
-     <display value="Sputum, Inducted"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SPUTSP"></code>
-     <display value="Sputum, Spontaneous"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment"></valueString>
-     </extension>
-     <code value="STER"></code>
-     <display value="Environmental, Sterrad"></display>
-    </concept>
-    <concept>
-     <code value="STL"></code>
-     <display value="Stool = Fecal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="STONE"></code>
-     <display value="Stone, Kidney"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SUBMA"></code>
-     <display value="Abscess, Submandibular"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SUBMX"></code>
-     <display value="Abscess, Submaxillary"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="SUMP"></code>
-     <display value="Drainage, Sump"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="SUP"></code>
-     <display value="Suprapubic Tap"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Object"></valueString>
-     </extension>
-     <code value="SUTUR"></code>
-     <display value="Suture"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="SWGZ"></code>
-     <display value="Catheter Tip, Swan Gantz"></display>
-    </concept>
-    <concept>
-     <code value="SWT"></code>
-     <display value="Sweat"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zweet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Aspirate"></valueString>
-     </extension>
-     <code value="TASP"></code>
-     <display value="Aspirate, Tracheal"></display>
-    </concept>
-    <concept>
-     <code value="TEAR"></code>
-     <display value="Tears"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Traanvocht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="THRB"></code>
-     <display value="Thrombocyte (platelet)"></display>
-    </concept>
-    <concept>
-     <code value="TISS"></code>
-     <display value="Tissue"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Weefsel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TISU"></code>
-     <display value="Tissue ulcer"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="TLC"></code>
-     <display value="Cathether Tip, Triple Lumen"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Site"></valueString>
-     </extension>
-     <code value="TRAC"></code>
-     <display value="Site, Tracheostomy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="TRANS"></code>
-     <display value="Transudate"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="TSERU"></code>
-     <display value="Serum, Trough"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="TSTES"></code>
-     <display value="Abscess, Testicular"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Aspirate"></valueString>
-     </extension>
-     <code value="TTRA"></code>
-     <display value="Aspirate, Transtracheal"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="TUBES"></code>
-     <display value="Tubes"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TUMOR"></code>
-     <display value="Tumor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tumor"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TZANC"></code>
-     <display value="Smear, Tzanck"></display>
-    </concept>
-    <concept>
-     <code value="UDENT"></code>
-     <display value="Source, Unidentified"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="for forensic and possibly chemistry testing"></valueString>
-     </extension>
-     <code value="UMED"></code>
-     <display value="Unknown Medicine"></display>
-    </concept>
-    <concept>
-     <code value="UR"></code>
-     <display value="Urine"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Urine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="URC"></code>
-     <display value="Urine clean catch"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="URINB"></code>
-     <display value="Urine, Bladder Washings"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="URINC"></code>
-     <display value="Urine, Catheterized"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Conditie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="URINM"></code>
-     <display value="Urine, Midstream"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Urine, midstream"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="URINN"></code>
-     <display value="Urine, Nephrostomy"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="URINP"></code>
-     <display value="Urine, Pedibag"></display>
-    </concept>
-    <concept>
-     <code value="URNS"></code>
-     <display value="Urine sediment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Urine, sediment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="URT"></code>
-     <display value="Urine catheter"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Condition"></valueString>
-     </extension>
-     <code value="USCOP"></code>
-     <display value="Urine, Cystoscopy"></display>
-    </concept>
-    <concept>
-     <code value="USPEC"></code>
-     <display value="Source, Unspecified"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bron, ongedefinieerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USUB"></code>
-     <display value="Unkown substance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekende substantie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="VASTIP"></code>
-     <display value="Catheter Tip, Vas"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Device"></valueString>
-     </extension>
-     <code value="VENT"></code>
-     <display value="Catheter Tip, Ventricular"></display>
-    </concept>
-    <concept>
-     <code value="VITF"></code>
-     <display value="Vitreous Fluid"></display>
-    </concept>
-    <concept>
-     <code value="VOM"></code>
-     <display value="Vomitus"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Braaksel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="WASH"></code>
-     <display value="Wash"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Product"></valueString>
-     </extension>
-     <code value="WASI"></code>
-     <display value="Washing, e.g. bronchial washing"></display>
-    </concept>
-    <concept>
-     <code value="WAT"></code>
-     <display value="Water"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Water"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Blood"></valueString>
-     </extension>
-     <code value="WB"></code>
-     <display value="Blood, Whole"></display>
-    </concept>
-    <concept>
-     <code value="WBC"></code>
-     <display value="Leukocytes"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Leukocyten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue"></valueString>
-     </extension>
-     <code value="WEN"></code>
-     <display value="Wen"></display>
-    </concept>
-    <concept>
-     <code value="WICK"></code>
-     <display value="Wick"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lont"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WND"></code>
-     <display value="Wound"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wond"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WNDA"></code>
-     <display value="Wound abscess"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wond abces"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WNDD"></code>
-     <display value="Wound drainage"></display>
-    </concept>
-    <concept>
-     <code value="WNDE"></code>
-     <display value="Wound exudate"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Object">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Object"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WORM"></code>
-     <display value="Worm"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Worm"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Tissue">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Weefsel"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WRT"></code>
-     <display value="Wart"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wrat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Milieu"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WWA"></code>
-     <display value="Environmental, Water"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Milieu, water"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WWO"></code>
-     <display value="Environmental, Water (Ocean)"></display>
+     <display value="Deceased"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Milieu, water (oceaan)"></value>
+      <value value="Overleden"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Environment">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Milieu"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="WWT"></code>
-     <display value="Environmental, Water  (Tap)"></display>
+     <code value="RET"></code>
+     <display value="Retired"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Milieu, water (kraan)"></value>
+      <value value="Gepensioneerd"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0004"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0144"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0004"></id>
+    <id value="v2-0144"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -70501,14 +48972,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0004"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0144"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.5"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.65"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0004"></name>
-    <title value="v2 PATIENT CLASS"></title>
+    <name value="v2.0144"></name>
+    <title value="v2 ELIGIBILITY SOURCE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -70518,1368 +48989,156 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0004 ( PATIENT CLASS)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0144 ( ELIGIBILITY SOURCE)"></description>
     <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="Obstetrics"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geburtshilfe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Obstetrie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Commercial Account"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Commercieel account"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Notfall"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Inpatient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="stationär"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Not Applicable"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Segment nicht anwendbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet van toepassing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Outpatient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ambulant"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Poliklinisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Preadmit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voraufnahme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vooropname"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Recurring patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wiederholungspatient"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0488"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0488"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0488"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.312"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0488"></name>
-    <title value="v2 Specimen Collection Method"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0488 ( Specimen Collection Method)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ANP"></code>
-     <display value="Plates, Anaerobic"></display>
-    </concept>
-    <concept>
-     <code value="BAP"></code>
-     <display value="Plates, Blood Agar"></display>
-    </concept>
-    <concept>
-     <code value="BCAE"></code>
-     <display value="Blood Culture, Aerobic Bottle"></display>
-    </concept>
-    <concept>
-     <code value="BCAN"></code>
-     <display value="Blood Culture, Anaerobic Bottle"></display>
-    </concept>
-    <concept>
-     <code value="BCPD"></code>
-     <display value="Blood Culture, Pediatric Bottle"></display>
-    </concept>
-    <concept>
-     <code value="BIO"></code>
-     <display value="Biopsy"></display>
-    </concept>
-    <concept>
-     <code value="CAP"></code>
-     <display value="Capillary Specimen"></display>
-    </concept>
-    <concept>
-     <code value="CATH"></code>
-     <display value="Catheterized"></display>
-    </concept>
-    <concept>
-     <code value="CVP"></code>
-     <display value="Line, CVP"></display>
-    </concept>
-    <concept>
-     <code value="EPLA"></code>
-     <display value="Environmental, Plate"></display>
-    </concept>
-    <concept>
-     <code value="ESWA"></code>
-     <display value="Environmental, Swab"></display>
-    </concept>
-    <concept>
-     <code value="FNA"></code>
-     <display value="Aspiration, Fine Needle"></display>
-    </concept>
-    <concept>
-     <code value="KOFFP"></code>
-     <display value="Plate, Cough"></display>
-    </concept>
-    <concept>
-     <code value="LNA"></code>
-     <display value="Line, Arterial"></display>
-    </concept>
-    <concept>
-     <code value="LNV"></code>
-     <display value="Line, Venous"></display>
-    </concept>
-    <concept>
-     <code value="MARTL"></code>
-     <display value="Martin-Lewis Agar"></display>
-    </concept>
-    <concept>
-     <code value="ML11"></code>
-     <display value="Mod. Martin-Lewis Agar"></display>
-    </concept>
-    <concept>
-     <code value="MLP"></code>
-     <display value="Plate, Martin-Lewis"></display>
-    </concept>
-    <concept>
-     <code value="NYP"></code>
-     <display value="Plate, New York City"></display>
-    </concept>
-    <concept>
-     <code value="PACE"></code>
-     <display value="Pace, Gen-Probe"></display>
-    </concept>
-    <concept>
-     <code value="PIN"></code>
-     <display value="Pinworm Prep"></display>
-    </concept>
-    <concept>
-     <code value="PNA"></code>
-     <display value="Arterial puncture"></display>
-    </concept>
-    <concept>
-     <code value="PRIME"></code>
-     <display value="Pump Prime"></display>
-    </concept>
-    <concept>
-     <code value="PUMP"></code>
-     <display value="Pump Specimen"></display>
-    </concept>
-    <concept>
-     <code value="QC5"></code>
-     <display value="Quality Control For Micro"></display>
-    </concept>
-    <concept>
-     <code value="SCLP"></code>
-     <display value="Scalp, Fetal Vein"></display>
-    </concept>
-    <concept>
-     <code value="SCRAPS"></code>
-     <display value="Scrapings"></display>
-    </concept>
-    <concept>
-     <code value="SHA"></code>
-     <display value="Shaving"></display>
-    </concept>
-    <concept>
-     <code value="SWA"></code>
-     <display value="Swab"></display>
-    </concept>
-    <concept>
-     <code value="SWD"></code>
-     <display value="Swab, Dacron tipped"></display>
-    </concept>
-    <concept>
-     <code value="TMAN"></code>
-     <display value="Transport Media, Anaerobic"></display>
-    </concept>
-    <concept>
-     <code value="TMCH"></code>
-     <display value="Transport Media, Chalamydia"></display>
-    </concept>
-    <concept>
-     <code value="TMM4"></code>
-     <display value="Transport Media, M4"></display>
-    </concept>
-    <concept>
-     <code value="TMMY"></code>
-     <display value="Transport Media, Mycoplasma"></display>
-    </concept>
-    <concept>
-     <code value="TMOT"></code>
-     <display value="Transport Media,"></display>
-    </concept>
-    <concept>
-     <code value="TMP"></code>
-     <display value="Plate, Thayer-Martin"></display>
-    </concept>
-    <concept>
-     <code value="TMPV"></code>
-     <display value="Transport Media, PVA"></display>
-    </concept>
-    <concept>
-     <code value="TMSC"></code>
-     <display value="Transport Media, Stool Culture"></display>
-    </concept>
-    <concept>
-     <code value="TMUP"></code>
-     <display value="Transport Media, Ureaplasma"></display>
-    </concept>
-    <concept>
-     <code value="TMVI"></code>
-     <display value="Transport Media, Viral"></display>
-    </concept>
-    <concept>
-     <code value="VENIP"></code>
-     <display value="Venipuncture"></display>
-    </concept>
-    <concept>
-     <code value="WOOD"></code>
-     <display value="Swab, Wooden Shaft"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0247"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0247"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0247"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.143"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0247"></name>
-    <title value="v2 Start of Evaluation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0247 ( Start of Evaluation)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Evaluation anticipated, but not yet begun"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Evaluatie, nog niet begonnen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Product received in condition which made analysis impossible"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product ontvangen in conditie die analyse onmogelijk maakt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Product discarded -- unable to follow up"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product weggegooid -- kon niet opvolgen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Product remains implanted -- unable to follow up"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product blijft geïmplanteerd -- kan niet opvolgen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K"></code>
-     <display value="Problem already known, no evaluation necessary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Probleem reeds bekend, geen evaluatie noodzakelijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Evaluation in progress"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Evaluatie is gaande"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q"></code>
-     <display value="Product under quarantine -- unable to follow up"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product in quarantaine -- kan niet opvolgen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Product under recall/corrective action"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product wordt teruggeroepen/correctieve actie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Product unavailable for follow up investigation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product niet beschikbaar voor opvolgend onderzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="Product not made by company"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Product wordt niet door bedrijf gemaakt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Evaluation completed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Evaluatie voltooid"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0489"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0489"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0489"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.313"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0489"></name>
-    <title value="v2 Risk Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0489 ( Risk Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A danger that can be associated with certain living subjects, including humans."></valueString>
-     </extension>
-     <code value="AGG"></code>
-     <display value="Aggressive"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material contains microorganisms that are an environmental hazard.  Must be handled with special care."></valueString>
-     </extension>
-     <code value="BHZ"></code>
-     <display value="Biohazard"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The dangers associated with normal biological materials. I.e. potential risk of unknown infections.  Routine biological materials from living subjects."></valueString>
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-     <code value="BIO"></code>
-     <display value="Biological"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact."></valueString>
-     </extension>
-     <code value="COR"></code>
-     <display value="Corrosive"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The entity is at risk for escaping from containment or control."></valueString>
-     </extension>
-     <code value="ESC"></code>
-     <display value="Escape Risk"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is an explosive mixture.  Keep away from fire, sparks, and heat."></valueString>
-     </extension>
-     <code value="EXP"></code>
-     <display value="Explosive"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is highly inflammable and in certain mixtures (with air) may lead to explosions.  Keep away from fire, sparks and excessive heat."></valueString>
-     </extension>
-     <code value="IFL"></code>
-     <display value="MaterialDangerInflammable"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material known to be infectious with human pathogenic microorganisms.  Those who handle this material must take precautions for their protection."></valueString>
-     </extension>
-     <code value="INF"></code>
-     <display value="MaterialDangerInfectious"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is solid and sharp (e.g., cannulas.)  Dispose in hard container."></valueString>
-     </extension>
-     <code value="INJ"></code>
-     <display value="Injury Hazard"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is poisonous to humans and/or animals.  Special care must be taken to avoid incorporation, even of small amounts."></valueString>
-     </extension>
-     <code value="POI"></code>
-     <display value="Poison"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards."></valueString>
-     </extension>
-     <code value="RAD"></code>
-     <display value="Radioactive"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0248"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0248"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0248"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.144"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0248"></name>
-    <title value="v2 Product Source"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0248 ( Product Source)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Actual product involved in incident was evaluated"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Exacte product betrokken in incident is geëvalueerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="A product from the same lot as the actual product involved was evaluated"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een product uit dezelfde partij als het exacte betrokken product is geëvalueerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="A product from a controlled/non-related inventory was evaluated"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een product van een beheerde/niet-gerelateerde voorraad geëvalueerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="A product from a reserve sample was evaluated"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een product uit een reserve sample is geëvalueerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0270"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0270"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0270"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.163"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0270"></name>
-    <title value="v2 Report Type Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0270 ( Report Type Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AR"></code>
-     <display value="Autopsy report"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Autopsierapport"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CD"></code>
-     <display value="Cardiodiagnostics"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Cardiodiagnostiek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CN"></code>
-     <display value="Consultation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Consultatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="Diagnostic imaging"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diagnostische beeldvorming"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DS"></code>
-     <display value="Discharge summary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ontslagsamenvatting"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ED"></code>
-     <display value="Emergency department report"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoedafdeling rapport"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="HP"></code>
-     <display value="History and physical examination"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Historie en lichamelijk onderzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OP"></code>
-     <display value="Operative report"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Operatieverslag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC"></code>
-     <display value="Psychiatric consultation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychiatrisch consult"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PH"></code>
-     <display value="Psychiatric history and physical examination"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychiatrische historie en lichamelijk onderzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PN"></code>
-     <display value="Procedure note"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Behandelnotitie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="Progress note"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voortgangsnotitie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SP"></code>
-     <display value="Surgical pathology"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Chirurgische pathologie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TS"></code>
-     <display value="Transfer summary"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overplaatsing samenvatting"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0271"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0271"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0271"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.164"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0271"></name>
-    <title value="v2 Document Completion Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0271 ( Document Completion Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AU"></code>
-     <display value="Authenticated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Freigegeben"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geauthenticeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="Dictated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diktiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gedicteerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DO"></code>
-     <display value="Documented"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dokumentiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gedocumenteerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IN"></code>
-     <display value="Incomplete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Unvollständig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Incompleet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IP"></code>
-     <display value="In Progress"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="In Bearbeitung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wordt aan gewerkt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LA"></code>
-     <display value="Legally authenticated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unterschrieben"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wettelijk geauthenticeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Pre-authenticated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vorabfreigabe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pre-authenticatie"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0272"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0272"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0272"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.166"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0272"></name>
-    <title value="v2 Document Confidentiality Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0272 ( Document Confidentiality Status)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
     <concept>
      <code value="1"></code>
-     <display value="ASTM Level 1"></display>
+     <display value="Insurance company"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versicherung / Krankenkasse"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ASTM Level 1"></value>
+      <value value="Verzekeraar"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
     </concept>
     <concept>
      <code value="2"></code>
-     <display value="ASTM Level 2"></display>
+     <display value="Employer"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeitgeber"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ASTM Level 2"></value>
+      <value value="Werkgever"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
     </concept>
     <concept>
      <code value="3"></code>
-     <display value="ASTM Level 3"></display>
+     <display value="Insured presented policy"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="ASTM Level 3"></value>
+      <value value="vorgelegte Versicherungspolice"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Restricted"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Beperkte toegang"></value>
+      <value value="Door verzekerde getoonde polis"></value>
      </designation>
     </concept>
     <concept>
-     <code value="RE"></code>
-     <display value="Restricted"></display>
+     <code value="4"></code>
+     <display value="Insured presented card"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Beperkte toegang"></value>
+      <value value="Vorgelegte Krankenversichertenkarte (KVK)"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Usual control"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Normale toegang"></value>
+      <value value="Door verzekerde getoonde kaart"></value>
      </designation>
     </concept>
     <concept>
-     <code value="UC"></code>
-     <display value="Usual control"></display>
+     <code value="5"></code>
+     <display value="Signed statement on file"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Normale toegang"></value>
+      <value value="Unterschriebenene Bestätigung"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Very restricted"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zeer beperkte toegang"></value>
+      <value value="Ondertekenende mededeling op schrift"></value>
      </designation>
     </concept>
     <concept>
-     <code value="VR"></code>
-     <display value="Very restricted"></display>
+     <code value="6"></code>
+     <display value="Verbal information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="mündliche Angabe"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zeer beperkte toegang"></value>
+      <value value="Mondelinge mededeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="None"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0273"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0145"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0273"></id>
+    <id value="v2-0145"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -71890,14 +49149,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0273"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0145"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.167"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.66"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0273"></name>
-    <title value="v2 Document Availability Status"></title>
+    <name value="v2.0145"></name>
+    <title value="v2 Room Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -71907,2410 +49166,11 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0273 ( Document Availability Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0145 ( Room Type)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AV"></code>
-     <display value="Available for patient care"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verfügbar (Kann zur Behandlung herangezogen werden.)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beschikbaar voor patiëntzorg"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CA"></code>
-     <display value="Deleted"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gelöscht"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijderd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OB"></code>
-     <display value="Obsolete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nicht mehr relevant"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Obsoleet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UN"></code>
-     <display value="Unavailable for patient care"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nicht verfügbar (Kann nicht zur Behandlung verwendet werden.)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet beschikbaar voor patiëntzorg"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0033"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0033"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0033"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.16"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0033"></name>
-    <title value="v2 ROUTE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0033 ( ROUTE)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="AP"></code>
-     <display value="Apply externally"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="externe Applikatione"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitwendig gebruiken"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CH"></code>
-     <display value="Chew"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kautablette"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kauwen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
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-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0275"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0275"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0275"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.168"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0275"></name>
-    <title value="v2 Document Storage Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0275 ( Document Storage Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AA"></code>
-     <display value="Active and archived"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aktiv und archiviert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Actief en gearchiveerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AC"></code>
-     <display value="Active"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aktiv"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Actief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AR"></code>
-     <display value="Archived (not active)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Archiviert (inaktiv)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gearchiveerd (niet actief)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PU"></code>
-     <display value="Purged"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bereinigt (gelöscht)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijderd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0034"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0034"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0034"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.17"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0034"></name>
-    <title value="v2 SITE ADMINISTERED"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0034 ( SITE ADMINISTERED)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="B"></code>
-     <display value="Buttock"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gesäß"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bil"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Left arm"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="linker Arm"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Linker arm"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0276"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0276"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0276"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.169"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0276"></name>
-    <title value="v2 Appointment Reason Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0276 ( Appointment Reason Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CHECKUP"></code>
-     <display value="A routine check-up, such as an annual physical"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routinecontrole, zoals jaarlijks lichamelijk onderzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EMERGENCY"></code>
-     <display value="Emergency appointment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoedafspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FOLLOWUP"></code>
-     <display value="A follow up visit from a previous appointment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een vervolgbezoek na een vorige afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ROUTINE"></code>
-     <display value="Routine appointment - default if not valued"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine afspraak - standaardwaarde bij geen waarde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WALKIN"></code>
-     <display value="A previously unscheduled walk-in visit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een niet eerder gepland inloopbezoek"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0277"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0277"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0277"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.170"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0277"></name>
-    <title value="v2 Appointment Type Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0277 ( Appointment Type Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="Complete"></code>
-     <display value="A request to add a completed appointment, used to maintain records of completed appointments that did not appear in the schedule (e.g., STAT, walk-in, etc.)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een verzoek voor toevoegen voltooide afspraak, gebruikt voor bijhouden naslag van voltooide afspraken die niet in de agenda verschenen (bijv. STAT, inloop, etc.)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Normal"></code>
-     <display value="Routine schedule request type – default if not valued"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine agendaverzoek type - standaardwaarde als geen waarde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Tentative"></code>
-     <display value="A request for a tentative (e.g., “penciled in”) appointment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een verzoek voor een voorlopige afspraak (bijv. &quot;met potlood toegevoegd&quot;)"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0278"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0278"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0278"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.171"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0278"></name>
-    <title value="v2 Filler Status Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0278 ( Filler Status Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Not used in the AIS, AIG, AIL, AIP segments."></valueString>
-     </extension>
-     <code value="Blocked"></code>
-     <display value="Blocked"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraakpositie(s) zijn geblokkeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Booked"></code>
-     <display value="Booked"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is geboekt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Cancelled"></code>
-     <display value="Cancelled"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is gestopt voordat deze actief werd (geannuleerd vóór starten)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Complete"></code>
-     <display value="Complete"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is normaal voltooid (niet afgebroken, geannuleerd of verwijderd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DC"></code>
-     <display value="Discontinued"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is afgebroken (afgebroken terwijl deze gaande was, afgebroken bovenliggende afspraak, of afgebroken onderliggende afspraak)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Deleted"></code>
-     <display value="Deleted"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is verwijderd van de filler applicatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Discontinued"></code>
-     <display value="Discontinued"></display>
-    </concept>
-    <concept>
-     <code value="Noshow"></code>
-     <display value="Noshow"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De patiënt is niet verschenen bij de afspraak"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Overbook"></code>
-     <display value="Overbook"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is bevestigd; het is echter tevens in overboekte status"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Pending"></code>
-     <display value="Pending"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afspraak is nog niet bevestigd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Started"></code>
-     <display value="Started"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De aangegeven afspraak is begonnen en is momenteel bezig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Waitlist"></code>
-     <display value="Waitlist"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De afspraak is op een wachtlijst gezet voor een bepaald afspraakposities, of set van afspraakposities"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0279"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0279"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0279"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.172"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0279"></name>
-    <title value="v2 Allow Substitution Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0279 ( Allow Substitution Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="Confirm"></code>
-     <display value="Contact the Placer Contact Person prior to making any substitutions of this resource"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Neem contact op met placer contactpersoon voorafgaand aan eventuele substituties van deze resource"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="No"></code>
-     <display value="Substitution of this resource is not allowed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substitutie van deze resource is niet toegestaan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Notify"></code>
-     <display value="Notify the Placer Contact Person, through normal institutional procedures, that a substitution of this resource has been made"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Melden bij placer contactpersoon via normale institutionele afspraken indien een substitutie van deze resource heeft plaatsgevonden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Yes"></code>
-     <display value="Substitution of this resource is allowed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Substitutie van deze resource is toegestaan"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
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-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0038"></id>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0038"></url>
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-     <value value="urn:oid:2.16.840.1.113883.18.18"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0038"></name>
-    <title value="v2 ORDER STATUS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0038 ( ORDER STATUS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Some, but not all, results available"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="einige, aber nicht alle, Resultate verfügbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sommige maar niet alle resultaten beschikbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CA"></code>
-     <display value="Order was canceled"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag storniert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag is geannuleerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CM"></code>
-     <display value="Order is completed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag ausgeführt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag is afgerond"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DC"></code>
-     <display value="Order was discontinued"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ausführung des Auftrags abgebrochen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag is afgebroken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ER"></code>
-     <display value="Error, order not found"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag nicht gefunden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fout, aanvraag niet gevonden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="HD"></code>
-     <display value="Order is on hold"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsbearbeitung ausgesetzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag is aangehouden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IP"></code>
-     <display value="In process, unspecified"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag in Bearbeitung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag loopt, niet-specificeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RP"></code>
-     <display value="Order has been replaced"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag ist ersetzt worden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag is vervangen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SC"></code>
-     <display value="In process, scheduled"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag hat Termin oder ist in Ausführung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag loopt, is gepland"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0260"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0260"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0260"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.155"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0260"></name>
-    <title value="v2 Patient Location Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0260 ( Patient Location Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="Bed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Clinic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kliniek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Department"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afdeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Exam Room"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onderzoeksruimte"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Other Location"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere locatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Nursing Unit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verpleegafdeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Operating Room"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Operatiekamer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Room"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kamer"></value>
-     </designation>
-    </concept>
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-  </resource>
- </entry>
- <entry>
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-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0261"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.156"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0261"></name>
-    <title value="v2 Location Equipment"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0261 ( Location Equipment)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="EEG"></code>
-     <display value="Electro-Encephalogram"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electroencefalogram"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EKG"></code>
-     <display value="Electro-Cardiogram"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Electrocardiogram"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="INF"></code>
-     <display value="Infusion pump"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Infusiepomp"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IVP"></code>
-     <display value="IV pump"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Infuuspomp"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OXY"></code>
-     <display value="Oxygen"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zuurstof"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SUC"></code>
-     <display value="Suction"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Suctie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VEN"></code>
-     <display value="Ventilator"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ventilator"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VIT"></code>
-     <display value="Vital signs monitor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vitale functies monitor"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0262"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
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-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0262"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.157"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0262"></name>
-    <title value="v2 Privacy Level"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0262 ( Privacy Level)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Isolation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Isolatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="J"></code>
-     <display value="Private room - medically justified"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Eigen kamer - medisch onderbouwd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Private room"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eigen kamer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q"></code>
-     <display value="Private room - due to overflow"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eigen kamer - wegens drukte"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Semi-private room"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Semi-eigen kamer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Ward"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afdeling"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0263"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0263"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0263"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.158"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0263"></name>
-    <title value="v2 Level of Care"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0263 ( Level of Care)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Ambulatory"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dagbehandeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Critical care"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kritieke zorg"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Isolation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Isolatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Intensive care"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Intensive care"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Routine"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Surgery"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Chirurgie"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0023"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0023"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0023"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.14"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0023"></name>
-    <title value="v2 Admit source"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0023 ( Admit source)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Physician referral"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Überweisung durch Arzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijzing arts"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Clinic referral"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Überweisung durch Klinik"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kliniek verwijzing"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="HMO referral"></display>
+     <code value="2ICU"></code>
+     <display value="Second intensive care unit"></display>
      <designation>
       <language value="de"></language>
       <use>
@@ -74325,27 +49185,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="HMO verwijzing"></value>
+      <value value="Tweede intensive care unit"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
     <concept>
-     <code value="4"></code>
-     <display value="Transfer from a hospital"></display>
+     <code value="2PRI"></code>
+     <display value="Second private room"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verlegung aus Krankenhaus"></value>
+      <value value="nicht verwendet"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -74353,27 +49205,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Overplaatsing vanuit een ziekenhuis"></value>
+      <value value="Tweede eigen kamer"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
     <concept>
-     <code value="5"></code>
-     <display value="Transfer from a skilled nursing facility"></display>
+     <code value="2SPR"></code>
+     <display value="Second semi-private room"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verlegung aus Pflegeeinrichtung"></value>
+      <value value="nicht verwendet"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -74381,27 +49225,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Overplaatsing vanuit opgeleide verpleegkundige organisatie"></value>
+      <value value="Tweede semi-eigen kamer"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
     <concept>
-     <code value="6"></code>
-     <display value="Transfer from another health care facility"></display>
+     <code value="ICU"></code>
+     <display value="Intensive care unit"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verlegung aus sonstiger Gesundheitseinrichtung"></value>
+      <value value="Intensivstation"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -74409,27 +49245,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Overplaatsing vanuit andere zorginstelling"></value>
+      <value value="Intensive care unit"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
     <concept>
-     <code value="7"></code>
-     <display value="Emergency room"></display>
+     <code value="PRI"></code>
+     <display value="Private room"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Notfallambulanz"></value>
+      <value value="Einbettzimmer"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -74437,27 +49265,19 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Spoedkamer"></value>
+      <value value="Eigen kamer"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
     <concept>
-     <code value="8"></code>
-     <display value="Court/law enforcement"></display>
+     <code value="SPR"></code>
+     <display value="Semi-private room"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zwangseinweisung"></value>
+      <value value="Zweibettzimmer"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -74465,53 +49285,17 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gerechterlijke/juridische dwang"></value>
+      <value value="Semi-eigen kamer"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="Information not available"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Information verfügbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Informatie niet beschikbaar"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0265"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0146"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0265"></id>
+    <id value="v2-0146"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -74522,14 +49306,14 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0265"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0146"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.159"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.67"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0265"></name>
-    <title value="v2 Specialty Type"></title>
+    <name value="v2.0146"></name>
+    <title value="v2 AMOUNT TYPE"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -74539,95 +49323,447 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0265 ( Specialty Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0146 ( AMOUNT TYPE)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="ALC"></code>
-     <display value="Allergy"></display>
+     <code value="DF"></code>
+     <display value="Differential"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Differenzbetrag"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Allergie"></value>
+      <value value="Differentieel"></value>
      </designation>
     </concept>
     <concept>
-     <code value="AMB"></code>
-     <display value="Ambulatory"></display>
+     <code value="LM"></code>
+     <display value="Limit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Höchstbetrag"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Dagbehandeling"></value>
+      <value value="Grens"></value>
      </designation>
     </concept>
     <concept>
-     <code value="CAN"></code>
-     <display value="Cancer"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v 2.5">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.5."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PC"></code>
+     <display value="Percentage"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Prozentsatz"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Kanker"></value>
+      <value value="Percentage"></value>
      </designation>
     </concept>
     <concept>
-     <code value="CAR"></code>
-     <display value="Coronary/cardiac care"></display>
+     <code value="RT"></code>
+     <display value="Rate"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tagessatz"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Cornaire/hartzorg"></value>
+      <value value="Kostprijs"></value>
      </designation>
     </concept>
     <concept>
-     <code value="CCR"></code>
-     <display value="Critical care"></display>
+     <code value="UL"></code>
+     <display value="Unlimited"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbegrenzt"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Kritieke zorg"></value>
+      <value value="Onbeperkt"></value>
      </designation>
     </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0147"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0147"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0147"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.68"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0147"></name>
+    <title value="v2 POLICY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0147 ( POLICY TYPE)"></description>
+    <content value="complete"></content>
     <concept>
-     <code value="CHI"></code>
-     <display value="Chiropractic"></display>
+     <code value="2ANC"></code>
+     <display value="Second ancillary"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="weitere Zusatzversicherung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Chiropractisch"></value>
+      <value value="Tweede aanvullend"></value>
      </designation>
     </concept>
     <concept>
-     <code value="EDI"></code>
-     <display value="Education"></display>
+     <code value="2MMD"></code>
+     <display value="Second major medical"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="weitere Hauptversicherung"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3MMD"></code>
+     <display value="Third major medical"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="weitere Hauptversicherung"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ANC"></code>
+     <display value="Ancillary"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusatzversicherung"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Onderwijs"></value>
+      <value value="Aanvullend"></value>
      </designation>
     </concept>
     <concept>
-     <code value="EMR"></code>
+     <code value="MMD"></code>
+     <display value="Major medical"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hauptversicherung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Basisverzekering"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0148"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0148"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0148"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.69"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0148"></name>
+    <title value="v2 PENALTY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0148 ( PENALTY TYPE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AT"></code>
+     <display value="Currency amount"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betrag (Tabelle 148 wird nicht verwendet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geldbedrag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC"></code>
+     <display value="Percentage"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Prozentsatz"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Percentage"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0149"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0149"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0149"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.70"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0149"></name>
+    <title value="v2 DAY TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0149 ( DAY TYPE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AP"></code>
+     <display value="Approved"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(Tabelle 149 wird nicht verwendet)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Goedgekeurd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DE"></code>
+     <display value="Denied"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afgekeurd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PE"></code>
+     <display value="Pending"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beslissing volgt"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0150"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0150"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0150"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.71"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0150"></name>
+    <title value="v2 PRECERTIFICATION PATIENT TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0150 ( PRECERTIFICATION PATIENT TYPE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ER"></code>
      <display value="Emergency"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(Tabelle 150 wird nicht verwendet)"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
@@ -74638,5157 +49774,31 @@ An identifier for a provider within the CMS/Medicare program.  A globally unique
      </designation>
     </concept>
     <concept>
-     <code value="FPC"></code>
-     <display value="Family planning"></display>
+     <code value="IPE"></code>
+     <display value="Inpatient elective"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gezinsplanning"></value>
+      <value value="Klinisch eigen keuze"></value>
      </designation>
     </concept>
     <concept>
-     <code value="INT"></code>
-     <display value="Intensive care"></display>
+     <code value="OPE"></code>
+     <display value="Outpatient elective"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Intensieve care"></value>
+      <value value="Poliklinisch eigen keuze"></value>
      </designation>
     </concept>
     <concept>
-     <code value="ISO"></code>
-     <display value="Isolation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Isolatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NAT"></code>
-     <display value="Naturopathic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Natuurgeneeskundig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NBI"></code>
-     <display value="Newborn, nursery, infants"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieuwgeborene, kinderkamer, zuigelingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OBG"></code>
-     <display value="Obstetrics, gynecology"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Obstetrie, gynaecologie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OBS"></code>
-     <display value="Observation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observaties"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OTH"></code>
-     <display value="Other specialty"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ander specialisme"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PED"></code>
-     <display value="Pediatrics"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pediatrie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PHY"></code>
-     <display value="General/family practice"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Algemeen/gezinspraktijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PIN"></code>
-     <display value="Pediatric/neonatal intensive care"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pediatrie/neonatale intensive care"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PPS"></code>
-     <display value="Pediatric psychiatric"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychiatrische pediatrie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRE"></code>
-     <display value="Pediatric rehabilitation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pediatrische revalidatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PSI"></code>
-     <display value="Psychiatric intensive care"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychiatrische intensive care"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PSY"></code>
-     <display value="Psychiatric"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychiatrisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="REH"></code>
-     <display value="Rehabilitation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Revalidatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SUR"></code>
-     <display value="Surgery"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Chirurgie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WIC"></code>
-     <display value="Walk-in clinic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Inloopkliniek"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0267"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0267"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0267"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.160"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0267"></name>
-    <title value="v2 Days of the Week"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0267 ( Days of the Week)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="FRI"></code>
-     <display value="Friday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vrijdag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MON"></code>
-     <display value="Monday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Maandag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SAT"></code>
-     <display value="Saturday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zaterdag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SUN"></code>
-     <display value="Sunday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zondag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="THU"></code>
-     <display value="Thursday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Donderdag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TUE"></code>
-     <display value="Tuesday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dinsdag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WED"></code>
-     <display value="Wednesday"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Woensdag"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0268"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0268"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0268"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.161"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0268"></name>
-    <title value="v2 Override"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0268 ( Override)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Override allowed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Override toegestaan"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Override required"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Override vereist"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="Override not allowed"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Override niet toegestaan"></value>
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-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0027"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0027"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0027"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.15"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0027"></name>
-    <title value="v2 PRIORITY (COMPONENT 6 QTY/TIMING[735])"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0027 ( PRIORITY (COMPONENT 6 QTY/TIMING[735]))"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="As soon as possible (a priority lower than stat)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="schnellstmöglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zo snel mogelijk. (prioriteit lager dan stat)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Preoperative (to be done prior to surgery)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="präoperativ"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Preoperatief (doen voorafgaand aan operatie)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Routine"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Stat (do immediately)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="sofort"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stat (onmiddellijk uitvoeren)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Timing critical (do as near as possible to requested time)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="zum vereinbarten Zeitpunkt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="timing kritiek (uitvoering zo dicht mogelijk bij gevraagde tijd)"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0269"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0269"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0269"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.162"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0269"></name>
-    <title value="v2 Charge on Indicator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0269 ( Charge on Indicator)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="O"></code>
-     <display value="Charge on Order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Facturatie bij aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Charge on Result"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Facturatie bij resultaat"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0615"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0615"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0615"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.373"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0615"></name>
-    <title value="v2 User Authentication Credential Type Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0615 ( User Authentication Credential Type Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Structure defined by RFC 1510"></valueString>
-     </extension>
-     <code value="KERB"></code>
-     <display value="Kerberos Service Ticket"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="XML structure defined by the OASIS Security Assertion Markup Language (SAML) specification"></valueString>
-     </extension>
-     <code value="SAML"></code>
-     <display value="Authenticated User Identity Assertion"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0616"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0616"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0616"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.374"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0616"></name>
-    <title value="v2 Address Expiration Reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0616 ( Address Expiration Reason)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The address has been replaced with a corrected version"></valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Corrected"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The address was incorrect and should never have been associated with the individual"></valueString>
-     </extension>
-     <code value="E"></code>
-     <display value="Added in error"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The individual associated with the address has moved and is no longer reachable at the address"></valueString>
-     </extension>
-     <code value="M"></code>
-     <display value="Moved"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The associated individual requested that the address be removed from their record"></valueString>
-     </extension>
-     <code value="R"></code>
-     <display value="On request"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0617"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0617"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0617"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.375"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0617"></name>
-    <title value="v2 Address Usage"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0617 ( Address Usage)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifies an address used for the purpose of demographic classification or searching.  Such addresses frequently contain insufficient information to be used as mailing or visit addresses.  For example, they may only indicate country and postal code, without providing a street address."></valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Classification"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifies an address for mail correspondence from a healthcare provider as stipulated by the subject.
-For example, under the tenets of certain privacy regulations, it is exclusive to the patient and is typically maintained at the encounter or visit level versus the person level as it only has relevance to the specifics of a given encounter.  This is an exception category of address in that the patient has stipulated that they want all correspondence relevant to a given encounter sent to this address in lieu of any other address on file.  Providers are required to accommodate such requests under HIPAA promulgated regulation.  Note that mailing and legal address may be mutually exclusive as defined below.  (Implementors are reminded that although the privacy regulation requires the provider to honor such requests, it does require the provider to enquire whether the patient has a preferred address other than the one volunteered.)"></valueString>
-     </extension>
-     <code value="M"></code>
-     <display value="Mailing"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifies an address at which the individual is physically located and may be visited."></valueString>
-     </extension>
-     <code value="V"></code>
-     <display value="Visit"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0618"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0618"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0618"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.376"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0618"></name>
-    <title value="v2 Protection Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0618 ( Protection Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="LI"></code>
-     <display value="Listed"></display>
-    </concept>
-    <concept>
-     <code value="UL"></code>
-     <display value="Unlisted (Should not appear in directories)"></display>
-    </concept>
-    <concept>
-     <code value="UP"></code>
-     <display value="Unpublished"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0634"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0634"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0634"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.378"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0634"></name>
-    <title value="v2 Item Importance Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0634 ( Item Importance Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CRT"></code>
-     <display value="Critical"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0871"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0871"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0871"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.410"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0871"></name>
-    <title value="v2 Supply Risk Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0871 ( Supply Risk Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Materiaal is corrosief en kan ernstige verwondingen aan de huid, slijmvliezen en ogen veroorzaken. Vermijd onbeschermd contact."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="COR"></code>
-     <display value="Corrosive"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Corrosief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is an explosive mixture.  Keep away from fire, sparks, and heat.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Materiaal is explosief mengsel. Houd weg van vuur, vonken en hitte."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="EXP"></code>
-     <display value="Explosive"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Explosief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is highly flammable and in certain mixtures (with air) may lead to explosions.  Keep away from fire, sparks and excessive heat.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Materiaal is licht ontvlambaar en kan in bepaalde mengsels (met lucht) leiden tot explosies. Houd weg van vuur, vonken en warmtebronnen."></valueString>
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-       </extension>
-      </valueString>
-     </extension>
-     <code value="FLA"></code>
-     <display value="Flammable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Brandbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is solid and sharp (e.g., cannulas.)  Dispose in hard container.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Materiaal is hard en scherp (bijv. canules). Verwijder in harde container."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="INJ"></code>
-     <display value="Injury Hazard"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Letselgevaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Materiaal is een bron voor ioniserende straling en moet met uiterste voorzorgen worden gebruikt om letsel te voorkomen van degene die het gebruiken en milieuschade."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RAD"></code>
-     <display value="Radioactive"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Radioactief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material is toxic to humans and/or animals.  Special care must be taken to avoid incorporation, even of small amounts.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Materiaal is toxisch voor mensen en/of dieren. Let specifiek op vermijding van inname, ook van kleinere hoeveelheden."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="TOX"></code>
-     <display value="Toxic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toxisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Material hazard level is unknown.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Material hazard level is unknown."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UNK"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0625"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0625"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0625"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.377"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0625"></name>
-    <title value="v2 Item Status Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0625 ( Item Status Codes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Item is available to be purchased or issued."></valueString>
-     </extension>
-     <code value="1"></code>
-     <display value="Active"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Item is not available to be purchased, but is available to be issued."></valueString>
-     </extension>
-     <code value="2"></code>
-     <display value="Pending Inactive"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Item is not available to be purchased or issued."></valueString>
-     </extension>
-     <code value="3"></code>
-     <display value="Inactive"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0868"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0868"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0868"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.409"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0868"></name>
-    <title value="v2 Telecommunication expiration reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0868 ( Telecommunication expiration reason)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The telecommunication address has been replaced with a corrected version."></valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Corrected"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The telecommunication address was incorrect and should never have been associated with the individual."></valueString>
-     </extension>
-     <code value="E"></code>
-     <display value="Added in error"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The individual associated with the telecommunication address has moved and is no longer reachable at the address."></valueString>
-     </extension>
-     <code value="M"></code>
-     <display value="Moved"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The telecommunication address is no longer connected or available"></valueString>
-     </extension>
-     <code value="N"></code>
-     <display value="No longer in service"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The associated individual requested that the telecommunication address be removed from their record (though it may still be correct)."></valueString>
-     </extension>
-     <code value="R"></code>
-     <display value="On request"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0415"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0415"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0415"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.257"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0415"></name>
-    <title value="v2 DRG transfer type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0415 ( DRG transfer type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="DRG Exempt"></display>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="DRG Non Exempt"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0657"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0657"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0657"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.382"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0657"></name>
-    <title value="v2 Device Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0657 ( Device Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="EO Gas Sterilizer"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Steam Sterilizer"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Peracetic Acid"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0416"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0416"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0416"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.258"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0416"></name>
-    <title value="v2 Procedure DRG type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0416 ( Procedure DRG type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="1st non-Operative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="1ste niet-operatief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="2nd non-Operative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="2de niet-operatief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Major Operative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="groot operatief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="2nd Operative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="2de operatief"></value>
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-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="3rd Operative"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="3de operatief"></value>
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-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0417"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0417"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0417"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.259"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0417"></name>
-    <title value="v2 Tissue type code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0417 ( Tissue type code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="No tissue expected"></display>
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-    <concept>
-     <code value="1"></code>
-     <display value="Insufficient Tissue"></display>
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-    <concept>
-     <code value="2"></code>
-     <display value="Not abnormal"></display>
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-    <concept>
-     <code value="3"></code>
-     <display value="Abnormal-not categorized"></display>
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-    <concept>
-     <code value="4"></code>
-     <display value="Mechanical abnormal"></display>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Growth alteration"></display>
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-    <concept>
-     <code value="6"></code>
-     <display value="Degeneration &amp; necrosis"></display>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="Non-acute inflammation"></display>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="Non-malignant neoplasm"></display>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="Malignant neoplasm"></display>
-    </concept>
-    <concept>
-     <code value="B"></code>
-     <display value="Basal cell carcinoma"></display>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Carcinoma-unspecified type"></display>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="Additional tissue required"></display>
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-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0659"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0659"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0659"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.383"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0659"></name>
-    <title value="v2 Lot Control"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0659 ( Lot Control)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="OR Mode Without Operator"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="OR Mode with Operator"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="CPD Mode Without Operator"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="CPD Mode With Operator"></display>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Offline Mode"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0418"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0418"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0418"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.260"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0418"></name>
-    <title value="v2 Procedure priority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0418 ( Procedure priority)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="0"></code>
-     <display value="the admitting procedure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Opname procedure"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="the primary procedure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Primaire procedure"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="for ranked secondary procedures"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Secundaire procedures"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="…"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0651"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0651"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0651"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.380"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0651"></name>
-    <title value="v2 Labor Calculation Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0651 ( Labor Calculation Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CST"></code>
-     <display value="Cost"></display>
-    </concept>
-    <concept>
-     <code value="TME"></code>
-     <display value="Time"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0894"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0894"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0894"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.413"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0894"></name>
-    <title value="v2 Side of body"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0894 ( Side of body)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="L"></code>
-     <display value="Left"></display>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Right"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0411"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0411"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0411"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.256"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0411"></name>
-    <title value="v2 Supplemental service information values"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0411 ( Supplemental service information values)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined."></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="1ST"></code>
-     <display value="First"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="2ND"></code>
-     <display value="Second"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="3RD"></code>
-     <display value="Third"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="4TH"></code>
-     <display value="Fourth"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="5TH"></code>
-     <display value="Fifth"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="A/P"></code>
-     <display value="Anterior/Posterior"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ANT"></code>
-     <display value="Anterior"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="BLT"></code>
-     <display value="Bilateral"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CG"></code>
-     <display value="Observation of type Clinical Genomics (CG)"></display>
-    </concept>
-    <concept>
-     <code value="DEC"></code>
-     <display value="Decubitus"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="DST"></code>
-     <display value="Distal"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LAT"></code>
-     <display value="Lateral"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LFT"></code>
-     <display value="Left"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LLQ"></code>
-     <display value="Left Lower Quadrant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LOW"></code>
-     <display value="Lower"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LUQ"></code>
-     <display value="Left Upper Quadrant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="MED"></code>
-     <display value="Medial"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="NDBS"></code>
-     <display value="Observation of type Newborn Dried Blood Screening (NDBS)"></display>
-    </concept>
-    <concept>
-     <code value="OR"></code>
-     <display value="Operating Room"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PED"></code>
-     <display value="Pediatric"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="POS"></code>
-     <display value="Posterior"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PRT"></code>
-     <display value="Portable"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PRX"></code>
-     <display value="Proximal"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="REC"></code>
-     <display value="Recumbent"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RGH"></code>
-     <display value="Right"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RLQ"></code>
-     <display value="Right Lower Quadrant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RUQ"></code>
-     <display value="Right Upper Quadrant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="UPP"></code>
-     <display value="Upper"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="UPR"></code>
-     <display value="Upright"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="WCT"></code>
-     <display value="With Contrast"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="WOC"></code>
-     <display value="Without Contrast"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="WSD"></code>
-     <display value="With Sedation"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0653"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
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-    <title value="v2 Date Format"></title>
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-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    <description value="FHIR Value set/code system definition for HL7 v2 table 0653 ( Date Format)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="USA standard"></valueString>
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-     <display value="mm/dd/yy"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="ANSI standard"></valueString>
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-     <display value="yy.mm.dd"></display>
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-    <concept>
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-      <valueString value="Britain/France standard"></valueString>
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-     <display value="dd/mm/yy"></display>
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-    <concept>
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-      <valueString value="Germany standard"></valueString>
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-     <display value="dd.mm.yy"></display>
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-    <concept>
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-      <valueString value="Japan standard"></valueString>
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-    <concept>
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-      <valueString value="ISO standard"></valueString>
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-     <code value="6"></code>
-     <display value="Yymmdd"></display>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    <description value="FHIR Value set/code system definition for HL7 v2 table 0895 ( Present On Admission (POA) Indicator)"></description>
-    <content value="complete"></content>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Vrijgesteld"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
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-     <display value="No"></display>
-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
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-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Onbekend"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Niet van toepassing"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
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-    <concept>
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-     <display value="Yes"></display>
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-      <language value="de"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Ja"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Ja"></value>
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-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
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-  <resource>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.252"></value>
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-    <name value="v2.0403"></name>
-    <title value="v2 Language ability"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0403 ( Language ability)"></description>
-    <content value="complete"></content>
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-     <code value="1"></code>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <display value="Understand"></display>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <display value="Sign"></display>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.253"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0404"></name>
-    <title value="v2 Language proficiency"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0404 ( Language proficiency)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Excellent"></display>
-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Excellent"></value>
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-     <code value="2"></code>
-     <display value="Good"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Goed"></value>
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-    <concept>
-     <code value="3"></code>
-     <display value="Fair"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Redelijk"></value>
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-     <code value="4"></code>
-     <display value="Poor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Matig"></value>
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-    <concept>
-     <code value="5"></code>
-     <display value="Some (level unknown)"></display>
-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-    <concept>
-     <code value="6"></code>
-     <display value="None"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0406"></fullUrl>
-  <resource>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0406"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.254"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0406"></name>
-    <title value="v2 Participant Organization Unit Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0406 ( Participant Organization Unit Type)"></description>
-    <content value="complete"></content>
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-     <designation>
-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <display value="Physician Clinic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Zorgverlener kliniek"></value>
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-    <concept>
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-     <display value="Long Term Care"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <display value="Acute Care"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <code value="5"></code>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-     <designation>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
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-    <description value="FHIR Value set/code system definition for HL7 v2 table 0409 ( Application change type)"></description>
-    <content value="complete"></content>
-    <concept>
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-       <code value="display"></code>
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-    <concept>
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-     <display value="Shut down"></display>
-     <designation>
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-     <display value="Start up"></display>
-     <designation>
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-     <display value="Unknown"></display>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The load is canceled"></valueString>
-     </extension>
-     <code value="LCN"></code>
-     <display value="Load Canceled"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The load is running"></valueString>
-     </extension>
-     <code value="LCP"></code>
-     <display value="Load In Process"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A load is being built"></valueString>
-     </extension>
-     <code value="LLD"></code>
-     <display value="Building a Load"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0428"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0428"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0428"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.269"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0428"></name>
-    <title value="v2 Incident type code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0428 ( Incident type code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Preventable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vermijdbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="User Error"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gebruikersfout"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0429"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0429"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0429"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.270"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0429"></name>
-    <title value="v2 Production class Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0429 ( Production class Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="BR"></code>
-     <display value="Breeding/genetic stock"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fokken/genetische voorraad"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DA"></code>
-     <display value="Dairy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Melkproduct"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DR"></code>
-     <display value="Draft"></display>
-    </concept>
-    <concept>
-     <code value="DU"></code>
-     <display value="Dual Purpose"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Meervoudig doel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LY"></code>
-     <display value="Layer, Includes Multiplier flocks"></display>
-    </concept>
-    <concept>
-     <code value="MT"></code>
-     <display value="Meat"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vlees"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NA"></code>
-     <display value="Not Applicable"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet van toepassing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OT"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PL"></code>
-     <display value="Pleasure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hobby"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RA"></code>
-     <display value="Racing"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Racen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SH"></code>
-     <display value="Show"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Show"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0421"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0421"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0421"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.262"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0421"></name>
-    <title value="v2 Severity of illness code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0421 ( Severity of illness code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="MI"></code>
-     <display value="Mild"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mild"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MO"></code>
-     <display value="Moderate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gemiddeld"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SE"></code>
-     <display value="Severe"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ernstig"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0422"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0422"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0422"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.263"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0422"></name>
-    <title value="v2 Triage code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0422 ( Triage code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Non-acute"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet-acuut"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Acute"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Acuut"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3"></code>
+     <code value="UR"></code>
      <display value="Urgent"></display>
      <designation>
       <language value="nl"></language>
@@ -79796,337 +49806,17 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Urgent"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Severe"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ernstig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Dead on Arrival (DOA)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overleden bij aankomst (DOA)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="99"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
+      <value value="Spoed"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.7-0360"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0153"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-2.7-0360"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0360|2.7"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.220"></value>
-    </identifier>
-    <version value="0360"></version>
-    <name value="v2.0360.2.7"></name>
-    <title value="v2 table 0360, Version 2.7"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="v2 table definition for v2.0360.2.7"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AA"></code>
-     <display value="Associate of Arts"></display>
-    </concept>
-    <concept>
-     <code value="AAS"></code>
-     <display value="Associate of Applied Science"></display>
-    </concept>
-    <concept>
-     <code value="ABA"></code>
-     <display value="Associate of Business Administration"></display>
-    </concept>
-    <concept>
-     <code value="AE"></code>
-     <display value="Associate of Engineering"></display>
-    </concept>
-    <concept>
-     <code value="AS"></code>
-     <display value="Associate of Science"></display>
-    </concept>
-    <concept>
-     <code value="BA"></code>
-     <display value="Bachelor of Arts"></display>
-    </concept>
-    <concept>
-     <code value="BBA"></code>
-     <display value="Bachelor of Business Administration"></display>
-    </concept>
-    <concept>
-     <code value="BE"></code>
-     <display value="Bachelor or Engineering"></display>
-    </concept>
-    <concept>
-     <code value="BFA"></code>
-     <display value="Bachelor of Fine Arts"></display>
-    </concept>
-    <concept>
-     <code value="BN"></code>
-     <display value="Bachelor of Nursing"></display>
-    </concept>
-    <concept>
-     <code value="BS"></code>
-     <display value="Bachelor of Science"></display>
-    </concept>
-    <concept>
-     <code value="BSL"></code>
-     <display value="Bachelor of Science - Law"></display>
-    </concept>
-    <concept>
-     <code value="BSN"></code>
-     <display value="Bachelor on Science - Nursing"></display>
-    </concept>
-    <concept>
-     <code value="BT"></code>
-     <display value="Bachelor of Theology"></display>
-    </concept>
-    <concept>
-     <code value="CANP"></code>
-     <display value="Certified Adult Nurse Practitioner"></display>
-    </concept>
-    <concept>
-     <code value="CER"></code>
-     <display value="Certificate"></display>
-    </concept>
-    <concept>
-     <code value="CMA"></code>
-     <display value="Certified Medical Assistant"></display>
-    </concept>
-    <concept>
-     <code value="CNM"></code>
-     <display value="Certified Nurse Midwife"></display>
-    </concept>
-    <concept>
-     <code value="CNP"></code>
-     <display value="Certified Nurse Practitioner"></display>
-    </concept>
-    <concept>
-     <code value="CNS"></code>
-     <display value="Certified Nurse Specialist"></display>
-    </concept>
-    <concept>
-     <code value="CPNP"></code>
-     <display value="Certified Pediatric Nurse Practitioner"></display>
-    </concept>
-    <concept>
-     <code value="CRN"></code>
-     <display value="Certified Registered Nurse"></display>
-    </concept>
-    <concept>
-     <code value="CTR"></code>
-     <display value="Certified Tumor Registrar"></display>
-    </concept>
-    <concept>
-     <code value="DBA"></code>
-     <display value="Doctor of Business Administration"></display>
-    </concept>
-    <concept>
-     <code value="DED"></code>
-     <display value="Doctor of Education"></display>
-    </concept>
-    <concept>
-     <code value="DIP"></code>
-     <display value="Diploma"></display>
-    </concept>
-    <concept>
-     <code value="DO"></code>
-     <display value="Doctor of Osteopathy"></display>
-    </concept>
-    <concept>
-     <code value="EMT"></code>
-     <display value="Emergency Medical Technician"></display>
-    </concept>
-    <concept>
-     <code value="EMTP"></code>
-     <display value="Emergency Medical Technician - Paramedic"></display>
-    </concept>
-    <concept>
-     <code value="FPNP"></code>
-     <display value="Family Practice Nurse Practitioner"></display>
-    </concept>
-    <concept>
-     <code value="HS"></code>
-     <display value="High School Graduate"></display>
-    </concept>
-    <concept>
-     <code value="JD"></code>
-     <display value="Juris Doctor"></display>
-    </concept>
-    <concept>
-     <code value="MA"></code>
-     <display value="Master of Arts"></display>
-    </concept>
-    <concept>
-     <code value="MBA"></code>
-     <display value="Master of Business Administration"></display>
-    </concept>
-    <concept>
-     <code value="MCE"></code>
-     <display value="Master of Civil Engineering"></display>
-    </concept>
-    <concept>
-     <code value="MD"></code>
-     <display value="Doctor of Medicine"></display>
-    </concept>
-    <concept>
-     <code value="MDA"></code>
-     <display value="Medical Assistant"></display>
-    </concept>
-    <concept>
-     <code value="MDI"></code>
-     <display value="Master of Divinity"></display>
-    </concept>
-    <concept>
-     <code value="ME"></code>
-     <display value="Master of Engineering"></display>
-    </concept>
-    <concept>
-     <code value="MED"></code>
-     <display value="Master of Education"></display>
-    </concept>
-    <concept>
-     <code value="MEE"></code>
-     <display value="Master of Electrical Engineering"></display>
-    </concept>
-    <concept>
-     <code value="MFA"></code>
-     <display value="Master of Fine Arts"></display>
-    </concept>
-    <concept>
-     <code value="MME"></code>
-     <display value="Master of Mechanical Engineering"></display>
-    </concept>
-    <concept>
-     <code value="MS"></code>
-     <display value="Master of Science"></display>
-    </concept>
-    <concept>
-     <code value="MSL"></code>
-     <display value="Master of Science - Law"></display>
-    </concept>
-    <concept>
-     <code value="MSN"></code>
-     <display value="Master of Science - Nursing"></display>
-    </concept>
-    <concept>
-     <code value="MT"></code>
-     <display value="Medical Technician"></display>
-    </concept>
-    <concept>
-     <code value="MTH"></code>
-     <display value="Master of Theology"></display>
-    </concept>
-    <concept>
-     <code value="NG"></code>
-     <display value="Non-Graduate"></display>
-    </concept>
-    <concept>
-     <code value="NP"></code>
-     <display value="Nurse Practitioner"></display>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Physician Assistant"></display>
-    </concept>
-    <concept>
-     <code value="PHD"></code>
-     <display value="Doctor of Philosophy"></display>
-    </concept>
-    <concept>
-     <code value="PHE"></code>
-     <display value="Doctor of Engineering"></display>
-    </concept>
-    <concept>
-     <code value="PHS"></code>
-     <display value="Doctor of Science"></display>
-    </concept>
-    <concept>
-     <code value="PN"></code>
-     <display value="Advanced Practice Nurse"></display>
-    </concept>
-    <concept>
-     <code value="PharmD"></code>
-     <display value="Doctor of Pharmacy"></display>
-    </concept>
-    <concept>
-     <code value="RMA"></code>
-     <display value="Registered Medical Assistant"></display>
-    </concept>
-    <concept>
-     <code value="RN"></code>
-     <display value="Registered Nurse"></display>
-    </concept>
-    <concept>
-     <code value="RPH"></code>
-     <display value="Registered Pharmacist"></display>
-    </concept>
-    <concept>
-     <code value="SEC"></code>
-     <display value="Secretarial Certificate"></display>
-    </concept>
-    <concept>
-     <code value="TS"></code>
-     <display value="Trade School Graduate"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0423"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0423"></id>
+    <id value="v2-0153"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -80137,14 +49827,14 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0423"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0153"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.264"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.72"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0423"></name>
-    <title value="v2 Case category code"></title>
+    <name value="v2.0153"></name>
+    <title value="v2 Value code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -80154,121 +49844,7 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0423 ( Case category code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Doctor's Office Closed"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0424"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0424"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0424"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.265"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0424"></name>
-    <title value="v2 Gestation category code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0424 ( Gestation category code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Premature / Pre-term"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="vorzeitig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Full Term"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="normal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Overdue / Post-term"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="übertragen"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.6-0391"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-2.6-0391"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0391|2.6"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.242"></value>
-    </identifier>
-    <version value="0391"></version>
-    <name value="v2.0391.2.6"></name>
-    <title value="v2 table 0391, Version 2.6"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="v2 table definition for v2.0391.2.6"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0153 ( Value code)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -80283,43 +49859,1108 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="ADMINISTRATION"></code>
+     <code value="..."></code>
+     <display value="See NUBC codes"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zie (Amerikaanse) NUBC codes"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="ALLERGY"></code>
+     <code value="01"></code>
+     <display value="Most common semi-private rate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Meest algemeen semi-privé"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="APP_STATS"></code>
+     <code value="02"></code>
+     <display value="Hospital has no semi-private rooms"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziekenhuis heeft geen semi-eigen kamers"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="APP_STATUS"></code>
+     <code value="04"></code>
+     <display value="Inpatient professional component charges which are combined billed"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="ASSOCIATED_PERSON"></code>
+     <code value="05"></code>
+     <display value="Professional component included in charges and also billed separate to carrier"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="ASSOCIATED_RX_ADMIN"></code>
+     <code value="06"></code>
+     <display value="Medicare blood deductible"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="ASSOCIATED_RX_ORDER"></code>
+     <code value="08"></code>
+     <display value="Medicare life time reserve amount in the first calendar year"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="AUTHORIZATION"></code>
+     <code value="09"></code>
+     <display value="Medicare co-insurance amount in the first calendar year"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="AUTHORIZATION_CONTACT"></code>
+     <code value="10"></code>
+     <display value="Lifetime reserve amount in the second calendar year"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="CERTIFICATE"></code>
+     <code value="11"></code>
+     <display value="Co-insurance amount in the second calendar year"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="CLOCK"></code>
+     <code value="12"></code>
+     <display value="Working aged beneficiary/spouse with employer group health plan"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="CLOCK_AND_STATISTICS"></code>
+     <code value="13"></code>
+     <display value="ESRD beneficiary in a Medicare coordination period with an employer group health plan"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="CLOCK_AND_STATS_WITH_NOTE"></code>
+     <code value="14"></code>
+     <display value="No Fault including auto/other"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="Worker's Compensation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werknemer compensatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="16"></code>
+     <display value="PHS, or other federal agency"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="17"></code>
+     <display value="Payer code"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betalercode"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="Catastrophic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Catastrofaal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="22"></code>
+     <display value="Surplus"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Surplus"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="23"></code>
+     <display value="Recurring monthly incode"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Regelmatig maandelijks inkomen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="24"></code>
+     <display value="Medicaid rate code"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicaid tariefcode"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="30"></code>
+     <display value="Pre-admission testing"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vooropname testen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="31"></code>
+     <display value="Patient liability amount"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiënt aansprakelijkheid bedrag"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="37"></code>
+     <display value="Pints of blood furnished"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="38"></code>
+     <display value="Blood deductible pints"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="39"></code>
+     <display value="Pints of blood replaced"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="40"></code>
+     <display value="New coverage not implemented by HMO (for inpatient service only)"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="41"></code>
+     <display value="Black lung"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stoflong"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="42"></code>
+     <display value="VA"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse Veterans Affairs"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="43"></code>
+     <display value="Disabled beneficiary under age 64 with LGHP"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="44"></code>
+     <display value="Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due"></display>
+     <property>
+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
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+     <code value="45"></code>
+     <display value="Accident hour"></display>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+     <display value="Number of grace days"></display>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een of andere aansprakelijkheidsverzekering"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="48"></code>
+     <display value="Hemoglobin reading"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hemoglobinewaarde"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="49"></code>
+     <display value="Hematocrit reading"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hematocrietwaarde"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="50"></code>
+     <display value="Physical therapy visits"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lichamelijke oefening bezoeken"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="51"></code>
+     <display value="Occupational therapy visits"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ergotherapie bezoeken"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
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+     <code value="52"></code>
+     <display value="Speech therapy visits"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stemoefening bezoeken"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="53"></code>
+     <display value="Cardiac rehab visits"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hartrevalidatie bezoeken"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="56"></code>
+     <display value="Skilled nurse - home visit hours"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="57"></code>
+     <display value="Home health aide - home visit hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Thuiszorg hulp - thuisbezoekuren"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="58"></code>
+     <display value="Arterial blood gas"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arterieel bloedgas"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="59"></code>
+     <display value="Oxygen saturation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zuurstofsaturatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="60"></code>
+     <display value="HHA branch MSA"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="67"></code>
+     <display value="Peritoneal dialysis"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Peritoneale dialyse"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="68"></code>
+     <display value="EPO-drug"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="EPO-medicatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
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+     <code value="70"></code>
+     <display value="Payer codes"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betalercodes"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="70 ... 72"></code>
+     <display value="Payer codes"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betalercodes"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    <concept>
+     <code value="71"></code>
+     <display value="Payer codes"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betalercodes"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="72"></code>
+     <display value="Payer codes"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Betalercodes"></value>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="75"></code>
+     <display value="Payer codes"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Betalercodes"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="75 ... 79"></code>
+     <display value="Payer codes"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Betalercodes"></value>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
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+     <display value="Payer codes"></display>
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+      <value value="Betalercodes"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+      <language value="nl"></language>
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+       <code value="display"></code>
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+      <value value="Betalercodes"></value>
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+     <property>
+      <code value="deprecationDate"></code>
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+     </property>
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+     <display value="Payer codes"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Betalercodes"></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    <concept>
+     <code value="79"></code>
+     <display value="Payer codes"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Betalercodes"></value>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Psychiatrische bezoeken"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <display value="Visits subject to co-payment"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bezoeken vallen onder co-betaling"></value>
+     </designation>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <display value="Deductible payer A"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Eigen risico betaler A"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <display value="Coinsurance payer A"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Medeverzekerd betaler A"></value>
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+      <code value="status"></code>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
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+     <display value="Estimated responsibility payer A"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geschatte verantwoordelijkheid betaler A"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Service uitgesloten van primaire polis"></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <display value="Supplemental coverage"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <valueDateTime value="2000-11"></valueDateTime>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Zie (Amerikaanse) NUBC codes"></value>
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      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
@@ -80329,451 +50970,14 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
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-    </concept>
-    <concept>
-     <code value="FINANCIAL_OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="FINANCIAL_ORDER"></code>
-    </concept>
-    <concept>
-     <code value="FINANCIAL_PROCEDURE"></code>
-    </concept>
-    <concept>
-     <code value="FINANCIAL_TIMING QUANTITY"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="FINANCIAL_TIMING_QUANTITY"></code>
-    </concept>
-    <concept>
-     <code value="GENERAL RESOURCE"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="GENERAL_RESOURCE"></code>
-    </concept>
-    <concept>
-     <code value="GIVE"></code>
-    </concept>
-    <concept>
-     <code value="GOAL"></code>
-    </concept>
-    <concept>
-     <code value="GOAL_OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="GOAL_PATHWAY"></code>
-    </concept>
-    <concept>
-     <code value="GOAL_ROLE"></code>
-    </concept>
-    <concept>
-     <code value="GUARANTOR_INSURANCE"></code>
-    </concept>
-    <concept>
-     <code value="INSURANCE"></code>
-    </concept>
-    <concept>
-     <code value="LOCATION RESOURCE"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LOCATION_RESOURCE"></code>
-    </concept>
-    <concept>
-     <code value="MERGE_INFO"></code>
-    </concept>
-    <concept>
-     <code value="MF"></code>
-    </concept>
-    <concept>
-     <code value="MF_CDM"></code>
-    </concept>
-    <concept>
-     <code value="MF_CLIN_STUDY"></code>
-    </concept>
-    <concept>
-     <code value="MF_CLIN_STUDY_SCHED"></code>
-    </concept>
-    <concept>
-     <code value="MF_INV_ITEM"></code>
-    </concept>
-    <concept>
-     <code value="MF_LOCATION"></code>
-    </concept>
-    <concept>
-     <code value="MF_LOC_DEPT"></code>
-    </concept>
-    <concept>
-     <code value="MF_OBS_ATTRIBUTES"></code>
-    </concept>
-    <concept>
-     <code value="MF_PHASE_SCHED_DETAIL"></code>
-    </concept>
-    <concept>
-     <code value="MF_QUERY"></code>
-    </concept>
-    <concept>
-     <code value="MF_SITE_DEFINED"></code>
-    </concept>
-    <concept>
-     <code value="MF_STAFF"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_BATTERIES"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_BATT_DETAIL"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_CALCULATED"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_CALC_DETAIL"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_CATEGORICAL"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_CAT_DETAIL"></code>
-    </concept>
-    <concept>
-     <code value="MF_TEST_NUMERIC"></code>
-    </concept>
-    <concept>
-     <code value="NK1_TIMING_QTY"></code>
-    </concept>
-    <concept>
-     <code value="NOTIFICATION"></code>
-    </concept>
-    <concept>
-     <code value="OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="OBSERVATION_PRIOR"></code>
-    </concept>
-    <concept>
-     <code value="OBSERVATION_REQUEST"></code>
-    </concept>
-    <concept>
-     <code value="OMSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="ORDER"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_CHOICE"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_DETAIL"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_DETAIL_SUPPLEMENT"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_DIET"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_ENCODED"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_PRIOR"></code>
-    </concept>
-    <concept>
-     <code value="ORDER_TRAY"></code>
-    </concept>
-    <concept>
-     <code value="PATHWAY"></code>
-    </concept>
-    <concept>
-     <code value="PATHWAY_ROLE"></code>
-    </concept>
-    <concept>
-     <code value="PATIENT"></code>
-    </concept>
-    <concept>
-     <code value="PATIENT VISIT"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PATIENT_PRIOR"></code>
-    </concept>
-    <concept>
-     <code value="PATIENT_RESULT"></code>
-    </concept>
-    <concept>
-     <code value="PATIENT_VISIT"></code>
-    </concept>
-    <concept>
-     <code value="PATIENT_VISIT_PRIOR"></code>
-    </concept>
-    <concept>
-     <code value="PERSONNEL RESOURCE"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PERSONNEL_RESOURCE"></code>
-    </concept>
-    <concept>
-     <code value="PEX_CAUSE"></code>
-    </concept>
-    <concept>
-     <code value="PEX_OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="PRIOR_RESULT"></code>
-    </concept>
-    <concept>
-     <code value="PROBLEM"></code>
-    </concept>
-    <concept>
-     <code value="PROBLEM_OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="PROBLEM_PATHWAY"></code>
-    </concept>
-    <concept>
-     <code value="PROBLEM_ROLE"></code>
-    </concept>
-    <concept>
-     <code value="PROCEDURE"></code>
-    </concept>
-    <concept>
-     <code value="PRODUCT"></code>
-    </concept>
-    <concept>
-     <code value="PRODUCT_STATUS"></code>
-    </concept>
-    <concept>
-     <code value="PROVIDER"></code>
-    </concept>
-    <concept>
-     <code value="PROVIDER_CONTACT"></code>
-    </concept>
-    <concept>
-     <code value="QBP"></code>
-    </concept>
-    <concept>
-     <code value="QRY_WITH_DETAIL"></code>
-    </concept>
-    <concept>
-     <code value="QUERY_RESPONSE"></code>
-    </concept>
-    <concept>
-     <code value="QUERY_RESULT_CLUSTER"></code>
-    </concept>
-    <concept>
-     <code value="REQUEST"></code>
-    </concept>
-    <concept>
-     <code value="RESOURCE"></code>
-    </concept>
-    <concept>
-     <code value="RESOURCES"></code>
-    </concept>
-    <concept>
-     <code value="RESPONSE"></code>
-    </concept>
-    <concept>
-     <code value="RESULT"></code>
-    </concept>
-    <concept>
-     <code value="RESULTS"></code>
-    </concept>
-    <concept>
-     <code value="RESULTS_NOTES"></code>
-    </concept>
-    <concept>
-     <code value="ROW_DEFINITION"></code>
-    </concept>
-    <concept>
-     <code value="RX_ADMINISTRATION"></code>
-    </concept>
-    <concept>
-     <code value="RX_ORDER"></code>
-    </concept>
-    <concept>
-     <code value="SCHEDULE"></code>
-    </concept>
-    <concept>
-     <code value="SERVICE"></code>
-    </concept>
-    <concept>
-     <code value="SPECIMEN"></code>
-    </concept>
-    <concept>
-     <code value="SPECIMEN_CONTAINER"></code>
-    </concept>
-    <concept>
-     <code value="STAFF"></code>
-    </concept>
-    <concept>
-     <code value="STUDY"></code>
-    </concept>
-    <concept>
-     <code value="STUDY_OBSERVATION"></code>
-    </concept>
-    <concept>
-     <code value="STUDY_PHASE"></code>
-    </concept>
-    <concept>
-     <code value="STUDY_SCHEDULE"></code>
-    </concept>
-    <concept>
-     <code value="TEST_CONFIGURATION"></code>
-    </concept>
-    <concept>
-     <code value="TIMING"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_DIET"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_ENCODED"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_GIVE"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_PRIOR"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_QTY"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_QUANTITY"></code>
-    </concept>
-    <concept>
-     <code value="TIMING_TRAY"></code>
-    </concept>
-    <concept>
-     <code value="TREATMENT"></code>
-    </concept>
-    <concept>
-     <code value="VISIT"></code>
-    </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.4-0391"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0155"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-2.4-0391"></id>
+    <id value="v2-0155"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -80784,158 +50988,14 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0391|2.4"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0155"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.241"></value>
-    </identifier>
-    <version value="0391"></version>
-    <name value="v2.0391.2.4"></name>
-    <title value="v2 table 0391, Version 2.4"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="v2 table definition for v2.0391.2.4"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="OBRG"></code>
-     <display value="OBR group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ORCG"></code>
-     <display value="ORC group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PIDG"></code>
-     <display value="PID group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RXAG"></code>
-     <display value="RXA group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RXDG"></code>
-     <display value="RXD group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RXEG"></code>
-     <display value="RXE group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RXOG"></code>
-     <display value="RXO group"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="etc"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0806"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0806"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0806"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.406"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.73"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0806"></name>
-    <title value="v2 Sterilization Type"></title>
+    <name value="v2.0155"></name>
+    <title value="v2 ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -80945,1933 +51005,18 @@ For example, under the tenets of certain privacy regulations, it is exclusive to
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0806 ( Sterilization Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="EOG"></code>
-     <display value="Ethylene Oxide Gas"></display>
-    </concept>
-    <concept>
-     <code value="PCA"></code>
-     <display value="Peracetic acid"></display>
-    </concept>
-    <concept>
-     <code value="STM"></code>
-     <display value="Steam"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.1-0006"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-2.1-0006"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0006|2.1"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.7"></value>
-    </identifier>
-    <version value="0006"></version>
-    <name value="v2.0006.2.1"></name>
-    <title value="v2 table 0006, Version 2.1"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="v2 table definition for v2.0006.2.1"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="A"></code>
-     <display value="Atheist"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="B"></code>
-     <display value="Baptist"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Catholic"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Episcopalian"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="J"></code>
-     <display value="Judaism"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Lutheran"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Church of Latter Day Saints (Mormon)"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Hindu"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Protestant"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1990-01"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.4-0006"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-2.4-0006"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0006|2.4"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.8"></value>
-    </identifier>
-    <version value="0006"></version>
-    <name value="v2.0006.2.4"></name>
-    <title value="v2 table 0006, Version 2.4"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="v2 table definition for v2.0006.2.4"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="ABC"></code>
-     <display value="Christian: American Baptist Church"></display>
-    </concept>
-    <concept>
-     <code value="AGN"></code>
-     <display value="Agnostic"></display>
-    </concept>
-    <concept>
-     <code value="AME"></code>
-     <display value="Christian: African Methodist Episcopal Zion"></display>
-    </concept>
-    <concept>
-     <code value="AMT"></code>
-     <display value="Christian: African Methodist Episcopal"></display>
-    </concept>
-    <concept>
-     <code value="ANG"></code>
-     <display value="Christian: Anglican"></display>
-    </concept>
-    <concept>
-     <code value="AOG"></code>
-     <display value="Christian: Assembly of God"></display>
-    </concept>
-    <concept>
-     <code value="ATH"></code>
-     <display value="Atheist"></display>
-    </concept>
-    <concept>
-     <code value="BAH"></code>
-     <display value="Baha'i"></display>
-    </concept>
-    <concept>
-     <code value="BAP"></code>
-     <display value="Christian: Baptist"></display>
-    </concept>
-    <concept>
-     <code value="BMA"></code>
-     <display value="Buddhist: Mahayana"></display>
-    </concept>
-    <concept>
-     <code value="BOT"></code>
-     <display value="Buddhist: Other"></display>
-    </concept>
-    <concept>
-     <code value="BRE"></code>
-     <display value="Brethren"></display>
-    </concept>
-    <concept>
-     <code value="BTA"></code>
-     <display value="Buddhist: Tantrayana"></display>
-    </concept>
-    <concept>
-     <code value="BTH"></code>
-     <display value="Buddhist: Theravada"></display>
-    </concept>
-    <concept>
-     <code value="BUD"></code>
-     <display value="Buddhist"></display>
-    </concept>
-    <concept>
-     <code value="CAT"></code>
-     <display value="Christian: Roman Catholic"></display>
-    </concept>
-    <concept>
-     <code value="CFR"></code>
-     <display value="Chinese Folk Religionist"></display>
-    </concept>
-    <concept>
-     <code value="CHR"></code>
-     <display value="Christian"></display>
-    </concept>
-    <concept>
-     <code value="CHS"></code>
-     <display value="Christian: Christian Science"></display>
-    </concept>
-    <concept>
-     <code value="CMA"></code>
-     <display value="Christian: Christian Missionary Alliance"></display>
-    </concept>
-    <concept>
-     <code value="CNF"></code>
-     <display value="Confucian"></display>
-    </concept>
-    <concept>
-     <code value="COC"></code>
-     <display value="Christian: Church of Christ"></display>
-    </concept>
-    <concept>
-     <code value="COG"></code>
-     <display value="Christian: Church of God"></display>
-    </concept>
-    <concept>
-     <code value="COI"></code>
-     <display value="Christian: Church of God in Christ"></display>
-    </concept>
-    <concept>
-     <code value="COL"></code>
-     <display value="Christian: Congregational"></display>
-    </concept>
-    <concept>
-     <code value="COM"></code>
-     <display value="Christian: Community"></display>
-    </concept>
-    <concept>
-     <code value="COP"></code>
-     <display value="Christian: Other Pentecostal"></display>
-    </concept>
-    <concept>
-     <code value="COT"></code>
-     <display value="Christian: Other"></display>
-    </concept>
-    <concept>
-     <code value="CRR"></code>
-     <display value="Christian: Christian Reformed"></display>
-    </concept>
-    <concept>
-     <code value="DOC"></code>
-     <display value="Disciples of Christ"></display>
-    </concept>
-    <concept>
-     <code value="EOT"></code>
-     <display value="Christian: Eastern Orthodox"></display>
-    </concept>
-    <concept>
-     <code value="EPI"></code>
-     <display value="Christian: Episcopalian"></display>
-    </concept>
-    <concept>
-     <code value="ERL"></code>
-     <display value="Ethnic Religionist"></display>
-    </concept>
-    <concept>
-     <code value="EVC"></code>
-     <display value="Christian: Evangelical Church"></display>
-    </concept>
-    <concept>
-     <code value="FRQ"></code>
-     <display value="Christian: Friends"></display>
-    </concept>
-    <concept>
-     <code value="FUL"></code>
-     <display value="Christian: Full Gospel"></display>
-    </concept>
-    <concept>
-     <code value="FWB"></code>
-     <display value="Christian: Free Will Baptist"></display>
-    </concept>
-    <concept>
-     <code value="GRE"></code>
-     <display value="Christian: Greek Orthodox"></display>
-    </concept>
-    <concept>
-     <code value="HIN"></code>
-     <display value="Hindu"></display>
-    </concept>
-    <concept>
-     <code value="HOT"></code>
-     <display value="Hindu: Other"></display>
-    </concept>
-    <concept>
-     <code value="HSH"></code>
-     <display value="Hindu: Shaivites"></display>
-    </concept>
-    <concept>
-     <code value="HVA"></code>
-     <display value="Hindu: Vaishnavites"></display>
-    </concept>
-    <concept>
-     <code value="JAI"></code>
-     <display value="Jain"></display>
-    </concept>
-    <concept>
-     <code value="JCO"></code>
-     <display value="Jewish: Conservative"></display>
-    </concept>
-    <concept>
-     <code value="JEW"></code>
-     <display value="Jewish"></display>
-    </concept>
-    <concept>
-     <code value="JOR"></code>
-     <display value="Jewish: Orthodox"></display>
-    </concept>
-    <concept>
-     <code value="JOT"></code>
-     <display value="Jewish: Other"></display>
-    </concept>
-    <concept>
-     <code value="JRC"></code>
-     <display value="Jewish: Reconstructionist"></display>
-    </concept>
-    <concept>
-     <code value="JRF"></code>
-     <display value="Jewish: Reform"></display>
-    </concept>
-    <concept>
-     <code value="JRN"></code>
-     <display value="Jewish: Renewal"></display>
-    </concept>
-    <concept>
-     <code value="JWN"></code>
-     <display value="Christian: Jehovah's Witness"></display>
-    </concept>
-    <concept>
-     <code value="LMS"></code>
-     <display value="Christian: Lutheran Missouri Synod"></display>
-    </concept>
-    <concept>
-     <code value="LUT"></code>
-     <display value="Christian: Lutheran"></display>
-    </concept>
-    <concept>
-     <code value="MEN"></code>
-     <display value="Christian: Mennonite"></display>
-    </concept>
-    <concept>
-     <code value="MET"></code>
-     <display value="Christian: Methodist"></display>
-    </concept>
-    <concept>
-     <code value="MOM"></code>
-     <display value="Christian: Latter-day Saints"></display>
-    </concept>
-    <concept>
-     <code value="MOS"></code>
-     <display value="Muslim"></display>
-    </concept>
-    <concept>
-     <code value="MOT"></code>
-     <display value="Muslim: Other"></display>
-    </concept>
-    <concept>
-     <code value="MSH"></code>
-     <display value="Muslim: Shiite"></display>
-    </concept>
-    <concept>
-     <code value="MSU"></code>
-     <display value="Muslim: Sunni"></display>
-    </concept>
-    <concept>
-     <code value="NAM"></code>
-     <display value="Native American"></display>
-    </concept>
-    <concept>
-     <code value="NAZ"></code>
-     <display value="Christian: Church of the Nazarene"></display>
-    </concept>
-    <concept>
-     <code value="NOE"></code>
-     <display value="Nonreligious"></display>
-    </concept>
-    <concept>
-     <code value="NRL"></code>
-     <display value="New Religionist"></display>
-    </concept>
-    <concept>
-     <code value="ORT"></code>
-     <display value="Christian: Orthodox"></display>
-    </concept>
-    <concept>
-     <code value="OTH"></code>
-     <display value="Other"></display>
-    </concept>
-    <concept>
-     <code value="PEN"></code>
-     <display value="Christian: Pentecostal"></display>
-    </concept>
-    <concept>
-     <code value="PRC"></code>
-     <display value="Christian: Other Protestant"></display>
-    </concept>
-    <concept>
-     <code value="PRE"></code>
-     <display value="Christian: Presbyterian"></display>
-    </concept>
-    <concept>
-     <code value="PRO"></code>
-     <display value="Christian: Protestant"></display>
-    </concept>
-    <concept>
-     <code value="QUA"></code>
-     <display value="Christian: Friends"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="REC"></code>
-     <display value="Christian: Reformed Church"></display>
-    </concept>
-    <concept>
-     <code value="REO"></code>
-     <display value="Christian: Reorganized Church of Jesus Christ-LDS"></display>
-    </concept>
-    <concept>
-     <code value="SAA"></code>
-     <display value="Christian: Salvation Army"></display>
-    </concept>
-    <concept>
-     <code value="SEV"></code>
-     <display value="Christian: Seventh Day Adventist"></display>
-    </concept>
-    <concept>
-     <code value="SHN"></code>
-     <display value="Shintoist"></display>
-    </concept>
-    <concept>
-     <code value="SIK"></code>
-     <display value="Sikh"></display>
-    </concept>
-    <concept>
-     <code value="SOU"></code>
-     <display value="Christian: Southern Baptist"></display>
-    </concept>
-    <concept>
-     <code value="SPI"></code>
-     <display value="Spiritist"></display>
-    </concept>
-    <concept>
-     <code value="UCC"></code>
-     <display value="Christian: United Church of Christ"></display>
-    </concept>
-    <concept>
-     <code value="UMD"></code>
-     <display value="Christian: United Methodist"></display>
-    </concept>
-    <concept>
-     <code value="UNI"></code>
-     <display value="Christian: Unitarian"></display>
-    </concept>
-    <concept>
-     <code value="UNU"></code>
-     <display value="Christian: Unitarian Universalist"></display>
-    </concept>
-    <concept>
-     <code value="VAR"></code>
-     <display value="Unknown"></display>
-    </concept>
-    <concept>
-     <code value="WES"></code>
-     <display value="Christian: Wesleyan"></display>
-    </concept>
-    <concept>
-     <code value="WMC"></code>
-     <display value="Christian: Wesleyan Methodist"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0834"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0834"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0834"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.408"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0834"></name>
-    <title value="v2 MIME Types"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0834 ( MIME Types)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="application"></code>
-     <display value="Application data"></display>
-    </concept>
-    <concept>
-     <code value="audio"></code>
-     <display value="Audio data"></display>
-    </concept>
-    <concept>
-     <code value="image"></code>
-     <display value="Image data"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RFC 2077"></valueString>
-     </extension>
-     <code value="model"></code>
-     <display value="Model data"></display>
-    </concept>
-    <concept>
-     <code value="multipart"></code>
-     <display value="MIME multipart package"></display>
-    </concept>
-    <concept>
-     <code value="text"></code>
-     <display value="Text data"></display>
-    </concept>
-    <concept>
-     <code value="video"></code>
-     <display value="Video data"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0818"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0818"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0818"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.407"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0818"></name>
-    <title value="v2 Package"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0818 ( Package)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="BX"></code>
-     <display value="Box"></display>
-    </concept>
-    <concept>
-     <code value="CS"></code>
-     <display value="Case"></display>
-    </concept>
-    <concept>
-     <code value="EA"></code>
-     <display value="Each"></display>
-    </concept>
-    <concept>
-     <code value="SET"></code>
-     <display value="Set"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0170"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0170"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0170"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.88"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0170"></name>
-    <title value="v2 DERIVED SPECIMEN"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0170 ( DERIVED SPECIMEN)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Child Observation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Untersuchung an sekundärem Probenmaterial"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onderliggende/deel observatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Not Applicable"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nicht Anwendbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet van toepassing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Parent Observation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Untersuchung an primärem Probenmaterial"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bovenliggende observatie"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0173"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0173"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0173"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.89"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0173"></name>
-    <title value="v2 COORDINATION OF BENEFITS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0173 ( COORDINATION OF BENEFITS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CO"></code>
-     <display value="Coordination"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="koordiniert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Coördinatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IN"></code>
-     <display value="Independent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unabhängig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onafhankelijk"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0174"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0174"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0174"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.90"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0174"></name>
-    <title value="v2 NATURE OF TEST/OBSERVATION"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0174 ( NATURE OF TEST/OBSERVATION)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="can be associated with one or more OM4 (specimen) segments
-a single direct observation and would usually be associated with an OM2 and/or OM3 segments">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Een enkelvoudige, directe observatie en wordt meestal gekoppeld met een OM2 en/of OM3-segment"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="A"></code>
-     <display value="Atomic service/test/observation (test code or treatment code)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Einzeluntersuchung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Atomische service/test/observatie (testcode of behandelingcode)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="can be associated with one or more OM4 (specimen) segments
-a derived quantity and would usually be associated with an OM6 segment">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Een afgeleide hoeveelheid en wordt meestal gekoppeld met een OM6 segment"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Single observation calculated via a rule or formula from other independent observations (e.g., Alveolar-arterial ratio, cardiac output)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berechnetes Einzelergebnis"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Enkelvoudige observatie berekend via regels of formule uit andere onafhankelijke observaties (bijv. Alveolair--arteriële gradiënt, hart-minuut-volume)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="can be associated with one or more OM4 (specimen) segments
-See comment for value S">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Zie opmerking voor waarde S"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="F"></code>
-     <display value="Functional procedure that may consist of one or more interrelated measures (e.g., glucose tolerance test, creatinine clearance), usually done at different times and/or on different specimens"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Funktionstest"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Functionele behandeling die kan bestaan uit een of meer gerelateerde metingen (bijv. glucosetolerantietest, creatinineklaring),  meestal uitgevoerd op verschillende momenten en/of verschillende monsters"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="can be associated with one or more OM4 (specimen) segments
-See comment for value S">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Zie opmerking voor waarde S"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="P"></code>
-     <display value="Profile or battery consisting of many independent atomic observations (e.g., SMA12, electrolytes), usually done at one instrument on one specimen"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Batterieanordnung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Profiel of battery bestaande uit vele onafhankelijke atomische observaties (bijv. SMA12, electrolyten), meestal met één instrument op één monster"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="can be associated with one or more OM4 (specimen) segments
-Codes P, F, and S identify sets (batteries) and should be associated with an OM5 segment that defines the list of elements.  The definitions for the contained elements would have to be sent in other independent OMx segments, one for each contained element.  In the ASTM context, most text reports – such as discharge summaries, admission H&amp;Ps, and chest X-ray reports – are considered as sets, in which each section of the report (e.g., description, impression, and recommendation of an X-ray report) is considered a separate observation">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Codes P, F, S identificeren sets (batteries) en moeten worden gekoppeld met een OM5-segment die de lijst van elementen definieert. De definities voor de elementen in de lijst moeten worden verzonden in andere onafhankelijke OMx-segmenten, een per element. In ASTM-context worden de meeste tekstuele rapporten - zoals ontslagsamenvattingen, opnameverslagen, thoraxrapporten - beschouwd als sets, waarin elke verslagsectie (bijv. omschrijving, indruk en advies van een radiologieverslag) als aparte observatie wordt gezien."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="S"></code>
-     <display value="Superset-a set of batteries or procedures ordered under a single code unit but processed as separate batteries (e.g., routines = CBC, UA, electrolytes)&lt;p&gt;This set indicates that the code being described is used to order multiple service/test/observation b"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Latte von mehreren Batterieanforderungen (Aufnahmelatte)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Superset--een set batteries of procedures aangevraagd onder een enkele aanvraagcode maar behandeld als afzonderlijke batteries (bijv. routines = CBC, UA, electrolyten); Deze set geeft aan dat de bedoelde code wordt gebruikt voor het aanvragen van meerdere services/tests/observaties"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0175"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0175"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0175"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.91"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0175"></name>
-    <title value="v2 MASTER FILE IDENTIFIER CODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0175 ( MASTER FILE IDENTIFIER CODE)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="CDM"></code>
-     <display value="Charge description master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Leistungskatalog"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tariefomschrijving masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CLN"></code>
-     <display value="Clinic master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinikkatalog"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kliniek masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CM0"></code>
-     <display value="Clinical study master"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch onderzoek masterbestand"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CM1"></code>
-     <display value="Clinical study phase master"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch onderzoeksfases masterbestand"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CM2"></code>
-     <display value="Clinical study Data Schedule Master"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch onderzoek gegevensschema masterbestand"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CMA"></code>
-     <display value="Clinical study with phases and scheduled master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch onderzoek met fases en schema masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CMB"></code>
-     <display value="Clinical study without phases but with scheduled master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch onderzoek zonder fases maar met schema masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="INV"></code>
-     <display value="Inventory master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voorraad masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LOC"></code>
-     <display value="Location master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Locatie masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="This identifies Universal Service Identifier that are approved for an ICD based on the CPT.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Hiermee worden Universele Service Identificaties aangeduid die zijn goedgekeurd voor een ICD-gebaseerde CPT-code."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MACP"></code>
-     <display value="Medicare Approved Coverage Process"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicare goedgekeurde dekking proces"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="This identifies Universal Service Identifiers that are not approved for a CPT code based on an ICD.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Hiermee worden Universele Service Identificaties aangeduid die niet zijn goedgekeurd voor een ICD-gebaseerde CPT-code."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MLCP"></code>
-     <display value="Medicare Limited Coverage Process"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicare beperkte dekking proces"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OM1"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OM1-OM6"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OM2"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OM3"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OM4"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OM5"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OM6"></code>
-     <display value="Observation text master file segments (e.g., Lab)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="OMA"></code>
-     <display value="Numerical observation master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Numeriek observaties masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OMB"></code>
-     <display value="Categorical observation master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Categorische observaties masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OMC"></code>
-     <display value="Observation batteries master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observatie-betteries masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OMD"></code>
-     <display value="Calculated observations master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berekende observaties masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OME"></code>
-     <display value="Other Observation/Service Item master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere observatie/service items masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OMM"></code>
-     <display value="Mixed type observation master file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gemengd type observatie masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRA"></code>
-     <display value="Practitioner master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ärztekatalog"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zorgverleners masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="STF"></code>
-     <display value="Staff master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mitarbeiterkatalog"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medewerkers masterbestand"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0177"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0177"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0177"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.92"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0177"></name>
-    <title value="v2 CONFIDENTIALITY CODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0177 ( CONFIDENTIALITY CODE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AID"></code>
-     <display value="AIDS patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="AIDS-Patient"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="AIDS-patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EMP"></code>
-     <display value="Employee"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mitarbeiter"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werknemer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ETH"></code>
-     <display value="Alcohol/drug treatment patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alkohol-/medikamentenabhängiger Patient"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alcohol-/drugstherapie patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="HIV"></code>
-     <display value="HIV(+) patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="HIV-positiver Patient"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="HIV(+)-patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PSY"></code>
-     <display value="Psychiatric patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychatriepatient"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Psychiatrisch patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Restricted"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="vertraulich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beperkt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Usual control"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="normaler Zugriff"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gebruikelijke waarde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UWM"></code>
-     <display value="Unwed mother"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unverheiratete Mutter"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ongehuwde moeder"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Very restricted"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="streng vertraulich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zeer beperkt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VIP"></code>
-     <display value="Very important person or celebrity"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="VIP"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Belangrijk persoon of beroemdheid"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0178"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0178"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0178"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.93"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0178"></name>
-    <title value="v2 FILE-LEVEL EVENT CODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0178 ( FILE-LEVEL EVENT CODE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="REP"></code>
-     <display value="Replace current version of this master file with the version contained in this message"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ersetzen der gesamten Datei"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vervangen huidige versie van dit masterbestand met de versie uit dit bericht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UPD"></code>
-     <display value="Change file records as defined in the record-level event codes for each record that follows"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung einzelner Sätze"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wijzigen bestandrecords zoals gedefinieerd in de record-niveau eventscodes voor ieder volgend record"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0179"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0179"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0179"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.94"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0179"></name>
-    <title value="v2 Response Level"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0179 ( Response Level)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0155 ( ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS)"></description>
     <content value="complete"></content>
     <concept>
      <code value="AL"></code>
-     <display value="Always.  All MFA segments (whether denoting errors or not) must be returned via the application-level acknowledgment message"></display>
+     <display value="Always"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Rückmeldung immer erforderlich"></value>
+      <value value="immer"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -82879,19 +51024,19 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Altijd. Alle MFA-segmenten (fouten en/of succes) moeten worden geretourneerd via de applicatieniveau-bevestiging"></value>
+      <value value="Altijd"></value>
      </designation>
     </concept>
     <concept>
      <code value="ER"></code>
-     <display value="Error/Reject conditions only.  Only MFA segments denoting errors must be returned via the application-level acknowledgment for this message"></display>
+     <display value="Error/reject conditions only"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Rückmeldung bei auftretenden Fehlern"></value>
+      <value value="Nur bei Auftreten von Fehlerbedingungen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -82899,19 +51044,19 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Alleen bij fout/weigering. Er mogen voor dit bericht alleen MFA-segmenten die fouten aanduiden worden geretourneerd via de applicatieniveau-bevestiging"></value>
+      <value value="Alleen bij fout/weigering"></value>
      </designation>
     </concept>
     <concept>
      <code value="NE"></code>
-     <display value="Never.  No application-level response needed"></display>
+     <display value="Never"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Keine Rückmeldung erforderlich"></value>
+      <value value="niemals"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -82919,19 +51064,19 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Nooit - er is geen antwoord op applicatieniveau nodig"></value>
+      <value value="Nooit"></value>
      </designation>
     </concept>
     <concept>
      <code value="SU"></code>
-     <display value="Success.  Only MFA segments denoting success must be returned via the application-level acknowledgment for this message"></display>
+     <display value="Successful completion only"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Rückmeldung bei erfolgreicher Verarbeitung"></value>
+      <value value="Nur bei erfolgreichem Abschluß"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -82939,7 +51084,727 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Alleen bij succes. Er mogen voor dit bericht alleen MFA-segmenten die succes aanduiden worden geretourneerd via de applicatieniveau-bevestiging"></value>
+      <value value="Alleen bij succes"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0156"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0156"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0156"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.74"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0156"></name>
+    <title value="v2 DATE/TIME QUALIFIER"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0156 ( DATE/TIME QUALIFIER)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="ANY"></code>
+     <display value="Any date/time within a range"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alle Ereignisse"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Elke datum/tijd binnen periode"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CAN"></code>
+     <display value="Cancellation date/time"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stornierung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Annulering datum/tijd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="COL"></code>
+     <display value="Collection date/time, equivalent to film or sample collection date/time"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Probenentnahme / Untersuchung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verzamel datum/tijd (equivalent aan film of monster verzamel datum/tijd)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ORD"></code>
+     <display value="Order date/time"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragseingabe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag datum/tijd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RCT"></code>
+     <display value="Specimen receipt date/time, receipt of specimen in filling ancillary (Lab)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Probeneingang"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Monster ontvangen datum/tijd (ontvangst van monster bij filler (lab))"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="REP"></code>
+     <display value="Report date/time, report date/time at filling ancillary (i.e., Lab)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berichtserstellung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verslag datum/tijd (verslag datum/tijd bij filler (lab))"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SCHED"></code>
+     <display value="Schedule date/time"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Terminvergabe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Planning datum/tijd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0157"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0157"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0157"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.75"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0157"></name>
+    <title value="v2 WHIHC DATE/TIME STATUS QUALIFIER"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0157 ( WHIHC DATE/TIME STATUS QUALIFIER)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="ANY"></code>
+     <display value="Any status"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beliebiger Status"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Willekeurige status"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CFN"></code>
+     <display value="Current final value, whether final or corrected"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aktuelles Endergebnis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Huidige definitieve waarde (definitief en/of gecorrigeerd)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="COR"></code>
+     <display value="Corrected only (no final with corrections)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ursprüngliche Ergebnisse, die später korrigiert wurden"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen correcties (geen definitief met correcties)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FIN"></code>
+     <display value="Final only (no corrections)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Endergebnisse,  die niemals korrigiert wurden"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen definitief (geen correcties)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PRE"></code>
+     <display value="Preliminary"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vorläufig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voorlopig"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="REP"></code>
+     <display value="Report completion date/time"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bericht abgeschlossen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verslag voltooiing datum/tijd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0158"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0158"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0158"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.76"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0158"></name>
+    <title value="v2 DATE/TIME SELECTION QUALIFIER"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0158 ( DATE/TIME SELECTION QUALIFIER)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="1ST"></code>
+     <display value="First value within range"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="erster Wert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eerste waarde binnen bereik"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ALL"></code>
+     <display value="All values within the range"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="alle Werte"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alle waarden binnen bereik"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LST"></code>
+     <display value="Last value within the range"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="letzter Wert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Laatste waarde binnen bereik"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="REV"></code>
+     <display value="All values within the range returned in reverse chronological order (This is the default if not otherwise specified.)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="alle Werte in umgekehrter chronologischer Reihenfolge"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alle waarden binnen bereik in omgekeerde chronologische volgorde. (Standaard tenzij anders gespecificeerd.)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0159"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0159"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0159"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.77"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0159"></name>
+    <title value="v2 DIET TYPE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0159 ( DIET TYPE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="Diet"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diät"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dieet"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Preference"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="bevorzugte Verpflegung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voorkeur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Supplement"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zusatzverpflegung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Supplement"></value>
      </designation>
     </concept>
    </CodeSystem>
@@ -86387,6 +55252,1908 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
    </CodeSystem>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0170"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0170"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0170"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.88"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0170"></name>
+    <title value="v2 DERIVED SPECIMEN"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0170 ( DERIVED SPECIMEN)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Child Observation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Untersuchung an sekundärem Probenmaterial"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onderliggende/deel observatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Not Applicable"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nicht Anwendbar"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet van toepassing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Parent Observation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Untersuchung an primärem Probenmaterial"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bovenliggende observatie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0173"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0173"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0173"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.89"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0173"></name>
+    <title value="v2 COORDINATION OF BENEFITS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0173 ( COORDINATION OF BENEFITS)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CO"></code>
+     <display value="Coordination"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="koordiniert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Coördinatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Independent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unabhängig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onafhankelijk"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0174"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0174"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0174"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.90"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0174"></name>
+    <title value="v2 NATURE OF TEST/OBSERVATION"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0174 ( NATURE OF TEST/OBSERVATION)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="can be associated with one or more OM4 (specimen) segments
+a single direct observation and would usually be associated with an OM2 and/or OM3 segments">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Een enkelvoudige, directe observatie en wordt meestal gekoppeld met een OM2 en/of OM3-segment"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A"></code>
+     <display value="Atomic service/test/observation (test code or treatment code)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Einzeluntersuchung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Atomische service/test/observatie (testcode of behandelingcode)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="can be associated with one or more OM4 (specimen) segments
+a derived quantity and would usually be associated with an OM6 segment">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Een afgeleide hoeveelheid en wordt meestal gekoppeld met een OM6 segment"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Single observation calculated via a rule or formula from other independent observations (e.g., Alveolar-arterial ratio, cardiac output)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berechnetes Einzelergebnis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enkelvoudige observatie berekend via regels of formule uit andere onafhankelijke observaties (bijv. Alveolair--arteriële gradiënt, hart-minuut-volume)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="can be associated with one or more OM4 (specimen) segments
+See comment for value S">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Zie opmerking voor waarde S"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="F"></code>
+     <display value="Functional procedure that may consist of one or more interrelated measures (e.g., glucose tolerance test, creatinine clearance), usually done at different times and/or on different specimens"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Funktionstest"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Functionele behandeling die kan bestaan uit een of meer gerelateerde metingen (bijv. glucosetolerantietest, creatinineklaring),  meestal uitgevoerd op verschillende momenten en/of verschillende monsters"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="can be associated with one or more OM4 (specimen) segments
+See comment for value S">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Zie opmerking voor waarde S"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="P"></code>
+     <display value="Profile or battery consisting of many independent atomic observations (e.g., SMA12, electrolytes), usually done at one instrument on one specimen"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Batterieanordnung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Profiel of battery bestaande uit vele onafhankelijke atomische observaties (bijv. SMA12, electrolyten), meestal met één instrument op één monster"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="can be associated with one or more OM4 (specimen) segments
+Codes P, F, and S identify sets (batteries) and should be associated with an OM5 segment that defines the list of elements.  The definitions for the contained elements would have to be sent in other independent OMx segments, one for each contained element.  In the ASTM context, most text reports – such as discharge summaries, admission H&amp;Ps, and chest X-ray reports – are considered as sets, in which each section of the report (e.g., description, impression, and recommendation of an X-ray report) is considered a separate observation">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="kan worden gekoppeld met een of meer OM4 (monster) segmenten. Codes P, F, S identificeren sets (batteries) en moeten worden gekoppeld met een OM5-segment die de lijst van elementen definieert. De definities voor de elementen in de lijst moeten worden verzonden in andere onafhankelijke OMx-segmenten, een per element. In ASTM-context worden de meeste tekstuele rapporten - zoals ontslagsamenvattingen, opnameverslagen, thoraxrapporten - beschouwd als sets, waarin elke verslagsectie (bijv. omschrijving, indruk en advies van een radiologieverslag) als aparte observatie wordt gezien."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="S"></code>
+     <display value="Superset-a set of batteries or procedures ordered under a single code unit but processed as separate batteries (e.g., routines = CBC, UA, electrolytes)&lt;p&gt;This set indicates that the code being described is used to order multiple service/test/observation b"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Latte von mehreren Batterieanforderungen (Aufnahmelatte)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Superset--een set batteries of procedures aangevraagd onder een enkele aanvraagcode maar behandeld als afzonderlijke batteries (bijv. routines = CBC, UA, electrolyten); Deze set geeft aan dat de bedoelde code wordt gebruikt voor het aanvragen van meerdere services/tests/observaties"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0175"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0175"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0175"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.91"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0175"></name>
+    <title value="v2 MASTER FILE IDENTIFIER CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0175 ( MASTER FILE IDENTIFIER CODE)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="CDM"></code>
+     <display value="Charge description master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Leistungskatalog"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tariefomschrijving masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CLN"></code>
+     <display value="Clinic master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinikkatalog"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kliniek masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CM0"></code>
+     <display value="Clinical study master"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch onderzoek masterbestand"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CM1"></code>
+     <display value="Clinical study phase master"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch onderzoeksfases masterbestand"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CM2"></code>
+     <display value="Clinical study Data Schedule Master"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch onderzoek gegevensschema masterbestand"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CMA"></code>
+     <display value="Clinical study with phases and scheduled master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch onderzoek met fases en schema masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CMB"></code>
+     <display value="Clinical study without phases but with scheduled master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch onderzoek zonder fases maar met schema masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="INV"></code>
+     <display value="Inventory master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voorraad masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LOC"></code>
+     <display value="Location master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Locatie masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="This identifies Universal Service Identifier that are approved for an ICD based on the CPT.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Hiermee worden Universele Service Identificaties aangeduid die zijn goedgekeurd voor een ICD-gebaseerde CPT-code."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MACP"></code>
+     <display value="Medicare Approved Coverage Process"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare goedgekeurde dekking proces"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="This identifies Universal Service Identifiers that are not approved for a CPT code based on an ICD.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Hiermee worden Universele Service Identificaties aangeduid die niet zijn goedgekeurd voor een ICD-gebaseerde CPT-code."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MLCP"></code>
+     <display value="Medicare Limited Coverage Process"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare beperkte dekking proces"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OM1"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OM1-OM6"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OM2"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OM3"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OM4"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OM5"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OM6"></code>
+     <display value="Observation text master file segments (e.g., Lab)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatietekst masterbestand-segmenten (d.w.z. Lab)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OMA"></code>
+     <display value="Numerical observation master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Numeriek observaties masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OMB"></code>
+     <display value="Categorical observation master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Categorische observaties masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OMC"></code>
+     <display value="Observation batteries master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observatie-betteries masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OMD"></code>
+     <display value="Calculated observations master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berekende observaties masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OME"></code>
+     <display value="Other Observation/Service Item master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere observatie/service items masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OMM"></code>
+     <display value="Mixed type observation master file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gemengd type observatie masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRA"></code>
+     <display value="Practitioner master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ärztekatalog"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverleners masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="STF"></code>
+     <display value="Staff master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mitarbeiterkatalog"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medewerkers masterbestand"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0177"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0177"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0177"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.92"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0177"></name>
+    <title value="v2 CONFIDENTIALITY CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0177 ( CONFIDENTIALITY CODE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AID"></code>
+     <display value="AIDS patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="AIDS-Patient"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="AIDS-patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EMP"></code>
+     <display value="Employee"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mitarbeiter"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werknemer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ETH"></code>
+     <display value="Alcohol/drug treatment patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alkohol-/medikamentenabhängiger Patient"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alcohol-/drugstherapie patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="HIV"></code>
+     <display value="HIV(+) patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="HIV-positiver Patient"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="HIV(+)-patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PSY"></code>
+     <display value="Psychiatric patient"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychatriepatient"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrisch patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Restricted"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="vertraulich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beperkt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Usual control"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="normaler Zugriff"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebruikelijke waarde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UWM"></code>
+     <display value="Unwed mother"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unverheiratete Mutter"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ongehuwde moeder"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Very restricted"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="streng vertraulich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeer beperkt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VIP"></code>
+     <display value="Very important person or celebrity"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VIP"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Belangrijk persoon of beroemdheid"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0178"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0178"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0178"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.93"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0178"></name>
+    <title value="v2 FILE-LEVEL EVENT CODE"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0178 ( FILE-LEVEL EVENT CODE)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="REP"></code>
+     <display value="Replace current version of this master file with the version contained in this message"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ersetzen der gesamten Datei"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vervangen huidige versie van dit masterbestand met de versie uit dit bericht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UPD"></code>
+     <display value="Change file records as defined in the record-level event codes for each record that follows"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Änderung einzelner Sätze"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wijzigen bestandrecords zoals gedefinieerd in de record-niveau eventscodes voor ieder volgend record"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0179"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0179"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0179"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.94"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0179"></name>
+    <title value="v2 Response Level"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0179 ( Response Level)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AL"></code>
+     <display value="Always.  All MFA segments (whether denoting errors or not) must be returned via the application-level acknowledgment message"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rückmeldung immer erforderlich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Altijd. Alle MFA-segmenten (fouten en/of succes) moeten worden geretourneerd via de applicatieniveau-bevestiging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ER"></code>
+     <display value="Error/Reject conditions only.  Only MFA segments denoting errors must be returned via the application-level acknowledgment for this message"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rückmeldung bei auftretenden Fehlern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen bij fout/weigering. Er mogen voor dit bericht alleen MFA-segmenten die fouten aanduiden worden geretourneerd via de applicatieniveau-bevestiging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NE"></code>
+     <display value="Never.  No application-level response needed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Keine Rückmeldung erforderlich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nooit - er is geen antwoord op applicatieniveau nodig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SU"></code>
+     <display value="Success.  Only MFA segments denoting success must be returned via the application-level acknowledgment for this message"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rückmeldung bei erfolgreicher Verarbeitung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen bij succes. Er mogen voor dit bericht alleen MFA-segmenten die succes aanduiden worden geretourneerd via de applicatieniveau-bevestiging"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0180"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0180"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0180"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.95"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0180"></name>
+    <title value="v2 REcord Level Event Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0180 ( REcord Level Event Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="MAC"></code>
+     <display value="Reactivate deactivated record"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datensatz wieder aktivieren"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Reactiveren van gedeactiveerd record"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MAD"></code>
+     <display value="Add record to master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datensatz hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Toevoegen aan masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MDC"></code>
+     <display value="Deactivate: discontinue using record in master file, but do not delete from database"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datensatz inaktivieren, aber nicht löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deactiveren - stop gebruik van record in masterbestand, maar niet verwijderen uit database"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MDL"></code>
+     <display value="Delete record from master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datensatz löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijderen uit masterbestand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MUP"></code>
+     <display value="Update record for master file"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datensatz ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Updaten in masterbestand"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0181"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0181"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0181"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.96"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0181"></name>
+    <title value="v2 MFN Recode-Level Error Return"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0181 ( MFN Recode-Level Error Return)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="S"></code>
+     <display value="Successful posting of the record defined by the MFE segment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Erfolgreiche Übernahme des Datensatzes"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Succesvolle verzending van het gedefinieerde record in het MFE-segment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unsuccessful posting of the record defined by the MFE segment"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Übernahme des Datensatzes nicht erfolgreich"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet-succesvolle verzending van het gedefinieerde record in het MFE-segment"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0183"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0183"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0183"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.97"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0183"></name>
+    <title value="v2 Active/Inactive"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0183 ( Active/Inactive)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Active Staff"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aktiver Mitarbeiter"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Actieve medewerker"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Inactive Staff"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inaktiver / beurlaubter Mitarbeiter"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inactieve medewerker"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0185"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0185"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0185"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.98"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0185"></name>
+    <title value="v2 Preferred Method Of Contrct"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0185 ( Preferred Method Of Contrct)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Beeper Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beeper"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beeper-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Cellular Phone Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Handy"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mobiele telefoonummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="E-Mail Address (for backward compatibility)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="E-Mail-Adresse"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="E-mailadres (alleen voor backward compatibiliteit)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="FAX Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fax"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Faxnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="H"></code>
+     <display value="Home Phone Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="private Telefonnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Privé telefoonummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Office Phone Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dienstliche Telefonnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werk telefoonnummer"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0187"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0187"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0187"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.99"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0187"></name>
+    <title value="v2 Provider billing"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0187 ( Provider billing)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="I"></code>
+     <display value="Institution bills for provider"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Haus rechnet ab"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Instelling doet facturatie voor zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Provider does own billing"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigene Abrechnung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener doet eigen facturatie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0189"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0189"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0189"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.100"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0189"></name>
+    <title value="v2 Ethnic group"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0189 ( Ethnic group)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="H"></code>
+     <display value="Hispanic or Latino"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hispanic of Latino"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Not Hispanic or Latino"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet hispanic of Latino"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0190"></fullUrl>
   <resource>
@@ -87399,10 +58166,10 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0180"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0200"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0180"></id>
+    <id value="v2-0200"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -87413,14 +58180,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0180"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0200"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.95"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.104"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0180"></name>
-    <title value="v2 REcord Level Event Code"></title>
+    <name value="v2.0200"></name>
+    <title value="v2 Name Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -87430,232 +58197,54 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0180 ( REcord Level Event Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0200 ( Name Type)"></description>
     <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
     <concept>
-     <code value="MAC"></code>
-     <display value="Reactivate deactivated record"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datensatz wieder aktivieren"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Reactiveren van gedeactiveerd record"></value>
-     </designation>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="MAD"></code>
-     <display value="Add record to master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datensatz hinzufügen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toevoegen aan masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MDC"></code>
-     <display value="Deactivate: discontinue using record in master file, but do not delete from database"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datensatz inaktivieren, aber nicht löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deactiveren - stop gebruik van record in masterbestand, maar niet verwijderen uit database"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MDL"></code>
-     <display value="Delete record from master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datensatz löschen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijderen uit masterbestand"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MUP"></code>
-     <display value="Update record for master file"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datensatz ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Updaten in masterbestand"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0181"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0181"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0181"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.96"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0181"></name>
-    <title value="v2 MFN Recode-Level Error Return"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0181 ( MFN Recode-Level Error Return)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="S"></code>
-     <display value="Successful posting of the record defined by the MFE segment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Erfolgreiche Übernahme des Datensatzes"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Succesvolle verzending van het gedefinieerde record in het MFE-segment"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unsuccessful posting of the record defined by the MFE segment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Übernahme des Datensatzes nicht erfolgreich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet-succesvolle verzending van het gedefinieerde record in het MFE-segment"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0183"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0183"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0183"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.97"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0183"></name>
-    <title value="v2 Active/Inactive"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0183 ( Active/Inactive)"></description>
-    <content value="complete"></content>
-    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call &quot;alias&quot; may fit into this category.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam toegekend aan een persoon. Redenen voor sommige organisaties om alternatieve namen toe te kennen, kunnen zijn dat ze de echte naam niet kennen of om anonimiteit te garanderen. Sommige maar niet noodzakelijk alle namen die mensen &quot;alias&quot; noemen vallen mogelijk in deze categorie."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
      <code value="A"></code>
-     <display value="Active Staff"></display>
+     <display value="Assigned"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Aktiver Mitarbeiter"></value>
+      <value value="Aliasname"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87663,19 +58252,180 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Actieve medewerker"></value>
+      <value value="Toegekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.
+This is not for temporary names assigned at birth while a newborn is not yet named">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam die een persoon kort na geboorte had. Meestal voor familienamen maar kan worden gebruikt om namen bij geboorte te markeren die later mogelijk zijn veranderd. Dit is niet voor tijdelijke namen die bij geboorte zijn toegekend zolang een nieuwgeborene nog geen naam heeft"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="B"></code>
+     <display value="Birth name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geburtsname"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geboortenaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name that was wrongly used in the past and is now maintained only for the purposes of searching">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam die in het verleden verkeerd is gebruikt en nu alleen ten behoeve van zoeken wordt bewaard"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BAD"></code>
+     <display value="Bad Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ungültiger Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Incorrecte naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name acquired by adoption">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam verkregen via adoptie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Adopted Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="angenommener Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Adoptienaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Known as/conventional/the one you use.  May also be known asa preferred name.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bekend als/conventioneel/de naam die de persoon gebruikt. Kan ook bekend zijn als geprefereerde naam."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="D"></code>
+     <display value="Customary Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="angezeigter Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Reguliere naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fathers Name ( Patronymic Name)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vaders' naam (Patroniem)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="F"></code>
+     <display value="Fathers Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Name des Vaters"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vaders' naam"></value>
      </designation>
     </concept>
     <concept>
      <code value="I"></code>
-     <display value="Inactive Staff"></display>
+     <display value="Licensing Name"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Inaktiver / beurlaubter Mitarbeiter"></value>
+      <value value="nicht verwendet"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87683,17 +58433,515 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Inactieve medewerker"></value>
+      <value value="Licentienaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name used in a Professional or Business context. Also includes writer’s pseudonym, artist’s name, stage name, street name, etc.
+
+An example of use is where a person with multiple proper names (i.e. married) uses one of the particular names in a professional">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam gebruikt in professionele of zakelijke context. Hieronder vallen het pseudoniem van een schrijver, artiestennaam, podiumnaam, streetnaam, etc. Een voorbeeld is een persoon met meerdere correcte namen (bijv. getrouwd), één van deze naam in professionele context hanteert"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="K"></code>
+     <display value="Business name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geschäftsname"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zakelijke naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The formal name as registered in an official (government) registry, but which name might not be commonly used. May correspond to legal name
+For many people, customary name is also their official name">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="De formele naam zoals geregistreerd in een officieel (overheids)register, maar welke mogelijk normaal niet wordt gebruikt. Voor veel mensen is hun reguliere naam gelijk aan hun officële naam"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="L"></code>
+     <display value="Official Registry Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="gesetzlicher Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Officieel geregistreerde naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name you had just before you got married">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam die de persoon had voordat hij/zij trouwde"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="M"></code>
+     <display value="Maiden Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Name als ledige Person (Ledigenname)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigennaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.
+
+Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Er is informatie over bekend maar deze is niet verstrekt door de zender vanwege veiligheid, privacy of andere redenen. Er is mogelijk een alternatief mechanisme om toegang te krijgen tot deze informatie. NB: Deze null flavor geeft wel informatie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MSK"></code>
+     <display value="Masked"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Name ist maskiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gemaskeerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Nickname /&quot;Call me&quot; Name/Street Name">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bijnaam/roepnaam/straatnaam/geuzennaam"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="N"></code>
+     <display value="Nickname"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spitzname"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bijnaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Information is not available at this time but it is expected that it will be available later.
+Includes John or Jane Doe situations">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Informatie is niet beschikbaar op dit moment maar wordt wel op een later moment verwacht. Geldt ook voor John of Jane Doe situaties"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NAV"></code>
+     <display value="Temporarily Unavailable"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Name zeitweise nicht verfügbar"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijk niet beschikbaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A name assigned on a temporary basis at birth. i.e. &quot;Baby of Smith&quot;">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een naam die tijdelijk bij geboorte wordt toegekend. Bijv &quot;Baby'tje Jansen&quot;"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NB"></code>
+     <display value="Newborn Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Name zeitweise nicht verfügbar"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Naam nieuwgeborene"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Name not to be used anymore for personal reasons">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Naam niet meer gebruiken om persoonlijke redenen"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NOUSE"></code>
+     <display value="No Longer To Be Used"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht länger in Benutzung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet langer gebruiken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="sonstiger Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v2.7.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.7."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="P"></code>
+     <display value="Name of Partner/Spouse"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nicht verwendet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Naam van partner/echtgenoot"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(animals only)
+Retained for backwards compatibility only as of v2.7. Use &quot;L&quot; instead - has same meaning">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(alleen dieren) Alleen voor backward compatibiliteit sinds v2.7. Gebruik &quot;L&quot; - deze heeft dezelfde betekenis"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="R"></code>
+     <display value="Registered Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zuchtname bei Tieren"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geregistreerde naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="e.g. Sister Mary Francis, Brother John">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bijv. Zuster Maria, Broeder Jan"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="REL"></code>
+     <display value="Religious"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Religieus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Coded Pseudo-Name to ensure anonymity">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Gecodeerde pseudonaam voor anonimiteit"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="S"></code>
+     <display value="Pseudonym"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pseudonym (z.B. für Studien)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pseudoniem"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Indigenous/Tribal/Community Name  e.g. Chief Red Cloud">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Inheemse-/tribale-/gemeenschapsnaam bijv. Chief Red Cloud"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="T"></code>
+     <display value="Indigenous/Tribal"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stammesname"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inheemse-/tribae naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A temporary name. Note that a name valid time can provide more detailed information.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een tijdelijke naam. Merk op dat de geldigheid van de naam meer gedetailleerde informatie kan bevatten."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TEMP"></code>
+     <display value="Temporary Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="temporärer Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijke naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Unknown"></valueString>
+     </extension>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Name unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0185"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0201"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0185"></id>
+    <id value="v2-0201"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -87704,14 +58952,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0185"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0201"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.98"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.106"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0185"></name>
-    <title value="v2 Preferred Method Of Contrct"></title>
+    <name value="v2.0201"></name>
+    <title value="v2 Telecommunication Use Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -87721,10 +58969,42 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0185 ( Preferred Method Of Contrct)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0201 ( Telecommunication Use Code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="B"></code>
+     <code value="ASN"></code>
+     <display value="Answering Service Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Auftragsdienst"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Antwoorddienstnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility as of v 2.6">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="alleen voor backward compatibiliteit sinds v2.6"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BPN"></code>
      <display value="Beeper Number"></display>
      <designation>
       <language value="de"></language>
@@ -87732,7 +59012,7 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Beeper"></value>
+      <value value="Pagernummer (Cityruf o.ä.)"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87744,15 +59024,15 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
      </designation>
     </concept>
     <concept>
-     <code value="C"></code>
-     <display value="Cellular Phone Number"></display>
+     <code value="EMR"></code>
+     <display value="Emergency Number"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Handy"></value>
+      <value value="Notfallnummer"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87760,19 +59040,31 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Mobiele telefoonummer"></value>
+      <value value="Noodnummer"></value>
      </designation>
     </concept>
     <concept>
-     <code value="E"></code>
-     <display value="E-Mail Address (for backward compatibility)"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility as of v 2.6">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="alleen voor backward compatibiliteit sinds v2.6"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NET"></code>
+     <display value="Network (email) Address"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="E-Mail-Adresse"></value>
+      <value value="Netzwerkadresse (E-Mail)"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87780,12 +59072,193 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="E-mailadres (alleen voor backward compatibiliteit)"></value>
+      <value value="Netwerk (e-mail)adres"></value>
      </designation>
     </concept>
     <concept>
-     <code value="F"></code>
-     <display value="FAX Number"></display>
+     <code value="ORN"></code>
+     <display value="Other Residence Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nebenwohnsitznummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ander privénummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRN"></code>
+     <display value="Primary Residence Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hauptwohnsitznummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Primair privénummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Not tied to a location or role">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="niet gebonden aan een locatie of rol"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PRS"></code>
+     <display value="Personal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Persoonlijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VHN"></code>
+     <display value="Vacation Home Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ferienwohnsitznummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vakantie privénummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WPN"></code>
+     <display value="Work Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dienstnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zakelijk nummer"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0202"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0202"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0202"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.107"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0202"></name>
+    <title value="v2 Telecommunication Equipment Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0202 ( Telecommunication Equipment Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="BP"></code>
+     <display value="Beeper"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beeper/Pager"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beeper"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CP"></code>
+     <display value="Cellular or Mobile Phone"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mobiltelephon"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mobiel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FX"></code>
+     <display value="Fax"></display>
      <designation>
       <language value="de"></language>
       <use>
@@ -87800,19 +59273,19 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Faxnummer"></value>
+      <value value="Fax"></value>
      </designation>
     </concept>
     <concept>
-     <code value="H"></code>
-     <display value="Home Phone Number"></display>
+     <code value="Internet"></code>
+     <display value="Internet Address"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="private Telefonnummer"></value>
+      <value value="Internet"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87820,19 +59293,19 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Privé telefoonummer"></value>
+      <value value="Internetadres"></value>
      </designation>
     </concept>
     <concept>
-     <code value="O"></code>
-     <display value="Office Phone Number"></display>
+     <code value="MD"></code>
+     <display value="Modem"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Dienstliche Telefonnummer"></value>
+      <value value="Modem"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87840,17 +59313,2742 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Werk telefoonnummer"></value>
+      <value value="Modem"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PH"></code>
+     <display value="Telephone"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telephon"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SAT"></code>
+     <display value="Satellite Phone"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Satellitentelefon"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Satelliettelefoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TDD"></code>
+     <display value="Telecommunications Device for the Deaf"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telecommunicatie-apparaat voor doven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TTY"></code>
+     <display value="Teletypewriter"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Teletypewriter"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="X.400"></code>
+     <display value="X.400 email address"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="X.400-Nummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="X.400 e-mailadres"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0187"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0203"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0187"></id>
+    <id value="v2-0203"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0203"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.108"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0203"></name>
+    <title value="v2 Identifier Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0203 ( Identifier Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AC"></code>
+     <display value="Accreditation/Certification Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Accession Identifier">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Accession identificatie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ACSN"></code>
+     <display value="Accession ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Accession ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated and replaced by BC in v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AM"></code>
+     <display value="American Express"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="American Express"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="American Express"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A physician identifier assigned by the AMA.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een zorgverleneridentificatie toegekend door de AMA"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AMA"></code>
+     <display value="American Medical Association Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="American Medical Association nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to an account.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een unieke identificatie van het account"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AN"></code>
+     <display value="Account number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kontonummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Accountnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial
+A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.
+Kreditorenkontonummer">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel. Een preciesere definitie van een accountnummer: soms moeten 2 verschillende accountnummers moeten worden doorgegeven in hetzelfde bericht, een als crediteur, de andere als debiteur. Crediteuraccountnummer."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ANC"></code>
+     <display value="Account number Creditor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Accountnummer crediteur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial
+A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.
+Debitorenkontonummer">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel. Een preciesere definitie van een accountnummer: soms moeten 2 verschillende accountnummers moeten worden doorgegeven in hetzelfde bericht, een als crediteur, de andere als debiteur. Debiteuraccountnummer."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AND"></code>
+     <display value="Account number debitor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Accountnummer debiteur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier for a living subject whose real identity is protected or suppressed
+Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other non-anonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Verklaring: t.b.v. volksgezondheid-doeleinden worden anonieme identificaties soms gebruikt voor bescherming van de identiteit van de patiënt bij melden van bepaalde resultaten. Zo kan een gezondheidsafdeling van een overheid voor een algoritme voor het genereren van nummers kiezen bij patiënten met een positieve HIV-antilichamentest. Anonieme identificaties kunnen worden gebruikt in PID-3 door het medisch dossiernummer of ander niet-anonieme identificatie te vervangen. De toekennende autoriteit voor de anonieme identificatie is dan de betreffende overheidsafdeling."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ANON"></code>
+     <display value="Anonymous identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anonieme identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial
+Temporary version of an Account Number.
+Use Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel. Tijdelijke versie van een accountnummer. Use case: een satellietsysteem dat normaal geen accountnummers toekent, is de eerste plaats waar een patiënt wordt geregistreerd. Dit satellietsysteem zal een tijdelijk accountnummer genereren dat wordt gebruikt totdat een officieel accountnummer wordt toegekend."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ANT"></code>
+     <display value="Temporary Account Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijk accountnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board"></valueString>
+     </extension>
+     <code value="APRN"></code>
+     <display value="Advanced Practice Registered Nurse number"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een unieke identificatie voor het oorspronkelijke monster. Alle afgeleide (kind, kleinkind, etc.) monsters van het oorspronkelijke monster delen hetzelfde Oorspronkelijke monster ID"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ASID"></code>
+     <display value="Ancestor Specimen ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Oorspronkelijk monster ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BA"></code>
+     <display value="Bank Account Number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bank Kontonummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bankrekeningnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial
+An identifier that is unique to a person's bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel. Een identificatie die uniek is voor iemand's bankpas. Vervangt AM, DI, DS, MS en VS vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BC"></code>
+     <display value="Bank Card Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bankrekeningnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BCFN"></code>
+     <display value="Birth Certificate File Number"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a document identifying the event of a person's birth.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een nummer gekoppeld aan een document die de geboorte van een persoon documenteert."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BCT"></code>
+     <display value="Birth Certificate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geboortecertificaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier unique within the Assigning Authority that is the official legal record of a person's birth.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een nummer gekoppeld aan de toekennende autoriteit die het officieel wettelijk afschrift van de geboorte van een persoon bijhoudt."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BR"></code>
+     <display value="Birth registry number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geburtsregisternummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geboorteregister-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BRN"></code>
+     <display value="Breed Registry Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dierenras-registernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Betriebsstättennummer - for use in the German realm.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Betriebsstättennummer - voor gebruik in Duitse context."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BSNR"></code>
+     <display value="Primary physician office number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Primair zorgverlenerpraktijknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial
+Use Case: needed especially for transmitting information about invoices.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel. Use case: specifiek nodig voor doorgeven van informatie over facturen."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CC"></code>
+     <display value="Cost Center number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kostenplaatsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a document identifying a person's legal change of name.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan een document met daarop de officiële wijziging van persoonsnaam."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CONM"></code>
+     <display value="Change of Name Document"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Naamswijzigingdocument"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CY"></code>
+     <display value="County number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="County-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number assigned by a person's country of residence to identify a person's citizenship.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan het land van inwonerschap van een persoon om iemand staatsburgerschap aan te duiden."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CZ"></code>
+     <display value="Citizenship Card"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Staatsburgerschapkaart"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DC"></code>
+     <display value="Death Certificate ID"></display>
+    </concept>
+    <concept>
+     <code value="DCFN"></code>
+     <display value="Death Certificate File Number"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a dentist within the jurisdiction of the licensing board">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een tandarts binnen het rechtsgebied van de licentiegever."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DDS"></code>
+     <display value="Dentist license number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tandarts licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier for an individual or organization relative to controlled substance regulation and transactions.
+Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions. 
+A DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Use case: dit is een registratienummer die een persoon of organisatie aanduidt, gerelateerd aan gereguleerde substantie-wetgeving en transacties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DEA"></code>
+     <display value="Drug Enforcement Administration registration number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amerikaanse Drug Enforcement Administration registratienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier issued to a health care provider authorizing the person to write drug orders
+Use Case: A nurse practitioner has authorization to furnish or prescribe pharmaceutical substances; this identifier is in component 1.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie uitgegeven aan een zorgverlener die de persoon autoriseert om medicatie voor te schrijven. Use case: een nurse practitioner heeft toestemming om farmaceutische substanties te verstrekken of voor te schrijven; deze identificatie staat in component 1."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DFN"></code>
+     <display value="Drug Furnishing or prescriptive authority Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicatieverstrekker of voorschrijver autoriteitnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated and replaced by BC in v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DI"></code>
+     <display value="Diner's Club card"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diners Club"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diner's Club"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DL"></code>
+     <display value="Driver's license number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Führerscheinnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rijbewijsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DN"></code>
+     <display value="Doctor number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arztnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Artsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to an osteopath within the jurisdiction of a licensing board.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een osteopaat binnen het rechtsgebied van de licentiegever."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DO"></code>
+     <display value="Osteopathic License number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Osteopatisch licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number assigned to a diplomatic passport.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie van een diplomatiek paspoort."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DP"></code>
+     <display value="Diplomatic Passport"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diplomatiek paspoort"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een podoloog binnen het rechtsgebied van de licentiegever."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DPM"></code>
+     <display value="Podiatrist license number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Podoloog licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DR"></code>
+     <display value="Donor Registration Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Donorregistratienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated and replaced by BC in v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DS"></code>
+     <display value="Discover Card"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Discover Card"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Discover kaart"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number that uniquely identifies an employee to an employer.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een aanduiding die een werknemer uniek identificeert ten opzichte van een werkgever"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EI"></code>
+     <display value="Employee number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeitnehmernummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werknemernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EN"></code>
+     <display value="Employer number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeitgebernummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werkgevernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een aanduiding die een medewerker uniek identificeert binnen een bedrijf (zoals geïdentificeerd door de toekennende autoriteit)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ESN"></code>
+     <display value="Staff Enterprise Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medewerker bedrijfsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FDR"></code>
+     <display value="Fetal Death Report ID"></display>
+    </concept>
+    <concept>
+     <code value="FDRFN"></code>
+     <display value="Fetal Death Report File Number"></display>
+    </concept>
+    <concept>
+     <code value="FI"></code>
+     <display value="Facility ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afdeling-ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FILL"></code>
+     <display value="Filler Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GI"></code>
+     <display value="Guarantor internal identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="interne ID des Zahlungspflichtigen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Interne garantsteller identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GL"></code>
+     <display value="General ledger number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Grootboeknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Financial">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: financieel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GN"></code>
+     <display value="Guarantor external  identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="externe ID des Zahlungspflichtigen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Externe garantsteller identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="HC"></code>
+     <display value="Health Card Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gezondheidskaartnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number assigned to a member of an indigenous or aboriginal group outside of Canada.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een nummer toegekend aan een lid van een inheemse of aboriginal groep buiten Canada."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="IND"></code>
+     <display value="Indigenous/Aboriginal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inheems/Aboriginal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="2 use cases: a) CHI-nummer van rechtsgebied in Verenigd Koninkrijk; b) Canadees provinciaal gezondheidskaartnummer:"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="JHN"></code>
+     <display value="Jurisdictional health number (Canada)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rechtsgebied gezondheidsnummer (Canada)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een laboratorium accessie ID wordt gebruikt in het laboratoriumdomein. Het concept accessie wordt ook in andere domeinen gebruikt zoals radiologie, dus de LACSN wordt gebruikt om onderscheid te maken tussen een lab accessie ID en een radiologie accessie ID."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="LACSN"></code>
+     <display value="Laboratory Accession ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Laboratorium Accessie ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Lebenslange Arztnummer - for use in German realm.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Lebenslange Artznummer - voor gebruik in Duitse context."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="LANR"></code>
+     <display value="Lifelong physician number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Levenslang zorgverlenernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LI"></code>
+     <display value="Labor and industries number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeid en industrienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LN"></code>
+     <display value="License number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LR"></code>
+     <display value="Local Registry ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lokaal register ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MA"></code>
+     <display value="Patient Medicaid number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Armennummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicaid patiëntnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.
+Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Use case: persoon is gedekt door verzekeringspolis. Deze persoon is mogelijk tevens hoofdpolishouder."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MB"></code>
+     <display value="Member Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lidnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MC"></code>
+     <display value="Patient's Medicare number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rentnernummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare patiëntnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MCD"></code>
+     <display value="Practitioner Medicaid number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicaid zorgverlenernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MCN"></code>
+     <display value="Microchip Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Microchip-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MCR"></code>
+     <display value="Practitioner Medicare number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare zorgverlenernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a document identifying the event of a person's marriage.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan een document dat het huwelijk van een persoon aantoont."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MCT"></code>
+     <display value="Marriage Certificate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Huwelijkscertificaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.
+Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die unieke is voor een arts binnen het rechtsgebied van een licentiegever. Use case: deze licentienummers worden soms gebruikt ter identificatie. In sommige staten, geeft dezelfde autoriteit alle drie identificaties uit, bijv. medisch, osteopathisch, en arts-assistent licenties die alle worden uitgegeven door één overheidsinstantie. Voor dit geval vereist het CX datatype afzonderlijke identificatietypen om component 1 te kunnen interpreteren. Daarnaast is onderscheid tussen deze licentietypen essentieel in de meeste zorgsituaties (niet om volledige licentie-informatie door te geven, waarvoor een segment voor alle gerelateerde attributen nodig zou zijn)."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MD"></code>
+     <display value="Medical License number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geneeskundig licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans' Affairs (VA).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie toegekend aan een persoon die in militaire dienst is geweest, maar op dit moment niet in actieve dienst. Het nummer wordt toegekend door de Amerikaanse Department of Defense (DOD) of Veteran's Affairs (VA)."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MI"></code>
+     <display value="Military ID number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Militaire identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan een patiënt binnen een set van medische dossiers, niet noodzakelijk uniek binnen een applicatie."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MR"></code>
+     <display value="Medical record number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Krankenaktennummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medisch dossiernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Temporary version of a Medical Record Number
+Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Use case: een satellietsysteem dat normaal geen medische dossiernummer toekent is het eerste systeem waar een patiënt wordt geregistreerd. Dit satellietsysteem geeft een tijdelijk medisch dossiernummer uit dat alleen wordt gebruikt totdat het officiële medisch dossiernummer wordt toegekend."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MRT"></code>
+     <display value="Temporary Medical Record Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijke medisch dossiernummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated and replaced by BC in v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MS"></code>
+     <display value="MasterCard"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MasterCard"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MasterCard"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Nebenbetriebsstättennummer - for use in the German realm.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Nebenbetriebsstättennummer - voor gebruik in Duitse context."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NBSNR"></code>
+     <display value="Secondary physician office number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Secundaire zorgverlenerpraktijknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a document identifying a person's retention of citizenship in a particular country.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan een document dat het verwerven van staatburgerschap in een bepaald land aantoont."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NCT"></code>
+     <display value="Naturalization Certificate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Naturalisatiecertificaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="In de VS is de toekennende autoriteit voor deze waarde meestal CMS, maar het kan worden gebruikt voor alle zorgaanbieders/zorverleners en verzekeraars in HIPAA gerelateerde transacties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NE"></code>
+     <display value="National employer identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationale werkgeveridentificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+Used for the UK NHS national identifier.
+In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Ten behoeve de NHS nationale identificatie in het Verenigd Koninkrijk"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NH"></code>
+     <display value="National Health Plan Identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationaal zorgverzekeringsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="In de VS is de toekennende autoriteit voor deze waarde normalerwijs CMS, maar het kan door alle zorgaanbieders en verzekeraars worden gebruikt in HIPAA-gerelateerde transacties."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NI"></code>
+     <display value="National unique individual identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationale unieke identificatie persoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+In Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.
+Krankenkassen-ID der KV-Karte">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering. In Duitsland is dit een nationale identificatie voor een verzekeraar. Deze staat op de verzekeringskaart. De identificatie moet niet worden verward met het kaartnummer zelf. Krankenkassen-ID der KV-Karte"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NII"></code>
+     <display value="National Insurance Organization Identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Institutskennzeichen der Krankenkasse"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationale verzekeraar identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+In Germany the insurance identifier addressed as the payor.
+Krankenkassen-ID des Rechnungsempfängers
+Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering. In Duitsland is dit een nationale identificatie voor een betaler. Krankenkassen-ID des Rechnungsempfängers. Use case: een subdivisie geeft een kaart af met deze identificatie, maar de hoofddivisie betaalt de facturen."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NIIP"></code>
+     <display value="National Insurance Payor Identifier (Payor)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vertragskassennummer (VKNR)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationale verzekeraar betaler identificatie (Betaler)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NNxxx"></code>
+     <display value="National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationale persoonsidentificatie waarbij xxx de ISO-tabel 3166 3-tekens (alfabetisch) landcode is"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een nurse practitioner binnen het rechtsgebied van een certificeringsinstantie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NP"></code>
+     <display value="Nurse practitioner number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nurse practitioner nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering. UZI-nummer."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NPI"></code>
+     <display value="National provider identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nationale zorgaanbieder/zorgverlener identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OBI"></code>
+     <display value="Observation Instance Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number that is unique to an individual optometrist within the jurisdiction of the licensing board.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een optometrist binnen het rechtsgebied van een certificeringsinstantie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OD"></code>
+     <display value="Optometrist license number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Optometrist nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a physician assistant within the jurisdiction of a licensing board">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een zorgverlener binnen het rechtsgebied van een certificeringsinstantie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PA"></code>
+     <display value="Physician Assistant number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Assistenzarztnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number identifying a person on parole.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie van een persoon die subject is van reclassering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PC"></code>
+     <display value="Parole Card"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Reclasseringskaart"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number assigned to individual who is incarcerated.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie toegekend aan een persoon die inbewaringgesteld/gevangengezet is"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PCN"></code>
+     <display value="Penitentiary/correctional institution Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Penitentiaire instellings-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een levend wezen binnen een bedrijf (zoals geïdentificeerd door de toekennende autoriteit)."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PE"></code>
+     <display value="Living Subject Enterprise Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Levend wezen bedrijfs-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PEN"></code>
+     <display value="Pension Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pensioennummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PHC"></code>
+     <display value="Public Health Case Identifier"></display>
+    </concept>
+    <concept>
+     <code value="PHE"></code>
+     <display value="Public Health Event Identifier"></display>
+    </concept>
+    <concept>
+     <code value="PHO"></code>
+     <display value="Public Health Official ID"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number that is unique to a patient within an Assigning Authority.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een patiënt binnen een toekennende autoriteit."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PI"></code>
+     <display value="Patient internal identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="interne Patienten-ID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intern patiëntnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PLAC"></code>
+     <display value="Placer Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number that is unique to a living subject within an Assigning Authority.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een levend wezen binnen een toekennende autoriteit."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PN"></code>
+     <display value="Person number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Personen-ID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Persoonsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Temporary version of a Lining Subject Number.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Tijdelijke versie van een Levend wezen nummer"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PNT"></code>
+     <display value="Temporary Living Subject Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijk levend wezen nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class:  Insurance">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PPIN"></code>
+     <display value="Medicare/CMS Performing Provider Identification Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare/CMS Uitvoerende zorgaanbieder/zorgverlener identificatienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een wettig document dat bevestigt dat een persoon een staatsburger van het land is."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PPN"></code>
+     <display value="Passport number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Passnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Paspoortnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRC"></code>
+     <display value="Permanent Resident Card Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Permanente verblijfsvergunning-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.
+Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Use case: hiermee wordt een persoon (zoals een verpleegkundige) of een groep/organisatie (orthopedisch chirurgisch team) aangeduid."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PRN"></code>
+     <display value="Provider number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgaanbieder/zorgverlener-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PT"></code>
+     <display value="Patient external identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="externe Patienten-ID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Extern patiëntnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="QA"></code>
+     <display value="QA number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Quality Assurance-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A generalized resource identifier.
+Use Case: An identifier type is needed to accommodate what are commonly known as resources. The resources can include human (e.g. a respiratory therapist), non-human (e.g., a companion animal), inanimate object (e.g., an exam room), organization (e.g., diabetic education class) or any other physical or logical entity.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Use case: een identificatietype is nodig voor wat algemeen 'resources' heten. Hieronder vallen menselijke resources (bijv. een respiratoir therapeut), niet-menselijke resources (bijv., een begeleidend dier), niet-levende entiteiten (bijv. een onderzoeksruimte), organisaties (bijv. diabetesonderwijsklas) of andere fysieke of logische entiteiten."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RI"></code>
+     <display value="Resource identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resource identicatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a registered nurse within the jurisdiction of the licensing board.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een geregistreerde verpleegkundige binnen het rechtsgebied van een licenserende instantie."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RN"></code>
+     <display value="Registered Nurse Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verpleegkundige registratienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier that is unique to a pharmacist within the jurisdiction of the licensing board.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een apotheek binnen het rechtsgebied van een licenserende instantie."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RPH"></code>
+     <display value="Pharmacist license number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Apotheek licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An identifier for an individual enrolled with the Railroad Retirement Administration.  Analogous to, but distinct from, a Social Security Number">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een persoon binnen de Railroad Retirement Administration. Aanaloog aan, maar anders dan een SOFI-nummer."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RR"></code>
+     <display value="Railroad Retirement number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Seniorenkartennummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoorwegen pensioneringsnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RRI"></code>
+     <display value="Regional registry ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Regionaal register-ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class:  Insurance">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RRP"></code>
+     <display value="Railroad Retirement Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoorwegen pensioenaanbieder"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SB"></code>
+     <display value="Social Beneficiary Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifier for a specimen. Used when it is not known if the specimen ID is a unique specimen ID (USID) or an ancestor ID (ASID).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een monster. Gebruikt wanneer onbekend is of het monsternummer een Uniek monsternummer (USID) of een Oorspronkelijk monsternummer (ASID) is."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SID"></code>
+     <display value="Specimen ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Monsternummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SL"></code>
+     <display value="State license"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Staat-licentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+An identifier for a subscriber of an insurance policy which is unique for, and usually assigned by, the insurance carrier.
+Use Case: A person is the subscriber of an insurance policy. The person’s family may be plan members, but are not the subscriber.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie voor een hoofdverzekerde onder een verzekeringspolis die uniek is voor, en normaal wordt toegekend door, een verzekeraar."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SN"></code>
+     <display value="Subscriber Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hoofdverzekerdenummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SNBSN"></code>
+     <display value="State assigned NDBS card Identifier"></display>
+    </concept>
+    <concept>
+     <code value="SNO"></code>
+     <display value="Serial Number"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a permit identifying a person who is a resident of a jurisdiction for the purpose of education.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een visum voor een persoon die inwoner van rechtsgebied is ten behoeve van een opleiding."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SP"></code>
+     <display value="Study Permit"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opleidingsvisum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SR"></code>
+     <display value="State registry ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Staat register-ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SS"></code>
+     <display value="Social Security number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sozialversicherungsnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SOFI-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="STN"></code>
+     <display value="Shipment Tracking Number"></display>
+    </concept>
+    <concept>
+     <code value="TAX"></code>
+     <display value="Tax ID number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Steueridentifikationsnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Belasting identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number assigned to a member of an indigenous group in Canada.
+Use Case: First Nation.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Use case: First Nation."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TN"></code>
+     <display value="Treaty Number/ (Canada)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verdragnummer/ (Canada)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a document identifying a person's temporary permanent resident status.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie die uniek is voor een apotheek binnen het rechtsgebied van een licenserende instantie."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TPR"></code>
+     <display value="Temporary Permanent Resident (Canada)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijk permanente inwoner (Canada)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TRL"></code>
+     <display value="Training License Number"></display>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unspecified identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet-gspecificeerde identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UDI"></code>
+     <display value="Universal Device Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Class: Insurance
+An identifier for a provider within the CMS/Medicare program.  A globally unique identifier for the provider in the Medicare program.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Klasse: verzekering. Een identificatie van een zorgverlener/zorgaanbieder binnen het CMS/Medicare programma. Een wereldwij unieke identificatie voor de zorgverlener/zorgaanbieder in het Medicare programma."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UPIN"></code>
+     <display value="Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare/HCFA's Universele Zorgverlener Identificatie Nummers"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A unique identifier for a specimen.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een unieke identificatie voor een monster."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="USID"></code>
+     <display value="Unique Specimen ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uniek monsternummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VN"></code>
+     <display value="Visit number"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fallnummer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bezoeknummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a document identifying a person as a visitor of a jurisdiction or country.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan een visum voor een persoon als toerist in een bepaald rechtsgebied of land."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VP"></code>
+     <display value="Visitor Permit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Besucherkennung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Toeristenvisum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated and replaced by BC in v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangen door BC vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VS"></code>
+     <display value="VISA"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VISA"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VISA"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WC"></code>
+     <display value="WIC identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="WIC identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WCN"></code>
+     <display value="Workers' Comp Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werknemerscompensatie-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A number associated with a permit for a person who is granted permission to work in a country for a specified time period.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een identificatie gekoppeld aan een visum voor een persoon die voor een bepaalde periode in een land mag werken."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WP"></code>
+     <display value="Work Permit"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werkvisum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="XV"></code>
+     <display value="Health Plan Identifier"></display>
+    </concept>
+    <concept>
+     <code value="XX"></code>
+     <display value="Organization identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Organisations-ID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Organisatie identificatie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0204"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0204"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -87861,14 +62059,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0187"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0204"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.99"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.109"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0187"></name>
-    <title value="v2 Provider billing"></title>
+    <name value="v2.0204"></name>
+    <title value="v2 Organizational Name Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -87878,18 +62076,18 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0187 ( Provider billing)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0204 ( Organizational Name Type)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="I"></code>
-     <display value="Institution bills for provider"></display>
+     <code value="A"></code>
+     <display value="Alias name"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Haus rechnet ab"></value>
+      <value value="Aliasname"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -87897,37 +62095,1312 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Instelling doet facturatie voor zorgverlener"></value>
+      <value value="Aliasnaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Display name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="angezeigter Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Weergavenaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Legal name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="gesetzlicher Name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Juridische naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SL"></code>
+     <display value="Stock exchange listing name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Börsenlistenname"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beursgenoteerde naam"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0205"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0205"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0205"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.110"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0205"></name>
+    <title value="v2 Price Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0205 ( Price Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AP"></code>
+     <display value="administrative price or handling fee"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Administratieve prijs of verwerkingsvergoeding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DC"></code>
+     <display value="direct unit cost"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Direct stuksprijs"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IC"></code>
+     <display value="indirect unit cost"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indirecte stuksprijs"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PF"></code>
+     <display value="professional fee for performing provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zakelijke vergoeding voor uitvoerende zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TF"></code>
+     <display value="technology fee for use of equipment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Technologievergoeding voor apparaatgebruik"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TP"></code>
+     <display value="total price"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Totaalprijs"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UP"></code>
+     <display value="unit price, may be based on length of procedure or service"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stuksprijs, mogelijk gebaseerd op duur van behandeling of service"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0206"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0206"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0206"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.111"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0206"></name>
+    <title value="v2 Segment Action Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0206 ( Segment Action Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Add/Insert"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Einfügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Toevoegen/invoegen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Delete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Löschen/Stornieren"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijderen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Used in Snapshot mode"></display>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Update"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Updaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="No Change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen wijziging"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0207"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0207"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0207"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.112"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0207"></name>
+    <title value="v2 Processing Mode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0207 ( Processing Mode)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Archive"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Archiveren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Initial load"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Initieel laden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString>
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Niet aanwezig (de standaardwaarde, betekent huidige verwerking)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Not present"></code>
+     <display value="Not present (the default, meaning current  processing)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet aanwezig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Restore from archive"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Herstellen uit archief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Current processing, transmitted at intervals (scheduled or on demand)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Huidige verwerking, verstuurd op basis van intervallen (gepland of op aanvraag)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0208"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0208"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0208"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.113"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0208"></name>
+    <title value="v2 Query Response Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0208 ( Query Response Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AE"></code>
+     <display value="Application error"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Applicatiefout"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AR"></code>
+     <display value="Application reject"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Applicatieweigering"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NF"></code>
+     <display value="No data found, no errors"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen gegevens gevonden, geen fouten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OK"></code>
+     <display value="Data found, no errors (this is the default)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gegevens gevonden, geen fouten (dit is de standaardwaarde)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PD"></code>
+     <display value="Protected data"></display>
+    </concept>
+    <concept>
+     <code value="TM"></code>
+     <display value="Too much data found"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0209"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0209"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0209"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.114"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0209"></name>
+    <title value="v2 Relational Operator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0209 ( Relational Operator)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CT"></code>
+     <display value="Contains"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bevat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EQ"></code>
+     <display value="Equal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gelijk aan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GE"></code>
+     <display value="Greater than or equal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Groter of gelijk aan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GN"></code>
+     <display value="Generic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Generiek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GT"></code>
+     <display value="Greater than"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Groter dan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LE"></code>
+     <display value="Less than or equal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kleiner dan of gelijk aan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LT"></code>
+     <display value="Less than"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kleiner dan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NE"></code>
+     <display value="Not Equal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ongelijk aan"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0210"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0210"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0210"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.115"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0210"></name>
+    <title value="v2 Relational Conjunction"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0210 ( Relational Conjunction)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AND"></code>
+     <display value="Default"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Standaard"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OR"></code>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OF"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0211"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0211"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0211"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.116"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0211"></name>
+    <title value="v2 Alternate Character Sets"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0211 ( Alternate Character Sets)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="8859/1"></code>
+     <display value="The printable characters from the ISO 8859/1 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/1 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/15"></code>
+     <display value="The printable characters from the ISO 8859/15 (Latin-15)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/15 tekenset (Latin-15)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/2"></code>
+     <display value="The printable characters from the ISO 8859/2 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/2 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/3"></code>
+     <display value="The printable characters from the ISO 8859/3 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/3 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/4"></code>
+     <display value="The printable characters from the ISO 8859/4 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/4 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/5"></code>
+     <display value="The printable characters from the ISO 8859/5 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/5 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/6"></code>
+     <display value="The printable characters from the ISO 8859/6 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/6 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/7"></code>
+     <display value="The printable characters from the ISO 8859/7 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/7 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/8"></code>
+     <display value="The printable characters from the ISO 8859/8 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/8 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8859/9"></code>
+     <display value="The printable characters from the ISO 8859/9 Character set"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare tekens uit de ISO 8859/9 tekenset"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(This is the default if this field is omitted)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Dit is de standaardwaarde als het veld wordt leeggelaten."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ASCII"></code>
+     <display value="The printable 7-bit ASCII character set."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De leesbare 7-bit ASCII tekenset."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Does not need an escape sequence.
+
+BIG-5 does not need an escape sequence. ASCII is a 7 bit character set, which means that the top bit of the byte is “0”. The parser knows that when the top bit of the byte is “0”, the character set is ASCII. When it is “1”, the following bytes should be handled as 2 bytes (or more). No escape technique is needed. However, since some servers do not correctly interpret when they receive a top bit “1”, it is advised, in internet RFC, to not use these kind of non-safe non-escape extension.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Heeft geen escape-sequentie nodig. BIG-5 heeft geen escape-sequentie nodig. ASCII is een 7-bit tekenset wat betekent dat het top bit van de byte &quot;0&quot; is. De parser weet dat wanneer de top bit van de byte &quot;0&quot; is, de tekenset ASCII is. Als het &quot;1&quot; is, moeten de volgende bytes in paren van 2 bytes (of meer) worden verwerkt. Er is geen escape techniek vereist. Echter, omdat sommige servers niet goed verwerken bij een top bit van &quot;1&quot;, wordt geadviseerd in de internet RFC, om dit type onveilige extensie, zonder escaping, niet te gebruiken."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BIG-5"></code>
+     <display value="Code for Taiwanese Character Set (BIG-5)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor Taiwanese tekenset (BIG-5)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Does not need an escape sequence.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Heeft geen escape-sequentie nodig."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CNS 11643-1992"></code>
+     <display value="Code for Taiwanese Character Set (CNS 11643-1992)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor Taiwanese tekenset (CNS 11643-1992)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Does not need an escape sequence.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Heeft geen escape-sequentie nodig."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GB 18030-2000"></code>
+     <display value="Code for Chinese Character Set (GB 18030-2000)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor Chinese tekenset (GB 18030-2000)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Note that the code contains a space, i.e., &quot;ISO IR14&quot;.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Merk op dat de code een spatie bevat, dus &quot;ISO IR14&quot;."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ISO IR14"></code>
+     <display value="Code for Information Exchange (one byte)(JIS X 0201-1976)."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor informatieuitwisseling (één byte)(JIS X 0201-1976)."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Note that the code contains a space, i.e., &quot;ISO IR159&quot;.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Merk op dat de code een spatie bevat, dus &quot;ISO IR159&quot;."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ISO IR159"></code>
+     <display value="Code of the supplementary Japanese Graphic Character set for information interchange (JIS X 0212-1990)."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor het aanvullende Japanse ideogramschrift voor informatieuitwisseling (JIS X 0212-1990)."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="http://www.itscj.ipsj.or.jp/ISO-IR/006.pdf">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="http://www.itscj.ipsj.or.jp/ISO-IR/006.pdf"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ISO IR6"></code>
+     <display value="ASCII graphic character set consisting of 94 characters."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ASCII ideogramtekenset bestaande uit 94 tekens."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Note that the code contains a space, i.e., “ISO IR87”.
+
+The JIS X 0208 needs an escape sequence. In Japan, the escape technique is ISO 2022. From basic ASCII, escape sequence “escape” $ B (in HEX, 1B 24 42) lets the parser know that following bytes should be handled 2-byte wise. Back to ASCII is 1B 28 42.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Merk op dat de code een spatie bevat, dus &quot;ISO IR87&quot;. De JIS X 0208 heeft een escape-sequentie nodig. In Japan is de escape-techniek ISO 2020. Vanuit basiaal ASCII laat escape-sequentie &quot;escape&quot; $ B (in HEX, 1B 24 42) de parser weten dat de volgende bytes in paren van 2 bytes moeten worden verwerkt. Terug in ASCII is dat dan 1B 28 42."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ISO IR87"></code>
+     <display value="Code for the Japanese Graphic Character set for information interchange (JIS X 0208-1990),"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor de Japanse ideogramschrift voor informatieuitwisseling (JIS X 0208-1990)."></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="JAS2020"></code>
+     <display value="A subset of ISO2020 used for most Kanjii transmissions"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een subset van ISO 2020 meestal gebruikt voor Kanjii verzendingen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="JIS X 0202"></code>
+     <display value="ISO 2022 with escape sequences for Kanjii"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ISO 2022 met escape-sequenties voor Kanjii"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="KS X 1001"></code>
+     <display value="Code for Korean Character Set (KS X 1001)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Code voor Koreaanse tekenset (KS X 1001)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated. Retained for backward compatibility only as v 2.5. Replaced by specific Unicode encoding codes.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen. Behouden voor backward compatibility sinds v2.5. Vervangen door specifieke codes voor Unicode tekstcodering."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UNICODE"></code>
+     <display value="The world wide character standard from ISO/IEC 10646-1-1993"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De wereldwijde tekensetstandaard van ISO/IEC 10646-1-1993"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="UTF-16 is identical to ISO/IEC 10646 UCS-2. Note that the code contains a space before UTF but not before and after the hyphen.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="UTF-16 is identiek aan ISO/IEC 10646 UCS-2. Merk op dat de code een spatie bevat voor UTF maar niet voor en na het koppelteken."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UNICODE UTF-16"></code>
+     <display value="UCS Transformation Format, 16-bit form"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="UCS Transformatieformaat, 16-bits vorm"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="UTF-32 is defined by Unicode Technical Report #19, and is an officially recognized encoding as of Unicode Version 3.1. UTF-32 is a proper subset of ISO/IEC 10646 UCS-4. Note that the code contains a space before UTF but not before and after the hyphen.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="UTF-32 wordt gedefinieerd door Unicode Technical Report #19 en is een officieel erkende codering sinds Unicode versie 3.1. UTF-32 is een geldige subset van ISO/IEC 10646 UCS-4. Merk op dat de code een spatie bevat voor UTF maar niet voor en na het koppelteken."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UNICODE UTF-32"></code>
+     <display value="UCS Transformation Format, 32-bit form"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="UCS Transformatieformaat, 32-bits vorm"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="UTF-8 is a variable-length encoding, each code value is represented by 1,2 or 3 bytes, depending on the code value. 7 bit ASCII is a proper subset of UTF-8. Note that the code contains a space before UTF but not before and after the hyphen. Since UTF-8 represents the full UNICODE character set, the following restriction apply to its use: 
+1. UTF-8 must be the default encoding of the message, UTF-8 cannot be specified as an additional character set in MSH-18
+2. There are no other character sets allowed in a message where UTF-8 is the default encoding in the message.
+In other words, UNICODE UTF-8 can only be specified as a single value in MSH-18
+3. A message encoded in UTF-8 must not use a Byte Order Mark (BOM).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="UTF-8 is een tekstcodering met variabele lengte, waarbij iedere codewaarde wordt gerepresenteerd door 1, 2, of 3 bytes, afhankelijk van de codewaarde. 7-bits ASCII is een geldige subset van UTF-8. Merk op dat de code een spatie bevat voor UTF maar niet voor en na het koppelteken. Aangezien UTF-8 de volledige UNICODE tekenset vertegenwoordigt, zijn de volgende restricties van toepassing op gebruik:&lt;p/&gt;1. UTF-8 moet de standaardcodering zijn van het bericht, UTF-8 kan niet worden gespecificeerd als extra tekenset in MSH-18&lt;p/&gt;2. Er zijn geen andere tekensets toegestaan in een bericht waarin UTF-8 is standaard tekstcodering is.&lt;p/&gt;Met andere woorden, UNICODE UTF-8 kan niet met andere waarden voorkomen in MSH-18&lt;p/&gt;3. Een bericht in UTF-8 mag &lt;b&gt;geen&lt;/b&gt; Byte Order Mark (BOM) bevatten."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UNICODE UTF-8"></code>
+     <display value="UCS Transformation Format, 8-bit form"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="UCS Transformatieformaat, 8-bits vorm"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0213"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0213"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0213"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.117"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0213"></name>
+    <title value="v2 Purge Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0213 ( Purge Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="The visit is marked for deletion and the user cannot enter new data against it."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Het bezoek is gemarkeerd voor verwijdering en de gebruiker kan geen nieuwe gegevens bij het bezoek invoeren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="The visit is marked inactive and the user cannot enter new data against it."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Het bezoek is gemarkeerd als inactief en de gebruiker kan geen nieuwe gegevens bij het bezoek invoeren"></value>
      </designation>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Provider does own billing"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eigene Abrechnung"></value>
-     </designation>
+     <display value="Marked for purge.  User is no longer able to update the visit."></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zorgverlener doet eigen facturatie"></value>
+      <value value="Gemarkeerd voor opruiming. Gebruiker kan het bezoek niet langer bijwerken."></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0189"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0214"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0189"></id>
+    <id value="v2-0214"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -87938,14 +63411,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0189"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0214"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.100"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.118"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0189"></name>
-    <title value="v2 Ethnic group"></title>
+    <name value="v2.0214"></name>
+    <title value="v2 Special Program Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -87955,30 +63428,54 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0189 ( Ethnic group)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0214 ( Special Program Code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="H"></code>
-     <display value="Hispanic or Latino"></display>
+     <code value="CH"></code>
+     <display value="Child Health Assistance"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Hispanic of Latino"></value>
+      <value value="Jeugdgezondheid assistentie"></value>
      </designation>
     </concept>
     <concept>
-     <code value="N"></code>
-     <display value="Not Hispanic or Latino"></display>
+     <code value="ES"></code>
+     <display value="Elective Surgery Program"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Niet hispanic of Latino"></value>
+      <value value="Electief chirurgisch programma"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FP"></code>
+     <display value="Family Planning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gezinsplanning"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
      </designation>
     </concept>
     <concept>
@@ -87997,10 +63494,10 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0570"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0215"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0570"></id>
+    <id value="v2-0215"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -88011,14 +63508,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0570"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0215"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.370"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.119"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0570"></name>
-    <title value="v2 Payment Method Code"></title>
+    <name value="v2.0215"></name>
+    <title value="v2 Publicity Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -88028,59 +63525,64 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0570 ( Payment Method Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0215 ( Publicity Code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="CASH"></code>
-     <display value="Cash"></display>
+     <code value="F"></code>
+     <display value="Family only"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen familie"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="CCCA"></code>
-     <display value="Credit Card"></display>
+     <code value="N"></code>
+     <display value="No Publicity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen publiciteit"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="CCHK"></code>
-     <display value="Cashier's Check"></display>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="CDAC"></code>
-     <display value="Credit/Debit Account"></display>
-    </concept>
-    <concept>
-     <code value="CHCK"></code>
-     <display value="Check"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="EFT"></valueString>
-     </extension>
-     <code value="DDPO"></code>
-     <display value="Direct Deposit"></display>
-    </concept>
-    <concept>
-     <code value="DEBC"></code>
-     <display value="Debit Card"></display>
-    </concept>
-    <concept>
-     <code value="SWFT"></code>
-     <display value="Society for Worldwide Interbank Financial Telecommunications (S.W.I.F.T.)"></display>
-    </concept>
-    <concept>
-     <code value="TRAC"></code>
-     <display value="Traveler's Check"></display>
-    </concept>
-    <concept>
-     <code value="VISN"></code>
-     <display value="VISA Special Electronic Funds Transfer Network"></display>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0337"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0216"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0337"></id>
+    <id value="v2-0216"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -88091,14 +63593,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0337"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0216"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.207"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.120"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0337"></name>
-    <title value="v2 Certification Status"></title>
+    <name value="v2.0216"></name>
+    <title value="v2 Patient Status Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -88108,40 +63610,399 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0337 ( Certification Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0216 ( Patient Status Code)"></description>
     <content value="complete"></content>
+    <concept>
+     <code value="AI"></code>
+     <display value="Active Inpatient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Actieve patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="Discharged Inpatient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ontslagen patiënt"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0217"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0217"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0217"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.121"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0217"></name>
+    <title value="v2 Visit priority code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0217 ( Visit priority code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Urgent"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Urgent"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Elective"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zelf gekozen"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0220"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0220"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0220"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.122"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0220"></name>
+    <title value="v2 Living Arrangements"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0220 ( Living Arrangements)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Alone"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value=" Seul"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zelfstandig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Family"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Familie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Institution"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Instituut"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Relative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Familielid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Spouse Only"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen echtgenoot"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0223"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0223"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0223"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.124"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0223"></name>
+    <title value="v2 Living Dependency"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0223 ( Living Dependency)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
     <concept>
      <code value="C"></code>
-     <display value="Certified"></display>
+     <display value="Small Children Dependent"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gecertificeerd"></value>
+      <value value="Afhankelijke kleine kinderen"></value>
      </designation>
     </concept>
     <concept>
-     <code value="E"></code>
-     <display value="Eligible"></display>
+     <code value="CB"></code>
+     <display value="Common Bath"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Komt in aanmerking"></value>
+      <value value="Gedeeld bad"></value>
      </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Spouse dependent"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Echtgenoot afhankelijk"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medical Supervision Required"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medisch toezicht vereist"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Spouse Dependent"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Echtgenoot afhankelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WU"></code>
+     <display value="Walk up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Loopt naar boven"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0338"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0224"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0338"></id>
+    <id value="v2-0224"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -88152,14 +64013,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0338"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0224"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.208"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.125"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0338"></name>
-    <title value="v2 Practitioner ID number type"></title>
+    <name value="v2.0224"></name>
+    <title value="v2 Transport Arranged"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -88169,172 +64030,4206 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0338 ( Practitioner ID number type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0224 ( Transport Arranged)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="CY"></code>
-     <display value="County number"></display>
+     <code value="A"></code>
+     <display value="Arranged"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Provincie-nummer"></value>
+      <value value="Geregeld"></value>
      </designation>
     </concept>
     <concept>
-     <code value="DEA"></code>
-     <display value="Drug Enforcement Agency no."></display>
+     <code value="N"></code>
+     <display value="Not Arranged"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Drug Enforcement Agency-nummer"></value>
+      <value value="Niet geregeld"></value>
      </designation>
     </concept>
     <concept>
-     <code value="GL"></code>
-     <display value="General ledger number"></display>
+     <code value="U"></code>
+     <display value="Unknown"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Grootboek-nummer"></value>
+      <value value="Onbekend"></value>
      </designation>
     </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0225"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0225"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0225"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.126"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0225"></name>
+    <title value="v2 Escort Required"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0225 ( Escort Required)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="N"></code>
+     <display value="Not Required"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet vereist"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Required"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vereist"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0227"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0227"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0227"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.127"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0227"></name>
+    <title value="v2 Manufacturers of Vaccines"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0227 ( Manufacturers of Vaccines)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Deprecated as of v 2.5; Use LI instead">
+      <valueString value="(includes Ross Products Division)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Vervallen vanaf v2.5; Gebruik nu LI"></valueString>
+         <valueString value="(inclusief Ross Products Division)"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="L&amp;I"></code>
-     <display value="Labor and industries number"></display>
+     <code value="AB"></code>
+     <display value="Abbott Laboratories"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Arbeid en Industrie-nummer"></value>
+      <value value="Abbott Laboratories"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="AD"></code>
+     <display value="Adams Laboratories, Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Adams Laboratories, Inc."></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+     <code value="ALP"></code>
+     <display value="Alpha Therapeutic Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Alpha Therapeutic Corporation"></value>
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+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use AVB]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik AVB]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AR"></code>
+     <display value="Armour"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Armour"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly Centeon L.L.C.; includes Armour Pharmaceutical Company) [Inactive--use ZLB] CDC Changes made on: Feb. 28, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(Voormalig Centeon L.L.C.; inclusief Armour Pharmaceutical Company) [Inactief - gebruik ZLB] CDC wijzigingen op: 28 feb 2006"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="AVB"></code>
+     <display value="Aventis Behring L.L.C."></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Aventis Behring L.L.C."></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <code value="AVI"></code>
+     <display value="Aviron"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Aviron"></value>
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+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use BAH]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik BAH]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BA"></code>
+     <display value="Baxter Healthcare Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Baxter Healthcare Corporation"></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Hyland Immuno, Immuno International AG, and North American Vaccine, Inc.)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(inclusief Hyland Immuno, Immuno International AG, en North American Vaccine, Inc.)"></valueString>
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+       </extension>
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+     <code value="BAH"></code>
+     <display value="Baxter Healthcare Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Baxter Healthcare Corporation"></value>
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+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Miles, Inc. and Cutter Laboratories)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(inclusief Miles, Inc. en Cutter Laboratories)"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="BAY"></code>
+     <display value="Bayer Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bayer Corporation"></value>
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+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use BPC]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik BPC]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BP"></code>
+     <display value="Berna Products"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berna Products"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Swiss Serum and Vaccine Institute Berne)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(inclusief Swiss Serum en Vaccin Institute Berne)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BPC"></code>
+     <display value="Berna Products Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berna Products Corporation"></value>
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+     <property>
+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use AVB]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik AVB]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CEN"></code>
+     <display value="Centeon L.L.C."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Centeon L.L.C."></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use NOV] includes PowderJect Pharmaceuticals, Celltech Medeva Vaccines and Evans Medical Limited CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik NOV] inclusief PowderJect Pharmaceuticals, Celltech Medeva Vaccines en Evans Medical Limited. CDC wijzigingen op: 14 jul 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CHI"></code>
+     <display value="Chiron Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chiron Corporation"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use NOV] CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik NOV] CDC wijzigingen op: 14 jul 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CMP"></code>
+     <display value="Celltech Medeva Pharmaceuticals"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Celltech Medeva Pharmaceuticals"></value>
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+      <valueDateTime value="2011-01"></valueDateTime>
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+      <valueString value="CDC Changes made on: Feb. 28, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="CDC wijzigingen op: 28 feb 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CNJ"></code>
+     <display value="Cangene Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Cangene Corporation"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
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+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use PMC]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik PMC]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CON"></code>
+     <display value="Connaught"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Connaught"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="CDC wijzigingen op: 14 jul 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DVC"></code>
+     <display value="DynPort Vaccine Company, LLC"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="DynPort Vaccine Company, LLC"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use NOV] CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik NOV] CDC wijzigingen op: 14 jul 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EVN"></code>
+     <display value="Evans Medical Limited"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Evans Medical Limited"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+      <valueString value="CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="CDC wijzigingen op: 14 jul 2006"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="GEO"></code>
+     <display value="GeoVax Labs, Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="GeoVax Labs, Inc."></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="GRE"></code>
+     <display value="Greer Laboratories, Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Greer Laboratories, Inc."></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use BAH]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="BAH"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="IAG"></code>
+     <display value="Immuno International AG"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Immuno International AG"></value>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use PMC]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="[Inactief - gebruik PMC]"></valueString>
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+     <code value="IM"></code>
+     <display value="Merieux"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Merieux"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+     <display value="Immuno-U.S., Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Immuno-U.S., Inc."></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(BIKEN)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="(BIKEN)"></valueString>
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+     <code value="JPN"></code>
+     <display value="The Research Foundation for Microbial Diseases of Osaka University"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="The Research Foundation for Microbial Diseases of Osaka University"></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+     <display value="Korea Green Cross Corporation"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Korea Green Cross Corporation"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+        <extension url="content">
+         <valueString value="[Inactief - gebruik WAL]"></valueString>
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+      </valueString>
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+     <code value="LED"></code>
+     <display value="Lederle"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <code value="status"></code>
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+      <valueString value="[Inactive--use MBL]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
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+        <extension url="content">
+         <valueString value="[Inactief - gebruik MBL]"></valueString>
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+     <display value="Massachusetts Public Health Biologic Laboratories"></display>
+     <designation>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
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+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="(voormalig Massachusetts Public Health Biologic Laboratories)"></valueString>
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+      <value value="Massachusetts Biologic Laboratories"></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <code value="MED"></code>
+     <display value="MedImmune, Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="MedImmune, Inc."></value>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use BAY]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik BAY]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MIL"></code>
+     <display value="Miles"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Miles"></value>
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+     </property>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly Michigan Biologic Products Institute)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(voormalig Michigan Biologic Products Institute)"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="MIP"></code>
+     <display value="Bioport Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Bioport Corporation"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <code value="MSD"></code>
+     <display value="Merck &amp; Co., Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Merck &amp; Co., Inc."></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly North American Biologicals, Inc.)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(voormalig North American Biologicals, Inc.)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NAB"></code>
+     <display value="NABI"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="NABI"></value>
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+      <code value="status"></code>
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+      <valueDateTime value="2011-01"></valueDateTime>
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+      <valueString value="[Inactive--use BAH]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="[Inactief - gebruik BAH]"></valueString>
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+     <display value="North American Vaccine, Inc."></display>
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+       <code value="display"></code>
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+      <value value="North American Vaccine, Inc."></value>
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+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Chiron, PowderJect Pharmaceuticals, Celltech Medeva Vaccines and Evans Limited, Ciba-Geigy Limited and Sandoz Limited)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="(inclusief Chiron, PowderJect Pharmaceuticals, Celltech Medeva Vaccines en Evans Limited, Ciba-Geigy Limited en Sandoz Limited)"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="NOV"></code>
+     <display value="Novartis Pharmaceutical Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="CDC wijzigingen op: 14 jul 2006"></valueString>
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+       </extension>
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+     </extension>
+     <code value="NVX"></code>
+     <display value="Novavax, Inc."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Novavax, Inc."></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <code value="NYB"></code>
+     <display value="New York Blood Center"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="New York Blood Center"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <valueDateTime value="2015-09"></valueDateTime>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly Ortho Diagnostic Systems, Inc.)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(voormalig Ortho Diagnostic Systems, Inc.)"></valueString>
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+       </extension>
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+     <display value="Ortho-Clinical Diagnostics"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Ortho-Clinical Diagnostics"></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+     <display value="Organon Teknika Corporation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Organon Teknika Corporation"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+     <display value="Other manufacturer"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Andere fabrikant"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly Parke-Davis)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(voormalig Parke-Davis)"></valueString>
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+     <code value="PD"></code>
+     <display value="Parkedale Pharmaceuticals"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Parkedale Pharmaceuticals"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly Aventis Pasteur, Pasteur Merieux Connaught; includes Connaught Laboratories and Pasteur Merieux) CDC Changes made on: Feb. 28, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(voormalig Aventis Pasteur, Pasteur Merieux Connaught; inclusief Connaught Laboratories en Pasteur Merieux) CDC wijzigingen op: 28 feb 2006"></valueString>
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+     <code value="PMC"></code>
+     <display value="sanofi pasteur"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="sanofi pasteur"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use WAL]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik WAL]"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="PRX"></code>
+     <display value="Praxis Biologics"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Praxis Biologics"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Celltech Medeva Vaccines and Evans Medical Limited) [Inactive--use NOV] CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="(inclusief Celltech Medeva Vaccines en Evans Medical Limited) [Inactief - gebruik NOV] CDC wijzigingen op: 14 juli 2006"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="PWJ"></code>
+     <display value="PowderJect Pharmaceuticals"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="PowderJect Pharmaceuticals"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
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+    <concept>
+     <code value="SCL"></code>
+     <display value="Sclavo, Inc."></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Sclavo, Inc."></value>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use BPC]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik BPC]"></valueString>
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+     <code value="SI"></code>
+     <display value="Swiss Serum and Vaccine Inst."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Swiss Serum and Vaccine Inst."></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(formerly SmithKline Beecham; includes SmithKline Beecham and Glaxo Welcome)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(voormalig SmithKline Beecham; inclusief SmithKline Beecham en Glaxo Welcome)"></valueString>
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+     <code value="SKB"></code>
+     <display value="GlaxoSmithKline"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="GlaxoSmithKline"></value>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="CDC wijzigingen op: 14 jul 2006"></valueString>
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+      </valueString>
+     </extension>
+     <code value="SOL"></code>
+     <display value="Solvay Pharmaceuticals"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Solvay, Pharmaceuticals"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Bayer Biologicals) CDC Changes made on: Feb. 28, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(inclusief Bayer Biologicals) CDC wijzigingen op: 28 feb 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TAL"></code>
+     <display value="Talecris Biotherapeutics"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Talecris Biotherapeutics"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="UNK"></code>
+     <display value="Unknown manufacturer"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Unknown manufacturer"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="USA"></code>
+     <display value="United States Army Medical Research and Material Command"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="United States Army Medical Research and Material Command"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="CDC Changes made on: July 14, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="CDC wijzigingen op: 14 juli 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VXG"></code>
+     <display value="VaxGen"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VaxGen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="[Inactive--use WAL]">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="[Inactief - gebruik WAL]"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WA"></code>
+     <display value="Wyeth-Ayerst"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wyeth-Ayerst"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Wyeth-Lederle Vaccines and Pediatrics, Wyeth Laboratories, Lederle Laboratories, and Praxis Biologics)">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(inclusief Wyeth-Lederle Vaccines en Pediatrics, Wyeth Laboratories, Lederle Laboratories, en Praxis Biologics)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WAL"></code>
+     <display value="Wyeth-Ayerst"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wyeth-Ayerst"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="(includes Aventis Behring and Armour Pharmaceutical Company) CDC Changes made on: Feb. 28, 2006">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="(inclusief Aventis Behring en Armour Pharmaceutical Company) CDC wijzigingen op: 28 feb 2006"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ZLB"></code>
+     <display value="ZLB Behring"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ZLB Behring"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0228"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0228"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0228"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.128"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0228"></name>
+    <title value="v2 Diagnosis Classification"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0228 ( Diagnosis Classification)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Consultation"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Behandlung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Consult"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Diagnosis"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diagnose"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diagnose"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Invasive procedure not classified elsewhere (I.V., catheter, etc.)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Maßnahme"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Invasieve procedure niet anders geclassificeerd (infuus, catether, etc.)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medication (antibiotic)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medikation"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicatie (antibioticum)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="andere"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Radiological scheduling (not using ICDA codes)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Planung von radiologischen Untersuchungen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Radiologische planning (zonder gebruik te maken van ICDA codes)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Sign and symptom"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Symptome"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Teken en symptoom"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Tissue diagnosis"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gewebebestimmung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Weefseldiagnose"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0229"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0229"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0229"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.129"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0229"></name>
+    <title value="v2 Outlier Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0229 ( Outlier Type)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString>
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Amerikaans zorgprogramma aanvullend op Medicare"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Champus"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Civilian Health and Medical Program of the Uniformed Services"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Managed Care Organization"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Managed Care organisatie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medicare"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0230"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0230"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0230"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.130"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0230"></name>
+    <title value="v2 Procedure Functional Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0230 ( Procedure Functional Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Anesthesia"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Narkose"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anesthesie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Diagnostic procedure"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diagnosestellung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diagnostische behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Invasive procedure not classified elsewhere (e.g., IV, catheter, etc.)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="operativer Eingriff"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Invasieve procedure niet anders geclassificeerd (bijv. infuus, catether, etc.)"></value>
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+    <concept>
+     <code value="P"></code>
+     <display value="Procedure for treatment (therapeutic, including operations)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Behandlung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Behandelingsprocedure (therapeutisch inclusief operaties)"></value>
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+    </concept>
+   </CodeSystem>
+  </resource>
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+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0231"></fullUrl>
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+   <CodeSystem xmlns="http://hl7.org/fhir">
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+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
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+    <publisher value="HL7, Inc"></publisher>
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+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0231 ( Student Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Full-time student"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Voltijdsstudent"></value>
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+     <code value="N"></code>
+     <display value="Not a student"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Geen student"></value>
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+    <concept>
+     <code value="P"></code>
+     <display value="Part-time student"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deeltijdstudent"></value>
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+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0232"></fullUrl>
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+   <CodeSystem xmlns="http://hl7.org/fhir">
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+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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+    <language value="en"></language>
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+     <valueCode value="external"></valueCode>
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+     <valueInteger value="0"></valueInteger>
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+     <system value="urn:ietf:rfc:3986"></system>
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+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
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+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
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+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0232 ( Insurance Company Contact Reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="01"></code>
+     <display value="Medicare claim status"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Medicare declaratiestatus"></value>
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+    <concept>
+     <code value="02"></code>
+     <display value="Medicaid claim status"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Medicaid declaratiestatus"></value>
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+    </concept>
+    <concept>
+     <code value="03"></code>
+     <display value="Name/address change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Naam/adreswijziging"></value>
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+    </concept>
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+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0234"></fullUrl>
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+   <CodeSystem xmlns="http://hl7.org/fhir">
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+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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+     <valueCode value="external"></valueCode>
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+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
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+    <url value="http://terminology.hl7.org/CodeSystem/v2-0234"></url>
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+     <system value="urn:ietf:rfc:3986"></system>
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+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
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+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
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+    <description value="FHIR Value set/code system definition for HL7 v2 table 0234 ( Report Timing)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="10D"></code>
+     <display value="10 day report"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="10-daags verslag"></value>
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+     <code value="15D"></code>
+     <display value="15 day report"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+     <display value="30 day report"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="30-daags verslag"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="3-daags verslag"></value>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="7-daags verslag"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Correctie"></value>
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+     <code value="DE"></code>
+     <display value="Device evaluation"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Apparaatevaluatie"></value>
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+     <code value="PD"></code>
+     <display value="Periodic"></display>
+     <designation>
+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Periodiek"></value>
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+     <code value="RQ"></code>
+     <display value="Requested information"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Gevraagde informatie"></value>
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+    <publisher value="HL7, Inc"></publisher>
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+      <value value="http://hl7.org"></value>
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+    <content value="complete"></content>
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+     <code value="C"></code>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <display value="Database/registry/poison control center"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Database/register/toxicologisch centrum"></value>
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+     <display value="Distributor"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Distributeur"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Zorgprofessional"></value>
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+     <display value="Literature"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <display value="Manufacturer/marketing authority holder"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Fabrikant/marketing autoriteithouder"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+       <code value="display"></code>
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+      <value value="Toezichthoudend orgaan"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+     <display value="Misuse"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <display value="Overdose"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <display value="Drug withdrawal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Medicatie onthouden"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <display value="Significant"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+     <display value="Yes"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Ja"></value>
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+      <system value="url"></system>
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+    <description value="FHIR Value set/code system definition for HL7 v2 table 0239 ( Event Expected)"></description>
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+      <language value="de"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Nee"></value>
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+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Onbekend"></value>
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+     <code value="Y"></code>
+     <display value="Yes"></display>
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+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Ja"></value>
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+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Ja"></value>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Anders"></value>
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+       <code value="display"></code>
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+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0243"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.142"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0243"></name>
+    <title value="v2 Identity may be Divulged"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0243 ( Identity may be Divulged)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="N"></code>
+     <display value="No"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nein"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NA"></code>
+     <display value="Not applicable"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet van toepassing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Yes"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0247"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0247"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0247"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.143"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0247"></name>
+    <title value="v2 Start of Evaluation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0247 ( Start of Evaluation)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Evaluation anticipated, but not yet begun"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Evaluatie, nog niet begonnen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Product received in condition which made analysis impossible"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product ontvangen in conditie die analyse onmogelijk maakt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Product discarded -- unable to follow up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product weggegooid -- kon niet opvolgen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Product remains implanted -- unable to follow up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product blijft geïmplanteerd -- kan niet opvolgen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="K"></code>
+     <display value="Problem already known, no evaluation necessary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Probleem reeds bekend, geen evaluatie noodzakelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Evaluation in progress"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Evaluatie is gaande"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q"></code>
+     <display value="Product under quarantine -- unable to follow up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product in quarantaine -- kan niet opvolgen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Product under recall/corrective action"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product wordt teruggeroepen/correctieve actie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Product unavailable for follow up investigation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product niet beschikbaar voor opvolgend onderzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="Product not made by company"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product wordt niet door bedrijf gemaakt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Evaluation completed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Evaluatie voltooid"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0248"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0248"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0248"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.144"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0248"></name>
+    <title value="v2 Product Source"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0248 ( Product Source)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Actual product involved in incident was evaluated"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Exacte product betrokken in incident is geëvalueerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="A product from the same lot as the actual product involved was evaluated"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een product uit dezelfde partij als het exacte betrokken product is geëvalueerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="A product from a controlled/non-related inventory was evaluated"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een product van een beheerde/niet-gerelateerde voorraad geëvalueerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="A product from a reserve sample was evaluated"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een product uit een reserve sample is geëvalueerd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0250"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0250"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0250"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.145"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0250"></name>
+    <title value="v2 Relatedness Assessment"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0250 ( Relatedness Assessment)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="H"></code>
+     <display value="Highly probable"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeer waarschijnlijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Improbable"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet waarschijnlijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Moderately probable"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gemiddeld waarschijnlijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Not related"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet gerelateerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Somewhat probable"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enigzins waarschijnlijk"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0251"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0251"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0251"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.146"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0251"></name>
+    <title value="v2 Action Taken in Response to the Event"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0251 ( Action Taken in Response to the Event)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="DI"></code>
+     <display value="Product dose or frequency of use increased"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Productdosis of gebruiksfrequentie verhoogd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DR"></code>
+     <display value="Product dose or frequency of use reduced"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Productdosis of gebruiksfrequentie verlaagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="None"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OT"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WP"></code>
+     <display value="Product withdrawn permanently"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product permanent teruggetrokken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WT"></code>
+     <display value="Product withdrawn temporarily"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Product tijdelijk teruggetrokken"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0252"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0252"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0252"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.147"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0252"></name>
+    <title value="v2 Causality Observations"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0252 ( Causality Observations)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AW"></code>
+     <display value="Abatement of event after product withdrawn"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vermindering gebeurtenis na terugtrekken product"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BE"></code>
+     <display value="Event recurred after product reintroduced"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebeurtenis trad opnieuw op na herintroductie product"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DR"></code>
+     <display value="Dose response observed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dosis reactie geobserveerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EX"></code>
+     <display value="Alternative explanations for the event available"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alternatieve verklaringen voor gebeurtenis beschikbaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Event occurred after product introduced"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebeurtenis trad op na introductie product"></value>
      </designation>
     </concept>
     <concept>
      <code value="LI"></code>
-     <display value="Labor and industries number"></display>
+     <display value="Literature reports association of product with event"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Arbeid en Industrie-nummer"></value>
+      <value value="Literatuur vermeldt koppeling van product met gebeurtenis"></value>
      </designation>
     </concept>
     <concept>
-     <code value="MCD"></code>
-     <display value="Medicaid number"></display>
+     <code value="OE"></code>
+     <display value="Occurrence of event was confirmed by objective evidence"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medicaid-nummer"></value>
+      <value value="Optreden van gebeurtenis is bevestigd door objectief bewijs"></value>
      </designation>
     </concept>
     <concept>
-     <code value="MCR"></code>
-     <display value="Medicare number"></display>
+     <code value="OT"></code>
+     <display value="Other"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Medicare-nummer"></value>
+      <value value="Anders"></value>
      </designation>
     </concept>
     <concept>
-     <code value="QA"></code>
-     <display value="QA number"></display>
+     <code value="PL"></code>
+     <display value="Effect observed when patient receives placebo"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="QA-nummer"></value>
+      <value value="Effect geobserveerd wanneer patiënt placebo krijgt"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SL"></code>
-     <display value="State license number"></display>
+     <code value="SE"></code>
+     <display value="Similar events in past for this patient"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Staat licentienummer"></value>
+      <value value="Vergelijkbare gebeurtenissen in verleden voor deze patiënt"></value>
      </designation>
     </concept>
     <concept>
-     <code value="TAX"></code>
-     <display value="Tax ID number"></display>
+     <code value="TC"></code>
+     <display value="Toxic levels of product documented in blood or body fluids"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="SoFi-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TRL"></code>
-     <display value="Training license number"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Opleiding licentie-nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UPIN"></code>
-     <display value="Unique physician ID no."></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uniek Arts ID-nummer"></value>
+      <value value="Toxische niveaus van product gedocumenteerd in bloed of lichaamssappen"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0339"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0253"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0339"></id>
+    <id value="v2-0253"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -88345,14 +68240,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0339"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0253"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.209"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.148"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0339"></name>
-    <title value="v2 Advanced Beneficiary Notice Code"></title>
+    <name value="v2.0253"></name>
+    <title value="v2 Indirect Exposure Mechanism"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -88362,56 +68257,76 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0339 ( Advanced Beneficiary Notice Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0253 ( Indirect Exposure Mechanism)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="1"></code>
-     <display value="Service is subject to medical necessity procedures"></display>
+     <code value="B"></code>
+     <display value="Breast milk"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zuzahlung muss abgeklärt werden"></value>
+      <value value="Borstmelk"></value>
      </designation>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="Patient has been informed of responsibility, and agrees to pay for service"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Patient has been informed of responsibility, and asks that the payer be billed"></display>
+     <code value="F"></code>
+     <display value="Father"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Patient fragt nach Rechnung"></value>
+      <value value="Vader"></value>
      </designation>
     </concept>
     <concept>
-     <code value="4"></code>
-     <display value="Advanced Beneficiary Notice has not been signed"></display>
+     <code value="O"></code>
+     <display value="Other"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Zustimmung zur Zuzahlung liegt nicht vor"></value>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Transplacental"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Via placenta"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="Blood product"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bloedproduct"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0571"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0254"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0571"></id>
+    <id value="v2-0254"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -88422,14 +68337,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0571"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0254"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.371"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.149"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0571"></name>
-    <title value="v2 Invoice Processing Results Status"></title>
+    <name value="v2.0254"></name>
+    <title value="v2 Kind of Quantity"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -88439,50 +68354,14039 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0571 ( Invoice Processing Results Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0254 ( Kind of Quantity)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="ACK"></code>
-     <display value="Acknowledge"></display>
+     <code value="ABS"></code>
+     <display value="Absorbance"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Empfangsbestätigung"></value>
+      <value value="Absorptie"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="ADJ"></code>
-     <display value="Adjudicated with Adjustments"></display>
-    </concept>
-    <concept>
-     <code value="ADJSUB"></code>
-     <display value="Adjudicated as Submitted"></display>
-    </concept>
-    <concept>
-     <code value="ADJZER"></code>
-     <display value="Adjudicated to Zero"></display>
-    </concept>
-    <concept>
-     <code value="PAID"></code>
-     <display value="Paid"></display>
-    </concept>
-    <concept>
-     <code value="PEND"></code>
-     <display value="Pending"></display>
-    </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Indicates that the IPR has been adjudicated but will not be paid.  Equivalent to ADJUD (Adjudicate)"></valueString>
+      <valueString>
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="*"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="PRED"></code>
-     <display value="Pre-Determination"></display>
+     <code value="ACNC"></code>
+     <display value="Concentration, Arbitrary Substance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Concentratie, arbitraire substantie"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="REJECT"></code>
-     <display value="Reject"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ACT"></code>
+     <display value="Activity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Activiteit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="APER"></code>
+     <display value="Appearance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voorkomen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ARB"></code>
+     <display value="Arbitrary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbitrair"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AREA"></code>
+     <display value="Area"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebied"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ASPECT"></code>
+     <display value="Aspect"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aspect"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="CACT"></code>
+     <display value="Catalytic Activity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische activiteit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="CCNT"></code>
+     <display value="Catalytic Content"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CCRTO"></code>
+     <display value="Catalytic Concentration Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische concentratieverhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="CFR"></code>
+     <display value="Catalytic Fraction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische fractie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CLAS"></code>
+     <display value="Class"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klasse"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="CNC"></code>
+     <display value="Catalytic Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="CNST"></code>
+     <display value="Constant"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Constante"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="COEF"></code>
+     <display value="Coefficient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Coëfficiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="COLOR"></code>
+     <display value="Color"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kleur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CONS"></code>
+     <display value="Consistency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Consistentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="CRAT"></code>
+     <display value="Catalytic Rate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische snelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CRTO"></code>
+     <display value="Catalytic Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Katalytische verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DEN"></code>
+     <display value="Density"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dichtheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DEV"></code>
+     <display value="Device"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Apparaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="DIFF"></code>
+     <display value="Difference"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verschil"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ELAS"></code>
+     <display value="Elasticity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Elasticiteit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ELPOT"></code>
+     <display value="Electrical Potential (Voltage)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electrische potentiaal (voltage)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ELRAT"></code>
+     <display value="Electrical current (amperage)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electrische stroom (amperage)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ELRES"></code>
+     <display value="Electrical Resistance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electrische weerstand"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ENGR"></code>
+     <display value="Energy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Energie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ENT"></code>
+     <display value="Entitic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit-gerelateerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ENTCAT"></code>
+     <display value="Entitic Catalytic Activity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit-gerelateerde katalytische activiteit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ENTNUM"></code>
+     <display value="Entitic Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit-gerelateerd aantal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ENTSUB"></code>
+     <display value="Entitic Substance of Amount"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit-gerelateerde substantie van hoeveelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="ENTVOL"></code>
+     <display value="Entitic Volume"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit-gerelateerd volume"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EQL"></code>
+     <display value="Equilibrium"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Evenwicht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FORCE"></code>
+     <display value="Mechanical force"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mechanische kracht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FREQ"></code>
+     <display value="Frequency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Frequentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IMP"></code>
+     <display value="Impression/ interpretation of study"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indruk/interpretatie van onderzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="KINV"></code>
+     <display value="Kinematic Viscosity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kinematische viscositeit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LEN"></code>
+     <display value="Length"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lengte"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="LINC"></code>
+     <display value="Length Increment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lengte increment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="LIQ"></code>
+     <display value="Liquefaction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Liquefactie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MASS"></code>
+     <display value="Mass"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MCNC"></code>
+     <display value="Mass Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString>
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="*"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MCNT"></code>
+     <display value="Mass Content"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MCRTO"></code>
+     <display value="Mass Concentration Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa concentratie verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MFR"></code>
+     <display value="Mass Fraction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa fractie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MGFLUX"></code>
+     <display value="Magnetic flux"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Magnetische flux"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MINC"></code>
+     <display value="Mass Increment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa increment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MORPH"></code>
+     <display value="Morphology"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Morfologie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MOTIL"></code>
+     <display value="Motility"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beweeglijkheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MRAT"></code>
+     <display value="Mass Rate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa snelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="MRTO"></code>
+     <display value="Mass Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Massa verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="NCNC"></code>
+     <display value="Number Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aantal concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="NCNT"></code>
+     <display value="Number Content"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aantal inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="NFR"></code>
+     <display value="Number Fraction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aantal fractie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="NRTO"></code>
+     <display value="Number Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aantal verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="NUM"></code>
+     <display value="Number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aantal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OD"></code>
+     <display value="Optical density"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Optische dichtheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="OSMOL"></code>
+     <display value="Osmolality"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Osmolaliteit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRES"></code>
+     <display value="Pressure (Partial)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Druk (partiële)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRID"></code>
+     <display value="Presence/Identity/Existence"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanwezigheid/identiteit/existentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PWR"></code>
+     <display value="Power (wattage)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kracht (wattage)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RANGE"></code>
+     <display value="Ranges"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bereiken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RATIO"></code>
+     <display value="Ratios"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verhoudingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RCRLTM"></code>
+     <display value="Reciprocal Relative Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wederzijdse relatieve tijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RDEN"></code>
+     <display value="Relative Density"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Relatieve dichtheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="REL"></code>
+     <display value="Relative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Relatief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RLMCNC"></code>
+     <display value="Relative Mass Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Relatieve massa concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RLSCNC"></code>
+     <display value="Relative Substance Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Relatieve substantie concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="RLTM"></code>
+     <display value="Relative Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Relatieve tijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SATFR"></code>
+     <display value="Saturation Fraction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Saturatie factie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SCNC"></code>
+     <display value="Substance Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SCNCIN"></code>
+     <display value="Substance Concentration Increment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie concentratie increment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SCNT"></code>
+     <display value="Substance Content"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SCNTR"></code>
+     <display value="Substance Content Rate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie inhoud verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SCRTO"></code>
+     <display value="Substance Concentration Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie concentratie verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SFR"></code>
+     <display value="Substance Fraction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie fractie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SHAPE"></code>
+     <display value="Shape"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vorm"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SMELL"></code>
+     <display value="Smell"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Reuk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SRAT"></code>
+     <display value="Substance Rate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie snelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SRTO"></code>
+     <display value="Substance Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SUB"></code>
+     <display value="Substance Amount"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substantie hoeveelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="SUSC"></code>
+     <display value="Susceptibility"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gevoeligheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TASTE"></code>
+     <display value="Taste"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Smaak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TEMP"></code>
+     <display value="Temperature"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Temperatuur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TEMPDF"></code>
+     <display value="Temperature Difference"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Temperatuurverschil"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TEMPIN"></code>
+     <display value="Temperature Increment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Temperatuur increment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="THRMCNC"></code>
+     <display value="Threshold Mass Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Grenswaarde massa concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="THRSCNC"></code>
+     <display value="Threshold Substance Concentration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Grenswaarde substantie concentratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TIME"></code>
+     <display value="Time (e.g. seconds)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijd (bijv. seconden)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TITR"></code>
+     <display value="Dilution Factor (Titer)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verdunningsfactor (titer)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TMDF"></code>
+     <display value="Time Difference"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdverschil"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TMSTP"></code>
+     <display value="Time Stamp-Date and Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdstempel - Datum en tijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TRTO"></code>
+     <display value="Time Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijd verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="TYPE"></code>
+     <display value="Type"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Type"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VCNT"></code>
+     <display value="Volume Content"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volume inhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VEL"></code>
+     <display value="Velocity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Snelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VELRT"></code>
+     <display value="Velocity Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Snelheid verhouding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VFR"></code>
+     <display value="Volume Fraction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volume fractie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VISC"></code>
+     <display value="Viscosity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Viscositeit"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VOL"></code>
+     <display value="Volume"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volume"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VRAT"></code>
+     <display value="Volume Rate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volume snelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="*"></valueString>
+     </extension>
+     <code value="VRTO"></code>
+     <display value="Volume Ratio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volume verhouding"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0255"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0255"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0255"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.150"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0255"></name>
+    <title value="v2 Duration Categories"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0255 ( Duration Categories)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Used for blood products."></valueString>
+     </extension>
+     <code value="*"></code>
+     <display value="(asterisk) Life of the &quot;unit&quot;"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(asterisk) Leven van de &quot;eenheid&quot;. Voor bloedproducten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="12H"></code>
+     <display value="12 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="12 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1H"></code>
+     <display value="1 hour"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1L"></code>
+     <display value="1 months (30 days)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 maand (30 dagen)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1W"></code>
+     <display value="1 week"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 week"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2.5H"></code>
+     <display value="2 1/2 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 1/2 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="24H"></code>
+     <display value="24 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="24 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2D"></code>
+     <display value="2 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2H"></code>
+     <display value="2 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2L"></code>
+     <display value="2 months"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 maanden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2W"></code>
+     <display value="2 weeks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 weken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="30M"></code>
+     <display value="30 minutes"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="30 minuten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3D"></code>
+     <display value="3 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3H"></code>
+     <display value="3 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3L"></code>
+     <display value="3 months"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 maanden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3W"></code>
+     <display value="3 weeks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 weken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4D"></code>
+     <display value="4 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4H"></code>
+     <display value="4 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4W"></code>
+     <display value="4 weeks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 weken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5D"></code>
+     <display value="5 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="5 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5H"></code>
+     <display value="5 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6D"></code>
+     <display value="6 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="6 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6H"></code>
+     <display value="6 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="6 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="7H"></code>
+     <display value="7 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="7 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8H"></code>
+     <display value="8 hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="8 uur"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LU"></code>
+     <display value="Life of the &quot;unit&quot;"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="This is a synonym for &quot;spot&quot; or &quot;random&quot; as applied to ine measurements."></valueString>
+     </extension>
+     <code value="PT"></code>
+     <display value="point in time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voor identificatie metingen op een moment in de tijd. Dit is een een synoniem voor &quot;punt&quot; or &quot;willekeurig&quot; zoals toegepast in urinemetingen."></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0256"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0256"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0256"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.151"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0256"></name>
+    <title value="v2 Time Delay Post Challenge"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0256 ( Time Delay Post Challenge)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="10D"></code>
+     <display value="10 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="10 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="10M"></code>
+     <display value="10 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="10 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="12H"></code>
+     <display value="12 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="12 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="15M"></code>
+     <display value="15 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="15 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1H"></code>
+     <display value="1 hour post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1L"></code>
+     <display value="1 month (30 days) post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 maand (30 dagen) post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1M"></code>
+     <display value="1 minute post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 minuut post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1W"></code>
+     <display value="1 week"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1 week"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2.5H"></code>
+     <display value="2 1/2 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 1/2 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="20M"></code>
+     <display value="20 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="20 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="24H"></code>
+     <display value="24 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="24 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="25M"></code>
+     <display value="25 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="25 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2D"></code>
+     <display value="2 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2H"></code>
+     <display value="2 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2L"></code>
+     <display value="2 months (60 days) post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 maanden (60 dagen) post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2M"></code>
+     <display value="2 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2W"></code>
+     <display value="2 weeks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2 weken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="30M"></code>
+     <display value="30 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="30 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3D"></code>
+     <display value="3 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3H"></code>
+     <display value="3 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3L"></code>
+     <display value="3 months (90 days) post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 maanden (90 dagen) post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3M"></code>
+     <display value="3 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3W"></code>
+     <display value="3 weeks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3 weken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4D"></code>
+     <display value="4 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4H"></code>
+     <display value="4 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4M"></code>
+     <display value="4 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4W"></code>
+     <display value="4 weeks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="4 weken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5D"></code>
+     <display value="5 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="5 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5H"></code>
+     <display value="5  hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="5 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5M"></code>
+     <display value="5 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="5 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6D"></code>
+     <display value="6 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="7 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6H"></code>
+     <display value="6 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="6 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6M"></code>
+     <display value="6 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="6 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="7D"></code>
+     <display value="7 days"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="7 dagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="7H"></code>
+     <display value="7 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="7 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="7M"></code>
+     <display value="7 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="7 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8H"></code>
+     <display value="8 hours post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="8 uur post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8H SHIFT"></code>
+     <display value="8 hours aligned on nursing shifts"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="8 uur volgens verleegdiensten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="8M"></code>
+     <display value="8 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="8 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="9M"></code>
+     <display value="9 minutes post challenge"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="9 minuten post uitdaging"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BS"></code>
+     <display value="Baseline (time just before the challenge)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nulmeting (tijd net voor de uitdaging)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PEAK"></code>
+     <display value="The time post drug dose at which the highest drug level is reached (differs by drug)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De tijd na medicatiedosis waarop het hoogste medicatieniveau is bereikt (verschilt per medicament)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RANDOM"></code>
+     <display value="Time from the challenge, or dose not specified. (random)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijd vanaf uitdaging of dosis niet gespecificeerd. (willekeurig)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TROUGH"></code>
+     <display value="The time post drug dose at which the lowest drug level is reached (varies with drug)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De tijd na medicatiedosis waarop het laagste medicatieniveau is bereikt (verschilt per medicament)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0257"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0257"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0257"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.152"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0257"></name>
+    <title value="v2 Nature of Challenge"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0257 ( Nature of Challenge)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CFST"></code>
+     <display value="Fasting (no calorie intake) for the period specified in the time component of the term, e.g., 1H POST CFST"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vasten (geen calorische inname) voor de opgegeven periode in het tijdcomponent van de termijn, bijv. 1H POST CFST"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EXCZ"></code>
+     <display value="Exercise undertaken as challenge (can be quantified)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Oefening ondernomen als uitdaging (kan worden gekwantificeerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FFST"></code>
+     <display value="No fluid intake for the period specified in the time component of the term"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen vloeistofinname voor de opgegeven periode in het tijdcomponent van de termijn"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0258"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0258"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0258"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.153"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0258"></name>
+    <title value="v2 Relationship Modifier"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0258 ( Relationship Modifier)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="BPU"></code>
+     <display value="Blood product unit"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bloedproducteenheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CONTROL"></code>
+     <display value="Control"></display>
+    </concept>
+    <concept>
+     <code value="DONOR"></code>
+     <display value="Donor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Donor"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PATIENT"></code>
+     <display value="Patient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiënt"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0259"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0259"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0259"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.154"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0259"></name>
+    <title value="v2 Modality"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0259 ( Modality)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="AS"></code>
+     <display value="Angioscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Angioscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BS"></code>
+     <display value="Biomagnetic imaging"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Biomagnetische beeldvorming"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CD"></code>
+     <display value="Color flow Doppler"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kleurverloop Doppler"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CP"></code>
+     <display value="Colposcopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Colposcopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CR"></code>
+     <display value="Computed radiography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Computed Radiography"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CS"></code>
+     <display value="Cystoscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Cystoscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CT"></code>
+     <display value="Computed tomography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Computed Tomography"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DD"></code>
+     <display value="Duplex Doppler"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Duplex Doppler"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DG"></code>
+     <display value="Diapanography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mammografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DM"></code>
+     <display value="Digital microscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Digitale microscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="EC"></code>
+     <display value="Echocardiography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Echocardiografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ES"></code>
+     <display value="Endoscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Endoscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FA"></code>
+     <display value="Fluorescein angiography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fluoresceïne angiografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FS"></code>
+     <display value="Fundoscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fundoscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LP"></code>
+     <display value="Laparoscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Laparoscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LS"></code>
+     <display value="Laser surface scan"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Laser oppervlakte scan"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MA"></code>
+     <display value="Magnetic resonance angiography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Magnetische resonantie angiografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MS"></code>
+     <display value="Magnetic resonance spectroscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Magnetische resonantie spectrografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NM"></code>
+     <display value="Nuclear Medicine (radioisotope study)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nucleaire geneeskunde (radio-isotopisch onderzoek)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="OT"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PT"></code>
+     <display value="Positron emission tomography (PET)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Positron Emissie Tomografie (PET)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RF"></code>
+     <display value="Radio fluoroscopy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Radiofluoroscopie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ST"></code>
+     <display value="Single photon emission computed tomography (SPECT)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Single Photon Emission Tomography Computed Tomography (SPECT)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="TG"></code>
+     <display value="Thermography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Thermografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="US"></code>
+     <display value="Ultrasound"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ultrasound"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="XA"></code>
+     <display value="X-ray Angiography"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Röntgen angiografie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0260"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0260"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0260"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.155"></value>
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+    <version value="2.9"></version>
+    <name value="v2.0260"></name>
+    <title value="v2 Patient Location Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0260 ( Patient Location Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Bed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Clinic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kliniek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Department"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afdeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Exam Room"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onderzoeksruimte"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Other Location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere locatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Nursing Unit"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verpleegafdeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Operating Room"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Operatiekamer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Room"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kamer"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
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+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0261"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0261"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0261"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.156"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0261"></name>
+    <title value="v2 Location Equipment"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0261 ( Location Equipment)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="EEG"></code>
+     <display value="Electro-Encephalogram"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electroencefalogram"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EKG"></code>
+     <display value="Electro-Cardiogram"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electrocardiogram"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="INF"></code>
+     <display value="Infusion pump"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Infusiepomp"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IVP"></code>
+     <display value="IV pump"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Infuuspomp"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OXY"></code>
+     <display value="Oxygen"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zuurstof"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SUC"></code>
+     <display value="Suction"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Suctie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VEN"></code>
+     <display value="Ventilator"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ventilator"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VIT"></code>
+     <display value="Vital signs monitor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vitale functies monitor"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
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+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
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+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0262"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.157"></value>
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+    <name value="v2.0262"></name>
+    <title value="v2 Privacy Level"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0262 ( Privacy Level)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Isolation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Isolatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="J"></code>
+     <display value="Private room - medically justified"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigen kamer - medisch onderbouwd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Private room"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigen kamer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q"></code>
+     <display value="Private room - due to overflow"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eigen kamer - wegens drukte"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Semi-private room"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Semi-eigen kamer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Ward"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afdeling"></value>
+     </designation>
+    </concept>
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+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
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+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
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+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0263"></url>
+    <identifier>
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+     <value value="urn:oid:2.16.840.1.113883.18.158"></value>
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+    <name value="v2.0263"></name>
+    <title value="v2 Level of Care"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0263 ( Level of Care)"></description>
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+    <concept>
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+     <display value="Ambulatory"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dagbehandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Critical care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kritieke zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Spoed"></value>
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+    </concept>
+    <concept>
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+     <display value="Isolation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Isolatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Intensive care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intensive care"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Routine"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Surgery"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chirurgie"></value>
+     </designation>
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+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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+    <url value="http://terminology.hl7.org/CodeSystem/v2-0265"></url>
+    <identifier>
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+     <value value="urn:oid:2.16.840.1.113883.18.159"></value>
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+    <name value="v2.0265"></name>
+    <title value="v2 Specialty Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0265 ( Specialty Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ALC"></code>
+     <display value="Allergy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Allergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AMB"></code>
+     <display value="Ambulatory"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dagbehandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CAN"></code>
+     <display value="Cancer"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kanker"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CAR"></code>
+     <display value="Coronary/cardiac care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Cornaire/hartzorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CCR"></code>
+     <display value="Critical care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kritieke zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CHI"></code>
+     <display value="Chiropractic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chiropractisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EDI"></code>
+     <display value="Education"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onderwijs"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EMR"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FPC"></code>
+     <display value="Family planning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gezinsplanning"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="INT"></code>
+     <display value="Intensive care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intensieve care"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ISO"></code>
+     <display value="Isolation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Isolatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NAT"></code>
+     <display value="Naturopathic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Natuurgeneeskundig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NBI"></code>
+     <display value="Newborn, nursery, infants"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieuwgeborene, kinderkamer, zuigelingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OBG"></code>
+     <display value="Obstetrics, gynecology"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Obstetrie, gynaecologie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OBS"></code>
+     <display value="Observation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Observaties"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OTH"></code>
+     <display value="Other specialty"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ander specialisme"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PED"></code>
+     <display value="Pediatrics"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pediatrie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PHY"></code>
+     <display value="General/family practice"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Algemeen/gezinspraktijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PIN"></code>
+     <display value="Pediatric/neonatal intensive care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pediatrie/neonatale intensive care"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PPS"></code>
+     <display value="Pediatric psychiatric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrische pediatrie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRE"></code>
+     <display value="Pediatric rehabilitation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pediatrische revalidatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PSI"></code>
+     <display value="Psychiatric intensive care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrische intensive care"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PSY"></code>
+     <display value="Psychiatric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="REH"></code>
+     <display value="Rehabilitation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Revalidatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SUR"></code>
+     <display value="Surgery"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chirurgie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WIC"></code>
+     <display value="Walk-in clinic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Inloopkliniek"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
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+ <entry>
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+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0267"></id>
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+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
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+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
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+    <url value="http://terminology.hl7.org/CodeSystem/v2-0267"></url>
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+     <system value="urn:ietf:rfc:3986"></system>
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+    <name value="v2.0267"></name>
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+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
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+     <telecom>
+      <system value="url"></system>
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+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0267 ( Days of the Week)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="FRI"></code>
+     <display value="Friday"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Vrijdag"></value>
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+    </concept>
+    <concept>
+     <code value="MON"></code>
+     <display value="Monday"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Maandag"></value>
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+    <concept>
+     <code value="SAT"></code>
+     <display value="Saturday"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Zaterdag"></value>
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+    <concept>
+     <code value="SUN"></code>
+     <display value="Sunday"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Zondag"></value>
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+    </concept>
+    <concept>
+     <code value="THU"></code>
+     <display value="Thursday"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Donderdag"></value>
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+    <concept>
+     <code value="TUE"></code>
+     <display value="Tuesday"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Dinsdag"></value>
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+    </concept>
+    <concept>
+     <code value="WED"></code>
+     <display value="Wednesday"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Woensdag"></value>
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+    <url value="http://terminology.hl7.org/CodeSystem/v2-0268"></url>
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+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
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+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0268 ( Override)"></description>
+    <content value="complete"></content>
+    <concept>
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+     <display value="Override allowed"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Override toegestaan"></value>
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+    <concept>
+     <code value="R"></code>
+     <display value="Override required"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Override vereist"></value>
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+     <code value="X"></code>
+     <display value="Override not allowed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Override niet toegestaan"></value>
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+    <title value="v2 Charge on Indicator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
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+    <concept>
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+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Facturatie bij aanvraag"></value>
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+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Charge on Result"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Facturatie bij resultaat"></value>
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+    <publisher value="HL7, Inc"></publisher>
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+    <content value="complete"></content>
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+     <display value="Autopsy report"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Autopsierapport"></value>
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+     <code value="CD"></code>
+     <display value="Cardiodiagnostics"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Cardiodiagnostiek"></value>
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+     <code value="CN"></code>
+     <display value="Consultation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Consultatie"></value>
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+    <concept>
+     <code value="DI"></code>
+     <display value="Diagnostic imaging"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Diagnostische beeldvorming"></value>
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+    <concept>
+     <code value="DS"></code>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Ontslagsamenvatting"></value>
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+    <concept>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+     <display value="History and physical examination"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Historie en lichamelijk onderzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OP"></code>
+     <display value="Operative report"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Operatieverslag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PC"></code>
+     <display value="Psychiatric consultation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrisch consult"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PH"></code>
+     <display value="Psychiatric history and physical examination"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrische historie en lichamelijk onderzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PN"></code>
+     <display value="Procedure note"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Behandelnotitie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="Progress note"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voortgangsnotitie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SP"></code>
+     <display value="Surgical pathology"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Chirurgische pathologie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TS"></code>
+     <display value="Transfer summary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overplaatsing samenvatting"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0271"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0271"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0271"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.164"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0271"></name>
+    <title value="v2 Document Completion Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0271 ( Document Completion Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AU"></code>
+     <display value="Authenticated"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Freigegeben"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geauthenticeerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="Dictated"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diktiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gedicteerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DO"></code>
+     <display value="Documented"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dokumentiert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gedocumenteerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Incomplete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Unvollständig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Incompleet"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IP"></code>
+     <display value="In Progress"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="In Bearbeitung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wordt aan gewerkt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LA"></code>
+     <display value="Legally authenticated"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unterschrieben"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wettelijk geauthenticeerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Pre-authenticated"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vorabfreigabe"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pre-authenticatie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0272"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0272"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0272"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.166"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0272"></name>
+    <title value="v2 Document Confidentiality Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0272 ( Document Confidentiality Status)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="1"></code>
+     <display value="ASTM Level 1"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ASTM Level 1"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="ASTM Level 2"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ASTM Level 2"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="ASTM Level 3"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ASTM Level 3"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Restricted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beperkte toegang"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="Restricted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beperkte toegang"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Usual control"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Normale toegang"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UC"></code>
+     <display value="Usual control"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Normale toegang"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Very restricted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeer beperkte toegang"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VR"></code>
+     <display value="Very restricted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zeer beperkte toegang"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0273"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0273"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0273"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.167"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0273"></name>
+    <title value="v2 Document Availability Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0273 ( Document Availability Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AV"></code>
+     <display value="Available for patient care"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verfügbar (Kann zur Behandlung herangezogen werden.)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beschikbaar voor patiëntzorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CA"></code>
+     <display value="Deleted"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gelöscht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijderd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OB"></code>
+     <display value="Obsolete"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nicht mehr relevant"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Obsoleet"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UN"></code>
+     <display value="Unavailable for patient care"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nicht verfügbar (Kann nicht zur Behandlung verwendet werden.)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet beschikbaar voor patiëntzorg"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0275"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0275"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0275"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.168"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0275"></name>
+    <title value="v2 Document Storage Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0275 ( Document Storage Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AA"></code>
+     <display value="Active and archived"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aktiv und archiviert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Actief en gearchiveerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AC"></code>
+     <display value="Active"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aktiv"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Actief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AR"></code>
+     <display value="Archived (not active)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Archiviert (inaktiv)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gearchiveerd (niet actief)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PU"></code>
+     <display value="Purged"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bereinigt (gelöscht)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijderd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0276"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0276"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0276"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.169"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0276"></name>
+    <title value="v2 Appointment Reason Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0276 ( Appointment Reason Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CHECKUP"></code>
+     <display value="A routine check-up, such as an annual physical"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routinecontrole, zoals jaarlijks lichamelijk onderzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EMERGENCY"></code>
+     <display value="Emergency appointment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoedafspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FOLLOWUP"></code>
+     <display value="A follow up visit from a previous appointment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een vervolgbezoek na een vorige afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ROUTINE"></code>
+     <display value="Routine appointment - default if not valued"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine afspraak - standaardwaarde bij geen waarde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WALKIN"></code>
+     <display value="A previously unscheduled walk-in visit"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een niet eerder gepland inloopbezoek"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0277"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0277"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0277"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.170"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0277"></name>
+    <title value="v2 Appointment Type Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0277 ( Appointment Type Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="Complete"></code>
+     <display value="A request to add a completed appointment, used to maintain records of completed appointments that did not appear in the schedule (e.g., STAT, walk-in, etc.)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een verzoek voor toevoegen voltooide afspraak, gebruikt voor bijhouden naslag van voltooide afspraken die niet in de agenda verschenen (bijv. STAT, inloop, etc.)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Normal"></code>
+     <display value="Routine schedule request type – default if not valued"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine agendaverzoek type - standaardwaarde als geen waarde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Tentative"></code>
+     <display value="A request for a tentative (e.g., “penciled in”) appointment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een verzoek voor een voorlopige afspraak (bijv. &quot;met potlood toegevoegd&quot;)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0278"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0278"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0278"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.171"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0278"></name>
+    <title value="v2 Filler Status Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0278 ( Filler Status Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Not used in the AIS, AIG, AIL, AIP segments."></valueString>
+     </extension>
+     <code value="Blocked"></code>
+     <display value="Blocked"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraakpositie(s) zijn geblokkeerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Booked"></code>
+     <display value="Booked"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is geboekt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Cancelled"></code>
+     <display value="Cancelled"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is gestopt voordat deze actief werd (geannuleerd vóór starten)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Complete"></code>
+     <display value="Complete"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is normaal voltooid (niet afgebroken, geannuleerd of verwijderd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DC"></code>
+     <display value="Discontinued"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is afgebroken (afgebroken terwijl deze gaande was, afgebroken bovenliggende afspraak, of afgebroken onderliggende afspraak)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Deleted"></code>
+     <display value="Deleted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is verwijderd van de filler applicatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Discontinued"></code>
+     <display value="Discontinued"></display>
+    </concept>
+    <concept>
+     <code value="Noshow"></code>
+     <display value="Noshow"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De patiënt is niet verschenen bij de afspraak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Overbook"></code>
+     <display value="Overbook"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is bevestigd; het is echter tevens in overboekte status"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Pending"></code>
+     <display value="Pending"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afspraak is nog niet bevestigd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Started"></code>
+     <display value="Started"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De aangegeven afspraak is begonnen en is momenteel bezig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Waitlist"></code>
+     <display value="Waitlist"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De afspraak is op een wachtlijst gezet voor een bepaald afspraakposities, of set van afspraakposities"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0279"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0279"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0279"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.172"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0279"></name>
+    <title value="v2 Allow Substitution Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0279 ( Allow Substitution Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="Confirm"></code>
+     <display value="Contact the Placer Contact Person prior to making any substitutions of this resource"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Neem contact op met placer contactpersoon voorafgaand aan eventuele substituties van deze resource"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="No"></code>
+     <display value="Substitution of this resource is not allowed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substitutie van deze resource is niet toegestaan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Notify"></code>
+     <display value="Notify the Placer Contact Person, through normal institutional procedures, that a substitution of this resource has been made"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Melden bij placer contactpersoon via normale institutionele afspraken indien een substitutie van deze resource heeft plaatsgevonden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Yes"></code>
+     <display value="Substitution of this resource is allowed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Substitutie van deze resource is toegestaan"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0280"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0280"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0280"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.173"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0280"></name>
+    <title value="v2 Referral Priority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0280 ( Referral Priority)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString>
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Zo spoedig mogelijk"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A"></code>
+     <display value="ASAP"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ZSM"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Routine"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="STAT"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="STAT"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0281"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0281"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0281"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.174"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0281"></name>
+    <title value="v2 Referral Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0281 ( Referral Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="Hom"></code>
+     <display value="Home Care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Thuiszorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Lab"></code>
+     <display value="Laboratory"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Laboratorium"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Med"></code>
+     <display value="Medical"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Psy"></code>
+     <display value="Psychiatric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Psychiatrisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Rad"></code>
+     <display value="Radiology"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Radiologie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Skn"></code>
+     <display value="Skilled Nursing"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0282"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0282"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0282"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.175"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0282"></name>
+    <title value="v2 Referral Disposition"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0282 ( Referral Disposition)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AM"></code>
+     <display value="Assume Management"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verondersteld management"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RP"></code>
+     <display value="Return Patient After Evaluation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Terugkomst patiënt na onderzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SO"></code>
+     <display value="Second Opinion"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Second opinion"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WR"></code>
+     <display value="Send Written Report"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stuur geschreven verslag"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0283"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0283"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0283"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.176"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0283"></name>
+    <title value="v2 Referral Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0283 ( Referral Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Accepted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geaccepteerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Expired"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlopen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Pending"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bezig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Rejected"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geweigerd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0284"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0284"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0284"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.177"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0284"></name>
+    <title value="v2 Referral Category"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0284 ( Referral Category)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Ambulatory"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dagbehandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spoed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Inpatient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Outpatient"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Poliklinisch"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0286"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0286"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0286"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.178"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0286"></name>
+    <title value="v2 Provider Role"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0286 ( Provider Role)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CP"></code>
+     <display value="Consulting Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Adviserende zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PP"></code>
+     <display value="Primary Care Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eerstelijns zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RP"></code>
+     <display value="Referring Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijzende zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RT"></code>
+     <display value="Referred to Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwezen naar zorgverlener"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0287"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0287"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0287"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.3"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0287"></name>
+    <title value="v2 Action Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0287 ( Action Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AD"></code>
+     <display value="ADD"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="hinzufügen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Toevoegen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CO"></code>
+     <display value="CORRECT"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Corrigeren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DE"></code>
+     <display value="DELETE"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="löschen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijderen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LI"></code>
+     <display value="LINK"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="verknüpfen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Koppelen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SP"></code>
+     <display value="Used in Snapshot mode"></display>
+    </concept>
+    <concept>
+     <code value="UC"></code>
+     <display value="UNCHANGED"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ongewijzigd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UN"></code>
+     <display value="UNLINK"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verknüpfung auflösen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ontkoppelen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UP"></code>
+     <display value="UPDATE"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ändern"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Updaten"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0290"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0290"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0290"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.180"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0290"></name>
+    <title value="v2 MIME base64 encoding Characters"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0290 ( MIME base64 encoding Characters)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="(pad)"></code>
+     <display value="="></display>
+     <designation>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="42"></code>
+     <display value="q"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="q"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="43"></code>
+     <display value="r"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="r"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="44"></code>
+     <display value="s"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="s"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="45"></code>
+     <display value="t"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="t"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    </concept>
+    <concept>
+     <code value="46"></code>
+     <display value="u"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="u"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    </concept>
+    <concept>
+     <code value="47"></code>
+     <display value="v"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="v"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    </concept>
+    <concept>
+     <code value="48"></code>
+     <display value="w"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="w"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="49"></code>
+     <display value="x"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="x"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="F"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="F"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="50"></code>
+     <display value="y"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="y"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="51"></code>
+     <display value="z"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="z"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="52"></code>
+     <display value="0"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="0"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="53"></code>
+     <display value="1"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="1"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="54"></code>
+     <display value="2"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="2"></value>
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+     <property>
+      <code value="status"></code>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="55"></code>
+     <display value="3"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="3"></value>
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+     <property>
+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="56"></code>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="4"></value>
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+      <code value="status"></code>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
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+     <display value="5"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="5"></value>
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+      <code value="status"></code>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="58"></code>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
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+     <code value="59"></code>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="7"></value>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="6"></code>
+     <display value="G"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="G"></value>
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+     <property>
+      <code value="deprecationDate"></code>
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+     <code value="60"></code>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="8"></value>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="61"></code>
+     <display value="9"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+     <code value="62"></code>
+     <display value="+"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="+"></value>
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+      <code value="status"></code>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    <concept>
+     <code value="63"></code>
+     <display value="/"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="/"></value>
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+     <property>
+      <code value="status"></code>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
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+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="H"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="H"></value>
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+     <property>
+      <code value="status"></code>
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+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="I"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="I"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="J"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="J"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0291"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0291"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0291"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.181"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0291"></name>
+    <title value="v2 Subtype of Referenced Data"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0291 ( Subtype of Referenced Data)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="Source RFC 2046"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bron RFC 2046"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BASIC"></code>
+     <display value="ISDN PCM audio data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ISDN PCM audiogegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DICOM"></code>
+     <display value="Digital Imaging and Communications in Medicine"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Digital Imaging and Communications in Medicine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FAX"></code>
+     <display value="Facsimile data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Faxgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GIF"></code>
+     <display value="Graphics Interchange Format"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Graphics Interchange Format"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="HTML"></code>
+     <display value="Hypertext Markup Language"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hypertext Markup Language"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="JOT"></code>
+     <display value="Electronic ink data (Jot 1.0 standard)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electronische Inktgegevens (Jot 1.0 standaard)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="JPEG"></code>
+     <display value="Joint Photographic Experts Group"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Joint Photographic Expert Group"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Octet-stream"></code>
+     <display value="Uninterpreted binary data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ongeïnterpreteerde binaire gegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PICT"></code>
+     <display value="PICT format image data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PICT formaat beeldgegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PostScript"></code>
+     <display value="PostScript program"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PostScript"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RTF"></code>
+     <display value="Rich Text Format"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rich Text Format"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SGML"></code>
+     <display value="Standard Generalized Markup Language (HL7 V2.3.1 and later)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Standard Generalized Markup Language (vanaf HL7 v2.3.1)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TIFF"></code>
+     <display value="TIFF image data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TIFF afbeeldinggegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backwards compatibility only as of v2.6 and CDA R 2. Preferred value is text/xml.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit vanaf v2.6 en CDAr2. Voorkeurswaarde is text/xml."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="x-hl7-cda-level-one"></code>
+     <display value="HL7 Clinical Document Architecture Level One document"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="HL7 Clinical Document Architecture Level One document"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="XML"></code>
+     <display value="Extensible Markup Language (HL7 V2.3.1 and later)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Extensible Markup Language (vanaf HL7 v2.3.1)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="…"></code>
+     <display value="Source RFC 2046"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bron RFC 2046"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0292"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0292"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0292"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.182"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0292"></name>
+    <title value="v2 Vaccines Administered"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0292 ( Vaccines Administered)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="diphtheria, tetanus toxoids and pertussis vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="difterie-kinkhoest-tetanus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="01"></code>
+     <display value="DTP"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DKT - difterie-kinkhoest-tetanus"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="poliovirus vaccine, live, oral">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="poliovirus vaccin, oraal"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="02"></code>
+     <display value="OPV"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OPV"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="measles, mumps and rubella virus vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="bof, mazelen, rodehond virus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="03"></code>
+     <display value="MMR"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="BMR - bof, mazelen, rodehond"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="measles and rubella virus vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="mazelen en rodehond virus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="04"></code>
+     <display value="M/R"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="M/R"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="measles virus vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="mazelen virus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="05"></code>
+     <display value="measles"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="mazelen"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="rubella virus vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="rodehond virus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="06"></code>
+     <display value="rubella"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="rodehond"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="mumps virus vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="bof virus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="07"></code>
+     <display value="mumps"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="bof"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="hepatitis B vaccine, pediatric or pediatric/adolescent dosage">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis B vaccin, pediatrie of pediatrie/adolescent dosering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="08"></code>
+     <display value="Hep B, adolescent or pediatric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hep B, adolescent of pediatrie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="tetanus and diphtheria toxoids, adsorbed for adult use">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tetanus en difterie toxoïde, geadsorbeerd, voor volwassen gebruik"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="09"></code>
+     <display value="Td (adult)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DT - difterie en tetanus (volwassene)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="poliovirus vaccine, inactivated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="poliovirus vaccin, inactief"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="10"></code>
+     <display value="IPV"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="IPV"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="pneumococcal conjugate vaccine, polyvalent">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="pneumokokken conjugaat vaccin, polyvalent"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="100"></code>
+     <display value="pneumococcal conjugate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="pneumokokken conjugaat"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="typhoid Vi capsular polysaccharide vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tyfus Vi capsular polysaccharide vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="101"></code>
+     <display value="typhoid, ViCPs"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="tyfus, ViCPs"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="DTP- Haemophilus influenzae type b conjugate and hepatitis b vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="DKT-Haemophilus influenzae type b conjugaat en hepatitis b vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="102"></code>
+     <display value="DTP-Hib-Hep B"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="DKT-Hib-Hep B"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="meningococcal C conjugate vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="meningokokken C conjugaat vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="103"></code>
+     <display value="meningococcal C conjugate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="meningokokken C conjugaat"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="hepatitis A and hepatitis B vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis A en hepatitis B vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="104"></code>
+     <display value="Hep A-Hep B"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hep A-Hep B"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="vaccinia (smallpox) vaccine, diluted">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
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+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tetanus immunoglobuline"></valueString>
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+     <code value="13"></code>
+     <display value="TIG"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="TIG"></value>
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+      <code value="deprecationDate"></code>
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+      <valueString value="immune globulin, NOS">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="immunoglobuline, niet anders gespecificeerd"></valueString>
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+     <code value="14"></code>
+     <display value="IG, NOS"></display>
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+       <code value="display"></code>
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+      <value value="IG, niet anders gespecificeerd"></value>
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+      <code value="deprecationDate"></code>
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="influenza virus vaccin, gesplitst virus (incl. gezuiverd oppervlakte antigen)"></valueString>
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+     <code value="15"></code>
+     <display value="influenza, split (incl. purified surface antigen)"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="influenza, gesplitst (incl. gezuiverd oppervlakte antigen)"></value>
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+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="influenza virus vaccin, geheel virus"></valueString>
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+     <code value="16"></code>
+     <display value="influenza, whole"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="influenza, geheel"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Haemophilus influenzae type b vaccin, conjugaat niet anders gespecificeerd"></valueString>
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+     <display value="Hib, NOS"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Hib, niet anders gespecificeerd"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="rabies vaccine, for intramuscular injection">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hondsdolheid vaccin, voor intramusculair injectie"></valueString>
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+     </extension>
+     <code value="18"></code>
+     <display value="rabies, intramuscular injection"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="hondsdolheid, intramusculaire injectie"></value>
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+      <code value="deprecationDate"></code>
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+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Bacillus Calmette-Guerin vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bacillus van Calmette &amp; Guerin vaccin"></valueString>
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+       </extension>
+      </valueString>
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+     <code value="19"></code>
+     <display value="BCG"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="BCG"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
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+      <valueString value="diphtheria, tetanus toxoids and acellular pertussis vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="difterie-tetanus-acellulaire kinkhoest vaccin"></valueString>
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+     <code value="20"></code>
+     <display value="DTaP"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="DaKT -difterie-acellulaire kinkhoest-tetanus"></value>
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+      <code value="deprecationDate"></code>
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+      <valueString value="varicella virus vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="varicella virus vaccin"></valueString>
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+     <code value="21"></code>
+     <display value="varicella"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="varicella"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
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+      <valueString value="DTP-Haemophilus influenzae type b conjugate vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
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+        <extension url="content">
+         <valueString value="DKT-Haemophilus influenzae type b conjugaat vaccin"></valueString>
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+     <display value="DTP-Hib"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="DKT-Hib"></value>
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+      <valueString value="plague vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="pest vaccin"></valueString>
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+     <display value="plague"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="pest"></value>
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+      <valueString value="anthrax vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="miltvuur vaccin"></valueString>
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+     <code value="24"></code>
+     <display value="anthrax"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="miltvuur"></value>
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+      <valueString value="typhoid vaccine, live, oral">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tyfus vaccin, levend, oral"></valueString>
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+     <display value="typhoid, oral"></display>
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+      <value value="tyfus, oral"></value>
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+      <valueString value="cholera vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="cholera vaccin"></valueString>
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+     <code value="26"></code>
+     <display value="cholera"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="cholera"></value>
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+      <valueString value="botulinum antitoxin">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="botulisme antitoxine"></valueString>
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+     <display value="botulinum antitoxin"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="botulisme antitoxine"></value>
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+        <extension url="lang">
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+        </extension>
+        <extension url="content">
+         <valueString value="difterie en tetanus toxoïde, geadsorbeerd voor pediatrie gebruik"></valueString>
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+     <display value="DT (pediatric)"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="DT - difterie-tetanus (pediatrie)"></value>
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+      <valueString value="cytomegalovirus immune globulin, intravenous">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="cytomegalovirus immunoglobuline, intraveneus"></valueString>
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+     <display value="CMVIG"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="CMVIG"></value>
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+      <valueString value="hepatitis B immune globulin">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis B immunoglobuline"></valueString>
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+     <display value="HBIG"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="HBIG"></value>
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+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis A vaccin, pediatrie dosering, niet anders gespecificeerd"></valueString>
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+     <display value="Hep A, pediatric, NOS"></display>
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+      <value value="Hep A, pediatrie, niet anders gespecificeerd"></value>
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+      <valueString value="meningococcal polysaccharide vaccine (MPSV4)">
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+        <extension url="lang">
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+        </extension>
+        <extension url="content">
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+     <code value="32"></code>
+     <display value="meningococcal"></display>
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+      <valueString value="pneumococcal polysaccharide vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="pneumokokken polysaccharide vaccin"></valueString>
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+     <code value="33"></code>
+     <display value="pneumococcal"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="pneumokokken"></value>
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+      <code value="status"></code>
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+      <code value="deprecationDate"></code>
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+      <valueString value="rabies immune globulin">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hondsdolheid immunoglobuline"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="34"></code>
+     <display value="RIG"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="hondsdolheid immunoglobuline"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
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+      <valueString value="tetanus toxoid, adsorbed">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tetanus toxoïde, geadsorbeerd"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="35"></code>
+     <display value="tetanus toxoid"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="tetanus toxoïde"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="varicella zoster immune globulin">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="varicella zoster immunoglobuline"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="36"></code>
+     <display value="VZIG"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="VZIG"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="yellow fever vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="gele koorts vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="37"></code>
+     <display value="yellow fever"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="gele koorts"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="rubella and mumps virus vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="rodehond en bof virus vaccin"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="38"></code>
+     <display value="rubella/mumps"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="rodehond/bof"></value>
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+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Japanese encephalitis vaccine">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Japanse encefalitis"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="39"></code>
+     <display value="Japanese encephalitis"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Japanse encefalitis"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
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+      <valueString value="rabies vaccine, for intradermal injection">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hondsdolheid vaccin, voor intradermale injectie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="40"></code>
+     <display value="rabies, intradermal injection"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="hondsdolheid, intradermale injectie"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
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+      <valueString value="typhoid vaccine, parenteral, other than acetone-killed, dried">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tyfus vaccin, parenteraal, anders dan aceton-gedood, gedroogd"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="41"></code>
+     <display value="typhoid, parenteral"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="tyfus, parenteraal"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="hepatitis B vaccine, adolescent/high risk infant dosage">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis B vaccin, adolescent/hoogrisico zuigeling2"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="42"></code>
+     <display value="Hep B, adolescent/high risk infant2"></display>
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+      <use>
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+       <code value="display"></code>
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+      <value value="Hep B, adolescent/hoogrisico zuigeling2"></value>
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+      <code value="deprecationDate"></code>
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+      <valueString value="hepatitis B vaccine, adult dosage">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis B vaccin, volwassen dosering"></valueString>
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+       </extension>
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+     <code value="43"></code>
+     <display value="Hep B, adult4"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Hep B, volwassen4"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
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+      <valueString value="hepatitis B vaccine, dialysis patient dosage">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis B vaccin, dialysepatiënt dosering"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="44"></code>
+     <display value="Hep B, dialysis"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Hep B, dialyse"></value>
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+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
+      <valueDateTime value="1997-03"></valueDateTime>
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+      <valueString value="hepatitis B vaccine, NOS">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis B vaccin, niet anders gespecificeerd"></valueString>
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+      </valueString>
+     </extension>
+     <code value="45"></code>
+     <display value="Hep B, NOS"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Hep B, niet anders gespecificeerd"></value>
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+      <code value="deprecationDate"></code>
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+      <valueString value="Haemophilus influenzae type b vaccine, PRP-D conjugate">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Haemophilus influenzae type b vaccin, PRP-D conjugaat"></valueString>
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+       </extension>
+      </valueString>
+     </extension>
+     <code value="46"></code>
+     <display value="Hib (PRP-D)"></display>
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+      <language value="nl"></language>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Hib (PRP-D)"></value>
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+      <valueCode value="deprecated"></valueCode>
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+      <code value="deprecationDate"></code>
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+      <valueString value="Haemophilus influenzae type b vaccine, HbOC conjugate">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Haemophilus influenzae type b vaccin, HbOC conjugaat"></valueString>
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+       </extension>
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+     <code value="47"></code>
+     <display value="Hib (HbOC)"></display>
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+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
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+      <value value="Hib (HbOC)"></value>
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+      <code value="deprecationDate"></code>
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+      <valueString value="Haemophilus influenzae type b vaccine, PRP-T conjugate">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Haemophilus influenzae type b vaccin, PRP-T conjugaat"></valueString>
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+     <code value="48"></code>
+     <display value="Hib (PRP-T)"></display>
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+      <language value="nl"></language>
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+      <valueString value="Haemophilus influenzae type b vaccine, PRP-OMP conjugate">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Haemophilus influenzae type b vaccin, PRP-OMP conjugaat"></valueString>
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+     <display value="Hib (PRP-OMP)"></display>
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+      <value value="Hib (PRP-OMP)"></value>
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="DaKT - Haemophilus influenzae type b conjugaat"></valueString>
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+       </extension>
+      </valueString>
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+     <code value="50"></code>
+     <display value="DTaP-Hib"></display>
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+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="DaKT-Hib"></value>
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+      <valueString value="Haemophilus influenzae type b conjugate and Hepatitis B vaccine">
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Haemophilus influenzae type b conjugaat - Heb-B"></valueString>
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+     <code value="51"></code>
+     <display value="Hib-Hep B"></display>
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+       <code value="display"></code>
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+      <value value="Hib-Hep B"></value>
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+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="hepatitis A vaccin, volwassen dosering"></valueString>
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+     <code value="52"></code>
+     <display value="Hep A, adult"></display>
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+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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+      <value value="Hep A, volwassene"></value>
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+        <extension url="lang">
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+        <extension url="content">
+         <valueString value="tyfus vaccin, parenteraal, aceton-gedood, gedroogd (Amerikaanse leger)"></valueString>
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+     <display value="typhoid, parenteral, AKD (U.S. military)"></display>
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+      <value value="tyfus, parenteraal, AKD (Amerikaanse leger)"></value>
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+        </extension>
+        <extension url="content">
+         <valueString value="adenovirus vaccin, type 4, levend, oraal"></valueString>
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+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="96"></code>
+     <display value="TST-PPD intradermal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TST-PPD intradermal"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="tuberculin skin test; purified protein derivative, multipuncture device">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tuberculin skin test; purified protein derivative, multipuncture device"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="97"></code>
+     <display value="TST-PPD tine test"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TST-PPD tine test"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="tuberculin skin test; NOS">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="tuberculin skin test; niet anders gespecificeerd"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="98"></code>
+     <display value="TST, NOS"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TST, niet anders gespecificeerd"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RESERVED - do not use">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="GERESERVEERD - niet gebruiken"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="99"></code>
+     <display value="RESERVED - do not use3"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="GERESERVEERD - niet gebruiken3"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="no vaccine administered">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="geen vaccin toegediend"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="998"></code>
+     <display value="no vaccine administered5"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen vaccin toegediend5"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="unknown vaccine or immune globulin">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="onbekend vaccin of immunoglobuline"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="999"></code>
+     <display value="unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="onbekend"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0294"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0294"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0294"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.183"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0294"></name>
+    <title value="v2 Time Selection Criteria Parameter Class Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0294 ( Time Selection Criteria Parameter Class Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Fri"></code>
+     <display value="An indicator that Friday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat vrijdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Mon"></code>
+     <display value="An indicator that Monday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat maandag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Geef in component 2 een tijd met formaat UUMM op basis van de 24-uurs kloknotatie, waarbij UU = uren en MM = minuten"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Prefend"></code>
+     <display value="An indicator that there is a preferred end time for the appointment request, service or resource."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De geprefereerde eindtijd voor de afspraakverzoek, service, of resource."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify any valid time in the format HHMM, using 24-hour clock notation where HH = hour and MM = minutes">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Geef in component 2 een tijd met formaat UUMM op basis van de 24-uurs kloknotatie, waarbij UU = uren en MM = minuten"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Prefstart"></code>
+     <display value="An indicator that there is a preferred start time for the appointment request, service or resource."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De geprefereerde starttijd voor de afspraakverzoek, service, of resource."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Sat"></code>
+     <display value="An indicator that Saturday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat zaterdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Sun"></code>
+     <display value="An indicator that Sunday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat zondag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Thu"></code>
+     <display value="An indicator that Thursday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat donderdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Tue"></code>
+     <display value="An indicator that Tuesday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat dinsdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In component 2, specify OK or NO.
+OK = Preferred appointment day NO = Day is not preferred">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OK = Voorkeursdag. NO = Dag heeft niet de voorkeur"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Wed"></code>
+     <display value="An indicator that Wednesday is or is not preferred for the day on which the appointment will occur."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Indicator dat woensdag wel of niet de voorkeur heeft als de dag waarop de afspraak plaats zal vinden."></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0298"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0298"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0298"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.184"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0298"></name>
+    <title value="v2 CP Range Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0298 ( CP Range Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Flat-rate. Apply the entire price to this interval, do not pro-rate the price if the full interval has not occurred/been consumed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vaste prijs. Pas de gehele prijs toe op dit interval, bereken niet naar rato in het geval dat niet het hele interval is opgetreden/is verbruikt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Pro-rate. Apply this price to this interval, pro-rated by whatever portion of the interval has occurred/been consumed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pro rato. Pas deze prijs toe op dit interval, naar rato van het deel van het interval dat is opgetreden/is verbruikt"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0299"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0299"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0299"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.185"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0299"></name>
+    <title value="v2 Encoding"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0299 ( Encoding)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="No encoding - data are displayable ASCII characters."></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Kodierung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen codering - gegevens zijn leesbare ASCII-tekens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The Request For Comment (RFC) 1521 standard is available at: http://www.ietf.org/rfc/rfc1521.txt">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="De Request For Comment (RFC) 1521 standaard is vinden via: http://www.ietf.org/rfc/rfc1521.txt"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Base64"></code>
+     <display value="Encoding as defined by MIME (Multipurpose Internet Mail Extensions) standard RFC 1521. Four consecutive ASCII characters represent three consecutive octets of binary data. Base64 utilizes a 65-character subset of US-ASCII, consisting of both the upper and"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="codering zoals gedefinieerd door MIME (Multipurpose Internet Mail Extensions) standaard RFC 1521. Vier opeenvolgende ASCII-tekens stellen drie, enkelvoudige octetten binaire gegevens voor. Base64 gebruikt een subset van 65-tekens uit US-ASCII, bestaande uit zowel de alfabetische hoofd- als de kleine letters, de cijfers &quot;0&quot; tot en met &quot;9&quot;, &quot;+&quot;, &quot;/&quot; en &quot;=&quot;."></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Hex"></code>
+     <display value="Hexadecimal encoding - consecutive pairs of hexadecimal digits represent consecutive single octets."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="hexadecimale codering - paarsgewijze hexadecimale getallen stellen sequentiële, enkelvoudige octetten voor"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0301"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0301"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0301"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.186"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0301"></name>
+    <title value="v2 Universal ID type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0301 ( Universal ID type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CAP"></code>
+     <display value="College of American Pathologist Accreditation Number"></display>
+    </concept>
+    <concept>
+     <code value="CLIA"></code>
+     <display value="Clinical Laboratory Improvement Amendments"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Clinical laboratory Improvement Amendments. Ondersteunt gebruik van organisatie-identificatie als een nummer toegekend door &quot;CLIA&quot; (voor labs). In gebruik bij Amerikaanse ministerie van defensie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CLIP"></code>
+     <display value="Clinical laboratory Improvement Program"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Clinical laboratory Improvement Program. Ondersteunt gebruik van organisatie-identificatie als een nummer toegekend door &quot;CLIP&quot; (voor labs). In gebruik bij Amerikaanse ministerie van defensie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DNS"></code>
+     <display value="Domain Name System"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Internet-Adresse"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een internet hostname, conform RFC 1035; of een IP-adres. In ASCII-tekens of als integers, met punten tussen componenten (&quot;puntnotatie&quot;)."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="OUI-24 values are administered by the IEEE Registration Authority.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OUI-24 waarden worden bijgehouden door de IEEE Registration Authority."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EUI64"></code>
+     <display value="IEEE 64-bit Extended Unique Identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="IEEE 64-bit Extended Unique Identifier bestaat uit een 24-bit bedrijfsidentificatie en een 40-bit instance-identificatie. De waarde moet 16 ASCII HEX tekens lang zijn, bijvoorbeeld, &quot;AABBCC1122334455&quot;. De 24-bit bedrijfsidentificatie, voorheen bekend als Organizationally Unique Identifier (OUI-24), is gegarandeerd wereldwijd uniek. De 40-bit extensies worden toegekend door fabrikanten. Deze identificatie wordt meest gebruikt in apparaatinterfaces (bijv., &quot;MAC&quot; adressen voor IPv4 &amp; IPv6). [Zie http://standards.ieee.org/regauth/oui/tutorials/EUI64.html voor een gedetailleerde uitleg van de structuur.]"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v2.7; use UUID instead">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; gebruik UUID"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GUID"></code>
+     <display value="globally unique identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="GUID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zelfde als UUID."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v2.7; does not identify Assigning Authorities">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; identificeert geen toekennende autoriteiten (Assigning Authority)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="HCD"></code>
+     <display value="CEN Healthcare Coding Identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De CEN Healthcare Coding Scheme Designator"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v2.7; HL7 assigns ISO OIDs for Assigning Authorities">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; HL7 kent ISO OID's toe voor toekennende autoriteiten (Assigning Authority)"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="HL7"></code>
+     <display value="HL7 registration schemes"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="für HL7 reserviert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="HL7 registratieschema's"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ISO"></code>
+     <display value="ISO Object Identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ISO-ID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een Internationaal Standaardisatie Orgaan Object IDentificatie (OID), conform ISO/IEC 8824. Structuur is decimale getallen gescheiden door punten; aanbevolen grens is 64 tekens."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v 2.8"></valueString>
+     </extension>
+     <code value="L"></code>
+     <display value="Local"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="reserviert für lokale Tabellen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v 2.8">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.8."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="L,M,N"></code>
+     <display value="Local"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="reserviert für lokale Tabellen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v 2.8"></valueString>
+     </extension>
+     <code value="M"></code>
+     <display value="Local"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="reserviert für lokale Tabellen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v 2.8"></valueString>
+     </extension>
+     <code value="N"></code>
+     <display value="Local"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="reserviert für lokale Tabellen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NPI"></code>
+     <display value="US National Provider Identifier"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Retained for backward compatibility only as of v2.7; equivalent to a locally defined entity identifier scheme; use L. M, or N instead.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; equivalent aan lokaal gedefinieerde identificatiesystemen; gebruik L, M, of N."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="Random"></code>
+     <display value="Random"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="beliebig"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Meestal een base64 gecodeerde string met willekeurige bits."></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="URI"></code>
+     <display value="Uniform Resource Identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="URI"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uniform Resource Identifier"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UUID"></code>
+     <display value="Universal Unique Identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="UUID"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De DCE Universal Unique Identifier, conform RFC 4122. Aanbevolen structuur is 32 hexadecimale getalen gescheiden door koppeltekens, met cijfergroepering 8-4-4-4-12"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="x400"></code>
+     <display value="X.400 MHS identifier"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="X.400"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een X.400 MHS identificatie. Aanbevolen format is conform RFC 1649"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="x500"></code>
+     <display value="X500 directory Name"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="X.500 Verzeichnis­name"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een X.500 directory-naam"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0305"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0305"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0305"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.187"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0305"></name>
+    <title value="v2 Person location type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0305 ( Person location type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Clinic"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinik"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kliniek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Department"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abteilung"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afdeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="H"></code>
+     <display value="Home"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zu Hause"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Thuis"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Nursing Unit"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Station"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verpleegafdeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Provider's Office"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sprechzimmer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kantoor zorgaanbieder"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Phone"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefon(zelle)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefonisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="SNF"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Skilled Nursing Facility"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0309"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0309"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0309"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.188"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0309"></name>
+    <title value="v2 Coverage Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0309 ( Coverage Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Both hospital and physician"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zowel ziekenhuis als arts"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="H"></code>
+     <display value="Hospital/institutional"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziekenhuis/instelling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Physician/professional"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arts/professional"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RX"></code>
+     <display value="Pharmacy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Apotheek"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0311"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0311"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0311"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.189"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0311"></name>
+    <title value="v2 Job status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0311 ( Job status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="anderes Beschäftigungsverhältnis"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Permanent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="festangestellt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Permanent"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Temporary"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="befristet angestellt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0315"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0315"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0315"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.190"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0315"></name>
+    <title value="v2 Living Will"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0315 ( Living Will)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Yes, patient has a living will but it is not on file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja, patiënt heeft een testament maar deze zit niet in archief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="No, patient does not have a living will but information was provided"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee, patiënt heeft geen testament maar informatie is gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No, patient does not have a living will and no information was provided"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee, patiënt heeft geen testament en er is geen informatie gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Yes, patient has a living will"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja, patiënt heeft een testament"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0316"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0316"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0316"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.192"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0316"></name>
+    <title value="v2 Organ Donor"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0316 ( Organ Donor)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Yes, patient is a documented donor, but documentation is not on file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja, patiënt is een gedocumenteerde donor maar afschrift is niet beschikbaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="No, patient is not a documented donor, but information was provided"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee, patiënt is geen gedocumenteerde donor, maar informatie is gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No, patient has not agreed to be a donor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee, patiënt heeft geen toestemming voor donatie gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Patient leaves organ donation decision to a specific person"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiënt laat beslissing orgaandonatie over aan specifiek persoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Patient leaves organ donation decision to relatives"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiënt laat beslissing orgaandonatie over aan familie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Yes, patient is a documented donor and documentation is on file"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja, patiënt is een gedocumenteerde donor en afschrift is beschikbaar"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0317"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0317"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0317"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.193"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0317"></name>
+    <title value="v2 Annotations"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0317 ( Annotations)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="9900"></code>
+     <display value="Pace spike"></display>
+    </concept>
+    <concept>
+     <code value="9901"></code>
+     <display value="SAS marker"></display>
+    </concept>
+    <concept>
+     <code value="9902"></code>
+     <display value="Sense marker"></display>
+    </concept>
+    <concept>
+     <code value="9903"></code>
+     <display value="Beat marker"></display>
+    </concept>
+    <concept>
+     <code value="9904"></code>
+     <display value="etc."></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0321"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0321"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0321"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.194"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0321"></name>
+    <title value="v2 Dispense Method"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0321 ( Dispense Method)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AD"></code>
+     <display value="Automatic Dispensing"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Automatische verstrekking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Floor Stock"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afdelingsvoorraad"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TR"></code>
+     <display value="Traditional"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Traditioneel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UD"></code>
+     <display value="Unit Dose"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eenheid dosis"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0322"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0322"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0322"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.195"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0322"></name>
+    <title value="v2 Completion Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0322 ( Completion Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CP"></code>
+     <display value="Complete"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voltooid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NA"></code>
+     <display value="Not Administered"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet toegediend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Partially Administered"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gedeeltelijk toegediend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="Refused"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geweigerd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0323"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0323"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0323"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.196"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0323"></name>
+    <title value="v2 Action Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0323 ( Action Code)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="A"></code>
+     <display value="Add/Insert"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Toevoeging/invoeging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Delete"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijdering"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Update"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="No change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen wijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0324"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0324"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0324"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.197"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0324"></name>
+    <title value="v2 Location Characteristic ID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0324 ( Location Characteristic ID)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="GEN"></code>
+     <display value="Gender of patient(s)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geslacht van patiënt(en)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IMP"></code>
+     <display value="Implant: can be used for radiation implant patients"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Implantatie: geschikt voor patiënten met stralingsimplantaten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="INF"></code>
+     <display value="Infectious disease: this location can be used for isolation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Infectieziekten: geschikt voor isolatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LCR"></code>
+     <display value="Level of care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niveau van zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LIC"></code>
+     <display value="Licensed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gelicenseerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OVR"></code>
+     <display value="Overflow"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Buffer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRL"></code>
+     <display value="Privacy level: indicating the level of private versus non-private room"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Privé niveau: niveau-indicatie van privé/eigen kamer ten opzichte van een niet-privé kamer/gedeelde kamer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SET"></code>
+     <display value="Bed is set up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bed staat klaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SHA"></code>
+     <display value="Shadow: a temporary holding location that does not physically exist"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schaduw: een tijdelijke verblijflocatie die niet feitelijk bestaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SMK"></code>
+     <display value="Smoking"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Roken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="STF"></code>
+     <display value="Bed is staffed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Er is bedpersoneel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TEA"></code>
+     <display value="Teaching location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Leslocatie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0325"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0325"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0325"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.198"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0325"></name>
+    <title value="v2 Location Relationship ID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0325 ( Location Relationship ID)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ALI"></code>
+     <display value="Location Alias(es)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Locatiealias(sen)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DTY"></code>
+     <display value="Nearest  dietary location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dichtstbijzijnde eetlocatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LAB"></code>
+     <display value="Nearest  lab"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dichtstbijzijnde lab"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LB2"></code>
+     <display value="Second nearest lab"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tweede dichtstbijzijnde lab"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PAR"></code>
+     <display value="Parent location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parent locatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RX"></code>
+     <display value="Nearest  pharmacy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dichtstbijzijnde apotheek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RX2"></code>
+     <display value="Second nearest pharmacy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tweede dichtstbijzijnde apotheek"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0326"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0326"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0326"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.199"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0326"></name>
+    <title value="v2 Visit Indicator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0326 ( Visit Indicator)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Account level"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fallanlage bei ambulanten Fällen ohne Erfassung eines Besuchstages"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Accountniveau (standaard)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Visit level"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aufnahme (ambulanter Besuch, stationäre Episode)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bezoekniveau"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0329"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0329"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0329"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.200"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0329"></name>
+    <title value="v2 Quantity Method"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0329 ( Quantity Method)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Actual count"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Werkelijke telling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Estimated (see comment)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geschat (zie opmerking)"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
@@ -88596,51 +82500,6 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0572"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0572"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0572"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.372"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0572"></name>
-    <title value="v2 Tax status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0572 ( Tax status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="RVAT"></code>
-     <display value="Registered in VAT register"></display>
-    </concept>
-    <concept>
-     <code value="UVAT"></code>
-     <display value="Unregistered in VAT register"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0331"></fullUrl>
   <resource>
@@ -89463,10 +83322,10 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0326"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0337"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0326"></id>
+    <id value="v2-0337"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -89477,14 +83336,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0326"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0337"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.199"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.207"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0326"></name>
-    <title value="v2 Visit Indicator"></title>
+    <name value="v2.0337"></name>
+    <title value="v2 Certification Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -89494,169 +83353,40 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0326 ( Visit Indicator)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0337 ( Certification Status)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="A"></code>
-     <display value="Account level"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fallanlage bei ambulanten Fällen ohne Erfassung eines Besuchstages"></value>
-     </designation>
+     <code value="C"></code>
+     <display value="Certified"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Accountniveau (standaard)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Visit level"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aufnahme (ambulanter Besuch, stationäre Episode)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bezoekniveau"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0569"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0569"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0569"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.369"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0569"></name>
-    <title value="v2 Adjustment Action"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0569 ( Adjustment Action)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Instructs party to print this adjustment on the EOB (Explanation of Benefits) handed to the patient"></valueString>
-     </extension>
-     <code value="EOB"></code>
-     <display value="Print on EOB"></display>
-    </concept>
-    <concept>
-     <code value="PAT"></code>
-     <display value="Inform Patient"></display>
-    </concept>
-    <concept>
-     <code value="PRO"></code>
-     <display value="Inform Provider"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0329"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0329"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0329"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.200"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0329"></name>
-    <title value="v2 Quantity Method"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0329 ( Quantity Method)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Actual count"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werkelijke telling"></value>
+      <value value="Gecertificeerd"></value>
      </designation>
     </concept>
     <concept>
      <code value="E"></code>
-     <display value="Estimated (see comment)"></display>
+     <display value="Eligible"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geschat (zie opmerking)"></value>
+      <value value="Komt in aanmerking"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0561"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0338"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0561"></id>
+    <id value="v2-0338"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -89667,14 +83397,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0561"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0338"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.364"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.208"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0561"></name>
-    <title value="v2 Product/Services Clarification Codes"></title>
+    <name value="v2.0338"></name>
+    <title value="v2 Practitioner ID number type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -89684,53 +83414,172 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0561 ( Product/Services Clarification Codes)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0338 ( Practitioner ID number type)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="CLCTR"></code>
-     <display value="Claim Center"></display>
+     <code value="CY"></code>
+     <display value="County number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Provincie-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DEA"></code>
+     <display value="Drug Enforcement Agency no."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Drug Enforcement Agency-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GL"></code>
+     <display value="General ledger number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Grootboek-nummer"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="MSP: assigned by MSP"></valueString>
+      <valueString value="Deprecated as of v 2.5; Use LI instead">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervallen vanaf v2.5; Gebruik nu LI"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="DGAPP"></code>
-     <display value="Diagnostic Approval Number"></display>
+     <code value="L&amp;I"></code>
+     <display value="Labor and industries number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeid en Industrie-nummer"></value>
+     </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="MSP: Data Center Number associated with the Provider's Network Application ID"></valueString>
-     </extension>
-     <code value="DTCTR"></code>
-     <display value="Data Center Number"></display>
+     <code value="LI"></code>
+     <display value="Labor and industries number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arbeid en Industrie-nummer"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="ENC"></code>
-     <display value="Encounter Number"></display>
+     <code value="MCD"></code>
+     <display value="Medicaid number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicaid-nummer"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="GFTH"></code>
-     <display value="Good Faith Indicator"></display>
+     <code value="MCR"></code>
+     <display value="Medicare number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicare-nummer"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="OOP"></code>
-     <display value="Out of Province Indicator"></display>
+     <code value="QA"></code>
+     <display value="QA number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QA-nummer"></value>
+     </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="MSP: Must be sequential by Data Center Number"></valueString>
-     </extension>
-     <code value="SEQ"></code>
-     <display value="Sequence Number"></display>
+     <code value="SL"></code>
+     <display value="State license number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Staat licentienummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TAX"></code>
+     <display value="Tax ID number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="SoFi-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TRL"></code>
+     <display value="Training license number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opleiding licentie-nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UPIN"></code>
+     <display value="Unique physician ID no."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uniek Arts ID-nummer"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0562"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0339"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0562"></id>
+    <id value="v2-0339"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -89741,14 +83590,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0562"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0339"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.365"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.209"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0562"></name>
-    <title value="v2 Processing Consideration Codes"></title>
+    <name value="v2.0339"></name>
+    <title value="v2 Advanced Beneficiary Notice Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -89758,52 +83607,56 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0562 ( Processing Consideration Codes)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0339 ( Advanced Beneficiary Notice Code)"></description>
     <content value="complete"></content>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="If permitted by Payer"></valueString>
-     </extension>
-     <code value="DFADJ"></code>
-     <display value="Deferred Adjudication Processing"></display>
+     <code value="1"></code>
+     <display value="Service is subject to medical necessity procedures"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zuzahlung muss abgeklärt werden"></value>
+     </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="E30 transaction to follow"></valueString>
-     </extension>
-     <code value="EFORM"></code>
-     <display value="Electronic form to follow"></display>
+     <code value="2"></code>
+     <display value="Patient has been informed of responsibility, and agrees to pay for service"></display>
     </concept>
     <concept>
-     <code value="FAX"></code>
-     <display value="Fax to follow"></display>
+     <code value="3"></code>
+     <display value="Patient has been informed of responsibility, and asks that the payer be billed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patient fragt nach Rechnung"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="PAPER"></code>
-     <display value="Paper documentation to follow"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Allows Provider to explain lateness of Invoice to a subsequent Payer"></valueString>
-     </extension>
-     <code value="PYRDELAY"></code>
-     <display value="Delayed by a Previous Payer"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="If permitted by Payer"></valueString>
-     </extension>
-     <code value="RTADJ"></code>
-     <display value="Real Time Adjudication Processing"></display>
+     <code value="4"></code>
+     <display value="Advanced Beneficiary Notice has not been signed"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zustimmung zur Zuzahlung liegt nicht vor"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0321"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0344"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0321"></id>
+    <id value="v2-0344"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -89814,14 +83667,14 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0321"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0344"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.194"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.210"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0321"></name>
-    <title value="v2 Dispense Method"></title>
+    <name value="v2.0344"></name>
+    <title value="v2 Patient’s relationship to insured"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -89831,757 +83684,314 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0321 ( Dispense Method)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0344 ( Patient’s relationship to insured)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AD"></code>
-     <display value="Automatic Dispensing"></display>
+     <code value="01"></code>
+     <display value="Patient is insured"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Automatische verstrekking"></value>
+      <value value="Patiënt is zelf verzekerd"></value>
      </designation>
     </concept>
     <concept>
-     <code value="F"></code>
-     <display value="Floor Stock"></display>
+     <code value="02"></code>
+     <display value="Spouse"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Afdelingsvoorraad"></value>
+      <value value="Echtgenoot"></value>
      </designation>
     </concept>
     <concept>
-     <code value="TR"></code>
-     <display value="Traditional"></display>
+     <code value="03"></code>
+     <display value="Natural child/insured financial responsibility"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Traditioneel"></value>
+      <value value="Biologisch kind/financiële verantwoordelijkheid verzekerde"></value>
      </designation>
     </concept>
     <concept>
-     <code value="UD"></code>
-     <display value="Unit Dose"></display>
+     <code value="04"></code>
+     <display value="Natural child/Insured does not have financial responsibility"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Eenheid dosis"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0322"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0322"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0322"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.195"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0322"></name>
-    <title value="v2 Completion Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0322 ( Completion Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CP"></code>
-     <display value="Complete"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voltooid"></value>
+      <value value="Biologisch kind/geen financiële verantwoordelijkheid verzekerde"></value>
      </designation>
     </concept>
     <concept>
-     <code value="NA"></code>
-     <display value="Not Administered"></display>
+     <code value="05"></code>
+     <display value="Step child"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Niet toegediend"></value>
+      <value value="Stiefkind"></value>
      </designation>
     </concept>
     <concept>
-     <code value="PA"></code>
-     <display value="Partially Administered"></display>
+     <code value="06"></code>
+     <display value="Foster child"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gedeeltelijk toegediend"></value>
+      <value value="Pleegkind"></value>
      </designation>
     </concept>
     <concept>
-     <code value="RE"></code>
-     <display value="Refused"></display>
+     <code value="07"></code>
+     <display value="Ward of the court"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geweigerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0564"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0564"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0564"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.366"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0564"></name>
-    <title value="v2 Adjustment Category Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0564 ( Adjustment Category Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Payer adjustment"></valueString>
-     </extension>
-     <code value="EA"></code>
-     <display value="Edit/Adjudication Response"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Payer adjustment"></valueString>
-     </extension>
-     <code value="IN"></code>
-     <display value="Information"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Provider adjustment"></valueString>
-     </extension>
-     <code value="PA"></code>
-     <display value="Provider Adjustment"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Payer adjustment"></valueString>
-     </extension>
-     <code value="PR"></code>
-     <display value="Processing Result"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0323"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0323"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0323"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.196"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0323"></name>
-    <title value="v2 Action Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0323 ( Action Code)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="A"></code>
-     <display value="Add/Insert"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toevoeging/invoeging"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Delete"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verwijdering"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Update"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="No change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen wijziging"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0565"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0565"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0565"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.367"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0565"></name>
-    <title value="v2 Provider Adjustment Reason Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0565 ( Provider Adjustment Reason Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="DISP"></code>
-     <display value="Dispensing Fee"></display>
-    </concept>
-    <concept>
-     <code value="GST"></code>
-     <display value="Goods and Services Tax"></display>
-    </concept>
-    <concept>
-     <code value="HST"></code>
-     <display value="Harmonized Sales Tax"></display>
-    </concept>
-    <concept>
-     <code value="MKUP"></code>
-     <display value="Mark up Fee"></display>
-    </concept>
-    <concept>
-     <code value="PST"></code>
-     <display value="Provincial Sales Tax"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0324"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0324"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0324"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.197"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0324"></name>
-    <title value="v2 Location Characteristic ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0324 ( Location Characteristic ID)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="GEN"></code>
-     <display value="Gender of patient(s)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geslacht van patiënt(en)"></value>
+      <value value="Wettelijk voogd"></value>
      </designation>
     </concept>
     <concept>
-     <code value="IMP"></code>
-     <display value="Implant: can be used for radiation implant patients"></display>
+     <code value="08"></code>
+     <display value="Employee"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Implantatie: geschikt voor patiënten met stralingsimplantaten"></value>
+      <value value="Werknemer"></value>
      </designation>
     </concept>
     <concept>
-     <code value="INF"></code>
-     <display value="Infectious disease: this location can be used for isolation"></display>
+     <code value="09"></code>
+     <display value="Unknown"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Infectieziekten: geschikt voor isolatie"></value>
+      <value value="Onbekend"></value>
      </designation>
     </concept>
     <concept>
-     <code value="LCR"></code>
-     <display value="Level of care"></display>
+     <code value="10"></code>
+     <display value="Handicapped dependent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="behinderter Angehöriger"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Niveau van zorg"></value>
+      <value value="Gehandicapt afhankelijke"></value>
      </designation>
     </concept>
     <concept>
-     <code value="LIC"></code>
-     <display value="Licensed"></display>
+     <code value="11"></code>
+     <display value="Organ donor"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Organspender"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Gelicenseerd"></value>
+      <value value="Orgaandonor"></value>
      </designation>
     </concept>
     <concept>
-     <code value="OVR"></code>
-     <display value="Overflow"></display>
+     <code value="12"></code>
+     <display value="Cadaver donor"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Körper-/Leichenspender (bspw. für anatomische Studien; wir Organspender, nur nach dem Tod)"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Buffer"></value>
+      <value value="Kadaverdonor"></value>
      </designation>
     </concept>
     <concept>
-     <code value="PRL"></code>
-     <display value="Privacy level: indicating the level of private versus non-private room"></display>
+     <code value="13"></code>
+     <display value="Grandchild"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enkel"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Privé niveau: niveau-indicatie van privé/eigen kamer ten opzichte van een niet-privé kamer/gedeelde kamer"></value>
+      <value value="Kleinkind"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SET"></code>
-     <display value="Bed is set up"></display>
+     <code value="14"></code>
+     <display value="Niece/nephew"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nichte/Neffe"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Bed staat klaar"></value>
+      <value value="Nicht/neef"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SHA"></code>
-     <display value="Shadow: a temporary holding location that does not physically exist"></display>
+     <code value="15"></code>
+     <display value="Injured plaintiff"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="verletzter Kläger"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Schaduw: een tijdelijke verblijflocatie die niet feitelijk bestaat"></value>
+      <value value="Gewonde aanklagende partij"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SMK"></code>
-     <display value="Smoking"></display>
+     <code value="16"></code>
+     <display value="Sponsored dependent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Unterhaltsberechtigter"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Roken"></value>
+      <value value="Gesponsorde afhankelijke"></value>
      </designation>
     </concept>
     <concept>
-     <code value="STF"></code>
-     <display value="Bed is staffed"></display>
+     <code value="17"></code>
+     <display value="Minor dependent of a minor dependent"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kind eines Minderjährigen"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Er is bedpersoneel"></value>
+      <value value="Minderjarige afhankelijke van minderjarige afhankelijke"></value>
      </designation>
     </concept>
     <concept>
-     <code value="TEA"></code>
-     <display value="Teaching location"></display>
+     <code value="18"></code>
+     <display value="Parent"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Leslocatie"></value>
+      <value value="Eltern"></value>
      </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0566"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0566"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0566"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.368"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0566"></name>
-    <title value="v2 Blood Unit Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0566 ( Blood Unit Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="GRN"></code>
-     <display value="Granulocytes"></display>
-    </concept>
-    <concept>
-     <code value="LYM"></code>
-     <display value="Lymphocytes"></display>
-    </concept>
-    <concept>
-     <code value="PLS"></code>
-     <display value="Plasma"></display>
-    </concept>
-    <concept>
-     <code value="PLT"></code>
-     <display value="Platelets"></display>
-    </concept>
-    <concept>
-     <code value="PSC"></code>
-     <display value="Peripheral Stem Cells"></display>
-    </concept>
-    <concept>
-     <code value="RBC"></code>
-     <display value="Red Blood Cells"></display>
-    </concept>
-    <concept>
-     <code value="WBL"></code>
-     <display value="Whole Blood"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0325"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0325"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0325"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.198"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0325"></name>
-    <title value="v2 Location Relationship ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0325 ( Location Relationship ID)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ALI"></code>
-     <display value="Location Alias(es)"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Locatiealias(sen)"></value>
+      <value value="Ouder"></value>
      </designation>
     </concept>
     <concept>
-     <code value="DTY"></code>
-     <display value="Nearest  dietary location"></display>
+     <code value="19"></code>
+     <display value="Grandparent"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Dichtstbijzijnde eetlocatie"></value>
+      <value value="Großeltern"></value>
      </designation>
-    </concept>
-    <concept>
-     <code value="LAB"></code>
-     <display value="Nearest  lab"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Dichtstbijzijnde lab"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LB2"></code>
-     <display value="Second nearest lab"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tweede dichtstbijzijnde lab"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PAR"></code>
-     <display value="Parent location"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parent locatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RX"></code>
-     <display value="Nearest  pharmacy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dichtstbijzijnde apotheek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RX2"></code>
-     <display value="Second nearest pharmacy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tweede dichtstbijzijnde apotheek"></value>
+      <value value="Grootouder"></value>
      </designation>
     </concept>
    </CodeSystem>
@@ -91592,2024 +85002,6 @@ Codes P, F, and S identify sets (batteries) and should be associated with an OM5
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0359"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0359"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0359"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.218"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0359"></name>
-    <title value="v2 Diagnosis priority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0359 ( Diagnosis priority)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="0"></code>
-     <display value="Not included in diagnosis ranking"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="niet in diagnoseranglijst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="The primary diagnosis"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="de primaire diagnose"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="For  secondary diagnosis"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="voor gerangschikte secundaire diagnoses"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2 ..."></code>
-     <display value="For ranked secondary diagnoses"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="voor gerangschikte secundaire diagnoses"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="2 and higher"></code>
-     <display value="for ranked secondary diagnoses"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="voor gerangschikte secundaire diagnoses"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1999-05"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="For tertiary diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="For quaternary diagnosis"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0119"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0119"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0119"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.48"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0119"></name>
-    <title value="v2 ORDER CONTROL"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0119 ( ORDER CONTROL)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-AF is a response to RF where the placer authorizing a refill or quantity of refills.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. AF is een antwoord op RF waarbij de placer een herhaling autoriseert of een bepaalde hoeveelheid om aan te vullen"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AF"></code>
-     <display value="Order/service refill request approval"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service herhaling verzoek goedgekeurd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-A cancellation is a request by the placer for the filler, or the filler to the placer, not to do a previously ordered service. Confirmation of the cancellation request is provided by the filler or placer, e.g., a message with an ORC-1-order control value of CR.
-Typical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Een annulering is een verzoek voor de placer aan de filler, of de filler aan de placer, om de eerder aangevraagde service niet te doen. Bevestiging van het annuleringverzoek wordt gegeven door de filler of de placer, bijv. een bericht met"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CA"></code>
-     <display value="Cancel order/service request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag stornieren"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer aanvraag/service verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-Used in conjunction with the PA - Parent order control code. Refer to PA order control code for discussion.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Gebruikt in samenwerking met de code PA - Bovenliggende aanvraag/service. Zie PA voor verdere discussie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CH"></code>
-     <display value="Child order/service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nachgeordneter Auftrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onderliggende/deel aanvraag/service"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-The combined result code provides a mechanism to transmit results that are associated with two or more orders. This situation occurs commonly in radiology reports when the radiologist dictates a single report for two or more exams represented as two or more orders. For example, knee and hand films for a rheumatoid arthritis patient might generate a single dictation on the part of the radiologist.
-When such results are reported the CN code replaces the RE code in all but the last ORC, and the results follow the last ORC and its OBR. An example follows of a single report following three ORCs:
-MSH|...&lt;cr&gt;
-PID|...&lt;cr&gt;
-ORC|CN|...&lt;cr&gt;
-OBR|1|A4461XA^HIS|81641^RAD|73666^Bilateral Feet|...&lt;cr&gt;
-ORC|CN|...&lt;cr&gt;
-OBR|2|A4461XB^HIS|81642^RAD|73642^Bilateral Hand PA|...&lt;cr&gt;
-ORC|RE|...&lt;cr&gt;
-OBR|3|A4461XC^HIS|81643^RAD|73916^Bilateral Knees|...&lt;cr&gt;
-OBX|1|CE|73916&amp;IMP|1|Radiologist’s Impression|...&lt;cr&gt;
-OBX|2|CE|73642&amp;IMP|1|Radiologist’s Impression|...&lt;cr&gt;
-OBX|3|FT|73642&amp;GDT|1|Description|...&lt;cr&gt;">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. De gecombineerde resultaatcode geeft een mechanisme om resultaten te sturen die zijn gekoppeld aan twee of meer aanvragen. Deze situatie komt vaak voor in radiologieverslagen als de radioloog één verslag dicteert voor twee of meer onderzoeken"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CN"></code>
-     <display value="Combined result"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kumulatives Ergebnis (zu mehreren Aufträgen)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecombineerd resultaat"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-The control code CP – Cancel process step should be used in the ORC-1 for communication Filler-to-Filler, e.g., LIS-to-Analyzer, to differentiate from code CA (Placer-to-Filler).
-The Filler should response with an acceptance of the cancellation using ORC-1 = CR and ORC-5 = CA.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. De code CP - Annuleer processtap is bedoeld voor in ORC-1 bij Filler-naar-Filler communicatie, bijv. LIS-naar-Analyzer, om verschil te kunnen maken tussen code CDA (Placer-naar-Filler). De Filler moet antwoorden met een acceptatie van "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CP"></code>
-     <display value="Cancel process step"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annuleer processtap"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler or Placer Applications.
-A response by the filler or placer application that a request to cancel (CA by the placer application) was performed successfully.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler of Placer applicaties. Een antwoord van de filler of placer applicatie om aan te geven dat een verzoek om te annuleren (CA door de placer applicatie) succesvol is uitgevoerd."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="CR"></code>
-     <display value="Canceled as requested"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag anweisungsgemäß storniert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geannuleerd zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-A request by the placer for the filler, or the filler to the placer,  to discontinue a previously requested service. The differentiation between discontinue and cancel is that discontinue effects the order/service and all future occurrences, cancel refers to just the present action. 
-Typical responses include, but are not limited to, CR – Cancelled as requested, UC – Unable to Cancel.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filer applicaties. Een verzoek van de placer aan de filler, of van de filler aan de placer, om een eerder aangevraagde service af te breken. Het verschil tussen afbreken en annuleren is dat afbreken de aanvraag/service betreft en alle "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DC"></code>
-     <display value="Discontinue order/service request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsausführung abbrechen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Breek aanvraag/service verzoek af"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DE"></code>
-     <display value="Data errors"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datenfehler"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gegevens fouten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-In response to a Filler application requesting refill authorization (RF), DF indicates that the placer does not authorize refills for the order. ORC-16 Order Control Code reason may be used to indicate the reason for the request denial. Some suggested values include:
-AA	Patient unknown to the provider
-AB	Patient never under provider care
-AC	Patient no longer under provider care
-AD	Patient has requested refill too soon
-AE	Medication never prescribed for the patient
-AF	Patient should contact provider first
-AG	Refill not appropriate
-Note that these values originate from the NCPDP SCRIPT Response Segment Code List Qualifiers. Materials Reproduced with the consent of ©National Council for Prescription Drug Programs, Inc. 1988, 1992, 2002 NCPDP.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. In antwoord op een autorisatieverzoek om te herhalen (RF) door de filler applicatie, geeft DF aan dat de placer geen autorisatie geeft voor herhaling van de order. ORC-16 Order Control Code Reason kan worden gebruikt om de reden voor afkeuring aan te geven."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DF"></code>
-     <display value="Order/service refill request denied"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service herhaal verzoek afgekeurd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler or Placer Applications.
-The filler or placer, in response to a request to discontinue (DC from the placer or filler application), has discontinued the order/service.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler of placer applicaties. De filler of placer heeft de aanvraag/service afgebroken, in antwoord op een verzoek deze af te breken (DC van de aplcer of filler applicatie)."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="DR"></code>
-     <display value="Discontinued as requested"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsausführung anweisungsgemäß abgebrochen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afgebroken zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-FU notifies the placer that the filler issued a refill for the order at the patient's request.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. Deze code meldt aan de placer dat de filler een herhaling heeft gedaan voor de aanvraag op verzoek van de patiënt."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="FU"></code>
-     <display value="Order/service refilled, unsolicited"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service herhaald, ongevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-Typical responses include, but are not limited to, CR - Cancelled as requested, UC - Unable to Cancel.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. De meest voorkomende, maar niet enige, antwoord zijn CR - Geannuleerd zoals gevraagd, UC - Kon niet annuleren."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="HD"></code>
-     <display value="Hold order request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsbearbeitung aussetzen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Houd aanvraag aan verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="HR"></code>
-     <display value="On hold as requested"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsbearbeitung anweisungsgemäß ausgesetzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aangehouden zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-Refer to Chapter 12 Patient Care for complete discussion.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Zie Hoofdstuk 12 Patient Care voor vollledige discussie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="LI"></code>
-     <display value="Link order/service to patient care problem or goal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Koppel aanvraag/service aan patiënt zorgprobleem of doel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="applies to DFT^P03^DFT_P03 and DFT^P11^DFT_P11">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="van toepassing op DFT^P03^DFT_P03 en DFT^P11^DFT_P11"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="MC"></code>
-     <display value="Miscellaneous Charge - not associated with an order"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overige charge - niet gekoppeld aan een aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-There are three circumstances that involve requesting an order number (ORC-2-placer order number or ORC-3-filler order number): 
-
-(1) When the filler application needs to request an ORC-3-filler order number from a centralized application (e.g., HIS).
-SN – The send order number code provides a mechanism for the filler to request an ORC-3-filler order number from some centralized application (called “other” in the table below), such as a central HIS, by sending an ORM message containing an ORC-1-order control value of SN. This ORC has a null ORC-3-filler order number and an ORC-2-placer order number created by the filler application when the filler originates the order.
-
-The order (SN type) message can be acknowledged by either one of two methods:
-a) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC with ORC-1-order control value of NA to provide the actual number assigned.
-
-b) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.
-
-NA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned filler order number. ORC-1-order control contains value of NA, ORC-2-placer order number (from the ORC with the SN value), and the newly-assigned filler order number. 
-Code	From	ORC-2-Placer Order Number	ORC-3-Filler Order Number
-SN	filler application	placer order number^filler application ID	Null
-NA	other application	placer order number^filler application ID	filler order number^filler application ID
-Note: Both the placer order number and the filler order number have the filler’s application ID
-
-(2) When the filler application needs to request an ORC-2-placer order number from some other application (e.g., Order Entry).
-
-SN – The send order number code provides a mechanism for the filler application to request an ORC-2-placer order number from another application (called “other” in the table below) by sending an order message containing an ORC-1-order control value of SN. This ORC has a null ORC-2-placer order number and an ORC-3-filler order number created by the filler application when the filler originates the order. 
-
-The order (SN type) message can be acknowledged by two methods:
-a) By an order application acknowledgement message containing an ORC-1-order control value of OK. Then an unsolicited order message can be sent at a future time, containing an ORC-1-order control value of NA to provide the actual number assigned.
-
-b) By an order acknowledgement message containing an ORC-1-order control value of NA as described below.
-NA – The number assigned code allows the “other” application to notify the filler application of the newly-assigned ORC-2-placer order number. The ORC contains an ORC-1-order control value of NA, the newly-assigned ORC-2-placer order number, and the ORC-3-filler order number (from the ORC with the SN value).
-Code	From	ORC-2-Placer Order Number	ORC-3-Filler Order Number
-SN	filler application	null	filler order number^filler application ID
-NA	other application	placer order number^placer application ID	filler order number^filler application ID
-Note: The new ORC-2-placer order number has the placer’s application ID
-
-(3) When an application (not the filler application) wants to assign an ORC-3-filler order number for a new order.
-NW – When the application creating an order (not the filler application) wants to assign a filler order number for a new order.
-or 
-RO – (RO following an RP). In this case, the “other” application completes ORC-3-filler order number, using the filler application ID as the second component of the filler order number.
-Code	From	ORC-2-Placer Order Number	ORC-3-Filler Order Number
-NW or RO	Other application to filler application	placer order number^placer application ID	filler order number^filler application ID">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. Er zijn drie omstandigheden waarin verzoeken van een aanvraagnummer (ORC-2 Placer aanvraagnummer of ORC-3 Filler aanvraagnummer): (1) Als de filler applicatie een ORC-3 Filler aanvraagnummer moet aanvragen van een centrale applicatie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NA"></code>
-     <display value="Number assigned"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nummer zugewiesen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nummer toegekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NR"></code>
-     <display value="Notification Received"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-See comments for NA - Number Assigned.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. Zie opmerkingen voor NA - Nummer toegekend"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="NW"></code>
-     <display value="New order/service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Neuer Auftrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieuwe aanvraag/service"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OC"></code>
-     <display value="Order/service canceled"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag storniert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service geannuleerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OD"></code>
-     <display value="Order/service discontinued"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsausführung abgebrochen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service afgebroken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OE"></code>
-     <display value="Order/service released"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service vrijgegeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-OF directly responds to the placer system's request for a refill.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. OF is een direct antwoord op het verzoek voor herhaling van een placer system."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OF"></code>
-     <display value="Order/service refilled as requested"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service herhaald zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OH"></code>
-     <display value="Order/service held"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsbearbeitung ausgesetzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service aangehouden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-See comments for NA - Number Assigned.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. Zie opmerkingen voor NA - Nummer toegekend"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OK"></code>
-     <display value="Order/service accepted &amp; OK"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag akzeptiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service geaccepteerd en OK"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-These order control codes are used to communicate an order between systems where the order is intended for informational purposes. For example, an order that will be performed by a vendor outside the enterprise of communicating systems. The communicating systems may need to maintain information relative to the order for clinical continuity, but no actions to perform the ordered service are intended.
-OP represents an informational version of NW, PY represents the informational-only version of RO. NW and RO table notes also apply to OP and PY, respectively.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. Deze aanvraagbeheer codes worden gebruikt voor communicatie van aanvragen tussen systemen waarbij de aanvraag bedoeld is ter informatie. Een aanvraag wordt bijvoorbeeld uitgevoerd door een leverancier anders dan de communicerende systemen."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OP"></code>
-     <display value="Notification of order for outside dispense"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Notificatie van aanvraag voor verstrekking door derde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="OR"></code>
-     <display value="Released as requested"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsbearbeitung anweisungsgemäß wiederaufgenommen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vrijgegeven zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-The parent (PA) and child (CH) order control codes allow the spawning of “child” orders from a “parent” order without changing the parent (original order). One or more ORC segments with an ORC-1-order control value of PA are followed by one or more ORC segments with an ORC-1-order control value of CH. Whether OBR segments must be present is determined by the value of ORC-6-response flag. 
-
-For example, suppose that a microbiology culture produced two organisms and corresponding susceptibility reports. Then the sequence of segments would be as follows: (see figure 4-4)
-
-The assignment of placer order numbers in the parent-child paradigm depends on whether the placer or filler creates the child order and in the latter case, on whether the placer supports the SN/NA transaction. If the placer creates the child orders it will assign their placer order numbers according to its usual procedures. If the filler creates the child orders there are two possibilities: each child will inherit the placer order number of its parent, or the filler will use the SN/NA transaction to request that the placer assign a placer order number. In either case, the filler application creates the filler order numbers of the children according to its usual procedures.
-
-Whenever a child order is transmitted in a message the ORC segment’s ORC-8-parent is valued with the parent’s filler order number (if originating from the filler) and with the parent’s placer order number (if originating from the filler or if originating from the placer). 
-
-The parent child mechanism can be used to “expand” a parent order (e.g., an order for three EKGs on successive mornings).">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. De codes voor bovenliggende (PA) en onderliggende/deel (CH) ondersteunen het onderscheiden van &quot;onderliggende/deel&quot; aanvragen van een &quot;bovenliggende&quot; aanvraag zonder dat de bovenliggende (oorspronkelijke aanvraag) wijzigt. Een of meer ORC segmenten met een ORC-1 Aanvraagbeheer PA waarden worden gevolgd door"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PA"></code>
-     <display value="Parent order/service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hauptauftrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bovenliggende aanvraag/service"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-PR indicates that this ORC is part of an ORU structure containing previous observation, which is embedded in the order.
-
-At least two main use cases require that the complete results of the previous observations be transmitted with the order. 
-
-•	Diagnostic laboratories referring tests to another lab for either confirmation of results (HIV, etc.) or due to not being equipped to do the tests (genetic testing, etc.). 
-
-•	Diagnostic laboratories sending test results to Knowledge Bases for the automated generation of diagnostic comments for inclusion into the lab report.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. PR geeft aan dat deze ORC deel is van een ORU "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PR"></code>
-     <display value="Previous Results with new order/service"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vorige resultaten met nieuwe aanvraag/service"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-See comments for OP - Notification of order for outside dispense.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicatie. Zie opmerkingen voor OP - Notificatie van aanvraag voor verstrekking door derde."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PY"></code>
-     <display value="Notification of replacement order for outside dispense"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Notificatie van vervangende aanvraag voor verstrekking door derde"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RA"></code>
-     <display value="Recommendation Accepted"></display>
-    </concept>
-    <concept>
-     <code value="RC"></code>
-     <display value="Recommended Change"></display>
-    </concept>
-    <concept>
-     <code value="RD"></code>
-     <display value="Recommendation Declined"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-The observations-to-follow code is used to transmit patient-specific information with an order. An order detail segment (e.g., OBR) can be followed by one or more observation segments (OBX). Any observation that can be transmitted in an ORU message can be transmitted with this mechanism. When results are transmitted with an order, the results should immediately follow the order or orders that they support.
-
-The following example shows the sequence of segments for three Pharmacy orders. It illustrates the use of the RE code:
-Segment	Order Control	Comment
-MSH		
-PID		
-ORC	NW	First new order
-RXO		First order segment
-		
-ORC	NW	2nd new order
-RXO		2nd order segment
-[ORC	RE	Patient-specific observation, optional in V 2.2
-OBR]		Observation OBR, optional in V 2.2
-OBX		An observation segment
-OBX		Another observation segment
-OBX		Another observation segment
-OBX		Another observation segment
-		
-ORC	NW	3rd order
-RXO		3rd order segment
-
-In this version of HL7, results can be transmitted with an order as one or more OBX segments without the necessity of including the ORC and OBR segments.
-
-Observations can be transmitted in an ORU message without using an ORC. There are times when it is necessary to transmit information not included in the OBR segments of the ORU message. In this case, it is recommended that the ORC be included in the ORU message.
-
-The order control value of RE is required only in ORM messages to indicate that an order is followed by observation results (OBX). The RE code is not necessary in the ORU message because it is expected that the OBR segments can be followed by observation results (OBX).">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Deze code wordt gebruikt voor het doorgeven van patiënt-specifieke informatie met een aanvraag. Een aanvraag-detailsegment (bijv. OBR) kan worden gevolgd door een of meer observatiesegmenten (OBX). Ieder observatie die kan worden ge"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RE"></code>
-     <display value="Observations/Performed Service to follow"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Untersuchungsergebnisse folgen (in späteren Segmenten dieser Nachricht)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Observaties/uitgevoerde server volgen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-RF accommodates requests by either the filler or the placer. The filler may be requesting refill authorization from the placer. A placer system may be requesting a refill to be done by the filler system.
-
-Typical responses include, but are not limited to: For a Filler request AF – Order/service refill request approval, DF – Order/service refill request denied; for a Placer request RE – Observations/Performed Service to follow, UF – Unable to refill.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Deze code ondersteunt verzoeken door de filler of de placer. De filler kan een autorisatie voor herhaling vragen van de placer. Een placer-systeem kan een herhaling vragen van het filler-systeem. Meestal is het antwoord"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RF"></code>
-     <display value="Refill order/service request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Herhaal aanvraag/service verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RL"></code>
-     <display value="Release previous hold"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsberabeitung wiederaufnehmen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geef vorige vastgehouden vrij"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-A replacement is the substitution of one or more orders for one or more previously ordered services.
-
-The replaced orders are treated as though they were canceled. If and when an ordered service can be replaced are local site-specific determinations.
-
-Use the parent/child order control codes if the site specifies that the original order must remain intact. Do not use the replacement codes under this circumstance. 
-
-For each order to be replaced, use an ORC-1-order control value of RP (request for a replacement going to a filler) or RU (an unsolicited replacement created by the filler) used by the filler to notify the placer and/or other systems). By local agreement, the ORC segment (with RP or RU) may be followed by its original order detail segment. The ORC segments (with RP or RU) must be followed by an ORC segment with an ORC-1-order control value of RO (indicating the replacement order). By local agreement, the ORC with the RO value may be followed by an order detail segment. 
-
-For example, suppose that an ancillary application were replacing two OBR orders with three different orders. The sequence of segments would be as follows:
-
-Seg	Order Control	Comment
-ORC	RU	1st replaced ORC
-OBR		1st replaced order’s detail segment
-		
-ORC	RU	2nd replaced ORC
-OBR		2nd replaced order’s detail segment
-		
-ORC	RO	1st replacement ORC
-OBR		1st replacement order’s detail segment
-		
-ORC	RO	2nd replacement ORC
-OBR		2nd replacement order’s detail segment
-		
-ORC	RO	3rd replacement ORC
-OBR		3rd replacement order’s detail segment
-
-Whether the OBR segments must be present is determined by the value of ORC-6-response flag.
-
-The described replacement method will handle all possible cases of replacement: one into one, many into one, one into many, and many into many. If the placer sent this request to the filler with two RPs, and this was a response back from the filler to the placer, the two RUs (replaced unsolicited) would be two RQs (replaced as requested). (see figure 4-3)
-
-Seg	Order Control	Comment
-ORC	RQ	1st replaced ORC
-OBR		1st replaced order’s detail segment
-		
-ORC	RQ	2nd replaced ORC
-OBR		2nd replaced order’s detail segment
-		
-ORC	RO	1st replacement ORC
-OBR		1st replacement order’s detail segment
-		
-ORC	RO	2nd replacement ORC
-OBR		2nd replacement order’s detail segment
-		
-ORC	RO	3rd replacement ORC
-OBR		3rd replacement order’s detail segment
-
-The replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.
-
-The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
-
-In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
-
-In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
-
-If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
-
-ORC with an order control value of RO.
-
-Any OBR segments (can be replaced by any order detail segments).
-
-Optionally followed by observation result segments (OBX)
-NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Een vervanging is de substitutie van een of meer aanvragen voor een of meer eerder aangevraagde services. De vervangen aanvragen worden behandeld alsof ze zijn geannuleerd. Of en ondere welke omstandigheden een aanvraagde service vervangen kan worden hangt af van lokale "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RO"></code>
-     <display value="Replacement order"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ersatzauftrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vervangende aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-A replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.
-
-The order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.
-
-The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
-
-In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
-
-In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
-
-If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
-
-a) ORC with an order control value of RO
-
-b) Any OBR segments (can be replaced by any order detail segments)
-
-c) Optionally followed by observation result segments (OBX)
-
-d) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. Een vervanging is de substitutie van een of meer aanvragen voor eerder aangevraagde services. Zie opmerking 1 bij RO - Vervangende aanvraag voor verder discussie. De code voor vervangende aanvraag staat de filler toe om "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RP"></code>
-     <display value="Order/service replace request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag ersetzen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag/service vervanging verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-A replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.
-
-The order replace request code permits the order filler to replace one or more new orders with one or more new orders, at the request of the placer application.
-
-The replacement order code is sent by the filler application to another application indicating the exact replacement ordered service. It is used with the RP and RU order control codes as described above.
-
-The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
-
-In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
-
-In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
-
-If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
-
-a) ORC with an order control value of RO
-
-b) Any OBR segments (can be replaced by any order detail segments)
-
-c) Optionally followed by observation result segments (OBX)
-
-d) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. Een vervanging is de substitutie van een of meer aanvragen voor een of meer eerder aangevraagd services. Zie opmerking 1 bij RO - Vervangende aanvraag voor verder discussie. De code voor vervangende aanvraag staat de filler toe om "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RQ"></code>
-     <display value="Replaced as requested"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag anweisungsgemäß ersetzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vervangen zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-Left in for backward compatibility. In the current version it is equivalent to an accept acknowledgment. The request-received code indicates that an order message has been received and will be processed later. The order has not yet undergone the processing that would permit a more exact response.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Behouden vanwege backward compatibiliteit. In de huidige versie is deze equivalent aan een ontvangstbevestiging. De code RR geeft aan dat een aanvraagbericht is ontvangen en latere wordt verwerkt. De aanvraag heeft"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RR"></code>
-     <display value="Request received"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anforderung erhalten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzoek ontvangen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-A replacement is the substitution of one or more orders for one or more previously ordered services. See comment 1 on RO – Replacement Order for further discussion.
-
-The unsolicited replacement code permits the filler application to notify another application without being requested from the placer application.
-
-The rules for the order numbers in ORC segments with an order control value of RO are determined by the replacement type (RP or RU).
-
-In the case of the RU type (i.e., unsolicited replacement by the filler), the filler order number is generated as usual by the filler application. The placer order number is identical to the placer order number of the first transmitted ORC with an order control value of RU.
-
-In the case of the RP type (i.e., a replacement request from another application to the filler), the placer order number is generated by the placer application using the procedure for new orders. The filler order number is generated by the filler application using the procedure identical for new orders.
-
-If a replacement sequence is used in an ORU message (i.e., during results reporting), the following are the recommended segments to be used for the replacement orders:
-
-a) ORC with an order control value of RO
-
-b) Any OBR segments (can be replaced by any order detail segments)
-
-c) Optionally followed by observation result segments (OBX)
-
-d) NTE segments can appear after the OBR (or any order detail segment) or after an OBX segment as in a regular ORU message">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. Een vervanging is de substitutie van een of meer aanvragen voor een of meer eerder aangevraagde services. Zie opmerking 1 bij RO - Vervangende aanvraag voor verder discussie. De code RU staat de filler applicatie toe om "></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RU"></code>
-     <display value="Replaced unsolicited"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag ersetzt (ohne Anweisung)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vervangen ongevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SC"></code>
-     <display value="Status changed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Statusänderung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Status gewijzigd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.
-See comments for NA - Number Assigned.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties. Zie opmerkingen voor NA - Nummer toegekend."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SN"></code>
-     <display value="Send order/service number"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrags- bzw. Bearbeitungsnummer zuweisen / übermitteln"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stuur aanvraag/service nummer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SQ"></code>
-     <display value="Supplemented as requested"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SR"></code>
-     <display value="Response to send order/service status request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsstatus (Antwort)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord op stuur aanvraag/service status verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="SS"></code>
-     <display value="Send order/service status request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsstatus senden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stuur aanvraag/service status verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SU"></code>
-     <display value="Supplement this order"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-An unable to accept code is used when a new order cannot be accepted by the filler. Possible reasons include requesting a prescription for a drug which the patient is allergic to or for an order which requires certain equipment resources which are not available such that the order cannot be filled. Note that this is different from the communication level acceptance as defined within the MSA segment.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. De code UA wordt gebruikt wanneer een nieuwe aanvraag niet worden geaccepteerd door de filler. Mogelijk redenen zijn voorschriften voor een medicijn waarvoor de patiënt allergisch is of een aanvraag waarvoor bepaalde apparatuur nodig is"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UA"></code>
-     <display value="Unable to accept order/service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsannahme nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon aanvraag/service niet accepteren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler or Placer Applications.
-An unable-to-cancel code is used when the ordered service is at a point that it cannot be canceled by the placer or filler or when local rules prevent cancellation by the filler. The use of this code is dependent on the value of ORC-6-response flag.
-If the filler initiated the request to cancel and the placer is unable to cancel while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. De code UC wordt gebruikt wanneer de aangevraagde service op een punt zit waarbij deze niet meer kan worden geannuleerd door de placer of de filler of als lokale regels annulering door de filler verhinderen. Gebruik van deze code is afhankelijk van de waarde"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UC"></code>
-     <display value="Unable to cancel"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragsstornierung nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet annuleren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler or Placer Applications.
-An unable-to-discontinue code is used when the ordered service is at a point that it cannot be discontinued by the placer or filler or when local rules prevent discontinuance by the filler. The use of this code is dependent on the value of ORC-6-response flag.
-If the filler initiated the request to discontinue and the placer is unable to discontinue while the filler cannot proceed with the fulfillment of that order, then the necessary communication to resolve the conflict is outside the scope of these messages.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler of placer applicaties. Deze code wordt gebruikt als de aangevraagde service op een punt zit dat afgebreken door de placer of filler niet meer mogelijk is of wanneer lokale regels afbreken door de filler verhinderen. Gebruik van deze code hangt af van"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UD"></code>
-     <display value="Unable to discontinue"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abbrechen nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet afbreken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.
-Negative response to RF Refill order/service request, indicating that the receiving application was not able to complete the refill request.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties. Negatief antwoord op RF - Herhaal aanvraag/service verzoek, dat aangeeft dat de ontvangende applicatie het herhaalverzoek niet kon uitvoeren."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UF"></code>
-     <display value="Unable to refill"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet herhalen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UH"></code>
-     <display value="Unable to put on hold"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aussetzen nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet aanhouden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UM"></code>
-     <display value="Unable to replace"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ersetzen nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet vervangen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer or Filler Applications.
-Refer to Chapter 12 Patient Care for complete discussion.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer of filler applicaties. Zie Hoofdstuk 12 Patient Care voor vollledige discussie."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UN"></code>
-     <display value="Unlink order/service from patient care problem or goal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ontkoppel aanvraag/service van patiënt zorgprobleem of doel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UR"></code>
-     <display value="Unable to release"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wiederaufnahme nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet vrijgeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="UX"></code>
-     <display value="Unable to change"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Änderung nicht möglich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kon niet wijzigen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Placer Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Placer applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XO"></code>
-     <display value="Change order/service request"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag ändern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wijzig aanvraag/service verzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XR"></code>
-     <display value="Changed as requested"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag anweisungsgemäß geändert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gewijzigd zoals gevraagd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Filler Applications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Filler applicaties."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="XX"></code>
-     <display value="Order/service changed, unsol."></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag geändert (ohne Anweisung)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Order/service gewijzigd, ongevraagd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0351"></fullUrl>
   <resource>
@@ -99638,10 +91030,10 @@ Refer to Chapter 12 Patient Care for complete discussion.">
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0116"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0359"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0116"></id>
+    <id value="v2-0359"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -99652,17 +91044,14 @@ Refer to Chapter 12 Patient Care for complete discussion.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0116"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0359"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.47"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.218"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0116"></name>
-    <title value="v2 BED STATUS"></title>
+    <name value="v2.0359"></name>
+    <title value="v2 Diagnosis priority"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -99672,164 +91061,7 @@ Refer to Chapter 12 Patient Care for complete discussion.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0116 ( BED STATUS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Closed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nicht verfügbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gesloten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="H"></code>
-     <display value="Housekeeping"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Reinigung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onderhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Isolated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Isoliert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="In isolatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="K"></code>
-     <display value="Contaminated"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kontaminiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Besmet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Occupied"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="belegt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bezet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unoccupied"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Frei"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet-bezet"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0106"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0106"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0106"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.43"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0106"></name>
-    <title value="v2 QUERY FORMAT CODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0106 ( QUERY FORMAT CODE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0359 ( Diagnosis priority)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -99844,23 +91076,15 @@ Refer to Chapter 12 Patient Care for complete discussion.">
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="D"></code>
-     <display value="Response is in display format"></display>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Antwort im Anzeige-Format"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwoord is in weergavestructuur"></value>
+      <value value="keine Werte vorgeschlagen"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -99868,27 +91092,55 @@ Refer to Chapter 12 Patient Care for complete discussion.">
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="R"></code>
-     <display value="Response is in record-oriented format"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort im datensatzorientierten Format"></value>
-     </designation>
+     <code value="0"></code>
+     <display value="Not included in diagnosis ranking"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Antwoord is in record-georiënteerde structuur"></value>
+      <value value="niet in diagnoseranglijst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="The primary diagnosis"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="de primaire diagnose"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="For  secondary diagnosis"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="voor gerangschikte secundaire diagnoses"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2 ..."></code>
+     <display value="For ranked secondary diagnoses"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="voor gerangschikte secundaire diagnoses"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -99896,1343 +91148,19 @@ Refer to Chapter 12 Patient Care for complete discussion.">
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
+      <valueDateTime value="2007-04"></valueDateTime>
      </property>
     </concept>
     <concept>
-     <code value="T"></code>
-     <display value="Response is in tabular format"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Antwort im tabellenorientierten Format"></value>
-     </designation>
+     <code value="2 and higher"></code>
+     <display value="for ranked secondary diagnoses"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Antwoord is in tabelstructuur"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0107"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0107"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0107"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.44"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0107"></name>
-    <title value="v2 DEFERRED RESPONSE TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0107 ( DEFERRED RESPONSE TYPE)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="B"></code>
-     <display value="Before the Date/Time specified"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vor dem angegebenen Zeitpunkt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voor de opgegeven datum/tijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Later than the Date/Time specified"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nach dem angegebenen Zeitpunkt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Na de opgegeven datum/tijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0108"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0108"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0108"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.45"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0108"></name>
-    <title value="v2 QUERY RESULTS LEVEL"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0108 ( QUERY RESULTS LEVEL)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="O"></code>
-     <display value="Order plus order status"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag und Auftragsstatus"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag plus aanvragstatus"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Results without bulk text"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ergebnisse / Befunde ohne umfänglichen Text"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resultaten zonder bulktest"></value>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
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-    <concept>
-     <code value="S"></code>
-     <display value="Status only"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nur Statusinformation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Alleen status"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
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-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Full results"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Komplette Ergebnisse / Befunde"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Volledige resultaten"></value>
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-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
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-   <CodeSystem xmlns="http://hl7.org/fhir">
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-     <valueCode value="external"></valueCode>
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-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0109"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
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-    <status value="active"></status>
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-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0109 ( REPORT PRIORITY)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
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-     <type value="code"></type>
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-    <property>
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-     <type value="dateTime"></type>
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-    <concept>
-     <code value="R"></code>
-     <display value="Routine"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Routine"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Normaal"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
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-    <concept>
-     <code value="S"></code>
-     <display value="Stat"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eilig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Stat"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
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-    </concept>
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-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0100"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0100"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0100"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.38"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0100"></name>
-    <title value="v2 WHEN TO CHARGE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0100 ( WHEN TO CHARGE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="On discharge"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Bei Entlassung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bij ontslag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="On receipt of order"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bei Auftragseingang"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bij ontvangst van aanvraag"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="At time service is completed"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Mit Ende der Leistungserbringung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Bij voltooiing service"></value>
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-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="At time service is started"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Am Beginn der Leistungserbringung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Bij aanvang service"></value>
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-    <concept>
-     <code value="T"></code>
-     <display value="At a designated date/time"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zum angegebenen Zeitpunkt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Op opgegeven moment"></value>
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-    </concept>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0102"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0102"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0102"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.39"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0102"></name>
-    <title value="v2 DELAYED ACKNOWLEDGMENT TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0102 ( DELAYED ACKNOWLEDGMENT TYPE)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
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-     <type value="code"></type>
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-    <property>
-     <code value="deprecationDate"></code>
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-     <type value="dateTime"></type>
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-    <concept>
-     <code value="D"></code>
-     <display value="Message received, stored for later processing"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nachricht erhalten, zur Bearbeitung gespeichert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Bericht ontvangen, opgeslagen voor verdere verwerking"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
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-    <concept>
-     <code value="F"></code>
-     <display value="acknowledgment after processing"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bestätigung nach Verarbeitung (veraltet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bevestiging na verwerking"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
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-    </concept>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0344"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0344"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0344"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.210"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0344"></name>
-    <title value="v2 Patient’s relationship to insured"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0344 ( Patient’s relationship to insured)"></description>
-    <content value="complete"></content>
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-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Patiënt is zelf verzekerd"></value>
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-    <concept>
-     <code value="02"></code>
-     <display value="Spouse"></display>
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-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <language value="nl"></language>
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-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-     <display value="Natural child/Insured does not have financial responsibility"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-    <concept>
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-     <display value="Step child"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Stiefkind"></value>
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-    <concept>
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-     <display value="Foster child"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Pleegkind"></value>
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-     <code value="07"></code>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Wettelijk voogd"></value>
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-    <concept>
-     <code value="08"></code>
-     <display value="Employee"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Werknemer"></value>
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-    <concept>
-     <code value="09"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Onbekend"></value>
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-    <concept>
-     <code value="10"></code>
-     <display value="Handicapped dependent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="behinderter Angehöriger"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Gehandicapt afhankelijke"></value>
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-    <concept>
-     <code value="11"></code>
-     <display value="Organ donor"></display>
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-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
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-      <value value="Organspender"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Orgaandonor"></value>
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-    <concept>
-     <code value="12"></code>
-     <display value="Cadaver donor"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Körper-/Leichenspender (bspw. für anatomische Studien; wir Organspender, nur nach dem Tod)"></value>
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-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Kadaverdonor"></value>
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-    <concept>
-     <code value="13"></code>
-     <display value="Grandchild"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Enkel"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Kleinkind"></value>
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-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="Niece/nephew"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nichte/Neffe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nicht/neef"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="Injured plaintiff"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="verletzter Kläger"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gewonde aanklagende partij"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="Sponsored dependent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Unterhaltsberechtigter"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gesponsorde afhankelijke"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="Minor dependent of a minor dependent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kind eines Minderjährigen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Minderjarige afhankelijke van minderjarige afhankelijke"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="18"></code>
-     <display value="Parent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eltern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ouder"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="19"></code>
-     <display value="Grandparent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Großeltern"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Grootouder"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0103"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0103"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0103"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.40"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0103"></name>
-    <title value="v2 PROCESSING ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0103 ( PROCESSING ID)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Debugging"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Test"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Debugging"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Non-Production Testing"></display>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Production"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Routine / Produktion"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Productie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Training"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Schulung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Training"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Validation"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Validierung"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0104"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0104"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0104"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.41"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0104"></name>
-    <title value="v2 VERSION CONTROL TABLE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0104 ( VERSION CONTROL TABLE)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="September 1988">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="September 1988"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.0"></code>
-     <display value="Release 2.0"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Version 2.0, September 1988"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.0"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="October 1988">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Oktober 1988"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.0D"></code>
-     <display value="Demo 2.0"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Version 2.0, October 1988 (nur zu Demonstrationszwecken)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Demo 2.0"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="March 1990">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Maart 1990"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.1"></code>
-     <display value="Release 2.1"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Version 2.1, März 1990"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.1"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="December 1994">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="December 1994"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.2"></code>
-     <display value="Release 2.2"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Version 2.2, Dezember 1994"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.2"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="March 1997">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Maart 1997"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.3"></code>
-     <display value="Release 2.3"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.3"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="May 1999">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Mei 1999"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.3.1"></code>
-     <display value="Release 2.3.1"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.3.1"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2.3.2"></code>
-     <display value="Release 2.3.2"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.3.2"></value>
+      <value value="voor gerangschikte secundaire diagnoses"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -101244,219 +91172,21 @@ Refer to Chapter 12 Patient Care for complete discussion.">
      </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="November 2000">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="November 2000"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.4"></code>
-     <display value="Release 2.4"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.4"></value>
-     </designation>
+     <code value="3"></code>
+     <display value="For tertiary diagnosis"></display>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="May 2003">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Mei 2003"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.5"></code>
-     <display value="Release 2.5"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.5"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="January 2007">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Januari 2007"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.5.1"></code>
-     <display value="Release 2.5.1"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.5.1"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="July 2007">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Juli 2007"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.6"></code>
-     <display value="Release 2.6"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.6"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="November 2010">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="November 2010"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.7"></code>
-     <display value="Release 2.7"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.6"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="July 2012">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Juli 2012"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.7.1"></code>
-     <display value="Release 2.7.1"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.7.1"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="February 2014">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Juli 2014"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.8"></code>
-     <display value="Release 2.8"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.8"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="April 2014">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="April 2014"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="2.8.1"></code>
-     <display value="Release 2.8.1"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie 2.8.1"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="May 2015"></valueString>
-     </extension>
-     <code value="2.8.2"></code>
-     <display value="Release 2.8.2"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Sep. 2017"></valueString>
-     </extension>
-     <code value="2.9"></code>
-     <display value="Draft 2.9"></display>
+     <code value="4"></code>
+     <display value="For quaternary diagnosis"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0105"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.3.1-0360"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0105"></id>
+    <id value="v2-2.3.1-0360"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -101467,14 +91197,14 @@ Refer to Chapter 12 Patient Care for complete discussion.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0105"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0360|2.3.1"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.42"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.219"></value>
     </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0105"></name>
-    <title value="v2 SOURCE OF COMMENT"></title>
+    <version value="0360"></version>
+    <name value="v2.0360.2.3.1"></name>
+    <title value="v2 table 0360, Version 2.3.1"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -101484,18 +91214,1059 @@ Refer to Chapter 12 Patient Care for complete discussion.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0105 ( SOURCE OF COMMENT)"></description>
+    <description value="v2 table definition for v2.0360.2.3.1"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="AA"></code>
+     <display value="Associate of Arts"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="AAS"></code>
+     <display value="Associate of Applied Science"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ABA"></code>
+     <display value="Associate of Business Administration"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="AE"></code>
+     <display value="Associate of Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="AS"></code>
+     <display value="Associate of Science"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BA"></code>
+     <display value="Bachelor of Arts"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BBA"></code>
+     <display value="Bachelor of Business Administration"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BE"></code>
+     <display value="Bachelor or Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BFA"></code>
+     <display value="Bachelor of Fine Arts"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BN"></code>
+     <display value="Bachelor of Nursing"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BS"></code>
+     <display value="Bachelor of Science"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BSL"></code>
+     <display value="Bachelor of Science - Law"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BSN"></code>
+     <display value="Bachelor on Science - Nursing"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BT"></code>
+     <display value="Bachelor of Theology"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANP"></code>
+     <display value="Certified Adult Nurse Practitioner"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CER"></code>
+     <display value="Certificate"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CMA"></code>
+     <display value="Certified Medical Assistant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CNM"></code>
+     <display value="Certified Nurse Midwife"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CNP"></code>
+     <display value="Certified Nurse Practitioner"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CNS"></code>
+     <display value="Certified Nurse Specialist"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CPNP"></code>
+     <display value="Certified Pediatric Nurse Practitioner"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CRN"></code>
+     <display value="Certified Registered Nurse"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DBA"></code>
+     <display value="Doctor of Business Administration"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DED"></code>
+     <display value="Doctor of Education"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DIP"></code>
+     <display value="Diploma"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DO"></code>
+     <display value="Doctor of Osteopathy"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="EMT"></code>
+     <display value="Emergency Medical Technician"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="EMTP"></code>
+     <display value="Emergency Medical Technician - Paramedic"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FPNP"></code>
+     <display value="Family Practice Nurse Practitioner"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="HS"></code>
+     <display value="High School Graduate"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="JD"></code>
+     <display value="Juris Doctor"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MA"></code>
+     <display value="Master of Arts"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MBA"></code>
+     <display value="Master of Business Administration"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MCE"></code>
+     <display value="Master of Civil Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MD"></code>
+     <display value="Doctor of Medicine"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MDA"></code>
+     <display value="Medical Assistant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MDI"></code>
+     <display value="Master of Divinity"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ME"></code>
+     <display value="Master of Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MED"></code>
+     <display value="Master of Education"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MEE"></code>
+     <display value="Master of Electrical Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MFA"></code>
+     <display value="Master of Fine Arts"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MME"></code>
+     <display value="Master of Mechanical Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MS"></code>
+     <display value="Master of Science"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MSL"></code>
+     <display value="Master of Science - Law"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MSN"></code>
+     <display value="Master of Science - Nursing"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MT"></code>
+     <display value="Master of Theology"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NG"></code>
+     <display value="Non-Graduate"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NP"></code>
+     <display value="Nurse Practitioner"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Physician Assistant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PHD"></code>
+     <display value="Doctor of Philosophy"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PHE"></code>
+     <display value="Doctor of Engineering"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PHS"></code>
+     <display value="Doctor of Science"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PN"></code>
+     <display value="Advanced Practice Nurse"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PharmD"></code>
+     <display value="Doctor of Pharmacy"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RMA"></code>
+     <display value="Registered Medical Assistant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RPH"></code>
+     <display value="Registered Pharmacist"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="SEC"></code>
+     <display value="Secretarial Certificate"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="TS"></code>
+     <display value="Trade School Graduate"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.7-0360"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-2.7-0360"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0360|2.7"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.220"></value>
+    </identifier>
+    <version value="0360"></version>
+    <name value="v2.0360.2.7"></name>
+    <title value="v2 table 0360, Version 2.7"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="v2 table definition for v2.0360.2.7"></description>
     <content value="complete"></content>
     <concept>
-     <code value="L"></code>
-     <display value="Ancillary (filler) department is source of comment"></display>
+     <code value="AA"></code>
+     <display value="Associate of Arts"></display>
+    </concept>
+    <concept>
+     <code value="AAS"></code>
+     <display value="Associate of Applied Science"></display>
+    </concept>
+    <concept>
+     <code value="ABA"></code>
+     <display value="Associate of Business Administration"></display>
+    </concept>
+    <concept>
+     <code value="AE"></code>
+     <display value="Associate of Engineering"></display>
+    </concept>
+    <concept>
+     <code value="AS"></code>
+     <display value="Associate of Science"></display>
+    </concept>
+    <concept>
+     <code value="BA"></code>
+     <display value="Bachelor of Arts"></display>
+    </concept>
+    <concept>
+     <code value="BBA"></code>
+     <display value="Bachelor of Business Administration"></display>
+    </concept>
+    <concept>
+     <code value="BE"></code>
+     <display value="Bachelor or Engineering"></display>
+    </concept>
+    <concept>
+     <code value="BFA"></code>
+     <display value="Bachelor of Fine Arts"></display>
+    </concept>
+    <concept>
+     <code value="BN"></code>
+     <display value="Bachelor of Nursing"></display>
+    </concept>
+    <concept>
+     <code value="BS"></code>
+     <display value="Bachelor of Science"></display>
+    </concept>
+    <concept>
+     <code value="BSL"></code>
+     <display value="Bachelor of Science - Law"></display>
+    </concept>
+    <concept>
+     <code value="BSN"></code>
+     <display value="Bachelor on Science - Nursing"></display>
+    </concept>
+    <concept>
+     <code value="BT"></code>
+     <display value="Bachelor of Theology"></display>
+    </concept>
+    <concept>
+     <code value="CANP"></code>
+     <display value="Certified Adult Nurse Practitioner"></display>
+    </concept>
+    <concept>
+     <code value="CER"></code>
+     <display value="Certificate"></display>
+    </concept>
+    <concept>
+     <code value="CMA"></code>
+     <display value="Certified Medical Assistant"></display>
+    </concept>
+    <concept>
+     <code value="CNM"></code>
+     <display value="Certified Nurse Midwife"></display>
+    </concept>
+    <concept>
+     <code value="CNP"></code>
+     <display value="Certified Nurse Practitioner"></display>
+    </concept>
+    <concept>
+     <code value="CNS"></code>
+     <display value="Certified Nurse Specialist"></display>
+    </concept>
+    <concept>
+     <code value="CPNP"></code>
+     <display value="Certified Pediatric Nurse Practitioner"></display>
+    </concept>
+    <concept>
+     <code value="CRN"></code>
+     <display value="Certified Registered Nurse"></display>
+    </concept>
+    <concept>
+     <code value="CTR"></code>
+     <display value="Certified Tumor Registrar"></display>
+    </concept>
+    <concept>
+     <code value="DBA"></code>
+     <display value="Doctor of Business Administration"></display>
+    </concept>
+    <concept>
+     <code value="DED"></code>
+     <display value="Doctor of Education"></display>
+    </concept>
+    <concept>
+     <code value="DIP"></code>
+     <display value="Diploma"></display>
+    </concept>
+    <concept>
+     <code value="DO"></code>
+     <display value="Doctor of Osteopathy"></display>
+    </concept>
+    <concept>
+     <code value="EMT"></code>
+     <display value="Emergency Medical Technician"></display>
+    </concept>
+    <concept>
+     <code value="EMTP"></code>
+     <display value="Emergency Medical Technician - Paramedic"></display>
+    </concept>
+    <concept>
+     <code value="FPNP"></code>
+     <display value="Family Practice Nurse Practitioner"></display>
+    </concept>
+    <concept>
+     <code value="HS"></code>
+     <display value="High School Graduate"></display>
+    </concept>
+    <concept>
+     <code value="JD"></code>
+     <display value="Juris Doctor"></display>
+    </concept>
+    <concept>
+     <code value="MA"></code>
+     <display value="Master of Arts"></display>
+    </concept>
+    <concept>
+     <code value="MBA"></code>
+     <display value="Master of Business Administration"></display>
+    </concept>
+    <concept>
+     <code value="MCE"></code>
+     <display value="Master of Civil Engineering"></display>
+    </concept>
+    <concept>
+     <code value="MD"></code>
+     <display value="Doctor of Medicine"></display>
+    </concept>
+    <concept>
+     <code value="MDA"></code>
+     <display value="Medical Assistant"></display>
+    </concept>
+    <concept>
+     <code value="MDI"></code>
+     <display value="Master of Divinity"></display>
+    </concept>
+    <concept>
+     <code value="ME"></code>
+     <display value="Master of Engineering"></display>
+    </concept>
+    <concept>
+     <code value="MED"></code>
+     <display value="Master of Education"></display>
+    </concept>
+    <concept>
+     <code value="MEE"></code>
+     <display value="Master of Electrical Engineering"></display>
+    </concept>
+    <concept>
+     <code value="MFA"></code>
+     <display value="Master of Fine Arts"></display>
+    </concept>
+    <concept>
+     <code value="MME"></code>
+     <display value="Master of Mechanical Engineering"></display>
+    </concept>
+    <concept>
+     <code value="MS"></code>
+     <display value="Master of Science"></display>
+    </concept>
+    <concept>
+     <code value="MSL"></code>
+     <display value="Master of Science - Law"></display>
+    </concept>
+    <concept>
+     <code value="MSN"></code>
+     <display value="Master of Science - Nursing"></display>
+    </concept>
+    <concept>
+     <code value="MT"></code>
+     <display value="Medical Technician"></display>
+    </concept>
+    <concept>
+     <code value="MTH"></code>
+     <display value="Master of Theology"></display>
+    </concept>
+    <concept>
+     <code value="NG"></code>
+     <display value="Non-Graduate"></display>
+    </concept>
+    <concept>
+     <code value="NP"></code>
+     <display value="Nurse Practitioner"></display>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Physician Assistant"></display>
+    </concept>
+    <concept>
+     <code value="PHD"></code>
+     <display value="Doctor of Philosophy"></display>
+    </concept>
+    <concept>
+     <code value="PHE"></code>
+     <display value="Doctor of Engineering"></display>
+    </concept>
+    <concept>
+     <code value="PHS"></code>
+     <display value="Doctor of Science"></display>
+    </concept>
+    <concept>
+     <code value="PN"></code>
+     <display value="Advanced Practice Nurse"></display>
+    </concept>
+    <concept>
+     <code value="PharmD"></code>
+     <display value="Doctor of Pharmacy"></display>
+    </concept>
+    <concept>
+     <code value="RMA"></code>
+     <display value="Registered Medical Assistant"></display>
+    </concept>
+    <concept>
+     <code value="RN"></code>
+     <display value="Registered Nurse"></display>
+    </concept>
+    <concept>
+     <code value="RPH"></code>
+     <display value="Registered Pharmacist"></display>
+    </concept>
+    <concept>
+     <code value="SEC"></code>
+     <display value="Secretarial Certificate"></display>
+    </concept>
+    <concept>
+     <code value="TS"></code>
+     <display value="Trade School Graduate"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0363"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0363"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0363"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.221"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0363"></name>
+    <title value="v2 Assigning authority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0363 ( Assigning authority)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Leistungsstelle"></value>
+      <value value="keine Werte vorgeschlagen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -101503,47 +92274,1581 @@ Refer to Chapter 12 Patient Care for complete discussion.">
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Andere (filler) afdeling is bron van opmerking"></value>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AUSDVA"></code>
+     <display value="Australia - Dept. of Veterans Affairs"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="AUSHIC"></code>
+     <display value="Australia - Health Insurance Commission"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANAB"></code>
+     <display value="Canada - Alberta"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANBC"></code>
+     <display value="Canada - British Columbia"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANMB"></code>
+     <display value="Canada - Manitoba"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANNB"></code>
+     <display value="Canada - New Brunswick"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANNF"></code>
+     <display value="Canada - Newfoundland"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANNS"></code>
+     <display value="Canada - Nova Scotia"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANNT"></code>
+     <display value="Canada - Northwest Territories"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANNU"></code>
+     <display value="Canada - Nanavut"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANON"></code>
+     <display value="Canada - Ontario"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANPE"></code>
+     <display value="Canada - Prince Edward Island"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANQC"></code>
+     <display value="Canada - Quebec"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANSK"></code>
+     <display value="Canada - Saskatchewan"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CANYT"></code>
+     <display value="Canada - Yukon Territories"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NLVWS"></code>
+     <display value="NL - Ministerie van Volksgezondheid, Welzijn en Sport"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="NL - Ministerie van Volksgezondheid, Welzijn en Sport"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="USCDC"></code>
+     <display value="US Center for Disease Control"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="USHCFA"></code>
+     <display value="US Healthcare Finance Authority"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="USSSA"></code>
+     <display value="US Social Security Administration"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="---"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0364"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0364"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0364"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.222"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0364"></name>
+    <title value="v2 Comment type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0364 ( Comment type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1R"></code>
+     <display value="Primary Reason"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Primaire reden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2R"></code>
+     <display value="Secondary Reason"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Secundaire reden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AI"></code>
+     <display value="Ancillary Instructions"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvullende instructies"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DR"></code>
+     <display value="Duplicate/Interaction Reason"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Duplicaat/interactie reden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GI"></code>
+     <display value="General Instructions"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Algemene instructies"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="GR"></code>
+     <display value="General Reason"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Algemene reden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PI"></code>
+     <display value="Patient Instructions"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiëntinstructies"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="Remark"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opmerking"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0365"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0365"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0365"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.223"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0365"></name>
+    <title value="v2 Equipment state"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0365 ( Equipment state)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="(null) No state change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(null) Geen statuswijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CL"></code>
+     <display value="Clearing"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wissen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CO"></code>
+     <display value="Configuring"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Configureren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="Diagnose"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Diagnose"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ES"></code>
+     <display value="E-stopped"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="E-gestopt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FL"></code>
+     <display value="Failure"></display>
+    </concept>
+    <concept>
+     <code value="ID"></code>
+     <display value="Idle"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Idle"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Initializing"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Initialiseren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LT"></code>
+     <display value="Limited test menu"></display>
+    </concept>
+    <concept>
+     <code value="MA"></code>
+     <display value="Maintenance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onderhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OP"></code>
+     <display value="Normal Operation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Normaal in bedrijf"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Pausing"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pauzeren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PD"></code>
+     <display value="Paused"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gepauzeerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PU"></code>
+     <display value="Powered Up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opgestart"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RS"></code>
+     <display value="Ready to start"></display>
+    </concept>
+    <concept>
+     <code value="SD"></code>
+     <display value="Shutting down"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afsluiten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SS"></code>
+     <display value="Sampling stopped"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sampling gestopt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TS"></code>
+     <display value="Transport stopped"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Transport gestopt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UNK"></code>
+     <display value="Unknown"></display>
+    </concept>
+    <concept>
+     <code value="…"></code>
+     <display value="(null) No state change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(null) Geen statuswijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0366"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0366"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0366"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.224"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0366"></name>
+    <title value="v2 Local/remote control state"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0366 ( Local/remote control state)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="(null) No state change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(null) geen statuswijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Local"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lokaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Remote"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Extern"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="…"></code>
+     <display value="(null) No state change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(null) Geen statuswijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0367"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0367"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0367"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.225"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0367"></name>
+    <title value="v2 Alert level"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0367 ( Alert level)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="(null) No level change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(null) geen niveauwijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Shut Down, Fix Problem and Re-init">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Stoppen, probleem oplossen en reïnitialiseren"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Critical"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kritiek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="No Corrective Action Needed">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Geen correctieve actie nodig"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="N"></code>
+     <display value="Normal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Normaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Corrective Action Required">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Correctieve actie vereist"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="S"></code>
+     <display value="Serious"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Serieus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Corrective Action Anticipated">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Correctieve actie te verwachten"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="W"></code>
+     <display value="Warning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Waarschuwing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="…"></code>
+     <display value="(null) No level change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="(null) Geen statuswijziging"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0368"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0368"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0368"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.226"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0368"></name>
+    <title value="v2 Remote control command"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0368 ( Remote control command)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AB"></code>
+     <display value="Abort"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afbreken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="See desc. below">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Zie omschrijving hieronder"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AF"></code>
+     <display value="Aliquot From container"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aliquot uit container"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="See desc. below">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Zie omschrijving hieronder"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AT"></code>
+     <display value="Aliquot To container"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aliquot naar container"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CL"></code>
+     <display value="Clear"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wissen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CN"></code>
+     <display value="Clear Notification"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wis melding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="Disable Sending Events"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versturen event deactiveren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EN"></code>
+     <display value="Enable Sending Events"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versturen events activeren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ES"></code>
+     <display value="Emergency -stop"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Noodstop"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EX"></code>
+     <display value="Execute (command specified in field Parameters (ST) 01394)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitvoeren (commando gespecificeerd in veld Parameters (ST) 01394)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Initialize/Initiate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Initialiseren/Starten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LC"></code>
+     <display value="Local Control Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lokaal besturingsverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LK"></code>
+     <display value="Lock"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vergrendelen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LO"></code>
+     <display value="Load"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Laden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Pause"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pauzeren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RC"></code>
+     <display value="Remote Control Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Extern besturingsverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="Resume"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hervatten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SA"></code>
+     <display value="Sampling"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sampelen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SU"></code>
+     <display value="Setup"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Instellingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TT"></code>
+     <display value="Transport To"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Transport naar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UC"></code>
+     <display value="Unlock"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ontgrendelen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UN"></code>
+     <display value="Unload"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitladen"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0369"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0369"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0369"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.227"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0369"></name>
+    <title value="v2 Specimen role"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0369 ( Specimen role)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Blind Sample"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Blind monster"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Calibrator, used for initial setting of calibration"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Calibratie, gebruikt voor initiële calibratie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Electronic QC, used with manufactured reference providing signals that simulate QC results"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electronische QC, gebruikt met fabrieksreferentie die signalen afgeeft die QC-resultaten stimuleren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Specimen used for testing proficiency of the organization performing the testing (Filler)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Monster gebruikt voor testen van vakbekwaamheid van de organisatie die de testen uitvoert (Filler)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Group (where a specimen consists of multiple individual elements that are not individually identified)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Groep (waarbij een monster bestaat uit meerdere individuele elementen die niet individueel worden geïdenticeerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Pool (aliquots of individual specimens combined to form a single specimen representing all of the components.)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pool (aliquots van individuele monsters gecombineerd tot een enkel monster dat alle componenten bevat.)"></value>
      </designation>
     </concept>
     <concept>
      <code value="O"></code>
-     <display value="Other system is source of comment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere Stelle"></value>
-     </designation>
+     <display value="Specimen used for testing Operator Proficiency"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ander systeem is bron van opmerking"></value>
+      <value value="Monster gebruikt voor het testen van de vakbekwaamheid van de operator"></value>
      </designation>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Orderer (placer) is source of comment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftraggeber / auftraggebende Stelle"></value>
-     </designation>
+     <display value="Patient (default if blank component value)"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Aanvrager (placer) is bron van opmerking"></value>
+      <value value="Patiënt (standaard indien component geen waarde heeft)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Q"></code>
+     <display value="Control specimen"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Control monster"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Replicate (of patient sample as a control)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Replicatie (van patiëntmonster ter controle)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Verifying Calibrator, used for periodic calibration checks"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verificatie calibrator, gebruikt voor periodieke calibratietesten"></value>
      </designation>
     </concept>
    </CodeSystem>
@@ -104478,91 +96783,6 @@ Refer to Chapter 12 Patient Care for complete discussion.">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0130"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0130"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0130"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.56"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0130"></name>
-    <title value="v2 Visit user code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0130 ( Visit user code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="HO"></code>
-     <display value="Home"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Thuis"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MO"></code>
-     <display value="Mobile Unit"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mobiele eenheid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PH"></code>
-     <display value="Phone"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TE"></code>
-     <display value="Teaching"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geeft onderwijs"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0372"></fullUrl>
   <resource>
@@ -104632,333 +96852,6 @@ Refer to Chapter 12 Patient Care for complete discussion.">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0131"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0131"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0131"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.58"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0131"></name>
-    <title value="v2 Contact Role"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0131 ( Contact Role)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="BP"></code>
-     <display value="Billing contact person"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kontaktperson für Abrechnung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Facturatie contactpersoon"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Emergency Contact"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ansprechpartner in Notfällen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contact bij nood"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CP"></code>
-     <display value="Contact person"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kontaktperson"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contactpersoon"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Employer"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Arbeitgeber"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werkgever"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EP"></code>
-     <display value="Emergency contact person"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kontaktperson für Notfälle"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contactpersoon bij nood"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Federal Agency"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bundesbehörde"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Federale overheidsinstelling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Insurance Company"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versicherung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzekeraar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Next-of-Kin"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kontaktperson"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Familielid"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="andere"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="Person preparing referral"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Person, die die Überweisung vorbereitet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Persoon die verwijzing voorbereidt"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="State Agency"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Landesbehörde"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Staat overheidsinstelling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0373"></fullUrl>
   <resource>
@@ -105077,299 +96970,6 @@ Refer to Chapter 12 Patient Care for complete discussion.">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0133"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0133"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0133"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.59"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0133"></name>
-    <title value="v2 PROCEDURE PRACTITIONER TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0133 ( PROCEDURE PRACTITIONER TYPE)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="AN"></code>
-     <display value="Anesthesiologist/Anesthetist"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anästhesist"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anesthesioloog/Anesthesist"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AS"></code>
-     <display value="Assistant Surgeon"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Assistenzchirurg"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Assistent chirurg"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CM"></code>
-     <display value="Certified Nurse Midwife"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hebamme"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecertificeerde verloskundig verpleegkundige"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="NP"></code>
-     <display value="Nurse Practitioner"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Krankenschwester"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nurse practitioner"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="Procedure MD/ Surgeon"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ausführender Arzt (Chirurg)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Chirurg"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PS"></code>
-     <display value="Primary Surgeon"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="verantwortlicher Chirurg"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Hoofdchirurg"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RD"></code>
-     <display value="Radiologist"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Radiologe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Radioloog"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RS"></code>
-     <display value="Resident"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Krankenhausarzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medewerker"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="SN"></code>
-     <display value="Scrub Nurse"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Operatieassistent"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-04"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0375"></fullUrl>
   <resource>
@@ -105571,103 +97171,6 @@ Refer to Chapter 12 Patient Care for complete discussion.">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0135"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0135"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0135"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.60"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0135"></name>
-    <title value="v2 ASSIGNMENT OF BENEFITS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0135 ( ASSIGNMENT OF BENEFITS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="M"></code>
-     <display value="Modified assignment"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sonderabmachung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aangepaste toekenning"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="No"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nein"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Yes"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0377"></fullUrl>
   <resource>
@@ -105714,10 +97217,10 @@ Refer to Chapter 12 Patient Care for complete discussion.">
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0136"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0383"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0136"></id>
+    <id value="v2-0383"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -105728,14 +97231,14 @@ Refer to Chapter 12 Patient Care for complete discussion.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0136"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0383"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.347"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.236"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0136"></name>
-    <title value="v2 Y/N Indicator"></title>
+    <name value="v2.0383"></name>
+    <title value="v2 Substance status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -105745,56 +97248,148 @@ Refer to Chapter 12 Patient Care for complete discussion.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0136 ( Y/N Indicator)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0383 ( Substance status)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="N"></code>
-     <display value="No"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nein"></value>
-     </designation>
+     <code value="CE"></code>
+     <display value="Calibration Error"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Nee"></value>
+      <value value="Calibratie fout"></value>
      </designation>
     </concept>
     <concept>
-     <code value="Y"></code>
-     <display value="Yes"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
+     <code value="CW"></code>
+     <display value="Calibration Warning"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ja"></value>
+      <value value="Calibratie waarschuwing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EE"></code>
+     <display value="Expired Error"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlopen fout"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EW"></code>
+     <display value="Expired Warning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlopen waarschuwing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NE"></code>
+     <display value="Not Available Error"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet beschikbaar fout"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="NW"></code>
+     <display value="Not Available Warning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet beschikbaar waarschuwing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OE"></code>
+     <display value="Other Error"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere fout"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OK"></code>
+     <display value="OK Status"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Status OK"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="OW"></code>
+     <display value="Other Warning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Andere waarschuwing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="QE"></code>
+     <display value="QC Error"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QC fout"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="QW"></code>
+     <display value="QC Warning"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="QC waarschuwing"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0137"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0384"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0137"></id>
+    <id value="v2-0384"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -105805,14 +97400,14 @@ Refer to Chapter 12 Patient Care for complete discussion.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0137"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0384"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.61"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.237"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0137"></name>
-    <title value="v2 MAIL CLAIM PARTY"></title>
+    <name value="v2.0384"></name>
+    <title value="v2 Substance type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -105822,79 +97417,34 @@ Refer to Chapter 12 Patient Care for complete discussion.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0137 ( MAIL CLAIM PARTY)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0384 ( Substance type)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="E"></code>
-     <display value="Employer"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Arbeitgeber"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werkgever"></value>
-     </designation>
+     <code value="CO"></code>
+     <display value="Control Reagent"></display>
     </concept>
     <concept>
-     <code value="G"></code>
-     <display value="Guarantor"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zahlungspflichtiger"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Garantstaande"></value>
-     </designation>
+     <code value="DI"></code>
+     <display value="Diluent"></display>
     </concept>
     <concept>
-     <code value="I"></code>
-     <display value="Insurance company"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versicherung / Krankenkasse"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzekeraar"></value>
-     </designation>
+     <code value="LI"></code>
+     <display value="Measurable Liquid Item"></display>
     </concept>
     <concept>
-     <code value="O"></code>
+     <code value="LW"></code>
+     <display value="Liquid Waste"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The consumption cannot be tied to orders for a single test"></valueString>
+     </extension>
+     <code value="MR"></code>
+     <display value="Multiple Test Reagent"></display>
+    </concept>
+    <concept>
+     <code value="OT"></code>
      <display value="Other"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="andere"></value>
-     </designation>
      <designation>
       <language value="nl"></language>
       <use>
@@ -105905,2525 +97455,149 @@ Refer to Chapter 12 Patient Care for complete discussion.">
      </designation>
     </concept>
     <concept>
-     <code value="P"></code>
-     <display value="Patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient / Selbstzahler"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt"></value>
-     </designation>
+     <code value="PT"></code>
+     <display value="Pretreatment"></display>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0128"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0128"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0128"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.55"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0128"></name>
-    <title value="v2 ALLERGY SEVERITY"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0128 ( ALLERGY SEVERITY)"></description>
-    <content value="complete"></content>
     <concept>
-     <code value="MI"></code>
-     <display value="Mild"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Leicht"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mild"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MO"></code>
-     <display value="Moderate"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mittel"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gemiddeld"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SV"></code>
-     <display value="Severe"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lebensbedrohlich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ernstig"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0121"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0121"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0121"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.49"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0121"></name>
-    <title value="v2 RESPONSE FLAG"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0121 ( RESPONSE FLAG)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Same as R, also other associated segments"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wie R, zusätzlich Detail-Segmente (OBR usw.) von nachgeordneten und Ersatzaufträ"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zelfde als R, ook andere gekoppelde segmenten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Report exceptions only"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nur OK oder Fehlercode nach Auftragsprüfung / -bearbeitung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Meld alleen uitzonderingen."></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Same as D, plus confirmations explicitly"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wie D, zusätzlich ausdrückliche Bestätigungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zelfde als D, plus expliciete bevestigingen."></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Only the MSA segment is returned"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nur Eingangsbestätigung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen het MSA-segment wordt geretourneerd."></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Same as E, also Replacement and Parent-Child"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wie E, zusätzlich ORC-Segmente von nachgeordneten und Ersatzaufträgen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zelfde als E, ook Vervanging en Parent-Child"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0363"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0363"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0363"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.221"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0363"></name>
-    <title value="v2 Assigning authority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0363 ( Assigning authority)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="No suggested values defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AUSDVA"></code>
-     <display value="Australia - Dept. of Veterans Affairs"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="AUSHIC"></code>
-     <display value="Australia - Health Insurance Commission"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANAB"></code>
-     <display value="Canada - Alberta"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANBC"></code>
-     <display value="Canada - British Columbia"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANMB"></code>
-     <display value="Canada - Manitoba"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANNB"></code>
-     <display value="Canada - New Brunswick"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANNF"></code>
-     <display value="Canada - Newfoundland"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANNS"></code>
-     <display value="Canada - Nova Scotia"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANNT"></code>
-     <display value="Canada - Northwest Territories"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANNU"></code>
-     <display value="Canada - Nanavut"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANON"></code>
-     <display value="Canada - Ontario"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANPE"></code>
-     <display value="Canada - Prince Edward Island"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANQC"></code>
-     <display value="Canada - Quebec"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANSK"></code>
-     <display value="Canada - Saskatchewan"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CANYT"></code>
-     <display value="Canada - Yukon Territories"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="NLVWS"></code>
-     <display value="NL - Ministerie van Volksgezondheid, Welzijn en Sport"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="NL - Ministerie van Volksgezondheid, Welzijn en Sport"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="USCDC"></code>
-     <display value="US Center for Disease Control"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="USHCFA"></code>
-     <display value="US Healthcare Finance Authority"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="USSSA"></code>
-     <display value="US Social Security Administration"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="---"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0122"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0122"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0122"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.50"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0122"></name>
-    <title value="v2 CHARGE TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0122 ( CHARGE TYPE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CH"></code>
-     <display value="Charge"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rechnung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Belasten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CO"></code>
-     <display value="Contract"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vertrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contract"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CR"></code>
-     <display value="Credit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kredit"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Krediet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DP"></code>
-     <display value="Department"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abteilung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afdeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GR"></code>
-     <display value="Grant"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zuschuß"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Toelage"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NC"></code>
-     <display value="No Charge"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Keine Rechnung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet belasten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PC"></code>
-     <display value="Professional"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berufsgenossenschaft"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Professional"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RS"></code>
-     <display value="Research"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Forschung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Research"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0364"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0364"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0364"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.222"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0364"></name>
-    <title value="v2 Comment type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0364 ( Comment type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1R"></code>
-     <display value="Primary Reason"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Primaire reden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2R"></code>
-     <display value="Secondary Reason"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Secundaire reden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="AI"></code>
-     <display value="Ancillary Instructions"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvullende instructies"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DR"></code>
-     <display value="Duplicate/Interaction Reason"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Duplicaat/interactie reden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GI"></code>
-     <display value="General Instructions"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Algemene instructies"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="GR"></code>
-     <display value="General Reason"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Algemene reden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PI"></code>
-     <display value="Patient Instructions"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiëntinstructies"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RE"></code>
-     <display value="Remark"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Opmerking"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0123"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0123"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0123"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.51"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0123"></name>
-    <title value="v2 RESULT STATUS - OBR"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0123 ( RESULT STATUS - OBR)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Some, but not all, results available"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="einige, aber nicht alle Ergebnisse verfügbar"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sommige maar nog niet alle resultaten beschikbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Corrected, final"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="korrigiertes Ergebnis, final"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gecorrigeerde resultaten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Final results"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Endergebnis - Auftrag erledigt, Ergebnisse validiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Definitieve resultaten; resultaten opgeslagen en geverifieerd. Kunnen alleen nog worden gewijzigd door een gecorrigeerd resultaat."></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="No results available; specimen received, procedure incomplete"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Keine Ergebnisse - Probe liegt vor, Untersuchung unvollständig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen resultaat beschikbaar; monster ontvangen, procedure incompleet"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Corrected, not final"></display>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Procedure completed, results pending"></display>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Order received; specimen not yet received"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftrag erhalten - Probe steht noch aus"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag ontvangen; monster nog niet gearriveerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Preliminary"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vorläufig - Validiertes Zwischenergebnis liegt vor, aber noch keine endgültigen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voorlopig: er is een geverifieerd eerste resultaat beschikbaar, definitieve resultaten nog niet beschikbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Results stored; not yet verified"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ergebnisse gespeichert, aber noch nicht validiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resultaten opgeslagen; nog niet geverifieerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="No results available; procedure scheduled, but not done"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Keine Ergebnisse - Untersuchung eingeplant, aber noch nicht durchgeführt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen resultaat beschikbaar; procedure gepland maar nog niet uitgevoerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="No results available; Order canceled"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Keine Ergebnisse - Auftrag storniert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen resultaat beschikbaar; aanvraag geannuleerd."></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="No order on record for this test"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kein Auftrag zu dieser Untersuchung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen aanvraag opgeslagen voor deze test. (Alleen van toepassing bij queries)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Z"></code>
-     <display value="No record of this patient"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Keine Daten über diesen Patienten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt niet bekend. (Alleen van toepassing bij queries)"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0365"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0365"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0365"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.223"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0365"></name>
-    <title value="v2 Equipment state"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0365 ( Equipment state)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="(null) No state change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(null) Geen statuswijziging"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CL"></code>
-     <display value="Clearing"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wissen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CO"></code>
-     <display value="Configuring"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Configureren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="Diagnose"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Diagnose"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ES"></code>
-     <display value="E-stopped"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="E-gestopt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FL"></code>
-     <display value="Failure"></display>
-    </concept>
-    <concept>
-     <code value="ID"></code>
-     <display value="Idle"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Idle"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IN"></code>
-     <display value="Initializing"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Initialiseren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LT"></code>
-     <display value="Limited test menu"></display>
-    </concept>
-    <concept>
-     <code value="MA"></code>
-     <display value="Maintenance"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onderhoud"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OP"></code>
-     <display value="Normal Operation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Normaal in bedrijf"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Pausing"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pauzeren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PD"></code>
-     <display value="Paused"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gepauzeerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PU"></code>
-     <display value="Powered Up"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Opgestart"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RS"></code>
-     <display value="Ready to start"></display>
-    </concept>
-    <concept>
-     <code value="SD"></code>
-     <display value="Shutting down"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afsluiten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SS"></code>
-     <display value="Sampling stopped"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sampling gestopt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TS"></code>
-     <display value="Transport stopped"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Transport gestopt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UNK"></code>
-     <display value="Unknown"></display>
-    </concept>
-    <concept>
-     <code value="…"></code>
-     <display value="(null) No state change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(null) Geen statuswijziging"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0124"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0124"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0124"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.52"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0124"></name>
-    <title value="v2 TRANSPORTATION MODE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0124 ( TRANSPORTATION MODE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CART"></code>
-     <display value="Cart - patient travels on cart or gurney"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient wird auf Trage transportiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wagentje - patiënt reist per karretje of ziekenhuisbed"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PORT"></code>
-     <display value="The examining device goes to patient's location"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Untersuchung am Krankenbett"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Het onderzoeksapparaat gaat naar de patiëntlocatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WALK"></code>
-     <display value="Patient walks to diagnostic service"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patient geht zu Fuß zum Funktionsbereich"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt loopt naar diagnostische service"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="WHLC"></code>
-     <display value="Wheelchair"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rollstuhl"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Rolstoel"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0366"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0366"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0366"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.224"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0366"></name>
-    <title value="v2 Local/remote control state"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0366 ( Local/remote control state)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="(null) No state change"></display>
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-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(null) geen statuswijziging"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
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-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Local"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lokaal"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Remote"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Extern"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="…"></code>
-     <display value="(null) No state change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(null) Geen statuswijziging"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
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-    </concept>
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-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0367"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0367"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0367"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.225"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0367"></name>
-    <title value="v2 Alert level"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0367 ( Alert level)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="(null) No level change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(null) geen niveauwijziging"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
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-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Shut Down, Fix Problem and Re-init">
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-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Stoppen, probleem oplossen en reïnitialiseren"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="C"></code>
-     <display value="Critical"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kritiek"></value>
-     </designation>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="No Corrective Action Needed">
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-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
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-        <extension url="content">
-         <valueString value="Geen correctieve actie nodig"></valueString>
-        </extension>
-       </extension>
-      </valueString>
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-     <code value="N"></code>
-     <display value="Normal"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Normaal"></value>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Corrective Action Required">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Correctieve actie vereist"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="S"></code>
-     <display value="Serious"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Serieus"></value>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Corrective Action Anticipated">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Correctieve actie te verwachten"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="W"></code>
-     <display value="Warning"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Waarschuwing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="…"></code>
-     <display value="(null) No level change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="(null) Geen statuswijziging"></value>
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-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
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-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
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- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0126"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0126"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
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-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <url value="http://terminology.hl7.org/CodeSystem/v2-0126"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.53"></value>
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-    <version value="2.9"></version>
-    <name value="v2.0126"></name>
-    <title value="v2 QUANTITY LIMITED REQUEST"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0126 ( QUANTITY LIMITED REQUEST)"></description>
-    <content value="complete"></content>
-    <concept>
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-      <valueString value="RSP/RTB/RDY">
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-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
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-        <extension url="content">
-         <valueString value="RSP/RTB/RDY"></valueString>
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-     <code value="CH"></code>
-     <display value="Characters"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Zeichen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Tekens"></value>
-     </designation>
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-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RTB/RDY">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="RTB/RDY"></valueString>
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-       </extension>
-      </valueString>
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-     <code value="LI"></code>
-     <display value="Lines"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Zeilen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
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-      <value value="Regels"></value>
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-    <concept>
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-      <valueString value="RDY">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="RDY"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PG"></code>
-     <display value="Pages"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Seiten"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pagina's"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="RSP/RTB/RDY">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="RSP/RTB/RDY"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="RD"></code>
-     <display value="Records"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Datensätze"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Records"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ZO"></code>
-     <display value="Locally defined"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="lokal definiert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lokaal gedefinieerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0368"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0368"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0368"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.226"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0368"></name>
-    <title value="v2 Remote control command"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0368 ( Remote control command)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AB"></code>
-     <display value="Abort"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afbreken"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="See desc. below">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Zie omschrijving hieronder"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AF"></code>
-     <display value="Aliquot From container"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aliquot uit container"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="See desc. below">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Zie omschrijving hieronder"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="AT"></code>
-     <display value="Aliquot To container"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aliquot naar container"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CL"></code>
-     <display value="Clear"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wissen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="CN"></code>
-     <display value="Clear Notification"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wis melding"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="Disable Sending Events"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versturen event deactiveren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EN"></code>
-     <display value="Enable Sending Events"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versturen events activeren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ES"></code>
-     <display value="Emergency -stop"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Noodstop"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EX"></code>
-     <display value="Execute (command specified in field Parameters (ST) 01394)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uitvoeren (commando gespecificeerd in veld Parameters (ST) 01394)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="IN"></code>
-     <display value="Initialize/Initiate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Initialiseren/Starten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LC"></code>
-     <display value="Local Control Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Lokaal besturingsverzoek"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LK"></code>
-     <display value="Lock"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vergrendelen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LO"></code>
-     <display value="Load"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Laden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Pause"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pauzeren"></value>
-     </designation>
+     <code value="PW"></code>
+     <display value="Purified Water"></display>
     </concept>
     <concept>
      <code value="RC"></code>
-     <display value="Remote Control Request"></display>
+     <display value="Reagent Calibrator"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="E.g., Pipetting tip"></valueString>
+     </extension>
+     <code value="SC"></code>
+     <display value="Countable Solid Item"></display>
+    </concept>
+    <concept>
+     <code value="SR"></code>
+     <display value="Single Test Reagent"></display>
+    </concept>
+    <concept>
+     <code value="SW"></code>
+     <display value="Solid Waste"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0387"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0387"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0387"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.238"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0387"></name>
+    <title value="v2 Command response"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0387 ( Command response)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="See response parameters.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Zie antwoord parameters"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ER"></code>
+     <display value="Command cannot be completed because of error condition"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Extern besturingsverzoek"></value>
+      <value value="Commando kan niet worden uitgevoerd vanwege een foutconditie"></value>
      </designation>
     </concept>
     <concept>
-     <code value="RE"></code>
-     <display value="Resume"></display>
+     <code value="OK"></code>
+     <display value="Command completed successfully"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Hervatten"></value>
+      <value value="Commando succesvol uitgevoerd"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SA"></code>
-     <display value="Sampling"></display>
+     <code value="ST"></code>
+     <display value="Command cannot be completed because of the status of the requested equipment"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Sampelen"></value>
+      <value value="Commando kan niet worden uitgevoerd vanwege de status van de gevraagde apparatuur"></value>
      </designation>
     </concept>
     <concept>
-     <code value="SU"></code>
-     <display value="Setup"></display>
+     <code value="TI"></code>
+     <display value="Command cannot be completed within requested completion time"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Instellingen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TT"></code>
-     <display value="Transport To"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Transport naar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UC"></code>
-     <display value="Unlock"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ontgrendelen"></value>
+      <value value="Commando kan niet worden uitgevoerd binnen de gevraagde tijd voor voltooiing"></value>
      </designation>
     </concept>
     <concept>
      <code value="UN"></code>
-     <display value="Unload"></display>
+     <display value="Command cannot be completed for unknown reasons"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Uitladen"></value>
+      <value value="Commando kan om onbekende redenen niet worden uitgevoerd"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0127"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0388"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0127"></id>
+    <id value="v2-0388"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -108434,14 +97608,14 @@ Refer to Chapter 12 Patient Care for complete discussion.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0127"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0388"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.54"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.239"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0127"></name>
-    <title value="v2 ALLERGY TYPE"></title>
+    <name value="v2.0388"></name>
+    <title value="v2 Processing type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -108451,345 +97625,40 @@ Refer to Chapter 12 Patient Care for complete discussion.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0127 ( ALLERGY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0388 ( Processing type)"></description>
     <content value="complete"></content>
-    <concept>
-     <code value="AA"></code>
-     <display value="Animal Allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tierallergie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dierenallergie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DA"></code>
-     <display value="Drug allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medikamentenallergie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicatieallergie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="EA"></code>
-     <display value="Environmental Allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Allergie gegen Umwelteinflüsse"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Omgevingsallergie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="FA"></code>
-     <display value="Food allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nahrungsmittelallergie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voedselallergie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LA"></code>
-     <display value="Pollen Allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pollenallergie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pollenallergie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MA"></code>
-     <display value="Miscellaneous allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sonstige Allergie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overige allergie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="MC"></code>
-     <display value="Miscellaneous contraindication"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sonstige Kontraindikation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overige contraindicatie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="Plant Allergy"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pflanzenallergie"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Plantallergie"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0369"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0369"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0369"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.227"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0369"></name>
-    <title value="v2 Specimen role"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0369 ( Specimen role)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="Blind Sample"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Blind monster"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="Calibrator, used for initial setting of calibration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Calibratie, gebruikt voor initiële calibratie"></value>
-     </designation>
-    </concept>
     <concept>
      <code value="E"></code>
-     <display value="Electronic QC, used with manufactured reference providing signals that simulate QC results"></display>
+     <display value="Evaluation"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Electronische QC, gebruikt met fabrieksreferentie die signalen afgeeft die QC-resultaten stimuleren"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Specimen used for testing proficiency of the organization performing the testing (Filler)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Monster gebruikt voor testen van vakbekwaamheid van de organisatie die de testen uitvoert (Filler)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="Group (where a specimen consists of multiple individual elements that are not individually identified)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Groep (waarbij een monster bestaat uit meerdere individuele elementen die niet individueel worden geïdenticeerd)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Pool (aliquots of individual specimens combined to form a single specimen representing all of the components.)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Pool (aliquots van individuele monsters gecombineerd tot een enkel monster dat alle componenten bevat.)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Specimen used for testing Operator Proficiency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Monster gebruikt voor het testen van de vakbekwaamheid van de operator"></value>
+      <value value="Evaluatie"></value>
      </designation>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Patient (default if blank component value)"></display>
+     <display value="Regular Production"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Patiënt (standaard indien component geen waarde heeft)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Q"></code>
-     <display value="Control specimen"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Control monster"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Replicate (of patient sample as a control)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Replicatie (van patiëntmonster ter controle)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Verifying Calibrator, used for periodic calibration checks"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verificatie calibrator, gebruikt voor periodieke calibratietesten"></value>
+      <value value="Reguliere productie"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0150"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0389"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0150"></id>
+    <id value="v2-0389"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -108800,14 +97669,14 @@ Refer to Chapter 12 Patient Care for complete discussion.">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0150"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0389"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.71"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.240"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0150"></name>
-    <title value="v2 PRECERTIFICATION PATIENT TYPE"></title>
+    <name value="v2.0389"></name>
+    <title value="v2 Analyte repeat status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -108817,63 +97686,700 @@ Refer to Chapter 12 Patient Care for complete discussion.">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0150 ( PRECERTIFICATION PATIENT TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0389 ( Analyte repeat status)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="ER"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="(Tabelle 150 wird nicht verwendet)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoed"></value>
-     </designation>
+     <code value="D"></code>
+     <display value="Repeated with dilution"></display>
     </concept>
     <concept>
-     <code value="IPE"></code>
-     <display value="Inpatient elective"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinisch eigen keuze"></value>
-     </designation>
+     <code value="F"></code>
+     <display value="Reflex test"></display>
     </concept>
     <concept>
-     <code value="OPE"></code>
-     <display value="Outpatient elective"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Poliklinisch eigen keuze"></value>
-     </designation>
+     <code value="O"></code>
+     <display value="Original, first run"></display>
     </concept>
     <concept>
-     <code value="UR"></code>
-     <display value="Urgent"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Spoed"></value>
-     </designation>
+     <code value="R"></code>
+     <display value="Repeated without dilution"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.4-0391"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-2.4-0391"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0391|2.4"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.241"></value>
+    </identifier>
+    <version value="0391"></version>
+    <name value="v2.0391.2.4"></name>
+    <title value="v2 table 0391, Version 2.4"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="v2 table definition for v2.0391.2.4"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="OBRG"></code>
+     <display value="OBR group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ORCG"></code>
+     <display value="ORC group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PIDG"></code>
+     <display value="PID group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RXAG"></code>
+     <display value="RXA group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RXDG"></code>
+     <display value="RXD group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RXEG"></code>
+     <display value="RXE group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RXOG"></code>
+     <display value="RXO group"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="etc"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-2.6-0391"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-2.6-0391"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0391|2.6"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.242"></value>
+    </identifier>
+    <version value="0391"></version>
+    <name value="v2.0391.2.6"></name>
+    <title value="v2 table 0391, Version 2.6"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="v2 table definition for v2.0391.2.6"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="ADMINISTRATION"></code>
+    </concept>
+    <concept>
+     <code value="ALLERGY"></code>
+    </concept>
+    <concept>
+     <code value="APP_STATS"></code>
+    </concept>
+    <concept>
+     <code value="APP_STATUS"></code>
+    </concept>
+    <concept>
+     <code value="ASSOCIATED_PERSON"></code>
+    </concept>
+    <concept>
+     <code value="ASSOCIATED_RX_ADMIN"></code>
+    </concept>
+    <concept>
+     <code value="ASSOCIATED_RX_ORDER"></code>
+    </concept>
+    <concept>
+     <code value="AUTHORIZATION"></code>
+    </concept>
+    <concept>
+     <code value="AUTHORIZATION_CONTACT"></code>
+    </concept>
+    <concept>
+     <code value="CERTIFICATE"></code>
+    </concept>
+    <concept>
+     <code value="CLOCK"></code>
+    </concept>
+    <concept>
+     <code value="CLOCK_AND_STATISTICS"></code>
+    </concept>
+    <concept>
+     <code value="CLOCK_AND_STATS_WITH_NOTE"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CLOCK_AND_STATS_WITH_NOTES"></code>
+    </concept>
+    <concept>
+     <code value="CLOCK_AND_STATS_WITH_NOTES_ALT"></code>
+    </concept>
+    <concept>
+     <code value="COMMAND"></code>
+    </concept>
+    <concept>
+     <code value="COMMAND_RESPONSE"></code>
+    </concept>
+    <concept>
+     <code value="COMMON_ORDER"></code>
+    </concept>
+    <concept>
+     <code value="COMPONENT"></code>
+    </concept>
+    <concept>
+     <code value="COMPONENTS"></code>
+    </concept>
+    <concept>
+     <code value="CONTAINER"></code>
+    </concept>
+    <concept>
+     <code value="DEFINITION"></code>
+    </concept>
+    <concept>
+     <code value="DIET"></code>
+    </concept>
+    <concept>
+     <code value="DISPENSE"></code>
+    </concept>
+    <concept>
+     <code value="ENCODED ORDER"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ENCODED_ORDER"></code>
+    </concept>
+    <concept>
+     <code value="ENCODING"></code>
+    </concept>
+    <concept>
+     <code value="EXPERIENCE"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_COMMON ORDER"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_COMMON_ORDER"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_INSURANCE"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_ORDER"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_PROCEDURE"></code>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_TIMING QUANTITY"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="FINANCIAL_TIMING_QUANTITY"></code>
+    </concept>
+    <concept>
+     <code value="GENERAL RESOURCE"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="GENERAL_RESOURCE"></code>
+    </concept>
+    <concept>
+     <code value="GIVE"></code>
+    </concept>
+    <concept>
+     <code value="GOAL"></code>
+    </concept>
+    <concept>
+     <code value="GOAL_OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="GOAL_PATHWAY"></code>
+    </concept>
+    <concept>
+     <code value="GOAL_ROLE"></code>
+    </concept>
+    <concept>
+     <code value="GUARANTOR_INSURANCE"></code>
+    </concept>
+    <concept>
+     <code value="INSURANCE"></code>
+    </concept>
+    <concept>
+     <code value="LOCATION RESOURCE"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LOCATION_RESOURCE"></code>
+    </concept>
+    <concept>
+     <code value="MERGE_INFO"></code>
+    </concept>
+    <concept>
+     <code value="MF"></code>
+    </concept>
+    <concept>
+     <code value="MF_CDM"></code>
+    </concept>
+    <concept>
+     <code value="MF_CLIN_STUDY"></code>
+    </concept>
+    <concept>
+     <code value="MF_CLIN_STUDY_SCHED"></code>
+    </concept>
+    <concept>
+     <code value="MF_INV_ITEM"></code>
+    </concept>
+    <concept>
+     <code value="MF_LOCATION"></code>
+    </concept>
+    <concept>
+     <code value="MF_LOC_DEPT"></code>
+    </concept>
+    <concept>
+     <code value="MF_OBS_ATTRIBUTES"></code>
+    </concept>
+    <concept>
+     <code value="MF_PHASE_SCHED_DETAIL"></code>
+    </concept>
+    <concept>
+     <code value="MF_QUERY"></code>
+    </concept>
+    <concept>
+     <code value="MF_SITE_DEFINED"></code>
+    </concept>
+    <concept>
+     <code value="MF_STAFF"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_BATTERIES"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_BATT_DETAIL"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_CALCULATED"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_CALC_DETAIL"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_CATEGORICAL"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_CAT_DETAIL"></code>
+    </concept>
+    <concept>
+     <code value="MF_TEST_NUMERIC"></code>
+    </concept>
+    <concept>
+     <code value="NK1_TIMING_QTY"></code>
+    </concept>
+    <concept>
+     <code value="NOTIFICATION"></code>
+    </concept>
+    <concept>
+     <code value="OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="OBSERVATION_PRIOR"></code>
+    </concept>
+    <concept>
+     <code value="OBSERVATION_REQUEST"></code>
+    </concept>
+    <concept>
+     <code value="OMSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="ORDER"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_CHOICE"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_DETAIL"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_DETAIL_SUPPLEMENT"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_DIET"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_ENCODED"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_PRIOR"></code>
+    </concept>
+    <concept>
+     <code value="ORDER_TRAY"></code>
+    </concept>
+    <concept>
+     <code value="PATHWAY"></code>
+    </concept>
+    <concept>
+     <code value="PATHWAY_ROLE"></code>
+    </concept>
+    <concept>
+     <code value="PATIENT"></code>
+    </concept>
+    <concept>
+     <code value="PATIENT VISIT"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PATIENT_PRIOR"></code>
+    </concept>
+    <concept>
+     <code value="PATIENT_RESULT"></code>
+    </concept>
+    <concept>
+     <code value="PATIENT_VISIT"></code>
+    </concept>
+    <concept>
+     <code value="PATIENT_VISIT_PRIOR"></code>
+    </concept>
+    <concept>
+     <code value="PERSONNEL RESOURCE"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PERSONNEL_RESOURCE"></code>
+    </concept>
+    <concept>
+     <code value="PEX_CAUSE"></code>
+    </concept>
+    <concept>
+     <code value="PEX_OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="PRIOR_RESULT"></code>
+    </concept>
+    <concept>
+     <code value="PROBLEM"></code>
+    </concept>
+    <concept>
+     <code value="PROBLEM_OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="PROBLEM_PATHWAY"></code>
+    </concept>
+    <concept>
+     <code value="PROBLEM_ROLE"></code>
+    </concept>
+    <concept>
+     <code value="PROCEDURE"></code>
+    </concept>
+    <concept>
+     <code value="PRODUCT"></code>
+    </concept>
+    <concept>
+     <code value="PRODUCT_STATUS"></code>
+    </concept>
+    <concept>
+     <code value="PROVIDER"></code>
+    </concept>
+    <concept>
+     <code value="PROVIDER_CONTACT"></code>
+    </concept>
+    <concept>
+     <code value="QBP"></code>
+    </concept>
+    <concept>
+     <code value="QRY_WITH_DETAIL"></code>
+    </concept>
+    <concept>
+     <code value="QUERY_RESPONSE"></code>
+    </concept>
+    <concept>
+     <code value="QUERY_RESULT_CLUSTER"></code>
+    </concept>
+    <concept>
+     <code value="REQUEST"></code>
+    </concept>
+    <concept>
+     <code value="RESOURCE"></code>
+    </concept>
+    <concept>
+     <code value="RESOURCES"></code>
+    </concept>
+    <concept>
+     <code value="RESPONSE"></code>
+    </concept>
+    <concept>
+     <code value="RESULT"></code>
+    </concept>
+    <concept>
+     <code value="RESULTS"></code>
+    </concept>
+    <concept>
+     <code value="RESULTS_NOTES"></code>
+    </concept>
+    <concept>
+     <code value="ROW_DEFINITION"></code>
+    </concept>
+    <concept>
+     <code value="RX_ADMINISTRATION"></code>
+    </concept>
+    <concept>
+     <code value="RX_ORDER"></code>
+    </concept>
+    <concept>
+     <code value="SCHEDULE"></code>
+    </concept>
+    <concept>
+     <code value="SERVICE"></code>
+    </concept>
+    <concept>
+     <code value="SPECIMEN"></code>
+    </concept>
+    <concept>
+     <code value="SPECIMEN_CONTAINER"></code>
+    </concept>
+    <concept>
+     <code value="STAFF"></code>
+    </concept>
+    <concept>
+     <code value="STUDY"></code>
+    </concept>
+    <concept>
+     <code value="STUDY_OBSERVATION"></code>
+    </concept>
+    <concept>
+     <code value="STUDY_PHASE"></code>
+    </concept>
+    <concept>
+     <code value="STUDY_SCHEDULE"></code>
+    </concept>
+    <concept>
+     <code value="TEST_CONFIGURATION"></code>
+    </concept>
+    <concept>
+     <code value="TIMING"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_DIET"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_ENCODED"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_GIVE"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_PRIOR"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_QTY"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_QUANTITY"></code>
+    </concept>
+    <concept>
+     <code value="TIMING_TRAY"></code>
+    </concept>
+    <concept>
+     <code value="TREATMENT"></code>
+    </concept>
+    <concept>
+     <code value="VISIT"></code>
     </concept>
    </CodeSystem>
   </resource>
@@ -109097,1167 +98603,6 @@ Refer to Chapter 12 Patient Care for complete discussion.">
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0153"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0153"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0153"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.72"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0153"></name>
-    <title value="v2 Value code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0153 ( Value code)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="..."></code>
-     <display value="See NUBC codes"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zie (Amerikaanse) NUBC codes"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="01"></code>
-     <display value="Most common semi-private rate"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Meest algemeen semi-privé"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="02"></code>
-     <display value="Hospital has no semi-private rooms"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziekenhuis heeft geen semi-eigen kamers"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="04"></code>
-     <display value="Inpatient professional component charges which are combined billed"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="05"></code>
-     <display value="Professional component included in charges and also billed separate to carrier"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="06"></code>
-     <display value="Medicare blood deductible"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="08"></code>
-     <display value="Medicare life time reserve amount in the first calendar year"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="09"></code>
-     <display value="Medicare co-insurance amount in the first calendar year"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="10"></code>
-     <display value="Lifetime reserve amount in the second calendar year"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="Co-insurance amount in the second calendar year"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="Working aged beneficiary/spouse with employer group health plan"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="ESRD beneficiary in a Medicare coordination period with an employer group health plan"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="No Fault including auto/other"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="Worker's Compensation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Werknemer compensatie"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="PHS, or other federal agency"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="Payer code"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Betalercode"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="Catastrophic"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Catastrofaal"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="22"></code>
-     <display value="Surplus"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Surplus"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="23"></code>
-     <display value="Recurring monthly incode"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Regelmatig maandelijks inkomen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="24"></code>
-     <display value="Medicaid rate code"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicaid tariefcode"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="30"></code>
-     <display value="Pre-admission testing"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vooropname testen"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="31"></code>
-     <display value="Patient liability amount"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt aansprakelijkheid bedrag"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="37"></code>
-     <display value="Pints of blood furnished"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="38"></code>
-     <display value="Blood deductible pints"></display>
-     <property>
-      <code value="status"></code>
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-     <code value="…"></code>
-     <display value="See NUBC codes"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zie (Amerikaanse) NUBC codes"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-01"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0395"></fullUrl>
   <resource>
@@ -115792,123 +104137,6 @@ http://www.x12.org"></valueString>
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0155"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0155"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0155"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.73"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0155"></name>
-    <title value="v2 ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0155 ( ACCEPT/APPLICATION ACKNOWLEDGEMENT CONDITIONS)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AL"></code>
-     <display value="Always"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="immer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Altijd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ER"></code>
-     <display value="Error/reject conditions only"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nur bei Auftreten von Fehlerbedingungen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen bij fout/weigering"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NE"></code>
-     <display value="Never"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="niemals"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nooit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SU"></code>
-     <display value="Successful completion only"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nur bei erfolgreichem Abschluß"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen bij succes"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0397"></fullUrl>
   <resource>
@@ -116006,251 +104234,6 @@ http://www.x12.org"></valueString>
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0156"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0156"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0156"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.74"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0156"></name>
-    <title value="v2 DATE/TIME QUALIFIER"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0156 ( DATE/TIME QUALIFIER)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="ANY"></code>
-     <display value="Any date/time within a range"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alle Ereignisse"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Elke datum/tijd binnen periode"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="CAN"></code>
-     <display value="Cancellation date/time"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Stornierung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Annulering datum/tijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1997-03"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="COL"></code>
-     <display value="Collection date/time, equivalent to film or sample collection date/time"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Probenentnahme / Untersuchung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verzamel datum/tijd (equivalent aan film of monster verzamel datum/tijd)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ORD"></code>
-     <display value="Order date/time"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Auftragseingabe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aanvraag datum/tijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="RCT"></code>
-     <display value="Specimen receipt date/time, receipt of specimen in filling ancillary (Lab)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Probeneingang"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Monster ontvangen datum/tijd (ontvangst van monster bij filler (lab))"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="REP"></code>
-     <display value="Report date/time, report date/time at filling ancillary (i.e., Lab)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Berichtserstellung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verslag datum/tijd (verslag datum/tijd bij filler (lab))"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="SCHED"></code>
-     <display value="Schedule date/time"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Terminvergabe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Planning datum/tijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0398"></fullUrl>
   <resource>
@@ -116313,10 +104296,10 @@ http://www.x12.org"></valueString>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0157"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0401"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0157"></id>
+    <id value="v2-0401"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -116327,14 +104310,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0157"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0401"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.75"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.250"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0157"></name>
-    <title value="v2 WHIHC DATE/TIME STATUS QUALIFIER"></title>
+    <name value="v2.0401"></name>
+    <title value="v2 Government reimbursement program"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -116344,196 +104327,40 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0157 ( WHIHC DATE/TIME STATUS QUALIFIER)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0401 ( Government reimbursement program)"></description>
     <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
     <concept>
-     <code value="ANY"></code>
-     <display value="Any status"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beliebiger Status"></value>
-     </designation>
+     <code value="C"></code>
+     <display value="Medi-Cal"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Willekeurige status"></value>
+      <value value="Medi-Cal"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
     <concept>
-     <code value="CFN"></code>
-     <display value="Current final value, whether final or corrected"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aktuelles Endergebnis"></value>
-     </designation>
+     <code value="MM"></code>
+     <display value="Medicare"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Huidige definitieve waarde (definitief en/of gecorrigeerd)"></value>
+      <value value="Medicare"></value>
      </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="COR"></code>
-     <display value="Corrected only (no final with corrections)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ursprüngliche Ergebnisse, die später korrigiert wurden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen correcties (geen definitief met correcties)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="FIN"></code>
-     <display value="Final only (no corrections)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Endergebnisse,  die niemals korrigiert wurden"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen definitief (geen correcties)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PRE"></code>
-     <display value="Preliminary"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vorläufig"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voorlopig"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="REP"></code>
-     <display value="Report completion date/time"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bericht abgeschlossen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verslag voltooiing datum/tijd"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0158"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0402"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0158"></id>
+    <id value="v2-0402"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -116544,14 +104371,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0158"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0402"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.76"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.251"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0158"></name>
-    <title value="v2 DATE/TIME SELECTION QUALIFIER"></title>
+    <name value="v2.0402"></name>
+    <title value="v2 School type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -116561,179 +104388,499 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0158 ( DATE/TIME SELECTION QUALIFIER)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="1ST"></code>
-     <display value="First value within range"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="erster Wert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eerste waarde binnen bereik"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ALL"></code>
-     <display value="All values within the range"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="alle Werte"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alle waarden binnen bereik"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="LST"></code>
-     <display value="Last value within the range"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="letzter Wert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Laatste waarde binnen bereik"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="REV"></code>
-     <display value="All values within the range returned in reverse chronological order (This is the default if not otherwise specified.)"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="alle Werte in umgekehrter chronologischer Reihenfolge"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alle waarden binnen bereik in omgekeerde chronologische volgorde. (Standaard tenzij anders gespecificeerd.)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0159"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0159"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0159"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.77"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0159"></name>
-    <title value="v2 DIET TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0159 ( DIET TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0402 ( School type)"></description>
     <content value="complete"></content>
     <concept>
      <code value="D"></code>
-     <display value="Diet"></display>
+     <display value="Dental"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tandheelkunde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Graduate"></display>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medical"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geneeskunde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Undergraduate"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0403"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0403"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0403"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.252"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0403"></name>
+    <title value="v2 Language ability"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0403 ( Language ability)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Read"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lezen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Write"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schrijven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Speak"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spreken"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Understand"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verstaan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Sign"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebarentaal"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0404"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0404"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0404"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.253"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0404"></name>
+    <title value="v2 Language proficiency"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0404 ( Language proficiency)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Excellent"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Excellent"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Good"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Goed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Fair"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Redelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Poor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Matig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Some (level unknown)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Enige (niveau onbekend)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="None"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0406"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0406"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0406"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.254"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0406"></name>
+    <title value="v2 Participant Organization Unit Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0406 ( Participant Organization Unit Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Hospital"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ziekenhuis"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Physician Clinic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener kliniek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Long Term Care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Langdurige zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Acute Care"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Acute zorg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="H"></code>
+     <display value="Home"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Privé"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Office"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zakelijk"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0409"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0409"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0409"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.255"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0409"></name>
+    <title value="v2 Application change type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0409 ( Application change type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="M"></code>
+     <display value="Migrates to different CPU"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Migreert naar andere CPU"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SD"></code>
+     <display value="Shut down"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afsluiten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SU"></code>
+     <display value="Start up"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opstarten"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0411"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0411"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0411"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.256"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0411"></name>
+    <title value="v2 Supplemental service information values"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0411 ( Supplemental service information values)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined."></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Diät"></value>
+      <value value="keine Werte vorgeschlagen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -116741,57 +104888,1355 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Dieet"></value>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="1ST"></code>
+     <display value="First"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="2ND"></code>
+     <display value="Second"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="3RD"></code>
+     <display value="Third"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="4TH"></code>
+     <display value="Fourth"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="5TH"></code>
+     <display value="Fifth"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A/P"></code>
+     <display value="Anterior/Posterior"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ANT"></code>
+     <display value="Anterior"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="BLT"></code>
+     <display value="Bilateral"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="CG"></code>
+     <display value="Observation of type Clinical Genomics (CG)"></display>
+    </concept>
+    <concept>
+     <code value="DEC"></code>
+     <display value="Decubitus"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="DST"></code>
+     <display value="Distal"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LAT"></code>
+     <display value="Lateral"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LFT"></code>
+     <display value="Left"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LLQ"></code>
+     <display value="Left Lower Quadrant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LOW"></code>
+     <display value="Lower"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="LUQ"></code>
+     <display value="Left Upper Quadrant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="MED"></code>
+     <display value="Medial"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="NDBS"></code>
+     <display value="Observation of type Newborn Dried Blood Screening (NDBS)"></display>
+    </concept>
+    <concept>
+     <code value="OR"></code>
+     <display value="Operating Room"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PED"></code>
+     <display value="Pediatric"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="POS"></code>
+     <display value="Posterior"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PRT"></code>
+     <display value="Portable"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PRX"></code>
+     <display value="Proximal"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="REC"></code>
+     <display value="Recumbent"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RGH"></code>
+     <display value="Right"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RLQ"></code>
+     <display value="Right Lower Quadrant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="RUQ"></code>
+     <display value="Right Upper Quadrant"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="UPP"></code>
+     <display value="Upper"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="UPR"></code>
+     <display value="Upright"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="WCT"></code>
+     <display value="With Contrast"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="WOC"></code>
+     <display value="Without Contrast"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="WSD"></code>
+     <display value="With Sedation"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0415"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0415"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0415"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.257"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0415"></name>
+    <title value="v2 DRG transfer type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0415 ( DRG transfer type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="DRG Exempt"></display>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="DRG Non Exempt"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0416"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0416"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0416"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.258"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0416"></name>
+    <title value="v2 Procedure DRG type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0416 ( Procedure DRG type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="1st non-Operative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="1ste niet-operatief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="2nd non-Operative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2de niet-operatief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Major Operative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="groot operatief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="2nd Operative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="2de operatief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="3rd Operative"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="3de operatief"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0417"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0417"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0417"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.259"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0417"></name>
+    <title value="v2 Tissue type code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0417 ( Tissue type code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="No tissue expected"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Insufficient Tissue"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Not abnormal"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Abnormal-not categorized"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Mechanical abnormal"></display>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Growth alteration"></display>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="Degeneration &amp; necrosis"></display>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="Non-acute inflammation"></display>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Non-malignant neoplasm"></display>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Malignant neoplasm"></display>
+    </concept>
+    <concept>
+     <code value="B"></code>
+     <display value="Basal cell carcinoma"></display>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Carcinoma-unspecified type"></display>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Additional tissue required"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0418"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0418"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0418"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.260"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0418"></name>
+    <title value="v2 Procedure priority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0418 ( Procedure priority)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="0"></code>
+     <display value="the admitting procedure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Opname procedure"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="the primary procedure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Primaire procedure"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="for ranked secondary procedures"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Secundaire procedures"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="…"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-04"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0421"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0421"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0421"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.262"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0421"></name>
+    <title value="v2 Severity of illness code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0421 ( Severity of illness code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="MI"></code>
+     <display value="Mild"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mild"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MO"></code>
+     <display value="Moderate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gemiddeld"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SE"></code>
+     <display value="Severe"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ernstig"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0422"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0422"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0422"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.263"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0422"></name>
+    <title value="v2 Triage code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0422 ( Triage code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Non-acute"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet-acuut"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Acute"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Acuut"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Urgent"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Urgent"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Severe"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ernstig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Dead on Arrival (DOA)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overleden bij aankomst (DOA)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="99"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0423"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0423"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0423"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.264"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0423"></name>
+    <title value="v2 Case category code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0423 ( Case category code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="Doctor's Office Closed"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0424"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0424"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0424"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.265"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0424"></name>
+    <title value="v2 Gestation category code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0424 ( Gestation category code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Premature / Pre-term"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="vorzeitig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Full Term"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="normal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Overdue / Post-term"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="übertragen"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0425"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0425"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0425"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.266"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0425"></name>
+    <title value="v2 Newborn code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0425 ( Newborn code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Born in facility"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="in der Klinik"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geboren in instelling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Transfer in"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overplaatsing naar binnen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Born en route"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unterwegs"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onderweg geboren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="sonstiger Ort"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Born at home"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zuhause"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Thuisgeboren"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0426"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0426"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0426"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.267"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0426"></name>
+    <title value="v2 Blood product code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0426 ( Blood product code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CRYO"></code>
+     <display value="Cryoprecipitated AHF"></display>
+    </concept>
+    <concept>
+     <code value="CRYOP"></code>
+     <display value="Pooled Cryoprecipitate"></display>
+    </concept>
+    <concept>
+     <code value="FFP"></code>
+     <display value="Fresh Frozen Plasma"></display>
+    </concept>
+    <concept>
+     <code value="FFPTH"></code>
+     <display value="Fresh Frozen Plasma - Thawed"></display>
+    </concept>
+    <concept>
+     <code value="PC"></code>
+     <display value="Packed Cells"></display>
+    </concept>
+    <concept>
+     <code value="PCA"></code>
+     <display value="Autologous Packed Cells"></display>
+    </concept>
+    <concept>
+     <code value="PCNEO"></code>
+     <display value="Packed Cells - Neonatal"></display>
+    </concept>
+    <concept>
+     <code value="PCW"></code>
+     <display value="Washed Packed Cells"></display>
+    </concept>
+    <concept>
+     <code value="PLT"></code>
+     <display value="Platelet Concentrate"></display>
+    </concept>
+    <concept>
+     <code value="PLTNEO"></code>
+     <display value="Reduced Volume Platelets"></display>
+    </concept>
+    <concept>
+     <code value="PLTP"></code>
+     <display value="Pooled Platelets"></display>
+    </concept>
+    <concept>
+     <code value="PLTPH"></code>
+     <display value="Platelet Pheresis"></display>
+    </concept>
+    <concept>
+     <code value="PLTPHLR"></code>
+     <display value="Leukoreduced Platelet Pheresis"></display>
+    </concept>
+    <concept>
+     <code value="RWB"></code>
+     <display value="Reconstituted Whole Blood"></display>
+    </concept>
+    <concept>
+     <code value="WBA"></code>
+     <display value="Autologous Whole Blood"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0427"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0427"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0427"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.268"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0427"></name>
+    <title value="v2 Risk management incident code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0427 ( Risk management incident code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Body fluid exposure"></display>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Contaminated Substance"></display>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Diet Errors"></display>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Equipment problem"></display>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Patient fell (not from bed)"></display>
+    </concept>
+    <concept>
+     <code value="H"></code>
+     <display value="Patient fell from bed"></display>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Infusion error"></display>
+    </concept>
+    <concept>
+     <code value="J"></code>
+     <display value="Foreign object left during surgery"></display>
+    </concept>
+    <concept>
+     <code value="K"></code>
+     <display value="Sterile precaution violated"></display>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
      </designation>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Preference"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="bevorzugte Verpflegung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Voorkeur"></value>
-     </designation>
+     <display value="Procedure error"></display>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Pharmaceutical error"></display>
     </concept>
     <concept>
      <code value="S"></code>
-     <display value="Supplement"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zusatzverpflegung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Supplement"></value>
-     </designation>
+     <display value="Suicide Attempt"></display>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Transfusion error"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0140"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0428"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0140"></id>
+    <id value="v2-0428"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -116802,14 +106247,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0140"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0428"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.62"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.269"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0140"></name>
-    <title value="v2 Military service"></title>
+    <name value="v2.0428"></name>
+    <title value="v2 Incident type code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -116819,148 +106264,52 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0140 ( Military service)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0428 ( Incident type code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AUSA"></code>
-     <display value="Australian Army"></display>
+     <code value="O"></code>
+     <display value="Other"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Australische leger"></value>
+      <value value="Anders"></value>
      </designation>
     </concept>
     <concept>
-     <code value="AUSAF"></code>
-     <display value="Australian Air Force"></display>
+     <code value="P"></code>
+     <display value="Preventable"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Australische luchtmacht"></value>
+      <value value="Vermijdbaar"></value>
      </designation>
     </concept>
     <concept>
-     <code value="AUSN"></code>
-     <display value="Australian Navy"></display>
+     <code value="U"></code>
+     <display value="User Error"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Australische marine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NATO"></code>
-     <display value="North Atlantic Treaty Organization"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Noord-Atlantische Verdragsorganisatie (NAVO)"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NOAA"></code>
-     <display value="National Oceanic and Atmospheric Administration"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse oceanische en atmosferische dienst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USA"></code>
-     <display value="US Army"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaans leger"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USAF"></code>
-     <display value="US Air Force"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse luchtmacht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USCG"></code>
-     <display value="US Coast Guard"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse kustwacht"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USMC"></code>
-     <display value="US Marine Corps"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse korps mariniers"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USN"></code>
-     <display value="US Navy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse marine"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="USPHS"></code>
-     <display value="US Public Health Service"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Amerikaanse volksgezondheiddienst"></value>
+      <value value="Gebruikersfout"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0141"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0429"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0141"></id>
+    <id value="v2-0429"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -116971,14 +106320,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0141"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0429"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.63"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.270"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0141"></name>
-    <title value="v2 Military rank/grade"></title>
+    <name value="v2.0429"></name>
+    <title value="v2 Production class Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -116988,698 +106337,76 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0141 ( Military rank/grade)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="E1"></code>
-     <display value="Enlisted 1"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E1 ... E9"></code>
-     <display value="Enlisted"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ingetekend"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E1... E9"></code>
-     <display value="Enlisted"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ingetekend"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E2"></code>
-     <display value="Enlisted 2"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E3"></code>
-     <display value="Enlisted 3"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E4"></code>
-     <display value="Enlisted 4"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E5"></code>
-     <display value="Enlisted 5"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E6"></code>
-     <display value="Enlisted 6"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E7"></code>
-     <display value="Enlisted 7"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E8"></code>
-     <display value="Enlisted 8"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="E9"></code>
-     <display value="Enlisted 9"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O1"></code>
-     <display value="Officers 1"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O1 ... O10"></code>
-     <display value="Officers"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Officieren"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O1 ... O9"></code>
-     <display value="Officers"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Officieren"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O10"></code>
-     <display value="Officers 10"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2000-11"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O2"></code>
-     <display value="Officers 2"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O3"></code>
-     <display value="Officers 3"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O4"></code>
-     <display value="Officers 4"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O5"></code>
-     <display value="Officers 5"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O6"></code>
-     <display value="Officers 6"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O7"></code>
-     <display value="Officers 7"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O8"></code>
-     <display value="Officers 8"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="O9"></code>
-     <display value="Officers 9"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="W1"></code>
-     <display value="Warrant Officers 1"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="W1 ... W4"></code>
-     <display value="Warrant Officers"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Warrant-officieren"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="W2"></code>
-     <display value="Warrant Officers 2"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="W3"></code>
-     <display value="Warrant Officers 3"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="W4"></code>
-     <display value="Warrant Officers 4"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0383"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0383"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0383"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.236"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0383"></name>
-    <title value="v2 Substance status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0383 ( Substance status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0429 ( Production class Code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="CE"></code>
-     <display value="Calibration Error"></display>
+     <code value="BR"></code>
+     <display value="Breeding/genetic stock"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Calibratie fout"></value>
+      <value value="Fokken/genetische voorraad"></value>
      </designation>
     </concept>
     <concept>
-     <code value="CW"></code>
-     <display value="Calibration Warning"></display>
+     <code value="DA"></code>
+     <display value="Dairy"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Calibratie waarschuwing"></value>
+      <value value="Melkproduct"></value>
      </designation>
     </concept>
     <concept>
-     <code value="EE"></code>
-     <display value="Expired Error"></display>
+     <code value="DR"></code>
+     <display value="Draft"></display>
+    </concept>
+    <concept>
+     <code value="DU"></code>
+     <display value="Dual Purpose"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verlopen fout"></value>
+      <value value="Meervoudig doel"></value>
      </designation>
     </concept>
     <concept>
-     <code value="EW"></code>
-     <display value="Expired Warning"></display>
+     <code value="LY"></code>
+     <display value="Layer, Includes Multiplier flocks"></display>
+    </concept>
+    <concept>
+     <code value="MT"></code>
+     <display value="Meat"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verlopen waarschuwing"></value>
+      <value value="Vlees"></value>
      </designation>
     </concept>
     <concept>
-     <code value="NE"></code>
-     <display value="Not Available Error"></display>
+     <code value="NA"></code>
+     <display value="Not Applicable"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Niet beschikbaar fout"></value>
+      <value value="Niet van toepassing"></value>
      </designation>
     </concept>
-    <concept>
-     <code value="NW"></code>
-     <display value="Not Available Warning"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet beschikbaar waarschuwing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OE"></code>
-     <display value="Other Error"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere fout"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OK"></code>
-     <display value="OK Status"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Status OK"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OW"></code>
-     <display value="Other Warning"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Andere waarschuwing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="QE"></code>
-     <display value="QC Error"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QC fout"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="QW"></code>
-     <display value="QC Warning"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="QC waarschuwing"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0142"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0142"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0142"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.64"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0142"></name>
-    <title value="v2 Military status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0142 ( Military status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ACT"></code>
-     <display value="Active duty"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Actieve dienst"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="DEC"></code>
-     <display value="Deceased"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Overleden"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RET"></code>
-     <display value="Retired"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gepensioneerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0384"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0384"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0384"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.237"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0384"></name>
-    <title value="v2 Substance type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0384 ( Substance type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CO"></code>
-     <display value="Control Reagent"></display>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="Diluent"></display>
-    </concept>
-    <concept>
-     <code value="LI"></code>
-     <display value="Measurable Liquid Item"></display>
-    </concept>
-    <concept>
-     <code value="LW"></code>
-     <display value="Liquid Waste"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The consumption cannot be tied to orders for a single test"></valueString>
-     </extension>
-     <code value="MR"></code>
-     <display value="Multiple Test Reagent"></display>
-    </concept>
     <concept>
      <code value="OT"></code>
      <display value="Other"></display>
@@ -117693,40 +106420,61 @@ http://www.x12.org"></valueString>
      </designation>
     </concept>
     <concept>
-     <code value="PT"></code>
-     <display value="Pretreatment"></display>
+     <code value="PL"></code>
+     <display value="Pleasure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hobby"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="PW"></code>
-     <display value="Purified Water"></display>
+     <code value="RA"></code>
+     <display value="Racing"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Racen"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="RC"></code>
-     <display value="Reagent Calibrator"></display>
+     <code value="SH"></code>
+     <display value="Show"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Show"></value>
+     </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="E.g., Pipetting tip"></valueString>
-     </extension>
-     <code value="SC"></code>
-     <display value="Countable Solid Item"></display>
-    </concept>
-    <concept>
-     <code value="SR"></code>
-     <display value="Single Test Reagent"></display>
-    </concept>
-    <concept>
-     <code value="SW"></code>
-     <display value="Solid Waste"></display>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0144"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0430"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0144"></id>
+    <id value="v2-0430"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -117737,14 +106485,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0144"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0430"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.65"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.271"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0144"></name>
-    <title value="v2 ELIGIBILITY SOURCE"></title>
+    <name value="v2.0430"></name>
+    <title value="v2 Mode of arrival code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -117754,18 +106502,18 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0144 ( ELIGIBILITY SOURCE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0430 ( Mode of arrival code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="1"></code>
-     <display value="Insurance company"></display>
+     <code value="A"></code>
+     <display value="Ambulance"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Versicherung / Krankenkasse"></value>
+      <value value="Krankenwagen"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -117773,19 +106521,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verzekeraar"></value>
+      <value value="Ambulance"></value>
      </designation>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="Employer"></display>
+     <code value="C"></code>
+     <display value="Car"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Arbeitgeber"></value>
+      <value value="Auto"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -117793,19 +106541,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Werkgever"></value>
+      <value value="Auto"></value>
      </designation>
     </concept>
     <concept>
-     <code value="3"></code>
-     <display value="Insured presented policy"></display>
+     <code value="F"></code>
+     <display value="On foot"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="vorgelegte Versicherungspolice"></value>
+      <value value="zu Fuß"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -117813,19 +106561,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Door verzekerde getoonde polis"></value>
+      <value value="Te voet"></value>
      </designation>
     </concept>
     <concept>
-     <code value="4"></code>
-     <display value="Insured presented card"></display>
+     <code value="H"></code>
+     <display value="Helicopter"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Vorgelegte Krankenversichertenkarte (KVK)"></value>
+      <value value="Helicopter"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -117833,19 +106581,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Door verzekerde getoonde kaart"></value>
+      <value value="Helicopter"></value>
      </designation>
     </concept>
     <concept>
-     <code value="5"></code>
-     <display value="Signed statement on file"></display>
+     <code value="O"></code>
+     <display value="Other"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Unterschriebenene Bestätigung"></value>
+      <value value="andere"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -117853,533 +106601,57 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Ondertekenende mededeling op schrift"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="Verbal information"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="mündliche Angabe"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Mondelinge mededeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="None"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0145"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0145"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0145"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.66"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0145"></name>
-    <title value="v2 Room Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0145 ( Room Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="2ICU"></code>
-     <display value="Second intensive care unit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nicht verwendet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tweede intensive care unit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2PRI"></code>
-     <display value="Second private room"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nicht verwendet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tweede eigen kamer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="2SPR"></code>
-     <display value="Second semi-private room"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nicht verwendet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tweede semi-eigen kamer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ICU"></code>
-     <display value="Intensive care unit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Intensivstation"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Intensive care unit"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PRI"></code>
-     <display value="Private room"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Einbettzimmer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eigen kamer"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="SPR"></code>
-     <display value="Semi-private room"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zweibettzimmer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Semi-eigen kamer"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0387"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0387"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0387"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.238"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0387"></name>
-    <title value="v2 Command response"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0387 ( Command response)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="See response parameters.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Zie antwoord parameters"></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="ER"></code>
-     <display value="Command cannot be completed because of error condition"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Commando kan niet worden uitgevoerd vanwege een foutconditie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="OK"></code>
-     <display value="Command completed successfully"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Commando succesvol uitgevoerd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ST"></code>
-     <display value="Command cannot be completed because of the status of the requested equipment"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Commando kan niet worden uitgevoerd vanwege de status van de gevraagde apparatuur"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="TI"></code>
-     <display value="Command cannot be completed within requested completion time"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Commando kan niet worden uitgevoerd binnen de gevraagde tijd voor voltooiing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UN"></code>
-     <display value="Command cannot be completed for unknown reasons"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Commando kan om onbekende redenen niet worden uitgevoerd"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0146"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0146"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0146"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.67"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0146"></name>
-    <title value="v2 AMOUNT TYPE"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0146 ( AMOUNT TYPE)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="DF"></code>
-     <display value="Differential"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Differenzbetrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Differentieel"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="LM"></code>
-     <display value="Limit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Höchstbetrag"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Grens"></value>
-     </designation>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v 2.5">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.5."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="PC"></code>
-     <display value="Percentage"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Prozentsatz"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Percentage"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RT"></code>
-     <display value="Rate"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tagessatz"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kostprijs"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UL"></code>
-     <display value="Unlimited"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbegrenzt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbeperkt"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0388"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0388"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0388"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.239"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0388"></name>
-    <title value="v2 Processing type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0388 ( Processing type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="Evaluation"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Evaluatie"></value>
+      <value value="Anders"></value>
      </designation>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Regular Production"></display>
+     <display value="Public Transport"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="öffentliche Verkehrsmittel"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Reguliere productie"></value>
+      <value value="Openbaar vervoer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0147"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0431"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0147"></id>
+    <id value="v2-0431"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -118390,14 +106662,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0147"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0431"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.68"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.272"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0147"></name>
-    <title value="v2 POLICY TYPE"></title>
+    <name value="v2.0431"></name>
+    <title value="v2 Recreational drug use code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -118407,18 +106679,18 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0147 ( POLICY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0431 ( Recreational drug use code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="2ANC"></code>
-     <display value="Second ancillary"></display>
+     <code value="A"></code>
+     <display value="Alcohol"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="weitere Zusatzversicherung"></value>
+      <value value="Alkohol"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -118426,43 +106698,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Tweede aanvullend"></value>
+      <value value="Alcohol"></value>
      </designation>
     </concept>
     <concept>
-     <code value="2MMD"></code>
-     <display value="Second major medical"></display>
+     <code value="C"></code>
+     <display value="Tobacco - chewed"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="weitere Hauptversicherung"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3MMD"></code>
-     <display value="Third major medical"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="weitere Hauptversicherung"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="ANC"></code>
-     <display value="Ancillary"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zusatzversicherung"></value>
+      <value value="Tabak - gekaut"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -118470,19 +106718,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Aanvullend"></value>
+      <value value="Tabak - gekauwd"></value>
      </designation>
     </concept>
     <concept>
-     <code value="MMD"></code>
-     <display value="Major medical"></display>
+     <code value="K"></code>
+     <display value="Kava"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Hauptversicherung"></value>
+      <value value="Kava"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -118490,70 +106738,97 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Basisverzekering"></value>
+      <value value="Kava"></value>
      </designation>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0389"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0389"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0389"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.240"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0389"></name>
-    <title value="v2 Analyte repeat status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0389 ( Analyte repeat status)"></description>
-    <content value="complete"></content>
     <concept>
-     <code value="D"></code>
-     <display value="Repeated with dilution"></display>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Reflex test"></display>
+     <code value="M"></code>
+     <display value="Marijuana"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Marihuana"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Marihuana"></value>
+     </designation>
     </concept>
     <concept>
      <code value="O"></code>
-     <display value="Original, first run"></display>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="andere"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="R"></code>
-     <display value="Repeated without dilution"></display>
+     <code value="T"></code>
+     <display value="Tobacco - smoked"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tabak - geraucht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tabak - gerookt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0148"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0432"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0148"></id>
+    <id value="v2-0432"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -118564,14 +106839,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0148"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0432"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.69"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.273"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0148"></name>
-    <title value="v2 PENALTY TYPE"></title>
+    <name value="v2.0432"></name>
+    <title value="v2 Admission level of care code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -118581,18 +106856,18 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0148 ( PENALTY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0432 ( Admission level of care code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AT"></code>
-     <display value="Currency amount"></display>
+     <code value="AC"></code>
+     <display value="Acute"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Betrag (Tabelle 148 wird nicht verwendet)"></value>
+      <value value="akut"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -118600,19 +106875,19 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geldbedrag"></value>
+      <value value="Acuut"></value>
      </designation>
     </concept>
     <concept>
-     <code value="PC"></code>
-     <display value="Percentage"></display>
+     <code value="CH"></code>
+     <display value="Chronic"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Prozentsatz"></value>
+      <value value="chronisch"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -118620,17 +106895,89 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Percentage"></value>
+      <value value="Chronisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CO"></code>
+     <display value="Comatose"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="komatös"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Comateus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CR"></code>
+     <display value="Critical"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="kritisch"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kritiek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IM"></code>
+     <display value="Improved"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="verbessert"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verbeterd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MO"></code>
+     <display value="Moribund"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stervende"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0149"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0433"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0149"></id>
+    <id value="v2-0433"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -118641,14 +106988,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0149"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0433"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.70"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.274"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0149"></name>
-    <title value="v2 DAY TYPE"></title>
+    <name value="v2.0433"></name>
+    <title value="v2 Precaution code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -118658,18 +107005,18 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0149 ( DAY TYPE)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0433 ( Precaution code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="AP"></code>
-     <display value="Approved"></display>
+     <code value="A"></code>
+     <display value="Aggressive"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="(Tabelle 149 wird nicht verwendet)"></value>
+      <value value="agressiv"></value>
      </designation>
      <designation>
       <language value="nl"></language>
@@ -118677,23 +107024,644 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Goedgekeurd"></value>
+      <value value="Aggressief"></value>
      </designation>
     </concept>
     <concept>
-     <code value="DE"></code>
-     <display value="Denied"></display>
+     <code value="B"></code>
+     <display value="Blind"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="blind"></value>
+     </designation>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Afgekeurd"></value>
+      <value value="Blind"></value>
      </designation>
     </concept>
     <concept>
-     <code value="PE"></code>
+     <code value="C"></code>
+     <display value="Confused"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="konfus"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verward"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Deaf"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="taub"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Doof"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="On IV"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aan infuus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Do not resuscitate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="&quot;Geen-code&quot; (bijv. niet reanimeren)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="sonstiges"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Paraplegic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dwarslaesie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0434"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0434"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0434"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.275"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0434"></name>
+    <title value="v2 Patient condition code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0434 ( Patient condition code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Satisfactory"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zufriedenstellend"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Goed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Critical"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="kritisch"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kritiek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="sonstiges"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Poor"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="schlecht"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Matig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Stable"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="stabil"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stabiel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0435"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0435"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0435"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.276"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0435"></name>
+    <title value="v2 Advance directive code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0435 ( Advance directive code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="DNR"></code>
+     <display value="Do not resuscitate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet reanimeren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No directive"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen wilsverklaring"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0436"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0436"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0436"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.277"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0436"></name>
+    <title value="v2 Sensitivity to Causative Agent code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0436 ( Sensitivity to Causative Agent code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AD"></code>
+     <display value="Adverse Reaction (Not otherwise classified)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overgevoeligheidsreactie (niet verder gedefinieerd)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AL"></code>
+     <display value="Allergy"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Allergie"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Allergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CT"></code>
+     <display value="Contraindication"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contra-indicatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="Intolerance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intolerantie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SE"></code>
+     <display value="Side Effect"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bijwerking"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0437"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0437"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0437"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.278"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0437"></name>
+    <title value="v2 Alert device code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0437 ( Alert device code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Bracelet"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Armband"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Armband"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Necklace"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kette"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Halsketting"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Wallet Card"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Portemonnee kaart"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0438"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0438"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0438"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.279"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0438"></name>
+    <title value="v2 Allergy clinical status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0438 ( Allergy clinical status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Confirmed or verified"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bevestigd of gecontroleerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Doubt raised"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Twijfelachtig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Erroneous"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Foutief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Confirmed but inactive"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bevestigd maar inactief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
      <display value="Pending"></display>
      <designation>
       <language value="nl"></language>
@@ -118701,17 +107669,41 @@ http://www.x12.org"></valueString>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Beslissing volgt"></value>
+      <value value="In bewerking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Suspect"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verdacht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unconfirmed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet-bevestigd"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0734"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0440"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0734"></id>
+    <id value="v2-0440"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -118722,14 +107714,14 @@ http://www.x12.org"></valueString>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0734"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0440"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.393"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.280"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0734"></name>
-    <title value="v2 Grouper Status"></title>
+    <name value="v2.0440"></name>
+    <title value="v2 Data types"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -118739,190 +107731,7 @@ http://www.x12.org"></valueString>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0734 ( Grouper Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Normal grouping"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Invalid or missing primary diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Diagnosis is not allowed to be primary"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Data does not fulfill DRG criteria"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Invalid age, admission date, date of birth or discharge date"></display>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Invalid gender"></display>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="Invalid discharge status"></display>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="Invalid weight ad admission"></display>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="Invalid length of stay"></display>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="Invalid field &quot;same day&quot;"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0739"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0739"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0739"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.394"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0739"></name>
-    <title value="v2 Status Patient"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0739 ( Status Patient)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Normal length of stay"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Short length of stay"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Long length of stay"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0731"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0731"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0731"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.392"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0731"></name>
-    <title value="v2 DRG Diagnosis Determination Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0731 ( DRG Diagnosis Determination Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Valid code"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Invalid code"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Two primary diagnosis codes"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Invalid for this gender"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Invalid for this age"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0719"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0719"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0719"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.389"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0719"></name>
-    <title value="v2 Access Restriction Reason Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0719 ( Access Restriction Reason Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0440 ( Data types)"></description>
     <content value="complete"></content>
     <property>
      <code value="status"></code>
@@ -118937,1045 +107746,1955 @@ http://www.x12.org"></valueString>
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="DIA"></code>
-     <display value="Diagnosis-related"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaced by XAD as of v 2.3">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangen door XAD vanaf v2.3"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AD"></code>
+     <display value="Address"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Adres"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 6.5.6.14 IN1-14, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het datatype CM uit sectie 6.5.6.14 IN1-14 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AUI"></code>
+     <display value="Authorization information"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Autorisatie informatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in section 4.5.2.1 BLG-1, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het datatype CM uit sectie 4.5.2.1 BLG-1 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CCD"></code>
+     <display value="Charge code and date"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Facturatiecode en datum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het datatype CM uit sectie 7.14.1.5 OBX-5.3 vanaf v2.5 als OBX-5 Observation value (*) datatype CD heeft."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CCP"></code>
+     <display value="Channel calibration parameters"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kanaalcalibratie parameters"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="For waveform data only;.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor waveform gegevens"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CD"></code>
+     <display value="Channel definition"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kanaaldefinitie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CE"></code>
+     <display value="Coded element"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gecodeerd element"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="65536"></valueString>
+     </extension>
+     <code value="CF"></code>
+     <display value="Coded element with formatted values"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gecodeerd element met waarden met opmaak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CK"></code>
+     <display value="Composite ID with check digit"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Samengesteld ID met controlegetal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN Replaced by numerous new unambiguous data types in v 2.5">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN Vervangen door vele nieuwe niet-ambigue datatypen in v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CM"></code>
+     <display value="Composite"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Samengesteld"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN. Replaced by XCN as of v 2.3">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN Vervangen door XCN vanaf v2.3"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CN"></code>
+     <display value="Composite ID number and name"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Samengesteld ID en naam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="705"></valueString>
+     </extension>
+     <code value="CNE"></code>
+     <display value="Coded with no exceptions"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gecodeerd zonder uitzonderingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Restores the original data type CN as was initially implementable in the CM used in sections 4.5.3.32 and 7.4.1.32-(OBR-32), 4.5.3.33 and 7.4.1.33 - (OBR-33) 4.5.3.34 and 7.4.1.34 - (OBR-34) 4.5.3.35 and 7.4.1.35 - (OBR-35). Components 7 and 8, however, have been promoted to data type IS to be consistent with current practice without violating backward compatibility.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Brengt het oude datatype CN terug zoals oorspronkelijk implementeerbaar was in de CM van secties 4.5.3.32 en 7.4.1.32 (OBR-32), 4.5.3.33 en 7.4.1.33 (OBR-33) 4.5.3.34 en 7.4.1.34 (OBR-34) 4.5.3.35 en 7.4.1.35 (OBR-35). Componenten 7 en 8 zijn echter gepromoveerd tot datatype IS om consistent te zijn met de huidige praktijk zonder backward compatibiliteit te schaden."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CNN"></code>
+     <display value="Composite ID number and name simplified"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Samengesteld ID en naam vereenvoudigd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CNS"></code>
+     <display value="Composite ID number and name simplified"></display>
      <property>
       <code value="status"></code>
       <valueCode value="deprecated"></valueCode>
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
+      <valueDateTime value="2007-10"></valueDateTime>
      </property>
     </concept>
-    <concept>
-     <code value="EMP"></code>
-     <display value="Employee of this organization"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ORG"></code>
-     <display value="Organizational policy or requirement"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PAT"></code>
-     <display value="Patient Request"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="PHY"></code>
-     <display value="Physician Request"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="REG"></code>
-     <display value="Regulatory requirement"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="VIP"></code>
-     <display value="Very important person or celebrity"></display>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2015-09"></valueDateTime>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0725"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0725"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0725"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.390"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0725"></name>
-    <title value="v2 Mood Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0725 ( Mood Codes)"></description>
-    <content value="complete"></content>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Planned act for specific time and place">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Geplande activiteit op een bepaalde tijd en locatie"></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="."></valueString>
      </extension>
-     <code value="APT"></code>
-     <display value="Appointment"></display>
+     <code value="CP"></code>
+     <display value="Composite price"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Afspraak"></value>
+      <value value="Samengestelde prijs"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Request for Booking of an Appointment">
+      <valueString value="CQ cannot be legally expressed when embedded within another data type. Its use is constrained to a segment field.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Aanvraag voor het boeken van een afspraak"></valueString>
+         <valueString value="CQ kan niet correct worden uitgedrukt binnen een ander datatype. Het kan alleen worden gebruikt in een segmentveld."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="ARQ"></code>
-     <display value="Appointment Request"></display>
+     <code value="CQ"></code>
+     <display value="Composite quantity with units"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Afspraakverzoek"></value>
+      <value value="Samengestelde hoeveelheid met eenheden"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Service actually happens or happened or is ongoing.">
+      <valueString value="Replaces the CM data type used in 7.14.1.5 OBX-5.3 where OBX-5Observation value (*) is data type CD as of v 2.5.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Service die werkelijk plaatsvindt, plaats heeft gevonden of nog gaande is."></valueString>
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 7.14.1.5 OBX-5-3 vanaf v2.5 waarbij OBX-5 Observation value (*) het datatype CD heeft."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="EVN"></code>
-     <display value="Event"></display>
+     <code value="CSU"></code>
+     <display value="Channel sensitivity and units"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Event"></value>
+      <value value="Kanaal gevoeligheid en eenheden"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Criterion applying to Events for another Service to be applied. 
-This is an Act Mood Predicate.
-Similar uses of above moods may be defined.
-E.g. Use in Care Plans,">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Crtierium voor uitvoering van Event voor een andere toe te passen Service. Dit is een Act Mood predicaat."></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="705"></valueString>
      </extension>
-     <code value="EVN.CRT"></code>
-     <display value="Event Criterion"></display>
+     <code value="CWE"></code>
+     <display value="Coded with exceptions"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Criterium voor event"></value>
+      <value value="Gecodeerd met uitzonderingen"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Expecting that something will occur independently of  deliberate intent. E.g. expect a patient will discard medications.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Verwachting dat iets zal gebeuren, onafhankelijk van bedoelde intentie; bijv. verwachting dat een patiënt zijn medicati zal weggooien."></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="1913"></valueString>
      </extension>
-     <code value="EXP"></code>
-     <display value="Expectation"></display>
+     <code value="CX"></code>
+     <display value="Extended composite ID with check digit"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Verwachting"></value>
+      <value value="Uitgebreid samengesteld ID met controlegetal"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Plan to perform a service">
+      <valueString value="Replaces the CM data type used in section 6.5.7.30  IN2-30, as of v 2.5.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Plan voor het uitvoeren van een Service"></valueString>
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.7.30 IN2-30 vanaf v2.5"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="INT"></code>
-     <display value="Intent"></display>
+     <code value="DDI"></code>
+     <display value="Daily deductible information"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Intentie"></value>
+      <value value="Dagelijks aftrekbaar informatie"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An intent to perform a service">
+      <valueString value="Replaces the CM data type used in sections 15.4.6.12 STF-12 and 15.4.6.14 STF-13, as of v 2.5.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Een intentie om een Service uit te voeren"></valueString>
+         <valueString value="Vervangt het CM datatype gebruikt in secties 15.4.6.12 STF-12 en 15.4.6.14 STF-13 vanaf v2.5"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PRMS"></code>
-     <display value="Promise"></display>
+     <code value="DIN"></code>
+     <display value="Date and institution name"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Belofte"></value>
+      <value value="Datum en naam instelling"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Non-mandated intent to perform an act">
+      <valueString value="Replaces the CM data type used in section 8.8.4.9 - OM2-9, as of v 2.5">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Niet-vereiste intentie om iets uit te voeren"></valueString>
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 8.8.4.9 - OM2-9 vanaf v2.5"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="PRP"></code>
-     <display value="Proposal"></display>
+     <code value="DLD"></code>
+     <display value="Discharge to location and date"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Voorstel"></value>
+      <value value="Ontslag naar locatie en datum"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Request or Order for a service">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Aanvraag of Order van een Service"></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="66"></valueString>
      </extension>
-     <code value="RQO"></code>
-     <display value="Request-Order"></display>
+     <code value="DLN"></code>
+     <display value="Driver's license number"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Aanvraag-Order"></value>
+      <value value="Rijbewijsnummer"></value>
      </designation>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0728"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0728"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0728"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.391"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0728"></name>
-    <title value="v2 CCL Value"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0728 ( CCL Value)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Nothing obvious"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Low"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Moderate"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="High"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Very high"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0513"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0513"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0513"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.335"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0513"></name>
-    <title value="v2 Blood Product Transfusion/Disposition Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0513 ( Blood Product Transfusion/Disposition Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="RA"></code>
-     <display value="Returned unused/no longer needed"></display>
-    </concept>
-    <concept>
-     <code value="RL"></code>
-     <display value="Returned unused/keep linked to patient for possible use later"></display>
-    </concept>
-    <concept>
-     <code value="TR"></code>
-     <display value="Transfused with adverse reaction"></display>
-    </concept>
-    <concept>
-     <code value="TX"></code>
-     <display value="Transfused"></display>
-    </concept>
-    <concept>
-     <code value="WA"></code>
-     <display value="Wasted (product no longer viable)"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0755"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0755"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0755"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.397"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0755"></name>
-    <title value="v2 Status Weight At Birth"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0755 ( Status Weight At Birth)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="No weight reported at admission used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Weight reported at admission used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Default weight (&gt;2499g) used for grouping"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0514"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0514"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0514"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.336"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0514"></name>
-    <title value="v2 Transfusion Adverse Reaction"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0514 ( Transfusion Adverse Reaction)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ABOINC"></code>
-     <display value="ABO Incompatible Transfusion Reaction"></display>
-    </concept>
-    <concept>
-     <code value="ACUTHEHTR"></code>
-     <display value="Acute Hemolytic Transfusion Reaction"></display>
-    </concept>
-    <concept>
-     <code value="ALLERGIC1"></code>
-     <display value="Allergic Reaction - First"></display>
-    </concept>
-    <concept>
-     <code value="ALLERGIC2"></code>
-     <display value="Allergic Reaction - Recurrent"></display>
-    </concept>
-    <concept>
-     <code value="ALLERGICR"></code>
-     <display value="Allergic Reaction - Repeating"></display>
-    </concept>
-    <concept>
-     <code value="ANAPHYLAC"></code>
-     <display value="Anaphylactic Reaction"></display>
-    </concept>
-    <concept>
-     <code value="BACTCONTAM"></code>
-     <display value="Reaction to Bacterial Contamination"></display>
-    </concept>
-    <concept>
-     <code value="DELAYEDHTR"></code>
-     <display value="Delayed Hemolytic Transfusion Reaction"></display>
-    </concept>
-    <concept>
-     <code value="DELAYEDSTR"></code>
-     <display value="Delayed Serological Transfusion Reaction"></display>
-    </concept>
-    <concept>
-     <code value="GVHD"></code>
-     <display value="Graft vs Host Disease - Transfusion - Associated"></display>
-    </concept>
-    <concept>
-     <code value="HYPOTENS"></code>
-     <display value="Non-hemolytic Hypotensive Reaction"></display>
-    </concept>
-    <concept>
-     <code value="NONHTR1"></code>
-     <display value="Non-Hemolytic Fever Chill Transfusion Reaction - First"></display>
-    </concept>
-    <concept>
-     <code value="NONHTR2"></code>
-     <display value="Non-Hemolytic Fever Chill Transfusion Reaction - Recurrent"></display>
-    </concept>
-    <concept>
-     <code value="NONHTRREC"></code>
-     <display value="Non-Hemolytic Fever Chill Transfusion Reaction - Repeating"></display>
-    </concept>
-    <concept>
-     <code value="NONIMMUNE"></code>
-     <display value="Non-Immune Hemolysis"></display>
-    </concept>
-    <concept>
-     <code value="NONSPEC"></code>
-     <display value="Non-Specific, Non-Hemolytic Transfusion Reaction"></display>
-    </concept>
-    <concept>
-     <code value="NORXN"></code>
-     <display value="No Evidence of Transfusion Reaction"></display>
-    </concept>
-    <concept>
-     <code value="PTP"></code>
-     <display value="Posttransfusion Purpura"></display>
-    </concept>
-    <concept>
-     <code value="VOLOVER"></code>
-     <display value="Symptoms most likely due to volume overload"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0757"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0757"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0757"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.398"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0757"></name>
-    <title value="v2 Status Respiration Minutes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0757 ( Status Respiration Minutes)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Respiration minutes not used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Listed respiration minutes used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="OPS code value used for grouping"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0516"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0516"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0516"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.337"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0516"></name>
-    <title value="v2 Error severity"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0516 ( Error severity)"></description>
-    <content value="complete"></content>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Transaction was unsuccessful"></valueString>
+      <valueString value="45"></valueString>
      </extension>
-     <code value="E"></code>
-     <display value="Error"></display>
+     <code value="DLT"></code>
+     <display value="Delta"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Fehler"></value>
+      <value value="Delta"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Message not processed due to application or network failure condition"></valueString>
+      <valueString value="53"></valueString>
      </extension>
-     <code value="F"></code>
-     <display value="Fatal Error"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Transaction was successful but includes information e.g., inform patient"></valueString>
-     </extension>
-     <code value="I"></code>
-     <display value="Information"></display>
+     <code value="DR"></code>
+     <display value="Date/time range"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Information"></value>
+      <value value="Datum/tijd bereik"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Transaction successful, but there may issues"></valueString>
+      <valueString value="8"></valueString>
      </extension>
-     <code value="W"></code>
-     <display value="Warning"></display>
+     <code value="DT"></code>
+     <display value="Date"></display>
      <designation>
-      <language value="de"></language>
+      <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Warnung"></value>
+      <value value="Datum"></value>
      </designation>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0517"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0517"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0517"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.338"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0517"></name>
-    <title value="v2 Inform person code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0517 ( Inform person code)"></description>
-    <content value="complete"></content>
     <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="24"></valueString>
+     </extension>
+     <code value="DTM"></code>
+     <display value="Date/time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Datum/tijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in section 6.5.8.11  IN3-11, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.8.11 IN3-11 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="DTN"></code>
+     <display value="Day type and number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dag type en nummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Supports ASCII MIME-encoding of binary data.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Ondersteunt ASCII MIM-codering voor binaire gegevens"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ED"></code>
+     <display value="Encapsulated data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ingekapselde gegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="427"></valueString>
+     </extension>
+     <code value="EI"></code>
+     <display value="Entity identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 4.5.1.8 - ORC-8, 4.5.3.29 - OBR-29, 7.3.1.29 - OBR-29, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.1.8 - ORC-8, 4.5.3.29 - OBR-29, 7.3.1.29 - OBR-29 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EIP"></code>
+     <display value="Entity identifier pair"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Entiteit identificatie paar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ELD"></code>
+     <display value="Error location and description"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Foutlocatie en omschrijving"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="18"></valueString>
+     </extension>
+     <code value="ERL"></code>
+     <display value="Error location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Foutlocatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="47"></valueString>
+     </extension>
+     <code value="FC"></code>
+     <display value="Financial class"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Financiële klasse"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Appears ONLY in the PPN, XCN, and XPN.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Komt ALLEEN voor in PPN, XCN en XPN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="FN"></code>
+     <display value="Family name"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Achternaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="65536"></valueString>
+     </extension>
+     <code value="FT"></code>
+     <display value="Formatted text"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tekst met opmaak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="199"></valueString>
+     </extension>
+     <code value="GTS"></code>
+     <display value="General timing specification"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Algemene specificatie van tijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="227"></valueString>
+     </extension>
      <code value="HD"></code>
-     <display value="Inform help desk"></display>
+     <display value="Hierarchic designator"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hiërarchische aanduiding"></value>
+     </designation>
     </concept>
-    <concept>
-     <code value="NPAT"></code>
-     <display value="Do NOT inform patient"></display>
-    </concept>
-    <concept>
-     <code value="PAT"></code>
-     <display value="Inform patient"></display>
-    </concept>
-    <concept>
-     <code value="USR"></code>
-     <display value="Inform User"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0759"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0759"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0759"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.399"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0759"></name>
-    <title value="v2 Status Admission"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0759 ( Status Admission)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Admission status is valid; used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Admission status is valid; not used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Admission status is invalid; not used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Admission status is invalid; default value used for grouping"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0518"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0518"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0518"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.339"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0518"></name>
-    <title value="v2 Override type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0518 ( Override type)"></description>
-    <content value="complete"></content>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifies an override where a service is being performed against an order that the system does not recognize as equivalent to the ordered service."></valueString>
+      <valueString value="Replaces the CM data type used in section 6.5.8.20  IN3-20, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.8.20 IN3-20 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="EQV"></code>
-     <display value="Equivalence Override"></display>
+     <code value="ICD"></code>
+     <display value="Insurance certification definition"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verzekeringcertificatie definitie"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifies an override where a service is being performed for longer than the ordered period of time."></valueString>
+      <valueString value="Variable"></valueString>
      </extension>
-     <code value="EXTN"></code>
-     <display value="Extension Override"></display>
+     <code value="ID"></code>
+     <display value="Coded values for HL7 tables"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gecodeerd waarde voor HL7-tabellen"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Identifies an override where a repetition of service is being performed sooner than the ordered frequency."></valueString>
+      <valueString value="20"></valueString>
      </extension>
-     <code value="INLV"></code>
-     <display value="Interval Override"></display>
+     <code value="IS"></code>
+     <display value="Coded value for user-defined tables"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gecodeerde waarde voor gebruiker-gedefinieerde tabellen"></value>
+     </designation>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0510"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0510"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0510"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.333"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0510"></name>
-    <title value="v2 Blood Product Dispense Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0510 ( Blood Product Dispense Status)"></description>
-    <content value="complete"></content>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="292"></valueString>
      </extension>
-     <code value="CR"></code>
-     <display value="Released into inventory for general availability"></display>
+     <code value="JCC"></code>
+     <display value="Job code/class"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Baan code/klassificatie"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="Replaces the CM data type used in 4.14.1.8 RXO-8 and 4.14.4.8 RXE-8 as of v 2.5. Retained for backward compatibility only as of v 2.5">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 4.14.1.8 RXO-8 en 4.14.4.8 RXE-8 vanaf v2.5. Behouden vanwege backward compatibiliteit vanaf v2.5."></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="DS"></code>
-     <display value="Dispensed to patient location"></display>
+     <code value="LA1"></code>
+     <display value="Location with address variation 1"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Locatie met adres variatie 1"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="Replaces the CM data type used in 4.14.5.13 RXD-13, 4.14.6.11 RXG-11 and 4.14.7.11 RXA-11 as of v 2.5. Retained for backward compatibility only as of v 2.5,">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 4.14.5.13 RXD-13, 4.14.6.11 RXG-11 en 4.14.7.11 RXA-11 vanaf v2.5. Behouden vanwege backward compatibiliteit vanaf v2.5."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="LA2"></code>
+     <display value="Location with address variation 2"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Locatie met adres variatie 2"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="For waveform data only">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor waveformgegevens"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MA"></code>
+     <display value="Multiplexed array"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Multiplexed arred"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="20"></valueString>
+     </extension>
+     <code value="MO"></code>
+     <display value="Money"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 4.5.3.23 OBR-23 and 7.4.1.23- OBR-23 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.3.23 OBR-23 en 7.4.1.23 OBR-23 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MOC"></code>
+     <display value="Money and charge code"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geld en facturatiecode"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in section 6.5.8.5  IN3-5, as of v 2.5. This data type is restricted to this field.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.8.5 IN3-5 vanaf v2.5. Dit datatype kan alleen in dit veld worden gebruikt."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MOP"></code>
+     <display value="Money or percentage"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geld of percentage"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 2.16.9.9 MSH-9 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 2.16.9.9 MSH-9 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MSG"></code>
+     <display value="Message type"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Berichttype"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="For waveform data only">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Alleen voor waveformgegevens"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NA"></code>
+     <display value="Numeric array"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Numerieke array"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 4.5.3.32 and 7.4.1.32-( OBR-32) , 4.5.3.33 and 7.4.1.33  - ( OBR-33) 4.5.3.34 and 7.4.1.34 - ( OBR-34) 4.5.3.35 and 7.4.1.35 - ( OBR-35) as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.3.32 en 7.4.1.32- (OBR-32), 4.5.3.33 and 7.4.1.33 - (OBR-33) 4.5.3.34 and 7.4.1.34 - (OBR-34) 4.5.3.35 en 7.4.1.35 - (OBR-35) vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NDL"></code>
+     <display value="Name with date and location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Naam met datum en locatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="16"></valueString>
+     </extension>
+     <code value="NM"></code>
+     <display value="Numeric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Numeriek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3and 8.8.4.6.4- OM2-6.4, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 8.8.4.6.1- OM2-6.1, 8.8.4.6.3- OM2-6.3 en 8.8.4.6.4- OM2-6.4 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NR"></code>
+     <display value="Numeric range"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Numeriek bereik"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 6.5.10.10 UB1-16 and 6.5.11.7 UB2-7, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.10.10 UB1-16 en 6.5.11.7 UB2-7 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OCD"></code>
+     <display value="Occurrence code and date"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebeurtenis code en datum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OSD"></code>
+     <display value="Order sequence definition"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraagvolgorde definitie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in section 6.5.11.8 UB2-8, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.11.8 UB2-8 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="OSP"></code>
+     <display value="Occurrence span code and date"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gebeurtenis spanne code en datum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 15.4.5.7 PRA-7 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 15.4.5.7 PRA-7 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PIP"></code>
+     <display value="Practitioner institutional privileges"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener instellingsprivileges"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="1230"></valueString>
+     </extension>
+     <code value="PL"></code>
+     <display value="Person location"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Persoon locatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 and 11.6.4.7 CTD-7 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 15.4.5.6 PRA-6, 11.6.3.7 PRD-7 en 11.6.4.7 CTD-7 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PLN"></code>
+     <display value="Practitioner license or other ID number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener licentie of ander ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PN"></code>
+     <display value="Person name"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Persoonsnaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="equivalent of an XCN joined with a TS">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Equivalent van een XCN met een TS"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PPN"></code>
+     <display value="Performing person time stamp"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uivoerende persoon en tijdstip"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 4.5.3.26 - OBR-26 and 7.4.1.26 - OBR-26 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 4.5.3.26 - OBR-26 en 7.4.1.26 - OBR-26 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PRL"></code>
+     <display value="Parent result link"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parent resultaat link"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="3"></valueString>
      </extension>
      <code value="PT"></code>
-     <display value="Presumed transfused (dispensed and not returned)"></display>
+     <display value="Processing type"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwerkingstype"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="Replaces the CM data type used in section 6.5.7.29  IN2-29, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.7.29 IN2-29 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="RA"></code>
-     <display value="Returned unused/no longer needed"></display>
+     <code value="PTA"></code>
+     <display value="Policy type and amount"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Polistype en hoeveelheid"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="212"></valueString>
      </extension>
-     <code value="RD"></code>
-     <display value="Reserved and ready to dispense"></display>
+     <code value="QIP"></code>
+     <display value="Query input parameter list"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Query invoerparameterlijst"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Placer or Filler"></valueString>
+      <valueString value="219"></valueString>
      </extension>
-     <code value="RE"></code>
-     <display value="Released (no longer allocated for the patient)"></display>
+     <code value="QSC"></code>
+     <display value="Query selection criteria"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Queryselectie criteria"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="19"></valueString>
+     </extension>
+     <code value="RCD"></code>
+     <display value="Row column definition"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Rij-kolom definitie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 8.8.4.6 - OM2-6, 8.8.4.7 - OM2-7 and8.8.4.8 - OM2-8 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 8.8.4.6 CM2-6, 8.8.4.7 CM2-7 en 8.8.84.8 CM2-8 vanaf v2.5."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RFR"></code>
+     <display value="Reference range"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Referentiewaardenbereik"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="206"></valueString>
      </extension>
      <code value="RI"></code>
-     <display value="Received into inventory (for specified patient)"></display>
+     <display value="Repeat interval"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Herhaalinterval"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="Replaces the CM data type used in section 6.5.7.28  IN2-28, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 6.5.7.28 IN2-28 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="RL"></code>
-     <display value="Returned unused/keep linked to patient for possible use later"></display>
+     <code value="RMC"></code>
+     <display value="Room coverage"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kamerdekking"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Placer"></valueString>
+      <valueString value="273"></valueString>
      </extension>
-     <code value="RQ"></code>
-     <display value="Request to dispense blood product"></display>
+     <code value="RP"></code>
+     <display value="Reference pointer"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijzing"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="984"></valueString>
      </extension>
-     <code value="RS"></code>
-     <display value="Reserved (ordered and product allocated for the patient)"></display>
+     <code value="RPT"></code>
+     <display value="Repeat pattern"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Herhaalpatroon"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Status determined by Filler"></valueString>
+      <valueString value="Appears ONLY in the XAD data type.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Komt ALLEEN voor in het XAD datatype"></valueString>
+        </extension>
+       </extension>
+      </valueString>
      </extension>
-     <code value="WA"></code>
-     <display value="Wasted (product no longer viable)"></display>
+     <code value="SAD"></code>
+     <display value="Street Address"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Straatadres"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="For scheduling data only. See Chapter 10">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Ten behoeve van planningsgegevens. Zie hoofdstuk 10"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SCV"></code>
+     <display value="Scheduling class value pair"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Planningsklasse waardepaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="4"></valueString>
+     </extension>
+     <code value="SI"></code>
+     <display value="Sequence ID"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sequence ID"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="36"></valueString>
+     </extension>
+     <code value="SN"></code>
+     <display value="Structured numeric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gestructureerde numerieke waarde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Definition: a string whose characters are limited to &quot;+&quot; and the decimal digits 0 through 9.  As a string, leading zeros are always considered significant.  Maximum length: Not specified for the type. May be specified in the context of use.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Definitie: een string waarvan de tekens beperkt zijn tot &quot;+&quot; en de decimale getallen 0 tot 9. Als normaal in strings zijn voorloopnullen significant. Maximumlengte: niet bepaald. Kan in gebruikscontext worden bepaald."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SNM"></code>
+     <display value="String of telephone number digits"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="String met telefoonnummercijfers"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 15.4.5.5 PRA-5 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 15.4.5.5 PRA-5 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SPD"></code>
+     <display value="Specialty description"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Specialisme omschrijving"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SPS"></code>
+     <display value="Specimen source"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Monster bron"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="15"></valueString>
+     </extension>
+     <code value="SRT"></code>
+     <display value="Sort order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sorteervolgorde"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="199"></valueString>
+     </extension>
+     <code value="ST"></code>
+     <display value="String data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Platte tekst"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="16"></valueString>
+     </extension>
+     <code value="TM"></code>
+     <display value="Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TN"></code>
+     <display value="Telephone number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefoonnummer"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TQ"></code>
+     <display value="Timing/quantity"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing/hoeveelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="WITHDRAWN">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="VERVALLEN"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TS"></code>
+     <display value="Time stamp"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tijdstempel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="65536"></valueString>
+     </extension>
+     <code value="TX"></code>
+     <display value="Text data"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tekstuele gegevens"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in sections 6.5.10.10 UB1-10 and 6.5.11.6 UB2-6, as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in secties 6.5.10.10 UB1-10 en 6.5.11.6 UB2-6 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UVC"></code>
+     <display value="UB value code and amount"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="UB waardecode en hoeveelheid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="41"></valueString>
+     </extension>
+     <code value="VH"></code>
+     <display value="Visiting hours"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bezoekuren"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="973"></valueString>
+     </extension>
+     <code value="VID"></code>
+     <display value="Version identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 5.10.5.3.11 QRD-11 as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 5.10.5.3.11 QRD-11 vanaf v2.5"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VR"></code>
+     <display value="Value range"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Waardebereik"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 7.14.1.3.1 OBX-5.1 where OBX-5 Observation value (*) is data type CD as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie 7.14.1.3.1 OBX-5-1 vanaf v2.5 waarbij OBX-5 Observation value (*) datatype CD heeft"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WVI"></code>
+     <display value="Channel Identifier"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kanaal identificatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces the CM data type used in 7.14.1.4 OBX-5.2 where OBX-5 Observation value (*) is data type CD as of v 2.5.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt het CM datatype gebruikt in sectie7.14.1.4 OBX-5-2 vanaf v2.5 waarbij OBX-5 Observation value (*) datatype CD heeft"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WVS"></code>
+     <display value="Waveform source"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Waveform bron"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces AD as of v 2.3">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt AD vanaf v2.3"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XAD"></code>
+     <display value="Extended address"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitgebreid adres"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces CN as of v 2.3">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt CN vanaf v2.3"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XCN"></code>
+     <display value="Extended composite ID number and name for persons"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitgebreide samengestelde ID en naam voor personen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="567"></valueString>
+     </extension>
+     <code value="XON"></code>
+     <display value="Extended composite name and ID number for organizations"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitgebreide samengestelde ID en naam voor organisaties"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces PN as of v 2.3.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt PN vanaf v2.3"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XPN"></code>
+     <display value="Extended person name"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitgebreide persoonsnaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Replaces TN as of v 2.3">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vervangt TN vanaf v2.3"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="XTN"></code>
+     <display value="Extended telecommunications number"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uitgebreid telecommunicatienummer"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0511"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0441"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0511"></id>
+    <id value="v2-0441"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -119986,14 +109705,14 @@ E.g. Use in Care Plans,">
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0511"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0441"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.334"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.281"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0511"></name>
-    <title value="v2 BP Observation Status Codes Interpretation"></title>
+    <name value="v2.0441"></name>
+    <title value="v2 Immunization registry status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -120003,31 +109722,8101 @@ E.g. Use in Care Plans,">
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0511 ( BP Observation Status Codes Interpretation)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0441 ( Immunization registry status)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="C"></code>
-     <display value="Record coming over is a correction and thus replaces a final status"></display>
+     <code value="A"></code>
+     <display value="Active"></display>
     </concept>
     <concept>
-     <code value="D"></code>
-     <display value="Deletes the BPX record"></display>
+     <code value="I"></code>
+     <display value="Inactive"></display>
     </concept>
     <concept>
-     <code value="F"></code>
-     <display value="Final status; Can only be changed with a corrected status"></display>
+     <code value="L"></code>
+     <display value="Inactive - Lost to follow-up (cancel contract)"></display>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Inactive - Moved or gone elsewhere (cancel contract)"></display>
     </concept>
     <concept>
      <code value="O"></code>
-     <display value="Order detail description only (no status)"></display>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Preliminary status"></display>
+     <display value="Inactive - Permanently inactive (Do not reactivate or add new entries to the record)"></display>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0442"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0442"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0442"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.282"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0442"></name>
+    <title value="v2 Location service code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0442 ( Location service code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="Diagnostic"></display>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency Room Casualty"></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Primary Care"></display>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Therapeutic"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0443"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0443"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0443"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.283"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0443"></name>
+    <title value="v2 Provider role"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0443 ( Provider role)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="PV1-17 Admitting doctor"></valueString>
+     </extension>
+     <code value="AD"></code>
+     <display value="Admitting"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aufnehmender Arzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PV1-17 Admitting doctor"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AI"></code>
+     <display value="Assistant/Alternate Interpreter"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="alternativer (oder Assistent des) Befundsarzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Assistent/tweede vertaler"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RXA-10 Administering Provider"></valueString>
+     </extension>
+     <code value="AP"></code>
+     <display value="Administering Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RXA-10 Administering Provider"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="PV1-7 Attending doctor"></valueString>
+     </extension>
+     <code value="AT"></code>
+     <display value="Attending"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Behandelnder Arzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="PV1-7 Attending doctor"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="OBR-10 Collector Identifier"></valueString>
+     </extension>
+     <code value="CLP"></code>
+     <display value="Collecting Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OBR-10 Collector Identifier"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CP"></code>
+     <display value="Consulting Provider"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beratender Arzt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RXD-10 Dispensing Provider"></valueString>
+     </extension>
+     <code value="DP"></code>
+     <display value="Dispensing Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="RXD-10 Dispensing Provider"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="ORC-10 Entered By"></valueString>
+     </extension>
+     <code value="EP"></code>
+     <display value="Entering Provider (probably not the same as transcriptionist?)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORC-10 Entered By"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FHCP"></code>
+     <display value="Family Health Care Professional"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hausarzt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="ORC-19 Action By"></valueString>
+     </extension>
+     <code value="IP"></code>
+     <display value="Initiating Provider (as in action by)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORC-19 Action By"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="OBX-25 Performing Organization Medical Director"></valueString>
+     </extension>
+     <code value="MDIR"></code>
+     <display value="Medical Director"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="OBX-25 Performing Organization Medical Director"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="ORC-12 Ordering Provider, OBR-16 Ordering Provider, RXO-14 Ordering Provider's DEA Number, RXE-13 Ordering Provider's DEA Number, ORC-24 Ordering Provider Address"></valueString>
+     </extension>
+     <code value="OP"></code>
+     <display value="Ordering Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ORC-12 Ordering Provider, OBR-16 Ordering Provider, RXO-14 Ordering Provider's DEA Number, RXE-13 Ordering Provider's DEA Number, ORC-24 Ordering Provider Address"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PH"></code>
+     <display value="Pharmacist   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Apotheker (onduidelijk hoe je &quot;Pharmacist/Treatment Supplier's Verifier ID&quot; uit elkaar haalt)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PI"></code>
+     <display value="Primary Interpreter"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verantwortlicher Übersetzer"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Primaire tolk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PP"></code>
+     <display value="Primary Care Provider"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Durchgangsarzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Eerstelijns zorgverlener"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="OBX-16 Responsible Observer">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="OBX-16 Responsible Observer"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RO"></code>
+     <display value="Responsible Observer"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verantwoordelijk observator"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="PV1-8 Referring doctor">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="PV1-8 Referring doctor"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RP"></code>
+     <display value="Referring Provider"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="überweisender/einweisender Arzt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwijzend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RT"></code>
+     <display value="Referred to Provider"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Überweisungsempfänger"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zorgverlener naar wie is verwezen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TN"></code>
+     <display value="Technician"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="MTA"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Technisch personeel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TR"></code>
+     <display value="Transcriptionist"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Schreibkraft"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Transscribent"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="ORC-11 Verified By">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="ORC-11 Verified By"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VP"></code>
+     <display value="Verifying Provider"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Controlerend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VPS"></code>
+     <display value="Verifying Pharmaceutical Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Controlerend farmaceutische leverancier (onduidelijk hoe je &quot;Pharmacist/Treatment Supplier's Verifier ID&quot; uit elkaar haalt)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="RXE-14 Pharmacist/Treatment Supplier's Verifier ID"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="VTS"></code>
+     <display value="Verifying Treatment Supplier   (not sure how to dissect Pharmacist/Treatment Supplier's Verifier ID)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Controlerend behandeling leverancier (onduidelijk hoe je &quot;Pharmacist/Treatment Supplier's Verifier ID&quot; uit elkaar haalt)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0444"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0444"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0444"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.284"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0444"></name>
+    <title value="v2 Name assembly order"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0444 ( Name assembly order)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Prefix Family Middle Given Suffix"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Familienname zuerst"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Prefix Achternaam Middle Voornaam Suffix"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Prefix Given Middle Family Suffix"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Familienname hinten"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Prefix Voornaam Middle Achternaam Suffix"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0445"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0445"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0445"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.285"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0445"></name>
+    <title value="v2 Identity Reliability Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0445 ( Identity Reliability Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AL"></code>
+     <display value="Patient/Person Name is an Alias"></display>
+    </concept>
+    <concept>
+     <code value="UA"></code>
+     <display value="Unknown/Default Address"></display>
+    </concept>
+    <concept>
+     <code value="UD"></code>
+     <display value="Unknown/Default Date of Birth"></display>
+    </concept>
+    <concept>
+     <code value="US"></code>
+     <display value="Unknown/Default Social Security Number"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0450"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0450"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0450"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.286"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0450"></name>
+    <title value="v2 Event type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0450 ( Event type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="LOG"></code>
+     <display value="Log Event"></display>
+    </concept>
+    <concept>
+     <code value="SER"></code>
+     <display value="Service Event"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0455"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0455"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0455"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.290"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0455"></name>
+    <title value="v2 Type of bill code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0455 ( Type of bill code)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="131"></code>
+     <display value="Hospital - Outpatient - Admit thru Discharge Claim"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="141"></code>
+     <display value="Hospital - Other - Admit thru Discharge Claim"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0456"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0456"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0456"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.291"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0456"></name>
+    <title value="v2 Revenue code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0456 ( Revenue code)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="260"></code>
+     <display value="IV Therapy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vruchtbaarheidstherapie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="280"></code>
+     <display value="Oncology"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Oncologie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="301"></code>
+     <display value="Lab/Chemistry"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lab/chemie"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="991"></code>
+     <display value="Cafeteria /Guest Tray"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Cafetaria/gastdienblad"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="993"></code>
+     <display value="Telephone/Telegraph"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefoon/telegraaf"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="994"></code>
+     <display value="TV/Radio"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="TV/radio"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0457"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0457"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0457"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.292"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0457"></name>
+    <title value="v2 Overall claim disposition code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0457 ( Overall claim disposition code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="No edits present on claim"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Only edits present are for line item denial or rejection"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Multiple-day claim with one or more days denied or rejected"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Claim denied, rejected, suspended or returned to provider with only post payment edits"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Claim denied, rejected, suspended or returned to provider with only pre payment edits"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0459"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0459"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0459"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.293"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0459"></name>
+    <title value="v2 Reimbursement Action Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="OCE line item denial or rejection is not ignored"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="OCE line item denial or rejection is ignored"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="External line item denial. Line item is denied even if no OCE edits"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="External line item rejection. Line item is rejected even if no OCE edits"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0460"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0460"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0460"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.294"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0460"></name>
+    <title value="v2 Denial or rejection code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0460 ( Denial or rejection code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Line item not denied or rejected"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Line item denied or rejected"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Line item is on a multiple-day claim. The line item is not denied or rejected, but occurs on a day that has been denied or rejected."></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0465"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0465"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0465"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.295"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0465"></name>
+    <title value="v2 Name/address representation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0465 ( Name/address representation)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Alphabetic (i.e., Default or some single-byte)"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="alphabetisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Ideographic (i.e., Kanji)"></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Phonetic (i.e., ASCII, Katakana, Hiragana, etc.)"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0466"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0466"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0466"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.296"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0466"></name>
+    <title value="v2 Ambulatory payment classification code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0466 ( Ambulatory payment classification code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values defined"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="031"></code>
+     <display value="Dental procedures"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tandheelkundige behandeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="163"></code>
+     <display value="Excision/biopsy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Excisie/biopt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="181"></code>
+     <display value="Level 1 skin repair."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niveau 1 huidherstel"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0468"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0468"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0468"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.297"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0468"></name>
+    <title value="v2 Payment adjustment code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0468 ( Payment adjustment code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="No payment adjustment"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Designated current drug or biological payment adjustment applies to APC (status indicator G)"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Designated new device payment adjustment applies to APC (status indicator H)"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Designated new drug or new biological payment adjustment applies to APC (status indicator J)"></display>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Deductible not applicable (specific list of HCPCS codes)"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0469"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0469"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0469"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.298"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0469"></name>
+    <title value="v2 Packaging status code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0469 ( Packaging status code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Not packaged"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen verpakking"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Packaged service (status indicator N, or no HCPCS code and certain revenue codes)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verpakte service (statusindicator N, of geen HCPCS code en bepaalde margecodes)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Packaged as part of partial hospitalization per diem or daily mental health service per diem"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verpakt als deel van een gedeeltelijke opname per dag of dagelijkse geestelijke verzorging per dag"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0470"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0470"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0470"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.299"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0470"></name>
+    <title value="v2 Reimbursement type code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0470 ( Reimbursement type code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="Crnl"></code>
+     <display value="Corneal Tissue APC"></display>
+    </concept>
+    <concept>
+     <code value="DME"></code>
+     <display value="Durable Medical Equipment"></display>
+    </concept>
+    <concept>
+     <code value="EPO"></code>
+     <display value="Epotein"></display>
+    </concept>
+    <concept>
+     <code value="Lab"></code>
+     <display value="Clinical Laboratory APC"></display>
+    </concept>
+    <concept>
+     <code value="Mamm"></code>
+     <display value="Screening Mammography APC"></display>
+    </concept>
+    <concept>
+     <code value="NoPay"></code>
+     <display value="This APC is not paid"></display>
+    </concept>
+    <concept>
+     <code value="OPPS"></code>
+     <display value="Outpatient Prospective Payment System"></display>
+    </concept>
+    <concept>
+     <code value="PartH"></code>
+     <display value="Partial Hospitalization APC"></display>
+    </concept>
+    <concept>
+     <code value="Pckg"></code>
+     <display value="Packaged APC"></display>
+    </concept>
+    <concept>
+     <code value="Thrpy"></code>
+     <display value="Therapy APC"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0472"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0472"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0472"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.300"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0472"></name>
+    <title value="v2 TQ Conjunction ID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0472 ( TQ Conjunction ID)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Do the next specification in parallel with this one (unless otherwise constrained by the following fields: TQ1-7-start date/time and TQ1-8-end date/time).  The conjunction of &quot;A&quot; specifies two parallel instructions, as are sometimes used in medication, e.g., prednisone given at 1 tab on Monday, Wednesday, Friday, and at 1/2 tab on Tuesday, Thursday, Saturday, Sunday.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Doe de volgende specificatie parallel aan deze (tenzij anders aangegeven ion de volgende velden: TQ1-7-start date/time en TQ1-8-end date/time). Een specificatie &quot;A&quot; specificeert twee parallelle instructies, zoals soms bij medicatiedosering gebruikt, bijv. prednison 1 tablet op maandag, woesndag, vrijdag en een half tablet op dinsdag, donderdag, zaterdag en zondag."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="A"></code>
+     <display value="Asynchronous"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Asynchroon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="It will be followed by a completion time for the service.  This code allows one to distinguish between the time and priority at which a service should be actuated (e.g., blood should be drawn) and the time and priority at which a service should be completed (e.g., results should be reported).">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Deze wordt gevolgd door een voltooiingstijd voor de service. Met deze code kan het verschil worden gemaakt tussen tijd en prioriteit waarop de service moet worden geactueerd (bijv. bloed moet worden afgenomen) en de tijd en prioriteit waarop de service moet zijn voltooid (bijv. wanneer resultaten moeten worden gemeld)."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Actuation Time"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Actuatietijd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Do the next specification after this one (unless otherwise constrained by the following fields: TQ1-7-start date/time and TQ1-8-end date/time). An &quot;S&quot; specification implies that the second timing sequence follows the first, e.g., when a service request is written to measure blood pressure Q15 minutes for the 1st hour, then every 2 hours for the next day.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Doe de volgende specificatie na deze (tenzij anders aangegeven ion de volgende velden: TQ1-7-start date/time en TQ1-8-end date/time). Een specificatie &quot;S&quot; impliceert dat de tweede tijdsequentie de eerste opvolgt, bijv. als een serviceverzoek wordt gedaan om bloeddruk te meten Q15 minuten na het eerste uur en dan de volgende dag elke twee uur."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="S"></code>
+     <display value="Synchronous"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Synchroon"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0473"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0473"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0473"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.301"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0473"></name>
+    <title value="v2 Formulary status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0473 ( Formulary status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="G"></code>
+     <display value="This observation/service is on the formulary, and has guidelines"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze test/service zit in het formularium en er zijn richtlijnen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="This observation/service is not on the formulary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze test/service zit niet in het formularium"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="This observation/service is on the formulary, but is restricted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze test/service zit in het formularium maar er gelden beperkingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="This observation/service is on the formulary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze test/service zit in het formularium"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0474"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0474"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0474"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.302"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0474"></name>
+    <title value="v2 Practitioner Organization Unit Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0474 ( Practitioner Organization Unit Type)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="D"></code>
+     <display value="Department"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afdeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Facility"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kliniek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Local market area"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medical Center Area"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2000-11"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Subdivision"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Subdivisie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Subdepartment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Subafdeling"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Division"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Divisie"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0475"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0475"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0475"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.303"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0475"></name>
+    <title value="v2 Charge Type Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0475 ( Charge Type Reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="01"></code>
+     <display value="Allergy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Allergie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="02"></code>
+     <display value="Intolerance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intolerantie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="03"></code>
+     <display value="Treatment Failure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Behandeling mislukt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="04"></code>
+     <display value="Patient Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Patiëntverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="05"></code>
+     <display value="No Exception"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen uitzondering"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0477"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0477"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0477"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.304"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0477"></name>
+    <title value="v2 Controlled Substance Schedule"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0477 ( Controlled Substance Schedule)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes drugs that have a high potential for abuse, no currently accepted medical use in the United States and a lack of accepted safety for use under medical supervision."></valueString>
+     </extension>
+     <code value="I"></code>
+     <display value="Schedule I"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes drugs having currently accepted medical use in the United States and a high abuse potential, with severe psychological or physical dependence liability."></valueString>
+     </extension>
+     <code value="II"></code>
+     <display value="Schedule II"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes drugs having an abuse potential less than that of drugs listed in Schedules I and II. All CS III drugs have a currently accepted medical use in the United States."></valueString>
+     </extension>
+     <code value="III"></code>
+     <display value="Schedule III"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes drugs having a lesser potential for abuse than those listed in Schedule III. CS IV drugs have a currently accepted medical use in the United States."></valueString>
+     </extension>
+     <code value="IV"></code>
+     <display value="Schedule IV"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes drugs having low abuse potential and limited physical or psychological dependence relative to those listed in IV and have an accepted medical use in the United States."></valueString>
+     </extension>
+     <code value="V"></code>
+     <display value="Schedule V"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="State defined"></valueString>
+     </extension>
+     <code value="VI"></code>
+     <display value="Schedule VI"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0478"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0478"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0478"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.305"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0478"></name>
+    <title value="v2 Formulary Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0478 ( Formulary Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="G"></code>
+     <display value="Pharmaceutical substance is in the formulary, but guidelines apply"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Farmaceutische substantie zit in het formularium maar er zijn richtlijnen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Pharmaceutical substance is NOT in the formulary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Farmaceutische substantie zit NIET in het formularium"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Pharmaceutical substance is in the formulary, but restrictions apply"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Farmaceutische substantie zit in het formularium maar er zijn beperkingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Pharmaceutical substance is in the formulary"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Farmaceutische substantie zit in het formularium"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0480"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0480"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0480"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.306"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0480"></name>
+    <title value="v2 Pharmacy Order Types"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0480 ( Pharmacy Order Types)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Default value.  Includes, but is not limited to, tables, capsules, powders, puffs, and other non-injected/non-infused products."></valueString>
+     </extension>
+     <code value="M"></code>
+     <display value="Medication"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes, but is not limited to, piggybacks and syringes"></valueString>
+     </extension>
+     <code value="O"></code>
+     <display value="Other solution as medication orders"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Includes, but is not limited to, TPNs, admixtures, solutions and drips."></valueString>
+     </extension>
+     <code value="S"></code>
+     <display value="IV Large Volume Solutions"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0482"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0482"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0482"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.307"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0482"></name>
+    <title value="v2 Order Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0482 ( Order Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="I"></code>
+     <display value="Inpatient Order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Klinische aanvraag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Outpatient Order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Poliklinische aanvraag"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0483"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0483"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0483"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.308"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0483"></name>
+    <title value="v2 Authorization Mode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0483 ( Authorization Mode)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="EL"></code>
+     <display value="Electronic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Electronisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="EM"></code>
+     <display value="E-mail"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="E-mail"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FX"></code>
+     <display value="Fax"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fax"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IP"></code>
+     <display value="In Person"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="In persoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MA"></code>
+     <display value="Mail"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Post"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="Paper"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Papier"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PH"></code>
+     <display value="Phone"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefoon"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="Reflexive (Automated system)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Reflexief (geautomatiseerd systeem)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VC"></code>
+     <display value="Video-conference"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Videoconferentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VO"></code>
+     <display value="Voice"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Stem"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0484"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0484"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0484"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.309"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0484"></name>
+    <title value="v2 Dispense Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0484 ( Dispense Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Trial Quantity Balance"></display>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Compassionate Fill"></display>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="New/Renew - Full Fill"></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="New/Renew - Part Fill"></display>
+    </concept>
+    <concept>
+     <code value="Q"></code>
+     <display value="Refill - Part Fill"></display>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Refill - Full Fill"></display>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Manufacturer Sample"></display>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Trial Quantity"></display>
+    </concept>
+    <concept>
+     <code value="Z"></code>
+     <display value="Non-Prescription Fill"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0485"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0485"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0485"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.310"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0485"></name>
+    <title value="v2 Extended Priority Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0485 ( Extended Priority Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fill after S orders"></valueString>
+     </extension>
+     <code value="A"></code>
+     <display value="ASAP"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zo spoedig mogelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Callback"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Terugbellen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Preop"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pre-op"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PRN"></code>
+     <display value="As needed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zoals noodzakelijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Default"></valueString>
+     </extension>
+     <code value="R"></code>
+     <display value="Routine"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Routine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="With highest priority">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Met hoogste prioriteit"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="S"></code>
+     <display value="Stat"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="STAT"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A request implying that it is critical to come as close as possible to the requested time, e.g., for a trough anti-microbial level.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een aanvraag waaruit af te leiden is dat het belangrijk is om zo dicht mogelijk binnen de gevraagde tijd te blijven, bijv. voor een anti-microbieel niveau."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="T"></code>
+     <display value="Timing critical"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Timing critical within &lt;integer&gt; days.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Timing kritiek binnen &lt;integer&gt; dagen."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TD&lt;integer&gt;"></code>
+     <display value="Timing critical within &lt;integer&gt; days."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek binnen &lt;integer&gt; dagen."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Timing critical within &lt;integer&gt; hours.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Timing kritiek binnen &lt;integer&gt; uur."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TH&lt;integer&gt;"></code>
+     <display value="Timing critical within &lt;integer&gt; hours."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek binnen &lt;integer&gt; uur."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Timing critical within &lt;integer&gt; months.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Timing kritiek binnen &lt;integer&gt; maanden."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TL&lt;integer&gt;"></code>
+     <display value="Timing critical within &lt;integer&gt; months."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek binnen &lt;integer&gt; maanden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Timing critical within &lt;integer&gt; minutes.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Timing kritiek binnen &lt;integer&gt; minuten."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TM&lt;integer&gt;"></code>
+     <display value="Timing critical within &lt;integer&gt; minutes."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek binnen &lt;integer&gt; minuten."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Timing critical within &lt;integer&gt; seconds.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Timing kritiek binnen &lt;integer&gt; seconden."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TS&lt;integer&gt;"></code>
+     <display value="Timing critical within &lt;integer&gt; seconds."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek binnen &lt;integer&gt; seconden."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Timing critical within &lt;integer&gt; weeks.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Timing kritiek binnen &lt;integer&gt; weken."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TW&lt;integer&gt;"></code>
+     <display value="Timing critical within &lt;integer&gt; weeks."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Timing kritiek binnen &lt;integer&gt; weken."></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0487"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0487"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0487"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.311"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0487"></name>
+    <title value="v2 Specimen Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0487 ( Specimen Type)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ABS"></code>
+     <display value="Abscess"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abszeß"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abces"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ACNE"></code>
+     <display value="Tissue, Acne"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Weefsel, Acné"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vocht"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ACNFLD"></code>
+     <display value="Fluid, Acne"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, Acné"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Milieu"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AIRS"></code>
+     <display value="Air Sample"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Luchtmonster"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ALL"></code>
+     <display value="Allograft"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Allograft"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="AMN"></code>
+     <display value="Amniotic fluid"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amniotisch vocht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AMP"></code>
+     <display value="Amputation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Amputatie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="ANGI"></code>
+     <display value="Catheter Tip, Angio"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="ARTC"></code>
+     <display value="Catheter Tip, Arterial"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="ASERU"></code>
+     <display value="Serum, Acute"></display>
+    </concept>
+    <concept>
+     <code value="ASP"></code>
+     <display value="Aspirate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aspiraat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="ATTE"></code>
+     <display value="Environment, Attest"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="AUTOA"></code>
+     <display value="Environmental, Autoclave Ampule"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="AUTOC"></code>
+     <display value="Environmental, Autoclave Capsule"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="AUTP"></code>
+     <display value="Autopsy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Autopsie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bloed"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BBL"></code>
+     <display value="Blood bag"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bloedzak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="BCYST"></code>
+     <display value="Cyst, Baker's"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Body submitted for autopsy / carcass submitted">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Lichaam/karkas ten behoeve van autopsie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BDY"></code>
+     <display value="Whole body"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Heel lichaam"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BIFL"></code>
+     <display value="Bile Fluid"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Galvloeistof"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Conditions"></valueString>
+     </extension>
+     <code value="BITE"></code>
+     <display value="Bite"></display>
+    </concept>
+    <concept>
+     <code value="BLD"></code>
+     <display value="Whole blood"></display>
+    </concept>
+    <concept>
+     <code value="BLDA"></code>
+     <display value="Blood arterial"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Arterieel bloed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BLDCO"></code>
+     <display value="Cord blood"></display>
+    </concept>
+    <concept>
+     <code value="BLDV"></code>
+     <display value="Blood venous"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Veneus bloed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition, Fluid/Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie, vocht/weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BLEB"></code>
+     <display value="Bleb"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Blaar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition, Fluid/Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie, vocht/weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BLIST"></code>
+     <display value="Blister"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Blaas"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="BOIL"></code>
+     <display value="Boil"></display>
+    </concept>
+    <concept>
+     <code value="BON"></code>
+     <display value="Bone"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bot"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BONE"></code>
+     <display value="Bone"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2003-07"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BOWL"></code>
+     <display value="Bowel contents"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Darminhoud"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="BPH"></code>
+     <display value="Basophils"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="BPU"></code>
+     <display value="Blood product unit"></display>
+    </concept>
+    <concept>
+     <code value="BRN"></code>
+     <display value="Burn"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verbranding"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product; Brush or brushing (these may be 2 separate entries as in a physical brush or a portion thereof vs the substance obtained after a surface has been brushed)"></valueString>
+     </extension>
+     <code value="BRSH"></code>
+     <display value="Brush"></display>
+    </concept>
+    <concept>
+     <code value="BRTH"></code>
+     <display value="Breath (use EXHLD)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Adem (gebruik (EXHLD)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="BRUS"></code>
+     <display value="Brushing"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="BUB"></code>
+     <display value="Bubo"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="BULLA"></code>
+     <display value="Bulla/Bullae"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="BX"></code>
+     <display value="Biopsy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Biopt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="CALC"></code>
+     <display value="Calculus (=Stone)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="CARBU"></code>
+     <display value="Carbuncle"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Apparaat"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="CAT"></code>
+     <display value="Catheter"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Catether"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Conditions"></valueString>
+     </extension>
+     <code value="CBITE"></code>
+     <display value="Bite, Cat"></display>
+    </concept>
+    <concept>
+     <code value="CDM"></code>
+     <display value="Cardiac muscle"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Hartspier"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="CLIPP"></code>
+     <display value="Clippings"></display>
+    </concept>
+    <concept>
+     <code value="CNJT"></code>
+     <display value="Conjunctiva"></display>
+    </concept>
+    <concept>
+     <code value="CNL"></code>
+     <display value="Cannula"></display>
+    </concept>
+    <concept>
+     <code value="COL"></code>
+     <display value="Colostrum"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue"></valueString>
+     </extension>
+     <code value="CONE"></code>
+     <display value="Biospy, Cone"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="CSCR"></code>
+     <display value="Scratch, Cat"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="CSERU"></code>
+     <display value="Serum, Convalescent"></display>
+    </concept>
+    <concept>
+     <code value="CSF"></code>
+     <display value="Cerebral spinal fluid"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="CSITE"></code>
+     <display value="Catheter Insertion Site"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="CSMY"></code>
+     <display value="Fluid,  Cystostomy Tube"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="CST"></code>
+     <display value="Fluid, Cyst"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Transfusion"></valueString>
+     </extension>
+     <code value="CSVR"></code>
+     <display value="Blood, Cell Saver"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="CTP"></code>
+     <display value="Catheter tip"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Uterine specimen obtained by curettage = Currettings"></valueString>
+     </extension>
+     <code value="CUR"></code>
+     <display value="Curretage"></display>
+    </concept>
+    <concept>
+     <code value="CVM"></code>
+     <display value="Cervical Mucus"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="CVPS"></code>
+     <display value="Site, CVP"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="CVPT"></code>
+     <display value="Catheter Tip, CVP"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="CYN"></code>
+     <display value="Nodule, Cystic"></display>
+    </concept>
+    <concept>
+     <code value="CYST"></code>
+     <display value="Cyst"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Conditions"></valueString>
+     </extension>
+     <code value="DBITE"></code>
+     <display value="Bite, Dog"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="DCS"></code>
+     <display value="Sputum, Deep Cough"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="DEC"></code>
+     <display value="Ulcer, Decubitus"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="DEION"></code>
+     <display value="Environmental, Water  (Deionized)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="DIA"></code>
+     <display value="Dialysate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid used for dialysis - is a product"></valueString>
+     </extension>
+     <code value="DIAF"></code>
+     <display value="Dialysis Fluid"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="DISCHG"></code>
+     <display value="Discharge"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="DIV"></code>
+     <display value="Diverticulum"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="DRN"></code>
+     <display value="Drain"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="DRNG"></code>
+     <display value="Drainage, Tube"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="DRNGP"></code>
+     <display value="Drainage, Penrose"></display>
+    </concept>
+    <concept>
+     <code value="DUFL"></code>
+     <display value="Duodenal fluid"></display>
+    </concept>
+    <concept>
+     <code value="EARW"></code>
+     <display value="Ear wax (cerumen)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="EBRUSH"></code>
+     <display value="Brush, Esophageal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="EEYE"></code>
+     <display value="Environmental, Eye Wash"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="EFF"></code>
+     <display value="Environmental, Effluent"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="EFFUS"></code>
+     <display value="Effusion"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="EFOD"></code>
+     <display value="Environmental, Food"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="EISO"></code>
+     <display value="Environmental, Isolette"></display>
+    </concept>
+    <concept>
+     <code value="ELT"></code>
+     <display value="Electrode"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="ENVIR"></code>
+     <display value="Environmental, Unidentified Substance"></display>
+    </concept>
+    <concept>
+     <code value="EOS"></code>
+     <display value="Eosinophils"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment; (Substance is Known but not in code Table)"></valueString>
+     </extension>
+     <code value="EOTH"></code>
+     <display value="Environmental, Other Substance"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="ESOI"></code>
+     <display value="Environmental, Soil"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="ESOS"></code>
+     <display value="Environmental, Solution (Sterile)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Aspirate"></valueString>
+     </extension>
+     <code value="ETA"></code>
+     <display value="Aspirate,  Endotrach"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="ETTP"></code>
+     <display value="Catheter Tip, Endotracheal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="ETTUB"></code>
+     <display value="Tube, Endotracheal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="EWHI"></code>
+     <display value="Environmental, Whirlpool"></display>
+    </concept>
+    <concept>
+     <code value="EXG"></code>
+     <display value="Gas, exhaled (=breath)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="EXS"></code>
+     <display value="Shunt, External"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="EXUDTE"></code>
+     <display value="Exudate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="FAW"></code>
+     <display value="Environmental, Water  (Well)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bloed"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="FBLOOD"></code>
+     <display value="Blood, Fetal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bloed, feutaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="FGA"></code>
+     <display value="Fluid,  Abdomen"></display>
+    </concept>
+    <concept>
+     <code value="FIB"></code>
+     <display value="Fibroblasts"></display>
+    </concept>
+    <concept>
+     <code value="FIST"></code>
+     <display value="Fistula"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fistel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vocht"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="FLD"></code>
+     <display value="Fluid, Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FLT"></code>
+     <display value="Filter"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Filter"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="FLU"></code>
+     <display value="Fluid, Body unsp"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, lichaam niet-gesp."></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vocht"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="FLUID"></code>
+     <display value="Fluid"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="FOLEY"></code>
+     <display value="Catheter Tip, Foley"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="FRS"></code>
+     <display value="Fluid, Respiratory"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="FSCLP"></code>
+     <display value="Scalp, Fetal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="FUR"></code>
+     <display value="Furuncle"></display>
+    </concept>
+    <concept>
+     <code value="GAS"></code>
+     <display value="Gas"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Aspirate"></valueString>
+     </extension>
+     <code value="GASA"></code>
+     <display value="Aspirate, Gastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue"></valueString>
+     </extension>
+     <code value="GASAN"></code>
+     <display value="Antrum, Gastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="GASBR"></code>
+     <display value="Brushing, Gastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="GASD"></code>
+     <display value="Drainage, Gastric"></display>
+    </concept>
+    <concept>
+     <code value="GAST"></code>
+     <display value="Fluid/contents, Gastric"></display>
+    </concept>
+    <concept>
+     <code value="GENL"></code>
+     <display value="Genital lochia"></display>
+    </concept>
+    <concept>
+     <code value="GENV"></code>
+     <display value="Genital vaginal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Genitaal vaginaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="GRAFT"></code>
+     <display value="Graft"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="GRAFTS"></code>
+     <display value="Graft Site"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GRANU"></code>
+     <display value="Granuloma"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Granuloom"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="GROSH"></code>
+     <display value="Catheter, Groshong"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="GSOL"></code>
+     <display value="Solution, Gastrostomy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="GSPEC"></code>
+     <display value="Biopsy, Gastric"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Biopt, maag"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="GT"></code>
+     <display value="Tube, Gastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="GTUBE"></code>
+     <display value="Drainage Tube, Drainage (Gastrostomy)"></display>
+    </concept>
+    <concept>
+     <code value="HAR"></code>
+     <display value="Hair"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Haar"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Conditions">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="HBITE"></code>
+     <display value="Bite, Human"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beet, menselijk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bloed"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="HBLUD"></code>
+     <display value="Blood, Autopsy"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bloed, autopsie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="HEMAQ"></code>
+     <display value="Catheter Tip, Hemaquit"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="HEMO"></code>
+     <display value="Catheter Tip, Hemovac"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue"></valueString>
+     </extension>
+     <code value="HERNI"></code>
+     <display value="Tissue, Herniated"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="HEV"></code>
+     <display value="Drain, Hemovac"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="HIC"></code>
+     <display value="Catheter, Hickman"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="HYDC"></code>
+     <display value="Fluid, Hydrocele"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Conditions"></valueString>
+     </extension>
+     <code value="IBITE"></code>
+     <display value="Bite, Insect"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="ICYST"></code>
+     <display value="Cyst, Inclusion"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="IDC"></code>
+     <display value="Catheter Tip, Indwelling"></display>
+    </concept>
+    <concept>
+     <code value="IHG"></code>
+     <display value="Gas, Inhaled"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="ILEO"></code>
+     <display value="Drainage, Ileostomy"></display>
+    </concept>
+    <concept>
+     <code value="ILLEG"></code>
+     <display value="Source of Specimen Is Illegible"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Apparaat"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="IMP"></code>
+     <display value="Implant"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Implantaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="INCI"></code>
+     <display value="Site, Incision/Surgical"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="INFIL"></code>
+     <display value="Infiltrate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Object">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Object"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="INS"></code>
+     <display value="Insect"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Insect"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="INTRD"></code>
+     <display value="Catheter Tip, Introducer"></display>
+    </concept>
+    <concept>
+     <code value="ISLT"></code>
+     <display value="Isolate"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Isolaat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="IT"></code>
+     <display value="Intubation tube"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intubatieslang"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device (Common Usage)"></valueString>
+     </extension>
+     <code value="IUD"></code>
+     <display value="Intrauterine Device"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="IVCAT"></code>
+     <display value="Catheter Tip, IV"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="IVFLD"></code>
+     <display value="Fluid, IV"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="IVTIP"></code>
+     <display value="Tubing Tip, IV"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="JEJU"></code>
+     <display value="Drainage, Jejunal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vocht"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="JNTFLD"></code>
+     <display value="Fluid, Joint"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, gewricht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="JP"></code>
+     <display value="Drainage, Jackson Pratt"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="KELOI"></code>
+     <display value="Lavage"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vocht"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="KIDFLD"></code>
+     <display value="Fluid, Kidney"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, nier"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="LAVG"></code>
+     <display value="Lavage, Bronhial"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="LAVGG"></code>
+     <display value="Lavage, Gastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="LAVGP"></code>
+     <display value="Lavage, Peritoneal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="LAVPG"></code>
+     <display value="Lavage, Pre-Bronch"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="LENS1"></code>
+     <display value="Contact Lens"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="LENS2"></code>
+     <display value="Contact Lens Case"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="LESN"></code>
+     <display value="Lesion"></display>
+    </concept>
+    <concept>
+     <code value="LIQ"></code>
+     <display value="Liquid, Unspecified"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, niet gespecificeerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LIQO"></code>
+     <display value="Liquid, Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vocht, anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Arterial blood collected via arterial line"></valueString>
+     </extension>
+     <code value="LNA"></code>
+     <display value="Line arterial"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Venous blood collected via venous line"></valueString>
+     </extension>
+     <code value="LNV"></code>
+     <display value="Line venous"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="LSAC"></code>
+     <display value="Fluid, Lumbar Sac"></display>
+    </concept>
+    <concept>
+     <code value="LYM"></code>
+     <display value="Lymphocytes"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lymfocyten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MAC"></code>
+     <display value="Macrophages"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="MAHUR"></code>
+     <display value="Catheter Tip, Makurkour"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Bone marrow">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Beenmerg"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MAR"></code>
+     <display value="Marrow"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Merg"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="MASS"></code>
+     <display value="Mass"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bloed"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MBLD"></code>
+     <display value="Blood, Menstrual"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Menstruatiebloed"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MEC"></code>
+     <display value="Meconium"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Meconium"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Mother's milk specimen">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Moedermelkmonster"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MILK"></code>
+     <display value="Breast milk"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Borstmelk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Food specimen">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Voedselmonster"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MLK"></code>
+     <display value="Milk"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Melk"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="MUCOS"></code>
+     <display value="Mucosa"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="MUCUS"></code>
+     <display value="Mucus"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Slijm"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Finger or toe nail sample">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vinger- of teennagel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NAIL"></code>
+     <display value="Nail"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nagel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="NASDR"></code>
+     <display value="Drainage, Nasal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Apparaat"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NEDL"></code>
+     <display value="Needle"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Naald"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="NEPH"></code>
+     <display value="Site, Nephrostomy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Aspirate"></valueString>
+     </extension>
+     <code value="NGASP"></code>
+     <display value="Aspirate, Nasogastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="NGAST"></code>
+     <display value="Drainage, Nasogastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="NGS"></code>
+     <display value="Site, Naso/Gastric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="NODUL"></code>
+     <display value="Nodule(s)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="NSECR"></code>
+     <display value="Secretion, Nasal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Secretie, nasaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="ORH"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition (Common Usage)"></valueString>
+     </extension>
+     <code value="ORL"></code>
+     <display value="Lesion, Oral"></display>
+    </concept>
+    <concept>
+     <code value="OTH"></code>
+     <display value="Source, Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bron, anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="PACEM"></code>
+     <display value="Pacemaker"></display>
+    </concept>
+    <concept>
+     <code value="PAFL"></code>
+     <display value="Pancreatic fluid"></display>
+    </concept>
+    <concept>
+     <code value="PCFL"></code>
+     <display value="Fluid, Pericardial"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="PDSIT"></code>
+     <display value="Site, Peritoneal Dialysis"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="PDTS"></code>
+     <display value="Site, Peritoneal Dialysis Tunnel"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PELVA"></code>
+     <display value="Abscess, Pelvic"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition (Common Usage)"></valueString>
+     </extension>
+     <code value="PENIL"></code>
+     <display value="Lesion, Penile"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition, Abscess &amp; Body Part"></valueString>
+     </extension>
+     <code value="PERIA"></code>
+     <display value="Abscess, Perianal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PILOC"></code>
+     <display value="Cyst, Pilonidal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="PINS"></code>
+     <display value="Site, Pin"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="PIS"></code>
+     <display value="Site, Pacemaker Insetion"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Object">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Object"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PLAN"></code>
+     <display value="Plant Material"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Plantaardig materiaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bloed"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PLAS"></code>
+     <display value="Plasma"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Plasma"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Bloed"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PLB"></code>
+     <display value="Plasma bag"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Plasmazak"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PLC"></code>
+     <display value="Placenta"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Placenta"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="PLEVS"></code>
+     <display value="Serum, Peak Level"></display>
+    </concept>
+    <concept>
+     <code value="PLR"></code>
+     <display value="Pleural fluid (thoracentesis fluid)"></display>
+    </concept>
+    <concept>
+     <code value="PMN"></code>
+     <display value="Polymorphonuclear neutrophils"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PND"></code>
+     <display value="Drainage, Penile"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="POL"></code>
+     <display value="Polyps"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="POPGS"></code>
+     <display value="Graft Site, Popliteal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="POPLG"></code>
+     <display value="Graft, Popliteal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="POPLV"></code>
+     <display value="Site, Popliteal Vein"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="PORTA"></code>
+     <display value="Catheter, Porta"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="PPP"></code>
+     <display value="Plasma, Platelet poor"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="PROST"></code>
+     <display value="Prosthetic Device"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="PRP"></code>
+     <display value="Plasma, Platelet rich"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PSC"></code>
+     <display value="Pseudocyst"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PUNCT"></code>
+     <display value="Wound, Puncture"></display>
+    </concept>
+    <concept>
+     <code value="PUS"></code>
+     <display value="Pus"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Pus"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PUSFR"></code>
+     <display value="Pustule"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="PUST"></code>
+     <display value="Pus"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="QC3"></code>
+     <display value="Quality Control"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="RANDU"></code>
+     <display value="Urine, Random"></display>
+    </concept>
+    <concept>
+     <code value="RBC"></code>
+     <display value="Erythrocytes"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Conditions"></valueString>
+     </extension>
+     <code value="RBITE"></code>
+     <display value="Bite, Reptile"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="RECT"></code>
+     <display value="Drainage, Rectal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="RECTA"></code>
+     <display value="Abscess, Rectal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="RENALC"></code>
+     <display value="Cyst, Renal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="RENC"></code>
+     <display value="Fluid, Renal Cyst"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition (Ambiguous)"></valueString>
+     </extension>
+     <code value="RES"></code>
+     <display value="Respiratory"></display>
+    </concept>
+    <concept>
+     <code value="SAL"></code>
+     <display value="Saliva"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Speeksel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue"></valueString>
+     </extension>
+     <code value="SCAR"></code>
+     <display value="Tissue, Keloid (Scar)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="SCLV"></code>
+     <display value="Catheter Tip, Subclavian"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SCROA"></code>
+     <display value="Abscess, Scrotal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Abces, scrotaal"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid/Secretion">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Vocht/secretie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SECRE"></code>
+     <display value="Secretion(s)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Secretie(s)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SER"></code>
+     <display value="Serum"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Serum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="SHU"></code>
+     <display value="Site, Shunt"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Fluid"></valueString>
+     </extension>
+     <code value="SHUNF"></code>
+     <display value="Fluid, Shunt"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SHUNT"></code>
+     <display value="Shunt"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="SITE"></code>
+     <display value="Site"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="SKBP"></code>
+     <display value="Biopsy, Skin"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Biopt, huid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SKN"></code>
+     <display value="Skin"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Huid"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SMM"></code>
+     <display value="Mass, Sub-Mandibular"></display>
+    </concept>
+    <concept>
+     <code value="SMN"></code>
+     <display value="Seminal fluid"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Seminaal vocht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SNV"></code>
+     <display value="Fluid, synovial (Joint fluid)"></display>
+    </concept>
+    <concept>
+     <code value="SPRM"></code>
+     <display value="Spermatozoa"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Spermatozoïden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="SPRP"></code>
+     <display value="Catheter Tip, Suprapubic"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="SPRPB"></code>
+     <display value="Cathether Tip, Suprapubic"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="SPS"></code>
+     <display value="Environmental, Spore Strip"></display>
+    </concept>
+    <concept>
+     <code value="SPT"></code>
+     <display value="Sputum"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sputum"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SPTC"></code>
+     <display value="Sputum - coughed"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sputum, opgehoest"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SPTT"></code>
+     <display value="Sputum - tracheal aspirate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SPUT1"></code>
+     <display value="Sputum, Simulated"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SPUTIN"></code>
+     <display value="Sputum, Inducted"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SPUTSP"></code>
+     <display value="Sputum, Spontaneous"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment"></valueString>
+     </extension>
+     <code value="STER"></code>
+     <display value="Environmental, Sterrad"></display>
+    </concept>
+    <concept>
+     <code value="STL"></code>
+     <display value="Stool = Fecal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="STONE"></code>
+     <display value="Stone, Kidney"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SUBMA"></code>
+     <display value="Abscess, Submandibular"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SUBMX"></code>
+     <display value="Abscess, Submaxillary"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="SUMP"></code>
+     <display value="Drainage, Sump"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="SUP"></code>
+     <display value="Suprapubic Tap"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Object"></valueString>
+     </extension>
+     <code value="SUTUR"></code>
+     <display value="Suture"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="SWGZ"></code>
+     <display value="Catheter Tip, Swan Gantz"></display>
+    </concept>
+    <concept>
+     <code value="SWT"></code>
+     <display value="Sweat"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zweet"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Aspirate"></valueString>
+     </extension>
+     <code value="TASP"></code>
+     <display value="Aspirate, Tracheal"></display>
+    </concept>
+    <concept>
+     <code value="TEAR"></code>
+     <display value="Tears"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Traanvocht"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="THRB"></code>
+     <display value="Thrombocyte (platelet)"></display>
+    </concept>
+    <concept>
+     <code value="TISS"></code>
+     <display value="Tissue"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Weefsel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TISU"></code>
+     <display value="Tissue ulcer"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="TLC"></code>
+     <display value="Cathether Tip, Triple Lumen"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Site"></valueString>
+     </extension>
+     <code value="TRAC"></code>
+     <display value="Site, Tracheostomy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="TRANS"></code>
+     <display value="Transudate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="TSERU"></code>
+     <display value="Serum, Trough"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="TSTES"></code>
+     <display value="Abscess, Testicular"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Aspirate"></valueString>
+     </extension>
+     <code value="TTRA"></code>
+     <display value="Aspirate, Transtracheal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="TUBES"></code>
+     <display value="Tubes"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TUMOR"></code>
+     <display value="Tumor"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tumor"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="TZANC"></code>
+     <display value="Smear, Tzanck"></display>
+    </concept>
+    <concept>
+     <code value="UDENT"></code>
+     <display value="Source, Unidentified"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="for forensic and possibly chemistry testing"></valueString>
+     </extension>
+     <code value="UMED"></code>
+     <display value="Unknown Medicine"></display>
+    </concept>
+    <concept>
+     <code value="UR"></code>
+     <display value="Urine"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Urine"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="URC"></code>
+     <display value="Urine clean catch"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="URINB"></code>
+     <display value="Urine, Bladder Washings"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="URINC"></code>
+     <display value="Urine, Catheterized"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Conditie"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="URINM"></code>
+     <display value="Urine, Midstream"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Urine, midstream"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="URINN"></code>
+     <display value="Urine, Nephrostomy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="URINP"></code>
+     <display value="Urine, Pedibag"></display>
+    </concept>
+    <concept>
+     <code value="URNS"></code>
+     <display value="Urine sediment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Urine, sediment"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="URT"></code>
+     <display value="Urine catheter"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Condition"></valueString>
+     </extension>
+     <code value="USCOP"></code>
+     <display value="Urine, Cystoscopy"></display>
+    </concept>
+    <concept>
+     <code value="USPEC"></code>
+     <display value="Source, Unspecified"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bron, ongedefinieerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="USUB"></code>
+     <display value="Unkown substance"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekende substantie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="VASTIP"></code>
+     <display value="Catheter Tip, Vas"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Device"></valueString>
+     </extension>
+     <code value="VENT"></code>
+     <display value="Catheter Tip, Ventricular"></display>
+    </concept>
+    <concept>
+     <code value="VITF"></code>
+     <display value="Vitreous Fluid"></display>
+    </concept>
+    <concept>
+     <code value="VOM"></code>
+     <display value="Vomitus"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Braaksel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="WASH"></code>
+     <display value="Wash"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Product"></valueString>
+     </extension>
+     <code value="WASI"></code>
+     <display value="Washing, e.g. bronchial washing"></display>
+    </concept>
+    <concept>
+     <code value="WAT"></code>
+     <display value="Water"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Water"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Blood"></valueString>
+     </extension>
+     <code value="WB"></code>
+     <display value="Blood, Whole"></display>
+    </concept>
+    <concept>
+     <code value="WBC"></code>
+     <display value="Leukocytes"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Leukocyten"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue"></valueString>
+     </extension>
+     <code value="WEN"></code>
+     <display value="Wen"></display>
+    </concept>
+    <concept>
+     <code value="WICK"></code>
+     <display value="Wick"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Lont"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WND"></code>
+     <display value="Wound"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wond"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WNDA"></code>
+     <display value="Wound abscess"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wond abces"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WNDD"></code>
+     <display value="Wound drainage"></display>
+    </concept>
+    <concept>
+     <code value="WNDE"></code>
+     <display value="Wound exudate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Object">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Object"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WORM"></code>
+     <display value="Worm"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Worm"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Tissue">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Weefsel"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WRT"></code>
+     <display value="Wart"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wrat"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Milieu"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WWA"></code>
+     <display value="Environmental, Water"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Milieu, water"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="WWO"></code>
+     <display value="Environmental, Water (Ocean)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Milieu, water (oceaan)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Environment">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Milieu"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="WWT"></code>
+     <display value="Environmental, Water  (Tap)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Milieu, water (kraan)"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0488"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0488"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0488"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.312"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0488"></name>
+    <title value="v2 Specimen Collection Method"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0488 ( Specimen Collection Method)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ANP"></code>
+     <display value="Plates, Anaerobic"></display>
+    </concept>
+    <concept>
+     <code value="BAP"></code>
+     <display value="Plates, Blood Agar"></display>
+    </concept>
+    <concept>
+     <code value="BCAE"></code>
+     <display value="Blood Culture, Aerobic Bottle"></display>
+    </concept>
+    <concept>
+     <code value="BCAN"></code>
+     <display value="Blood Culture, Anaerobic Bottle"></display>
+    </concept>
+    <concept>
+     <code value="BCPD"></code>
+     <display value="Blood Culture, Pediatric Bottle"></display>
+    </concept>
+    <concept>
+     <code value="BIO"></code>
+     <display value="Biopsy"></display>
+    </concept>
+    <concept>
+     <code value="CAP"></code>
+     <display value="Capillary Specimen"></display>
+    </concept>
+    <concept>
+     <code value="CATH"></code>
+     <display value="Catheterized"></display>
+    </concept>
+    <concept>
+     <code value="CVP"></code>
+     <display value="Line, CVP"></display>
+    </concept>
+    <concept>
+     <code value="EPLA"></code>
+     <display value="Environmental, Plate"></display>
+    </concept>
+    <concept>
+     <code value="ESWA"></code>
+     <display value="Environmental, Swab"></display>
+    </concept>
+    <concept>
+     <code value="FNA"></code>
+     <display value="Aspiration, Fine Needle"></display>
+    </concept>
+    <concept>
+     <code value="KOFFP"></code>
+     <display value="Plate, Cough"></display>
+    </concept>
+    <concept>
+     <code value="LNA"></code>
+     <display value="Line, Arterial"></display>
+    </concept>
+    <concept>
+     <code value="LNV"></code>
+     <display value="Line, Venous"></display>
+    </concept>
+    <concept>
+     <code value="MARTL"></code>
+     <display value="Martin-Lewis Agar"></display>
+    </concept>
+    <concept>
+     <code value="ML11"></code>
+     <display value="Mod. Martin-Lewis Agar"></display>
+    </concept>
+    <concept>
+     <code value="MLP"></code>
+     <display value="Plate, Martin-Lewis"></display>
+    </concept>
+    <concept>
+     <code value="NYP"></code>
+     <display value="Plate, New York City"></display>
+    </concept>
+    <concept>
+     <code value="PACE"></code>
+     <display value="Pace, Gen-Probe"></display>
+    </concept>
+    <concept>
+     <code value="PIN"></code>
+     <display value="Pinworm Prep"></display>
+    </concept>
+    <concept>
+     <code value="PNA"></code>
+     <display value="Arterial puncture"></display>
+    </concept>
+    <concept>
+     <code value="PRIME"></code>
+     <display value="Pump Prime"></display>
+    </concept>
+    <concept>
+     <code value="PUMP"></code>
+     <display value="Pump Specimen"></display>
+    </concept>
+    <concept>
+     <code value="QC5"></code>
+     <display value="Quality Control For Micro"></display>
+    </concept>
+    <concept>
+     <code value="SCLP"></code>
+     <display value="Scalp, Fetal Vein"></display>
+    </concept>
+    <concept>
+     <code value="SCRAPS"></code>
+     <display value="Scrapings"></display>
+    </concept>
+    <concept>
+     <code value="SHA"></code>
+     <display value="Shaving"></display>
+    </concept>
+    <concept>
+     <code value="SWA"></code>
+     <display value="Swab"></display>
+    </concept>
+    <concept>
+     <code value="SWD"></code>
+     <display value="Swab, Dacron tipped"></display>
+    </concept>
+    <concept>
+     <code value="TMAN"></code>
+     <display value="Transport Media, Anaerobic"></display>
+    </concept>
+    <concept>
+     <code value="TMCH"></code>
+     <display value="Transport Media, Chalamydia"></display>
+    </concept>
+    <concept>
+     <code value="TMM4"></code>
+     <display value="Transport Media, M4"></display>
+    </concept>
+    <concept>
+     <code value="TMMY"></code>
+     <display value="Transport Media, Mycoplasma"></display>
+    </concept>
+    <concept>
+     <code value="TMOT"></code>
+     <display value="Transport Media,"></display>
+    </concept>
+    <concept>
+     <code value="TMP"></code>
+     <display value="Plate, Thayer-Martin"></display>
+    </concept>
+    <concept>
+     <code value="TMPV"></code>
+     <display value="Transport Media, PVA"></display>
+    </concept>
+    <concept>
+     <code value="TMSC"></code>
+     <display value="Transport Media, Stool Culture"></display>
+    </concept>
+    <concept>
+     <code value="TMUP"></code>
+     <display value="Transport Media, Ureaplasma"></display>
+    </concept>
+    <concept>
+     <code value="TMVI"></code>
+     <display value="Transport Media, Viral"></display>
+    </concept>
+    <concept>
+     <code value="VENIP"></code>
+     <display value="Venipuncture"></display>
+    </concept>
+    <concept>
+     <code value="WOOD"></code>
+     <display value="Swab, Wooden Shaft"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0489"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0489"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0489"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.313"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0489"></name>
+    <title value="v2 Risk Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0489 ( Risk Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A danger that can be associated with certain living subjects, including humans."></valueString>
+     </extension>
+     <code value="AGG"></code>
+     <display value="Aggressive"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material contains microorganisms that are an environmental hazard.  Must be handled with special care."></valueString>
+     </extension>
+     <code value="BHZ"></code>
+     <display value="Biohazard"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The dangers associated with normal biological materials. I.e. potential risk of unknown infections.  Routine biological materials from living subjects."></valueString>
+     </extension>
+     <code value="BIO"></code>
+     <display value="Biological"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact."></valueString>
+     </extension>
+     <code value="COR"></code>
+     <display value="Corrosive"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The entity is at risk for escaping from containment or control."></valueString>
+     </extension>
+     <code value="ESC"></code>
+     <display value="Escape Risk"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is an explosive mixture.  Keep away from fire, sparks, and heat."></valueString>
+     </extension>
+     <code value="EXP"></code>
+     <display value="Explosive"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is highly inflammable and in certain mixtures (with air) may lead to explosions.  Keep away from fire, sparks and excessive heat."></valueString>
+     </extension>
+     <code value="IFL"></code>
+     <display value="MaterialDangerInflammable"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material known to be infectious with human pathogenic microorganisms.  Those who handle this material must take precautions for their protection."></valueString>
+     </extension>
+     <code value="INF"></code>
+     <display value="MaterialDangerInfectious"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is solid and sharp (e.g., cannulas.)  Dispose in hard container."></valueString>
+     </extension>
+     <code value="INJ"></code>
+     <display value="Injury Hazard"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is poisonous to humans and/or animals.  Special care must be taken to avoid incorporation, even of small amounts."></valueString>
+     </extension>
+     <code value="POI"></code>
+     <display value="Poison"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards."></valueString>
+     </extension>
+     <code value="RAD"></code>
+     <display value="Radioactive"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0490"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0490"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0490"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.314"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0490"></name>
+    <title value="v2 Specimen Reject Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0490 ( Specimen Reject Reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="EX"></code>
+     <display value="Expired"></display>
+    </concept>
+    <concept>
+     <code value="QS"></code>
+     <display value="Quantity not sufficient"></display>
+    </concept>
+    <concept>
+     <code value="RA"></code>
+     <display value="Missing patient ID number"></display>
+    </concept>
+    <concept>
+     <code value="RB"></code>
+     <display value="Broken container"></display>
+    </concept>
+    <concept>
+     <code value="RC"></code>
+     <display value="Clotting"></display>
+    </concept>
+    <concept>
+     <code value="RD"></code>
+     <display value="Missing collection date"></display>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="Missing patient name"></display>
+    </concept>
+    <concept>
+     <code value="RH"></code>
+     <display value="Hemolysis"></display>
+    </concept>
+    <concept>
+     <code value="RI"></code>
+     <display value="Identification problem"></display>
+    </concept>
+    <concept>
+     <code value="RM"></code>
+     <display value="Labeling"></display>
+    </concept>
+    <concept>
+     <code value="RN"></code>
+     <display value="Contamination"></display>
+    </concept>
+    <concept>
+     <code value="RP"></code>
+     <display value="Missing phlebotomist ID"></display>
+    </concept>
+    <concept>
+     <code value="RR"></code>
+     <display value="Improper storage"></display>
+    </concept>
+    <concept>
+     <code value="RS"></code>
+     <display value="Name misspelling"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0491"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0491"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0491"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.315"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0491"></name>
+    <title value="v2 Specimen Quality"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0491 ( Specimen Quality)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="Excellent"></display>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Fair"></display>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Good"></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Poor"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0492"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0492"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0492"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.316"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0492"></name>
+    <title value="v2 Specimen Appropriateness"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0492 ( Specimen Appropriateness)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="??"></code>
+     <display value="Inappropriate due to ..."></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-01"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="A"></code>
+     <display value="Appropriate"></display>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Inappropriate"></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Preferred"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0493"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0493"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0493"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.317"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0493"></name>
+    <title value="v2 Specimen Condition"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0493 ( Specimen Condition)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AUT"></code>
+     <display value="Autolyzed"></display>
+    </concept>
+    <concept>
+     <code value="CFU"></code>
+     <display value="Centrifuged"></display>
+    </concept>
+    <concept>
+     <code value="CLOT"></code>
+     <display value="Clotted"></display>
+    </concept>
+    <concept>
+     <code value="CON"></code>
+     <display value="Contaminated"></display>
+    </concept>
+    <concept>
+     <code value="COOL"></code>
+     <display value="Cool"></display>
+    </concept>
+    <concept>
+     <code value="FROZ"></code>
+     <display value="Frozen"></display>
+    </concept>
+    <concept>
+     <code value="HEM"></code>
+     <display value="Hemolyzed"></display>
+    </concept>
+    <concept>
+     <code value="LIVE"></code>
+     <display value="Live"></display>
+    </concept>
+    <concept>
+     <code value="ROOM"></code>
+     <display value="Room temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Deprecated in v 2.8"></valueString>
+     </extension>
+     <code value="SNR"></code>
+     <display value="Sample not received"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0494"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0494"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0494"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.318"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0494"></name>
+    <title value="v2 Specimen Child Role"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0494 ( Specimen Child Role)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Aliquot"></display>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="Component"></display>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Modified from original specimen"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0495"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0495"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0495"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.319"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0495"></name>
+    <title value="v2 Body Site Modifier"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0495 ( Body Site Modifier)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ANT"></code>
+     <display value="Anterior"></display>
+    </concept>
+    <concept>
+     <code value="BIL"></code>
+     <display value="Bilateral"></display>
+    </concept>
+    <concept>
+     <code value="DIS"></code>
+     <display value="Distal"></display>
+    </concept>
+    <concept>
+     <code value="EXT"></code>
+     <display value="External"></display>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Left"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="links"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="LAT"></code>
+     <display value="Lateral"></display>
+    </concept>
+    <concept>
+     <code value="LLQ"></code>
+     <display value="Quadrant, Left Lower"></display>
+    </concept>
+    <concept>
+     <code value="LOW"></code>
+     <display value="Lower"></display>
+    </concept>
+    <concept>
+     <code value="LUQ"></code>
+     <display value="Quadrant, Left Upper"></display>
+    </concept>
+    <concept>
+     <code value="MED"></code>
+     <display value="Medial"></display>
+    </concept>
+    <concept>
+     <code value="POS"></code>
+     <display value="Posterior"></display>
+    </concept>
+    <concept>
+     <code value="PRO"></code>
+     <display value="Proximal"></display>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Right"></display>
+    </concept>
+    <concept>
+     <code value="RLQ"></code>
+     <display value="Quadrant, Right Lower"></display>
+    </concept>
+    <concept>
+     <code value="RUQ"></code>
+     <display value="Quadrant, Right Upper"></display>
+    </concept>
+    <concept>
+     <code value="UPP"></code>
+     <display value="Upper"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0496"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0496"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0496"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.320"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0496"></name>
+    <title value="v2 Consent Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0496 ( Consent Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="001"></code>
+     <display value="Release of Information/MR / Authorization to Disclosure Protected Health Information"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="002"></code>
+     <display value="Medical Procedure (invasive)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Acknowledgement/ Notification"></valueString>
+     </extension>
+     <code value="003"></code>
+     <display value="Acknowledge Receipt of Privacy Notice"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="004"></code>
+     <display value="Abortion"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="005"></code>
+     <display value="Abortion/Laminaria"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="006"></code>
+     <display value="Accutane - Information"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="007"></code>
+     <display value="Accutane - Woman"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Acknowledgement/ Notification"></valueString>
+     </extension>
+     <code value="008"></code>
+     <display value="Advanced Beneficiary Notice"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="009"></code>
+     <display value="AFP (Alpha Fetoprotein) Screening"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="010"></code>
+     <display value="Amniocentesis (consent &amp; refusal)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="011"></code>
+     <display value="Anatomical Gift (organ donation)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="012"></code>
+     <display value="Anesthesia - Complications"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="013"></code>
+     <display value="Anesthesia - Questionnaire"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="014"></code>
+     <display value="Angiogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="015"></code>
+     <display value="Angioplasty"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="016"></code>
+     <display value="Anticancer Drugs"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="017"></code>
+     <display value="Antipsychotic Medications"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="018"></code>
+     <display value="Arthrogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="019"></code>
+     <display value="Autopsy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="020"></code>
+     <display value="AZT Therapy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="021"></code>
+     <display value="Biliary Drainage"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="022"></code>
+     <display value="Biliary Stone Extraction"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="023"></code>
+     <display value="Biopsy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="024"></code>
+     <display value="Bleeding Time Test"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="025"></code>
+     <display value="Bronchogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="026"></code>
+     <display value="Cardiac Catheterization"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="027"></code>
+     <display value="Coronary Angiography"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="028"></code>
+     <display value="Coronary Angiography w/o Surgery Capability"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="029"></code>
+     <display value="Cataract Op/Implant of FDA Aprvd Lens"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="030"></code>
+     <display value="Cataract Op/Implant of Investigational Lens"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="031"></code>
+     <display value="Cataract Surgery"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="032"></code>
+     <display value="Cholera Immunization"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="033"></code>
+     <display value="Cholesterol Screening"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="034"></code>
+     <display value="Circumcision - Newborn"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="035"></code>
+     <display value="Colonoscopy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="036"></code>
+     <display value="Contact Lenses"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="037"></code>
+     <display value="CT Scan - Cervical &amp; Lumbar"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="038"></code>
+     <display value="CT Scan w/ IV Contrast Media into Vein"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="039"></code>
+     <display value="CVS (Chorionic Villus) Sampling"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="040"></code>
+     <display value="Cystospy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="041"></code>
+     <display value="Disclosure of Protected Health Information to Family/Friends"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="042"></code>
+     <display value="D &amp; C and Conization"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="043"></code>
+     <display value="Dacryocystogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="044"></code>
+     <display value="Diagnostic Isotope"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="045"></code>
+     <display value="Drainage of an Abscess"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="046"></code>
+     <display value="Drug Screening"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="047"></code>
+     <display value="Electronic Monitoring of Labor - Refusal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="048"></code>
+     <display value="Endometrial Biopsy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="049"></code>
+     <display value="Endoscopy/Sclerosis of Esophageal Varices"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="050"></code>
+     <display value="ERCP"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="051"></code>
+     <display value="Exposure to reportable Communicable Disease"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="052"></code>
+     <display value="External Version"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="053"></code>
+     <display value="Fluorescein Angioscopy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="054"></code>
+     <display value="Hepatitis B - Consent/Declination"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="055"></code>
+     <display value="Herniogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="056"></code>
+     <display value="HIV Test - Consent Refusal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="057"></code>
+     <display value="HIV Test - Disclosure"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="058"></code>
+     <display value="HIV Test - Prenatal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="059"></code>
+     <display value="Home IV Treatment Program"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="060"></code>
+     <display value="Home Parenteral Treatment Program"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="061"></code>
+     <display value="Hysterectomy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="062"></code>
+     <display value="Hysterosalpingogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="063"></code>
+     <display value="Injection Slip/ Consent"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="064"></code>
+     <display value="Intrauterine Device"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="065"></code>
+     <display value="Intrauterine Device/Sterilization"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="066"></code>
+     <display value="Intravascular Infusion of Streptokinase/Urokinase"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="067"></code>
+     <display value="Intravenous Cholangiogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="068"></code>
+     <display value="Intravenous Digital Angiography"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="069"></code>
+     <display value="Iodine Administration"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="070"></code>
+     <display value="ISG"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="071"></code>
+     <display value="IVP"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="072"></code>
+     <display value="Laser Photocoagulation"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="073"></code>
+     <display value="Laser treatment"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="074"></code>
+     <display value="Lithium Carbonate"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="075"></code>
+     <display value="Liver Biopsy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="076"></code>
+     <display value="Lumbar Puncture"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="077"></code>
+     <display value="Lymphangiogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="078"></code>
+     <display value="MAO Inhibitors"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="079"></code>
+     <display value="Med, Psych, and/or Drug/Alcohol"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="080"></code>
+     <display value="Medical Treatment - Refusal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="081"></code>
+     <display value="Morning-after Pill"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="082"></code>
+     <display value="MRI - Adult"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="083"></code>
+     <display value="MRI - Pediatric"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="084"></code>
+     <display value="Myelogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="085"></code>
+     <display value="Needle Biopsy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="086"></code>
+     <display value="Needle Biopsy of Lung"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="087"></code>
+     <display value="Newborn Treatment and Release"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="088"></code>
+     <display value="Norplant Subdermal Birth Control Implant"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="089"></code>
+     <display value="Operations, Anesthesia, Transfusions"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="090"></code>
+     <display value="Oral Contraceptives"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="091"></code>
+     <display value="Organ Donation"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="092"></code>
+     <display value="Patient Permits, Consents"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="093"></code>
+     <display value="Patient Treatment Permit, Release &amp; Admission"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="094"></code>
+     <display value="Penile Injections"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="095"></code>
+     <display value="Percutaneous Nephrostomy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="096"></code>
+     <display value="Percutaneous Transhepatic Cholangiogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="097"></code>
+     <display value="Photographs"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="098"></code>
+     <display value="Photographs - Employee"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="099"></code>
+     <display value="Photographs - Medical Research"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="100"></code>
+     <display value="Photographs - news Media"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="101"></code>
+     <display value="Psychiatric Admission - Next of Kin"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="102"></code>
+     <display value="Psychiatric Information During Hospital Stay"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="103"></code>
+     <display value="Public Release of Information"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="104"></code>
+     <display value="Radiologic Procedure"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="105"></code>
+     <display value="Refusal of Treatment"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="106"></code>
+     <display value="Release of Body"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="107"></code>
+     <display value="Release of Limb"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="108"></code>
+     <display value="Rh Immune Globulin"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="109"></code>
+     <display value="Rights of Medical Research Participants"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="110"></code>
+     <display value="Request to Restrict Access/Disclosure to Medical Record/Protected Health Information"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="111"></code>
+     <display value="Request for Remain Anonymous"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Administrative"></valueString>
+     </extension>
+     <code value="112"></code>
+     <display value="Seat Belt Exemption"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="113"></code>
+     <display value="Sialogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="1137"></code>
+     <display value="Voiding Cystogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="114"></code>
+     <display value="Sigmoidoscopy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="115"></code>
+     <display value="Sterilization - Anesthesia &amp; Medical Services"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="116"></code>
+     <display value="Sterilization -Federally Funded"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="117"></code>
+     <display value="Sterilization - Female"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="118"></code>
+     <display value="Sterilization - Laparoscopy/Pomeroy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="119"></code>
+     <display value="Sterilization - Non-Federally Funded"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="120"></code>
+     <display value="Sterilization - Secondary"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="121"></code>
+     <display value="Tranquilizers"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="122"></code>
+     <display value="Transfer - Acknowledgement"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="123"></code>
+     <display value="Transfer - Authorization"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="124"></code>
+     <display value="Transfer Certification - Physician"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="125"></code>
+     <display value="Transfer/Discharge Request"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="126"></code>
+     <display value="Transfer for Non-Medical Reasons"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="127"></code>
+     <display value="Transfer - Interfaculty Neonatal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="128"></code>
+     <display value="Transfer Refusal"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="129"></code>
+     <display value="Transfer Refusal of Further Treatment"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="130"></code>
+     <display value="Treadmill &amp; EKG"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="131"></code>
+     <display value="Treadmill, Thallium-201"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
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+     <display value="Typhoid"></display>
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+    <concept>
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+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="133"></code>
+     <display value="Use of Investigational Device"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="134"></code>
+     <display value="Use of Investigational Drug"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Medical Treatment/ Procedure"></valueString>
+     </extension>
+     <code value="135"></code>
+     <display value="Venogram"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Release of Info/ Disclosure"></valueString>
+     </extension>
+     <code value="136"></code>
+     <display value="Videotape"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0497"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0497"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0497"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.321"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0497"></name>
+    <title value="v2 Consent Mode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0497 ( Consent Mode)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="T"></code>
+     <display value="Telephone"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Telefonisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Verbal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Mondeling"></value>
+     </designation>
     </concept>
     <concept>
      <code value="W"></code>
-     <display value="Post original as wrong, e.g., transmitted for wrong patient"></display>
+     <display value="Written"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Op schrift"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0498"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0498"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0498"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.322"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0498"></name>
+    <title value="v2 Consent Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0498 ( Consent Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Active - Consent has been granted"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Actief - Toestemming is gegeven"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="B"></code>
+     <display value="Bypassed (Consent not sought)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Overgeslagen - Toestemming is niet gevraagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Limited - Consent has been granted with limitations"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beperkt - Toestemming is gegeven met beperkingen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Pending - Consent has not yet been sought"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="In bewerking - Toestemming is nog niet gevraagd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Refused - Consent has been refused"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geweigerd - Toestemming is geweigerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="Rescinded - Consent was initially granted, but was subsequently revoked or ended."></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ingetrokken - Toestemming is gegeven maar vervolgens ingetrokken of beëindigd"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0499"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0499"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0499"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.323"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0499"></name>
+    <title value="v2 Consent Bypass Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0499 ( Consent Bypass Reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Noodgeval"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PJ"></code>
+     <display value="Professional Judgment"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Professioneel oordeel"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0500"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0500"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0500"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.324"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0500"></name>
+    <title value="v2 Consent Disclosure Level"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0500 ( Consent Disclosure Level)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="F"></code>
+     <display value="Full Disclosure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Volledige toelichting"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No Disclosure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen toelichting"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Partial Disclosure"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Gedeeltelijke toelichting"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0501"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0501"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0501"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.325"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0501"></name>
+    <title value="v2 Consent Non-Disclosure Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0501 ( Consent Non-Disclosure Reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="Emergency"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Noodgeval"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="Patient Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Op verzoek patiënt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="RX"></code>
+     <display value="Rx Private"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Medicatie privacy"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
@@ -120417,59 +118206,6 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0749"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0749"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0749"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.396"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0749"></name>
-    <title value="v2 DRG Grouping Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0749 ( DRG Grouping Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Valid code; not used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="Valid code; used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Invalid code; not used for grouping"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Invalid code; code is relevant for grouping"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0508"></fullUrl>
   <resource>
@@ -120552,10 +118288,10 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0500"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0510"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0500"></id>
+    <id value="v2-0510"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -120566,14 +118302,14 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0500"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0510"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.324"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.333"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0500"></name>
-    <title value="v2 Consent Disclosure Level"></title>
+    <name value="v2.0510"></name>
+    <title value="v2 Blood Product Dispense Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -120583,52 +118319,93 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0500 ( Consent Disclosure Level)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0510 ( Blood Product Dispense Status)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="F"></code>
-     <display value="Full Disclosure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Volledige toelichting"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="CR"></code>
+     <display value="Released into inventory for general availability"></display>
     </concept>
     <concept>
-     <code value="N"></code>
-     <display value="No Disclosure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen toelichting"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="DS"></code>
+     <display value="Dispensed to patient location"></display>
     </concept>
     <concept>
-     <code value="P"></code>
-     <display value="Partial Disclosure"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Gedeeltelijke toelichting"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="PT"></code>
+     <display value="Presumed transfused (dispensed and not returned)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="RA"></code>
+     <display value="Returned unused/no longer needed"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="RD"></code>
+     <display value="Reserved and ready to dispense"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Placer or Filler"></valueString>
+     </extension>
+     <code value="RE"></code>
+     <display value="Released (no longer allocated for the patient)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="RI"></code>
+     <display value="Received into inventory (for specified patient)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="RL"></code>
+     <display value="Returned unused/keep linked to patient for possible use later"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Placer"></valueString>
+     </extension>
+     <code value="RQ"></code>
+     <display value="Request to dispense blood product"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="RS"></code>
+     <display value="Reserved (ordered and product allocated for the patient)"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Status determined by Filler"></valueString>
+     </extension>
+     <code value="WA"></code>
+     <display value="Wasted (product no longer viable)"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0742"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0511"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0742"></id>
+    <id value="v2-0511"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -120639,14 +118416,14 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0742"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0511"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.395"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.334"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0742"></name>
-    <title value="v2 DRG Status Financial Calculation"></title>
+    <name value="v2.0511"></name>
+    <title value="v2 BP Observation Status Codes Interpretation"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -120656,565 +118433,40 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0742 ( DRG Status Financial Calculation)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="00"></code>
-     <display value="Effective weight calculated"></display>
-    </concept>
-    <concept>
-     <code value="01"></code>
-     <display value="Hospital specific contract"></display>
-    </concept>
-    <concept>
-     <code value="03"></code>
-     <display value="Eeffective weight for transfer/referral calculated"></display>
-    </concept>
-    <concept>
-     <code value="04"></code>
-     <display value="Referral from other hospital based on a cooperation (no DRG reimbursement)"></display>
-    </concept>
-    <concept>
-     <code value="05"></code>
-     <display value="Invalid length of stay"></display>
-    </concept>
-    <concept>
-     <code value="10"></code>
-     <display value="No information/entry in cost data for this DRG"></display>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="No relative weight found for department (type)"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0501"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0501"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0501"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.325"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0501"></name>
-    <title value="v2 Consent Non-Disclosure Reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0501 ( Consent Non-Disclosure Reason)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="Emergency"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Noodgeval"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="Patient Request"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Op verzoek patiënt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RX"></code>
-     <display value="Rx Private"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Medicatie privacy"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0535"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0535"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0535"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.349"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0535"></name>
-    <title value="v2 Signature Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0535 ( Signature Code)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0511 ( BP Observation Status Codes Interpretation)"></description>
     <content value="complete"></content>
     <concept>
      <code value="C"></code>
-     <display value="Signed CMS-1500 claim form on file, e.g., authorization for release of any medical or other information necessary to process this claim and assignment of benefits."></display>
+     <display value="Record coming over is a correction and thus replaces a final status"></display>
     </concept>
     <concept>
-     <code value="M"></code>
-     <display value="Signed authorization for assignment of benefits on file."></display>
+     <code value="D"></code>
+     <display value="Deletes the BPX record"></display>
     </concept>
     <concept>
-     <code value="P"></code>
-     <display value="Signature generated by provider because the patient was not physically present for services."></display>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Signed authorization for release of any medical or other information necessary to process this claim on file."></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0536"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0536"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0536"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.350"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0536"></name>
-    <title value="v2 Certificate Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0536 ( Certificate Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="Expired"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="abgelaufen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Inactive"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="inaktiv"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Provisional"></display>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Revoked"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="zurückgezogen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Active/Valid"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="aktiv/gültig"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0778"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0778"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0778"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.403"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0778"></name>
-    <title value="v2 Item Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0778 ( Item Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="EQP"></code>
-     <display value="Equipment"></display>
-    </concept>
-    <concept>
-     <code value="IMP"></code>
-     <display value="Implant"></display>
-    </concept>
-    <concept>
-     <code value="MED"></code>
-     <display value="Medication"></display>
-    </concept>
-    <concept>
-     <code value="SUP"></code>
-     <display value="Supply"></display>
-    </concept>
-    <concept>
-     <code value="TDC"></code>
-     <display value="Tubes, Drains, and Catheters"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0538"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0538"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0538"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.351"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0538"></name>
-    <title value="v2 Institution Relationship Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0538 ( Institution Relationship Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="CON"></code>
-     <display value="Contractor"></display>
-    </concept>
-    <concept>
-     <code value="CST"></code>
-     <display value="Consultant"></display>
-    </concept>
-    <concept>
-     <code value="EMP"></code>
-     <display value="Employee"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Angestellter"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="VOL"></code>
-     <display value="Volunteer"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0530"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0530"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0530"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.346"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0530"></name>
-    <title value="v2 Organization, agency, department"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0530 ( Organization, agency, department)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AE"></code>
-     <display value="American Express"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Assigning Authority is necessary in addition to DEA as an Identifier Type."></valueString>
-     </extension>
-     <code value="DEA"></code>
-     <display value="Drug Enforcement Agency"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="In some countries e.g., the US, more than one department may issue a military identifier. Hence, US is not sufficient as the Assigning Authority."></valueString>
-     </extension>
-     <code value="DOD"></code>
-     <display value="Department of Defense"></display>
-    </concept>
-    <concept>
-     <code value="MC"></code>
-     <display value="Master Card"></display>
-    </concept>
-    <concept>
-     <code value="VA"></code>
-     <display value="Veterans Affairs"></display>
-    </concept>
-    <concept>
-     <code value="VI"></code>
-     <display value="Visa"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0534"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0534"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0534"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.348"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0534"></name>
-    <title value="v2 Notify Clergy Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0534 ( Notify Clergy Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="L"></code>
-     <display value="Last Rites only"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alleen laatste sacramenten"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="No"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nein"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee"></value>
-     </designation>
+     <code value="F"></code>
+     <display value="Final status; Can only be changed with a corrected status"></display>
     </concept>
     <concept>
      <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
+     <display value="Order detail description only (no status)"></display>
     </concept>
     <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
+     <code value="P"></code>
+     <display value="Preliminary status"></display>
     </concept>
     <concept>
-     <code value="Y"></code>
-     <display value="Yes"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja"></value>
-     </designation>
+     <code value="W"></code>
+     <display value="Post original as wrong, e.g., transmitted for wrong patient"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0776"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0513"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0776"></id>
+    <id value="v2-0513"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -121225,14 +118477,14 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0776"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0513"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.402"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.335"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0776"></name>
-    <title value="v2 Item Status"></title>
+    <name value="v2.0513"></name>
+    <title value="v2 Blood Product Transfusion/Disposition Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -121242,28 +118494,450 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0776 ( Item Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0513 ( Blood Product Transfusion/Disposition Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="RA"></code>
+     <display value="Returned unused/no longer needed"></display>
+    </concept>
+    <concept>
+     <code value="RL"></code>
+     <display value="Returned unused/keep linked to patient for possible use later"></display>
+    </concept>
+    <concept>
+     <code value="TR"></code>
+     <display value="Transfused with adverse reaction"></display>
+    </concept>
+    <concept>
+     <code value="TX"></code>
+     <display value="Transfused"></display>
+    </concept>
+    <concept>
+     <code value="WA"></code>
+     <display value="Wasted (product no longer viable)"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0514"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0514"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0514"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.336"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0514"></name>
+    <title value="v2 Transfusion Adverse Reaction"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0514 ( Transfusion Adverse Reaction)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ABOINC"></code>
+     <display value="ABO Incompatible Transfusion Reaction"></display>
+    </concept>
+    <concept>
+     <code value="ACUTHEHTR"></code>
+     <display value="Acute Hemolytic Transfusion Reaction"></display>
+    </concept>
+    <concept>
+     <code value="ALLERGIC1"></code>
+     <display value="Allergic Reaction - First"></display>
+    </concept>
+    <concept>
+     <code value="ALLERGIC2"></code>
+     <display value="Allergic Reaction - Recurrent"></display>
+    </concept>
+    <concept>
+     <code value="ALLERGICR"></code>
+     <display value="Allergic Reaction - Repeating"></display>
+    </concept>
+    <concept>
+     <code value="ANAPHYLAC"></code>
+     <display value="Anaphylactic Reaction"></display>
+    </concept>
+    <concept>
+     <code value="BACTCONTAM"></code>
+     <display value="Reaction to Bacterial Contamination"></display>
+    </concept>
+    <concept>
+     <code value="DELAYEDHTR"></code>
+     <display value="Delayed Hemolytic Transfusion Reaction"></display>
+    </concept>
+    <concept>
+     <code value="DELAYEDSTR"></code>
+     <display value="Delayed Serological Transfusion Reaction"></display>
+    </concept>
+    <concept>
+     <code value="GVHD"></code>
+     <display value="Graft vs Host Disease - Transfusion - Associated"></display>
+    </concept>
+    <concept>
+     <code value="HYPOTENS"></code>
+     <display value="Non-hemolytic Hypotensive Reaction"></display>
+    </concept>
+    <concept>
+     <code value="NONHTR1"></code>
+     <display value="Non-Hemolytic Fever Chill Transfusion Reaction - First"></display>
+    </concept>
+    <concept>
+     <code value="NONHTR2"></code>
+     <display value="Non-Hemolytic Fever Chill Transfusion Reaction - Recurrent"></display>
+    </concept>
+    <concept>
+     <code value="NONHTRREC"></code>
+     <display value="Non-Hemolytic Fever Chill Transfusion Reaction - Repeating"></display>
+    </concept>
+    <concept>
+     <code value="NONIMMUNE"></code>
+     <display value="Non-Immune Hemolysis"></display>
+    </concept>
+    <concept>
+     <code value="NONSPEC"></code>
+     <display value="Non-Specific, Non-Hemolytic Transfusion Reaction"></display>
+    </concept>
+    <concept>
+     <code value="NORXN"></code>
+     <display value="No Evidence of Transfusion Reaction"></display>
+    </concept>
+    <concept>
+     <code value="PTP"></code>
+     <display value="Posttransfusion Purpura"></display>
+    </concept>
+    <concept>
+     <code value="VOLOVER"></code>
+     <display value="Symptoms most likely due to volume overload"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0516"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0516"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0516"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.337"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0516"></name>
+    <title value="v2 Error severity"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0516 ( Error severity)"></description>
     <content value="complete"></content>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Item is available to be purchased or issued."></valueString>
+      <valueString value="Transaction was unsuccessful"></valueString>
      </extension>
-     <code value="A"></code>
-     <display value="Active"></display>
+     <code value="E"></code>
+     <display value="Error"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fehler"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Item is not available to be purchased or issued."></valueString>
+      <valueString value="Message not processed due to application or network failure condition"></valueString>
+     </extension>
+     <code value="F"></code>
+     <display value="Fatal Error"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Transaction was successful but includes information e.g., inform patient"></valueString>
      </extension>
      <code value="I"></code>
-     <display value="Inactive"></display>
+     <display value="Information"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Information"></value>
+     </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Item is not available to be purchased, but is available to be issued."></valueString>
+      <valueString value="Transaction successful, but there may issues"></valueString>
      </extension>
-     <code value="P"></code>
-     <display value="Pending Inactive"></display>
+     <code value="W"></code>
+     <display value="Warning"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Warnung"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0517"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0517"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0517"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.338"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0517"></name>
+    <title value="v2 Inform person code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0517 ( Inform person code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="HD"></code>
+     <display value="Inform help desk"></display>
+    </concept>
+    <concept>
+     <code value="NPAT"></code>
+     <display value="Do NOT inform patient"></display>
+    </concept>
+    <concept>
+     <code value="PAT"></code>
+     <display value="Inform patient"></display>
+    </concept>
+    <concept>
+     <code value="USR"></code>
+     <display value="Inform User"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0518"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0518"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0518"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.339"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0518"></name>
+    <title value="v2 Override type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0518 ( Override type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifies an override where a service is being performed against an order that the system does not recognize as equivalent to the ordered service."></valueString>
+     </extension>
+     <code value="EQV"></code>
+     <display value="Equivalence Override"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifies an override where a service is being performed for longer than the ordered period of time."></valueString>
+     </extension>
+     <code value="EXTN"></code>
+     <display value="Extension Override"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifies an override where a repetition of service is being performed sooner than the ordered frequency."></valueString>
+     </extension>
+     <code value="INLV"></code>
+     <display value="Interval Override"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0520"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0520"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0520"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.340"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0520"></name>
+    <title value="v2 Message waiting priority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0520 ( Message waiting priority)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="H"></code>
+     <display value="High"></display>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Low"></display>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medium"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0523"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0523"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0523"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.341"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0523"></name>
+    <title value="v2 Computation type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0523 ( Computation type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="%"></code>
+     <display value="Indicates a percent change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geeft een percentage aan"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="a"></code>
+     <display value="Absolute Change"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Absolute wijziging"></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
@@ -121777,10 +119451,10 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0761"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0530"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0761"></id>
+    <id value="v2-0530"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -121791,14 +119465,14 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0761"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0530"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.400"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.346"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0761"></name>
-    <title value="v2 DRG Procedure Determination Status"></title>
+    <name value="v2.0530"></name>
+    <title value="v2 Organization, agency, department"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -121808,36 +119482,46 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0761 ( DRG Procedure Determination Status)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0530 ( Organization, agency, department)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="0"></code>
-     <display value="Valid code"></display>
+     <code value="AE"></code>
+     <display value="American Express"></display>
     </concept>
     <concept>
-     <code value="1"></code>
-     <display value="Invalid code"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Assigning Authority is necessary in addition to DEA as an Identifier Type."></valueString>
+     </extension>
+     <code value="DEA"></code>
+     <display value="Drug Enforcement Agency"></display>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="Not used"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="In some countries e.g., the US, more than one department may issue a military identifier. Hence, US is not sufficient as the Assigning Authority."></valueString>
+     </extension>
+     <code value="DOD"></code>
+     <display value="Department of Defense"></display>
     </concept>
     <concept>
-     <code value="3"></code>
-     <display value="Invalid for this gender"></display>
+     <code value="MC"></code>
+     <display value="Master Card"></display>
     </concept>
     <concept>
-     <code value="4"></code>
-     <display value="Invalid for this age"></display>
+     <code value="VA"></code>
+     <display value="Veterans Affairs"></display>
+    </concept>
+    <concept>
+     <code value="VI"></code>
+     <display value="Visa"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0520"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0534"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0520"></id>
+    <id value="v2-0534"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -121848,14 +119532,14 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0520"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0534"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.340"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.348"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0520"></name>
-    <title value="v2 Message waiting priority"></title>
+    <name value="v2.0534"></name>
+    <title value="v2 Notify Clergy Code"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -121865,28 +119549,153 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0520 ( Message waiting priority)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0534 ( Notify Clergy Code)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="H"></code>
-     <display value="High"></display>
+     <code value="L"></code>
+     <display value="Last Rites only"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alleen laatste sacramenten"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="L"></code>
-     <display value="Low"></display>
+     <code value="N"></code>
+     <display value="No"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nein"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Other"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Anders"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="unbekannt"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Yes"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0535"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0535"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0535"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.349"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0535"></name>
+    <title value="v2 Signature Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0535 ( Signature Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Signed CMS-1500 claim form on file, e.g., authorization for release of any medical or other information necessary to process this claim and assignment of benefits."></display>
     </concept>
     <concept>
      <code value="M"></code>
-     <display value="Medium"></display>
+     <display value="Signed authorization for assignment of benefits on file."></display>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Signature generated by provider because the patient was not physically present for services."></display>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Signed authorization for release of any medical or other information necessary to process this claim on file."></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0763"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0536"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0763"></id>
+    <id value="v2-0536"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -121897,14 +119706,14 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0763"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0536"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.401"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.350"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0763"></name>
-    <title value="v2 DRG Procedure Relevance"></title>
+    <name value="v2.0536"></name>
+    <title value="v2 Certificate Status"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -121914,569 +119723,555 @@ For example, Decadron 0.5 mg is often ordered this way.  The order would look li
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0763 ( DRG Procedure Relevance)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0536 ( Certificate Status)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="0"></code>
-     <display value="Neither operation relevant nor non-operation relevant procedure"></display>
+     <code value="E"></code>
+     <display value="Expired"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="abgelaufen"></value>
+     </designation>
     </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Inactive"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="inaktiv"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Provisional"></display>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Revoked"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="zurückgezogen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Active/Valid"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="aktiv/gültig"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0538"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0538"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0538"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.351"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0538"></name>
+    <title value="v2 Institution Relationship Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0538 ( Institution Relationship Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CON"></code>
+     <display value="Contractor"></display>
+    </concept>
+    <concept>
+     <code value="CST"></code>
+     <display value="Consultant"></display>
+    </concept>
+    <concept>
+     <code value="EMP"></code>
+     <display value="Employee"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Angestellter"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="VOL"></code>
+     <display value="Volunteer"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0540"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0540"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0540"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.352"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0540"></name>
+    <title value="v2 Inactive Reason Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0540 ( Inactive Reason Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="L"></code>
+     <display value="Leave of Absence"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlof"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Retired"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verlopen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Termination"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Beëindiging"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0544"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0544"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0544"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.353"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0544"></name>
+    <title value="v2 Container Condition"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0544 ( Container Condition)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="..."></code>
+     <display value="No suggested values"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="keine Werte vorgeschlagen"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="geen voorgestelde waarden"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2007-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Container is cracked."></valueString>
+     </extension>
+     <code value="CC"></code>
+     <display value="Container Cracked"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Container is leaking"></valueString>
+     </extension>
+     <code value="CL"></code>
+     <display value="Container Leaking"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Container is torn"></valueString>
+     </extension>
+     <code value="CT"></code>
+     <display value="Container Torn"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Container seal is broken."></valueString>
+     </extension>
+     <code value="SB"></code>
+     <display value="Seal Broken"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep at ambient (room) temperature, approximately 22 +/- 2 degrees C. Accidental refrigeration or freezing is of little consequence"></valueString>
+     </extension>
+     <code value="XAMB"></code>
+     <display value="Not Ambient temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep at body temperature: 36 - 38 degrees C."></valueString>
+     </extension>
+     <code value="XC37"></code>
+     <display value="Not Body temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep critical ambient."></valueString>
+     </extension>
+     <code value="XCAMB"></code>
+     <display value="Not Critical ambient temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Exposed to atmosphere."></valueString>
+     </extension>
+     <code value="XCATM"></code>
+     <display value="Exposed to Air"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep critical frozen"></valueString>
+     </extension>
+     <code value="XCFRZ"></code>
+     <display value="Not Critical frozen temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep critical refrigerated."></valueString>
+     </extension>
+     <code value="XCREF"></code>
+     <display value="Not Critical refrigerated temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep deep frozen: -16 to -20 degree C."></valueString>
+     </extension>
+     <code value="XDFRZ"></code>
+     <display value="Not Deep frozen"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep in a dry environment."></valueString>
+     </extension>
+     <code value="XDRY"></code>
+     <display value="Not Dry"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep at frozen temperature: -4 degrees C."></valueString>
+     </extension>
+     <code value="XFRZ"></code>
+     <display value="Not Frozen temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep container is free of heavy metals."></valueString>
+     </extension>
+     <code value="XMTLF"></code>
+     <display value="Metal Exposed"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep in liquid nitrogen."></valueString>
+     </extension>
+     <code value="XNTR"></code>
+     <display value="Not Liquid nitrogen"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to protect from light."></valueString>
+     </extension>
+     <code value="XPRTL"></code>
+     <display value="Not Protected from light"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Shaken."></valueString>
+     </extension>
+     <code value="XPSA"></code>
+     <display value="Shaken"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to protect from shock."></valueString>
+     </extension>
+     <code value="XPSO"></code>
+     <display value="Exposed to shock"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep at refrigerated temperature: 4-8 degrees C."></valueString>
+     </extension>
+     <code value="XREF"></code>
+     <display value="Not Refrigerated temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep ultra cold frozen: ~ -75 to -85 degree C. (ultra cold freezer is typically at temperature of dry ice)."></valueString>
+     </extension>
+     <code value="XUFRZ"></code>
+     <display value="Not Ultra frozen"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Failed to keep upright."></valueString>
+     </extension>
+     <code value="XUPR"></code>
+     <display value="Not Upright"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0547"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0547"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0547"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.354"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0547"></name>
+    <title value="v2 Jurisdictional Breadth"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0547 ( Jurisdictional Breadth)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="County/Parish"></display>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Country"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Land"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="State/Province"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bundesland"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0548"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0548"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0548"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.355"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0548"></name>
+    <title value="v2 Signatory's Relationship to Subject"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0548 ( Signatory's Relationship to Subject)"></description>
+    <content value="complete"></content>
     <concept>
      <code value="1"></code>
-     <display value="Operation relevant procedure"></display>
+     <display value="Self"></display>
     </concept>
     <concept>
      <code value="2"></code>
-     <display value="Non-operation relevant procedure"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0523"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0523"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0523"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.341"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0523"></name>
-    <title value="v2 Computation type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0523 ( Computation type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="%"></code>
-     <display value="Indicates a percent change"></display>
+     <display value="Parent"></display>
      <designation>
-      <language value="nl"></language>
+      <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Geeft een percentage aan"></value>
+      <value value="Eltern"></value>
      </designation>
     </concept>
     <concept>
-     <code value="a"></code>
-     <display value="Absolute Change"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Absolute wijziging"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0790"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0790"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0790"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.404"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0790"></name>
-    <title value="v2 Approving Regulatory Agency"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0790 ( Approving Regulatory Agency)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="AMA"></code>
-     <display value="American Medical Association"></display>
+     <code value="3"></code>
+     <display value="Next of Kin"></display>
     </concept>
     <concept>
-     <code value="FDA"></code>
-     <display value="Food and Drug Administration"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0315"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0315"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0315"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.190"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0315"></name>
-    <title value="v2 Living Will"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0315 ( Living Will)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Yes, patient has a living will but it is not on file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja, patiënt heeft een testament maar deze zit niet in archief"></value>
-     </designation>
+     <code value="4"></code>
+     <display value="Durable Power of Attorney in Healthcare Affairs"></display>
     </concept>
     <concept>
-     <code value="I"></code>
-     <display value="No, patient does not have a living will but information was provided"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee, patiënt heeft geen testament maar informatie is gegeven"></value>
-     </designation>
+     <code value="5"></code>
+     <display value="Conservator"></display>
     </concept>
     <concept>
-     <code value="N"></code>
-     <display value="No, patient does not have a living will and no information was provided"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee, patiënt heeft geen testament en er is geen informatie gegeven"></value>
-     </designation>
+     <code value="6"></code>
+     <display value="Emergent Practitioner (practitioner judging case as emergency requiring care without a consent)"></display>
     </concept>
     <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Yes, patient has a living will"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja, patiënt heeft een testament"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0557"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0557"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0557"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.361"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0557"></name>
-    <title value="v2 Payee Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0557 ( Payee Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A legal entity that controls and directs a worker under an express or implied contract of employment and a salary or wages in compensation.
-
-In worker’s compensation cases, the Employer may be the “organization” responsible for paying the healthcare charges for employment related illness or injury."></valueString>
-     </extension>
-     <code value="EMPL"></code>
-     <display value="Employer"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The payee is not a person/individual/being, but an entity commonly identified as an organization.  Examples could be a country healthcare payer, or an insurance company responsible for payment."></valueString>
-     </extension>
-     <code value="ORG"></code>
-     <display value="Payee Organization"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A person/individual/being."></valueString>
-     </extension>
-     <code value="PERS"></code>
-     <display value="Person"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Person/individual/being responsible for payment."></valueString>
-     </extension>
-     <code value="PPER"></code>
-     <display value="Pay Person"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0316"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0316"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0316"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.192"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0316"></name>
-    <title value="v2 Organ Donor"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0316 ( Organ Donor)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Yes, patient is a documented donor, but documentation is not on file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja, patiënt is een gedocumenteerde donor maar afschrift is niet beschikbaar"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="No, patient is not a documented donor, but information was provided"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee, patiënt is geen gedocumenteerde donor, maar informatie is gegeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="No, patient has not agreed to be a donor"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nee, patiënt heeft geen toestemming voor donatie gegeven"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Patient leaves organ donation decision to a specific person"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt laat beslissing orgaandonatie over aan specifiek persoon"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Patient leaves organ donation decision to relatives"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Patiënt laat beslissing orgaandonatie over aan familie"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="Yes, patient is a documented donor and documentation is on file"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ja, patiënt is een gedocumenteerde donor en afschrift is beschikbaar"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0558"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0558"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0558"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.362"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0558"></name>
-    <title value="v2 Payee Relationship to Invoice"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0558 ( Payee Relationship to Invoice)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="FM"></code>
-     <display value="Family Member"></display>
-    </concept>
-    <concept>
-     <code value="GT"></code>
-     <display value="Guarantor"></display>
-    </concept>
-    <concept>
-     <code value="PT"></code>
-     <display value="Patient"></display>
-    </concept>
-    <concept>
-     <code value="SB"></code>
-     <display value="Subscriber"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0317"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0317"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0317"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.193"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0317"></name>
-    <title value="v2 Annotations"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0317 ( Annotations)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="9900"></code>
-     <display value="Pace spike"></display>
-    </concept>
-    <concept>
-     <code value="9901"></code>
-     <display value="SAS marker"></display>
-    </concept>
-    <concept>
-     <code value="9902"></code>
-     <display value="Sense marker"></display>
-    </concept>
-    <concept>
-     <code value="9903"></code>
-     <display value="Beat marker"></display>
-    </concept>
-    <concept>
-     <code value="9904"></code>
-     <display value="etc."></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0559"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0559"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0559"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.363"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0559"></name>
-    <title value="v2 Product/Service Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0559 ( Product/Service Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Denied"></display>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Processed"></display>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Rejected"></display>
+     <code value="7"></code>
+     <display value="Non-Emergent Practitioner (i.e. medical ethics committee)"></display>
     </concept>
    </CodeSystem>
   </resource>
@@ -124338,164 +122133,6 @@ In worker’s compensation cases, the Employer may be the “organization” res
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0793"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0793"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0793"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.405"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0793"></name>
-    <title value="v2 Ruling Act"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0793 ( Ruling Act)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="SMDA"></code>
-     <display value="Safe Medical Devices Act"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0311"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0311"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0311"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.189"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0311"></name>
-    <title value="v2 Job status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0311 ( Job status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="O"></code>
-     <display value="Other"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="anderes Beschäftigungsverhältnis"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Anders"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Permanent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="festangestellt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Permanent"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Temporary"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="befristet angestellt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tijdelijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="unbekannt"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekend"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0553"></fullUrl>
   <resource>
@@ -124806,10 +122443,10 @@ In worker’s compensation cases, the Employer may be the “organization” res
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0305"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0557"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0305"></id>
+    <id value="v2-0557"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -124820,14 +122457,14 @@ In worker’s compensation cases, the Employer may be the “organization” res
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0305"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0557"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.187"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.361"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0305"></name>
-    <title value="v2 Person location type"></title>
+    <name value="v2.0557"></name>
+    <title value="v2 Payee Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -124837,444 +122474,148 @@ In worker’s compensation cases, the Employer may be the “organization” res
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0305 ( Person location type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0557 ( Payee Type)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="C"></code>
-     <display value="Clinic"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Klinik"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kliniek"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A legal entity that controls and directs a worker under an express or implied contract of employment and a salary or wages in compensation.
+
+In worker’s compensation cases, the Employer may be the “organization” responsible for paying the healthcare charges for employment related illness or injury."></valueString>
+     </extension>
+     <code value="EMPL"></code>
+     <display value="Employer"></display>
     </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The payee is not a person/individual/being, but an entity commonly identified as an organization.  Examples could be a country healthcare payer, or an insurance company responsible for payment."></valueString>
+     </extension>
+     <code value="ORG"></code>
+     <display value="Payee Organization"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A person/individual/being."></valueString>
+     </extension>
+     <code value="PERS"></code>
+     <display value="Person"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Person/individual/being responsible for payment."></valueString>
+     </extension>
+     <code value="PPER"></code>
+     <display value="Pay Person"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0558"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0558"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0558"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.362"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0558"></name>
+    <title value="v2 Payee Relationship to Invoice"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0558 ( Payee Relationship to Invoice)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="FM"></code>
+     <display value="Family Member"></display>
+    </concept>
+    <concept>
+     <code value="GT"></code>
+     <display value="Guarantor"></display>
+    </concept>
+    <concept>
+     <code value="PT"></code>
+     <display value="Patient"></display>
+    </concept>
+    <concept>
+     <code value="SB"></code>
+     <display value="Subscriber"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0559"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0559"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0559"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.363"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0559"></name>
+    <title value="v2 Product/Service Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0559 ( Product/Service Status)"></description>
+    <content value="complete"></content>
     <concept>
      <code value="D"></code>
-     <display value="Department"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Abteilung"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Afdeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="H"></code>
-     <display value="Home"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="zu Hause"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Thuis"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Nursing Unit"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Station"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verpleegafdeling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Provider's Office"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sprechzimmer"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kantoor zorgaanbieder"></value>
-     </designation>
+     <display value="Denied"></display>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Phone"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefon(zelle)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Telefonisch"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="SNF"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Skilled Nursing Facility"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0547"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0547"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0547"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.354"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0547"></name>
-    <title value="v2 Jurisdictional Breadth"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0547 ( Jurisdictional Breadth)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="County/Parish"></display>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Country"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Land"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="State/Province"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bundesland"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0548"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0548"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0548"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.355"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0548"></name>
-    <title value="v2 Signatory's Relationship to Subject"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0548 ( Signatory's Relationship to Subject)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Self"></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Parent"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Eltern"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Next of Kin"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Durable Power of Attorney in Healthcare Affairs"></display>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Conservator"></display>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="Emergent Practitioner (practitioner judging case as emergency requiring care without a consent)"></display>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="Non-Emergent Practitioner (i.e. medical ethics committee)"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0309"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0309"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0309"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.188"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0309"></name>
-    <title value="v2 Coverage Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0309 ( Coverage Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="Both hospital and physician"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zowel ziekenhuis als arts"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="H"></code>
-     <display value="Hospital/institutional"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ziekenhuis/instelling"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Physician/professional"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Arts/professional"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="RX"></code>
-     <display value="Pharmacy"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Apotheek"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0540"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0540"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0540"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.352"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0540"></name>
-    <title value="v2 Inactive Reason Code"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0540 ( Inactive Reason Code)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="L"></code>
-     <display value="Leave of Absence"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verlof"></value>
-     </designation>
+     <display value="Processed"></display>
     </concept>
     <concept>
      <code value="R"></code>
-     <display value="Retired"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verlopen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Termination"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Beëindiging"></value>
-     </designation>
+     <display value="Rejected"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0301"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0561"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0301"></id>
+    <id value="v2-0561"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -125285,14 +122626,14 @@ In worker’s compensation cases, the Employer may be the “organization” res
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0301"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0561"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.186"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.364"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0301"></name>
-    <title value="v2 Universal ID type"></title>
+    <name value="v2.0561"></name>
+    <title value="v2 Product/Services Clarification Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -125302,413 +122643,3299 @@ In worker’s compensation cases, the Employer may be the “organization” res
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0301 ( Universal ID type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0561 ( Product/Services Clarification Codes)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="CAP"></code>
-     <display value="College of American Pathologist Accreditation Number"></display>
+     <code value="CLCTR"></code>
+     <display value="Claim Center"></display>
     </concept>
     <concept>
-     <code value="CLIA"></code>
-     <display value="Clinical Laboratory Improvement Amendments"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Clinical laboratory Improvement Amendments. Ondersteunt gebruik van organisatie-identificatie als een nummer toegekend door &quot;CLIA&quot; (voor labs). In gebruik bij Amerikaanse ministerie van defensie"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="MSP: assigned by MSP"></valueString>
+     </extension>
+     <code value="DGAPP"></code>
+     <display value="Diagnostic Approval Number"></display>
     </concept>
     <concept>
-     <code value="CLIP"></code>
-     <display value="Clinical laboratory Improvement Program"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Clinical laboratory Improvement Program. Ondersteunt gebruik van organisatie-identificatie als een nummer toegekend door &quot;CLIP&quot; (voor labs). In gebruik bij Amerikaanse ministerie van defensie"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="MSP: Data Center Number associated with the Provider's Network Application ID"></valueString>
+     </extension>
+     <code value="DTCTR"></code>
+     <display value="Data Center Number"></display>
     </concept>
     <concept>
-     <code value="DNS"></code>
-     <display value="Domain Name System"></display>
+     <code value="ENC"></code>
+     <display value="Encounter Number"></display>
+    </concept>
+    <concept>
+     <code value="GFTH"></code>
+     <display value="Good Faith Indicator"></display>
+    </concept>
+    <concept>
+     <code value="OOP"></code>
+     <display value="Out of Province Indicator"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="MSP: Must be sequential by Data Center Number"></valueString>
+     </extension>
+     <code value="SEQ"></code>
+     <display value="Sequence Number"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0562"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0562"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0562"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.365"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0562"></name>
+    <title value="v2 Processing Consideration Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0562 ( Processing Consideration Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="If permitted by Payer"></valueString>
+     </extension>
+     <code value="DFADJ"></code>
+     <display value="Deferred Adjudication Processing"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="E30 transaction to follow"></valueString>
+     </extension>
+     <code value="EFORM"></code>
+     <display value="Electronic form to follow"></display>
+    </concept>
+    <concept>
+     <code value="FAX"></code>
+     <display value="Fax to follow"></display>
+    </concept>
+    <concept>
+     <code value="PAPER"></code>
+     <display value="Paper documentation to follow"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Allows Provider to explain lateness of Invoice to a subsequent Payer"></valueString>
+     </extension>
+     <code value="PYRDELAY"></code>
+     <display value="Delayed by a Previous Payer"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="If permitted by Payer"></valueString>
+     </extension>
+     <code value="RTADJ"></code>
+     <display value="Real Time Adjudication Processing"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0564"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0564"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0564"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.366"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0564"></name>
+    <title value="v2 Adjustment Category Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0564 ( Adjustment Category Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Payer adjustment"></valueString>
+     </extension>
+     <code value="EA"></code>
+     <display value="Edit/Adjudication Response"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Payer adjustment"></valueString>
+     </extension>
+     <code value="IN"></code>
+     <display value="Information"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Provider adjustment"></valueString>
+     </extension>
+     <code value="PA"></code>
+     <display value="Provider Adjustment"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Payer adjustment"></valueString>
+     </extension>
+     <code value="PR"></code>
+     <display value="Processing Result"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0565"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0565"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0565"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.367"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0565"></name>
+    <title value="v2 Provider Adjustment Reason Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0565 ( Provider Adjustment Reason Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="DISP"></code>
+     <display value="Dispensing Fee"></display>
+    </concept>
+    <concept>
+     <code value="GST"></code>
+     <display value="Goods and Services Tax"></display>
+    </concept>
+    <concept>
+     <code value="HST"></code>
+     <display value="Harmonized Sales Tax"></display>
+    </concept>
+    <concept>
+     <code value="MKUP"></code>
+     <display value="Mark up Fee"></display>
+    </concept>
+    <concept>
+     <code value="PST"></code>
+     <display value="Provincial Sales Tax"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0566"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0566"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0566"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.368"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0566"></name>
+    <title value="v2 Blood Unit Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0566 ( Blood Unit Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="GRN"></code>
+     <display value="Granulocytes"></display>
+    </concept>
+    <concept>
+     <code value="LYM"></code>
+     <display value="Lymphocytes"></display>
+    </concept>
+    <concept>
+     <code value="PLS"></code>
+     <display value="Plasma"></display>
+    </concept>
+    <concept>
+     <code value="PLT"></code>
+     <display value="Platelets"></display>
+    </concept>
+    <concept>
+     <code value="PSC"></code>
+     <display value="Peripheral Stem Cells"></display>
+    </concept>
+    <concept>
+     <code value="RBC"></code>
+     <display value="Red Blood Cells"></display>
+    </concept>
+    <concept>
+     <code value="WBL"></code>
+     <display value="Whole Blood"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0569"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0569"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0569"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.369"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0569"></name>
+    <title value="v2 Adjustment Action"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0569 ( Adjustment Action)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Instructs party to print this adjustment on the EOB (Explanation of Benefits) handed to the patient"></valueString>
+     </extension>
+     <code value="EOB"></code>
+     <display value="Print on EOB"></display>
+    </concept>
+    <concept>
+     <code value="PAT"></code>
+     <display value="Inform Patient"></display>
+    </concept>
+    <concept>
+     <code value="PRO"></code>
+     <display value="Inform Provider"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0570"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0570"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0570"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.370"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0570"></name>
+    <title value="v2 Payment Method Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0570 ( Payment Method Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CASH"></code>
+     <display value="Cash"></display>
+    </concept>
+    <concept>
+     <code value="CCCA"></code>
+     <display value="Credit Card"></display>
+    </concept>
+    <concept>
+     <code value="CCHK"></code>
+     <display value="Cashier's Check"></display>
+    </concept>
+    <concept>
+     <code value="CDAC"></code>
+     <display value="Credit/Debit Account"></display>
+    </concept>
+    <concept>
+     <code value="CHCK"></code>
+     <display value="Check"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="EFT"></valueString>
+     </extension>
+     <code value="DDPO"></code>
+     <display value="Direct Deposit"></display>
+    </concept>
+    <concept>
+     <code value="DEBC"></code>
+     <display value="Debit Card"></display>
+    </concept>
+    <concept>
+     <code value="SWFT"></code>
+     <display value="Society for Worldwide Interbank Financial Telecommunications (S.W.I.F.T.)"></display>
+    </concept>
+    <concept>
+     <code value="TRAC"></code>
+     <display value="Traveler's Check"></display>
+    </concept>
+    <concept>
+     <code value="VISN"></code>
+     <display value="VISA Special Electronic Funds Transfer Network"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0571"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0571"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0571"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.371"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0571"></name>
+    <title value="v2 Invoice Processing Results Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0571 ( Invoice Processing Results Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ACK"></code>
+     <display value="Acknowledge"></display>
      <designation>
       <language value="de"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Internet-Adresse"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een internet hostname, conform RFC 1035; of een IP-adres. In ASCII-tekens of als integers, met punten tussen componenten (&quot;puntnotatie&quot;)."></value>
+      <value value="Empfangsbestätigung"></value>
      </designation>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="OUI-24 values are administered by the IEEE Registration Authority.">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="OUI-24 waarden worden bijgehouden door de IEEE Registration Authority."></valueString>
-        </extension>
-       </extension>
-      </valueString>
-     </extension>
-     <code value="EUI64"></code>
-     <display value="IEEE 64-bit Extended Unique Identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="IEEE 64-bit Extended Unique Identifier bestaat uit een 24-bit bedrijfsidentificatie en een 40-bit instance-identificatie. De waarde moet 16 ASCII HEX tekens lang zijn, bijvoorbeeld, &quot;AABBCC1122334455&quot;. De 24-bit bedrijfsidentificatie, voorheen bekend als Organizationally Unique Identifier (OUI-24), is gegarandeerd wereldwijd uniek. De 40-bit extensies worden toegekend door fabrikanten. Deze identificatie wordt meest gebruikt in apparaatinterfaces (bijv., &quot;MAC&quot; adressen voor IPv4 &amp; IPv6). [Zie http://standards.ieee.org/regauth/oui/tutorials/EUI64.html voor een gedetailleerde uitleg van de structuur.]"></value>
-     </designation>
+     <code value="ADJ"></code>
+     <display value="Adjudicated with Adjustments"></display>
+    </concept>
+    <concept>
+     <code value="ADJSUB"></code>
+     <display value="Adjudicated as Submitted"></display>
+    </concept>
+    <concept>
+     <code value="ADJZER"></code>
+     <display value="Adjudicated to Zero"></display>
+    </concept>
+    <concept>
+     <code value="PAID"></code>
+     <display value="Paid"></display>
+    </concept>
+    <concept>
+     <code value="PEND"></code>
+     <display value="Pending"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v2.7; use UUID instead">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; gebruik UUID"></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="Indicates that the IPR has been adjudicated but will not be paid.  Equivalent to ADJUD (Adjudicate)"></valueString>
      </extension>
-     <code value="GUID"></code>
-     <display value="globally unique identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="GUID"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zelfde als UUID."></value>
-     </designation>
+     <code value="PRED"></code>
+     <display value="Pre-Determination"></display>
+    </concept>
+    <concept>
+     <code value="REJECT"></code>
+     <display value="Reject"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0572"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0572"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0572"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.372"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0572"></name>
+    <title value="v2 Tax status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0572 ( Tax status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="RVAT"></code>
+     <display value="Registered in VAT register"></display>
+    </concept>
+    <concept>
+     <code value="UVAT"></code>
+     <display value="Unregistered in VAT register"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0615"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0615"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0615"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.373"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0615"></name>
+    <title value="v2 User Authentication Credential Type Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0615 ( User Authentication Credential Type Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Structure defined by RFC 1510"></valueString>
+     </extension>
+     <code value="KERB"></code>
+     <display value="Kerberos Service Ticket"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v2.7; does not identify Assigning Authorities">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; identificeert geen toekennende autoriteiten (Assigning Authority)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="XML structure defined by the OASIS Security Assertion Markup Language (SAML) specification"></valueString>
      </extension>
-     <code value="HCD"></code>
-     <display value="CEN Healthcare Coding Identifier"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De CEN Healthcare Coding Scheme Designator"></value>
-     </designation>
+     <code value="SAML"></code>
+     <display value="Authenticated User Identity Assertion"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0616"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0616"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0616"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.374"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0616"></name>
+    <title value="v2 Address Expiration Reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0616 ( Address Expiration Reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The address has been replaced with a corrected version"></valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Corrected"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v2.7; HL7 assigns ISO OIDs for Assigning Authorities">
-       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-        <extension url="lang">
-         <valueCode value="nl"></valueCode>
-        </extension>
-        <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; HL7 kent ISO OID's toe voor toekennende autoriteiten (Assigning Authority)"></valueString>
-        </extension>
-       </extension>
-      </valueString>
+      <valueString value="The address was incorrect and should never have been associated with the individual"></valueString>
      </extension>
-     <code value="HL7"></code>
-     <display value="HL7 registration schemes"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="für HL7 reserviert"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="HL7 registratieschema's"></value>
-     </designation>
+     <code value="E"></code>
+     <display value="Added in error"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The individual associated with the address has moved and is no longer reachable at the address"></valueString>
+     </extension>
+     <code value="M"></code>
+     <display value="Moved"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The associated individual requested that the address be removed from their record"></valueString>
+     </extension>
+     <code value="R"></code>
+     <display value="On request"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0617"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0617"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0617"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.375"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0617"></name>
+    <title value="v2 Address Usage"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0617 ( Address Usage)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifies an address used for the purpose of demographic classification or searching.  Such addresses frequently contain insufficient information to be used as mailing or visit addresses.  For example, they may only indicate country and postal code, without providing a street address."></valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Classification"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifies an address for mail correspondence from a healthcare provider as stipulated by the subject.
+For example, under the tenets of certain privacy regulations, it is exclusive to the patient and is typically maintained at the encounter or visit level versus the person level as it only has relevance to the specifics of a given encounter.  This is an exception category of address in that the patient has stipulated that they want all correspondence relevant to a given encounter sent to this address in lieu of any other address on file.  Providers are required to accommodate such requests under HIPAA promulgated regulation.  Note that mailing and legal address may be mutually exclusive as defined below.  (Implementors are reminded that although the privacy regulation requires the provider to honor such requests, it does require the provider to enquire whether the patient has a preferred address other than the one volunteered.)"></valueString>
+     </extension>
+     <code value="M"></code>
+     <display value="Mailing"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Identifies an address at which the individual is physically located and may be visited."></valueString>
+     </extension>
+     <code value="V"></code>
+     <display value="Visit"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0618"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0618"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0618"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.376"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0618"></name>
+    <title value="v2 Protection Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0618 ( Protection Code)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="LI"></code>
+     <display value="Listed"></display>
+    </concept>
+    <concept>
+     <code value="UL"></code>
+     <display value="Unlisted (Should not appear in directories)"></display>
+    </concept>
+    <concept>
+     <code value="UP"></code>
+     <display value="Unpublished"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0625"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0625"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0625"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.377"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0625"></name>
+    <title value="v2 Item Status Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0625 ( Item Status Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Item is available to be purchased or issued."></valueString>
+     </extension>
+     <code value="1"></code>
+     <display value="Active"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Item is not available to be purchased, but is available to be issued."></valueString>
+     </extension>
+     <code value="2"></code>
+     <display value="Pending Inactive"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Item is not available to be purchased or issued."></valueString>
+     </extension>
+     <code value="3"></code>
+     <display value="Inactive"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0634"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0634"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0634"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.378"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0634"></name>
+    <title value="v2 Item Importance Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0634 ( Item Importance Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CRT"></code>
+     <display value="Critical"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0642"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0642"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0642"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.379"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0642"></name>
+    <title value="v2 Reorder Theory Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0642 ( Reorder Theory Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Corresponds to the theory that calculates the appropriate order point and recommends the quantity to order based on system parameters and historical trends.  DOP stands for Dynamic Order Point, and DOQ stands for Dynamic Order Quantity."></valueString>
+     </extension>
+     <code value="D"></code>
+     <display value="DOP/DOQ"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Corresponds to theory - the quantity recommended is the Order Quantity, less the On Hand Quantity, and less the On Order Quantity.  The Order Amount is the desired Maximum On Hand Quantity."></valueString>
+     </extension>
+     <code value="M"></code>
+     <display value="MIN/MAX"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The quantity recommended is the Order Quantity, less the On Order Quantity.  The Order Amount is the amount to order when the On Hand reaches the Order Point."></valueString>
+     </extension>
+     <code value="O"></code>
+     <display value="Override"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0651"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0651"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0651"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.380"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0651"></name>
+    <title value="v2 Labor Calculation Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0651 ( Labor Calculation Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="CST"></code>
+     <display value="Cost"></display>
+    </concept>
+    <concept>
+     <code value="TME"></code>
+     <display value="Time"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0653"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0653"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0653"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.381"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0653"></name>
+    <title value="v2 Date Format"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0653 ( Date Format)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="USA standard"></valueString>
+     </extension>
+     <code value="1"></code>
+     <display value="mm/dd/yy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="ANSI standard"></valueString>
+     </extension>
+     <code value="2"></code>
+     <display value="yy.mm.dd"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Britain/France standard"></valueString>
+     </extension>
+     <code value="3"></code>
+     <display value="dd/mm/yy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Germany standard"></valueString>
+     </extension>
+     <code value="4"></code>
+     <display value="dd.mm.yy"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Japan standard"></valueString>
+     </extension>
+     <code value="5"></code>
+     <display value="yy/mm/dd"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="ISO standard"></valueString>
+     </extension>
+     <code value="6"></code>
+     <display value="Yymmdd"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0657"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0657"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0657"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.382"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0657"></name>
+    <title value="v2 Device Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0657 ( Device Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="EO Gas Sterilizer"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Steam Sterilizer"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Peracetic Acid"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0659"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0659"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0659"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.383"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0659"></name>
+    <title value="v2 Lot Control"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0659 ( Lot Control)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="OR Mode Without Operator"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="OR Mode with Operator"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="CPD Mode Without Operator"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="CPD Mode With Operator"></display>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Offline Mode"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0667"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0667"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0667"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.384"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0667"></name>
+    <title value="v2 Device Data State"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0667 ( Device Data State)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Display data"></valueString>
+     </extension>
+     <code value="0"></code>
+     <display value="Real Time Values"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Print data"></valueString>
+     </extension>
+     <code value="1"></code>
+     <display value="Historic Values"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0669"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0669"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0669"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.385"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0669"></name>
+    <title value="v2 Load Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0669 ( Load Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The load is complete"></valueString>
+     </extension>
+     <code value="LCC"></code>
+     <display value="Load is Complete"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The load is canceled"></valueString>
+     </extension>
+     <code value="LCN"></code>
+     <display value="Load Canceled"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The load is running"></valueString>
+     </extension>
+     <code value="LCP"></code>
+     <display value="Load In Process"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A load is being built"></valueString>
+     </extension>
+     <code value="LLD"></code>
+     <display value="Building a Load"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0682"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0682"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0682"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.386"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0682"></name>
+    <title value="v2 Device Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0682 ( Device Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Door Locked"></valueString>
+     </extension>
+     <code value="0"></code>
+     <display value="Ready"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Door Unlocked"></valueString>
+     </extension>
+     <code value="1"></code>
+     <display value="Not Ready"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0702"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0702"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0702"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.387"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0702"></name>
+    <title value="v2 Cycle Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0702 ( Cycle Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="2RS"></code>
+     <display value="Second Rinse"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Special Wash cycle"></valueString>
+     </extension>
+     <code value="ANR"></code>
+     <display value="Anesthesia/Respiratory"></display>
+    </concept>
+    <concept>
+     <code value="BDP"></code>
+     <display value="Bedpans"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A Bowie-Dick test cycle is a special cycle used to test the integrity of the sterilizer chamber to hold a vacuum."></valueString>
+     </extension>
+     <code value="BWD"></code>
+     <display value="Bowie-Dick Test"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A chemical wash cycle."></valueString>
+     </extension>
+     <code value="CMW"></code>
+     <display value="Chemical Wash"></display>
+    </concept>
+    <concept>
+     <code value="COD"></code>
+     <display value="Code"></display>
+    </concept>
+    <concept>
+     <code value="CRT"></code>
+     <display value="Cart Wash"></display>
+    </concept>
+    <concept>
+     <code value="DEC"></code>
+     <display value="Decontamination"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A dart cycle is a special cycle used to test the integrity of the sterilizer chamber to hold a vacuum."></valueString>
+     </extension>
+     <code value="DRT"></code>
+     <display value="Dart"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A dart warm-up cycle is used to bring the sterilizer chamber up to operating temperature in order to run a dart test cycle."></valueString>
+     </extension>
+     <code value="DRW"></code>
+     <display value="Dart Warm-up Cycle"></display>
+    </concept>
+    <concept>
+     <code value="EOH"></code>
+     <display value="EO High Temperature"></display>
+    </concept>
+    <concept>
+     <code value="EOL"></code>
+     <display value="EO Low Temperature"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An express cycle is similar to a flash cycle but the supply item is wrapped."></valueString>
+     </extension>
+     <code value="EXP"></code>
+     <display value="Express"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Used to quickly sterilize instruments that were dropped during surgery."></valueString>
+     </extension>
+     <code value="FLS"></code>
+     <display value="Flash"></display>
+    </concept>
+    <concept>
+     <code value="GLS"></code>
+     <display value="Glassware"></display>
+    </concept>
+    <concept>
+     <code value="GNP"></code>
+     <display value="Gen. Purpose"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A gravity cycle is executed at atmospheric pressure."></valueString>
+     </extension>
+     <code value="GRV"></code>
+     <display value="Gravity"></display>
+    </concept>
+    <concept>
+     <code value="GTL"></code>
+     <display value="Gentle"></display>
     </concept>
     <concept>
      <code value="ISO"></code>
-     <display value="ISO Object Identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ISO-ID"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een Internationaal Standaardisatie Orgaan Object IDentificatie (OID), conform ISO/IEC 8824. Structuur is decimale getallen gescheiden door punten; aanbevolen grens is 64 tekens."></value>
-     </designation>
+     <display value="Isothermal"></display>
+    </concept>
+    <concept>
+     <code value="IST"></code>
+     <display value="Instrument Wash"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v 2.8"></valueString>
+      <valueString value="A leak test cycle tests the integrity of the sterilizer chamber to hold a vacuum over a specific period of time."></valueString>
      </extension>
-     <code value="L"></code>
-     <display value="Local"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="reserviert für lokale Tabellen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
-     </designation>
+     <code value="LKT"></code>
+     <display value="Leak Test"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v 2.8">
+      <valueString value="A cycle specific to sterilizing liquids."></valueString>
+     </extension>
+     <code value="LQD"></code>
+     <display value="Liquid"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Any Optional Wash cycle"></valueString>
+     </extension>
+     <code value="OPW"></code>
+     <display value="Optional Wash"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A peracetic acid cycle."></valueString>
+     </extension>
+     <code value="PEA"></code>
+     <display value="Peracetic Acid"></display>
+    </concept>
+    <concept>
+     <code value="PLA"></code>
+     <display value="Plastic Goods Wash"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A prevac cycle is vacuum assisted."></valueString>
+     </extension>
+     <code value="PRV"></code>
+     <display value="Prevac"></display>
+    </concept>
+    <concept>
+     <code value="RNS"></code>
+     <display value="Rinse"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An SFPP cycle uses steam pulses instead of a vacuum during the conditioning phase of the cycle when the supply item is wrapped."></valueString>
+     </extension>
+     <code value="SFP"></code>
+     <display value="Steam Flush Pressure Pulse"></display>
+    </concept>
+    <concept>
+     <code value="THR"></code>
+     <display value="Thermal"></display>
+    </concept>
+    <concept>
+     <code value="TRB"></code>
+     <display value="Tray/Basin"></display>
+    </concept>
+    <concept>
+     <code value="UTL"></code>
+     <display value="Utensil Wash"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A Wrap/SFPP cycle uses steam pulses instead of a vacuum during the conditioning phase of the cycle when the supply item is unwrapped."></valueString>
+     </extension>
+     <code value="WFP"></code>
+     <display value="Wrap/Steam Flush Pressure Pulse (Wrap/SFPP)"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0717"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0717"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0717"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.388"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0717"></name>
+    <title value="v2 Access Restriction Value"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0717 ( Access Restriction Value)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="ALL"></code>
+     <display value="All"></display>
+    </concept>
+    <concept>
+     <code value="DEM"></code>
+     <display value="All demographic data"></display>
+    </concept>
+    <concept>
+     <code value="DRG"></code>
+     <display value="Drug"></display>
+    </concept>
+    <concept>
+     <code value="HIV"></code>
+     <display value="HIV status and results"></display>
+    </concept>
+    <concept>
+     <code value="LOC"></code>
+     <display value="Patient Location"></display>
+    </concept>
+    <concept>
+     <code value="NO"></code>
+     <display value="None"></display>
+    </concept>
+    <concept>
+     <code value="OI"></code>
+     <display value="Opt in all registries (HIPAA)"></display>
+    </concept>
+    <concept>
+     <code value="OO"></code>
+     <display value="Opt out all registries (HIPAA)"></display>
+    </concept>
+    <concept>
+     <code value="PID-17"></code>
+     <display value="Religion"></display>
+    </concept>
+    <concept>
+     <code value="PID-7"></code>
+     <display value="Date of Birth"></display>
+    </concept>
+    <concept>
+     <code value="PSY"></code>
+     <display value="Psychiatric Mental health"></display>
+    </concept>
+    <concept>
+     <code value="SMD"></code>
+     <display value="Sensitive medical data"></display>
+    </concept>
+    <concept>
+     <code value="STD"></code>
+     <display value="Sexually transmitted diseases"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0719"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0719"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0719"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.389"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0719"></name>
+    <title value="v2 Access Restriction Reason Code"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0719 ( Access Restriction Reason Code)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="DIA"></code>
+     <display value="Diagnosis-related"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="EMP"></code>
+     <display value="Employee of this organization"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ORG"></code>
+     <display value="Organizational policy or requirement"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PAT"></code>
+     <display value="Patient Request"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="PHY"></code>
+     <display value="Physician Request"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="REG"></code>
+     <display value="Regulatory requirement"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="VIP"></code>
+     <display value="Very important person or celebrity"></display>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0725"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0725"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0725"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.390"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0725"></name>
+    <title value="v2 Mood Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0725 ( Mood Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Planned act for specific time and place">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.8."></valueString>
+         <valueString value="Geplande activiteit op een bepaalde tijd en locatie"></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="L,M,N"></code>
-     <display value="Local"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="reserviert für lokale Tabellen"></value>
-     </designation>
+     <code value="APT"></code>
+     <display value="Appointment"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
+      <value value="Afspraak"></value>
      </designation>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v 2.8"></valueString>
+      <valueString value="Request for Booking of an Appointment">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Aanvraag voor het boeken van een afspraak"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="ARQ"></code>
+     <display value="Appointment Request"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Afspraakverzoek"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Service actually happens or happened or is ongoing.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Service die werkelijk plaatsvindt, plaats heeft gevonden of nog gaande is."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EVN"></code>
+     <display value="Event"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Event"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Criterion applying to Events for another Service to be applied. 
+This is an Act Mood Predicate.
+Similar uses of above moods may be defined.
+E.g. Use in Care Plans,">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Crtierium voor uitvoering van Event voor een andere toe te passen Service. Dit is een Act Mood predicaat."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EVN.CRT"></code>
+     <display value="Event Criterion"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Criterium voor event"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Expecting that something will occur independently of  deliberate intent. E.g. expect a patient will discard medications.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Verwachting dat iets zal gebeuren, onafhankelijk van bedoelde intentie; bijv. verwachting dat een patiënt zijn medicati zal weggooien."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EXP"></code>
+     <display value="Expectation"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verwachting"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Plan to perform a service">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Plan voor het uitvoeren van een Service"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="INT"></code>
+     <display value="Intent"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Intentie"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="An intent to perform a service">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Een intentie om een Service uit te voeren"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PRMS"></code>
+     <display value="Promise"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Belofte"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Non-mandated intent to perform an act">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Niet-vereiste intentie om iets uit te voeren"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="PRP"></code>
+     <display value="Proposal"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Voorstel"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Request or Order for a service">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Aanvraag of Order van een Service"></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RQO"></code>
+     <display value="Request-Order"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aanvraag-Order"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0728"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0728"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0728"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.391"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0728"></name>
+    <title value="v2 CCL Value"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0728 ( CCL Value)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Nothing obvious"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Low"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Moderate"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="High"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Very high"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0731"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0731"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0731"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.392"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0731"></name>
+    <title value="v2 DRG Diagnosis Determination Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0731 ( DRG Diagnosis Determination Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Valid code"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Invalid code"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Two primary diagnosis codes"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Invalid for this gender"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Invalid for this age"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0734"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0734"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0734"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.393"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0734"></name>
+    <title value="v2 Grouper Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0734 ( Grouper Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Normal grouping"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Invalid or missing primary diagnosis"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Diagnosis is not allowed to be primary"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Data does not fulfill DRG criteria"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Invalid age, admission date, date of birth or discharge date"></display>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Invalid gender"></display>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="Invalid discharge status"></display>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="Invalid weight ad admission"></display>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Invalid length of stay"></display>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Invalid field &quot;same day&quot;"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0739"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0739"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0739"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.394"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0739"></name>
+    <title value="v2 Status Patient"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0739 ( Status Patient)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Normal length of stay"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Short length of stay"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Long length of stay"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0742"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0742"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0742"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.395"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0742"></name>
+    <title value="v2 DRG Status Financial Calculation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0742 ( DRG Status Financial Calculation)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="00"></code>
+     <display value="Effective weight calculated"></display>
+    </concept>
+    <concept>
+     <code value="01"></code>
+     <display value="Hospital specific contract"></display>
+    </concept>
+    <concept>
+     <code value="03"></code>
+     <display value="Eeffective weight for transfer/referral calculated"></display>
+    </concept>
+    <concept>
+     <code value="04"></code>
+     <display value="Referral from other hospital based on a cooperation (no DRG reimbursement)"></display>
+    </concept>
+    <concept>
+     <code value="05"></code>
+     <display value="Invalid length of stay"></display>
+    </concept>
+    <concept>
+     <code value="10"></code>
+     <display value="No information/entry in cost data for this DRG"></display>
+    </concept>
+    <concept>
+     <code value="11"></code>
+     <display value="No relative weight found for department (type)"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0749"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0749"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0749"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.396"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0749"></name>
+    <title value="v2 DRG Grouping Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0749 ( DRG Grouping Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Valid code; not used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Valid code; used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Invalid code; not used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Invalid code; code is relevant for grouping"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0755"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0755"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0755"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.397"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0755"></name>
+    <title value="v2 Status Weight At Birth"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0755 ( Status Weight At Birth)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="No weight reported at admission used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Weight reported at admission used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Default weight (&gt;2499g) used for grouping"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0757"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0757"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0757"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.398"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0757"></name>
+    <title value="v2 Status Respiration Minutes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0757 ( Status Respiration Minutes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Respiration minutes not used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Listed respiration minutes used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="OPS code value used for grouping"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0759"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0759"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0759"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.399"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0759"></name>
+    <title value="v2 Status Admission"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0759 ( Status Admission)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Admission status is valid; used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Admission status is valid; not used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Admission status is invalid; not used for grouping"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Admission status is invalid; default value used for grouping"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0761"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0761"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0761"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.400"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0761"></name>
+    <title value="v2 DRG Procedure Determination Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0761 ( DRG Procedure Determination Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Valid code"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Invalid code"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Not used"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Invalid for this gender"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Invalid for this age"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0763"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0763"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0763"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.401"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0763"></name>
+    <title value="v2 DRG Procedure Relevance"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0763 ( DRG Procedure Relevance)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Neither operation relevant nor non-operation relevant procedure"></display>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="Operation relevant procedure"></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Non-operation relevant procedure"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0776"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0776"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0776"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.402"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0776"></name>
+    <title value="v2 Item Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0776 ( Item Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Item is available to be purchased or issued."></valueString>
+     </extension>
+     <code value="A"></code>
+     <display value="Active"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Item is not available to be purchased or issued."></valueString>
+     </extension>
+     <code value="I"></code>
+     <display value="Inactive"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Item is not available to be purchased, but is available to be issued."></valueString>
+     </extension>
+     <code value="P"></code>
+     <display value="Pending Inactive"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0778"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0778"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0778"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.403"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0778"></name>
+    <title value="v2 Item Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0778 ( Item Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="EQP"></code>
+     <display value="Equipment"></display>
+    </concept>
+    <concept>
+     <code value="IMP"></code>
+     <display value="Implant"></display>
+    </concept>
+    <concept>
+     <code value="MED"></code>
+     <display value="Medication"></display>
+    </concept>
+    <concept>
+     <code value="SUP"></code>
+     <display value="Supply"></display>
+    </concept>
+    <concept>
+     <code value="TDC"></code>
+     <display value="Tubes, Drains, and Catheters"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0790"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0790"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0790"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.404"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0790"></name>
+    <title value="v2 Approving Regulatory Agency"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0790 ( Approving Regulatory Agency)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="AMA"></code>
+     <display value="American Medical Association"></display>
+    </concept>
+    <concept>
+     <code value="FDA"></code>
+     <display value="Food and Drug Administration"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0793"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0793"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0793"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.405"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0793"></name>
+    <title value="v2 Ruling Act"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0793 ( Ruling Act)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="SMDA"></code>
+     <display value="Safe Medical Devices Act"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0806"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0806"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0806"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.406"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0806"></name>
+    <title value="v2 Sterilization Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0806 ( Sterilization Type)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="EOG"></code>
+     <display value="Ethylene Oxide Gas"></display>
+    </concept>
+    <concept>
+     <code value="PCA"></code>
+     <display value="Peracetic acid"></display>
+    </concept>
+    <concept>
+     <code value="STM"></code>
+     <display value="Steam"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0818"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0818"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0818"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.407"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0818"></name>
+    <title value="v2 Package"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0818 ( Package)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="BX"></code>
+     <display value="Box"></display>
+    </concept>
+    <concept>
+     <code value="CS"></code>
+     <display value="Case"></display>
+    </concept>
+    <concept>
+     <code value="EA"></code>
+     <display value="Each"></display>
+    </concept>
+    <concept>
+     <code value="SET"></code>
+     <display value="Set"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0834"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0834"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0834"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.408"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0834"></name>
+    <title value="v2 MIME Types"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0834 ( MIME Types)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="application"></code>
+     <display value="Application data"></display>
+    </concept>
+    <concept>
+     <code value="audio"></code>
+     <display value="Audio data"></display>
+    </concept>
+    <concept>
+     <code value="image"></code>
+     <display value="Image data"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="RFC 2077"></valueString>
+     </extension>
+     <code value="model"></code>
+     <display value="Model data"></display>
+    </concept>
+    <concept>
+     <code value="multipart"></code>
+     <display value="MIME multipart package"></display>
+    </concept>
+    <concept>
+     <code value="text"></code>
+     <display value="Text data"></display>
+    </concept>
+    <concept>
+     <code value="video"></code>
+     <display value="Video data"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0868"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0868"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0868"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.409"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0868"></name>
+    <title value="v2 Telecommunication expiration reason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0868 ( Telecommunication expiration reason)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The telecommunication address has been replaced with a corrected version."></valueString>
+     </extension>
+     <code value="C"></code>
+     <display value="Corrected"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The telecommunication address was incorrect and should never have been associated with the individual."></valueString>
+     </extension>
+     <code value="E"></code>
+     <display value="Added in error"></display>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The individual associated with the telecommunication address has moved and is no longer reachable at the address."></valueString>
      </extension>
      <code value="M"></code>
-     <display value="Local"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="reserviert für lokale Tabellen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
-     </designation>
+     <display value="Moved"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v 2.8"></valueString>
+      <valueString value="The telecommunication address is no longer connected or available"></valueString>
      </extension>
      <code value="N"></code>
-     <display value="Local"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="reserviert für lokale Tabellen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deze zijn gereserveerd voor lokaal gedefinieerde codesystemen"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="NPI"></code>
-     <display value="US National Provider Identifier"></display>
+     <display value="No longer in service"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Retained for backward compatibility only as of v2.7; equivalent to a locally defined entity identifier scheme; use L. M, or N instead.">
+      <valueString value="The associated individual requested that the telecommunication address be removed from their record (though it may still be correct)."></valueString>
+     </extension>
+     <code value="R"></code>
+     <display value="On request"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0871"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0871"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0871"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.410"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0871"></name>
+    <title value="v2 Supply Risk Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0871 ( Supply Risk Codes)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
         <extension url="lang">
          <valueCode value="nl"></valueCode>
         </extension>
         <extension url="content">
-         <valueString value="Alleen voor backward compatibiliteit sinds v2.7; equivalent aan lokaal gedefinieerde identificatiesystemen; gebruik L, M, of N."></valueString>
+         <valueString value="Materiaal is corrosief en kan ernstige verwondingen aan de huid, slijmvliezen en ogen veroorzaken. Vermijd onbeschermd contact."></valueString>
         </extension>
        </extension>
       </valueString>
      </extension>
-     <code value="Random"></code>
-     <display value="Random"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="beliebig"></value>
-     </designation>
+     <code value="COR"></code>
+     <display value="Corrosive"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Meestal een base64 gecodeerde string met willekeurige bits."></value>
+      <value value="Corrosief"></value>
      </designation>
     </concept>
     <concept>
-     <code value="URI"></code>
-     <display value="Uniform Resource Identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="URI"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is an explosive mixture.  Keep away from fire, sparks, and heat.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Materiaal is explosief mengsel. Houd weg van vuur, vonken en hitte."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="EXP"></code>
+     <display value="Explosive"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Uniform Resource Identifier"></value>
+      <value value="Explosief"></value>
      </designation>
     </concept>
     <concept>
-     <code value="UUID"></code>
-     <display value="Universal Unique Identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="UUID"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is highly flammable and in certain mixtures (with air) may lead to explosions.  Keep away from fire, sparks and excessive heat.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Materiaal is licht ontvlambaar en kan in bepaalde mengsels (met lucht) leiden tot explosies. Houd weg van vuur, vonken en warmtebronnen."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="FLA"></code>
+     <display value="Flammable"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="De DCE Universal Unique Identifier, conform RFC 4122. Aanbevolen structuur is 32 hexadecimale getalen gescheiden door koppeltekens, met cijfergroepering 8-4-4-4-12"></value>
+      <value value="Brandbaar"></value>
      </designation>
     </concept>
     <concept>
-     <code value="x400"></code>
-     <display value="X.400 MHS identifier"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="X.400"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is solid and sharp (e.g., cannulas.)  Dispose in hard container.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Materiaal is hard en scherp (bijv. canules). Verwijder in harde container."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="INJ"></code>
+     <display value="Injury Hazard"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Een X.400 MHS identificatie. Aanbevolen format is conform RFC 1649"></value>
+      <value value="Letselgevaar"></value>
      </designation>
     </concept>
     <concept>
-     <code value="x500"></code>
-     <display value="X500 directory Name"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="X.500 Verzeichnis­name"></value>
-     </designation>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Materiaal is een bron voor ioniserende straling en moet met uiterste voorzorgen worden gebruikt om letsel te voorkomen van degene die het gebruiken en milieuschade."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="RAD"></code>
+     <display value="Radioactive"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Een X.500 directory-naam"></value>
+      <value value="Radioactief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material is toxic to humans and/or animals.  Special care must be taken to avoid incorporation, even of small amounts.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Materiaal is toxisch voor mensen en/of dieren. Let specifiek op vermijding van inname, ook van kleinere hoeveelheden."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="TOX"></code>
+     <display value="Toxic"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Toxisch"></value>
+     </designation>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Material hazard level is unknown.">
+       <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+        <extension url="lang">
+         <valueCode value="nl"></valueCode>
+        </extension>
+        <extension url="content">
+         <valueString value="Material hazard level is unknown."></valueString>
+        </extension>
+       </extension>
+      </valueString>
+     </extension>
+     <code value="UNK"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
      </designation>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0544"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0881"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0544"></id>
+    <id value="v2-0881"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -125719,14 +125946,14 @@ In worker’s compensation cases, the Employer may be the “organization” res
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0544"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0881"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.353"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.411"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0544"></name>
-    <title value="v2 Container Condition"></title>
+    <name value="v2.0881"></name>
+    <title value="v2 Role Executing Physician"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -125736,294 +125963,169 @@ In worker’s compensation cases, the Employer may be the “organization” res
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0544 ( Container Condition)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0881 ( Role Executing Physician)"></description>
     <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
     <concept>
-     <code value="..."></code>
-     <display value="No suggested values"></display>
-     <designation>
-      <language value="de"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="keine Werte vorgeschlagen"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="geen voorgestelde waarden"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2007-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Container is cracked."></valueString>
-     </extension>
-     <code value="CC"></code>
-     <display value="Container Cracked"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Container is leaking"></valueString>
-     </extension>
-     <code value="CL"></code>
-     <display value="Container Leaking"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Container is torn"></valueString>
-     </extension>
-     <code value="CT"></code>
-     <display value="Container Torn"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Container seal is broken."></valueString>
-     </extension>
-     <code value="SB"></code>
-     <display value="Seal Broken"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep at ambient (room) temperature, approximately 22 +/- 2 degrees C. Accidental refrigeration or freezing is of little consequence"></valueString>
-     </extension>
-     <code value="XAMB"></code>
-     <display value="Not Ambient temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep at body temperature: 36 - 38 degrees C."></valueString>
-     </extension>
-     <code value="XC37"></code>
-     <display value="Not Body temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep critical ambient."></valueString>
-     </extension>
-     <code value="XCAMB"></code>
-     <display value="Not Critical ambient temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Exposed to atmosphere."></valueString>
-     </extension>
-     <code value="XCATM"></code>
-     <display value="Exposed to Air"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep critical frozen"></valueString>
-     </extension>
-     <code value="XCFRZ"></code>
-     <display value="Not Critical frozen temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep critical refrigerated."></valueString>
-     </extension>
-     <code value="XCREF"></code>
-     <display value="Not Critical refrigerated temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep deep frozen: -16 to -20 degree C."></valueString>
-     </extension>
-     <code value="XDFRZ"></code>
-     <display value="Not Deep frozen"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep in a dry environment."></valueString>
-     </extension>
-     <code value="XDRY"></code>
-     <display value="Not Dry"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep at frozen temperature: -4 degrees C."></valueString>
-     </extension>
-     <code value="XFRZ"></code>
-     <display value="Not Frozen temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep container is free of heavy metals."></valueString>
-     </extension>
-     <code value="XMTLF"></code>
-     <display value="Metal Exposed"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep in liquid nitrogen."></valueString>
-     </extension>
-     <code value="XNTR"></code>
-     <display value="Not Liquid nitrogen"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to protect from light."></valueString>
-     </extension>
-     <code value="XPRTL"></code>
-     <display value="Not Protected from light"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Shaken."></valueString>
-     </extension>
-     <code value="XPSA"></code>
-     <display value="Shaken"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to protect from shock."></valueString>
-     </extension>
-     <code value="XPSO"></code>
-     <display value="Exposed to shock"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep at refrigerated temperature: 4-8 degrees C."></valueString>
-     </extension>
-     <code value="XREF"></code>
-     <display value="Not Refrigerated temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep ultra cold frozen: ~ -75 to -85 degree C. (ultra cold freezer is typically at temperature of dry ice)."></valueString>
-     </extension>
-     <code value="XUFRZ"></code>
-     <display value="Not Ultra frozen"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Failed to keep upright."></valueString>
-     </extension>
-     <code value="XUPR"></code>
-     <display value="Not Upright"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-4000"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-4000"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-4000"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.436"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.4000"></name>
-    <title value="v2 Name/address representation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 4000 ( Name/address representation)"></description>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="A"></code>
-     <display value="Alphabetic (i.e., Default or some single-byte)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Alfabetisch (d.w.z. standaard of bepaalde 1-byte)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1999-05"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Ideographic (i.e., Kanji)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ideografisch (d.w.z. Kanjii)"></value>
-     </designation>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="1999-05"></valueDateTime>
-     </property>
+     <code value="B"></code>
+     <display value="Both"></display>
     </concept>
     <concept>
      <code value="P"></code>
-     <display value="Phonetic (i.e., ASCII, Katakana, Hiragana, etc.)"></display>
+     <display value="Professional Part"></display>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Technical Part"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0882"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0882"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0882"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.412"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0882"></name>
+    <title value="v2 Medical Role Executing Physician"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0882 ( Medical Role Executing Physician)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="Employed"></display>
+    </concept>
+    <concept>
+     <code value="SE"></code>
+     <display value="Self-employed"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0894"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0894"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0894"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.413"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0894"></name>
+    <title value="v2 Side of body"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0894 ( Side of body)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="L"></code>
+     <display value="Left"></display>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Right"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0895"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0895"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0895"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.414"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0895"></name>
+    <title value="v2 Present On Admission (POA) Indicator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0895 ( Present On Admission (POA) Indicator)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="E"></code>
+     <display value="Exempt"></display>
      <designation>
       <language value="nl"></language>
       <use>
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
        <code value="display"></code>
       </use>
-      <value value="Fonetisch (d.w.z. ASCII, Katakane, Hirogana, etc.)"></value>
+      <value value="Vrijgesteld"></value>
      </designation>
      <property>
       <code value="status"></code>
@@ -126031,9 +126133,210 @@ In worker’s compensation cases, the Employer may be the “organization” res
      </property>
      <property>
       <code value="deprecationDate"></code>
-      <valueDateTime value="1999-05"></valueDateTime>
+      <valueDateTime value="2015-09"></valueDateTime>
      </property>
     </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nee"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekend"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Not applicable"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet van toepassing"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="Yes"></display>
+     <designation>
+      <language value="de"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ja"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2015-09"></valueDateTime>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0904"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0904"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0904"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.415"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0904"></name>
+    <title value="v2 Security Check Scheme"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0904 ( Security Check Scheme)"></description>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card"></valueString>
+     </extension>
+     <code value="BCV"></code>
+     <display value="Bank Card Validation Number"></display>
+    </concept>
+    <concept>
+     <code value="CCS"></code>
+     <display value="Credit Card Security code"></display>
+    </concept>
+    <concept>
+     <code value="VID"></code>
+     <display value="Version ID"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0905"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-0905"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0905"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.416"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.0905"></name>
+    <title value="v2 Shipment Status"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0905 ( Shipment Status)"></description>
+    <content value="complete"></content>
+    <concept>
+     <code value="INV"></code>
+     <display value="Inventoried"></display>
+    </concept>
+    <concept>
+     <code value="ONH"></code>
+     <display value="On Hold"></display>
+    </concept>
+    <concept>
+     <code value="PRC"></code>
+     <display value="Processing"></display>
+    </concept>
+    <concept>
+     <code value="REJ"></code>
+     <display value="Rejected"></display>
+    </concept>
+    <concept>
+     <code value="TRN"></code>
+     <display value="In Transit"></display>
+    </concept>
+    <concept>
+     <code value="TTL"></code>
+     <display value="Triaged to Lab"></display>
+    </concept>
    </CodeSystem>
   </resource>
  </entry>
@@ -126729,287 +127032,6 @@ Note:  Do not use NA if result code status is not corrected (revised) or if a pr
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0904"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0904"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0904"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.415"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0904"></name>
-    <title value="v2 Security Check Scheme"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0904 ( Security Check Scheme)"></description>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A non-embossed number included on bank cards and used to validate authenticity of the card and the person presenting the card"></valueString>
-     </extension>
-     <code value="BCV"></code>
-     <display value="Bank Card Validation Number"></display>
-    </concept>
-    <concept>
-     <code value="CCS"></code>
-     <display value="Credit Card Security code"></display>
-    </concept>
-    <concept>
-     <code value="VID"></code>
-     <display value="Version ID"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0905"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0905"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0905"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.416"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0905"></name>
-    <title value="v2 Shipment Status"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0905 ( Shipment Status)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="INV"></code>
-     <display value="Inventoried"></display>
-    </concept>
-    <concept>
-     <code value="ONH"></code>
-     <display value="On Hold"></display>
-    </concept>
-    <concept>
-     <code value="PRC"></code>
-     <display value="Processing"></display>
-    </concept>
-    <concept>
-     <code value="REJ"></code>
-     <display value="Rejected"></display>
-    </concept>
-    <concept>
-     <code value="TRN"></code>
-     <display value="In Transit"></display>
-    </concept>
-    <concept>
-     <code value="TTL"></code>
-     <display value="Triaged to Lab"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0933"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0933"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0933"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.434"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0933"></name>
-    <title value="v2 Intended Procedure Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0933 ( Intended Procedure Type)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="2RC"></code>
-     <display value="Double Red Cells"></display>
-    </concept>
-    <concept>
-     <code value="GRN"></code>
-     <display value="Granulocytes"></display>
-    </concept>
-    <concept>
-     <code value="HEM"></code>
-     <display value="Hemachromatosis"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Stem Cells and other cells classified as Hematopoietic"></valueString>
-     </extension>
-     <code value="HPC"></code>
-     <display value="Hematopoietic Progenitor Cells"></display>
-    </concept>
-    <concept>
-     <code value="LYM"></code>
-     <display value="Lymphocytes"></display>
-    </concept>
-    <concept>
-     <code value="PLS"></code>
-     <display value="Plasma"></display>
-    </concept>
-    <concept>
-     <code value="PLT"></code>
-     <display value="Platelets"></display>
-    </concept>
-    <concept>
-     <code value="PNP"></code>
-     <display value="Platelets and Plasma"></display>
-    </concept>
-    <concept>
-     <code value="PNR"></code>
-     <display value="Platelets and Red Cells"></display>
-    </concept>
-    <concept>
-     <code value="PPR"></code>
-     <display value="Platelets, Plasma, and Red Cells"></display>
-    </concept>
-    <concept>
-     <code value="THA"></code>
-     <display value="Therapeutic Apheresis"></display>
-    </concept>
-    <concept>
-     <code value="THW"></code>
-     <display value="Therapeutic Whole Blood"></display>
-    </concept>
-    <concept>
-     <code value="WBL"></code>
-     <display value="Whole Blood"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0935"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0935"></id>
-    <meta>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <language value="en"></language>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0935"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.435"></value>
-    </identifier>
-    <version value="2.9"></version>
-    <name value="v2.0935"></name>
-    <title value="v2 Process Interruption Reason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0935 ( Process Interruption Reason)"></description>
-    <content value="complete"></content>
-    <concept>
-     <code value="ASC"></code>
-     <display value="Apheresis Software Crash"></display>
-    </concept>
-    <concept>
-     <code value="BSC"></code>
-     <display value="Manufacturing Software Crash"></display>
-    </concept>
-    <concept>
-     <code value="CFT"></code>
-     <display value="Couldn't follow through with donation (scared)"></display>
-    </concept>
-    <concept>
-     <code value="DBB"></code>
-     <display value="Bathroom"></display>
-    </concept>
-    <concept>
-     <code value="DCW"></code>
-     <display value="Couldn't wait"></display>
-    </concept>
-    <concept>
-     <code value="DNI"></code>
-     <display value="Phlebotomy Issue"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Power outage,  natural disaster (tornado, flood, hurricane, etc.), air conditioning failure, etc."></valueString>
-     </extension>
-     <code value="GFE"></code>
-     <display value="General Facility Emergency"></display>
-    </concept>
-    <concept>
-     <code value="NRG"></code>
-     <display value="No reason given, donor decided to stop without giving a reason"></display>
-    </concept>
-    <concept>
-     <code value="PCD"></code>
-     <display value="Phone Call-Donor"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0917"></fullUrl>
   <resource>
@@ -127623,10 +127645,10 @@ Note:  Do not use NA if result code status is not corrected (revised) or if a pr
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0717"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0933"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0717"></id>
+    <id value="v2-0933"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -127637,14 +127659,14 @@ Note:  Do not use NA if result code status is not corrected (revised) or if a pr
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0717"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0933"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.388"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.434"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0717"></name>
-    <title value="v2 Access Restriction Value"></title>
+    <name value="v2.0933"></name>
+    <title value="v2 Intended Procedure Type"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -127654,68 +127676,71 @@ Note:  Do not use NA if result code status is not corrected (revised) or if a pr
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0717 ( Access Restriction Value)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0933 ( Intended Procedure Type)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="ALL"></code>
-     <display value="All"></display>
+     <code value="2RC"></code>
+     <display value="Double Red Cells"></display>
     </concept>
     <concept>
-     <code value="DEM"></code>
-     <display value="All demographic data"></display>
+     <code value="GRN"></code>
+     <display value="Granulocytes"></display>
     </concept>
     <concept>
-     <code value="DRG"></code>
-     <display value="Drug"></display>
+     <code value="HEM"></code>
+     <display value="Hemachromatosis"></display>
     </concept>
     <concept>
-     <code value="HIV"></code>
-     <display value="HIV status and results"></display>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Stem Cells and other cells classified as Hematopoietic"></valueString>
+     </extension>
+     <code value="HPC"></code>
+     <display value="Hematopoietic Progenitor Cells"></display>
     </concept>
     <concept>
-     <code value="LOC"></code>
-     <display value="Patient Location"></display>
+     <code value="LYM"></code>
+     <display value="Lymphocytes"></display>
     </concept>
     <concept>
-     <code value="NO"></code>
-     <display value="None"></display>
+     <code value="PLS"></code>
+     <display value="Plasma"></display>
     </concept>
     <concept>
-     <code value="OI"></code>
-     <display value="Opt in all registries (HIPAA)"></display>
+     <code value="PLT"></code>
+     <display value="Platelets"></display>
     </concept>
     <concept>
-     <code value="OO"></code>
-     <display value="Opt out all registries (HIPAA)"></display>
+     <code value="PNP"></code>
+     <display value="Platelets and Plasma"></display>
     </concept>
     <concept>
-     <code value="PID-17"></code>
-     <display value="Religion"></display>
+     <code value="PNR"></code>
+     <display value="Platelets and Red Cells"></display>
     </concept>
     <concept>
-     <code value="PID-7"></code>
-     <display value="Date of Birth"></display>
+     <code value="PPR"></code>
+     <display value="Platelets, Plasma, and Red Cells"></display>
     </concept>
     <concept>
-     <code value="PSY"></code>
-     <display value="Psychiatric Mental health"></display>
+     <code value="THA"></code>
+     <display value="Therapeutic Apheresis"></display>
     </concept>
     <concept>
-     <code value="SMD"></code>
-     <display value="Sensitive medical data"></display>
+     <code value="THW"></code>
+     <display value="Therapeutic Whole Blood"></display>
     </concept>
     <concept>
-     <code value="STD"></code>
-     <display value="Sexually transmitted diseases"></display>
+     <code value="WBL"></code>
+     <display value="Whole Blood"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0702"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-0935"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v2-0702"></id>
+    <id value="v2-0935"></id>
     <meta>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
@@ -127726,14 +127751,14 @@ Note:  Do not use NA if result code status is not corrected (revised) or if a pr
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v2-0702"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-0935"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.18.387"></value>
+     <value value="urn:oid:2.16.840.1.113883.18.435"></value>
     </identifier>
     <version value="2.9"></version>
-    <name value="v2.0702"></name>
-    <title value="v2 Cycle Type"></title>
+    <name value="v2.0935"></name>
+    <title value="v2 Process Interruption Reason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7, Inc"></publisher>
@@ -127743,180 +127768,155 @@ Note:  Do not use NA if result code status is not corrected (revised) or if a pr
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="FHIR Value set/code system definition for HL7 v2 table 0702 ( Cycle Type)"></description>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 0935 ( Process Interruption Reason)"></description>
     <content value="complete"></content>
     <concept>
-     <code value="2RS"></code>
-     <display value="Second Rinse"></display>
+     <code value="ASC"></code>
+     <display value="Apheresis Software Crash"></display>
+    </concept>
+    <concept>
+     <code value="BSC"></code>
+     <display value="Manufacturing Software Crash"></display>
+    </concept>
+    <concept>
+     <code value="CFT"></code>
+     <display value="Couldn't follow through with donation (scared)"></display>
+    </concept>
+    <concept>
+     <code value="DBB"></code>
+     <display value="Bathroom"></display>
+    </concept>
+    <concept>
+     <code value="DCW"></code>
+     <display value="Couldn't wait"></display>
+    </concept>
+    <concept>
+     <code value="DNI"></code>
+     <display value="Phlebotomy Issue"></display>
     </concept>
     <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Special Wash cycle"></valueString>
+      <valueString value="Power outage,  natural disaster (tornado, flood, hurricane, etc.), air conditioning failure, etc."></valueString>
      </extension>
-     <code value="ANR"></code>
-     <display value="Anesthesia/Respiratory"></display>
+     <code value="GFE"></code>
+     <display value="General Facility Emergency"></display>
     </concept>
     <concept>
-     <code value="BDP"></code>
-     <display value="Bedpans"></display>
+     <code value="NRG"></code>
+     <display value="No reason given, donor decided to stop without giving a reason"></display>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A Bowie-Dick test cycle is a special cycle used to test the integrity of the sterilizer chamber to hold a vacuum."></valueString>
-     </extension>
-     <code value="BWD"></code>
-     <display value="Bowie-Dick Test"></display>
+     <code value="PCD"></code>
+     <display value="Phone Call-Donor"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v2-4000"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v2-4000"></id>
+    <meta>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <language value="en"></language>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v2-4000"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.18.436"></value>
+    </identifier>
+    <version value="2.9"></version>
+    <name value="v2.4000"></name>
+    <title value="v2 Name/address representation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="FHIR Value set/code system definition for HL7 v2 table 4000 ( Name/address representation)"></description>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="A"></code>
+     <display value="Alphabetic (i.e., Default or some single-byte)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Alfabetisch (d.w.z. standaard of bepaalde 1-byte)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1999-05"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A chemical wash cycle."></valueString>
-     </extension>
-     <code value="CMW"></code>
-     <display value="Chemical Wash"></display>
+     <code value="I"></code>
+     <display value="Ideographic (i.e., Kanji)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ideografisch (d.w.z. Kanjii)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1999-05"></valueDateTime>
+     </property>
     </concept>
     <concept>
-     <code value="COD"></code>
-     <display value="Code"></display>
-    </concept>
-    <concept>
-     <code value="CRT"></code>
-     <display value="Cart Wash"></display>
-    </concept>
-    <concept>
-     <code value="DEC"></code>
-     <display value="Decontamination"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A dart cycle is a special cycle used to test the integrity of the sterilizer chamber to hold a vacuum."></valueString>
-     </extension>
-     <code value="DRT"></code>
-     <display value="Dart"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A dart warm-up cycle is used to bring the sterilizer chamber up to operating temperature in order to run a dart test cycle."></valueString>
-     </extension>
-     <code value="DRW"></code>
-     <display value="Dart Warm-up Cycle"></display>
-    </concept>
-    <concept>
-     <code value="EOH"></code>
-     <display value="EO High Temperature"></display>
-    </concept>
-    <concept>
-     <code value="EOL"></code>
-     <display value="EO Low Temperature"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An express cycle is similar to a flash cycle but the supply item is wrapped."></valueString>
-     </extension>
-     <code value="EXP"></code>
-     <display value="Express"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Used to quickly sterilize instruments that were dropped during surgery."></valueString>
-     </extension>
-     <code value="FLS"></code>
-     <display value="Flash"></display>
-    </concept>
-    <concept>
-     <code value="GLS"></code>
-     <display value="Glassware"></display>
-    </concept>
-    <concept>
-     <code value="GNP"></code>
-     <display value="Gen. Purpose"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A gravity cycle is executed at atmospheric pressure."></valueString>
-     </extension>
-     <code value="GRV"></code>
-     <display value="Gravity"></display>
-    </concept>
-    <concept>
-     <code value="GTL"></code>
-     <display value="Gentle"></display>
-    </concept>
-    <concept>
-     <code value="ISO"></code>
-     <display value="Isothermal"></display>
-    </concept>
-    <concept>
-     <code value="IST"></code>
-     <display value="Instrument Wash"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A leak test cycle tests the integrity of the sterilizer chamber to hold a vacuum over a specific period of time."></valueString>
-     </extension>
-     <code value="LKT"></code>
-     <display value="Leak Test"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A cycle specific to sterilizing liquids."></valueString>
-     </extension>
-     <code value="LQD"></code>
-     <display value="Liquid"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Any Optional Wash cycle"></valueString>
-     </extension>
-     <code value="OPW"></code>
-     <display value="Optional Wash"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A peracetic acid cycle."></valueString>
-     </extension>
-     <code value="PEA"></code>
-     <display value="Peracetic Acid"></display>
-    </concept>
-    <concept>
-     <code value="PLA"></code>
-     <display value="Plastic Goods Wash"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A prevac cycle is vacuum assisted."></valueString>
-     </extension>
-     <code value="PRV"></code>
-     <display value="Prevac"></display>
-    </concept>
-    <concept>
-     <code value="RNS"></code>
-     <display value="Rinse"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="An SFPP cycle uses steam pulses instead of a vacuum during the conditioning phase of the cycle when the supply item is wrapped."></valueString>
-     </extension>
-     <code value="SFP"></code>
-     <display value="Steam Flush Pressure Pulse"></display>
-    </concept>
-    <concept>
-     <code value="THR"></code>
-     <display value="Thermal"></display>
-    </concept>
-    <concept>
-     <code value="TRB"></code>
-     <display value="Tray/Basin"></display>
-    </concept>
-    <concept>
-     <code value="UTL"></code>
-     <display value="Utensil Wash"></display>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A Wrap/SFPP cycle uses steam pulses instead of a vacuum during the conditioning phase of the cycle when the supply item is unwrapped."></valueString>
-     </extension>
-     <code value="WFP"></code>
-     <display value="Wrap/Steam Flush Pressure Pulse (Wrap/SFPP)"></display>
+     <code value="P"></code>
+     <display value="Phonetic (i.e., ASCII, Katakana, Hiragana, etc.)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fonetisch (d.w.z. ASCII, Katakane, Hirogana, etc.)"></value>
+     </designation>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="1999-05"></valueDateTime>
+     </property>
     </concept>
    </CodeSystem>
   </resource>
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v3-codesystems.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v3-codesystems.xml
index d3beda92c04..95e0c14f0cb 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v3-codesystems.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/v3-codesystems.xml
@@ -1,14 +1,14 @@
 <Bundle xmlns="http://hl7.org/fhir">
  <id value="v3-valuesets"></id>
  <meta>
-  <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
  </meta>
  <type value="collection"></type>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MessageWaitingPriority"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementCondition"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-MessageWaitingPriority"></id>
+    <id value="v3-AcknowledgementCondition"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -22,10 +22,14 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-MessageWaitingPriority"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementCondition"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.155"></value>
+    </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.MessageWaitingPriority"></name>
-    <title value="v3 Code System MessageWaitingPriority"></title>
+    <name value="v3.AcknowledgementCondition"></name>
+    <title value="v3 Code System AcknowledgementCondition"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -36,22 +40,21 @@
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Indicates that the receiver has messages for the sender  OpenIssue:
-Description does not make sense relative to name of coding system.  Must be reviewed and improved."></description>
+    <description value=" The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-MessageWaitingPriority"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementCondition"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PaymentTerms"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementDetailCode"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-PaymentTerms"></id>
+    <id value="v3-AcknowledgementDetailCode"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -65,14 +68,10 @@ Description does not make sense relative to name of coding system.  Must be revi
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-PaymentTerms"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.14908"></value>
-    </identifier>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailCode"></url>
     <version value="2019-07-31"></version>
-    <name value="v3.PaymentTerms"></name>
-    <title value="v3 Code System PaymentTerms"></title>
+    <name value="v3.AcknowledgementDetailCode"></name>
+    <title value="v3 Code System AcknowledgementDetailCode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -83,68 +82,22 @@ Description does not make sense relative to name of coding system.  Must be revi
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice."></description>
+    <description value="  OpenIssue:
+Missing description."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-PaymentTerms"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailCode"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-VerificationMethod"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementDetailType"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-VerificationMethod"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-VerificationMethod"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19707"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.VerificationMethod"></name>
-    <title value="V3 Value SetVerificationMethod"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="No Description Provided"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationMethod"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_VerificationMethod"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Ethnicity"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-Ethnicity"></id>
+    <id value="v3-AcknowledgementDetailType"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -158,10 +111,14 @@ Description does not make sense relative to name of coding system.  Must be revi
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19358"></value>
+    </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.Ethnicity"></name>
-    <title value="v3 Code System Ethnicity"></title>
+    <name value="v3.AcknowledgementDetailType"></name>
+    <title value="v3 Code System AcknowledgementDetailType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -172,21 +129,23 @@ Description does not make sense relative to name of coding system.  Must be revi
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification.  Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification.  The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino.  The standards define a Hispanic or Latino as a person of &quot;Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race.&quot; The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories.  In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both."></description>
+    <description value=" A code identifying the specific message to be provided.  Discussion:
+A textual value may be specified as the print name, or for non-coded messages, as the original text.  Examples:
+'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-Ethnicity"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailType"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-NullFlavor"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementType"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-NullFlavor"></id>
+    <id value="v3-AcknowledgementType"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -200,14 +159,14 @@ Description does not make sense relative to name of coding system.  Must be revi
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10609"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.8"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.NullFlavor"></name>
-    <title value="v3 Code System NullFlavor"></title>
+    <name value="v3.AcknowledgementType"></name>
+    <title value="v3 Code System AcknowledgementType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -218,21 +177,22 @@ Description does not make sense relative to name of coding system.  Must be revi
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" A collection of codes specifying why a valid value is not present."></description>
+    <description value=" This attribute contains an acknowledgement code as described in the HL7 message processing rules.  OpenIssue:
+Description was copied from attribute and needs to be improved to be appropriate for a code system."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementType"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipType"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClass"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipType"></id>
+    <id value="v3-ActClass"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -246,443 +206,14 @@ Description does not make sense relative to name of coding system.  Must be revi
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipType"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClass"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10317"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11527"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipType"></name>
-    <title value="v3 Code System ActRelationshipType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The source is an excerpt from the target."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RefrainPolicy"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RefrainPolicy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RefrainPolicy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20446"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RefrainPolicy"></name>
-    <title value="V3 Value SetRefrainPolicy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.  Examples:
-prohibit redisclosure without consent directive"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="RefrainPolicy"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-VaccineManufacturer"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-VaccineManufacturer"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-VaccineManufacturer"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.227"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.VaccineManufacturer"></name>
-    <title value="v3 Code System VaccineManufacturer"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The manufacturer of a vaccine."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-VaccineManufacturer"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SubstanceAdminSubstitutionReason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19377"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.SubstanceAdminSubstitutionReason"></name>
-    <title value="V3 Value SetSubstanceAdminSubstitutionReason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="No Description Provided"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_SubstanceAdminSubstitutionReason"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
-      <concept>
-       <code value="_SubstanceAdminSubstitutionReason"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassDevice"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClassDevice"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassDevice"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11623"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityClassDevice"></name>
-    <title value="V3 Value SetEntityClassDevice"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity.  The kind of device is identified by the code attribute inherited from Entity.  Usage:
-This includes durable (reusable) medical equipment as well as disposable equipment."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="DEV"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LocalMarkupIgnore"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-LocalMarkupIgnore"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-LocalMarkupIgnore"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10975"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.LocalMarkupIgnore"></name>
-    <title value="v3 Code System LocalMarkupIgnore"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value=&quot;markup&quot;, or to ignore the local markup tags and all contained content when value=&quot;all&quot;"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-LocalMarkupIgnore"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7ITSType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7ITSType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7ITSType"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7ITSType"></name>
-    <title value="v3 Code System hl7ITSType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes identifying types of HL7 Implementation Technology Specifications"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MaritalStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-MaritalStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-MaritalStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.12212"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.MaritalStatus"></name>
-    <title value="v3 Code System MaritalStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" * * * No description supplied * * *  Open Issue:
-The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.  Open Issue:
-fixing and completion of the hierarchy and proper good definitions of all the concepts is badly needed."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Compartment"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-Compartment"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-Compartment"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20478"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.Compartment"></name>
-    <title value="V3 Value SetCompartment"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A named tag set for metadata used to populate a security category label field that &quot;segments&quot; an IT resource per policy by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Privacy and Security Classification System)  Usage Note:
-This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program.  Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment -  &quot;A division of data into isolated blocks with separate security controls for the purpose of reducing risk.&quot;"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="COMPT"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10901"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationType"></name>
-    <title value="v3 Code System ParticipationType"></title>
+    <name value="v3.ActClass"></name>
+    <title value="v3 Code System ActClass"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -697,7 +228,7 @@ This is the healthcare analog to the US Intelligence Community's concept of a Sp
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
      </include>
     </compose>
    </ValueSet>
@@ -747,10 +278,10 @@ The kind of Act (e.g. physical examination, serum potassium, inpatient encounter
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNameUse"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActExposureLevelCode"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNameUse"></id>
+    <id value="v3-ActExposureLevelCode"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -764,14 +295,10 @@ The kind of Act (e.g. physical examination, serum potassium, inpatient encounter
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNameUse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.15913"></value>
-    </identifier>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActExposureLevelCode"></url>
     <version value="2019-07-31"></version>
-    <name value="v3.EntityNameUse"></name>
-    <title value="v3 Code System EntityNameUse"></title>
+    <name value="v3.ActExposureLevelCode"></name>
+    <title value="v3 Code System ActExposureLevelCode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -782,146 +309,11 @@ The kind of Act (e.g. physical examination, serum potassium, inpatient encounter
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
+    <description value=" A qualitative measure of the degree of exposure to the causative agent.  This includes concepts such as &quot;low&quot;, &quot;medium&quot; and &quot;high&quot;.  This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUse"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProcessingID"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ProcessingID"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ProcessingID"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.103"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ProcessingID"></name>
-    <title value="v3 Code System ProcessingID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes used to specify whether a message is part of a production, training, or debugging system."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ProcessingID"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationValue"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationValue"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationValue"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationValue"></name>
-    <title value="v3 Code System ObservationValue"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartTypeR2"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartTypeR2"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartTypeR2"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20322"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartTypeR2"></name>
-    <title value="v3 Code System EntityNamePartTypeR2"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Indicates whether the name part is a given name, family name, prefix, suffix, etc."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartTypeR2"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActExposureLevelCode"></system>
      </include>
     </compose>
    </ValueSet>
@@ -974,262 +366,10 @@ Indicates whether the name part is a given name, family name, prefix, suffix, et
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassObservation"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActMood"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassObservation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassObservation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11529"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActClassObservation"></name>
-    <title value="V3 Value SetActClassObservation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. Thecode
-attribute of Observation and thevalue
-attribute of Observation must be considered in combination to determine the semantics of the observation.  Discussion:
-Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a  variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observations for the counts of the various granulocytes, lymphocytes and other normal or abnormal blood cells (e.g., blasts). The overall white blood cell count Observation itself may therefore not have a value by itself (even though it could have one, e.g., the sum total of white blood cells). Thus, as long as an Act is essentially an Act of recognizing and noting information about a subject, it is an Observation, regardless of whether it has a simple value by itself or whether it has sub-observations. Even though observations are professional acts (see Act) and as such are intentional actions, this does not require that every possible outcome of an observation be pondered in advance of it being actually made. For instance, differential white blood cell counts (WBC) rarely show blasts, but if they do, this is part of the WBC observation even though blasts might not be predefined in the structure of a normal WBC. Clinical documents commonly have Subjective and Objective findings, both of which are kinds of Observations. In addition, clinical documents commonly contain Assessments, which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation.  Examples:
- Recording the results of a Family History Assessment  Laboratory test and associated result  Physical exam test and associated result  Device temperature  Soil lead level"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="OBS"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationVerifier"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationVerifier"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationVerifier"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10259"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationVerifier"></name>
-    <title value="V3 Value SetParticipationVerifier"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="VRF"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-WorkScheduleODH"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-WorkScheduleODH"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-WorkScheduleODH"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20561"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.WorkScheduleODH"></name>
-    <title value="V3 Value SetWorkScheduleODH"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Describes an individual's typical arrangement of working hours for an occupation."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_WorkSchedule"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
-      <concept>
-       <code value="_WorkSchedule"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipFulfills"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipFulfills"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10342"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActRelationshipFulfills"></name>
-    <title value="V3 Value SetActRelationshipFulfills"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="FLFS"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActInvoiceGroupCode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActInvoiceGroupCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19398"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActInvoiceGroupCode"></name>
-    <title value="V3 Value SetActInvoiceGroupCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements.  They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActInvoiceGroupCode"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <concept>
-       <code value="_ActInvoiceGroupCode"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CodingRationale"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-CodingRationale"></id>
+    <id value="v3-ActMood"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -1243,14 +383,14 @@ Structurally, many observations are name-value-pairs, where the Observation.code
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-CodingRationale"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActMood"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19250"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10196"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.CodingRationale"></name>
-    <title value="v3 Code System CodingRationale"></title>
+    <name value="v3.ActMood"></name>
+    <title value="v3 Code System ActMood"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -1261,23 +401,23 @@ Structurally, many observations are name-value-pairs, where the Observation.code
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Identifies how to interpret the instance of the code, codeSystem value in a set of translations.  Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role.  When this code is NULL, it indicates that the translation is an undefined type.  When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations."></description>
+    <description value=" OpenIssue:  In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found &quot;Persuasive With Mod&quot;, with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-CodingRationale"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-FamilyMember"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActPriority"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-FamilyMember"></id>
+    <id value="v3-ActPriority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -1286,67 +426,13 @@ Structurally, many observations are name-value-pairs, where the Observation.code
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-FamilyMember"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19579"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.FamilyMember"></name>
-    <title value="V3 Value SetFamilyMember"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A relationship between two people characterizing their &quot;familial&quot; relationship"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="FAMMEMB"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-IdentifierReliability"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-IdentifierReliability"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-IdentifierReliability"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20277"></value>
-    </identifier>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActPriority"></url>
     <version value="2019-07-31"></version>
-    <name value="v3.IdentifierReliability"></name>
-    <title value="v3 Code System IdentifierReliability"></title>
+    <name value="v3.ActPriority"></name>
+    <title value="v3 Code System ActPriority"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -1357,42 +443,38 @@ Structurally, many observations are name-value-pairs, where the Observation.code
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms."></description>
+    <description value=" A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-IdentifierReliability"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HL7StandardVersionCode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActReason"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-HL7StandardVersionCode"></id>
+    <id value="v3-ActReason"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
+     <valueCode value="draft"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
+     <valueInteger value="1"></valueInteger>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-HL7StandardVersionCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19373"></value>
-    </identifier>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActReason"></url>
     <version value="2019-07-31"></version>
-    <name value="v3.HL7StandardVersionCode"></name>
-    <title value="v3 Code System HL7StandardVersionCode"></title>
+    <name value="v3.ActReason"></name>
+    <title value="v3 Code System ActReason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -1403,319 +485,22 @@ Structurally, many observations are name-value-pairs, where the Observation.code
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" This code system holds version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard."></description>
+    <description value=" A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type &quot;has reason&quot; linking to another Act.  Examples:
+Example reasons that might qualify for being coded in this field might be: &quot;routine requirement&quot;, &quot;infectious disease reporting requirement&quot;, &quot;on patient request&quot;, &quot;required by law&quot;."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7StandardVersionCode"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SeverityObservation"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipCheckpoint"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SeverityObservation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SeverityObservation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16643"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.SeverityObservation"></name>
-    <title value="V3 Value SetSeverityObservation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Potential values for observations of severity."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_SeverityObservation"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
-      <concept>
-       <code value="_SeverityObservation"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassSpecimen"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassSpecimen"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11591"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassSpecimen"></name>
-    <title value="V3 Value SetRoleClassSpecimen"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="SPEC"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassAssociative"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassAssociative"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssociative"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19313"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassAssociative"></name>
-    <title value="V3 Value SetRoleClassAssociative"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A general association between two entities that is neither partitive nor ontological."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_RoleClassAssociative"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <concept>
-       <code value="_RoleClassAssociative"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MilitaryRoleType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-MilitaryRoleType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-MilitaryRoleType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19812"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.MilitaryRoleType"></name>
-    <title value="V3 Value SetMilitaryRoleType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Definition:
-A person playing the role of program eligible under a program based on military status.  Discussion:
-This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a member of the military meets jurisdictional or program criteria"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="MIL"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObligationPolicy"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ObligationPolicy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ObligationPolicy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20445"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ObligationPolicy"></name>
-    <title value="V3 Value SetObligationPolicy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Conveys the mandated workflow action that an information custodian, receiver, or user must perform.  Examples:
-encrypt  Usage Note:
-Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="ObligationPolicy"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassDocument"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassDocument"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassDocument"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.18938"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActClassDocument"></name>
-    <title value="V3 Value SetActClassDocument"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specialization of Act to add the characteristics unique to document management services."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="DOC"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementDetailCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementDetailCode"></id>
+    <id value="v3-ActRelationshipCheckpoint"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -1729,10 +514,332 @@ Per OASIS XACML, an obligation is an operation specified in a policy or policy t
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailCode"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipCheckpoint"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10349"></value>
+    </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementDetailCode"></name>
-    <title value="v3 Code System AcknowledgementDetailCode"></title>
+    <name value="v3.ActRelationshipCheckpoint"></name>
+    <title value="v3 Code System ActRelationshipCheckpoint"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipCheckpoint"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipJoin"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipJoin"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipJoin"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10360"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipJoin"></name>
+    <title value="v3 Code System ActRelationshipJoin"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipJoin"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipSplit"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipSplit"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSplit"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10355"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipSplit"></name>
+    <title value="v3 Code System ActRelationshipSplit"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSplit"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipSubset"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipSubset"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSubset"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19613"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipSubset"></name>
+    <title value="v3 Code System ActRelationshipSubset"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" &lt;ns1:p&gt;Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.&lt;/ns1:p&gt;&lt;ns1:p&gt;Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.&lt;/ns1:p&gt;"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSubset"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10317"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipType"></name>
+    <title value="v3 Code System ActRelationshipType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The source is an excerpt from the target."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActSite"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActSite"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActSite"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActSite"></name>
+    <title value="v3 Code System ActSite"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An anatomical location on an organism which can be the focus of an act."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActSite"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.15933"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActStatus"></name>
+    <title value="v3 Code System ActStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of an Act, as defined by the Act class state machine."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActUncertainty"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActUncertainty"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActUncertainty"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16899"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActUncertainty"></name>
+    <title value="v3 Code System ActUncertainty"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -1744,11 +851,147 @@ Per OASIS XACML, an obligation is an operation specified in a policy or policy t
      </telecom>
     </contact>
     <description value="  OpenIssue:
-Missing description."></description>
+Missing Description"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailCode"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActUncertainty"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActUSPrivacyLaw"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActUSPrivacyLaw"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActUSPrivacyLaw"></name>
+    <title value="v3 Code System ActUSPrivacyLaw"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A jurisdictional mandate in the US relating to privacy.   Deprecation Comment:
+Content moved to ActCode under _ActPrivacyLaw; use that instead."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AddressPartType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-AddressPartType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AddressPartType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10642"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.AddressPartType"></name>
+    <title value="v3 Code System AddressPartType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition.  E.g. &quot;Street Name&quot; is part of &quot;Street Address Line&quot;"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AddressPartType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AddressUse"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-AddressUse"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AddressUse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.190"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.AddressUse"></name>
+    <title value="v3 Code System AddressUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes that provide guidance around the circumstances in which a given address should be used."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AddressUse"></system>
      </include>
     </compose>
    </ValueSet>
@@ -1809,6 +1052,182 @@ Missing description."></description>
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AmericanIndianAlaskaNativeLanguages"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-AmericanIndianAlaskaNativeLanguages"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-AmericanIndianAlaskaNativeLanguages"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.AmericanIndianAlaskaNativeLanguages"></name>
+    <title value="v3 Code System AmericanIndianAlaskaNativeLanguages"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" American Indian and Alaska Native languages currently being used in the United States."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Calendar"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-Calendar"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-Calendar"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.17422"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Calendar"></name>
+    <title value="v3 Code System Calendar"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Calendar"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CalendarCycle"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-CalendarCycle"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-CalendarCycle"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.CalendarCycle"></name>
+    <title value="v3 Code System CalendarCycle"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Calendar cycle identifiers"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-CalendarCycle"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CalendarType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-CalendarType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-CalendarType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10682"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CalendarType"></name>
+    <title value="v3 Code System CalendarType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-CalendarType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Charset"></fullUrl>
   <resource>
@@ -1856,113 +1275,10 @@ Missing description."></description>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassManufacturedMaterial"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CodingRationale"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClassManufacturedMaterial"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.13934"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityClassManufacturedMaterial"></name>
-    <title value="V3 Value SetEntityClassManufacturedMaterial"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Corresponds to the ManufacturedMaterial class"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="MMAT"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActIncidentCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActIncidentCode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16508"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActIncidentCode"></name>
-    <title value="V3 Value SetActIncidentCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Set of codes indicating the type of incident or accident."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActIncidentCode"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <concept>
-       <code value="_ActIncidentCode"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7PublishingSection"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7PublishingSection"></id>
+    <id value="v3-CodingRationale"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -1976,10 +1292,14 @@ Missing description."></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSection"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-CodingRationale"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19250"></value>
+    </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.hl7PublishingSection"></name>
-    <title value="v3 Code System hl7PublishingSection"></title>
+    <name value="v3.CodingRationale"></name>
+    <title value="v3 Code System CodingRationale"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -1990,22 +1310,21 @@ Missing description."></description>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  Description:
-Codes for HL7 publishing sections (major business categories)"></description>
+    <description value=" Identifies how to interpret the instance of the code, codeSystem value in a set of translations.  Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role.  When this code is NULL, it indicates that the translation is an undefined type.  When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSection"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-CodingRationale"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClass"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CommunicationFunctionType"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClass"></id>
+    <id value="v3-CommunicationFunctionType"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -2019,14 +1338,60 @@ Codes for HL7 publishing sections (major business categories)"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClass"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-CommunicationFunctionType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11527"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16031"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.ActClass"></name>
-    <title value="v3 Code System ActClass"></title>
+    <name value="v3.CommunicationFunctionType"></name>
+    <title value="v3 Code System CommunicationFunctionType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Describes the type of communication function that the associated entity plays in the associated transmission."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-CommunicationFunctionType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CompressionAlgorithm"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-CompressionAlgorithm"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10620"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CompressionAlgorithm"></name>
+    <title value="v3 Code System CompressionAlgorithm"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -2041,64 +1406,17 @@ Codes for HL7 publishing sections (major business categories)"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-CompressionAlgorithm"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationTargetSubject"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Confidentiality"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationTargetSubject"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19584"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationTargetSubject"></name>
-    <title value="V3 Value SetParticipationTargetSubject"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The principle target that the service acts on.  E.g. the patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). Note: not all direct targets are subjects, consumables, and devices used as tools for a service are not subjects.  However, a device may be a subject of a maintenance service."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="SBJ"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ManagedParticipationStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ManagedParticipationStatus"></id>
+    <id value="v3-Confidentiality"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -2112,14 +1430,10 @@ Codes for HL7 publishing sections (major business categories)"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ManagedParticipationStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.15992"></value>
-    </identifier>
+    <url value="http://terminology.hl7.org/ValueSet/v3-Confidentiality"></url>
     <version value="2019-07-31"></version>
-    <name value="v3.ManagedParticipationStatus"></name>
-    <title value="v3 Code System ManagedParticipationStatus"></title>
+    <name value="v3.Confidentiality"></name>
+    <title value="v3 Code System Confidentiality"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -2130,21 +1444,21 @@ Codes for HL7 publishing sections (major business categories)"></description>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine."></description>
+    <description value=" A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain &quot;Confidentiality&quot;."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AddressPartType"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContainerCap"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AddressPartType"></id>
+    <id value="v3-ContainerCap"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -2158,14 +1472,102 @@ Codes for HL7 publishing sections (major business categories)"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AddressPartType"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ContainerCap"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ContainerCap"></name>
+    <title value="v3 Code System ContainerCap"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The type of cap associated with a container"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ContainerCap"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContainerSeparator"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ContainerSeparator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ContainerSeparator"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10642"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.14054"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.AddressPartType"></name>
-    <title value="v3 Code System AddressPartType"></title>
+    <name value="v3.ContainerSeparator"></name>
+    <title value="v3 Code System ContainerSeparator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A material in a blood collection container that facilites the separation of of blood cells from serum or plasma"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ContainerSeparator"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContentProcessingMode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ContentProcessingMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ContentProcessingMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19823"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ContentProcessingMode"></name>
+    <title value="v3 Code System ContentProcessingMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -2177,113 +1579,21 @@ Codes for HL7 publishing sections (major business categories)"></description>
      </telecom>
     </contact>
     <description value="  Description:
-Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition.  E.g. &quot;Street Name&quot; is part of &quot;Street Address Line&quot;"></description>
+Identifies the order in which content should be processed."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AddressPartType"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ContentProcessingMode"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProvenanceEventCurrentState"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContextControl"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ProvenanceEventCurrentState"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20547"></value>
-    </identifier>
-    <version value="2014-08-07"></version>
-    <name value="v3.ProvenanceEventCurrentState"></name>
-    <title value="V3 Value SetProvenanceEventCurrentState"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies the state change of a target  Act, such as a document or an entry, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being &quot;obsoleted&quot; and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be  &quot;obsoleted&quot;."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState-AS"></valueSet>
-     </include>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState-DC"></valueSet>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassInvestigation"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassInvestigation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassInvestigation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20224"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActClassInvestigation"></name>
-    <title value="V3 Value SetActClassInvestigation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="INVSTG"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityHandling"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityHandling"></id>
+    <id value="v3-ContextControl"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -2297,14 +1607,56 @@ Code that specifies whether an address part names the street, city, country, pos
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityHandling"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ContextControl"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.13988"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16478"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.EntityHandling"></name>
-    <title value="v3 Code System EntityHandling"></title>
+    <name value="v3.ContextControl"></name>
+    <title value="v3 Code System ContextControl"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd)."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ContextControl"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-DataOperation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-DataOperation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-DataOperation"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.DataOperation"></name>
+    <title value="v3 Code System DataOperation"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -2319,701 +1671,7 @@ Code that specifies whether an address part names the street, city, country, pos
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityHandling"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClass"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClass"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClass"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10882"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityClass"></name>
-    <title value="v3 Code System EntityClass"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Classifies the Entity class and all of its subclasses.  The terminology is hierarchical.  At the top is this  HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityRisk"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityRisk"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityRisk"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityRisk"></name>
-    <title value="v3 Code System EntityRisk"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Kinds of risks associated with the handling of the material.."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityRisk"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassAgent"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassAgent"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassAgent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.14006"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassAgent"></name>
-    <title value="V3 Value SetRoleClassAgent"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An entity (player) that acts or is authorized to act on behalf of another entity (scoper)."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="AGNT"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActEncounterCode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.13955"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActEncounterCode"></name>
-    <title value="V3 Value SetActEncounterCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Domain provides codes that qualify the ActEncounterClass (ENC)"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActEncounterCode"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <concept>
-       <code value="_ActEncounterCode"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActSite"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActSite"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActSite"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActSite"></name>
-    <title value="v3 Code System ActSite"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An anatomical location on an organism which can be the focus of an act."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActSite"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SecurityControlObservationValue"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SecurityControlObservationValue"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20471"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.SecurityControlObservationValue"></name>
-    <title value="V3 Value SetSecurityControlObservationValue"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Security observation values used to indicate security control metadata. V:SecurityControl is the union of V:SecurityPolicy, V:ObligationPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurpose of Use, V:PrivacyMark, V:SecurityLabelMark, and V:ControlledUnclassifiedInformation used to populate the SecurityControlObservationValue attribute in order to convey one or more nonhierarchical security control metadata dictating handling caveats including, purpose of use, obligation policy, refrain policy, dissemination controls and privacy marks to which a custodian or receiver is required to comply."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-SecurityPolicy"></valueSet>
-     </include>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObligationPolicy"></valueSet>
-     </include>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-RefrainPolicy"></valueSet>
-     </include>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"></valueSet>
-     </include>
-     <include>
-      <valueSet value="http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse"></valueSet>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClass"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClass"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClass"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11555"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleClass"></name>
-    <title value="v3 Code System RoleClass"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes for the Role class hierarchy.  The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role.  Roles names are derived from the name of the playing entity in that role. The role hierarchy stems from three core concepts, or abstract domains:    RoleClassOntological
-is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity.   RoleClassPartitive
-collects roles in which the playing entity is in some sense a &quot;part&quot; of the scoping entity.   RoleClassAssociative
-collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between:    RoleClassPassive
-which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity.   RoleClassMutualRelationship
-which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may bede facto
-behavior.  Thus, this sub-domain is further divided into:    RoleClassRelationshipFormal
-in which the relationship is formally defined, frequently by a contract or agreement.   Personal relationship
-which inks two people in a personal relationship. The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the  &quot;Personal relationship&quot; which is a leaf concept.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PersonDisabilityType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-PersonDisabilityType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-PersonDisabilityType"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.PersonDisabilityType"></name>
-    <title value="v3 Code System PersonDisabilityType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code identifying a person's disability."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-PersonDisabilityType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassClinicalDocument"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassClinicalDocument"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassClinicalDocument"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.13948"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActClassClinicalDocument"></name>
-    <title value="V3 Value SetActClassClinicalDocument"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A clinical document is a documentation of clinical observations and services, with the following characteristics: (1) Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; (2) Stewardship - A clinical document is maintained by a person or organization entrusted with its care; (3) Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; (4) Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; (5) Human readability - A clinical document is human readable.&quot;"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="DOCCLIN"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassROI"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassROI"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassROI"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.17893"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActClassROI"></name>
-    <title value="V3 Value SetActClassROI"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type &quot;subject&quot; (SUBJ), which must always be present."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActClassROI"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
-      <concept>
-       <code value="_ActClassROI"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-GeneralPurposeOfUse"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-GeneralPurposeOfUse"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20449"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.GeneralPurposeOfUse"></name>
-    <title value="V3 Value SetGeneralPurposeOfUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Supports communication of purpose of use at a general level."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
-      <concept>
-       <code value="COVERAGE"></code>
-      </concept>
-      <concept>
-       <code value="ETREAT"></code>
-      </concept>
-      <concept>
-       <code value="HMARKT"></code>
-      </concept>
-      <concept>
-       <code value="HOPERAT"></code>
-      </concept>
-      <concept>
-       <code value="HPAYMT"></code>
-      </concept>
-      <concept>
-       <code value="HRESCH"></code>
-      </concept>
-      <concept>
-       <code value="PATRQT"></code>
-      </concept>
-      <concept>
-       <code value="PUBHLTH"></code>
-      </concept>
-      <concept>
-       <code value="TREAT"></code>
-      </concept>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipHasComponent"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipHasComponent"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10318"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActRelationshipHasComponent"></name>
-    <title value="V3 Value SetActRelationshipHasComponent"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="COMP"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementDetailType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementDetailType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19358"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementDetailType"></name>
-    <title value="v3 Code System AcknowledgementDetailType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code identifying the specific message to be provided.  Discussion:
-A textual value may be specified as the print name, or for non-coded messages, as the original text.  Examples:
-'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationInterpretation"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationInterpretation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.78"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationInterpretation"></name>
-    <title value="v3 Code System ObservationInterpretation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="One or more codes providing a rough qualitative interpretation of the observation, such as &quot;normal&quot; / &quot;abnormal&quot;, &quot;low&quot; / &quot;high&quot;, &quot;better&quot; / &quot;worse&quot;, &quot;resistant&quot; /  &quot;susceptible&quot;, &quot;expected&quot; / &quot;not expected&quot;. The value set is intended to be for ANY use where coded representation of an interpretation is needed."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"></system>
      </include>
     </compose>
    </ValueSet>
@@ -3062,10 +1720,10 @@ A textual value may be specified as the print name, or for non-coded messages, a
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RelationalOperator"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-DeviceAlertLevel"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RelationalOperator"></id>
+    <id value="v3-DeviceAlertLevel"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -3079,14 +1737,14 @@ A textual value may be specified as the print name, or for non-coded messages, a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RelationalOperator"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-DeviceAlertLevel"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.209"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.14066"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.RelationalOperator"></name>
-    <title value="v3 Code System RelationalOperator"></title>
+    <name value="v3.DeviceAlertLevel"></name>
+    <title value="v3 Code System DeviceAlertLevel"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -3097,619 +1755,11 @@ A textual value may be specified as the print name, or for non-coded messages, a
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
+    <description value=" Domain values for the Device.Alert_levelCode"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RelationalOperator"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationSignature"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationSignature"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationSignature"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10282"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationSignature"></name>
-    <title value="v3 Code System ParticipationSignature"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.  Examples:
-A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipSplit"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipSplit"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSplit"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10355"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipSplit"></name>
-    <title value="v3 Code System ActRelationshipSplit"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSplit"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableCellScope"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TableCellScope"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TableCellScope"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11012"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableCellScope"></name>
-    <title value="v3 Code System TableCellScope"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TableCellScope"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationTargetLocation"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationTargetLocation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10302"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationTargetLocation"></name>
-    <title value="V3 Value SetParticipationTargetLocation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The facility where the service is done.  May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="LOC"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActUSPrivacyLaw"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActUSPrivacyLaw"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActUSPrivacyLaw"></name>
-    <title value="v3 Code System ActUSPrivacyLaw"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A jurisdictional mandate in the US relating to privacy.   Deprecation Comment:
-Content moved to ActCode under _ActPrivacyLaw; use that instead."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7ApprovalStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7ApprovalStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7ApprovalStatus"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7ApprovalStatus"></name>
-    <title value="v3 Code System hl7ApprovalStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for concepts describing the approval level of HL7 artifacts.  This code system reflects the concepts expressed in HL7's Governance &amp; Operations Manual (GOM) past and present."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7ApprovalStatus"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SpecimenType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SpecimenType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SpecimenType"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.SpecimenType"></name>
-    <title value="v3 Code System SpecimenType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-SpecimenType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipConditional"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipConditional"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.18977"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActRelationshipConditional"></name>
-    <title value="V3 Value SetActRelationshipConditional"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActRelationshipConditional"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
-      <concept>
-       <code value="_ActRelationshipConditional"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-xBasicConfidentialityKind"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-xBasicConfidentialityKind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-xBasicConfidentialityKind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16926"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.x_BasicConfidentialityKind"></name>
-    <title value="V3 Value Setx_BasicConfidentialityKind"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Used to enumerate the typical confidentiality constraints placed upon a clinical document.  Usage Note:
-x_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization; that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject; or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"></system>
-      <concept>
-       <code value="N"></code>
-      </concept>
-      <concept>
-       <code value="R"></code>
-      </concept>
-      <concept>
-       <code value="V"></code>
-      </concept>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleLinkStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleLinkStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleLinkStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20413"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleLinkStatus"></name>
-    <title value="v3 Code System RoleLinkStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes representing possible states of a RoleLink, as defined by the RoleLink class state machine."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkStatus"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassManufacturedProduct"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassManufacturedProduct"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11580"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassManufacturedProduct"></name>
-    <title value="V3 Value SetRoleClassManufacturedProduct"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Scoped by the manufacturer"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="MANU"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TelecommunicationCapabilities"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TelecommunicationCapabilities"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TelecommunicationCapabilities"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20312"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TelecommunicationCapabilities"></name>
-    <title value="v3 Code System TelecommunicationCapabilities"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TelecommunicationCapabilities"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationPhysicalPerformer"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationPhysicalPerformer"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10248"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationPhysicalPerformer"></name>
-    <title value="V3 Value SetParticipationPhysicalPerformer"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A person  who actually and principally carries out the action.  Need not be the principal responsible actor, e.g. a surgery resident operating under supervision of attending surgeon, and may be the patient in self-care, e.g. fingerstick blood sugar.  The traditional order filler is a performer. This information should accompany every service event."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="PRF"></value>
-      </filter>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-DeviceAlertLevel"></system>
      </include>
     </compose>
    </ValueSet>
@@ -3762,63 +1812,10 @@ Concepts that define the telecommunication capabilities of a particular device.
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationInformationGenerator"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-DocumentStorage"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationInformationGenerator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10251"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationInformationGenerator"></name>
-    <title value="V3 Value SetParticipationInformationGenerator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness)."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ParticipationInformationGenerator"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <concept>
-       <code value="_ParticipationInformationGenerator"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableFrame"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TableFrame"></id>
+    <id value="v3-DocumentStorage"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -3832,14 +1829,10 @@ Concepts that define the telecommunication capabilities of a particular device.
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TableFrame"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10992"></value>
-    </identifier>
+    <url value="http://terminology.hl7.org/ValueSet/v3-DocumentStorage"></url>
     <version value="2019-07-31"></version>
-    <name value="v3.TableFrame"></name>
-    <title value="v3 Code System TableFrame"></title>
+    <name value="v3.DocumentStorage"></name>
+    <title value="v3 Code System DocumentStorage"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -3850,23 +1843,23 @@ Concepts that define the telecommunication capabilities of a particular device.
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <description value=" Identifies the storage status of a document."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TableFrame"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-DocumentStorage"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassLivingSubject"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EducationLevel"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClassLivingSubject"></id>
+    <id value="v3-EducationLevel"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -3875,33 +1868,1424 @@ Concepts that define the telecommunication capabilities of a particular device.
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EducationLevel"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10884"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19175"></value>
     </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityClassLivingSubject"></name>
-    <title value="V3 Value SetEntityClassLivingSubject"></title>
+    <version value="2019-07-31"></version>
+    <name value="v3.EducationLevel"></name>
+    <title value="v3 Code System EducationLevel"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
+      <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject.)"></description>
+    <description value=" Years of education that a person has completed"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EmployeeJobClass"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EmployeeJobClass"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EmployeeJobClass"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16036"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EmployeeJobClass"></name>
+    <title value="v3 Code System EmployeeJobClass"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EmployeeJobClass"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EncounterAdmissionSource"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EncounterAdmissionSource"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EncounterAdmissionSource"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.12234"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EncounterAdmissionSource"></name>
+    <title value="v3 Code System EncounterAdmissionSource"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EncounterAdmissionSource"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EncounterSpecialCourtesy"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EncounterSpecialCourtesy"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EncounterSpecialCourtesy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.12242"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EncounterSpecialCourtesy"></name>
+    <title value="v3 Code System EncounterSpecialCourtesy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClass"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClass"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClass"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10882"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityClass"></name>
+    <title value="v3 Code System EntityClass"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Classifies the Entity class and all of its subclasses.  The terminology is hierarchical.  At the top is this  HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
       <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="LIV"></value>
-      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityCode"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityCode"></name>
+    <title value="v3 Code System EntityCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  OpenIssue:
+Missing description."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityCode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityDeterminer"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityDeterminer"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10878"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityDeterminer"></name>
+    <title value="v3 Code System EntityDeterminer"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityHandling"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityHandling"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityHandling"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.13988"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityHandling"></name>
+    <title value="v3 Code System EntityHandling"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityHandling"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartQualifier"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartQualifier"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifier"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.15888"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartQualifier"></name>
+    <title value="v3 Code System EntityNamePartQualifier"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  OpenIssue:
+Needs description"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifier"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartQualifierR2"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartQualifierR2"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifierR2"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20323"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartQualifierR2"></name>
+    <title value="v3 Code System EntityNamePartQualifierR2"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifierR2"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.15880"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartType"></name>
+    <title value="v3 Code System EntityNamePartType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartTypeR2"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartTypeR2"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartTypeR2"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20322"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartTypeR2"></name>
+    <title value="v3 Code System EntityNamePartTypeR2"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Indicates whether the name part is a given name, family name, prefix, suffix, etc."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartTypeR2"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNameUse"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNameUse"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNameUse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.15913"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNameUse"></name>
+    <title value="v3 Code System EntityNameUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUse"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNameUseR2"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNameUseR2"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20321"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNameUseR2"></name>
+    <title value="v3 Code System EntityNameUseR2"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUseR2"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityRisk"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityRisk"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityRisk"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityRisk"></name>
+    <title value="v3 Code System EntityRisk"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Kinds of risks associated with the handling of the material.."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityRisk"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16005"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityStatus"></name>
+    <title value="v3 Code System EntityStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of an Entity, as defined by the Entity class state machine."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EquipmentAlertLevel"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EquipmentAlertLevel"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EquipmentAlertLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10896"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EquipmentAlertLevel"></name>
+    <title value="v3 Code System EquipmentAlertLevel"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EquipmentAlertLevel"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Ethnicity"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-Ethnicity"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.Ethnicity"></name>
+    <title value="v3 Code System Ethnicity"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification.  Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification.  The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino.  The standards define a Hispanic or Latino as a person of &quot;Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race.&quot; The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories.  In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Ethnicity"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ExposureMode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ExposureMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ExposureMode"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ExposureMode"></name>
+    <title value="v3 Code System ExposureMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ExposureMode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-GenderStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-GenderStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-GenderStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11523"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.GenderStatus"></name>
+    <title value="v3 Code System GenderStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-GenderStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-GTSAbbreviation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-GTSAbbreviation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-GTSAbbreviation"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.GTSAbbreviation"></name>
+    <title value="v3 Code System GTSAbbreviation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Open Issue:
+It appears that the printnames are suboptimal and should be improved for many of the existing codes."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7ApprovalStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7ApprovalStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7ApprovalStatus"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7ApprovalStatus"></name>
+    <title value="v3 Code System hl7ApprovalStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for concepts describing the approval level of HL7 artifacts.  This code system reflects the concepts expressed in HL7's Governance &amp; Operations Manual (GOM) past and present."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7ApprovalStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7CMETAttribution"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7CMETAttribution"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7CMETAttribution"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7CMETAttribution"></name>
+    <title value="v3 Code System hl7CMETAttribution"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7CMETAttribution"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HL7ContextConductionStyle"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-HL7ContextConductionStyle"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-HL7ContextConductionStyle"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20380"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HL7ContextConductionStyle"></name>
+    <title value="v3 Code System HL7ContextConductionStyle"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7ContextConductionStyle"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7ITSType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7ITSType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7ITSType"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7ITSType"></name>
+    <title value="v3 Code System hl7ITSType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes identifying types of HL7 Implementation Technology Specifications"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7ITSVersionCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7ITSVersionCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7ITSVersionCode"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7ITSVersionCode"></name>
+    <title value="v3 Code System hl7ITSVersionCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSVersionCode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7PublishingDomain"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7PublishingDomain"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingDomain"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7PublishingDomain"></name>
+    <title value="v3 Code System hl7PublishingDomain"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for HL7 publishing domains (specific content area)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingDomain"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7PublishingSection"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7PublishingSection"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSection"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7PublishingSection"></name>
+    <title value="v3 Code System hl7PublishingSection"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for HL7 publishing sections (major business categories)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSection"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7PublishingSubSection"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7PublishingSubSection"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSubSection"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7PublishingSubSection"></name>
+    <title value="v3 Code System hl7PublishingSubSection"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for HL7 publishing sub-sections (business sub-categories)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSubSection"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7Realm"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7Realm"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-hl7Realm"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20355"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7Realm"></name>
+    <title value="v3 Code System hl7Realm"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models)  and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms.  All affiliate realm codes may automatically be used as both binding realms and namespace realms.  Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms.  (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.)  All other codes must be associated with an owning affiliate realm and must appear as a specialization of _BindingRealm or _NamespaceRealm.  For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types.  It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes.  However, tooling does not currently support namepace realm codes greater than 2 characters.  Open Issue:
+The name of the concept property &quot;owningAffiliate&quot; should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.  Open Issue:
+In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7Realm"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HL7StandardVersionCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-HL7StandardVersionCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-HL7StandardVersionCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19373"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HL7StandardVersionCode"></name>
+    <title value="v3 Code System HL7StandardVersionCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This code system holds version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7StandardVersionCode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HL7UpdateMode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-HL7UpdateMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10018"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HL7UpdateMode"></name>
+    <title value="v3 Code System HL7UpdateMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"></system>
      </include>
     </compose>
    </ValueSet>
@@ -3994,10 +3378,10 @@ Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNameUseR2"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HtmlLinkType"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNameUseR2"></id>
+    <id value="v3-HtmlLinkType"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -4011,14 +3395,14 @@ Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-HtmlLinkType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20321"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11017"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.EntityNameUseR2"></name>
-    <title value="v3 Code System EntityNameUseR2"></title>
+    <name value="v3.HtmlLinkType"></name>
+    <title value="v3 Code System HtmlLinkType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -4029,22 +3413,21 @@ Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  Description:
-A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
+    <description value=" HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link"></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUseR2"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-HtmlLinkType"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TribalEntityUS"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-IdentifierReliability"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TribalEntityUS"></id>
+    <id value="v3-IdentifierReliability"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -4058,10 +3441,14 @@ A set of codes advising a system or user which name in a set of names to select
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TribalEntityUS"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-IdentifierReliability"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20277"></value>
+    </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.TribalEntityUS"></name>
-    <title value="v3 Code System TribalEntityUS"></title>
+    <name value="v3.IdentifierReliability"></name>
+    <title value="v3 Code System IdentifierReliability"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -4072,2233 +3459,16 @@ A set of codes advising a system or user which name in a set of names to select
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS"></description>
+    <description value=" Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-IdentifierReliability"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActMood"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActMood"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActMood"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10196"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActMood"></name>
-    <title value="v3 Code System ActMood"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" OpenIssue:  In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found &quot;Persuasive With Mod&quot;, with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SubstitutionCondition"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SubstitutionCondition"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SubstitutionCondition"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.SubstitutionCondition"></name>
-    <title value="v3 Code System SubstitutionCondition"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationIndirectTarget"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationIndirectTarget"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationIndirectTarget"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19032"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationIndirectTarget"></name>
-    <title value="V3 Value SetParticipationIndirectTarget"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="IND"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ServiceDeliveryLocationRoleType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ServiceDeliveryLocationRoleType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.17660"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ServiceDeliveryLocationRoleType"></name>
-    <title value="V3 Value SetServiceDeliveryLocationRoleType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ServiceDeliveryLocationRoleType"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-      <concept>
-       <code value="_ServiceDeliveryLocationRoleType"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CompressionAlgorithm"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-CompressionAlgorithm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10620"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CompressionAlgorithm"></name>
-    <title value="v3 Code System CompressionAlgorithm"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-CompressionAlgorithm"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityCode"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityCode"></name>
-    <title value="v3 Code System EntityCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  OpenIssue:
-Missing description."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityCode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipCheckpoint"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipCheckpoint"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipCheckpoint"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10349"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipCheckpoint"></name>
-    <title value="v3 Code System ActRelationshipCheckpoint"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipCheckpoint"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TargetAwareness"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TargetAwareness"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10310"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TargetAwareness"></name>
-    <title value="v3 Code System TargetAwareness"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
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-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    <publisher value="HL7 v3"></publisher>
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-     <telecom>
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-      <value value="http://www.hl7.org"></value>
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-    <name value="v3.RoleStatus"></name>
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-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value=" Codes representing the defined possible states of an Role, as defined by the Role class state machine."></description>
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-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleStatus"></system>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-DocumentSectionType"></url>
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-    <publisher value="HL7 v3"></publisher>
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-     <telecom>
-      <system value="url"></system>
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-    <description value=" The type of document section.  Possible values: review of systems, medical history, family history, microscopic findings, etc."></description>
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-     <include>
-      <system value="http://loinc.org"></system>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-QueryStatusCode"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.18899"></value>
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-    <version value="2019-07-31"></version>
-    <name value="v3.QueryStatusCode"></name>
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-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value=" A code specifying the state of the Query."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryStatusCode"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ResponseModality"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ResponseModality"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-    <name value="v3.ResponseModality"></name>
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-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value=" Defines the timing and grouping of the response instances.  OpenIssue:
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-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ResponseModality"></system>
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- <entry>
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-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
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-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-     <valueCode value="vocab"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-QueryPriority"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.91"></value>
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-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
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-      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryPriority"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-     <valueCode value="vocab"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityStatus"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16005"></value>
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-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value=" Codes representing the defined possible states of an Entity, as defined by the Entity class state machine."></description>
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-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityStatus"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProbabilityDistributionType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ProbabilityDistributionType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-     <valueCode value="external"></valueCode>
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-     <valueCode value="vocab"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-ProbabilityDistributionType"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10747"></value>
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-    <publisher value="HL7, Inc"></publisher>
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-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    <description value="**** MISSING DEFINITIONS ****"></description>
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-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
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-    <description value=" A role played by a place at which services may be provided."></description>
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-       <value value="SDLOC"></value>
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- <entry>
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-  <resource>
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-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.12234"></value>
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-    <name value="v3.EncounterAdmissionSource"></name>
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-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
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-      <value value="http://hl7.org"></value>
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-    <description value="**** MISSING DEFINITIONS ****"></description>
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- <entry>
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-    <publisher value="HL7 v3"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
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-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationMode"></name>
-    <title value="v3 Code System ParticipationMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying the modality by which the Entity playing the Role is participating in the Act.  Examples:
-Physically present, over the telephone, written communication.  Rationale:
-Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically.  Open Issue:
-There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TransmissionRelationshipTypeCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TransmissionRelationshipTypeCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TransmissionRelationshipTypeCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19833"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TransmissionRelationshipTypeCode"></name>
-    <title value="v3 Code System TransmissionRelationshipTypeCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TransmissionRelationshipTypeCode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-substanceAdminSubstitution"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-substanceAdminSubstitution"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.substanceAdminSubstitution"></name>
-    <title value="v3 Code System substanceAdminSubstitution"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CommunicationFunctionType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-CommunicationFunctionType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-CommunicationFunctionType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16031"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CommunicationFunctionType"></name>
-    <title value="v3 Code System CommunicationFunctionType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Describes the type of communication function that the associated entity plays in the associated transmission."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-CommunicationFunctionType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HumanLanguage"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-HumanLanguage"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11526"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.HumanLanguage"></name>
-    <title value="V3 Value SetHumanLanguage"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes for the representation of the names of human languages."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="urn:iso:std:iso:3166"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartQualifierR2"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartQualifierR2"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifierR2"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20323"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartQualifierR2"></name>
-    <title value="v3 Code System EntityNamePartQualifierR2"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifierR2"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ReligiousAffiliation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ReligiousAffiliation"></name>
-    <title value="v3 Code System ReligiousAffiliation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Assigment of spiritual faith affiliation"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityDeterminer"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityDeterminer"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10878"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityDeterminer"></name>
-    <title value="v3 Code System EntityDeterminer"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-WorkClassificationODH"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-WorkClassificationODH"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20560"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.WorkClassificationODH"></name>
-    <title value="v3 Code System WorkClassificationODH"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.)."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Calendar"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-Calendar"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-Calendar"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.17422"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Calendar"></name>
-    <title value="v3 Code System Calendar"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-Calendar"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-InformationSensitivityPolicy"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-InformationSensitivityPolicy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20428"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.InformationSensitivityPolicy"></name>
-    <title value="V3 Value SetInformationSensitivityPolicy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements.  For example, an &quot;employee&quot; sensitivity code would make little sense for use outside of a policy domain.   &quot;Taboo&quot; would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply.  Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_InformationSensitivityPolicy"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryParameterValue"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryParameterValue"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-QueryParameterValue"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryParameterValue"></name>
-    <title value="v3 Code System QueryParameterValue"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The domain of coded values used as parameters within QueryByParameter queries."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryParameterValue"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
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-  <resource>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
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-    <version value="2014-03-26"></version>
-    <name value="v3.ActSubstanceAdminSubstitutionCode"></name>
-    <title value="V3 Value SetActSubstanceAdminSubstitutionCode"></title>
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-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
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-    </contact>
-    <description value="No Description Provided"></description>
-    <immutable value="false"></immutable>
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-      <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></system>
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-       <property value="concept"></property>
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-       <value value="_ActSubstanceAdminSubstitutionCode"></value>
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-      <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></system>
-      <concept>
-       <code value="_ActSubstanceAdminSubstitutionCode"></code>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ResponseLevel"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ResponseLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-ResponseLevel"></url>
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-     <system value="urn:ietf:rfc:3986"></system>
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-    <name value="v3.ResponseLevel"></name>
-    <title value="v3 Code System ResponseLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value=" Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include"></description>
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-    <compose>
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-      <system value="http://terminology.hl7.org/CodeSystem/v3-ResponseLevel"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationCategory"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationCategory"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationCategory"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.2.222"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationCategory"></name>
-    <title value="v3 Code System ObservationCategory"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" High level observation categories for the general type of observation being made. URL: http://hl7-fhir.github.io/valueset-observation-category.html This is an inline code system http://hl7.org/fhir/observation-category."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationCategory"></system>
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-    </compose>
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- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableCellHorizontalAlign"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TableCellHorizontalAlign"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TableCellHorizontalAlign"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10981"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableCellHorizontalAlign"></name>
-    <title value="v3 Code System TableCellHorizontalAlign"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TableCellHorizontalAlign"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableRules"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
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-    <meta>
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TableRules"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11002"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableRules"></name>
-    <title value="v3 Code System TableRules"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TableRules"></system>
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-    </compose>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementCondition"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementCondition"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementCondition"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.155"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementCondition"></name>
-    <title value="v3 Code System AcknowledgementCondition"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementCondition"></system>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassProcedure"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassProcedure"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassProcedure"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19665"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActClassProcedure"></name>
-    <title value="V3 Value SetActClassProcedure"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject.  Examples:
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-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
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-       <op value="is-a"></op>
-       <value value="PROC"></value>
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- <entry>
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-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-DocumentStorage"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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-     <valueCode value="vocab"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-DocumentStorage"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.DocumentStorage"></name>
-    <title value="v3 Code System DocumentStorage"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
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-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
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-    </contact>
-    <description value=" Identifies the storage status of a document."></description>
-    <immutable value="true"></immutable>
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- <entry>
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-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
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-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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-     <valueCode value="vocab"></valueCode>
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-    <url value="http://terminology.hl7.org/ValueSet/v3-Race"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.Race"></name>
-    <title value="v3 Code System Race"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
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-    <description value=" In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations.  The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification.  Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from &quot;the original peoples&quot; of a specified region or nation.  The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White.  The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories."></description>
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-    <compose>
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- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContainerCap"></fullUrl>
-  <resource>
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-    <id value="v3-ContainerCap"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ContainerCap"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContainerCap"></name>
-    <title value="v3 Code System ContainerCap"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The type of cap associated with a container"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ContainerCap"></system>
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- <entry>
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-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
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-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EmployeeJobClass"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16036"></value>
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-    <version value="2019-07-31"></version>
-    <name value="v3.EmployeeJobClass"></name>
-    <title value="v3 Code System EmployeeJobClass"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EmployeeJobClass"></system>
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- <entry>
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-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClassOrganization"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
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-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10889"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityClassOrganization"></name>
-    <title value="V3 Value SetEntityClassOrganization"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A social or legal structure formed by human beings."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="ORG"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryRequestLimit"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryRequestLimit"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-QueryRequestLimit"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryRequestLimit"></name>
-    <title value="v3 Code System QueryRequestLimit"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Definition:
-Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryRequestLimit"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7Realm"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7Realm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7Realm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20355"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7Realm"></name>
-    <title value="v3 Code System hl7Realm"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models)  and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms.  All affiliate realm codes may automatically be used as both binding realms and namespace realms.  Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms.  (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.)  All other codes must be associated with an owning affiliate realm and must appear as a specialization of _BindingRealm or _NamespaceRealm.  For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types.  It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes.  However, tooling does not currently support namepace realm codes greater than 2 characters.  Open Issue:
-The name of the concept property &quot;owningAffiliate&quot; should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.  Open Issue:
-In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7Realm"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MapRelationship"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-MapRelationship"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-MapRelationship"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11052"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.MapRelationship"></name>
-    <title value="v3 Code System MapRelationship"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-MapRelationship"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleCode"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleCode"></name>
-    <title value="v3 Code System RoleCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActPharmacySupplyType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16208"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActPharmacySupplyType"></name>
-    <title value="V3 Value SetActPharmacySupplyType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies types of dispensing events"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActPharmacySupplyType"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <concept>
-       <code value="_ActPharmacySupplyType"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-IdentifierScope"></fullUrl>
   <resource>
@@ -6347,10 +3517,10 @@ Codes to specify the scope in which the identifier applies to the object with wh
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RouteOfAdministration"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-IntegrityCheckAlgorithm"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RouteOfAdministration"></id>
+    <id value="v3-IntegrityCheckAlgorithm"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -6364,158 +3534,14 @@ Codes to specify the scope in which the identifier applies to the object with wh
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.RouteOfAdministration"></name>
-    <title value="v3 Code System RouteOfAdministration"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The path the administered medication takes to get into the body or into contact with the body."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassMutualRelationship"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassMutualRelationship"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassMutualRelationship"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19316"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassMutualRelationship"></name>
-    <title value="V3 Value SetRoleClassMutualRelationship"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may bede facto
-behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children)."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_RoleClassMutualRelationship"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <concept>
-       <code value="_RoleClassMutualRelationship"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActTaskCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActTaskCode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActTaskCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19846"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActTaskCode"></name>
-    <title value="V3 Value SetActTaskCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-A task or action that a user may perform in a clinical information system."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActTaskCode"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.15880"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.17385"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartType"></name>
-    <title value="v3 Code System EntityNamePartType"></title>
+    <name value="v3.IntegrityCheckAlgorithm"></name>
+    <title value="v3 Code System IntegrityCheckAlgorithm"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -6530,17 +3556,17 @@ A task or action that a user may perform in a clinical information system."></de
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartType"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-IntegrityCheckAlgorithm"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleLinkType"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleLinkType"></id>
+    <id value="v3-LanguageAbilityMode"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -6554,14 +3580,14 @@ A task or action that a user may perform in a clinical information system."></de
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleLinkType"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11603"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.12249"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.RoleLinkType"></name>
-    <title value="v3 Code System RoleLinkType"></title>
+    <name value="v3.LanguageAbilityMode"></name>
+    <title value="v3 Code System LanguageAbilityMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -6572,1532 +3598,13 @@ A task or action that a user may perform in a clinical information system."></de
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
+    <description value=" A value representing the method of expression of the language.  Example:
+Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ModifyIndicator"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ModifyIndicator"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ModifyIndicator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.395"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ModifyIndicator"></name>
-    <title value="v3 Code System ModifyIndicator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ModifyIndicator"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContextControl"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ContextControl"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ContextControl"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16478"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContextControl"></name>
-    <title value="v3 Code System ContextControl"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd)."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ContextControl"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContentProcessingMode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ContentProcessingMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ContentProcessingMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19823"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContentProcessingMode"></name>
-    <title value="v3 Code System ContentProcessingMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Identifies the order in which content should be processed."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ContentProcessingMode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationInformationTranscriber"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationInformationTranscriber"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationTranscriber"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19676"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ParticipationInformationTranscriber"></name>
-    <title value="V3 Value SetParticipationInformationTranscriber"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="TRANS"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HtmlLinkType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-HtmlLinkType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-HtmlLinkType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11017"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.HtmlLinkType"></name>
-    <title value="v3 Code System HtmlLinkType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-HtmlLinkType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProcessingMode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ProcessingMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ProcessingMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.207"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ProcessingMode"></name>
-    <title value="v3 Code System ProcessingMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ProcessingMode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassPartitive"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassPartitive"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassPartitive"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10429"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassPartitive"></name>
-    <title value="V3 Value SetRoleClassPartitive"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An association between two Entities where the playing Entity is considered in some way &quot;part&quot; of the scoping Entity, e.g., as a member, component, ingredient, or content. Being &quot;part&quot; in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_RoleClassPartitive"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <concept>
-       <code value="_RoleClassPartitive"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CalendarCycle"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-CalendarCycle"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-CalendarCycle"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.CalendarCycle"></name>
-    <title value="v3 Code System CalendarCycle"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Calendar cycle identifiers"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-CalendarCycle"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TimingEvent"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-TimingEvent"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-TimingEvent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10706"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TimingEvent"></name>
-    <title value="v3 Code System TimingEvent"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-TimingEvent"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.15933"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActStatus"></name>
-    <title value="v3 Code System ActStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes representing the defined possible states of an Act, as defined by the Act class state machine."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActStatus"></system>
-     </include>
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-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PatientImportance"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-PatientImportance"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-PatientImportance"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19265"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.PatientImportance"></name>
-    <title value="v3 Code System PatientImportance"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Patient VIP code"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-PatientImportance"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-styleType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-styleType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-styleType"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.styleType"></name>
-    <title value="v3 Code System styleType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" &lt;ns1:p&gt;The style code is used within the CDA/SPL narrative block to give the instance author some control over various aspects of style&lt;/ns1:p&gt;"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-styleType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActReason"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActReason"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActReason"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActReason"></name>
-    <title value="v3 Code System ActReason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type &quot;has reason&quot; linking to another Act.  Examples:
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-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-GenderStatus"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-GenderStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-GenderStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11523"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.GenderStatus"></name>
-    <title value="v3 Code System GenderStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-GenderStatus"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-PurposeOfUse"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20448"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.PurposeOfUse"></name>
-    <title value="V3 Value SetPurposeOfUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Supports communication of purpose of use at a general level."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="PurposeOfUse"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
-      <concept>
-       <code value="PurposeOfUse"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryResponse"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryResponse"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-QueryResponse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.208"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryResponse"></name>
-    <title value="v3 Code System QueryResponse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryResponse"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActMoodPredicate"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActMoodPredicate"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10202"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActMoodPredicate"></name>
-    <title value="V3 Value SetActMoodPredicate"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Any of the above service moods (e.g., event, intent, or goal) can be turned into a predicate used as a criterion to express conditionals (or queries.)  However, currently we allow only criteria on service events."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActMoodPredicate"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
-      <concept>
-       <code value="_ActMoodPredicate"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-GTSAbbreviation"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-GTSAbbreviation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-GTSAbbreviation"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.GTSAbbreviation"></name>
-    <title value="v3 Code System GTSAbbreviation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Open Issue:
-It appears that the printnames are suboptimal and should be improved for many of the existing codes."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EncounterSpecialCourtesy"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EncounterSpecialCourtesy"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EncounterSpecialCourtesy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.12242"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EncounterSpecialCourtesy"></name>
-    <title value="v3 Code System EncounterSpecialCourtesy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7CMETAttribution"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7CMETAttribution"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7CMETAttribution"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7CMETAttribution"></name>
-    <title value="v3 Code System hl7CMETAttribution"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7CMETAttribution"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16226"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ObservationType"></name>
-    <title value="V3 Value SetObservationType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies the kinds of observations that can be performed"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ObservationType"></value>
-      </filter>
-     </include>
-     <include>
-      <system value="http://loinc.org"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PersonalRelationshipRoleType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-PersonalRelationshipRoleType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19563"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.PersonalRelationshipRoleType"></name>
-    <title value="V3 Value SetPersonalRelationshipRoleType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Types of personal relationships between two living subjects.  Example:
-Parent, sibling, unrelated friend, neighbor"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_PersonalRelationshipRoleType"></value>
-      </filter>
-     </include>
-     <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
-      <concept>
-       <code value="_PersonalRelationshipRoleType"></code>
-      </concept>
-     </exclude>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Confidentiality"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-Confidentiality"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-Confidentiality"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.Confidentiality"></name>
-    <title value="v3 Code System Confidentiality"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain &quot;Confidentiality&quot;."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7PublishingDomain"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7PublishingDomain"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingDomain"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7PublishingDomain"></name>
-    <title value="v3 Code System hl7PublishingDomain"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for HL7 publishing domains (specific content area)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingDomain"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-CalendarType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-CalendarType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-CalendarType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10682"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CalendarType"></name>
-    <title value="v3 Code System CalendarType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-CalendarType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EducationLevel"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EducationLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EducationLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19175"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EducationLevel"></name>
-    <title value="v3 Code System EducationLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Years of education that a person has completed"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassPlace"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClassPlace"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassPlace"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10892"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityClassPlace"></name>
-    <title value="V3 Value SetEntityClassPlace"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A physicial place or site with its containing structure. May be natural or man-made.  The geographic position of a place may or may not be constant."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="PLC"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7ITSVersionCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7ITSVersionCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7ITSVersionCode"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7ITSVersionCode"></name>
-    <title value="v3 Code System hl7ITSVersionCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSVersionCode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActExposureLevelCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActExposureLevelCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActExposureLevelCode"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActExposureLevelCode"></name>
-    <title value="v3 Code System ActExposureLevelCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A qualitative measure of the degree of exposure to the causative agent.  This includes concepts such as &quot;low&quot;, &quot;medium&quot; and &quot;high&quot;.  This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActExposureLevelCode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActPriority"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActPriority"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActPriority"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActPriority"></name>
-    <title value="v3 Code System ActPriority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Sequencing"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-Sequencing"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-Sequencing"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.390"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Sequencing"></name>
-    <title value="v3 Code System Sequencing"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies sequence of sort order."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-Sequencing"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityDeterminerDetermined"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityDeterminerDetermined"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10879"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityDeterminerDetermined"></name>
-    <title value="V3 Value SetEntityDeterminerDetermined"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The described determiner is used to indicate that the given Entity is taken as a general description of a kind of thing that can be taken in whole, in part, or in multiples."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="KIND"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RelationshipConjunction"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RelationshipConjunction"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10365"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RelationshipConjunction"></name>
-    <title value="v3 Code System RelationshipConjunction"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RelationshipConjunction"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityMode"></system>
      </include>
     </compose>
    </ValueSet>
@@ -8151,6 +3658,597 @@ Description copied from Concept Domain of same name.  Must be verified."></descr
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LivingArrangement"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-LivingArrangement"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-LivingArrangement"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.LivingArrangement"></name>
+    <title value="v3 Code System LivingArrangement"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code depicting the living arrangements of a person"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-LivingArrangement"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LocalMarkupIgnore"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-LocalMarkupIgnore"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-LocalMarkupIgnore"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10975"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LocalMarkupIgnore"></name>
+    <title value="v3 Code System LocalMarkupIgnore"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value=&quot;markup&quot;, or to ignore the local markup tags and all contained content when value=&quot;all&quot;"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-LocalMarkupIgnore"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LocalRemoteControlState"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-LocalRemoteControlState"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-LocalRemoteControlState"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10893"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LocalRemoteControlState"></name>
+    <title value="v3 Code System LocalRemoteControlState"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-LocalRemoteControlState"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ManagedParticipationStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ManagedParticipationStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ManagedParticipationStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.15992"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ManagedParticipationStatus"></name>
+    <title value="v3 Code System ManagedParticipationStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MapRelationship"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-MapRelationship"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-MapRelationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11052"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.MapRelationship"></name>
+    <title value="v3 Code System MapRelationship"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-MapRelationship"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MaritalStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-MaritalStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-MaritalStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.12212"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.MaritalStatus"></name>
+    <title value="v3 Code System MaritalStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" * * * No description supplied * * *  Open Issue:
+The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.  Open Issue:
+fixing and completion of the hierarchy and proper good definitions of all the concepts is badly needed."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MessageWaitingPriority"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-MessageWaitingPriority"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-MessageWaitingPriority"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.MessageWaitingPriority"></name>
+    <title value="v3 Code System MessageWaitingPriority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Indicates that the receiver has messages for the sender  OpenIssue:
+Description does not make sense relative to name of coding system.  Must be reviewed and improved."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-MessageWaitingPriority"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ModifyIndicator"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ModifyIndicator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ModifyIndicator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.395"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ModifyIndicator"></name>
+    <title value="v3 Code System ModifyIndicator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ModifyIndicator"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-NullFlavor"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-NullFlavor"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10609"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.NullFlavor"></name>
+    <title value="v3 Code System NullFlavor"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A collection of codes specifying why a valid value is not present."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationCategory"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationCategory"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationCategory"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.2.222"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationCategory"></name>
+    <title value="v3 Code System ObservationCategory"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" High level observation categories for the general type of observation being made. URL: http://hl7-fhir.github.io/valueset-observation-category.html This is an inline code system http://hl7.org/fhir/observation-category."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationCategory"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationInterpretation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationInterpretation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.78"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationInterpretation"></name>
+    <title value="v3 Code System ObservationInterpretation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="One or more codes providing a rough qualitative interpretation of the observation, such as &quot;normal&quot; / &quot;abnormal&quot;, &quot;low&quot; / &quot;high&quot;, &quot;better&quot; / &quot;worse&quot;, &quot;resistant&quot; /  &quot;susceptible&quot;, &quot;expected&quot; / &quot;not expected&quot;. The value set is intended to be for ANY use where coded representation of an interpretation is needed."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationMethod"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationMethod"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20423"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationMethod"></name>
+    <title value="v3 Code System ObservationMethod"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code that provides additional detail about the means or technique used to ascertain the observation.  Examples:
+Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified.  Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description.  Needs to be improved."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationMethod"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationValue"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationValue"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationValue"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationValue"></name>
+    <title value="v3 Code System ObservationValue"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"></fullUrl>
   <resource>
@@ -8195,10 +4293,10 @@ Missing description."></description>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EquipmentAlertLevel"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationFunction"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EquipmentAlertLevel"></id>
+    <id value="v3-ParticipationFunction"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -8212,14 +4310,152 @@ Missing description."></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EquipmentAlertLevel"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationFunction"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10896"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10267"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.EquipmentAlertLevel"></name>
-    <title value="v3 Code System EquipmentAlertLevel"></title>
+    <name value="v3.ParticipationFunction"></name>
+    <title value="v3 Code System ParticipationFunction"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE)."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationMode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationMode"></name>
+    <title value="v3 Code System ParticipationMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes specifying the modality by which the Entity playing the Role is participating in the Act.  Examples:
+Physically present, over the telephone, written communication.  Rationale:
+Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically.  Open Issue:
+There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationSignature"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationSignature"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationSignature"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10282"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationSignature"></name>
+    <title value="v3 Code System ParticipationSignature"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.  Examples:
+A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10901"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationType"></name>
+    <title value="v3 Code System ParticipationType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -8234,64 +4470,17 @@ Missing description."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EquipmentAlertLevel"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassRoot"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PatientImportance"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClassRoot"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.13922"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.EntityClassRoot"></name>
-    <title value="V3 Value SetEntityClassRoot"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Corresponds to the Entity class"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="ENT"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SetOperator"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SetOperator"></id>
+    <id value="v3-PatientImportance"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
@@ -8305,14 +4494,148 @@ Missing description."></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SetOperator"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-PatientImportance"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.17416"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19265"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.SetOperator"></name>
-    <title value="v3 Code System SetOperator"></title>
+    <name value="v3.PatientImportance"></name>
+    <title value="v3 Code System PatientImportance"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Patient VIP code"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-PatientImportance"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PaymentTerms"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-PaymentTerms"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-PaymentTerms"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.14908"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.PaymentTerms"></name>
+    <title value="v3 Code System PaymentTerms"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-PaymentTerms"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PersonDisabilityType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-PersonDisabilityType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-PersonDisabilityType"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.PersonDisabilityType"></name>
+    <title value="v3 Code System PersonDisabilityType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code identifying a person's disability."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-PersonDisabilityType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProbabilityDistributionType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ProbabilityDistributionType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ProbabilityDistributionType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10747"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ProbabilityDistributionType"></name>
+    <title value="v3 Code System ProbabilityDistributionType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31"></date>
@@ -8327,7 +4650,591 @@ Missing description."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-SetOperator"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ProbabilityDistributionType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProcessingID"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ProcessingID"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ProcessingID"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.103"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ProcessingID"></name>
+    <title value="v3 Code System ProcessingID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes used to specify whether a message is part of a production, training, or debugging system."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ProcessingID"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProcessingMode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ProcessingMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ProcessingMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.207"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ProcessingMode"></name>
+    <title value="v3 Code System ProcessingMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ProcessingMode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryParameterValue"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryParameterValue"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-QueryParameterValue"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryParameterValue"></name>
+    <title value="v3 Code System QueryParameterValue"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The domain of coded values used as parameters within QueryByParameter queries."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryParameterValue"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryPriority"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryPriority"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-QueryPriority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.91"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryPriority"></name>
+    <title value="v3 Code System QueryPriority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryPriority"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryRequestLimit"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryRequestLimit"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-QueryRequestLimit"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryRequestLimit"></name>
+    <title value="v3 Code System QueryRequestLimit"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Definition:
+Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryRequestLimit"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryResponse"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryResponse"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-QueryResponse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.208"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryResponse"></name>
+    <title value="v3 Code System QueryResponse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryResponse"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-QueryStatusCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryStatusCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-QueryStatusCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.18899"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryStatusCode"></name>
+    <title value="v3 Code System QueryStatusCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code specifying the state of the Query."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-QueryStatusCode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Race"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-Race"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-Race"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.Race"></name>
+    <title value="v3 Code System Race"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations.  The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification.  Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from &quot;the original peoples&quot; of a specified region or nation.  The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White.  The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Race"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RelationalOperator"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RelationalOperator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RelationalOperator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.209"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RelationalOperator"></name>
+    <title value="v3 Code System RelationalOperator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RelationalOperator"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RelationshipConjunction"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RelationshipConjunction"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10365"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RelationshipConjunction"></name>
+    <title value="v3 Code System RelationshipConjunction"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RelationshipConjunction"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ReligiousAffiliation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.ReligiousAffiliation"></name>
+    <title value="v3 Code System ReligiousAffiliation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Assigment of spiritual faith affiliation"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ResponseLevel"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ResponseLevel"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ResponseLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.14761"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ResponseLevel"></name>
+    <title value="v3 Code System ResponseLevel"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ResponseLevel"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ResponseModality"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ResponseModality"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ResponseModality"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.394"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ResponseModality"></name>
+    <title value="v3 Code System ResponseModality"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Defines the timing and grouping of the response instances.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ResponseModality"></system>
      </include>
     </compose>
    </ValueSet>
@@ -8379,6 +5286,636 @@ Missing description."></description>
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClass"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClass"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClass"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11555"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleClass"></name>
+    <title value="v3 Code System RoleClass"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes for the Role class hierarchy.  The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role.  Roles names are derived from the name of the playing entity in that role. The role hierarchy stems from three core concepts, or abstract domains:    RoleClassOntological
+is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity.   RoleClassPartitive
+collects roles in which the playing entity is in some sense a &quot;part&quot; of the scoping entity.   RoleClassAssociative
+collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between:    RoleClassPassive
+which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity.   RoleClassMutualRelationship
+which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may bede facto
+behavior.  Thus, this sub-domain is further divided into:    RoleClassRelationshipFormal
+in which the relationship is formally defined, frequently by a contract or agreement.   Personal relationship
+which inks two people in a personal relationship. The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the  &quot;Personal relationship&quot; which is a leaf concept.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleCode"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleCode"></name>
+    <title value="v3 Code System RoleCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleLinkStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleLinkStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleLinkStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20413"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleLinkStatus"></name>
+    <title value="v3 Code System RoleLinkStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes representing possible states of a RoleLink, as defined by the RoleLink class state machine."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleLinkType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleLinkType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleLinkType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11603"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleLinkType"></name>
+    <title value="v3 Code System RoleLinkType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleStatus"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.15999"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleStatus"></name>
+    <title value="v3 Code System RoleStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of an Role, as defined by the Role class state machine."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleStatus"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RouteOfAdministration"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RouteOfAdministration"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.RouteOfAdministration"></name>
+    <title value="v3 Code System RouteOfAdministration"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The path the administered medication takes to get into the body or into contact with the body."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Sequencing"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-Sequencing"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-Sequencing"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.390"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Sequencing"></name>
+    <title value="v3 Code System Sequencing"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specifies sequence of sort order."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Sequencing"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SetOperator"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SetOperator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SetOperator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.17416"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.SetOperator"></name>
+    <title value="v3 Code System SetOperator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-SetOperator"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SpecimenType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SpecimenType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SpecimenType"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.SpecimenType"></name>
+    <title value="v3 Code System SpecimenType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-SpecimenType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-styleType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-styleType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-styleType"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.styleType"></name>
+    <title value="v3 Code System styleType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" &lt;ns1:p&gt;The style code is used within the CDA/SPL narrative block to give the instance author some control over various aspects of style&lt;/ns1:p&gt;"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-styleType"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-substanceAdminSubstitution"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-substanceAdminSubstitution"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.substanceAdminSubstitution"></name>
+    <title value="v3 Code System substanceAdminSubstitution"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SubstitutionCondition"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SubstitutionCondition"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SubstitutionCondition"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.SubstitutionCondition"></name>
+    <title value="v3 Code System SubstitutionCondition"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableCellHorizontalAlign"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TableCellHorizontalAlign"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TableCellHorizontalAlign"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10981"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableCellHorizontalAlign"></name>
+    <title value="v3 Code System TableCellHorizontalAlign"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TableCellHorizontalAlign"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableCellScope"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TableCellScope"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TableCellScope"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11012"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableCellScope"></name>
+    <title value="v3 Code System TableCellScope"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TableCellScope"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableCellVerticalAlign"></fullUrl>
   <resource>
@@ -8425,13 +5962,572 @@ Missing description."></description>
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableFrame"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TableFrame"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TableFrame"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10992"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableFrame"></name>
+    <title value="v3 Code System TableFrame"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TableFrame"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TableRules"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TableRules"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TableRules"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11002"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableRules"></name>
+    <title value="v3 Code System TableRules"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TableRules"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TargetAwareness"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TargetAwareness"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10310"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TargetAwareness"></name>
+    <title value="v3 Code System TargetAwareness"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TargetAwareness"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TelecommunicationCapabilities"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TelecommunicationCapabilities"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TelecommunicationCapabilities"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20312"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TelecommunicationCapabilities"></name>
+    <title value="v3 Code System TelecommunicationCapabilities"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TelecommunicationCapabilities"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TimingEvent"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TimingEvent"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TimingEvent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10706"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TimingEvent"></name>
+    <title value="v3 Code System TimingEvent"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TimingEvent"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TransmissionRelationshipTypeCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TransmissionRelationshipTypeCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TransmissionRelationshipTypeCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19833"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TransmissionRelationshipTypeCode"></name>
+    <title value="v3 Code System TransmissionRelationshipTypeCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TransmissionRelationshipTypeCode"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-TribalEntityUS"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-TribalEntityUS"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-TribalEntityUS"></url>
+    <version value="2019-07-31"></version>
+    <name value="v3.TribalEntityUS"></name>
+    <title value="v3 Code System TribalEntityUS"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-triggerEventID"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-triggerEventID"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-triggerEventID"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20324"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.triggerEventID"></name>
+    <title value="v3 Code System triggerEventID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+This code system contains all HL7 artifacts of type TE (Trigger Event) that are created by HL7 or its affiliates or their designates using the realm namespacing rules approved by HL7.  Local implementations who create trigger events outside of these namespacing rules, (e.g. using the ZZ realm code) must register their own code system.  The specific list of legal codes can be found by consulting the HL7 publications (editions, ballots, implementation guides, etc.) published by HL7 Inc. and by the various HL7 affiliates and their designates.  Codes shall be expressed in upper case, with separator as shown in HL7 publications with no version id.  E.g. PORX_TE123456UV."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-triggerEventID"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-VaccineManufacturer"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-VaccineManufacturer"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-VaccineManufacturer"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.227"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.VaccineManufacturer"></name>
+    <title value="v3 Code System VaccineManufacturer"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The manufacturer of a vaccine."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-VaccineManufacturer"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-WorkClassificationODH"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-WorkClassificationODH"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20560"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.WorkClassificationODH"></name>
+    <title value="v3 Code System WorkClassificationODH"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.)."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActMoodIntent"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActMoodIntent"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActMoodIntent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10199"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActMoodIntent"></name>
+    <title value="V3 Value SetActMoodIntent"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An intention or plan to perform a service. Historical note: in previous RIM versions, the intent mood was captured as a separate class hierarchy, called Service_intent_or_order."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="INT"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActMoodPredicate"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActMoodPredicate"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10202"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActMoodPredicate"></name>
+    <title value="V3 Value SetActMoodPredicate"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Any of the above service moods (e.g., event, intent, or goal) can be turned into a predicate used as a criterion to express conditionals (or queries.)  However, currently we allow only criteria on service events."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActMoodPredicate"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
+      <concept>
+       <code value="_ActMoodPredicate"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="v3-ConfidentialityClassification"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -8489,12 +6585,12 @@ Missing description."></description>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AddressUse"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationPhysicalPerformer"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AddressUse"></id>
+    <id value="v3-ParticipationPhysicalPerformer"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -8503,301 +6599,14 @@ Missing description."></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AddressUse"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationPhysicalPerformer"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.190"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AddressUse"></name>
-    <title value="v3 Code System AddressUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes that provide guidance around the circumstances in which a given address should be used."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AddressUse"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HL7UpdateMode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-HL7UpdateMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10018"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.HL7UpdateMode"></name>
-    <title value="v3 Code System HL7UpdateMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-IntegrityCheckAlgorithm"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-IntegrityCheckAlgorithm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.17385"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.IntegrityCheckAlgorithm"></name>
-    <title value="v3 Code System IntegrityCheckAlgorithm"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-IntegrityCheckAlgorithm"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipSubset"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipSubset"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSubset"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19613"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipSubset"></name>
-    <title value="v3 Code System ActRelationshipSubset"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" &lt;ns1:p&gt;Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.&lt;/ns1:p&gt;&lt;ns1:p&gt;Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.&lt;/ns1:p&gt;"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSubset"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProvenanceEventCurrentState-DC"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ProvenanceEventCurrentState-DC"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState-DC"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20546"></value>
-    </identifier>
-    <version value="2014-08-07"></version>
-    <name value="v3.ProvenanceEventCurrentState-DC"></name>
-    <title value="V3 Value SetProvenanceEventCurrentState-DC"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies the state change of a target Act using DocuymentCompletion codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being &quot;obsoleted&quot; and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be &quot;obsoleted&quot;."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"></system>
-      <concept>
-       <code value="AU"></code>
-      </concept>
-      <concept>
-       <code value="DI"></code>
-      </concept>
-      <concept>
-       <code value="DO"></code>
-      </concept>
-      <concept>
-       <code value="LA"></code>
-      </concept>
-      <concept>
-       <code value="UC"></code>
-      </concept>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-DeviceAlertLevel"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-DeviceAlertLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-DeviceAlertLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.14066"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.DeviceAlertLevel"></name>
-    <title value="v3 Code System DeviceAlertLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Domain values for the Device.Alert_levelCode"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-DeviceAlertLevel"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActMoodIntent"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActMoodIntent"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActMoodIntent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10199"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10248"></value>
     </identifier>
     <version value="2014-03-26"></version>
-    <name value="v3.ActMoodIntent"></name>
-    <title value="V3 Value SetActMoodIntent"></title>
+    <name value="v3.ParticipationPhysicalPerformer"></name>
+    <title value="V3 Value SetParticipationPhysicalPerformer"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7 v3"></publisher>
@@ -8807,15 +6616,15 @@ Missing description."></description>
       <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" An intention or plan to perform a service. Historical note: in previous RIM versions, the intent mood was captured as a separate class hierarchy, called Service_intent_or_order."></description>
+    <description value=" A person  who actually and principally carries out the action.  Need not be the principal responsible actor, e.g. a surgery resident operating under supervision of attending surgeon, and may be the patient in self-care, e.g. fingerstick blood sugar.  The traditional order filler is a performer. This information should accompany every service event."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
       <filter>
        <property value="concept"></property>
        <op value="is-a"></op>
-       <value value="INT"></value>
+       <value value="PRF"></value>
       </filter>
      </include>
     </compose>
@@ -8823,12 +6632,12 @@ Missing description."></description>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityNamePartQualifier"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationInformationGenerator"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartQualifier"></id>
+    <id value="v3-ParticipationInformationGenerator"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -8837,107 +6646,14 @@ Missing description."></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifier"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationGenerator"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.15888"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartQualifier"></name>
-    <title value="v3 Code System EntityNamePartQualifier"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  OpenIssue:
-Needs description"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifier"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipJoin"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipJoin"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipJoin"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10360"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipJoin"></name>
-    <title value="v3 Code System ActRelationshipJoin"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipJoin"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActCoverageTypeCode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActCoverageTypeCode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActCoverageTypeCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19855"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10251"></value>
     </identifier>
     <version value="2014-03-26"></version>
-    <name value="v3.ActCoverageTypeCode"></name>
-    <title value="V3 Value SetActCoverageTypeCode"></title>
+    <name value="v3.ParticipationInformationGenerator"></name>
+    <title value="V3 Value SetParticipationInformationGenerator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7 v3"></publisher>
@@ -8947,164 +6663,21 @@ Needs description"></description>
       <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  Definition:
-Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActCoverageTypeCode"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActConsentType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActConsentType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActConsentType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19897"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.ActConsentType"></name>
-    <title value="V3 Value SetActConsentType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Definition:
-The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose  health information  for purposes such as research."></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_ActConsentType"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassRoot"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassRoot"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassRoot"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.13940"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassRoot"></name>
-    <title value="V3 Value SetRoleClassRoot"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Corresponds to the Role class"></description>
+    <description value=" Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness)."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
       <filter>
        <property value="concept"></property>
        <op value="is-a"></op>
-       <value value="ROL"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassPassive"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClassPassive"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassPassive"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.19105"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.RoleClassPassive"></name>
-    <title value="V3 Value SetRoleClassPassive"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="_RoleClassPassive"></value>
+       <value value="_ParticipationInformationGenerator"></value>
       </filter>
      </include>
      <exclude>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
       <concept>
-       <code value="_RoleClassPassive"></code>
+       <code value="_ParticipationInformationGenerator"></code>
       </concept>
      </exclude>
     </compose>
@@ -9112,31 +6685,28 @@ The type of consent directive, e.g., to consent or dissent to collect, access, o
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActConsentDirective"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationVerifier"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActConsentDirective"></id>
+    <id value="v3-ParticipationVerifier"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
+     <valueCode value="external"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
+     <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActConsentDirective"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationVerifier"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20425"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10259"></value>
     </identifier>
     <version value="2014-03-26"></version>
-    <name value="v3.ActConsentDirective"></name>
-    <title value="V3 Value SetActConsentDirective"></title>
+    <name value="v3.ParticipationVerifier"></name>
+    <title value="V3 Value SetParticipationVerifier"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7 v3"></publisher>
@@ -9146,15 +6716,15 @@ The type of consent directive, e.g., to consent or dissent to collect, access, o
       <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" ActConsentDirective codes are used to specify the type of Consent Directive to which a Consent Directive Act conforms."></description>
-    <immutable value="false"></immutable>
+    <description value=" A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability."></description>
+    <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
       <filter>
        <property value="concept"></property>
        <op value="is-a"></op>
-       <value value="_ActConsentDirective"></value>
+       <value value="VRF"></value>
       </filter>
      </include>
     </compose>
@@ -9167,7 +6737,7 @@ The type of consent directive, e.g., to consent or dissent to collect, access, o
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="v3-ParticipationTargetDirect"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9208,13 +6778,107 @@ The type of consent directive, e.g., to consent or dissent to collect, access, o
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationTargetLocation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationTargetLocation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetLocation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10302"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ParticipationTargetLocation"></name>
+    <title value="V3 Value SetParticipationTargetLocation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The facility where the service is done.  May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="LOC"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipHasComponent"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipHasComponent"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipHasComponent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10318"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActRelationshipHasComponent"></name>
+    <title value="V3 Value SetActRelationshipHasComponent"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="COMP"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipPertains"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="v3-ActRelationshipPertains"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9256,12 +6920,12 @@ The type of consent directive, e.g., to consent or dissent to collect, access, o
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationMethod"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipFulfills"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationMethod"></id>
+    <id value="v3-ActRelationshipFulfills"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9270,62 +6934,14 @@ The type of consent directive, e.g., to consent or dissent to collect, access, o
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipFulfills"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20423"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationMethod"></name>
-    <title value="v3 Code System ObservationMethod"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code that provides additional detail about the means or technique used to ascertain the observation.  Examples:
-Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified.  Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description.  Needs to be improved."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationMethod"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassSupply"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActClassSupply"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassSupply"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.11535"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10342"></value>
     </identifier>
     <version value="2014-03-26"></version>
-    <name value="v3.ActClassSupply"></name>
-    <title value="V3 Value SetActClassSupply"></title>
+    <name value="v3.ActRelationshipFulfills"></name>
+    <title value="V3 Value SetActRelationshipFulfills"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7 v3"></publisher>
@@ -9335,109 +6951,15 @@ Description copied from Concept Domain of same name.  Must be verified.  Note th
       <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode=&quot;product&quot;. With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important.  Most of the detailed information about the Supply should be represented using the Material class.  If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act.  Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration  Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply."></description>
+    <description value=" The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
       <filter>
        <property value="concept"></property>
        <op value="is-a"></op>
-       <value value="SPLY"></value>
-      </filter>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HL7ContextConductionStyle"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-HL7ContextConductionStyle"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-HL7ContextConductionStyle"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20380"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.HL7ContextConductionStyle"></name>
-    <title value="v3 Code System HL7ContextConductionStyle"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-HL7ContextConductionStyle"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SecurityPolicy"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-SecurityPolicy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-SecurityPolicy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20444"></value>
-    </identifier>
-    <version value="2014-03-26"></version>
-    <name value="v3.SecurityPolicy"></name>
-    <title value="V3 Value SetSecurityPolicy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 v3"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Types of security policies that further specify the ActClassPolicy value set.  Examples:
-encrypt prohibit redisclosure without consent directive"></description>
-    <immutable value="false"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
-      <filter>
-       <property value="concept"></property>
-       <op value="is-a"></op>
-       <value value="SecurityPolicy"></value>
+       <value value="FLFS"></value>
       </filter>
      </include>
     </compose>
@@ -9450,7 +6972,7 @@ encrypt prohibit redisclosure without consent directive"></description>
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="v3-RoleClassRelationshipFormal"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9498,12 +7020,12 @@ encrypt prohibit redisclosure without consent directive"></description>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LocalRemoteControlState"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassPartitive"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-LocalRemoteControlState"></id>
+    <id value="v3-RoleClassPartitive"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9512,44 +7034,93 @@ encrypt prohibit redisclosure without consent directive"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-LocalRemoteControlState"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassPartitive"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10893"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10429"></value>
     </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.LocalRemoteControlState"></name>
-    <title value="v3 Code System LocalRemoteControlState"></title>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassPartitive"></name>
+    <title value="V3 Value SetRoleClassPartitive"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
+    <publisher value="HL7 v3"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org"></value>
+      <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
+    <description value=" An association between two Entities where the playing Entity is considered in some way &quot;part&quot; of the scoping Entity, e.g., as a member, component, ingredient, or content. Being &quot;part&quot; in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-LocalRemoteControlState"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_RoleClassPartitive"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <concept>
+       <code value="_RoleClassPartitive"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-DocumentSectionType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-DocumentSectionType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-DocumentSectionType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10871"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.DocumentSectionType"></name>
+    <title value="V3 Value SetDocumentSectionType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The type of document section.  Possible values: review of systems, medical history, family history, microscopic findings, etc."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://loinc.org"></system>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-triggerEventID"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityDeterminerDetermined"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-triggerEventID"></id>
+    <id value="v3-EntityDeterminerDetermined"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9558,45 +7129,2711 @@ encrypt prohibit redisclosure without consent directive"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-triggerEventID"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminerDetermined"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.20324"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10879"></value>
     </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.triggerEventID"></name>
-    <title value="v3 Code System triggerEventID"></title>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityDeterminerDetermined"></name>
+    <title value="V3 Value SetEntityDeterminerDetermined"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
+    <publisher value="HL7 v3"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org"></value>
+      <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  Description:
-This code system contains all HL7 artifacts of type TE (Trigger Event) that are created by HL7 or its affiliates or their designates using the realm namespacing rules approved by HL7.  Local implementations who create trigger events outside of these namespacing rules, (e.g. using the ZZ realm code) must register their own code system.  The specific list of legal codes can be found by consulting the HL7 publications (editions, ballots, implementation guides, etc.) published by HL7 Inc. and by the various HL7 affiliates and their designates.  Codes shall be expressed in upper case, with separator as shown in HL7 publications with no version id.  E.g. PORX_TE123456UV."></description>
+    <description value=" The described determiner is used to indicate that the given Entity is taken as a general description of a kind of thing that can be taken in whole, in part, or in multiples."></description>
     <immutable value="true"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-triggerEventID"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="KIND"></value>
+      </filter>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassLivingSubject"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClassLivingSubject"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10884"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityClassLivingSubject"></name>
+    <title value="V3 Value SetEntityClassLivingSubject"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject.)"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="LIV"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassOrganization"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClassOrganization"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassOrganization"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10889"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityClassOrganization"></name>
+    <title value="V3 Value SetEntityClassOrganization"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A social or legal structure formed by human beings."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="ORG"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassPlace"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClassPlace"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassPlace"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.10892"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityClassPlace"></name>
+    <title value="V3 Value SetEntityClassPlace"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A physicial place or site with its containing structure. May be natural or man-made.  The geographic position of a place may or may not be constant."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="PLC"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-HumanLanguage"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-HumanLanguage"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-HumanLanguage"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11526"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.HumanLanguage"></name>
+    <title value="V3 Value SetHumanLanguage"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes for the representation of the names of human languages."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="urn:iso:std:iso:3166"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassObservation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassObservation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassObservation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11529"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassObservation"></name>
+    <title value="V3 Value SetActClassObservation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. Thecode
+attribute of Observation and thevalue
+attribute of Observation must be considered in combination to determine the semantics of the observation.  Discussion:
+Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a  variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observations for the counts of the various granulocytes, lymphocytes and other normal or abnormal blood cells (e.g., blasts). The overall white blood cell count Observation itself may therefore not have a value by itself (even though it could have one, e.g., the sum total of white blood cells). Thus, as long as an Act is essentially an Act of recognizing and noting information about a subject, it is an Observation, regardless of whether it has a simple value by itself or whether it has sub-observations. Even though observations are professional acts (see Act) and as such are intentional actions, this does not require that every possible outcome of an observation be pondered in advance of it being actually made. For instance, differential white blood cell counts (WBC) rarely show blasts, but if they do, this is part of the WBC observation even though blasts might not be predefined in the structure of a normal WBC. Clinical documents commonly have Subjective and Objective findings, both of which are kinds of Observations. In addition, clinical documents commonly contain Assessments, which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation.  Examples:
+ Recording the results of a Family History Assessment  Laboratory test and associated result  Physical exam test and associated result  Device temperature  Soil lead level"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="OBS"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassSupply"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassSupply"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassSupply"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11535"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassSupply"></name>
+    <title value="V3 Value SetActClassSupply"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode=&quot;product&quot;. With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important.  Most of the detailed information about the Supply should be represented using the Material class.  If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act.  Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration  Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="SPLY"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassManufacturedProduct"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassManufacturedProduct"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassManufacturedProduct"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11580"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassManufacturedProduct"></name>
+    <title value="V3 Value SetRoleClassManufacturedProduct"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Scoped by the manufacturer"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="MANU"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassSpecimen"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassSpecimen"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassSpecimen"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11591"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassSpecimen"></name>
+    <title value="V3 Value SetRoleClassSpecimen"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="SPEC"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassDevice"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClassDevice"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassDevice"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.11623"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityClassDevice"></name>
+    <title value="V3 Value SetEntityClassDevice"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity.  The kind of device is identified by the code attribute inherited from Entity.  Usage:
+This includes durable (reusable) medical equipment as well as disposable equipment."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="DEV"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassRoot"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClassRoot"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassRoot"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.13922"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityClassRoot"></name>
+    <title value="V3 Value SetEntityClassRoot"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Corresponds to the Entity class"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="ENT"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-EntityClassManufacturedMaterial"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClassManufacturedMaterial"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-EntityClassManufacturedMaterial"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.13934"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.EntityClassManufacturedMaterial"></name>
+    <title value="V3 Value SetEntityClassManufacturedMaterial"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Corresponds to the ManufacturedMaterial class"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="MMAT"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassRoot"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassRoot"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassRoot"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.13940"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassRoot"></name>
+    <title value="V3 Value SetRoleClassRoot"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Corresponds to the Role class"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="ROL"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassClinicalDocument"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassClinicalDocument"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassClinicalDocument"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.13948"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassClinicalDocument"></name>
+    <title value="V3 Value SetActClassClinicalDocument"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A clinical document is a documentation of clinical observations and services, with the following characteristics: (1) Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; (2) Stewardship - A clinical document is maintained by a person or organization entrusted with its care; (3) Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; (4) Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; (5) Human readability - A clinical document is human readable.&quot;"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="DOCCLIN"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActEncounterCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActEncounterCode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.13955"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActEncounterCode"></name>
+    <title value="V3 Value SetActEncounterCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Domain provides codes that qualify the ActEncounterClass (ENC)"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActEncounterCode"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <concept>
+       <code value="_ActEncounterCode"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassAgent"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassAgent"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassAgent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.14006"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassAgent"></name>
+    <title value="V3 Value SetRoleClassAgent"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An entity (player) that acts or is authorized to act on behalf of another entity (scoper)."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="AGNT"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActPharmacySupplyType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActPharmacySupplyType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16208"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActPharmacySupplyType"></name>
+    <title value="V3 Value SetActPharmacySupplyType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies types of dispensing events"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActPharmacySupplyType"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <concept>
+       <code value="_ActPharmacySupplyType"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObservationType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ObservationType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16226"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ObservationType"></name>
+    <title value="V3 Value SetObservationType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies the kinds of observations that can be performed"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ObservationType"></value>
+      </filter>
+     </include>
+     <include>
+      <system value="http://loinc.org"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActIncidentCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActIncidentCode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16508"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActIncidentCode"></name>
+    <title value="V3 Value SetActIncidentCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Set of codes indicating the type of incident or accident."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActIncidentCode"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <concept>
+       <code value="_ActIncidentCode"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActSubstanceAdminSubstitutionCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActSubstanceAdminSubstitutionCode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16621"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActSubstanceAdminSubstitutionCode"></name>
+    <title value="V3 Value SetActSubstanceAdminSubstitutionCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="No Description Provided"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActSubstanceAdminSubstitutionCode"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></system>
+      <concept>
+       <code value="_ActSubstanceAdminSubstitutionCode"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SeverityObservation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SeverityObservation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SeverityObservation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16643"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.SeverityObservation"></name>
+    <title value="V3 Value SetSeverityObservation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Potential values for observations of severity."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_SeverityObservation"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <concept>
+       <code value="_SeverityObservation"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-xBasicConfidentialityKind"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-xBasicConfidentialityKind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-xBasicConfidentialityKind"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16926"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.x_BasicConfidentialityKind"></name>
+    <title value="V3 Value Setx_BasicConfidentialityKind"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Used to enumerate the typical confidentiality constraints placed upon a clinical document.  Usage Note:
+x_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization; that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject; or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"></system>
+      <concept>
+       <code value="N"></code>
+      </concept>
+      <concept>
+       <code value="R"></code>
+      </concept>
+      <concept>
+       <code value="V"></code>
+      </concept>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassServiceDeliveryLocation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassServiceDeliveryLocation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassServiceDeliveryLocation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.16927"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassServiceDeliveryLocation"></name>
+    <title value="V3 Value SetRoleClassServiceDeliveryLocation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A role played by a place at which services may be provided."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="SDLOC"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ServiceDeliveryLocationRoleType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ServiceDeliveryLocationRoleType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.17660"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ServiceDeliveryLocationRoleType"></name>
+    <title value="V3 Value SetServiceDeliveryLocationRoleType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ServiceDeliveryLocationRoleType"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+      <concept>
+       <code value="_ServiceDeliveryLocationRoleType"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassROI"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassROI"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassROI"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.17893"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassROI"></name>
+    <title value="V3 Value SetActClassROI"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type &quot;subject&quot; (SUBJ), which must always be present."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActClassROI"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <concept>
+       <code value="_ActClassROI"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassDocument"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassDocument"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassDocument"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.18938"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassDocument"></name>
+    <title value="V3 Value SetActClassDocument"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specialization of Act to add the characteristics unique to document management services."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="DOC"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActRelationshipConditional"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipConditional"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.18977"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActRelationshipConditional"></name>
+    <title value="V3 Value SetActRelationshipConditional"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred"></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActRelationshipConditional"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></system>
+      <concept>
+       <code value="_ActRelationshipConditional"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationIndirectTarget"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationIndirectTarget"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationIndirectTarget"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19032"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ParticipationIndirectTarget"></name>
+    <title value="V3 Value SetParticipationIndirectTarget"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="IND"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassPassive"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassPassive"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassPassive"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19105"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassPassive"></name>
+    <title value="V3 Value SetRoleClassPassive"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_RoleClassPassive"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <concept>
+       <code value="_RoleClassPassive"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassAssociative"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassAssociative"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassAssociative"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19313"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassAssociative"></name>
+    <title value="V3 Value SetRoleClassAssociative"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A general association between two entities that is neither partitive nor ontological."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_RoleClassAssociative"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <concept>
+       <code value="_RoleClassAssociative"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RoleClassMutualRelationship"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClassMutualRelationship"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RoleClassMutualRelationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19316"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RoleClassMutualRelationship"></name>
+    <title value="V3 Value SetRoleClassMutualRelationship"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may bede facto
+behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children)."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_RoleClassMutualRelationship"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></system>
+      <concept>
+       <code value="_RoleClassMutualRelationship"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SubstanceAdminSubstitutionReason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19377"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.SubstanceAdminSubstitutionReason"></name>
+    <title value="V3 Value SetSubstanceAdminSubstitutionReason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="No Description Provided"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_SubstanceAdminSubstitutionReason"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
+      <concept>
+       <code value="_SubstanceAdminSubstitutionReason"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActInvoiceGroupCode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActInvoiceGroupCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19398"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActInvoiceGroupCode"></name>
+    <title value="V3 Value SetActInvoiceGroupCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements.  They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActInvoiceGroupCode"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <concept>
+       <code value="_ActInvoiceGroupCode"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PersonalRelationshipRoleType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-PersonalRelationshipRoleType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-PersonalRelationshipRoleType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19563"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.PersonalRelationshipRoleType"></name>
+    <title value="V3 Value SetPersonalRelationshipRoleType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Types of personal relationships between two living subjects.  Example:
+Parent, sibling, unrelated friend, neighbor"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_PersonalRelationshipRoleType"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+      <concept>
+       <code value="_PersonalRelationshipRoleType"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-FamilyMember"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-FamilyMember"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-FamilyMember"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19579"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.FamilyMember"></name>
+    <title value="V3 Value SetFamilyMember"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A relationship between two people characterizing their &quot;familial&quot; relationship"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="FAMMEMB"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationTargetSubject"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationTargetSubject"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19584"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ParticipationTargetSubject"></name>
+    <title value="V3 Value SetParticipationTargetSubject"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The principle target that the service acts on.  E.g. the patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). Note: not all direct targets are subjects, consumables, and devices used as tools for a service are not subjects.  However, a device may be a subject of a maintenance service."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="SBJ"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassProcedure"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassProcedure"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassProcedure"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19665"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassProcedure"></name>
+    <title value="V3 Value SetActClassProcedure"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject.  Examples:
+: Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="PROC"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationInformationTranscriber"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationInformationTranscriber"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationInformationTranscriber"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19676"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ParticipationInformationTranscriber"></name>
+    <title value="V3 Value SetParticipationInformationTranscriber"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="TRANS"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-VerificationMethod"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-VerificationMethod"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-VerificationMethod"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19707"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.VerificationMethod"></name>
+    <title value="V3 Value SetVerificationMethod"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="No Description Provided"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationMethod"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_VerificationMethod"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-MilitaryRoleType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-MilitaryRoleType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-MilitaryRoleType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19812"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.MilitaryRoleType"></name>
+    <title value="V3 Value SetMilitaryRoleType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Definition:
+A person playing the role of program eligible under a program based on military status.  Discussion:
+This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a member of the military meets jurisdictional or program criteria"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="MIL"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActTaskCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActTaskCode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActTaskCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19846"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActTaskCode"></name>
+    <title value="V3 Value SetActTaskCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+A task or action that a user may perform in a clinical information system."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActTaskCode"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActCoverageTypeCode"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActCoverageTypeCode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActCoverageTypeCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19855"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActCoverageTypeCode"></name>
+    <title value="V3 Value SetActCoverageTypeCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Definition:
+Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActCoverageTypeCode"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActConsentType"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActConsentType"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActConsentType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.19897"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActConsentType"></name>
+    <title value="V3 Value SetActConsentType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Definition:
+The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose  health information  for purposes such as research."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActConsentType"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActClassInvestigation"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActClassInvestigation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActClassInvestigation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20224"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActClassInvestigation"></name>
+    <title value="V3 Value SetActClassInvestigation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="INVSTG"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActConsentDirective"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ActConsentDirective"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ActConsentDirective"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20425"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ActConsentDirective"></name>
+    <title value="V3 Value SetActConsentDirective"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" ActConsentDirective codes are used to specify the type of Consent Directive to which a Consent Directive Act conforms."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_ActConsentDirective"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-InformationSensitivityPolicy"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-InformationSensitivityPolicy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20428"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.InformationSensitivityPolicy"></name>
+    <title value="V3 Value SetInformationSensitivityPolicy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements.  For example, an &quot;employee&quot; sensitivity code would make little sense for use outside of a policy domain.   &quot;Taboo&quot; would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply.  Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_InformationSensitivityPolicy"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SecurityPolicy"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SecurityPolicy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SecurityPolicy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20444"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.SecurityPolicy"></name>
+    <title value="V3 Value SetSecurityPolicy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Types of security policies that further specify the ActClassPolicy value set.  Examples:
+encrypt prohibit redisclosure without consent directive"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="SecurityPolicy"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ObligationPolicy"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-ObligationPolicy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ObligationPolicy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20445"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.ObligationPolicy"></name>
+    <title value="V3 Value SetObligationPolicy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Conveys the mandated workflow action that an information custodian, receiver, or user must perform.  Examples:
+encrypt  Usage Note:
+Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="ObligationPolicy"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-RefrainPolicy"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-RefrainPolicy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-RefrainPolicy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20446"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.RefrainPolicy"></name>
+    <title value="V3 Value SetRefrainPolicy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.  Examples:
+prohibit redisclosure without consent directive"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="RefrainPolicy"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-PurposeOfUse"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20448"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.PurposeOfUse"></name>
+    <title value="V3 Value SetPurposeOfUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Supports communication of purpose of use at a general level."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="PurposeOfUse"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
+      <concept>
+       <code value="PurposeOfUse"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-GeneralPurposeOfUse"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-GeneralPurposeOfUse"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20449"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.GeneralPurposeOfUse"></name>
+    <title value="V3 Value SetGeneralPurposeOfUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Supports communication of purpose of use at a general level."></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></system>
+      <concept>
+       <code value="COVERAGE"></code>
+      </concept>
+      <concept>
+       <code value="ETREAT"></code>
+      </concept>
+      <concept>
+       <code value="HMARKT"></code>
+      </concept>
+      <concept>
+       <code value="HOPERAT"></code>
+      </concept>
+      <concept>
+       <code value="HPAYMT"></code>
+      </concept>
+      <concept>
+       <code value="HRESCH"></code>
+      </concept>
+      <concept>
+       <code value="PATRQT"></code>
+      </concept>
+      <concept>
+       <code value="PUBHLTH"></code>
+      </concept>
+      <concept>
+       <code value="TREAT"></code>
+      </concept>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SecurityControlObservationValue"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SecurityControlObservationValue"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20471"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.SecurityControlObservationValue"></name>
+    <title value="V3 Value SetSecurityControlObservationValue"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Security observation values used to indicate security control metadata. V:SecurityControl is the union of V:SecurityPolicy, V:ObligationPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurpose of Use, V:PrivacyMark, V:SecurityLabelMark, and V:ControlledUnclassifiedInformation used to populate the SecurityControlObservationValue attribute in order to convey one or more nonhierarchical security control metadata dictating handling caveats including, purpose of use, obligation policy, refrain policy, dissemination controls and privacy marks to which a custodian or receiver is required to comply."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-SecurityPolicy"></valueSet>
+     </include>
+     <include>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObligationPolicy"></valueSet>
+     </include>
+     <include>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-RefrainPolicy"></valueSet>
+     </include>
+     <include>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"></valueSet>
+     </include>
+     <include>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse"></valueSet>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-Compartment"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-Compartment"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-Compartment"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20478"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.Compartment"></name>
+    <title value="V3 Value SetCompartment"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A named tag set for metadata used to populate a security category label field that &quot;segments&quot; an IT resource per policy by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Privacy and Security Classification System)  Usage Note:
+This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program.  Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment -  &quot;A division of data into isolated blocks with separate security controls for the purpose of reducing risk.&quot;"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="COMPT"></value>
+      </filter>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-SecurityIntegrityObservationValue"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="v3-SecurityIntegrityObservationValue"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20481"></value>
+    </identifier>
+    <version value="2014-03-26"></version>
+    <name value="v3.SecurityIntegrityObservationValue"></name>
+    <title value="V3 Value SetSecurityIntegrityObservationValue"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 v3"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="No Description Provided"></description>
+    <immutable value="false"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_SECINTOBV"></value>
+      </filter>
+     </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <concept>
+       <code value="_SECINTOBV"></code>
+      </concept>
+     </exclude>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProvenanceEventCurrentState-AS"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="v3-ProvenanceEventCurrentState-AS"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9651,12 +9888,12 @@ This code system contains all HL7 artifacts of type TE (Trigger Event) that are
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AmericanIndianAlaskaNativeLanguages"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProvenanceEventCurrentState-DC"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AmericanIndianAlaskaNativeLanguages"></id>
+    <id value="v3-ProvenanceEventCurrentState-DC"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9665,40 +9902,55 @@ This code system contains all HL7 artifacts of type TE (Trigger Event) that are
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AmericanIndianAlaskaNativeLanguages"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.AmericanIndianAlaskaNativeLanguages"></name>
-    <title value="v3 Code System AmericanIndianAlaskaNativeLanguages"></title>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState-DC"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20546"></value>
+    </identifier>
+    <version value="2014-08-07"></version>
+    <name value="v3.ProvenanceEventCurrentState-DC"></name>
+    <title value="V3 Value SetProvenanceEventCurrentState-DC"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
+    <publisher value="HL7 v3"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org"></value>
+      <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" American Indian and Alaska Native languages currently being used in the United States."></description>
-    <immutable value="true"></immutable>
+    <description value=" Specifies the state change of a target Act using DocuymentCompletion codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being &quot;obsoleted&quot; and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be &quot;obsoleted&quot;."></description>
+    <immutable value="false"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"></system>
+      <concept>
+       <code value="AU"></code>
+      </concept>
+      <concept>
+       <code value="DI"></code>
+      </concept>
+      <concept>
+       <code value="DO"></code>
+      </concept>
+      <concept>
+       <code value="LA"></code>
+      </concept>
+      <concept>
+       <code value="UC"></code>
+      </concept>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ActUncertainty"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ProvenanceEventCurrentState"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ActUncertainty"></id>
+    <id value="v3-ProvenanceEventCurrentState"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9707,45 +9959,43 @@ This code system contains all HL7 artifacts of type TE (Trigger Event) that are
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ActUncertainty"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.16899"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20547"></value>
     </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActUncertainty"></name>
-    <title value="v3 Code System ActUncertainty"></title>
+    <version value="2014-08-07"></version>
+    <name value="v3.ProvenanceEventCurrentState"></name>
+    <title value="V3 Value SetProvenanceEventCurrentState"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
+    <publisher value="HL7 v3"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org"></value>
+      <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  OpenIssue:
-Missing Description"></description>
-    <immutable value="true"></immutable>
+    <description value=" Specifies the state change of a target  Act, such as a document or an entry, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being &quot;obsoleted&quot; and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be  &quot;obsoleted&quot;."></description>
+    <immutable value="false"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ActUncertainty"></system>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState-AS"></valueSet>
+     </include>
+     <include>
+      <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProvenanceEventCurrentState-DC"></valueSet>
      </include>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-WorkScheduleODH"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-LanguageAbilityMode"></id>
+    <id value="v3-WorkScheduleODH"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9754,46 +10004,51 @@ Missing Description"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-WorkScheduleODH"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.12249"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20561"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.LanguageAbilityMode"></name>
-    <title value="v3 Code System LanguageAbilityMode"></title>
+    <name value="v3.WorkScheduleODH"></name>
+    <title value="V3 Value SetWorkScheduleODH"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
+    <publisher value="HL7 v3"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org"></value>
+      <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" A value representing the method of expression of the language.  Example:
-Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified."></description>
-    <immutable value="true"></immutable>
+    <description value=" Describes an individual's typical arrangement of working hours for an occupation."></description>
+    <immutable value="false"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityMode"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_WorkSchedule"></value>
+      </filter>
      </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <concept>
+       <code value="_WorkSchedule"></code>
+      </concept>
+     </exclude>
     </compose>
    </ValueSet>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-LivingArrangement"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-employmentStatusODH"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-LivingArrangement"></id>
+    <id value="v3-employmentStatusODH"></id>
     <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
@@ -9802,1834 +10057,44 @@ Description copied from Concept Domain of same name.  Must be verified."></descr
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-LivingArrangement"></url>
+    <url value="http://terminology.hl7.org/ValueSet/v3-employmentStatusODH"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.1.11.20562"></value>
+    </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.LivingArrangement"></name>
-    <title value="v3 Code System LivingArrangement"></title>
+    <name value="v3.employmentStatusODH"></name>
+    <title value="V3 Value SetemploymentStatusODH"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
+    <publisher value="HL7 v3"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org"></value>
+      <value value="http://www.hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" A code depicting the living arrangements of a person"></description>
-    <immutable value="true"></immutable>
+    <description value=" Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment."></description>
+    <immutable value="false"></immutable>
     <compose>
      <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-LivingArrangement"></system>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <filter>
+       <property value="concept"></property>
+       <op value="is-a"></op>
+       <value value="_EmploymentStatus"></value>
+      </filter>
      </include>
+     <exclude>
+      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></system>
+      <concept>
+       <code value="_EmploymentStatus"></code>
+      </concept>
+     </exclude>
     </compose>
    </ValueSet>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ExposureMode"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ExposureMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ExposureMode"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.ExposureMode"></name>
-    <title value="v3 Code System ExposureMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ExposureMode"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-AcknowledgementType"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.8"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementType"></name>
-    <title value="v3 Code System AcknowledgementType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This attribute contains an acknowledgement code as described in the HL7 message processing rules.  OpenIssue:
-Description was copied from attribute and needs to be improved to be appropriate for a code system."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementType"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-DataOperation"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-DataOperation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-DataOperation"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.DataOperation"></name>
-    <title value="v3 Code System DataOperation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ContainerSeparator"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ContainerSeparator"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ContainerSeparator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.14054"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContainerSeparator"></name>
-    <title value="v3 Code System ContainerSeparator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A material in a blood collection container that facilites the separation of of blood cells from serum or plasma"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ContainerSeparator"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-hl7PublishingSubSection"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7PublishingSubSection"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSubSection"></url>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7PublishingSubSection"></name>
-    <title value="v3 Code System hl7PublishingSubSection"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for HL7 publishing sub-sections (business sub-categories)"></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSubSection"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/ValueSet/v3-ParticipationFunction"></fullUrl>
-  <resource>
-   <ValueSet xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationFunction"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationFunction"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.11.10267"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationFunction"></name>
-    <title value="v3 Code System ParticipationFunction"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE)."></description>
-    <immutable value="true"></immutable>
-    <compose>
-     <include>
-      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction"></system>
-     </include>
-    </compose>
-   </ValueSet>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LocalRemoteControlState"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-LocalRemoteControlState"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-LocalRemoteControlState"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.66"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.LocalRemoteControlState"></name>
-    <title value="v3 Code System LocalRemoteControlState"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LocalRemoteControlState"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="L"></code>
-     <display value="Local"></display>
-     <definition value="An equipment can either work autonomously ('Local' control state)."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Remote"></display>
-     <definition value="An equipment can be controlled by another system, e.g., LAS computer ('Remote' control state)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ModifyIndicator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ModifyIndicator"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ModifyIndicator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.81"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ModifyIndicator"></name>
-    <title value="v3 Code System ModifyIndicator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ModifyIndicator"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="M"></code>
-     <display value="Modified subscription"></display>
-     <definition value="Modified subscription to a query server."></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="New subscription"></display>
-     <definition value="New subscription to a query server."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-orderableDrugForm"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-orderableDrugForm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.85"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.orderableDrugForm"></name>
-    <title value="v3 Code System orderableDrugForm"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  OpenIssue:
-Missing description."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-orderableDrugForm"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_AdministrableDrugForm"></code>
-     <display value="AdministrableDrugForm"></display>
-     <definition value="AdministrableDrugForm"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="APPFUL"></code>
-      <display value="Applicatorful"></display>
-      <definition value="Applicatorful"></definition>
-     </concept>
-     <concept>
-      <code value="DROP"></code>
-      <display value="Drops"></display>
-      <definition value="Drops"></definition>
-      <concept>
-       <code value="NDROP"></code>
-       <display value="Nasal Drops"></display>
-       <definition value="Nasal Drops"></definition>
-      </concept>
-      <concept>
-       <code value="OPDROP"></code>
-       <display value="Ophthalmic Drops"></display>
-       <definition value="Ophthalmic Drops"></definition>
-      </concept>
-      <concept>
-       <code value="ORDROP"></code>
-       <display value="Oral Drops"></display>
-       <definition value="Oral Drops"></definition>
-      </concept>
-      <concept>
-       <code value="OTDROP"></code>
-       <display value="Otic Drops"></display>
-       <definition value="Otic Drops"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="PUFF"></code>
-      <display value="Puff"></display>
-      <definition value="Puff"></definition>
-     </concept>
-     <concept>
-      <code value="SCOOP"></code>
-      <display value="Scoops"></display>
-      <definition value="Scoops"></definition>
-     </concept>
-     <concept>
-      <code value="SPRY"></code>
-      <display value="Sprays"></display>
-      <definition value="Sprays"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_DispensableDrugForm"></code>
-     <display value="DispensableDrugForm"></display>
-     <definition value="DispensableDrugForm"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_GasDrugForm"></code>
-      <display value="GasDrugForm"></display>
-      <definition value="Any elastic aeriform fluid in which the molecules are separated from one another and have free paths."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="GASINHL"></code>
-       <display value="Gas for Inhalation"></display>
-       <definition value="Gas for Inhalation"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_GasLiquidMixture"></code>
-      <display value="GasLiquidMixture"></display>
-      <definition value="GasLiquidMixture"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="AER"></code>
-       <display value="Aerosol"></display>
-       <definition value="Aerosol"></definition>
-       <concept>
-        <code value="BAINHL"></code>
-        <display value="Breath Activated Inhaler"></display>
-        <definition value="Breath Activated Inhaler"></definition>
-       </concept>
-       <concept>
-        <code value="INHLSOL"></code>
-        <display value="Inhalant Solution"></display>
-        <definition value="Inhalant Solution"></definition>
-       </concept>
-       <concept>
-        <code value="MDINHL"></code>
-        <display value="Metered Dose Inhaler"></display>
-        <definition value="Metered Dose Inhaler"></definition>
-       </concept>
-       <concept>
-        <code value="NASSPRY"></code>
-        <display value="Nasal Spray"></display>
-        <definition value="Nasal Spray"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="DERMSPRY"></code>
-       <display value="Dermal Spray"></display>
-       <definition value="Dermal Spray"></definition>
-      </concept>
-      <concept>
-       <code value="FOAM"></code>
-       <display value="Foam"></display>
-       <definition value="Foam"></definition>
-       <concept>
-        <code value="FOAMAPL"></code>
-        <display value="Foam with Applicator"></display>
-        <definition value="Foam with Applicator"></definition>
-       </concept>
-       <concept>
-        <code value="RECFORM"></code>
-        <display value="Rectal foam"></display>
-        <definition value="Rectal foam"></definition>
-       </concept>
-       <concept>
-        <code value="VAGFOAM"></code>
-        <display value="Vaginal foam"></display>
-        <definition value="Vaginal foam"></definition>
-        <concept>
-         <code value="VAGFOAMAPL"></code>
-         <display value="Vaginal foam with applicator"></display>
-         <definition value="Vaginal foam with applicator"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="RECSPRY"></code>
-       <display value="Rectal Spray"></display>
-       <definition value="Rectal Spray"></definition>
-      </concept>
-      <concept>
-       <code value="VAGSPRY"></code>
-       <display value="Vaginal Spray"></display>
-       <definition value="Vaginal Spray"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_GasSolidSpray"></code>
-      <display value="GasSolidSpray"></display>
-      <definition value="GasSolidSpray"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="INHL"></code>
-       <display value="Inhalant"></display>
-       <definition value="Inhalant"></definition>
-       <concept>
-        <code value="BAINHLPWD"></code>
-        <display value="Breath Activated Powder Inhaler"></display>
-        <definition value="Breath Activated Powder Inhaler"></definition>
-       </concept>
-       <concept>
-        <code value="INHLPWD"></code>
-        <display value="Inhalant Powder"></display>
-        <definition value="Inhalant Powder"></definition>
-       </concept>
-       <concept>
-        <code value="MDINHLPWD"></code>
-        <display value="Metered Dose Powder Inhaler"></display>
-        <definition value="Metered Dose Powder Inhaler"></definition>
-       </concept>
-       <concept>
-        <code value="NASINHL"></code>
-        <display value="Nasal Inhalant"></display>
-        <definition value="Nasal Inhalant"></definition>
-       </concept>
-       <concept>
-        <code value="ORINHL"></code>
-        <display value="Oral Inhalant"></display>
-        <definition value="Oral Inhalant"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PWDSPRY"></code>
-       <display value="Powder Spray"></display>
-       <definition value="Powder Spray"></definition>
-      </concept>
-      <concept>
-       <code value="SPRYADAPT"></code>
-       <display value="Spray with Adaptor"></display>
-       <definition value="Spray with Adaptor"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_Liquid"></code>
-      <display value="Liquid"></display>
-      <definition value="A state of substance that is an intermediate one entered into as matter goes from solid to gas; liquids are also intermediate in that they have neither the orderliness of a crystal nor the randomness of a gas. (Note: This term should not be used to describe solutions, only pure chemicals in their liquid state.)"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="LIQCLN"></code>
-       <display value="Liquid Cleanser"></display>
-       <definition value="Liquid Cleanser"></definition>
-       <concept>
-        <code value="LIQSOAP"></code>
-        <display value="Medicated Liquid Soap"></display>
-        <definition value="Medicated Liquid Soap"></definition>
-       </concept>
-       <concept>
-        <code value="SHMP"></code>
-        <display value="Shampoo"></display>
-        <definition value="A liquid soap or detergent used to clean the hair and scalp and is often used as a vehicle for dermatologic agents."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="OIL"></code>
-       <display value="Oil"></display>
-       <definition value="An unctuous, combustible substance which is liquid, or easily liquefiable, on warming, and is soluble in ether but insoluble in water. Such substances, depending on their origin, are classified as animal, mineral, or vegetable oils."></definition>
-       <concept>
-        <code value="TOPOIL"></code>
-        <display value="Topical Oil"></display>
-        <definition value="Topical Oil"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SOL"></code>
-       <display value="Solution"></display>
-       <definition value="A liquid preparation that contains one or more chemical substances dissolved, i.e., molecularly dispersed, in a suitable solvent or mixture of mutually miscible solvents."></definition>
-       <property>
-        <code value="child"></code>
-        <valueCode value="DROP"></valueCode>
-       </property>
-       <concept>
-        <code value="IPSOL"></code>
-        <display value="Intraperitoneal Solution"></display>
-        <definition value="Intraperitoneal Solution"></definition>
-       </concept>
-       <concept>
-        <code value="IRSOL"></code>
-        <display value="Irrigation Solution"></display>
-        <definition value="A sterile solution intended to bathe or flush open wounds or body cavities; they're used topically, never parenterally."></definition>
-        <concept>
-         <code value="DOUCHE"></code>
-         <display value="Douche"></display>
-         <definition value="A liquid preparation, intended for the irrigative cleansing of the vagina, that is prepared from powders, liquid solutions, or liquid concentrates and contains one or more chemical substances dissolved in a suitable solvent or mutually miscible solvents."></definition>
-        </concept>
-        <concept>
-         <code value="ENEMA"></code>
-         <display value="Enema"></display>
-         <definition value="A rectal preparation for therapeutic, diagnostic, or nutritive purposes."></definition>
-        </concept>
-        <concept>
-         <code value="OPIRSOL"></code>
-         <display value="Ophthalmic Irrigation Solution"></display>
-         <definition value="Ophthalmic Irrigation Solution"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="IVSOL"></code>
-        <display value="Intravenous Solution"></display>
-        <definition value="Intravenous Solution"></definition>
-       </concept>
-       <concept>
-        <code value="ORALSOL"></code>
-        <display value="Oral Solution"></display>
-        <definition value="Oral Solution"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="ORDROP"></valueCode>
-        </property>
-        <concept>
-         <code value="ELIXIR"></code>
-         <display value="Elixir"></display>
-         <definition value="A clear, pleasantly flavored, sweetened hydroalcoholic liquid containing dissolved medicinal agents; it is intended for oral use."></definition>
-        </concept>
-        <concept>
-         <code value="RINSE"></code>
-         <display value="Mouthwash/Rinse"></display>
-         <definition value="An aqueous solution which is most often used for its deodorant, refreshing, or antiseptic effect."></definition>
-        </concept>
-        <concept>
-         <code value="SYRUP"></code>
-         <display value="Syrup"></display>
-         <definition value="An oral solution containing high concentrations of sucrose or other sugars; the term has also been used to include any other liquid dosage form prepared in a sweet and viscid vehicle, including oral suspensions."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="RECSOL"></code>
-        <display value="Rectal Solution"></display>
-        <definition value="Rectal Solution"></definition>
-       </concept>
-       <concept>
-        <code value="TOPSOL"></code>
-        <display value="Topical Solution"></display>
-        <definition value="Topical Solution"></definition>
-        <concept>
-         <code value="LIN"></code>
-         <display value="Liniment"></display>
-         <definition value="A solution or mixture of various substances in oil, alcoholic solutions of soap, or emulsions intended for external application."></definition>
-        </concept>
-        <concept>
-         <code value="MUCTOPSOL"></code>
-         <display value="Mucous Membrane Topical Solution"></display>
-         <definition value="Mucous Membrane Topical Solution"></definition>
-        </concept>
-        <concept>
-         <code value="TINC"></code>
-         <display value="Tincture"></display>
-         <definition value="Tincture"></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_LiquidLiquidEmulsion"></code>
-      <display value="LiquidLiquidEmulsion"></display>
-      <definition value="A two-phase system in which one liquid is dispersed throughout another liquid in the form of small droplets."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="CRM"></code>
-       <display value="Cream"></display>
-       <definition value="A semisolid dosage form containing one or more drug substances dissolved or dispersed in a suitable base; more recently, the term has been restricted to products consisting of oil-in-water emulsions or aqueous microcrystalline dispersions of long chain fatty acids or alcohols that are water washable and more cosmetically and aesthetically acceptable."></definition>
-       <concept>
-        <code value="NASCRM"></code>
-        <display value="Nasal Cream"></display>
-        <definition value="Nasal Cream"></definition>
-       </concept>
-       <concept>
-        <code value="OPCRM"></code>
-        <display value="Ophthalmic Cream"></display>
-        <definition value="Ophthalmic Cream"></definition>
-       </concept>
-       <concept>
-        <code value="ORCRM"></code>
-        <display value="Oral Cream"></display>
-        <definition value="Oral Cream"></definition>
-       </concept>
-       <concept>
-        <code value="OTCRM"></code>
-        <display value="Otic Cream"></display>
-        <definition value="Otic Cream"></definition>
-       </concept>
-       <concept>
-        <code value="RECCRM"></code>
-        <display value="Rectal Cream"></display>
-        <definition value="Rectal Cream"></definition>
-       </concept>
-       <concept>
-        <code value="TOPCRM"></code>
-        <display value="Topical Cream"></display>
-        <definition value="Topical Cream"></definition>
-       </concept>
-       <concept>
-        <code value="VAGCRM"></code>
-        <display value="Vaginal Cream"></display>
-        <definition value="Vaginal Cream"></definition>
-        <concept>
-         <code value="VAGCRMAPL"></code>
-         <display value="Vaginal Cream with Applicator"></display>
-         <definition value="Vaginal Cream with Applicator"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="LTN"></code>
-       <display value="Lotion"></display>
-       <definition value="The term &quot;lotion&quot; has been used to categorize many topical suspensions, solutions and emulsions intended for application to the skin."></definition>
-       <concept>
-        <code value="TOPLTN"></code>
-        <display value="Topical Lotion"></display>
-        <definition value="Topical Lotion"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="OINT"></code>
-       <display value="Ointment"></display>
-       <definition value="A semisolid preparation intended for external application to the skin or mucous membranes."></definition>
-       <concept>
-        <code value="NASOINT"></code>
-        <display value="Nasal Ointment"></display>
-        <definition value="Nasal Ointment"></definition>
-       </concept>
-       <concept>
-        <code value="OINTAPL"></code>
-        <display value="Ointment with Applicator"></display>
-        <definition value="Ointment with Applicator"></definition>
-       </concept>
-       <concept>
-        <code value="OPOINT"></code>
-        <display value="Ophthalmic Ointment"></display>
-        <definition value="Ophthalmic Ointment"></definition>
-       </concept>
-       <concept>
-        <code value="OTOINT"></code>
-        <display value="Otic Ointment"></display>
-        <definition value="Otic Ointment"></definition>
-       </concept>
-       <concept>
-        <code value="RECOINT"></code>
-        <display value="Rectal Ointment"></display>
-        <definition value="Rectal Ointment"></definition>
-       </concept>
-       <concept>
-        <code value="TOPOINT"></code>
-        <display value="Topical Ointment"></display>
-        <definition value="Topical Ointment"></definition>
-       </concept>
-       <concept>
-        <code value="VAGOINT"></code>
-        <display value="Vaginal Ointment"></display>
-        <definition value="Vaginal Ointment"></definition>
-        <concept>
-         <code value="VAGOINTAPL"></code>
-         <display value="Vaginal Ointment with Applicator"></display>
-         <definition value="Vaginal Ointment with Applicator"></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_LiquidSolidSuspension"></code>
-      <display value="LiquidSolidSuspension"></display>
-      <definition value="A liquid preparation which consists of solid particles dispersed throughout a liquid phase in which the particles are not soluble."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="GEL"></code>
-       <display value="Gel"></display>
-       <definition value="A semisolid system consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid."></definition>
-       <concept>
-        <code value="GELAPL"></code>
-        <display value="Gel with Applicator"></display>
-        <definition value="Gel with Applicator"></definition>
-       </concept>
-       <concept>
-        <code value="NASGEL"></code>
-        <display value="Nasal Gel"></display>
-        <definition value="Nasal Gel"></definition>
-       </concept>
-       <concept>
-        <code value="OPGEL"></code>
-        <display value="Ophthalmic Gel"></display>
-        <definition value="Ophthalmic Gel"></definition>
-       </concept>
-       <concept>
-        <code value="OTGEL"></code>
-        <display value="Otic Gel"></display>
-        <definition value="Otic Gel"></definition>
-       </concept>
-       <concept>
-        <code value="TOPGEL"></code>
-        <display value="Topical Gel"></display>
-        <definition value="Topical Gel"></definition>
-       </concept>
-       <concept>
-        <code value="URETHGEL"></code>
-        <display value="Urethral Gel"></display>
-        <definition value="Urethral Gel"></definition>
-       </concept>
-       <concept>
-        <code value="VAGGEL"></code>
-        <display value="Vaginal Gel"></display>
-        <definition value="Vaginal Gel"></definition>
-        <concept>
-         <code value="VGELAPL"></code>
-         <display value="Vaginal Gel with Applicator"></display>
-         <definition value="Vaginal Gel with Applicator"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PASTE"></code>
-       <display value="Paste"></display>
-       <definition value="A semisolid dosage form that contains one or more drug substances intended for topical application."></definition>
-       <concept>
-        <code value="PUD"></code>
-        <display value="Pudding"></display>
-        <definition value="Pudding"></definition>
-       </concept>
-       <concept>
-        <code value="TPASTE"></code>
-        <display value="Toothpaste"></display>
-        <definition value="A paste formulation intended to clean and/or polish the teeth, and which may contain certain additional agents."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SUSP"></code>
-       <display value="Suspension"></display>
-       <definition value="Suspension"></definition>
-       <concept>
-        <code value="ITSUSP"></code>
-        <display value="Intrathecal Suspension"></display>
-        <definition value="Intrathecal Suspension"></definition>
-       </concept>
-       <concept>
-        <code value="OPSUSP"></code>
-        <display value="Ophthalmic Suspension"></display>
-        <definition value="Ophthalmic Suspension"></definition>
-       </concept>
-       <concept>
-        <code value="ORSUSP"></code>
-        <display value="Oral Suspension"></display>
-        <definition value="Oral Suspension"></definition>
-        <concept>
-         <code value="ERSUSP"></code>
-         <display value="Extended-Release Suspension"></display>
-         <definition value="Extended-Release Suspension"></definition>
-         <concept>
-          <code value="ERSUSP12"></code>
-          <display value="12 Hour Extended-Release Suspension"></display>
-          <definition value="12 Hour Extended-Release Suspension"></definition>
-         </concept>
-         <concept>
-          <code value="ERSUSP24"></code>
-          <display value="24 Hour Extended Release Suspension"></display>
-          <definition value="24 Hour Extended Release Suspension"></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="OTSUSP"></code>
-        <display value="Otic Suspension"></display>
-        <definition value="Otic Suspension"></definition>
-       </concept>
-       <concept>
-        <code value="RECSUSP"></code>
-        <display value="Rectal Suspension"></display>
-        <definition value="Rectal Suspension"></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_SolidDrugForm"></code>
-      <display value="SolidDrugForm"></display>
-      <definition value="SolidDrugForm"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="BAR"></code>
-       <display value="Bar"></display>
-       <definition value="Bar"></definition>
-       <concept>
-        <code value="BARSOAP"></code>
-        <display value="Bar Soap"></display>
-        <definition value="Bar Soap"></definition>
-        <concept>
-         <code value="MEDBAR"></code>
-         <display value="Medicated Bar Soap"></display>
-         <definition value="Medicated Bar Soap"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="CHEWBAR"></code>
-        <display value="Chewable Bar"></display>
-        <definition value="A solid dosage form usually in the form of a rectangle that is meant to be chewed."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="BEAD"></code>
-       <display value="Beads"></display>
-       <definition value="A solid dosage form in the shape of a small ball."></definition>
-      </concept>
-      <concept>
-       <code value="CAKE"></code>
-       <display value="Cake"></display>
-       <definition value="Cake"></definition>
-      </concept>
-      <concept>
-       <code value="CEMENT"></code>
-       <display value="Cement"></display>
-       <definition value="A substance that serves to produce solid union between two surfaces."></definition>
-      </concept>
-      <concept>
-       <code value="CRYS"></code>
-       <display value="Crystals"></display>
-       <definition value="A naturally produced angular solid of definite form in which the ultimate units from which it is built up are systematically arranged; they are usually evenly spaced on a regular space lattice."></definition>
-      </concept>
-      <concept>
-       <code value="DISK"></code>
-       <display value="Disk"></display>
-       <definition value="A circular plate-like organ or structure."></definition>
-      </concept>
-      <concept>
-       <code value="FLAKE"></code>
-       <display value="Flakes"></display>
-       <definition value="Flakes"></definition>
-      </concept>
-      <concept>
-       <code value="GRAN"></code>
-       <display value="Granules"></display>
-       <definition value="A small particle or grain."></definition>
-      </concept>
-      <concept>
-       <code value="GUM"></code>
-       <display value="ChewingGum"></display>
-       <definition value="A sweetened and flavored insoluble plastic material of various shapes which when chewed, releases a drug substance into the oral cavity."></definition>
-      </concept>
-      <concept>
-       <code value="PAD"></code>
-       <display value="Pad"></display>
-       <definition value="Pad"></definition>
-       <concept>
-        <code value="MEDPAD"></code>
-        <display value="Medicated Pad"></display>
-        <definition value="Medicated Pad"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PATCH"></code>
-       <display value="Patch"></display>
-       <definition value="A drug delivery system that contains an adhesived backing and that permits its ingredients to diffuse from some portion of it (e.g., the backing itself, a reservoir, the adhesive, or some other component) into the body from the external site where it is applied."></definition>
-       <concept>
-        <code value="TPATCH"></code>
-        <display value="Transdermal Patch"></display>
-        <definition value="Transdermal Patch"></definition>
-        <concept>
-         <code value="TPATH16"></code>
-         <display value="16 Hour Transdermal Patch"></display>
-         <definition value="16 Hour Transdermal Patch"></definition>
-        </concept>
-        <concept>
-         <code value="TPATH24"></code>
-         <display value="24 Hour Transdermal Patch"></display>
-         <definition value="24 Hour Transdermal Patch"></definition>
-        </concept>
-        <concept>
-         <code value="TPATH2WK"></code>
-         <display value="Biweekly Transdermal Patch"></display>
-         <definition value="Biweekly Transdermal Patch"></definition>
-        </concept>
-        <concept>
-         <code value="TPATH72"></code>
-         <display value="72 Hour Transdermal Patch"></display>
-         <definition value="72 Hour Transdermal Patch"></definition>
-        </concept>
-        <concept>
-         <code value="TPATHWK"></code>
-         <display value="Weekly Transdermal Patch"></display>
-         <definition value="Weekly Transdermal Patch"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PELLET"></code>
-       <display value="Pellet"></display>
-       <definition value="A small sterile solid mass consisting of a highly purified drug (with or without excipients) made by the formation of granules, or by compression and molding."></definition>
-      </concept>
-      <concept>
-       <code value="PILL"></code>
-       <display value="Pill"></display>
-       <definition value="A small, round solid dosage form containing a medicinal agent intended for oral administration."></definition>
-       <concept>
-        <code value="CAP"></code>
-        <display value="Capsule"></display>
-        <definition value="A solid dosage form in which the drug is enclosed within either a hard or soft soluble container or &quot;shell&quot; made from a suitable form of gelatin."></definition>
-        <concept>
-         <code value="ORCAP"></code>
-         <display value="Oral Capsule"></display>
-         <definition value="Oral Capsule"></definition>
-         <concept>
-          <code value="ENTCAP"></code>
-          <display value="Enteric Coated Capsule"></display>
-          <definition value="Enteric Coated Capsule"></definition>
-          <concept>
-           <code value="ERENTCAP"></code>
-           <display value="Extended Release Enteric Coated Capsule"></display>
-           <definition value="Extended Release Enteric Coated Capsule"></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="ERCAP"></code>
-          <display value="Extended Release Capsule"></display>
-          <definition value="A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) in such a manner to allow a reduction in dosing frequency as compared to that drug (or drugs) presented as a conventional dosage form."></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="ERENTCAP"></valueCode>
-          </property>
-          <concept>
-           <code value="ERCAP12"></code>
-           <display value="12 Hour Extended Release Capsule"></display>
-           <definition value="12 Hour Extended Release Capsule"></definition>
-          </concept>
-          <concept>
-           <code value="ERCAP24"></code>
-           <display value="24 Hour Extended Release Capsule"></display>
-           <definition value="24 Hour Extended Release Capsule"></definition>
-          </concept>
-          <concept>
-           <code value="ERECCAP"></code>
-           <display value="Extended Release Enteric Coated Capsule"></display>
-           <definition value="Rationale: Duplicate of code ERENTCAP. Use code ERENTCAP instead."></definition>
-           <property>
-            <code value="status"></code>
-            <valueCode value="retired"></valueCode>
-           </property>
-          </concept>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="TAB"></code>
-        <display value="Tablet"></display>
-        <definition value="A solid dosage form containing medicinal substances with or without suitable diluents."></definition>
-        <concept>
-         <code value="ORTAB"></code>
-         <display value="Oral Tablet"></display>
-         <definition value="Oral Tablet"></definition>
-         <concept>
-          <code value="BUCTAB"></code>
-          <display value="Buccal Tablet"></display>
-          <definition value="Buccal Tablet"></definition>
-          <concept>
-           <code value="SRBUCTAB"></code>
-           <display value="Sustained Release Buccal Tablet"></display>
-           <definition value="Sustained Release Buccal Tablet"></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="CAPLET"></code>
-          <display value="Caplet"></display>
-          <definition value="Caplet"></definition>
-         </concept>
-         <concept>
-          <code value="CHEWTAB"></code>
-          <display value="Chewable Tablet"></display>
-          <definition value="A solid dosage form containing medicinal substances with or without suitable diluents that is intended to be chewed, producing a pleasant tasting residue in the oral cavity that is easily swallowed and does not leave a bitter or unpleasant after-taste."></definition>
-         </concept>
-         <concept>
-          <code value="CPTAB"></code>
-          <display value="Coated Particles Tablet"></display>
-          <definition value="Coated Particles Tablet"></definition>
-         </concept>
-         <concept>
-          <code value="DISINTAB"></code>
-          <display value="Disintegrating Tablet"></display>
-          <definition value="A solid dosage form containing medicinal substances which disintegrates rapidly, usually within a matter of seconds, when placed upon the tongue."></definition>
-         </concept>
-         <concept>
-          <code value="DRTAB"></code>
-          <display value="Delayed Release Tablet"></display>
-          <definition value="Delayed Release Tablet"></definition>
-         </concept>
-         <concept>
-          <code value="ECTAB"></code>
-          <display value="Enteric Coated Tablet"></display>
-          <definition value="Enteric Coated Tablet"></definition>
-          <concept>
-           <code value="ERECTAB"></code>
-           <display value="Extended Release Enteric Coated Tablet"></display>
-           <definition value="Extended Release Enteric Coated Tablet"></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="ERTAB"></code>
-          <display value="Extended Release Tablet"></display>
-          <definition value="A solid dosage form containing a drug which allows at least a reduction in dosing frequency as compared to that drug presented in conventional dosage form."></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="ERECTAB"></valueCode>
-          </property>
-          <concept>
-           <code value="ERTAB12"></code>
-           <display value="12 Hour Extended Release Tablet"></display>
-           <definition value="12 Hour Extended Release Tablet"></definition>
-          </concept>
-          <concept>
-           <code value="ERTAB24"></code>
-           <display value="24 Hour Extended Release Tablet"></display>
-           <definition value="24 Hour Extended Release Tablet"></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="ORTROCHE"></code>
-          <display value="Lozenge/Oral Troche"></display>
-          <definition value="A solid preparation containing one or more medicaments, usually in a flavored, sweetened base which is intended to dissolve or disintegrate slowly in the mouth."></definition>
-         </concept>
-         <concept>
-          <code value="SLTAB"></code>
-          <display value="Sublingual Tablet"></display>
-          <definition value="Sublingual Tablet"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="VAGTAB"></code>
-         <display value="Vaginal Tablet"></display>
-         <definition value="Vaginal Tablet"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="POWD"></code>
-       <display value="Powder"></display>
-       <definition value="An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use."></definition>
-       <concept>
-        <code value="TOPPWD"></code>
-        <display value="Topical Powder"></display>
-        <definition value="Topical Powder"></definition>
-        <concept>
-         <code value="RECPWD"></code>
-         <display value="Rectal Powder"></display>
-         <definition value="Rectal Powder"></definition>
-        </concept>
-        <concept>
-         <code value="VAGPWD"></code>
-         <display value="Vaginal Powder"></display>
-         <definition value="Vaginal Powder"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SUPP"></code>
-       <display value="Suppository"></display>
-       <definition value="A solid body of various weights and shapes, adapted for introduction into the rectal, vaginal, or urethral orifice of the human body; they usually melt, soften, or dissolve at body temperature."></definition>
-       <concept>
-        <code value="RECSUPP"></code>
-        <display value="Rectal Suppository"></display>
-        <definition value="Rectal Suppository"></definition>
-       </concept>
-       <concept>
-        <code value="URETHSUPP"></code>
-        <display value="Urethral suppository"></display>
-        <definition value="Urethral suppository"></definition>
-       </concept>
-       <concept>
-        <code value="VAGSUPP"></code>
-        <display value="Vaginal Suppository"></display>
-        <definition value="Vaginal Suppository"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SWAB"></code>
-       <display value="Swab"></display>
-       <definition value="A wad of absorbent material usually wound around one end of a small stick and used for applying medication or for removing material from an area."></definition>
-       <concept>
-        <code value="MEDSWAB"></code>
-        <display value="Medicated swab"></display>
-        <definition value="Medicated swab"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="WAFER"></code>
-       <display value="Wafer"></display>
-       <definition value="A thin slice of material containing a medicinal agent."></definition>
-      </concept>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartQualifier"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartQualifier"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifier"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.43"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartQualifier"></name>
-    <title value="v3 Code System EntityNamePartQualifier"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  OpenIssue:
-Needs description"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifier"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_OrganizationNamePartQualifier"></code>
-     <display value="OrganizationNamePartQualifier"></display>
-     <definition value="OrganizationNamePartQualifier"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AC"></code>
-      <display value="academic"></display>
-      <definition value="Indicates that a prefix like &quot;Dr.&quot; or a suffix like &quot;M.D.&quot; or &quot;Ph.D.&quot; is an academic title."></definition>
-     </concept>
-     <concept>
-      <code value="AD"></code>
-      <display value="adopted"></display>
-      <definition value="The name the person was given at the time of adoption."></definition>
-     </concept>
-     <concept>
-      <code value="BR"></code>
-      <display value="birth"></display>
-      <definition value="A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later."></definition>
-     </concept>
-     <concept>
-      <code value="CL"></code>
-      <display value="callme"></display>
-      <definition value="A callme name is (usually a given name) that is preferred when a person is directly addressed."></definition>
-     </concept>
-     <concept>
-      <code value="IN"></code>
-      <display value="initial"></display>
-      <definition value="Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts.  Initials may consist of more than one letter, e.g., &quot;Ph.&quot; could stand for &quot;Philippe&quot; or &quot;Th.&quot; for &quot;Thomas&quot;."></definition>
-     </concept>
-     <concept>
-      <code value="LS"></code>
-      <display value="Legal status"></display>
-      <definition value="For organizations a suffix indicating the legal status, e.g., &quot;Inc.&quot;, &quot;Co.&quot;, &quot;AG&quot;, &quot;GmbH&quot;, &quot;B.V.&quot; &quot;S.A.&quot;,  &quot;Ltd.&quot; etc."></definition>
-     </concept>
-     <concept>
-      <code value="NB"></code>
-      <display value="nobility"></display>
-      <definition value="In Europe and Asia, there are still people with nobility titles (aristocrats).  German &quot;von&quot; is generally a nobility title, not a mere voorvoegsel.  Others are &quot;Earl of&quot; or &quot;His Majesty King of...&quot; etc.  Rarely used nowadays, but some systems do keep track of this."></definition>
-     </concept>
-     <concept>
-      <code value="PR"></code>
-      <display value="professional"></display>
-      <definition value="Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential suffices."></definition>
-     </concept>
-     <concept>
-      <code value="SP"></code>
-      <display value="spouse"></display>
-      <definition value="The name assumed from the partner in a marital relationship (hence the &quot;SP&quot;). Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names."></definition>
-     </concept>
-     <concept>
-      <code value="TITLE"></code>
-      <display value="title"></display>
-      <definition value="Indicates that a prefix or a suffix is a title that applies to the whole name, not just the adjacent name part."></definition>
-     </concept>
-     <concept>
-      <code value="VV"></code>
-      <display value="voorvoegsel"></display>
-      <definition value="A Dutch &quot;voorvoegsel&quot; is something like &quot;van&quot; or &quot;de&quot; that might have indicated nobility in the past but no longer so. Similar prefixes exist in other languages such as Spanish, French or Portugese."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="PharmaceuticalEntityNamePartQualifiers"></code>
-     <display value="PharmaceuticalEntityNamePartQualifiers"></display>
-     <definition value="Description: Medication Name Parts are a means of specifying a range of acceptable &quot;official&quot; forms of the name of a product.  They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports.   While they cover the concepts held under &quot;doseForm&quot; or &quot;route&quot; or &quot;strength&quot; the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CON"></code>
-      <display value="container name"></display>
-      <definition value="Description: This refers to the container if present in the medicinal product name.
-
-        EXAMPLES: 
-
-        
-         
-          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe"></definition>
-     </concept>
-     <concept>
-      <code value="DEV"></code>
-      <display value="device name"></display>
-      <definition value="Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products.
-
-        EXAMPLES: 
-
-        
-         
-          For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen."></definition>
-     </concept>
-     <concept>
-      <code value="FLAV"></code>
-      <display value="FlavorName"></display>
-      <definition value="Description: This refers to a flavor of the medicinal product if present in the medicinal product name.
-
-        
-         Examples:
-        
-
-        
-         For 'CoughCure Linctus Orange Flavor', the flavor part is &quot;Orange&quot;
-         For 'Wonderdrug Syrup Cherry Flavor', the flavor part is &quot;Cherry&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="FORMUL"></code>
-      <display value="FormulationPartName"></display>
-      <definition value="Description: This refers to the formulation of the medicinal product if present in the medicinal product name.
-
-        
-         Examples:
-        
-
-        
-         For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is &quot;Sugar Free&quot;
-         For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is &quot;gluten-free&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="FRM"></code>
-      <display value="form name"></display>
-      <definition value="Description: This refers to the pharmaceutical form/ if present in the medicinal product name.
-
-        EXAMPLES: 
-
-        
-         
-          For Agenerase 50 mg soft capsules: Soft Capsules
-
-         
-         
-          For Ludiomil 25mg-Filmtabletten: Filmtabletten
-
-         
-         
-          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection"></definition>
-     </concept>
-     <concept>
-      <code value="INV"></code>
-      <display value="invented name"></display>
-      <definition value="Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. 
-
-        EXAMPLES: 
-
-        
-         
-          Agenerase
-
-         
-         
-          Optaflu
-
-         
-         
-          Ludiomil"></definition>
-     </concept>
-     <concept>
-      <code value="POPUL"></code>
-      <display value="TargetPopulationName"></display>
-      <definition value="Description: This refers to the target population for the medicinal product if present in the medicinal product name
-
-        
-         Examples:
-        
-
-        
-         For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is &quot;children&quot;
-         For 'Adult Chesty Cough Syrup', the target population part is &quot;adult&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="SCI"></code>
-      <display value="scientific name"></display>
-      <definition value="Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
-
-        EXAMPLES: 
-
-        
-         
-          For Agenerase: N/A
-
-         
-         
-          For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season)
-
-         
-         
-          For Ludiomil: N/A"></definition>
-     </concept>
-     <concept>
-      <code value="STR"></code>
-      <display value="strength name"></display>
-      <definition value="Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required.
-
-        EXAMPLES:
-
-        
-         
-          For Agenerase 50 mg soft capsules: 50mg
-
-         
-         
-          For Ludiomil 25mg-Filmtabletten: 25 mg
-
-         
-         
-          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A"></definition>
-     </concept>
-     <concept>
-      <code value="TIME"></code>
-      <display value="TimeOrPeriodName"></display>
-      <definition value="Description: This refers to a time or time period that may be specified in the text of the medicinal product name
-
-        
-         Example:
-        
-
-        
-         For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is &quot;2008/2009 season&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="TMK"></code>
-      <display value="trademark name"></display>
-      <definition value="Description: This refers to trademark/company element if present in the medicinal product name.
-
-        EXAMPLES: 
-
-        
-         
-          for Insulin Human Winthrop Comb 15: Winthrop"></definition>
-     </concept>
-     <concept>
-      <code value="USE"></code>
-      <display value="intended use name"></display>
-      <definition value="Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
-
-
-        
-         Examples:
-        
-
-        
-         For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: &quot;Heartburn Relief&quot;
-         For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is &quot;Soothing Coughs&quot;"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PersonNamePartQualifier"></code>
-     <display value="PersonNamePartQualifier"></display>
-     <definition value="PersonNamePartQualifier"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="IN"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="TITLE"></valueCode>
-     </property>
-     <concept>
-      <code value="_PersonNamePartAffixTypes"></code>
-      <display value="PersonNamePartAffixTypes"></display>
-      <definition value="PersonNamePartAffixTypes"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="AC"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="NB"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="PR"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="VV"></valueCode>
-      </property>
-     </concept>
-     <concept>
-      <code value="_PersonNamePartChangeQualifier"></code>
-      <display value="PersonNamePartChangeQualifier"></display>
-      <definition value="PersonNamePartChangeQualifier"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="AD"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="BR"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="SP"></valueCode>
-      </property>
-     </concept>
-     <concept>
-      <code value="_PersonNamePartMiscQualifier"></code>
-      <display value="PersonNamePartMiscQualifier"></display>
-      <definition value="PersonNamePartMiscQualifier"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="CL"></valueCode>
-      </property>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleLinkStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleLinkStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1137"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleLinkStatus"></name>
-    <title value="v3 Code System RoleLinkStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes representing possible states of a RoleLink, as defined by the RoleLink class state machine."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleLinkStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="NORMAL"></code>
-     <display value="normal"></display>
-     <definition value="Description: The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of a RoleLink instance that was created in error."></definition>
-     <concept>
-      <code value="ACTIVE"></code>
-      <display value="active"></display>
-      <definition value="Description: The state indicates the RoleLink is in progress."></definition>
-     </concept>
-     <concept>
-      <code value="CANCELLED"></code>
-      <display value="cancelled"></display>
-      <definition value="Description: The terminal state resulting from abandoning the RoleLink prior to or after activation."></definition>
-     </concept>
-     <concept>
-      <code value="COMPLETED"></code>
-      <display value="completed"></display>
-      <definition value="Description: The terminal state representing the successful completion of the RoleLink."></definition>
-     </concept>
-     <concept>
-      <code value="PENDING"></code>
-      <display value="pending"></display>
-      <definition value="Description: The state indicates the RoleLink has not yet become active."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="NULLIFIED"></code>
-     <display value="nullified"></display>
-     <definition value="Description: The state representing the termination of a RoleLink instance that was created in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TransmissionRelationshipTypeCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TransmissionRelationshipTypeCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TransmissionRelationshipTypeCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1111"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TransmissionRelationshipTypeCode"></name>
-    <title value="v3 Code System TransmissionRelationshipTypeCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TransmissionRelationshipTypeCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="SEQL"></code>
-     <display value="sequence"></display>
-     <definition value="Description:A transmission relationship indicating that the source transmission follows the target transmission."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementCondition"></fullUrl>
   <resource>
@@ -11701,10 +10166,10 @@ A code specifying the meaning and purpose of every TransmissionRelationship inst
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HL7UpdateMode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementDetailCode"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-HL7UpdateMode"></id>
+    <id value="v3-AcknowledgementDetailCode"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -11714,14 +10179,14 @@ A code specifying the meaning and purpose of every TransmissionRelationship inst
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailCode"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.57"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1100"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.HL7UpdateMode"></name>
-    <title value="v3 Code System HL7UpdateMode"></title>
+    <name value="v3.AcknowledgementDetailCode"></name>
+    <title value="v3 Code System AcknowledgementDetailCode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -11732,9 +10197,10 @@ A code specifying the meaning and purpose of every TransmissionRelationship inst
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute."></description>
+    <description value="  OpenIssue:
+Missing description."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailCode"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <property>
@@ -11743,6 +10209,192 @@ A code specifying the meaning and purpose of every TransmissionRelationship inst
      <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
      <type value="boolean"></type>
     </property>
+    <concept>
+     <code value="_AcknowledgementDetailNotSupportedCode"></code>
+     <display value="AcknowledgementDetailNotSupportedCode"></display>
+     <definition value="Refelects rejections because elements of the communication are not supported in the current context."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="NS200"></code>
+      <display value="Unsupported interaction"></display>
+      <definition value="The interaction (or: this version of the interaction) is not supported."></definition>
+     </concept>
+     <concept>
+      <code value="NS202"></code>
+      <display value="Unsupported processing id"></display>
+      <definition value="The Processing ID is not supported."></definition>
+     </concept>
+     <concept>
+      <code value="NS203"></code>
+      <display value="Unsupported version id"></display>
+      <definition value="The Version ID is not supported."></definition>
+     </concept>
+     <concept>
+      <code value="NS250"></code>
+      <display value="Unsupported processing Mode"></display>
+      <definition value="The processing mode is not supported."></definition>
+     </concept>
+     <concept>
+      <code value="NS260"></code>
+      <display value="Unknown sender"></display>
+      <definition value="The Device.id of the sender is unknown."></definition>
+     </concept>
+     <concept>
+      <code value="NS261"></code>
+      <display value="Unrecognized attentionline"></display>
+      <definition value="The receiver requires information in the attentionLine classes for routing purposes."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="INTERR"></code>
+     <display value="Internal system error"></display>
+     <definition value="An internal software component (database, application, queue mechanism, etc.) has failed, leading to inability to process the message."></definition>
+    </concept>
+    <concept>
+     <code value="NOSTORE"></code>
+     <display value="No storage space for message."></display>
+     <definition value="Rejection: The message can't be stored by the receiver due to an unspecified internal application issue. The message was neither processed nor stored by the receiving application."></definition>
+    </concept>
+    <concept>
+     <code value="RTEDEST"></code>
+     <display value="Message routing error, destination unreachable."></display>
+     <definition value="Error: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is unavailable."></definition>
+    </concept>
+    <concept>
+     <code value="RTUDEST"></code>
+     <display value="Error: Message routing error, unknown destination."></display>
+     <definition value="The destination of this message is unknown to the receiving application. The receiving application in the message does not match the application which received the message. The message was neither routed, processed nor stored by the receiving application."></definition>
+    </concept>
+    <concept>
+     <code value="RTWDEST"></code>
+     <display value="Message routing warning, destination unreachable."></display>
+     <definition value="Warning: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is (temporarily) unavailable. The receiving application will forward the message as soon as the destination can be reached again."></definition>
+    </concept>
+    <concept>
+     <code value="SYN"></code>
+     <display value="Syntax error"></display>
+     <definition value="Reflects errors in the syntax or structure of the communication."></definition>
+     <concept>
+      <code value="SYN102"></code>
+      <display value="Data type error"></display>
+      <definition value="The attribute contained data of the wrong data type, e.g. a numeric attribute contained &quot;FOO&quot;."></definition>
+     </concept>
+     <concept>
+      <code value="SYN105"></code>
+      <display value="Required element missing"></display>
+      <definition value="Description: Required association or attribute missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message."></definition>
+      <concept>
+       <code value="SYN100"></code>
+       <display value="Required association missing"></display>
+       <definition value="Required association missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message."></definition>
+      </concept>
+      <concept>
+       <code value="SYN101"></code>
+       <display value="Required attribute missing"></display>
+       <definition value="A required attribute is missing in a class."></definition>
+      </concept>
+      <concept>
+       <code value="SYN114"></code>
+       <display value="Insufficient repetitions"></display>
+       <definition value="Description: The number of repetitions of a group of association or attributes is less than the required minimum for the standard or of one of the conformance profiles or templates identified in the message."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SYN106"></code>
+      <display value="Terminology error"></display>
+      <definition value="Description: A coded attribute or datatype property violates one of the terminology constraints specified in the standard or one of the conformance profiles or templates declared by the instance."></definition>
+      <concept>
+       <code value="SYN103"></code>
+       <display value="Value not found in code system"></display>
+       <definition value="An attribute value was compared against the corresponding code system, and no match was found."></definition>
+      </concept>
+      <concept>
+       <code value="SYN104"></code>
+       <display value="Invalid code system in CNE"></display>
+       <definition value="An attribute value referenced a code system that is not valid for an attribute constrained to CNE."></definition>
+      </concept>
+      <concept>
+       <code value="SYN107"></code>
+       <display value="Deprecated code"></display>
+       <definition value="Description: A coded attribute is referencing a code that has been deprecated by the owning code system."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SYN108"></code>
+      <display value="Number of repetitions exceeds limit"></display>
+      <definition value="Description: The number of repetitions of a (group of) association(s) or attribute(s) exceeds the limits of the standard or of one of the conformance profiles or templates identified in the message."></definition>
+      <concept>
+       <code value="SYN110"></code>
+       <display value="Number of association repetitions exceeds limit"></display>
+       <definition value="The number of repetitions of a (group of) association(s) exceeds the limits of the standard or of one of the conformance profiles identified in the message."></definition>
+      </concept>
+      <concept>
+       <code value="SYN112"></code>
+       <display value="Number of attribute repetitions exceeds limit"></display>
+       <definition value="The number of repetitions of an attribute exceeds the limits of the standard or of one of the conformance profiles identified in the message."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SYN109"></code>
+      <display value="Mandatory element with null value"></display>
+      <definition value="Description: An attribute or association identified as mandatory in a specification or declared conformance profile or template has been specified with a null flavor."></definition>
+     </concept>
+     <concept>
+      <code value="SYN111"></code>
+      <display value="Value does not match fixed value"></display>
+      <definition value="Description: The value of an attribute or property differs from the fixed value asserted in the standard or one of the conformance profiles or templates declared in the message."></definition>
+     </concept>
+     <concept>
+      <code value="SYN113"></code>
+      <display value="Formal constraint violation"></display>
+      <definition value="Description: A formal constraint asserted in the standard or one of the conformance profiles or templates declared in the message has been violated."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementDetailType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-AcknowledgementDetailType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1082"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.AcknowledgementDetailType"></name>
+    <title value="v3 Code System AcknowledgementDetailType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code identifying the specific message to be provided.  Discussion:
+A textual value may be specified as the print name, or for non-coded messages, as the original text.  Examples:
+'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
     <property>
      <code value="status"></code>
      <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
@@ -11750,5527 +10402,123 @@ A code specifying the meaning and purpose of every TransmissionRelationship inst
      <type value="code"></type>
     </property>
     <concept>
-     <code value="A"></code>
-     <display value="Add"></display>
-     <definition value="Description:The item was (or is to be) added, having not been present immediately before. (If it is already present, this may be treated as an error condition.)"></definition>
+     <code value="E"></code>
+     <display value="Error"></display>
+     <definition value="Definition:An issue which has prevented, or will prevent (unless a management is provided for the issue by the sender), the successful processing of an interaction.  Response interactions which include an issue which is an Error are a 'rejection', indicating that the request was not successfully processed. 
+
+        
+         Example:Unable to find specified patient."></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Information"></display>
+     <definition value="Definition: The message relates to an issue which has no bearing on the successful processing of the request.  Information issues cannot be overridden by specifying a management.
+
+        
+         Example: A Patient's coverage will expire in 5 days."></definition>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Warning"></display>
+     <definition value="Definition: The message relates to an issue which cannot prevent the successful processing of a request, but which could result in the processing not having the ideal or intended effect.  Managing a warning issue is not required for successful processing, but will suppress the warning from being raised. 
+
+        
+         Example:
+        
+
+        Unexpected additional repetitions of phone number have been ignored."></definition>
+    </concept>
+    <concept>
+     <code value="ERR"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="INFO"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="WARN"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-AcknowledgementType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.18"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.AcknowledgementType"></name>
+    <title value="v3 Code System AcknowledgementType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This attribute contains an acknowledgement code as described in the HL7 message processing rules.  OpenIssue:
+Description was copied from attribute and needs to be improved to be appropriate for a code system."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AA"></code>
+     <display value="Application Acknowledgement Accept"></display>
+     <definition value="Receiving application successfully processed message."></definition>
+    </concept>
+    <concept>
+     <code value="AE"></code>
+     <display value="Application Acknowledgement Error"></display>
+     <definition value="Receiving application found error in processing message.  Sending error response with additional error detail information."></definition>
     </concept>
     <concept>
      <code value="AR"></code>
-     <display value="Add or Replace"></display>
-     <definition value="Description:The item was (or is to be) either added or replaced."></definition>
+     <display value="Application Acknowledgement Reject"></display>
+     <definition value="Receiving application failed to process message for reason unrelated to content or format.  Original message sender must decide on whether to automatically send message again."></definition>
     </concept>
     <concept>
-     <code value="D"></code>
-     <display value="Remove"></display>
-     <definition value="Description:The item was (or is to be) removed (sometimes referred to as deleted). If the item is part of a collection, delete any matching items."></definition>
+     <code value="CA"></code>
+     <display value="Accept Acknowledgement Commit Accept"></display>
+     <definition value="Receiving message handling service accepts responsibility for passing message onto receiving application."></definition>
     </concept>
     <concept>
-     <code value="K"></code>
-     <display value="Key"></display>
-     <definition value="Description:This item is part of the identifying information for this object."></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="No Change"></display>
-     <definition value="Description:There was (or is to be) no change to the item. This is primarily used when this element has not changed, but other attributes in the instance have changed."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Replace"></display>
-     <definition value="Description:The item existed previously and has (or is to be) revised. (If an item does not already exist, this may be treated as an error condition.)"></definition>
-    </concept>
-    <concept>
-     <code value="REF"></code>
-     <display value="Reference"></display>
-     <definition value="Description:This item provides enough information to allow a processing system to locate the full applicable record by identifying the object."></definition>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Unknown"></display>
-     <definition value="Description:Description:&lt;/b&gt;It is not specified whether or what kind of change has occurred to the item, or whether the item is present as a reference or identifying property."></definition>
-    </concept>
-    <concept>
-     <code value="_SetUpdateMode"></code>
-     <display value="SetUpdateMode"></display>
-     <definition value="These concepts apply when the element and/or message is updating a set of items."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-     <concept>
-      <code value="ESA"></code>
-      <display value="Set Add"></display>
-      <definition value="Add the message element to the collection of items on the receiving system that correspond to the message element."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-     </concept>
-     <concept>
-      <code value="ESAC"></code>
-      <display value="Set Add or Change"></display>
-      <definition value="Change the item on the receiving system that corresponds to this message element; if a matching element does not exist, add a new one created with the values in the message."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-     </concept>
-     <concept>
-      <code value="ESC"></code>
-      <display value="Set Change"></display>
-      <definition value="Change the item on the receiving system that corresponds to this message element; do not process if a matching element does not exist."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-     </concept>
-     <concept>
-      <code value="ESD"></code>
-      <display value="Set Delete"></display>
-      <definition value="Delete the item on the receiving system that corresponds to this message element."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="AU"></code>
-     <display value="Add or Update"></display>
-     <definition value="Description: AU: If this item exists, update it with these values. If it does not exist, create it with these values. If the item is part of the collection, update each item that matches this item, and if no items match, add a new item to the collection."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Ignore"></display>
-     <definition value="Ignore this role, it is not relevant to the update."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Verify"></display>
-     <definition value="Verify - this message element must match a value already in the receiving systems database in order to process the message."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActReason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActReason"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.8"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActReason"></name>
-    <title value="v3 Code System ActReason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type &quot;has reason&quot; linking to another Act.  Examples:
-Example reasons that might qualify for being coded in this field might be: &quot;routine requirement&quot;, &quot;infectious disease reporting requirement&quot;, &quot;on patient request&quot;, &quot;required by law&quot;."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActReason"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_ActAccommodationReason"></code>
-     <display value="ActAccommodationReason"></display>
-     <definition value="Identifies the reason the patient is assigned to this accommodation type"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ACCREQNA"></code>
-      <display value="Accommodation Requested Not Available"></display>
-      <definition value="Accommodation requested is not available."></definition>
-     </concept>
-     <concept>
-      <code value="FLRCNV"></code>
-      <display value="Floor Convenience"></display>
-      <definition value="Accommodation is assigned for floor convenience."></definition>
-     </concept>
-     <concept>
-      <code value="MEDNEC"></code>
-      <display value="Medical Necessity"></display>
-      <definition value="Required for medical reasons(s)."></definition>
-     </concept>
-     <concept>
-      <code value="PAT"></code>
-      <display value="Patient request"></display>
-      <definition value="The Patient requested the action"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActCoverageReason"></code>
-     <display value="ActCoverageReason"></display>
-     <definition value="Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program.  May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_EligibilityActReasonCode"></code>
-      <display value="EligibilityActReasonCode"></display>
-      <definition value="Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. 
-
-        
-         Examples:  A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier.  A new employee is eligible for health insurance as an employment benefit.  A person meets a government program eligibility criteria for financial, age or health status."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_ActIneligibilityReason"></code>
-       <display value="ActIneligibilityReason"></display>
-       <definition value="Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.
-
-        Examples are client deceased &amp; adopted client has been given a new policy identifier."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="COVSUS"></code>
-        <display value="coverage suspended"></display>
-        <definition value="When a client has no contact with the health system for an extended period, coverage is suspended.  Client will be reinstated to original start date upon proof of identification, residency etc.
-
-        Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect)."></definition>
-       </concept>
-       <concept>
-        <code value="DECSD"></code>
-        <display value="deceased"></display>
-        <definition value="Client deceased."></definition>
-       </concept>
-       <concept>
-        <code value="REGERR"></code>
-        <display value="registered in error"></display>
-        <definition value="Client was registered in error."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_CoverageEligibilityReason"></code>
-       <display value="CoverageEligibilityReason"></display>
-       <definition value="Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. 
-
-        
-         Examples:  A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier.  A new employee is eligible for health insurance as an employment benefit.  A person meets a government program eligibility criteria for financial, age or health status."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="AGE"></code>
-        <display value="age eligibility"></display>
-        <definition value="A person becomes eligible for a program based on age.
-
-        
-         Example:  In the U.S., a person who is 65 years of age or older is eligible for Medicare."></definition>
-       </concept>
-       <concept>
-        <code value="CRIME"></code>
-        <display value="crime victim"></display>
-        <definition value="A person becomes eligible for insurance or a program because of crime related health condition or injury. 
-
-        
-         Example:  A person is a claimant under the U.S. Crime Victims Compensation program."></definition>
-       </concept>
-       <concept>
-        <code value="DIS"></code>
-        <display value="disability"></display>
-        <definition value="A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization."></definition>
-       </concept>
-       <concept>
-        <code value="EMPLOY"></code>
-        <display value="employment benefit"></display>
-        <definition value="A person becomes eligible for insurance provided as an employment benefit based on employment status."></definition>
-       </concept>
-       <concept>
-        <code value="FINAN"></code>
-        <display value="financial eligibility"></display>
-        <definition value="A person becomes eligible for a program based on financial criteria.
-
-        
-         Example:  A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP."></definition>
-       </concept>
-       <concept>
-        <code value="HEALTH"></code>
-        <display value="health status"></display>
-        <definition value="A person becomes eligible for a program because of a qualifying health condition or injury. 
-
-        
-         Examples:  A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program"></definition>
-       </concept>
-       <concept>
-        <code value="MULTI"></code>
-        <display value="multiple criteria eligibility"></display>
-        <definition value="A person becomes eligible for a program based on more than one criterion.
-
-        
-         Examples:  In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT).  A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles."></definition>
-       </concept>
-       <concept>
-        <code value="PNC"></code>
-        <display value="property and casualty condition"></display>
-        <definition value="A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. 
-
-        
-         Example:  A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises."></definition>
-       </concept>
-       <concept>
-        <code value="STATUTORY"></code>
-        <display value="statutory eligibility"></display>
-        <definition value="A person becomes eligible for a program based on statutory criteria.
-
-        
-         Examples:  A person is a member of an indigenous group, a veteran of military service, or  in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security."></definition>
-       </concept>
-       <concept>
-        <code value="VEHIC"></code>
-        <display value="motor vehicle accident victim"></display>
-        <definition value="A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury."></definition>
-       </concept>
-       <concept>
-        <code value="WORK"></code>
-        <display value="work related"></display>
-        <definition value="A person becomes eligible for insurance or a program because of a work related health condition or injury. 
-
-        
-         Example:  A person is a claimant under the U.S. Black Lung Program."></definition>
-       </concept>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActInformationManagementReason"></code>
-     <display value="ActInformationManagementReason"></display>
-     <definition value="Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_ActHealthInformationManagementReason"></code>
-      <display value="ActHealthInformationManagementReason"></display>
-      <definition value="Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to  data retention."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_ActConsentInformationAccessOverrideReason"></code>
-       <display value="ActConsentInformationAccessOverrideReason"></display>
-       <definition value="To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition;  or for protecting public or third party safety.
-
-        
-         Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information.  Typically, this involves overriding the subject's consent directives."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="OVRER"></code>
-        <display value="emergency treatment override"></display>
-        <definition value="To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.
-
-        
-         Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record."></definition>
-       </concept>
-       <concept>
-        <code value="OVRINCOMP"></code>
-        <display value="incompetency override"></display>
-        <definition value="To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent.
-
-        
-         Usage Note: Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC &quot;Subject is not competent to consent&quot;."></definition>
-       </concept>
-       <concept>
-        <code value="OVRPJ"></code>
-        <display value="professional judgment override"></display>
-        <definition value="To perform one or more operations on information to which the patient declined to consent for providing health care.
-
-        
-         Usage Notes: The patient, while able to give consent, has not.  However the provider believes it is in the patient's interest to access the record without patient consent."></definition>
-       </concept>
-       <concept>
-        <code value="OVRPS"></code>
-        <display value="public safety override"></display>
-        <definition value="To perform one or more operations on information to which the patient has not consented for public safety reasons.
-
-        
-         Usage Notes: The patient, while able to give consent, has not.  However, the provider believes that access to masked patient information is justified because of concerns related to public safety."></definition>
-       </concept>
-       <concept>
-        <code value="OVRTPS"></code>
-        <display value="third party safety override"></display>
-        <definition value="To perform one or more operations on information to which the patient has not consented for third party safety.  
-
-        
-         Usage Notes: The patient, while able to give consent, has not.  However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PurposeOfUse"></code>
-       <display value="purpose of use"></display>
-       <definition value="Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.
-
-        
-         Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes."></definition>
-       <concept>
-        <code value="HMARKT"></code>
-        <display value="healthcare marketing"></display>
-        <definition value="To perform one or more operations on information for marketing services and products related to health care."></definition>
-       </concept>
-       <concept>
-        <code value="HOPERAT"></code>
-        <display value="healthcare operations"></display>
-        <definition value="To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care."></definition>
-        <concept>
-         <code value="CAREMGT"></code>
-         <display value="care management"></display>
-         <definition value="To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.
-
-        
-         Usage Note: The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service.
-
-        
-         Map: Maps to ISO 14265 Classification Term &quot;Health service management and quality assurance&quot; described as &quot;To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services.&quot; 
-
-        There is a semantic gap in concepts.  This classification term  is described as activities, i.e., &quot;to inform persons&quot; or &quot;to inform processes&quot; rather than the rationale for performing actions/operations on information related to the activity."></definition>
-        </concept>
-        <concept>
-         <code value="DONAT"></code>
-         <display value="donation"></display>
-         <definition value="To perform one or more operations on information used for cadaveric organ, eye or tissue donation."></definition>
-        </concept>
-        <concept>
-         <code value="FRAUD"></code>
-         <display value="fraud"></display>
-         <definition value="To perform one or more operations on information used for fraud detection and prevention processes."></definition>
-        </concept>
-        <concept>
-         <code value="GOV"></code>
-         <display value="government"></display>
-         <definition value="To perform one or more operations on information used within government processes."></definition>
-        </concept>
-        <concept>
-         <code value="HACCRED"></code>
-         <display value="health accreditation"></display>
-         <definition value="To perform one or more operations on information for conducting activities related to meeting accreditation criteria."></definition>
-        </concept>
-        <concept>
-         <code value="HCOMPL"></code>
-         <display value="health compliance"></display>
-         <definition value="To perform one or more operations on information used for conducting activities required to meet a mandate."></definition>
-        </concept>
-        <concept>
-         <code value="HDECD"></code>
-         <display value="decedent"></display>
-         <definition value="To perform one or more operations on information used for handling deceased patient matters."></definition>
-        </concept>
-        <concept>
-         <code value="HDIRECT"></code>
-         <display value="directory"></display>
-         <definition value="To perform one or more operation operations on information used to manage a patient directory.
-
-        
-         Examples: 
-        
-
-        
-         facility
-         enterprise
-         payer
-         health information exchange patient directory"></definition>
-        </concept>
-        <concept>
-         <code value="HDM"></code>
-         <display value="healthcare delivery management"></display>
-         <definition value="To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of  an individual's benefits in a healthcare program, health plan or insurance.   Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.
-
-
-        
-         Usage Note: Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking.
-
-        
-         Map: Maps to ISO 14265 Classification Term  &quot;Administration of care for an individual subject of care&quot; described as &quot;To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care.&quot;
-
-        However, this classification term is described as activities, i.e., &quot;to inform persons&quot; or &quot;to inform processes&quot; rather than the rationale for performing actions/operations on information related to the activity."></definition>
-        </concept>
-        <concept>
-         <code value="HLEGAL"></code>
-         <display value="legal"></display>
-         <definition value="To perform one or more operations on information for conducting activities required by legal proceeding."></definition>
-        </concept>
-        <concept>
-         <code value="HOUTCOMS"></code>
-         <display value="health outcome measure"></display>
-         <definition value="To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions."></definition>
-        </concept>
-        <concept>
-         <code value="HPRGRP"></code>
-         <display value="health program reporting"></display>
-         <definition value="To perform one or more operations on information used for conducting activities to meet program accounting requirements."></definition>
-        </concept>
-        <concept>
-         <code value="HQUALIMP"></code>
-         <display value="health quality improvement"></display>
-         <definition value="To perform one or more operations on information used for conducting administrative activities to improve health care quality."></definition>
-        </concept>
-        <concept>
-         <code value="HSYSADMIN"></code>
-         <display value="health system administration"></display>
-         <definition value="To perform one or more operations on information to administer the electronic systems used for the delivery of health care."></definition>
-         <concept>
-          <code value="LABELING"></code>
-          <display value="labeling"></display>
-          <definition value="To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies.
-
-        Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides.  Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification.
-
-        Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent.  If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked."></definition>
-         </concept>
-         <concept>
-          <code value="METAMGT"></code>
-          <display value="metadata management"></display>
-          <definition value="To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users.  For example, master index identifier, media type, and location."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="MEMADMIN"></code>
-         <display value="member administration"></display>
-         <definition value="To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program."></definition>
-        </concept>
-        <concept>
-         <code value="MILCDM"></code>
-         <display value="military command"></display>
-         <definition value="To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law."></definition>
-        </concept>
-        <concept>
-         <code value="PATADMIN"></code>
-         <display value="patient administration"></display>
-         <definition value="To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient."></definition>
-        </concept>
-        <concept>
-         <code value="PATSFTY"></code>
-         <display value="patient safety"></display>
-         <definition value="To perform one or more operations on information in processes related to ensuring the safety of health care."></definition>
-        </concept>
-        <concept>
-         <code value="PERFMSR"></code>
-         <display value="performance measure"></display>
-         <definition value="To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions."></definition>
-        </concept>
-        <concept>
-         <code value="RECORDMGT"></code>
-         <display value="records management"></display>
-         <definition value="To perform one or more operations on information used within the health records management process."></definition>
-        </concept>
-        <concept>
-         <code value="SYSDEV"></code>
-         <display value="system development"></display>
-         <definition value="To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application."></definition>
-         <concept>
-          <code value="HTEST"></code>
-          <display value="test health data"></display>
-          <definition value="To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment.
-
-        
-         Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="TRAIN"></code>
-         <display value="training"></display>
-         <definition value="To perform one or more operations on information used in training and education."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="HPAYMT"></code>
-        <display value="healthcare payment"></display>
-        <definition value="To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care."></definition>
-        <concept>
-         <code value="CLMATTCH"></code>
-         <display value="claim attachment"></display>
-         <definition value="To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services."></definition>
-        </concept>
-        <concept>
-         <code value="COVAUTH"></code>
-         <display value="coverage authorization"></display>
-         <definition value="To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services."></definition>
-        </concept>
-        <concept>
-         <code value="COVERAGE"></code>
-         <display value="coverage under policy or program"></display>
-         <definition value="To perform one or more operations on information for conducting activities related to coverage under a program or policy."></definition>
-         <concept>
-          <code value="ELIGDTRM"></code>
-          <display value="eligibility determination"></display>
-          <definition value="To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy.  May entail review of financial status or disability assessment."></definition>
-         </concept>
-         <concept>
-          <code value="ELIGVER"></code>
-          <display value="eligibility verification"></display>
-          <definition value="To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy.  May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays."></definition>
-         </concept>
-         <concept>
-          <code value="ENROLLM"></code>
-          <display value="enrollment"></display>
-          <definition value="To perform one or more operations on information used for enrolling a covered party in a program or policy.  May entail recording of covered party's and any dependent's demographic information and benefit choices."></definition>
-         </concept>
-         <concept>
-          <code value="MILDCRG"></code>
-          <display value="military discharge"></display>
-          <definition value="To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="REMITADV"></code>
-         <display value="remittance advice"></display>
-         <definition value="To perform one or more operations on information about the amount remitted for a health care claim."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="HRESCH"></code>
-        <display value="healthcare research"></display>
-        <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.  Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research."></definition>
-        <concept>
-         <code value="BIORCH"></code>
-         <display value="biomedical research"></display>
-         <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research.  For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
-        </concept>
-        <concept>
-         <code value="CLINTRCH"></code>
-         <display value="clinical trial research"></display>
-         <definition value="To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge."></definition>
-         <concept>
-          <code value="CLINTRCHNPC"></code>
-          <display value="clinical trial research without patient care"></display>
-          <definition value="To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population."></definition>
-         </concept>
-         <concept>
-          <code value="CLINTRCHPC"></code>
-          <display value="clinical trial research with patient care"></display>
-          <definition value="To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an &quot;off-label&quot; drug used for cancer therapy administer to a specified patient population."></definition>
-         </concept>
-         <concept>
-          <code value="PRECLINTRCH"></code>
-          <display value="preclinical trial research"></display>
-          <definition value="To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process.  May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="DSRCH"></code>
-         <display value="disease specific healthcare research"></display>
-         <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research.  For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
-        </concept>
-        <concept>
-         <code value="POARCH"></code>
-         <display value="population origins or ancestry healthcare research"></display>
-         <definition value="To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research.  For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
-        </concept>
-        <concept>
-         <code value="TRANSRCH"></code>
-         <display value="translational healthcare research"></display>
-         <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment.  Sometimes referred to as &quot;bench to bedside&quot;, which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="PATRQT"></code>
-        <display value="patient requested"></display>
-        <definition value="To perform one or more operations on information in response to a patient's request."></definition>
-        <concept>
-         <code value="FAMRQT"></code>
-         <display value="family requested"></display>
-         <definition value="To perform one or more operations on information in response to a request by a family member authorized by the patient."></definition>
-        </concept>
-        <concept>
-         <code value="PWATRNY"></code>
-         <display value="power of attorney"></display>
-         <definition value="To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative."></definition>
-        </concept>
-        <concept>
-         <code value="SUPNWK"></code>
-         <display value="support network"></display>
-         <definition value="To perform one or more operations on information in response to a request by a person authorized by the patient."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="PUBHLTH"></code>
-        <display value="public health"></display>
-        <definition value="To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions."></definition>
-        <concept>
-         <code value="DISASTER"></code>
-         <display value="disaster"></display>
-         <definition value="To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone."></definition>
-        </concept>
-        <concept>
-         <code value="THREAT"></code>
-         <display value="threat"></display>
-         <definition value="To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="TREAT"></code>
-        <display value="treatment"></display>
-        <definition value="To perform one or more operations on information for provision of health care."></definition>
-        <concept>
-         <code value="CLINTRL"></code>
-         <display value="clinical trial"></display>
-         <definition value="To perform health care as part of the clinical trial protocol."></definition>
-        </concept>
-        <concept>
-         <code value="COC"></code>
-         <display value="coordination of care"></display>
-         <definition value="To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care.
-
-        
-         Usage Note: Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences.   2. Acting as the communication link between two or more participants concerned with a person's health and wellness.  3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person.  4. Ensuring safe, appropriate, non-duplicative, and effective integrated care.
-
-        The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment.
-
-        For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare.
-
-        
-         Map: Maps to ISO 14265 Classification Terms: &quot;Support of care activities within the provider organisation for an individual subject of care&quot; described as &quot;To inform persons or processes enabling others to provide health care services to the subject of care.&quot;  &quot;Subject of Care Uses&quot; described as &quot;To inform the subject of care in support of his or her own interests.&quot;"></definition>
-        </concept>
-        <concept>
-         <code value="ETREAT"></code>
-         <display value="Emergency Treatment"></display>
-         <definition value="To perform one or more operations on information for provision of immediately needed health care for an emergent condition."></definition>
-         <concept>
-          <code value="BTG"></code>
-          <display value="break the glass"></display>
-          <definition value="To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use.  Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.
-
-        
-         Map: Partially Maps to ISO 14265 Classification Term &quot;Emergency care provision to an individual subject of care&quot; described as &quot;To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the  policies and consents pertaining to Purpose 1 above.&quot; Purpose 1 is equivalent to HL7 treatment purpose of use: &quot;Clinical care provision to an individual subject of care&quot; described as &quot;To inform persons or processes responsible for providing health care services to the subject of care.&quot;
-The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent.  This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure."></definition>
-         </concept>
-         <concept>
-          <code value="ERTREAT"></code>
-          <display value="emergency room treatment"></display>
-          <definition value="To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a &quot;Break the Glass&quot; purpose of use.
-
-        Map:Partially Maps to ISO 14265 Classification Term &quot;Emergency care provision to an individual subject of care&quot; described as &quot;To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the  policies and consents pertaining to Purpose 1 above.&quot; Purpose 1 is equivalent to HL7 treatment purpose of use: &quot;Clinical care provision to an individual subject of care&quot; described as &quot;To inform persons or processes responsible for providing health care services to the subject of care.&quot;
-
-        The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent.  This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. 
-
-        There is a semantic gap in concepts.  This classification term is described as activities “to inform persons� rather than the rationale for performing actions/operations on information related to the activity."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="POPHLTH"></code>
-         <display value="population health"></display>
-         <definition value="To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program."></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_ActInformationPrivacyReason"></code>
-      <display value="ActInformationPrivacyReason"></display>
-      <definition value="Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="MARKT"></code>
-       <display value="marketing"></display>
-       <definition value="Description:"></definition>
-      </concept>
-      <concept>
-       <code value="OPERAT"></code>
-       <display value="operations"></display>
-       <definition value="Description:Administrative and contractual processes required to support an activity, product, or service"></definition>
-       <concept>
-        <code value="LEGAL"></code>
-        <display value="subpoena"></display>
-        <definition value="Definition:To provide information as a result of a subpoena."></definition>
-       </concept>
-       <concept>
-        <code value="ACCRED"></code>
-        <display value="accreditation"></display>
-        <definition value="Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service"></definition>
-       </concept>
-       <concept>
-        <code value="COMPL"></code>
-        <display value="compliance"></display>
-        <definition value="Description:Operational activities required to meet a mandate related to an activity, product, or service"></definition>
-       </concept>
-       <concept>
-        <code value="ENADMIN"></code>
-        <display value="entity administration"></display>
-        <definition value="Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service"></definition>
-       </concept>
-       <concept>
-        <code value="OUTCOMS"></code>
-        <display value="outcome measure"></display>
-        <definition value="Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service"></definition>
-       </concept>
-       <concept>
-        <code value="PRGRPT"></code>
-        <display value="program reporting"></display>
-        <definition value="Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service"></definition>
-       </concept>
-       <concept>
-        <code value="QUALIMP"></code>
-        <display value="quality improvement"></display>
-        <definition value="Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service"></definition>
-       </concept>
-       <concept>
-        <code value="SYSADMN"></code>
-        <display value="system administration"></display>
-        <definition value="Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PAYMT"></code>
-       <display value="payment"></display>
-       <definition value="Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service"></definition>
-      </concept>
-      <concept>
-       <code value="RESCH"></code>
-       <display value="research"></display>
-       <definition value="Description:Investigative activities conducted for the purposes of obtaining knowledge"></definition>
-      </concept>
-      <concept>
-       <code value="SRVC"></code>
-       <display value="service"></display>
-       <definition value="Description:Provision of a service, product, or capability to an individual or organization"></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActInvalidReason"></code>
-     <display value="ActInvalidReason"></display>
-     <definition value="Description: Types of reasons why a substance is invalid for use."></definition>
-     <concept>
-      <code value="ADVSTORAGE"></code>
-      <display value="adverse storage condition"></display>
-      <definition value="Description: Storage conditions caused the substance to be ineffective."></definition>
-      <concept>
-       <code value="COLDCHNBRK"></code>
-       <display value="cold chain break"></display>
-       <definition value="Description: Cold chain was not maintained for the substance."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="EXPLOT"></code>
-      <display value="expired lot"></display>
-      <definition value="Description: The lot from which the substance was drawn was expired."></definition>
-     </concept>
-     <concept>
-      <code value="OUTSIDESCHED"></code>
-      <display value="administered outside recommended schedule or practice"></display>
-      <definition value="The substance was administered outside of the recommended schedule or practice."></definition>
-     </concept>
-     <concept>
-      <code value="PRODRECALL"></code>
-      <display value="product recall"></display>
-      <definition value="Description: The substance was recalled by the manufacturer."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActInvoiceCancelReason"></code>
-     <display value="ActInvoiceCancelReason"></display>
-     <definition value="Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="INCCOVPTY"></code>
-      <display value="incorrect covered party as patient"></display>
-      <definition value="The covered party (patient) specified with the Invoice is not correct."></definition>
-     </concept>
-     <concept>
-      <code value="INCINVOICE"></code>
-      <display value="incorrect billing"></display>
-      <definition value="The billing information, specified in the Invoice Elements, is not correct.  This could include incorrect costing for items included in the Invoice."></definition>
-     </concept>
-     <concept>
-      <code value="INCPOLICY"></code>
-      <display value="incorrect policy"></display>
-      <definition value="The policy specified with the Invoice is not correct.  For example, it may belong to another Adjudicator or Covered Party."></definition>
-     </concept>
-     <concept>
-      <code value="INCPROV"></code>
-      <display value="incorrect provider"></display>
-      <definition value="The provider specified with the Invoice is not correct."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActNoImmunizationReason"></code>
-     <display value="ActNoImmunizationReason"></display>
-     <definition value="A coded description of the reason for why a patient did not receive a scheduled immunization.
-
-        (important for public health strategy"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="IMMUNE"></code>
-      <display value="immunity"></display>
-      <definition value="Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization."></definition>
-     </concept>
-     <concept>
-      <code value="MEDPREC"></code>
-      <display value="medical precaution"></display>
-      <definition value="Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted."></definition>
-     </concept>
-     <concept>
-      <code value="OSTOCK"></code>
-      <display value="product out of stock"></display>
-      <definition value="Definition:There was no supply of the product on hand to perform the service."></definition>
-     </concept>
-     <concept>
-      <code value="PATOBJ"></code>
-      <display value="patient objection"></display>
-      <definition value="Definition:The patient or their guardian objects to receiving the vaccine."></definition>
-     </concept>
-     <concept>
-      <code value="PHILISOP"></code>
-      <display value="philosophical objection"></display>
-      <definition value="Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs."></definition>
-     </concept>
-     <concept>
-      <code value="RELIG"></code>
-      <display value="religious objection"></display>
-      <definition value="Definition:The patient or their guardian objects to receiving the vaccine on religious grounds."></definition>
-     </concept>
-     <concept>
-      <code value="VACEFF"></code>
-      <display value="vaccine efficacy concerns"></display>
-      <definition value="Definition:The intended vaccine has expired or is otherwise believed to no longer be effective.
-
-        
-         Example:Due to temperature exposure."></definition>
-     </concept>
-     <concept>
-      <code value="VACSAF"></code>
-      <display value="vaccine safety concerns"></display>
-      <definition value="Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActSupplyFulfillmentRefusalReason"></code>
-     <display value="ActSupplyFulfillmentRefusalReason"></display>
-     <definition value="Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision.  E.g. &quot;Suspect fraud&quot;, &quot;Possible abuse&quot;, &quot;Contraindicated&quot;.
-
-        (used when capturing 'refusal to fill' annotations)"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="FRR01"></code>
-      <display value="order stopped"></display>
-      <definition value="Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically.
-
-        
-         Example:A verbal stop, a fax, etc."></definition>
-     </concept>
-     <concept>
-      <code value="FRR02"></code>
-      <display value="stale-dated order"></display>
-      <definition value="Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current."></definition>
-     </concept>
-     <concept>
-      <code value="FRR03"></code>
-      <display value="incomplete data"></display>
-      <definition value="Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available
-
-        
-         Example:Lab results, diagnostic imaging, etc."></definition>
-     </concept>
-     <concept>
-      <code value="FRR04"></code>
-      <display value="product unavailable"></display>
-      <definition value="Definition:Product not available or manufactured. Cannot supply."></definition>
-     </concept>
-     <concept>
-      <code value="FRR05"></code>
-      <display value="ethical/religious"></display>
-      <definition value="Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product."></definition>
-     </concept>
-     <concept>
-      <code value="FRR06"></code>
-      <display value="unable to provide care"></display>
-      <definition value="Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order.
-
-        
-         Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ClinicalResearchEventReason"></code>
-     <display value="ClinicalResearchEventReason"></display>
-     <definition value="Definition:Specifies the reason that an event occurred in a clinical research study."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="RET"></code>
-      <display value="retest"></display>
-      <definition value="Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol."></definition>
-     </concept>
-     <concept>
-      <code value="SCH"></code>
-      <display value="scheduled"></display>
-      <definition value="Definition:The event occurred due to it being scheduled in the research protocol."></definition>
-     </concept>
-     <concept>
-      <code value="TRM"></code>
-      <display value="termination"></display>
-      <definition value="Definition:The event occurred in order to terminate the subject's participation in the study."></definition>
-     </concept>
-     <concept>
-      <code value="UNS"></code>
-      <display value="unscheduled"></display>
-      <definition value="Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ClinicalResearchObservationReason"></code>
-     <display value="ClinicalResearchObservationReason"></display>
-     <definition value="Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study.
-
-        
-         Note:This set of codes are not strictly reasons, but are used in the currently Normative standard.  Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired.  Thus, these codes should not be used for new specifications."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="NPT"></code>
-      <display value="non-protocol"></display>
-      <definition value="Definition:The observation or test was neither defined or scheduled in the study protocol."></definition>
-     </concept>
-     <concept>
-      <code value="PPT"></code>
-      <display value="per protocol"></display>
-      <definition value="Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol."></definition>
-     </concept>
-     <concept>
-      <code value="UPT"></code>
-      <display value="per definition"></display>
-      <definition value=":The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_CombinedPharmacyOrderSuspendReasonCode"></code>
-     <display value="CombinedPharmacyOrderSuspendReasonCode"></display>
-     <definition value="Description:Indicates why the prescription should be suspended."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ALTCHOICE"></code>
-      <display value="try another treatment first"></display>
-      <definition value="Description:This therapy has been ordered as a backup to a preferred therapy.  This order will be released when and if the preferred therapy is unsuccessful."></definition>
-     </concept>
-     <concept>
-      <code value="CLARIF"></code>
-      <display value="prescription requires clarification"></display>
-      <definition value="Description:Clarification is required before the order can be acted upon."></definition>
-     </concept>
-     <concept>
-      <code value="DRUGHIGH"></code>
-      <display value="drug level too high"></display>
-      <definition value="Description:The current level of the medication in the patient's system is too high.  The medication is suspended to allow the level to subside to a safer level."></definition>
-     </concept>
-     <concept>
-      <code value="HOSPADM"></code>
-      <display value="admission to hospital"></display>
-      <definition value="Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."></definition>
-     </concept>
-     <concept>
-      <code value="LABINT"></code>
-      <display value="lab interference issues"></display>
-      <definition value="Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."></definition>
-     </concept>
-     <concept>
-      <code value="NON-AVAIL"></code>
-      <display value="patient not-available"></display>
-      <definition value="Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."></definition>
-     </concept>
-     <concept>
-      <code value="PREG"></code>
-      <display value="parent is pregnant/breast feeding"></display>
-      <definition value="Description:The patient is pregnant or breast feeding.  The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."></definition>
-     </concept>
-     <concept>
-      <code value="SALG"></code>
-      <display value="allergy"></display>
-      <definition value="Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
-     </concept>
-     <concept>
-      <code value="SDDI"></code>
-      <display value="drug interacts with another drug"></display>
-      <definition value="Description:The drug interacts with a short-term treatment that is more urgently required.  This order will be resumed when the short-term treatment is complete."></definition>
-     </concept>
-     <concept>
-      <code value="SDUPTHER"></code>
-      <display value="duplicate therapy"></display>
-      <definition value="Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy.  This therapy will be resumed when the co-occuring therapy is complete."></definition>
-     </concept>
-     <concept>
-      <code value="SINTOL"></code>
-      <display value="suspected intolerance"></display>
-      <definition value="Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
-     </concept>
-     <concept>
-      <code value="SURG"></code>
-      <display value="patient scheduled for surgery"></display>
-      <definition value="Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future.  The drug will be resumed when the patient has sufficiently recovered from the surgery."></definition>
-     </concept>
-     <concept>
-      <code value="WASHOUT"></code>
-      <display value="waiting for old drug to wash out"></display>
-      <definition value="Description:The patient was previously receiving a medication contraindicated with the current medication.  The current medication will remain on hold until the prior medication has been cleansed from their system."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ControlActNullificationReasonCode"></code>
-     <display value="ControlActNullificationReasonCode"></display>
-     <definition value="Description:Identifies reasons for nullifying (retracting) a particular control act."></definition>
-     <concept>
-      <code value="ALTD"></code>
-      <display value="altered decision"></display>
-      <definition value="Description:The decision on which the recorded information was based was changed before the decision had an effect.
-
-        
-         Example:Aborted prescription before patient left office, released prescription before suspend took effect."></definition>
-     </concept>
-     <concept>
-      <code value="EIE"></code>
-      <display value="entered in error"></display>
-      <definition value="Description:The information was recorded incorrectly or was recorded in the wrong record."></definition>
-     </concept>
-     <concept>
-      <code value="NORECMTCH"></code>
-      <display value="no record match"></display>
-      <definition value="Description: There is no match for the record in the database."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ControlActNullificationRefusalReasonType"></code>
-     <display value="ControlActNullificationRefusalReasonType"></display>
-     <definition value="Description: Reasons to refuse a transaction to be undone."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="INRQSTATE"></code>
-      <display value="in requested state"></display>
-      <definition value="The record is already in the requested state."></definition>
-     </concept>
-     <concept>
-      <code value="NOMATCH"></code>
-      <display value="no match"></display>
-      <definition value="Description: There is no match."></definition>
-      <property>
-       <code value="child"></code>
-       <valueCode value="NORECMTCH"></valueCode>
-      </property>
-      <concept>
-       <code value="NOPRODMTCH"></code>
-       <display value="no product match"></display>
-       <definition value="Description: There is no match for the product in the master file repository."></definition>
-      </concept>
-      <concept>
-       <code value="NOSERMTCH"></code>
-       <display value="no service match"></display>
-       <definition value="Description: There is no match for the service in the master file repository."></definition>
-      </concept>
-      <concept>
-       <code value="NOVERMTCH"></code>
-       <display value="no version match"></display>
-       <definition value="Description: There is no match for the record and version."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="NOPERM"></code>
-      <display value="no permission"></display>
-      <definition value="Description: There is no permission."></definition>
-      <concept>
-       <code value="NOUSERPERM"></code>
-       <display value="no user permission"></display>
-       <definition value="Definition:The user does not have permission"></definition>
-      </concept>
-      <concept>
-       <code value="NOAGNTPERM"></code>
-       <display value="no agent permission"></display>
-       <definition value="Description: The agent does not have permission."></definition>
-      </concept>
-      <concept>
-       <code value="NOUSRPERM"></code>
-       <display value="no user permission"></display>
-       <definition value="Description: The user does not have permission."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-     </concept>
-     <concept>
-      <code value="WRNGVER"></code>
-      <display value="wrong version"></display>
-      <definition value="Description: The record and version requested to update is not the current version."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ControlActReason"></code>
-     <display value="ControlActReason"></display>
-     <definition value="Identifies why a specific query, request, or other trigger event occurred."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_MedicationOrderAbortReasonCode"></code>
-      <display value="medication order abort reason"></display>
-      <definition value="Description:Indicates the reason the medication order should be aborted."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="DISCONT"></code>
-       <display value="product discontinued"></display>
-       <definition value="Description:The medication is no longer being manufactured or is otherwise no longer available."></definition>
-      </concept>
-      <concept>
-       <code value="INEFFECT"></code>
-       <display value="ineffective"></display>
-       <definition value="Description:The therapy has been found to not have the desired therapeutic benefit on the patient."></definition>
-      </concept>
-      <concept>
-       <code value="MONIT"></code>
-       <display value="response to monitoring"></display>
-       <definition value="Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate."></definition>
-      </concept>
-      <concept>
-       <code value="NOREQ"></code>
-       <display value="no longer required for treatment"></display>
-       <definition value="Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed."></definition>
-      </concept>
-      <concept>
-       <code value="NOTCOVER"></code>
-       <display value="not covered"></display>
-       <definition value="Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy."></definition>
-      </concept>
-      <concept>
-       <code value="PREFUS"></code>
-       <display value="patient refuse"></display>
-       <definition value="Description:The patient refused to take the product."></definition>
-      </concept>
-      <concept>
-       <code value="RECALL"></code>
-       <display value="product recalled"></display>
-       <definition value="Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation."></definition>
-      </concept>
-      <concept>
-       <code value="REPLACE"></code>
-       <display value="change in order"></display>
-       <definition value="Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it."></definition>
-       <concept>
-        <code value="DOSECHG"></code>
-        <display value="change in medication/dose"></display>
-        <definition value="Description:The medication is being re-prescribed at a different dosage."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="REPLACEFIX"></code>
-       <display value="error in order"></display>
-       <definition value="Description:Current order was issued with incorrect data and a new order has/will be created to replace it."></definition>
-      </concept>
-      <concept>
-       <code value="UNABLE"></code>
-       <display value="unable to use"></display>
-       <definition value="Description:&lt;The patient is not (or is no longer) able to use the medication in a manner prescribed.
-
-        
-         Example:CanaTMt swallow."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_MedicationOrderReleaseReasonCode"></code>
-      <display value="medication order release reason"></display>
-      <definition value="Definition:A collection of concepts that indicate why the prescription should be released from suspended state."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="HOLDDONE"></code>
-       <display value="suspend reason no longer applies"></display>
-       <definition value="Definition:The original reason for suspending the medication has ended."></definition>
-      </concept>
-      <concept>
-       <code value="HOLDINAP"></code>
-       <display value="suspend reason inappropriate"></display>
-       <definition value="Definition:"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_ModifyPrescriptionReasonType"></code>
-      <display value="ModifyPrescriptionReasonType"></display>
-      <definition value="Types of reason why a prescription is being changed."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ADMINERROR"></code>
-       <display value="administrative error in order"></display>
-       <definition value="Order was created with incorrect data and is changed to reflect the intended accuracy of the order."></definition>
-      </concept>
-      <concept>
-       <code value="CLINMOD"></code>
-       <display value="clinical modification"></display>
-       <definition value="Order is changed based on a clinical reason."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_PharmacySupplyEventAbortReason"></code>
-      <display value="PharmacySupplyEventAbortReason"></display>
-      <definition value="Definition:Identifies why the dispense event was not completed."></definition>
-      <concept>
-       <code value="CONTRA"></code>
-       <display value="contraindication"></display>
-       <definition value="Definition:Contraindication identified"></definition>
-      </concept>
-      <concept>
-       <code value="FOABORT"></code>
-       <display value="order aborted"></display>
-       <definition value="Definition:Order to be fulfilled was aborted"></definition>
-      </concept>
-      <concept>
-       <code value="FOSUSP"></code>
-       <display value="order suspended"></display>
-       <definition value="Definition:Order to be fulfilled was suspended"></definition>
-      </concept>
-      <concept>
-       <code value="NOPICK"></code>
-       <display value="not picked up"></display>
-       <definition value="Definition:Patient did not come to get medication"></definition>
-      </concept>
-      <concept>
-       <code value="PATDEC"></code>
-       <display value="patient changed mind"></display>
-       <definition value="Definition:Patient changed their mind regarding obtaining medication"></definition>
-      </concept>
-      <concept>
-       <code value="QUANTCHG"></code>
-       <display value="change supply quantity"></display>
-       <definition value="Definition:Patient requested a revised quantity of medication"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_PharmacySupplyEventStockReasonCode"></code>
-      <display value="pharmacy supply event stock reason"></display>
-      <definition value="Definition:A collection of concepts that indicates the reason for a &quot;bulk supply&quot; of medication."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="FLRSTCK"></code>
-       <display value="floor stock"></display>
-       <definition value="Definition:The bulk supply is issued to replenish a ward for local dispensing.  (Includes both mobile and fixed-location ward stocks.)"></definition>
-      </concept>
-      <concept>
-       <code value="LTC"></code>
-       <display value="long term care use"></display>
-       <definition value="Definition:The bulk supply will be administered within a long term care facility."></definition>
-      </concept>
-      <concept>
-       <code value="OFFICE"></code>
-       <display value="office use"></display>
-       <definition value="Definition:The bulk supply is intended for general clinician office use."></definition>
-      </concept>
-      <concept>
-       <code value="PHARM"></code>
-       <display value="pharmacy transfer"></display>
-       <definition value="Definition:The bulk supply is being transferred to another dispensing facility to.
-
-        
-         Example:Alleviate a temporary shortage."></definition>
-      </concept>
-      <concept>
-       <code value="PROG"></code>
-       <display value="program use"></display>
-       <definition value="Definition:The bulk supply is intended for dispensing according to a specific program.
-
-        
-         Example:Mass immunization."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_PharmacySupplyRequestRenewalRefusalReasonCode"></code>
-      <display value="pharmacy supply request renewal refusal reason"></display>
-      <definition value="Definition:A collection of concepts that identifies why a renewal prescription has been refused."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <property>
-       <code value="child"></code>
-       <valueCode value="DISCONT"></valueCode>
-      </property>
-      <concept>
-       <code value="ALREADYRX"></code>
-       <display value="new prescription exists"></display>
-       <definition value="Definition:Patient has already been given a new (renewal) prescription."></definition>
-      </concept>
-      <concept>
-       <code value="FAMPHYS"></code>
-       <display value="family physician must authorize further fills"></display>
-       <definition value="Definition:Request for further authorization must be done through patient's family physician."></definition>
-      </concept>
-      <concept>
-       <code value="MODIFY"></code>
-       <display value="modified prescription exists"></display>
-       <definition value="Definition:Therapy has been changed and new prescription issued"></definition>
-      </concept>
-      <concept>
-       <code value="NEEDAPMT"></code>
-       <display value="patient must make appointment"></display>
-       <definition value="Definition:Patient must see prescriber prior to further fills."></definition>
-      </concept>
-      <concept>
-       <code value="NOTAVAIL"></code>
-       <display value="prescriber not available"></display>
-       <definition value="Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient."></definition>
-      </concept>
-      <concept>
-       <code value="NOTPAT"></code>
-       <display value="patient no longer in this practice"></display>
-       <definition value="Definition:Patient no longer or has never been under this prescribers care."></definition>
-      </concept>
-      <concept>
-       <code value="ONHOLD"></code>
-       <display value="medication on hold"></display>
-       <definition value="Definition:This medication is on hold."></definition>
-      </concept>
-      <concept>
-       <code value="PRNA"></code>
-       <display value="product not available"></display>
-       <definition value="Description:This product is not available or manufactured."></definition>
-      </concept>
-      <concept>
-       <code value="STOPMED"></code>
-       <display value="prescriber stopped medication for patient"></display>
-       <definition value="Renewing or original prescriber informed patient to stop using the medication."></definition>
-      </concept>
-      <concept>
-       <code value="TOOEARLY"></code>
-       <display value="too early"></display>
-       <definition value="Definition:The patient should have medication remaining."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_SupplyOrderAbortReasonCode"></code>
-      <display value="supply order abort reason"></display>
-      <definition value="Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed)."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="IMPROV"></code>
-       <display value="condition improved"></display>
-       <definition value="Definition:The patient's medical condition has nearly abated."></definition>
-      </concept>
-      <concept>
-       <code value="INTOL"></code>
-       <display value="intolerance"></display>
-       <definition value="Description:The patient has an intolerance to the medication."></definition>
-      </concept>
-      <concept>
-       <code value="NEWSTR"></code>
-       <display value="new strength"></display>
-       <definition value="Definition:The current medication will be replaced by a new strength of the same medication."></definition>
-      </concept>
-      <concept>
-       <code value="NEWTHER"></code>
-       <display value="new therapy"></display>
-       <definition value="Definition:A new therapy will be commenced when current supply exhausted."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_GenericUpdateReasonCode"></code>
-     <display value="GenericUpdateReasonCode"></display>
-     <definition value="Description:Identifies why a change is being made to a  record."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CHGDATA"></code>
-      <display value="information change"></display>
-      <definition value="Description:Information has changed since the record was created."></definition>
-     </concept>
-     <concept>
-      <code value="FIXDATA"></code>
-      <display value="error correction"></display>
-      <definition value="Description:Previously recorded information was erroneous and is being corrected."></definition>
-     </concept>
-     <concept>
-      <code value="MDATA"></code>
-      <display value="merge data"></display>
-      <definition value="Information is combined into the record."></definition>
-     </concept>
-     <concept>
-      <code value="NEWDATA"></code>
-      <display value="new information"></display>
-      <definition value="Description:New information has become available to supplement the record."></definition>
-     </concept>
-     <concept>
-      <code value="UMDATA"></code>
-      <display value="unmerge data"></display>
-      <definition value="Information is separated from the record."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PatientProfileQueryReasonCode"></code>
-     <display value="patient profile query reason"></display>
-     <definition value="Definition:A collection of concepts identifying why the patient's profile is being queried."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="LEGAL"></valueCode>
-     </property>
-     <concept>
-      <code value="ADMREV"></code>
-      <display value="administrative review"></display>
-      <definition value="Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures."></definition>
-     </concept>
-     <concept>
-      <code value="PATCAR"></code>
-      <display value="patient care"></display>
-      <definition value="Definition:To obtain records as part of patient care."></definition>
-     </concept>
-     <concept>
-      <code value="PATREQ"></code>
-      <display value="patient request query"></display>
-      <definition value="Definition:Patient requests information from their profile."></definition>
-     </concept>
-     <concept>
-      <code value="PRCREV"></code>
-      <display value="practice review"></display>
-      <definition value="Definition:To evaluate the provider's current practice for professional-improvement reasons."></definition>
-     </concept>
-     <concept>
-      <code value="REGUL"></code>
-      <display value="regulatory review"></display>
-      <definition value="Description:Review for the purpose of regulatory compliance."></definition>
-     </concept>
-     <concept>
-      <code value="RSRCH"></code>
-      <display value="research"></display>
-      <definition value="Definition:To provide research data, as authorized by the patient."></definition>
-     </concept>
-     <concept>
-      <code value="VALIDATION"></code>
-      <display value="validation review"></display>
-      <definition value="Description:To validate the patient's record.
-
-        
-         Example:Merging or unmerging records."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"></code>
-     <display value="PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"></display>
-     <definition value="Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused."></definition>
-     <property>
-      <code value="child"></code>
-      <valueCode value="NOUSERPERM"></valueCode>
-     </property>
-     <concept>
-      <code value="LOCKED"></code>
-      <display value="locked"></display>
-      <definition value="Definition:The prescription may not be reassigned from the original pharmacy."></definition>
-     </concept>
-     <concept>
-      <code value="UNKWNTARGET"></code>
-      <display value="unknown target"></display>
-      <definition value="Definition:The target facility does not recognize the dispensing facility."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_RefusalReasonCode"></code>
-     <display value="RefusalReasonCode"></display>
-     <definition value="Description: Identifies why a request to add (or activate) a record is being refused.  Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="NOMATCH"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="NOPERM"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="_SchedulingActReason"></code>
-     <display value="SchedulingActReason"></display>
-     <definition value="Reasons for cancelling or rescheduling an Appointment"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="PAT"></valueCode>
-     </property>
-     <concept>
-      <code value="BLK"></code>
-      <display value="Unexpected Block (of Schedule)"></display>
-      <definition value="The time slots previously allocated are now blocked and no longer available for booking Appointments"></definition>
-     </concept>
-     <concept>
-      <code value="DEC"></code>
-      <display value="Patient Deceased"></display>
-      <definition value="The Patient is deceased"></definition>
-     </concept>
-     <concept>
-      <code value="FIN"></code>
-      <display value="No Financial Backing"></display>
-      <definition value="Patient unable to pay and not covered by insurance"></definition>
-     </concept>
-     <concept>
-      <code value="MED"></code>
-      <display value="Medical Status Altered"></display>
-      <definition value="The medical condition of the Patient has changed"></definition>
-     </concept>
-     <concept>
-      <code value="MTG"></code>
-      <display value="In an outside meeting"></display>
-      <definition value="The Physician is in a meeting.  For example, he/she may request administrative time to talk to family after appointment"></definition>
-     </concept>
-     <concept>
-      <code value="PHY"></code>
-      <display value="Physician request"></display>
-      <definition value="The Physician requested the action"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_StatusRevisionRefusalReasonCode"></code>
-     <display value="StatusRevisionRefusalReasonCode"></display>
-     <definition value="Indicates why the act revision (status update) is being refused."></definition>
-     <property>
-      <code value="child"></code>
-      <valueCode value="NORECMTCH"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="INRQSTATE"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="NOUSERPERM"></valueCode>
-     </property>
-     <concept>
-      <code value="FILLED"></code>
-      <display value="fully filled"></display>
-      <definition value="Ordered quantity has already been completely fulfilled."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SubstanceAdministrationPermissionRefusalReasonCode"></code>
-     <display value="SubstanceAdministrationPermissionRefusalReasonCode"></display>
-     <definition value="Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused."></definition>
-     <property>
-      <code value="child"></code>
-      <valueCode value="NOUSERPERM"></valueCode>
-     </property>
-     <concept>
-      <code value="PATINELIG"></code>
-      <display value="patient not eligible"></display>
-      <definition value="Definition:Patient not eligible for drug"></definition>
-     </concept>
-     <concept>
-      <code value="PROTUNMET"></code>
-      <display value="protocol not met"></display>
-      <definition value="Definition:Patient does not meet required protocol"></definition>
-     </concept>
-     <concept>
-      <code value="PROVUNAUTH"></code>
-      <display value="provider not authorized"></display>
-      <definition value="Definition:Provider is not authorized to prescribe or dispense"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SubstanceAdminSubstitutionNotAllowedReason"></code>
-     <display value="SubstanceAdminSubstitutionNotAllowedReason"></display>
-     <definition value="Reasons why substitution of a substance administration request is not permitted."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="PAT"></valueCode>
-     </property>
-     <concept>
-      <code value="ALGINT"></code>
-      <display value="allergy intolerance"></display>
-      <definition value="Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components."></definition>
-     </concept>
-     <concept>
-      <code value="COMPCON"></code>
-      <display value="compliance concern"></display>
-      <definition value="Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency."></definition>
-     </concept>
-     <concept>
-      <code value="THERCHAR"></code>
-      <display value="therapeutic characteristics"></display>
-      <definition value="The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications."></definition>
-     </concept>
-     <concept>
-      <code value="TRIAL"></code>
-      <display value="clinical trial drug"></display>
-      <definition value="Definition: The specific manufactured drug is part of a clinical trial."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SubstanceAdminSubstitutionReason"></code>
-     <display value="SubstanceAdminSubstitutionReason"></display>
-     <definition value="SubstanceAdminSubstitutionReason"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CT"></code>
-      <display value="continuing therapy"></display>
-      <definition value="Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy.  I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent."></definition>
-     </concept>
-     <concept>
-      <code value="FP"></code>
-      <display value="formulary policy"></display>
-      <definition value="Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary."></definition>
-     </concept>
-     <concept>
-      <code value="OS"></code>
-      <display value="out of stock"></display>
-      <definition value="In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock.  In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock."></definition>
-     </concept>
-     <concept>
-      <code value="RR"></code>
-      <display value="regulatory requirement"></display>
-      <definition value="Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_TransferActReason"></code>
-     <display value="TransferActReason"></display>
-     <definition value="The explanation for why a patient is moved from one location to another within the organization"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ER"></code>
-      <display value="Error"></display>
-      <definition value="Moved to an error in placing the patient in the original location."></definition>
-     </concept>
-     <concept>
-      <code value="RQ"></code>
-      <display value="Request"></display>
-      <definition value="Moved at the request of the patient."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActBillableServiceReason"></code>
-     <display value="ActBillableServiceReason"></display>
-     <definition value="Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-     <concept>
-      <code value="_ActBillableClinicalServiceReason"></code>
-      <display value="ActBillableClinicalServiceReason"></display>
-      <definition value="Reason for Clinical Service being performed.
-
-        This domain excludes reasons specified by diagnosed conditions.
-
-        Examples of values from this domain include duplicate therapy and fraudulent prescription."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="BONUS"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="CHD"></code>
-     <display value="Children only"></display>
-     <definition value="Description:The level of coverage under the policy or program is available only to children"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DEP"></code>
-     <display value="Dependents only"></display>
-     <definition value="Description:The level of coverage under the policy or program is available only to a subscriber's dependents."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="ECH"></code>
-     <display value="Employee and children"></display>
-     <definition value="Description:The level of coverage under the policy or program is available to an employee and his or her children."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="EDU"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="EMP"></code>
-     <display value="Employee only"></display>
-     <definition value="Description:The level of coverage under the policy or program is available only to an employee."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="ESP"></code>
-     <display value="Employee and spouse"></display>
-     <definition value="Description:The level of coverage under the policy or program is available to an employee and his or her spouse."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="FAM"></code>
-     <display value="Family"></display>
-     <definition value="Description:The level of coverage under the policy or program is available to a subscriber's family."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="IND"></code>
-     <display value="Individual"></display>
-     <definition value="Description:The level of coverage under the policy or program is available to an individual."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="INVOICE"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="PROA"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="RECOV"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="RETRO"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="SPC"></code>
-     <display value="Spouse and children"></display>
-     <definition value="Description:The level of coverage under the policy or program is available to a subscriber's spouse and children"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="SPO"></code>
-     <display value="Spouse only"></display>
-     <definition value="Description:The level of coverage under the policy or program is available only to a subscribers spouse"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="TRAN"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ReligiousAffiliation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ReligiousAffiliation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1076"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ReligiousAffiliation"></name>
-    <title value="v3 Code System ReligiousAffiliation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Assigment of spiritual faith affiliation"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="1001"></code>
-     <display value="Adventist"></display>
-     <definition value="Adventist"></definition>
-    </concept>
-    <concept>
-     <code value="1002"></code>
-     <display value="African Religions"></display>
-     <definition value="African Religions"></definition>
-    </concept>
-    <concept>
-     <code value="1003"></code>
-     <display value="Afro-Caribbean Religions"></display>
-     <definition value="Afro-Caribbean Religions"></definition>
-    </concept>
-    <concept>
-     <code value="1004"></code>
-     <display value="Agnosticism"></display>
-     <definition value="Agnosticism"></definition>
-    </concept>
-    <concept>
-     <code value="1005"></code>
-     <display value="Anglican"></display>
-     <definition value="Anglican"></definition>
-    </concept>
-    <concept>
-     <code value="1006"></code>
-     <display value="Animism"></display>
-     <definition value="Animism"></definition>
-    </concept>
-    <concept>
-     <code value="1007"></code>
-     <display value="Atheism"></display>
-     <definition value="Atheism"></definition>
-    </concept>
-    <concept>
-     <code value="1008"></code>
-     <display value="Babi &amp; Baha'I faiths"></display>
-     <definition value="Babi &amp; Baha'I faiths"></definition>
-    </concept>
-    <concept>
-     <code value="1009"></code>
-     <display value="Baptist"></display>
-     <definition value="Baptist"></definition>
-    </concept>
-    <concept>
-     <code value="1010"></code>
-     <display value="Bon"></display>
-     <definition value="Bon"></definition>
-    </concept>
-    <concept>
-     <code value="1011"></code>
-     <display value="Cao Dai"></display>
-     <definition value="Cao Dai"></definition>
-    </concept>
-    <concept>
-     <code value="1012"></code>
-     <display value="Celticism"></display>
-     <definition value="Celticism"></definition>
-    </concept>
-    <concept>
-     <code value="1013"></code>
-     <display value="Christian (non-Catholic, non-specific)"></display>
-     <definition value="Christian (non-Catholic, non-specific)"></definition>
-    </concept>
-    <concept>
-     <code value="1014"></code>
-     <display value="Confucianism"></display>
-     <definition value="Confucianism"></definition>
-    </concept>
-    <concept>
-     <code value="1015"></code>
-     <display value="Cyberculture Religions"></display>
-     <definition value="Cyberculture Religions"></definition>
-    </concept>
-    <concept>
-     <code value="1016"></code>
-     <display value="Divination"></display>
-     <definition value="Divination"></definition>
-    </concept>
-    <concept>
-     <code value="1017"></code>
-     <display value="Fourth Way"></display>
-     <definition value="Fourth Way"></definition>
-    </concept>
-    <concept>
-     <code value="1018"></code>
-     <display value="Free Daism"></display>
-     <definition value="Free Daism"></definition>
-    </concept>
-    <concept>
-     <code value="1019"></code>
-     <display value="Gnosis"></display>
-     <definition value="Gnosis"></definition>
-    </concept>
-    <concept>
-     <code value="1020"></code>
-     <display value="Hinduism"></display>
-     <definition value="Hinduism"></definition>
-    </concept>
-    <concept>
-     <code value="1021"></code>
-     <display value="Humanism"></display>
-     <definition value="Humanism"></definition>
-    </concept>
-    <concept>
-     <code value="1022"></code>
-     <display value="Independent"></display>
-     <definition value="Independent"></definition>
-    </concept>
-    <concept>
-     <code value="1023"></code>
-     <display value="Islam"></display>
-     <definition value="Islam"></definition>
-    </concept>
-    <concept>
-     <code value="1024"></code>
-     <display value="Jainism"></display>
-     <definition value="Jainism"></definition>
-    </concept>
-    <concept>
-     <code value="1025"></code>
-     <display value="Jehovah's Witnesses"></display>
-     <definition value="Jehovah's Witnesses"></definition>
-    </concept>
-    <concept>
-     <code value="1026"></code>
-     <display value="Judaism"></display>
-     <definition value="Judaism"></definition>
-    </concept>
-    <concept>
-     <code value="1027"></code>
-     <display value="Latter Day Saints"></display>
-     <definition value="Latter Day Saints"></definition>
-    </concept>
-    <concept>
-     <code value="1028"></code>
-     <display value="Lutheran"></display>
-     <definition value="Lutheran"></definition>
-    </concept>
-    <concept>
-     <code value="1029"></code>
-     <display value="Mahayana"></display>
-     <definition value="Mahayana"></definition>
-    </concept>
-    <concept>
-     <code value="1030"></code>
-     <display value="Meditation"></display>
-     <definition value="Meditation"></definition>
-    </concept>
-    <concept>
-     <code value="1031"></code>
-     <display value="Messianic Judaism"></display>
-     <definition value="Messianic Judaism"></definition>
-    </concept>
-    <concept>
-     <code value="1032"></code>
-     <display value="Mitraism"></display>
-     <definition value="Mitraism"></definition>
-    </concept>
-    <concept>
-     <code value="1033"></code>
-     <display value="New Age"></display>
-     <definition value="New Age"></definition>
-    </concept>
-    <concept>
-     <code value="1034"></code>
-     <display value="non-Roman Catholic"></display>
-     <definition value="non-Roman Catholic"></definition>
-    </concept>
-    <concept>
-     <code value="1035"></code>
-     <display value="Occult"></display>
-     <definition value="Occult"></definition>
-    </concept>
-    <concept>
-     <code value="1036"></code>
-     <display value="Orthodox"></display>
-     <definition value="Orthodox"></definition>
-    </concept>
-    <concept>
-     <code value="1037"></code>
-     <display value="Paganism"></display>
-     <definition value="Paganism"></definition>
-    </concept>
-    <concept>
-     <code value="1038"></code>
-     <display value="Pentecostal"></display>
-     <definition value="Pentecostal"></definition>
-    </concept>
-    <concept>
-     <code value="1039"></code>
-     <display value="Process, The"></display>
-     <definition value="Process, The"></definition>
-    </concept>
-    <concept>
-     <code value="1040"></code>
-     <display value="Reformed/Presbyterian"></display>
-     <definition value="Reformed/Presbyterian"></definition>
-    </concept>
-    <concept>
-     <code value="1041"></code>
-     <display value="Roman Catholic Church"></display>
-     <definition value="Roman Catholic Church"></definition>
-    </concept>
-    <concept>
-     <code value="1042"></code>
-     <display value="Satanism"></display>
-     <definition value="Satanism"></definition>
-    </concept>
-    <concept>
-     <code value="1043"></code>
-     <display value="Scientology"></display>
-     <definition value="Scientology"></definition>
-    </concept>
-    <concept>
-     <code value="1044"></code>
-     <display value="Shamanism"></display>
-     <definition value="Shamanism"></definition>
-    </concept>
-    <concept>
-     <code value="1045"></code>
-     <display value="Shiite (Islam)"></display>
-     <definition value="Shiite (Islam)"></definition>
-    </concept>
-    <concept>
-     <code value="1046"></code>
-     <display value="Shinto"></display>
-     <definition value="Shinto"></definition>
-    </concept>
-    <concept>
-     <code value="1047"></code>
-     <display value="Sikism"></display>
-     <definition value="Sikism"></definition>
-    </concept>
-    <concept>
-     <code value="1048"></code>
-     <display value="Spiritualism"></display>
-     <definition value="Spiritualism"></definition>
-    </concept>
-    <concept>
-     <code value="1049"></code>
-     <display value="Sunni (Islam)"></display>
-     <definition value="Sunni (Islam)"></definition>
-    </concept>
-    <concept>
-     <code value="1050"></code>
-     <display value="Taoism"></display>
-     <definition value="Taoism"></definition>
-    </concept>
-    <concept>
-     <code value="1051"></code>
-     <display value="Theravada"></display>
-     <definition value="Theravada"></definition>
-    </concept>
-    <concept>
-     <code value="1052"></code>
-     <display value="Unitarian-Universalism"></display>
-     <definition value="Unitarian-Universalism"></definition>
-    </concept>
-    <concept>
-     <code value="1053"></code>
-     <display value="Universal Life Church"></display>
-     <definition value="Universal Life Church"></definition>
-    </concept>
-    <concept>
-     <code value="1054"></code>
-     <display value="Vajrayana (Tibetan)"></display>
-     <definition value="Vajrayana (Tibetan)"></definition>
-    </concept>
-    <concept>
-     <code value="1055"></code>
-     <display value="Veda"></display>
-     <definition value="Veda"></definition>
-    </concept>
-    <concept>
-     <code value="1056"></code>
-     <display value="Voodoo"></display>
-     <definition value="Voodoo"></definition>
-    </concept>
-    <concept>
-     <code value="1057"></code>
-     <display value="Wicca"></display>
-     <definition value="Wicca"></definition>
-    </concept>
-    <concept>
-     <code value="1058"></code>
-     <display value="Yaohushua"></display>
-     <definition value="Yaohushua"></definition>
-    </concept>
-    <concept>
-     <code value="1059"></code>
-     <display value="Zen Buddhism"></display>
-     <definition value="Zen Buddhism"></definition>
-    </concept>
-    <concept>
-     <code value="1060"></code>
-     <display value="Zoroastrianism"></display>
-     <definition value="Zoroastrianism"></definition>
-    </concept>
-    <concept>
-     <code value="1061"></code>
-     <display value="Assembly of God"></display>
-     <definition value="Assembly of God"></definition>
-    </concept>
-    <concept>
-     <code value="1062"></code>
-     <display value="Brethren"></display>
-     <definition value="Brethren"></definition>
-    </concept>
-    <concept>
-     <code value="1063"></code>
-     <display value="Christian Scientist"></display>
-     <definition value="Christian Scientist"></definition>
-    </concept>
-    <concept>
-     <code value="1064"></code>
-     <display value="Church of Christ"></display>
-     <definition value="Church of Christ"></definition>
-    </concept>
-    <concept>
-     <code value="1065"></code>
-     <display value="Church of God"></display>
-     <definition value="Church of God"></definition>
-    </concept>
-    <concept>
-     <code value="1066"></code>
-     <display value="Congregational"></display>
-     <definition value="Congregational"></definition>
-    </concept>
-    <concept>
-     <code value="1067"></code>
-     <display value="Disciples of Christ"></display>
-     <definition value="Disciples of Christ"></definition>
-    </concept>
-    <concept>
-     <code value="1068"></code>
-     <display value="Eastern Orthodox"></display>
-     <definition value="Eastern Orthodox"></definition>
-    </concept>
-    <concept>
-     <code value="1069"></code>
-     <display value="Episcopalian"></display>
-     <definition value="Episcopalian"></definition>
-    </concept>
-    <concept>
-     <code value="1070"></code>
-     <display value="Evangelical Covenant"></display>
-     <definition value="Evangelical Covenant"></definition>
-    </concept>
-    <concept>
-     <code value="1071"></code>
-     <display value="Friends"></display>
-     <definition value="Friends"></definition>
-    </concept>
-    <concept>
-     <code value="1072"></code>
-     <display value="Full Gospel"></display>
-     <definition value="Full Gospel"></definition>
-    </concept>
-    <concept>
-     <code value="1073"></code>
-     <display value="Methodist"></display>
-     <definition value="Methodist"></definition>
-    </concept>
-    <concept>
-     <code value="1074"></code>
-     <display value="Native American"></display>
-     <definition value="Native American"></definition>
-    </concept>
-    <concept>
-     <code value="1075"></code>
-     <display value="Nazarene"></display>
-     <definition value="Nazarene"></definition>
-    </concept>
-    <concept>
-     <code value="1076"></code>
-     <display value="Presbyterian"></display>
-     <definition value="Presbyterian"></definition>
-    </concept>
-    <concept>
-     <code value="1077"></code>
-     <display value="Protestant"></display>
-     <definition value="Protestant"></definition>
-    </concept>
-    <concept>
-     <code value="1078"></code>
-     <display value="Protestant, No Denomination"></display>
-     <definition value="Protestant, No Denomination"></definition>
-    </concept>
-    <concept>
-     <code value="1079"></code>
-     <display value="Reformed"></display>
-     <definition value="Reformed"></definition>
-    </concept>
-    <concept>
-     <code value="1080"></code>
-     <display value="Salvation Army"></display>
-     <definition value="Salvation Army"></definition>
-    </concept>
-    <concept>
-     <code value="1081"></code>
-     <display value="Unitarian Universalist"></display>
-     <definition value="Unitarian Universalist"></definition>
-    </concept>
-    <concept>
-     <code value="1082"></code>
-     <display value="United Church of Christ"></display>
-     <definition value="United Church of Christ"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContextControl"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ContextControl"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ContextControl"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1057"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContextControl"></name>
-    <title value="v3 Code System ContextControl"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_ContextControlAdditive"></code>
-     <display value="ContextControlAdditive"></display>
-     <definition value="The association adds to the existing context associated with the Act.  Both this association and any associations propagated from ancestor Acts are interpreted as being related to this Act."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AN"></code>
-      <display value="additive, non-propagating"></display>
-      <definition value="The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Additive, Non-Propagating&quot; it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated."></definition>
-     </concept>
-     <concept>
-      <code value="AP"></code>
-      <display value="additive, propagating"></display>
-      <definition value="The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Additive, Propagating&quot; it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ContextControlNonPropagating"></code>
-     <display value="ContextControlNonPropagating"></display>
-     <definition value="The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd)."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="AN"></valueCode>
-     </property>
-     <concept>
-      <code value="ON"></code>
-      <display value="overriding, non-propagating"></display>
-      <definition value="The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Overriding, Non-Propagating&quot; it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ContextControlOverriding"></code>
-     <display value="ContextControlOverriding"></display>
-     <definition value="The association adds to the existing context associated with the Act, but replaces associations propagated from ancestor Acts whose typeCodes are the same or more specific."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="ON"></valueCode>
-     </property>
-     <concept>
-      <code value="OP"></code>
-      <display value="overriding, propagating"></display>
-      <definition value="The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Overriding, Propagating&quot; it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ContextControlPropagating"></code>
-     <display value="ContextControlPropagating"></display>
-     <definition value="The association propagates to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd)."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="AP"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="OP"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationValue"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationValue"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1063"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationValue"></name>
-    <title value="v3 Code System ObservationValue"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationValue"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="_ActCoverageAssessmentObservationValue"></code>
-     <display value="ActCoverageAssessmentObservationValue"></display>
-     <definition value="Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_ActFinancialStatusObservationValue"></code>
-      <display value="ActFinancialStatusObservationValue"></display>
-      <definition value="Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ASSET"></code>
-       <display value="asset"></display>
-       <definition value="Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program."></definition>
-       <concept>
-        <code value="ANNUITY"></code>
-        <display value="annuity"></display>
-        <definition value="Indicator of annuity ownership or status as beneficiary."></definition>
-       </concept>
-       <concept>
-        <code value="PROP"></code>
-        <display value="real property"></display>
-        <definition value="Indicator of real property ownership, e.g., deed or real estate contract."></definition>
-       </concept>
-       <concept>
-        <code value="RETACCT"></code>
-        <display value="retirement investment account"></display>
-        <definition value="Indicator of retirement investment account ownership."></definition>
-       </concept>
-       <concept>
-        <code value="TRUST"></code>
-        <display value="trust"></display>
-        <definition value="Indicator of status as trust beneficiary."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="INCOME"></code>
-       <display value="income"></display>
-       <definition value="Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid."></definition>
-       <concept>
-        <code value="CHILD"></code>
-        <display value="child support"></display>
-        <definition value="Indicator of child support payments received or provided."></definition>
-       </concept>
-       <concept>
-        <code value="DISABL"></code>
-        <display value="disability pay"></display>
-        <definition value="Indicator of disability income replacement payment."></definition>
-       </concept>
-       <concept>
-        <code value="INVEST"></code>
-        <display value="investment income"></display>
-        <definition value="Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check."></definition>
-       </concept>
-       <concept>
-        <code value="PAY"></code>
-        <display value="paid employment"></display>
-        <definition value="Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub."></definition>
-       </concept>
-       <concept>
-        <code value="RETIRE"></code>
-        <display value="retirement pay"></display>
-        <definition value="Indicator of retirement payment, e.g., pension check."></definition>
-       </concept>
-       <concept>
-        <code value="SPOUSAL"></code>
-        <display value="spousal or partner support"></display>
-        <definition value="Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement."></definition>
-       </concept>
-       <concept>
-        <code value="SUPPLE"></code>
-        <display value="income supplement"></display>
-        <definition value="Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant."></definition>
-       </concept>
-       <concept>
-        <code value="TAX"></code>
-        <display value="tax obligation"></display>
-        <definition value="Indicator of tax obligation or payment, e.g., statement of taxable income."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="LIVEXP"></code>
-       <display value="living expense"></display>
-       <definition value="Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program."></definition>
-       <concept>
-        <code value="CLOTH"></code>
-        <display value="clothing expense"></display>
-        <definition value="Indicator of clothing expenses."></definition>
-       </concept>
-       <concept>
-        <code value="FOOD"></code>
-        <display value="food expense"></display>
-        <definition value="Indicator of transportation expenses."></definition>
-       </concept>
-       <concept>
-        <code value="HEALTH"></code>
-        <display value="health expense"></display>
-        <definition value="Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums."></definition>
-       </concept>
-       <concept>
-        <code value="HOUSE"></code>
-        <display value="household expense"></display>
-        <definition value="Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs."></definition>
-       </concept>
-       <concept>
-        <code value="LEGAL"></code>
-        <display value="legal expense"></display>
-        <definition value="Indicator of legal expenses."></definition>
-       </concept>
-       <concept>
-        <code value="MORTG"></code>
-        <display value="mortgage"></display>
-        <definition value="Indicator of mortgage amount, interest, and payments."></definition>
-       </concept>
-       <concept>
-        <code value="RENT"></code>
-        <display value="rent"></display>
-        <definition value="Indicator of rental or lease payments."></definition>
-       </concept>
-       <concept>
-        <code value="SUNDRY"></code>
-        <display value="sundry expense"></display>
-        <definition value="Indicator of transportation expenses."></definition>
-       </concept>
-       <concept>
-        <code value="TRANS"></code>
-        <display value="transportation expense"></display>
-        <definition value="Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs."></definition>
-       </concept>
-       <concept>
-        <code value="UTIL"></code>
-        <display value="utility expense"></display>
-        <definition value="Indicator of transportation expenses."></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="ELSTAT"></code>
-      <display value="eligibility indicator"></display>
-      <definition value="Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate."></definition>
-      <concept>
-       <code value="ADOPT"></code>
-       <display value="adoption document"></display>
-       <definition value="Indicator of adoption."></definition>
-      </concept>
-      <concept>
-       <code value="BTHCERT"></code>
-       <display value="birth certificate"></display>
-       <definition value="Indicator of birth."></definition>
-      </concept>
-      <concept>
-       <code value="CCOC"></code>
-       <display value="creditable coverage document"></display>
-       <definition value="Indicator of creditable coverage."></definition>
-      </concept>
-      <concept>
-       <code value="DRLIC"></code>
-       <display value="driver license"></display>
-       <definition value="Indicator of driving status."></definition>
-      </concept>
-      <concept>
-       <code value="FOSTER"></code>
-       <display value="foster child document"></display>
-       <definition value="Indicator of foster child status."></definition>
-      </concept>
-      <concept>
-       <code value="MEMBER"></code>
-       <display value="program or policy member"></display>
-       <definition value="Indicator of status as covered member under a policy or program, e.g., member id card or coverage document."></definition>
-      </concept>
-      <concept>
-       <code value="MIL"></code>
-       <display value="military identification"></display>
-       <definition value="Indicator of military status."></definition>
-      </concept>
-      <concept>
-       <code value="MRGCERT"></code>
-       <display value="marriage certificate"></display>
-       <definition value="Indicator of marriage status."></definition>
-      </concept>
-      <concept>
-       <code value="PASSPORT"></code>
-       <display value="passport"></display>
-       <definition value="Indicator of citizenship."></definition>
-      </concept>
-      <concept>
-       <code value="STUDENRL"></code>
-       <display value="student enrollment"></display>
-       <definition value="Indicator of student status."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="HLSTAT"></code>
-      <display value="health status"></display>
-      <definition value="Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues."></definition>
-      <concept>
-       <code value="DISABLE"></code>
-       <display value="disabled"></display>
-       <definition value="Indication of disability."></definition>
-      </concept>
-      <concept>
-       <code value="DRUG"></code>
-       <display value="drug use"></display>
-       <definition value="Indication of drug use."></definition>
-      </concept>
-      <concept>
-       <code value="IVDRG"></code>
-       <display value="IV drug use"></display>
-       <definition value="Indication of IV drug use ."></definition>
-      </concept>
-      <concept>
-       <code value="PGNT"></code>
-       <display value="pregnant"></display>
-       <definition value="Non-clinical report of pregnancy."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="LIVDEP"></code>
-      <display value="living dependency"></display>
-      <definition value="Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living."></definition>
-      <concept>
-       <code value="RELDEP"></code>
-       <display value="relative dependent"></display>
-       <definition value="Continued living in private residence requires functional and health care assistance from one or more relatives."></definition>
-      </concept>
-      <concept>
-       <code value="SPSDEP"></code>
-       <display value="spouse dependent"></display>
-       <definition value="Continued living in private residence requires functional and health care assistance from spouse or life partner."></definition>
-      </concept>
-      <concept>
-       <code value="URELDEP"></code>
-       <display value="unrelated person dependent"></display>
-       <definition value="Continued living in private residence requires functional and health care assistance from one or more unrelated persons."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="LIVSIT"></code>
-      <display value="living situation"></display>
-      <definition value="Code specifying observations related to living situation for a person in a private residence."></definition>
-      <concept>
-       <code value="ALONE"></code>
-       <display value="alone"></display>
-       <definition value="Living alone.  Maps to PD1-2   Living arrangement   (IS)   00742 [A]"></definition>
-      </concept>
-      <concept>
-       <code value="DEPCHD"></code>
-       <display value="dependent children"></display>
-       <definition value="Living with one or more dependent children requiring moderate supervision."></definition>
-      </concept>
-      <concept>
-       <code value="DEPSPS"></code>
-       <display value="dependent spouse"></display>
-       <definition value="Living with disabled spouse requiring functional and health care assistance"></definition>
-      </concept>
-      <concept>
-       <code value="DEPYGCHD"></code>
-       <display value="dependent young children"></display>
-       <definition value="Living with one or more dependent children requiring intensive supervision"></definition>
-      </concept>
-      <concept>
-       <code value="FAM"></code>
-       <display value="live with family"></display>
-       <definition value="Living with family. Maps to PD1-2   Living arrangement   (IS)   00742 [F]"></definition>
-      </concept>
-      <concept>
-       <code value="RELAT"></code>
-       <display value="relative"></display>
-       <definition value="Living with one or more relatives. Maps to PD1-2   Living arrangement   (IS)   00742 [R]"></definition>
-      </concept>
-      <concept>
-       <code value="SPS"></code>
-       <display value="spouse only"></display>
-       <definition value="Living only with spouse or life partner. Maps to PD1-2   Living arrangement   (IS)   00742 [S]"></definition>
-      </concept>
-      <concept>
-       <code value="UNREL"></code>
-       <display value="unrelated person"></display>
-       <definition value="Living with one or more unrelated persons."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SOECSTAT"></code>
-      <display value="socio economic status"></display>
-      <definition value="Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program."></definition>
-      <concept>
-       <code value="ABUSE"></code>
-       <display value="abuse victim"></display>
-       <definition value="Indication of abuse victim."></definition>
-      </concept>
-      <concept>
-       <code value="HMLESS"></code>
-       <display value="homeless"></display>
-       <definition value="Indication of status as homeless."></definition>
-      </concept>
-      <concept>
-       <code value="ILGIM"></code>
-       <display value="illegal immigrant"></display>
-       <definition value="Indication of status as illegal immigrant."></definition>
-      </concept>
-      <concept>
-       <code value="INCAR"></code>
-       <display value="incarcerated"></display>
-       <definition value="Indication of status as incarcerated."></definition>
-      </concept>
-      <concept>
-       <code value="PROB"></code>
-       <display value="probation"></display>
-       <definition value="Indication of probation status."></definition>
-      </concept>
-      <concept>
-       <code value="REFUG"></code>
-       <display value="refugee"></display>
-       <definition value="Indication of refugee status."></definition>
-      </concept>
-      <concept>
-       <code value="UNEMPL"></code>
-       <display value="unemployed"></display>
-       <definition value="Indication of unemployed status."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_AllergyTestValue"></code>
-     <display value="AllergyTestValue"></display>
-     <definition value="Indicates the result of a particular allergy test.  E.g. Negative, Mild, Moderate, Severe"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="A0"></code>
-      <display value="no reaction"></display>
-      <definition value="Description:Patient exhibits no reaction to the challenge agent."></definition>
-     </concept>
-     <concept>
-      <code value="A1"></code>
-      <display value="minimal reaction"></display>
-      <definition value="Description:Patient exhibits a minimal reaction to the challenge agent."></definition>
-     </concept>
-     <concept>
-      <code value="A2"></code>
-      <display value="mild reaction"></display>
-      <definition value="Description:Patient exhibits a mild reaction to the challenge agent."></definition>
-     </concept>
-     <concept>
-      <code value="A3"></code>
-      <display value="moderate reaction"></display>
-      <definition value="Description:Patient exhibits moderate reaction to the challenge agent."></definition>
-     </concept>
-     <concept>
-      <code value="A4"></code>
-      <display value="severe reaction"></display>
-      <definition value="Description:Patient exhibits a severe reaction to the challenge agent."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_CompositeMeasureScoring"></code>
-     <display value="CompositeMeasureScoring"></display>
-     <definition value="Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ALLORNONESCR"></code>
-      <display value="All-or-nothing Scoring"></display>
-      <definition value="Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator."></definition>
-     </concept>
-     <concept>
-      <code value="LINEARSCR"></code>
-      <display value="Linear Scoring"></display>
-      <definition value="Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure."></definition>
-     </concept>
-     <concept>
-      <code value="OPPORSCR"></code>
-      <display value="Opportunity Scoring"></display>
-      <definition value="Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score."></definition>
-     </concept>
-     <concept>
-      <code value="WEIGHTSCR"></code>
-      <display value="Weighted Scoring"></display>
-      <definition value="Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_CoverageLimitObservationValue"></code>
-     <display value="CoverageLimitObservationValue"></display>
-     <definition value="Description:Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_CoverageLevelObservationValue"></code>
-      <display value="CoverageLevelObservationValue"></display>
-      <definition value="Description:Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ADC"></code>
-       <display value="adult child"></display>
-       <definition value="Description:Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent."></definition>
-      </concept>
-      <concept>
-       <code value="CHD"></code>
-       <display value="child"></display>
-       <definition value="Description:Dependent biological, adopted, foster child as specified by coverage policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="DEP"></code>
-       <display value="dependent"></display>
-       <definition value="Description:Person requiring functional and/or financial assistance from another person as specified by coverage policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="DP"></code>
-       <display value="domestic partner"></display>
-       <definition value="Description:Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="ECH"></code>
-       <display value="employee"></display>
-       <definition value="Description:An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="FLY"></code>
-       <display value="family coverage"></display>
-       <definition value="Description:As specified by coverage policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="IND"></code>
-       <display value="individual"></display>
-       <definition value="Description:Person as specified by coverage policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="SSP"></code>
-       <display value="same sex partner"></display>
-       <definition value="Description:A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades"></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_CriticalityObservationValue"></code>
-     <display value="CriticalityObservationValue"></display>
-     <definition value="A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CRITH"></code>
-      <display value="high criticality"></display>
-      <definition value="Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure."></definition>
-     </concept>
-     <concept>
-      <code value="CRITL"></code>
-      <display value="low criticality"></display>
-      <definition value="Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure."></definition>
-     </concept>
-     <concept>
-      <code value="CRITU"></code>
-      <display value="unable to assess criticality"></display>
-      <definition value="Unable to assess the worst case result of a future exposure."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_EmploymentStatus"></code>
-     <display value="_EmploymentStatus"></display>
-     <definition value="Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="Employed"></code>
-      <display value="Employed"></display>
-      <definition value="Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs."></definition>
-     </concept>
-     <concept>
-      <code value="NotInLaborForce"></code>
-      <display value="Not In Labor Force"></display>
-      <definition value="Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one."></definition>
-     </concept>
-     <concept>
-      <code value="Unemployed"></code>
-      <display value="Unemployed"></display>
-      <definition value="Persons who currently have no employment, but are available for work and have made specific efforts to find employment."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_GeneticObservationValue"></code>
-     <display value="GeneticObservationValue"></display>
-     <definition value="Description: The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="Homozygote"></code>
-      <display value="HOMO"></display>
-      <definition value="Description: An individual having different alleles at one or more loci regarding a specific character"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_MeasurementImprovementNotation"></code>
-     <display value="Measurement Improvement Notation"></display>
-     <definition value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="DecrIsImp"></code>
-      <display value="Decreased score indicates improvement"></display>
-      <definition value="Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)"></definition>
-     </concept>
-     <concept>
-      <code value="IncrIsImp"></code>
-      <display value="Increased score indicates improvement"></display>
-      <definition value="Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationMeasureScoring"></code>
-     <display value="ObservationMeasureScoring"></display>
-     <definition value="Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="COHORT"></code>
-      <display value="cohort measure scoring"></display>
-      <definition value="A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration)."></definition>
-     </concept>
-     <concept>
-      <code value="CONTVAR"></code>
-      <display value="continuous variable measure scoring"></display>
-      <definition value="A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics)."></definition>
-     </concept>
-     <concept>
-      <code value="PROPOR"></code>
-      <display value="proportion measure scoring"></display>
-      <definition value="A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year)."></definition>
-     </concept>
-     <concept>
-      <code value="RATIO"></code>
-      <display value="ratio measure scoring"></display>
-      <definition value="A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days)."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationMeasureType"></code>
-     <display value="ObservationMeasureType"></display>
-     <definition value="Observation values used to indicate what kind of health quality measure is used."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="COMPOSITE"></code>
-      <display value="composite measure type"></display>
-      <definition value="A measure that is composed from one or more other measures and indicates an overall summary of those measures."></definition>
-     </concept>
-     <concept>
-      <code value="EFFICIENCY"></code>
-      <display value="efficiency measure type"></display>
-      <definition value="A measure related to the efficiency of medical treatment."></definition>
-     </concept>
-     <concept>
-      <code value="EXPERIENCE"></code>
-      <display value="experience measure type"></display>
-      <definition value="A measure related to the level of patient engagement or patient experience of care."></definition>
-     </concept>
-     <concept>
-      <code value="OUTCOME"></code>
-      <display value="outcome measure type"></display>
-      <definition value="A measure that indicates the result of the performance (or non-performance) of a function or process."></definition>
-      <concept>
-       <code value="INTERM-OM"></code>
-       <display value="intermediate clinical outcome measure"></display>
-       <definition value="A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome."></definition>
-      </concept>
-      <concept>
-       <code value="PRO-PM"></code>
-       <display value="intermediate clinical outcome measure"></display>
-       <definition value="A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="PROCESS"></code>
-      <display value="process measure type"></display>
-      <definition value="A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome."></definition>
-      <concept>
-       <code value="APPROPRIATE"></code>
-       <display value="appropriate use process measure"></display>
-       <definition value="A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="RESOURCE"></code>
-      <display value="resource use measure type"></display>
-      <definition value="A measure related to the extent of use of clinical resources or cost of care."></definition>
-     </concept>
-     <concept>
-      <code value="STRUCTURE"></code>
-      <display value="structure measure type"></display>
-      <definition value="A measure related to the structure of patient care."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationPopulationInclusion"></code>
-     <display value="ObservationPopulationInclusion"></display>
-     <definition value="Observation values used to assert various populations that a subject falls into."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2013-07-26"></valueDateTime>
-     </property>
-     <concept>
-      <code value="DENEX"></code>
-      <display value="denominator exclusions"></display>
-      <definition value="Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="DENEXCEP"></code>
-      <display value="denominator exceptions"></display>
-      <definition value="Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures.  Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:
-
-        
-         Medical reasons
-         Patient reasons
-         System reasons"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="DENOM"></code>
-      <display value="denominator"></display>
-      <definition value="It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="IP"></code>
-      <display value="initial population"></display>
-      <definition value="The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-      <concept>
-       <code value="IPP"></code>
-       <display value="initial patient population"></display>
-       <definition value="The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="deprecated"></valueCode>
-       </property>
-       <property>
-        <code value="deprecationDate"></code>
-        <valueDateTime value="2013-07-26"></valueDateTime>
-       </property>
-      </concept>
-     </concept>
-     <concept>
-      <code value="MSRPOPL"></code>
-      <display value="measure population"></display>
-      <definition value="Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. 
-(e.g., all patients seen in the Emergency Department during the measurement period)."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="NUMER"></code>
-      <display value="numerator"></display>
-      <definition value="Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period)."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="NUMEX"></code>
-      <display value="numerator exclusions"></display>
-      <definition value="Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-26"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PartialCompletionScale"></code>
-     <display value="PartialCompletionScale"></display>
-     <definition value="PartialCompletionScale"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="G"></code>
-      <display value="Great extent"></display>
-      <definition value="Value for Act.partialCompletionCode attribute that implies 81-99% completion"></definition>
-     </concept>
-     <concept>
-      <code value="LE"></code>
-      <display value="Large extent"></display>
-      <definition value="Value for Act.partialCompletionCode attribute that implies 61-80% completion"></definition>
-     </concept>
-     <concept>
-      <code value="ME"></code>
-      <display value="Medium extent"></display>
-      <definition value="Value for Act.partialCompletionCode attribute that implies 41-60% completion"></definition>
-     </concept>
-     <concept>
-      <code value="MI"></code>
-      <display value="Minimal extent"></display>
-      <definition value="Value for Act.partialCompletionCode attribute that implies 1-20% completion"></definition>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="None"></display>
-      <definition value="Value for Act.partialCompletionCode attribute that implies 0% completion"></definition>
-     </concept>
-     <concept>
-      <code value="S"></code>
-      <display value="Some extent"></display>
-      <definition value="Value for Act.partialCompletionCode attribute that implies 21-40% completion"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SecurityObservationValue"></code>
-     <display value="SecurityObservationValue"></display>
-     <definition value="Observation values used to indicate security observation metadata."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_SECINTOBV"></code>
-      <display value="security integrity"></display>
-      <definition value="Abstract security observation values used to indicate security integrity metadata.
-
-        
-         Examples: Codes conveying integrity status, integrity confidence, and provenance."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_SECALTINTOBV"></code>
-       <display value="alteration integrity"></display>
-       <definition value="Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)"></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="ABSTRED"></code>
-        <display value="abstracted"></display>
-        <definition value="Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN."></definition>
-       </concept>
-       <concept>
-        <code value="AGGRED"></code>
-        <display value="aggregated"></display>
-        <definition value="Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary."></definition>
-       </concept>
-       <concept>
-        <code value="ANONYED"></code>
-        <display value="anonymized"></display>
-        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject.  No key to relink the data is retained."></definition>
-       </concept>
-       <concept>
-        <code value="MAPPED"></code>
-        <display value="mapped"></display>
-        <definition value="Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.
-
-        
-         Usage Note: &quot;MAP&quot; code does not indicate the semantic fidelity of the transformed content.
-
-        To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).
-
-        Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation."></definition>
-       </concept>
-       <concept>
-        <code value="MASKED"></code>
-        <display value="masked"></display>
-        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users.  An authorized user may be provided a key to decrypt per license or &quot;shared secret&quot;.
-
-        
-         Usage Note: &quot;MASKED&quot; may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided."></definition>
-       </concept>
-       <concept>
-        <code value="PSEUDED"></code>
-        <display value="pseudonymized"></display>
-        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject.  Custodian may retain a key to relink data necessary to reidentify the information subject.
-
-        
-         Rationale: Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management.  Based on ISO/TS 25237:2008 Health informatics—Pseudonymization"></definition>
-       </concept>
-       <concept>
-        <code value="REDACTED"></code>
-        <display value="redacted"></display>
-        <definition value="Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.
-
-        
-         Usage Note: &quot;REDACTED&quot; may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received."></definition>
-       </concept>
-       <concept>
-        <code value="SUBSETTED"></code>
-        <display value="subsetted"></display>
-        <definition value="Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update
-
-        
-         Usage Note: This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use."></definition>
-       </concept>
-       <concept>
-        <code value="SYNTAC"></code>
-        <display value="syntactic transform"></display>
-        <definition value="Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.  
-
-        
-         Usage Note: &quot;SYNTAC&quot; code does not indicate the syntactical correctness of the syntactically transformed IT resource."></definition>
-       </concept>
-       <concept>
-        <code value="TRSLT"></code>
-        <display value="translated"></display>
-        <definition value="Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.  
-
-        
-         Usage Note: &quot;TRSLT&quot; does not indicate the fidelity of the translation or the languages translated.
-
-        The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.
-
-        To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)"></definition>
-       </concept>
-       <concept>
-        <code value="VERSIONED"></code>
-        <display value="versioned"></display>
-        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability)  which indicates that the resource only retains versions of an IT resource  for access and use per applicable policy
-
-        
-         Usage Note: When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_SECDATINTOBV"></code>
-       <display value="data integrity"></display>
-       <definition value="Abstract security observation values used to indicate data integrity metadata.
-
-        
-         Examples: Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="CRYTOHASH"></code>
-        <display value="cryptographic hash function"></display>
-        <definition value="Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.
-
-        
-         Rationale: This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit.  The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.
-
-        
-         Examples: 
-        
-
-        
-         SHA-1
-         SHA-2 (Secure Hash Algorithm)"></definition>
-       </concept>
-       <concept>
-        <code value="DIGSIG"></code>
-        <display value="digital signature"></display>
-        <definition value="Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.  
-
-        
-         Rationale: This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature:  Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_SECINTCONOBV"></code>
-       <display value="integrity confidence"></display>
-       <definition value="Abstract security observation value used to indicate integrity confidence metadata.
-
-        
-         Examples: Codes conveying the level of reliability and trustworthiness of an IT resource."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="HRELIABLE"></code>
-        <display value="highly reliable"></display>
-        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high."></definition>
-       </concept>
-       <concept>
-        <code value="RELIABLE"></code>
-        <display value="reliable"></display>
-        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate."></definition>
-       </concept>
-       <concept>
-        <code value="UNCERTREL"></code>
-        <display value="uncertain reliability"></display>
-        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain."></definition>
-       </concept>
-       <concept>
-        <code value="UNRELIABLE"></code>
-        <display value="unreliable"></display>
-        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_SECINTPRVOBV"></code>
-       <display value="provenance"></display>
-       <definition value="Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).
-
-        
-         Examples: Codes conveying the provenance metadata about the entity reporting an IT resource."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="_SECINTPRVABOBV"></code>
-        <display value="provenance asserted by"></display>
-        <definition value="Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).
-
-        
-         Examples: Codes conveying the provenance metadata about the entity asserting the resource."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="CLINAST"></code>
-         <display value="clinician asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician."></definition>
-        </concept>
-        <concept>
-         <code value="DEVAST"></code>
-         <display value="device asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device."></definition>
-        </concept>
-        <concept>
-         <code value="HCPAST"></code>
-         <display value="healthcare professional asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional."></definition>
-        </concept>
-        <concept>
-         <code value="PACQAST"></code>
-         <display value="patient acquaintance asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance."></definition>
-        </concept>
-        <concept>
-         <code value="PATAST"></code>
-         <display value="patient asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient."></definition>
-        </concept>
-        <concept>
-         <code value="PAYAST"></code>
-         <display value="payer asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer."></definition>
-        </concept>
-        <concept>
-         <code value="PROAST"></code>
-         <display value="professional asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional."></definition>
-        </concept>
-        <concept>
-         <code value="SDMAST"></code>
-         <display value="substitute decision maker asserted"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="_SECINTPRVRBOBV"></code>
-        <display value="provenance reported by"></display>
-        <definition value="Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).
-
-        
-         Examples: Codes conveying the provenance metadata about the entity reporting an IT resource."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="CLINRPT"></code>
-         <display value="clinician reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician."></definition>
-        </concept>
-        <concept>
-         <code value="DEVRPT"></code>
-         <display value="device reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device."></definition>
-        </concept>
-        <concept>
-         <code value="HCPRPT"></code>
-         <display value="healthcare professional reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional."></definition>
-        </concept>
-        <concept>
-         <code value="PACQRPT"></code>
-         <display value="patient acquaintance reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance."></definition>
-        </concept>
-        <concept>
-         <code value="PATRPT"></code>
-         <display value="patient reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient."></definition>
-        </concept>
-        <concept>
-         <code value="PAYRPT"></code>
-         <display value="payer reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer."></definition>
-        </concept>
-        <concept>
-         <code value="PRORPT"></code>
-         <display value="professional reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional."></definition>
-        </concept>
-        <concept>
-         <code value="SDMRPT"></code>
-         <display value="substitute decision maker reported"></display>
-         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker."></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SECTRSTOBV"></code>
-      <display value="security trust observation"></display>
-      <definition value="Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability)."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="TRSTACCRDOBV"></code>
-       <display value="trust accreditation observation"></display>
-       <definition value="Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework."></definition>
-      </concept>
-      <concept>
-       <code value="TRSTAGREOBV"></code>
-       <display value="trust agreement observation"></display>
-       <definition value="Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
-[ISO IEC 10181-1]"></definition>
-      </concept>
-      <concept>
-       <code value="TRSTCERTOBV"></code>
-       <display value="trust certificate observation"></display>
-       <definition value="Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]
-
-        For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements.  A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range.  Another example is Cross Certification with Federal Bridge."></definition>
-      </concept>
-      <concept>
-       <code value="TRSTLOAOBV"></code>
-       <display value="trust assurance observation"></display>
-       <definition value="Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="LOAAN"></code>
-        <display value="authentication level of assurance value"></display>
-        <definition value="The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]
-
-        For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOAAN1"></code>
-         <display value="low authentication level of assurance"></display>
-         <definition value="Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
-
-        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] 
-
-        Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers.  Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAN2"></code>
-         <display value="basic authentication level of assurance"></display>
-         <definition value="Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
-
-        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]
-
-        Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token.  Eavesdropper, replay, and online guessing attacks are prevented.  
-Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAN3"></code>
-         <display value="medium authentication level of assurance"></display>
-         <definition value="Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
-
-        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] 
-
-        Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity.  Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:
-
-        
-         &quot;soft&quot; cryptographic token, which has the key stored on a general-purpose computer, 
-         &quot;hard&quot; cryptographic token, which has the key stored on a special hardware device, and 
-         &quot;one-time password&quot; device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.
-        
-        Authentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations.  Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.    [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAN4"></code>
-         <display value="high authentication level of assurance"></display>
-         <definition value="Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
-
-        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]
-
-        High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hard� cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.
-
-        Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOAAP"></code>
-        <display value="authentication process level of assurance value"></display>
-        <definition value="The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOAAP1"></code>
-         <display value="low authentication process level of assurance"></display>
-         <definition value="Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
-
-        Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAP2"></code>
-         <display value="basic authentication process level of assurance"></display>
-         <definition value="Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
-
-        Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP).  Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAP3"></code>
-         <display value="medium authentication process level of assurance"></display>
-         <definition value="Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
-
-        Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication.  Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).
-
-        Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier."></definition>
-        </concept>
-        <concept>
-         <code value="LOAAP4"></code>
-         <display value="high authentication process level of assurance"></display>
-         <definition value="Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
-
-        High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process.  Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOAAS"></code>
-        <display value="assertion level of assurance value"></display>
-        <definition value="The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOAAS1"></code>
-         <display value="low assertion level of assurance"></display>
-         <definition value="Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
-
-        Assertions and assertion references require protection from modification and reuse attacks.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAS2"></code>
-         <display value="basic assertion level of assurance"></display>
-         <definition value="Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
-
-        Assertions are resistant to disclosure, redirection, capture and substitution attacks.  Approved cryptographic techniques are required for all assertion protocols.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAS3"></code>
-         <display value="medium assertion level of assurance"></display>
-         <definition value="Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
-
-        Assertions are protected against repudiation by the verifier.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAAS4"></code>
-         <display value="high assertion level of assurance"></display>
-         <definition value="Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
-
-        Strongly resistant to man-in-the-middle attacks. &quot;Bearer&quot; assertions are not used.  &quot;Holder-of-key&quot; assertions may be used. RP maintains records of the assertions.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOACM"></code>
-        <display value="token and credential management level of assurance value)"></display>
-        <definition value="Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOACM1"></code>
-         <display value="low token and credential management level of assurance"></display>
-         <definition value="Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOACM2"></code>
-         <display value="basic token and credential management level of assurance"></display>
-         <definition value="Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity.  Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include:  Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and  token is at least weakly resistant to man-in-the middle attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOACM3"></code>
-         <display value="medium token and credential management level of assurance"></display>
-         <definition value="Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity.  High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics  include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOACM4"></code>
-         <display value="high token and credential management level of assurance"></display>
-         <definition value="Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity.  Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOAID"></code>
-        <display value="identity proofing level of assurance"></display>
-        <definition value="Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOAID1"></code>
-         <display value="low identity proofing level of assurance"></display>
-         <definition value="Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires that a continuity of identity be maintained but does not require identity proofing. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAID2"></code>
-         <display value="basic identity proofing level of assurance"></display>
-         <definition value="Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAID3"></code>
-         <display value="medium identity proofing level of assurance"></display>
-         <definition value="Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOAID4"></code>
-         <display value="high identity proofing level of assurance"></display>
-         <definition value="Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOANR"></code>
-        <display value="non-repudiation level of assurance value"></display>
-        <definition value="Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOANR1"></code>
-         <display value="low non-repudiation level of assurance"></display>
-         <definition value="Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
-        </concept>
-        <concept>
-         <code value="LOANR2"></code>
-         <display value="basic non-repudiation level of assurance"></display>
-         <definition value="Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
-        </concept>
-        <concept>
-         <code value="LOANR3"></code>
-         <display value="medium non-repudiation level of assurance"></display>
-         <definition value="Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
-        </concept>
-        <concept>
-         <code value="LOANR4"></code>
-         <display value="high non-repudiation level of assurance"></display>
-         <definition value="Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOARA"></code>
-        <display value="remote access level of assurance value"></display>
-        <definition value="Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOARA1"></code>
-         <display value="low remote access level of assurance"></display>
-         <definition value="Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
-        </concept>
-        <concept>
-         <code value="LOARA2"></code>
-         <display value="basic remote access level of assurance"></display>
-         <definition value="Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
-        </concept>
-        <concept>
-         <code value="LOARA3"></code>
-         <display value="medium remote access level of assurance"></display>
-         <definition value="Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
-        </concept>
-        <concept>
-         <code value="LOARA4"></code>
-         <display value="high remote access level of assurance"></display>
-         <definition value="Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="LOATK"></code>
-        <display value="token level of assurance value"></display>
-        <definition value="Indicator of the digital quality or reliability of single and multi-token authentication. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="LOATK1"></code>
-         <display value="low token level of assurance"></display>
-         <definition value="Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOATK2"></code>
-         <display value="basic token level of assurance"></display>
-         <definition value="Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOATK3"></code>
-         <display value="medium token level of assurance"></display>
-         <definition value="Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-        <concept>
-         <code value="LOATK4"></code>
-         <display value="high token level of assurance"></display>
-         <definition value="Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card.  [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="TRSTMECOBV"></code>
-       <display value="none supplied 6"></display>
-       <definition value="Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SeverityObservation"></code>
-     <display value="SeverityObservation"></display>
-     <definition value="Potential values for observations of severity."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="H"></code>
-      <display value="High"></display>
-      <definition value="Indicates the condition may be life-threatening or has the potential to cause permanent injury."></definition>
-     </concept>
-     <concept>
-      <code value="L"></code>
-      <display value="Low"></display>
-      <definition value="Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject."></definition>
-     </concept>
-     <concept>
-      <code value="M"></code>
-      <display value="Moderate"></display>
-      <definition value="Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SubjectBodyPosition"></code>
-     <display value="_SubjectBodyPosition"></display>
-     <definition value="Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc.  ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="LLD"></code>
-      <display value="left lateral decubitus"></display>
-      <definition value="Lying on the left side."></definition>
-     </concept>
-     <concept>
-      <code value="PRN"></code>
-      <display value="prone"></display>
-      <definition value="Lying with the front or ventral surface downward; lying face down."></definition>
-     </concept>
-     <concept>
-      <code value="RLD"></code>
-      <display value="right lateral decubitus"></display>
-      <definition value="Lying on the right side."></definition>
-     </concept>
-     <concept>
-      <code value="SFWL"></code>
-      <display value="Semi-Fowler's"></display>
-      <definition value="A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees."></definition>
-     </concept>
-     <concept>
-      <code value="SIT"></code>
-      <display value="sitting"></display>
-      <definition value="Resting the body on the buttocks, typically with upper torso erect or semi erect."></definition>
-     </concept>
-     <concept>
-      <code value="STN"></code>
-      <display value="standing"></display>
-      <definition value="To be stationary, upright, vertical, on one's legs."></definition>
-     </concept>
-     <concept>
-      <code value="SUP"></code>
-      <display value="supine"></display>
-      <definition value="supine"></definition>
-      <concept>
-       <code value="RTRD"></code>
-       <display value="reverse trendelenburg"></display>
-       <definition value="Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered."></definition>
-      </concept>
-      <concept>
-       <code value="TRD"></code>
-       <display value="trendelenburg"></display>
-       <definition value="Lying on the back, on an inclined plane, typically about 30-45 degrees, with  head lowered and feet raised."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_VerificationOutcomeValue"></code>
-     <display value="verification outcome"></display>
-     <definition value="Values for observations of verification act results
-
-        
-         Examples: Verified, not verified, verified with warning."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ACT"></code>
-      <display value="active coverage"></display>
-      <definition value="Definition: Coverage is in effect for healthcare service(s) and/or product(s)."></definition>
-     </concept>
-     <concept>
-      <code value="ACTPEND"></code>
-      <display value="active - pending investigation"></display>
-      <definition value="Definition: Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation"></definition>
-     </concept>
-     <concept>
-      <code value="ELG"></code>
-      <display value="eligible"></display>
-      <definition value="Definition: Coverage is in effect for healthcare service(s) and/or product(s)."></definition>
-     </concept>
-     <concept>
-      <code value="INACT"></code>
-      <display value="inactive"></display>
-      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s)."></definition>
-     </concept>
-     <concept>
-      <code value="INPNDINV"></code>
-      <display value="inactive - pending investigation"></display>
-      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation."></definition>
-     </concept>
-     <concept>
-      <code value="INPNDUPD"></code>
-      <display value="inactive - pending eligibility update"></display>
-      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update."></definition>
-     </concept>
-     <concept>
-      <code value="NELG"></code>
-      <display value="not eligible"></display>
-      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_WorkSchedule"></code>
-     <display value="_WorkSchedule"></display>
-     <definition value="Concepts that describe an individual's typical arrangement of working hours for an occupation."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="DS"></code>
-      <display value="daytime shift"></display>
-      <definition value="A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis."></definition>
-     </concept>
-     <concept>
-      <code value="EMS"></code>
-      <display value="early morning shift"></display>
-      <definition value="Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)"></definition>
-     </concept>
-     <concept>
-      <code value="ES"></code>
-      <display value="evening shift"></display>
-      <definition value="A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis."></definition>
-     </concept>
-     <concept>
-      <code value="NS"></code>
-      <display value="night shift"></display>
-      <definition value="Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis."></definition>
-     </concept>
-     <concept>
-      <code value="RSWN"></code>
-      <display value="rotating shift with nights"></display>
-      <definition value="Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts."></definition>
-     </concept>
-     <concept>
-      <code value="RSWON"></code>
-      <display value="rotating shift without nights"></display>
-      <definition value="Scheduled for work days/times that change periodically between days, but does not include night or evening work."></definition>
-     </concept>
-     <concept>
-      <code value="SS"></code>
-      <display value="split shift"></display>
-      <definition value="Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)"></definition>
-     </concept>
-     <concept>
-      <code value="VLS"></code>
-      <display value="very long shift"></display>
-      <definition value="Shifts of 17 or more hours."></definition>
-     </concept>
-     <concept>
-      <code value="VS"></code>
-      <display value="variable shift"></display>
-      <definition value="Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_AnnotationValue"></code>
-     <display value="AnnotationValue"></display>
-     <definition value="AnnotationValue"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="_CommonClinicalObservationValue"></code>
-     <display value="common clinical observation"></display>
-     <definition value="Description:Used in a patient care message to value simple clinical (non-lab) observations."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="_IndividualCaseSafetyReportValueDomains"></code>
-     <display value="Individual Case Safety Report Value Domains"></display>
-     <definition value="This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="_IndicationValue"></code>
-     <display value="IndicationValue"></display>
-     <definition value="Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-MapRelationship"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-MapRelationship"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-MapRelationship"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.67"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.MapRelationship"></name>
-    <title value="v3 Code System MapRelationship"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-MapRelationship"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="BT"></code>
-     <display value="Broader Than"></display>
-     <definition value="The first concept is at a more abstract level than the second concept.  For example, Hepatitis is broader than Hepatitis A, and endocrine disease is broader than Diabetes Mellitus.  Broader than is the opposite of the narrower than relationship."></definition>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Exact"></display>
-     <definition value="The two concepts have identical meaning."></definition>
-    </concept>
-    <concept>
-     <code value="NT"></code>
-     <display value="Narrower Than"></display>
-     <definition value="The first concept is at a more detailed level than the second concept.  For example, Pennicillin G is narrower than Pennicillin, and vellus hair is narrower than hair.  Narrower than is the opposite of broader than."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CompressionAlgorithm"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-CompressionAlgorithm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-CompressionAlgorithm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1009"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CompressionAlgorithm"></name>
-    <title value="v3 Code System CompressionAlgorithm"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="BZ"></code>
-     <display value="bzip"></display>
-     <definition value="bzip-2 compression format. See [http://www.bzip.org/] for more information."></definition>
-    </concept>
-    <concept>
-     <code value="DF"></code>
-     <display value="deflate"></display>
-     <definition value="The deflate compressed data format as specified in RFC 1951 [http://www.ietf.org/rfc/rfc1951.txt]."></definition>
-    </concept>
-    <concept>
-     <code value="GZ"></code>
-     <display value="gzip"></display>
-     <definition value="A compressed data format that is compatible with the widely used GZIP utility as specified in RFC 1952 [http://www.ietf.org/rfc/rfc1952.txt] (uses the deflate algorithm)."></definition>
-    </concept>
-    <concept>
-     <code value="Z"></code>
-     <display value="compress"></display>
-     <definition value="Original UNIX compress algorithm and file format using the LZC algorithm (a variant of LZW).  Patent encumbered and less efficient than deflate."></definition>
-    </concept>
-    <concept>
-     <code value="Z7"></code>
-     <display value="Z7"></display>
-     <definition value="7z compression file format. See [http://www.7-zip.org/7z.html] for more information."></definition>
-    </concept>
-    <concept>
-     <code value="ZL"></code>
-     <display value="zlib"></display>
-     <definition value="A compressed data format that also uses the deflate algorithm.  Specified as RFC 1950 [http://www.ietf.org/rfc/rfc1952.txt]"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContainerCap"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ContainerCap"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ContainerCap"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.26"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContainerCap"></name>
-    <title value="v3 Code System ContainerCap"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The type of cap associated with a container"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContainerCap"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_MedicationCap"></code>
-     <display value="MedicationCap"></display>
-     <definition value="Cap types for medication containers"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CHILD"></code>
-      <display value="ChildProof"></display>
-      <definition value="A cap designed to be difficult to open for children.  Generally requires multiple simultaneous actions (e.g. squeeze and twist) to open.  Used for products that may be dangerous if ingested or overdosed by children."></definition>
-     </concept>
-     <concept>
-      <code value="EASY"></code>
-      <display value="EasyOpen"></display>
-      <definition value="A cap designed to be easily removed.  For products intended to be opened by persons with limited strength or dexterity."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="FILM"></code>
-     <display value="Film"></display>
-     <definition value="A non-reactive plastic film covering over the opening of a container."></definition>
-    </concept>
-    <concept>
-     <code value="FOIL"></code>
-     <display value="Foil"></display>
-     <definition value="A foil covering (type of foil not specified) over the opening of a container"></definition>
-    </concept>
-    <concept>
-     <code value="PUSH"></code>
-     <display value="Push Cap"></display>
-     <definition value="A non-threaded cap that forms a tight-fitting closure on a container by pushing the fitted end into the conatiner opening"></definition>
-    </concept>
-    <concept>
-     <code value="SCR"></code>
-     <display value="Screw Cap"></display>
-     <definition value="A threaded cap that is screwed onto the opening of a container"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryResponse"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryResponse"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryResponse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1067"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryResponse"></name>
-    <title value="v3 Code System QueryResponse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryResponse"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AE"></code>
-     <display value="ApplicationError"></display>
-     <definition value="Query Error.  Application Error."></definition>
-    </concept>
-    <concept>
-     <code value="NF"></code>
-     <display value="No data found"></display>
-     <definition value="No errors, but no data was found matching the query request specification."></definition>
-    </concept>
-    <concept>
-     <code value="OK"></code>
-     <display value="Data found"></display>
-     <definition value="Query reponse data found for 1 or more result sets matching the query request specification."></definition>
-    </concept>
-    <concept>
-     <code value="QE"></code>
-     <display value="QueryParameterError"></display>
-     <definition value="QueryError. Problem with input ParmetersError"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-substanceAdminSubstitution"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-substanceAdminSubstitution"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1070"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.substanceAdminSubstitution"></name>
-    <title value="v3 Code System substanceAdminSubstitution"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_ActSubstanceAdminSubstitutionCode"></code>
-     <display value="ActSubstanceAdminSubstitutionCode"></display>
-     <definition value="Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="E"></code>
-      <display value="equivalent"></display>
-      <definition value="Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product."></definition>
-      <concept>
-       <code value="EC"></code>
-       <display value="equivalent composition"></display>
-       <definition value="Description: 
-        
-
-        Substitution occurred or is permitted with another product that is a:
-
-        
-         pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester
-         pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration
-        
-        
-         Examples: 
-        
-
-        
-         
-          Pharmaceutical alternative: Erythromycin Ethylsuccinate for Erythromycin Stearate
-         
-          Pharmaceutical equivalent: Lisonpril for Zestril"></definition>
-       <concept>
-        <code value="BC"></code>
-        <display value="brand composition"></display>
-        <definition value="Description: 
-        
-
-        Substitution occurred or is permitted between equivalent Brands but not Generics
-
-        
-         Examples: 
-        
-
-        
-         Zestril  for Prinivil
-         Coumadin for Jantoven"></definition>
-       </concept>
-       <concept>
-        <code value="G"></code>
-        <display value="generic composition"></display>
-        <definition value="Description: Substitution occurred or is permitted between equivalent Generics but not Brands
-
-        
-         Examples: 
-        
-
-        
-         Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="TE"></code>
-       <display value="therapeutic alternative"></display>
-       <definition value="Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.
-
-        
-         Examples: 
-        
-
-        
-         ranitidine for Tagamet"></definition>
-       <concept>
-        <code value="TB"></code>
-        <display value="therapeutic brand"></display>
-        <definition value="Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics
-&gt;
-         Examples: 
-        
-
-        
-         Zantac for Tagamet"></definition>
-       </concept>
-       <concept>
-        <code value="TG"></code>
-        <display value="therapeutic generic"></display>
-        <definition value="Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands
-&gt;
-         Examples: 
-        
-
-        
-         Ranitidine  for cimetidine"></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="F"></code>
-      <display value="formulary"></display>
-      <definition value="Description: This substitution was performed or is permitted based on formulary guidelines."></definition>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="none"></display>
-      <definition value="No substitution occurred or is permitted."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7V3Conformance"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7V3Conformance"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7V3Conformance"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1125"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7V3Conformance"></name>
-    <title value="v3 Code System hl7V3Conformance"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Identifies allowed codes for HL7aTMs v3 conformance property."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7V3Conformance"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="I"></code>
-     <display value="ignored"></display>
-     <definition value="Description: Implementers receiving this property must not raise an error if the data is received, but will not perform any useful function with the data.  This conformance level is not used in profiles or other artifacts that are specific to the &quot;sender&quot; or &quot;initiator&quot; of a communication."></definition>
-    </concept>
-    <concept>
-     <code value="NP"></code>
-     <display value="not permitted"></display>
-     <definition value="Description: All implementers are prohibited from transmitting this content, and may raise an error if they receive it."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="required"></display>
-     <definition value="Description: All implementers must support this property.  I.e. they must be able to transmit, or to receive and usefully handle the concept."></definition>
-    </concept>
-    <concept>
-     <code value="RC"></code>
-     <display value="required for consumer"></display>
-     <definition value="Description: The element is considered &quot;required&quot; (i.e. must be supported) from the perspective of systems that consume  instances, but is &quot;undetermined&quot; for systems that generate instances.  Used only as part of specifications that define both initiator and consumer expectations."></definition>
-    </concept>
-    <concept>
-     <code value="RI"></code>
-     <display value="required for initiator"></display>
-     <definition value="Description: The element is considered &quot;required&quot; (i.e. must be supported) from the perspective of systems that generate instances, but is &quot;undetermined&quot; for systems that consume instances.  Used only as part of specifications that define both initiator and consumer expectations."></definition>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="undetermined"></display>
-     <definition value="Description: The conformance expectations for this element have not yet been determined."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryStatusCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryStatusCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryStatusCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.103"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryStatusCode"></name>
-    <title value="v3 Code System QueryStatusCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code specifying the state of the Query."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryStatusCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="aborted"></code>
-     <display value="aborted"></display>
-     <definition value="Query status aborted"></definition>
-    </concept>
-    <concept>
-     <code value="deliveredResponse"></code>
-     <display value="deliveredResponse"></display>
-     <definition value="Query Status delivered response"></definition>
-    </concept>
-    <concept>
-     <code value="executing"></code>
-     <display value="executing"></display>
-     <definition value="Query Status executing"></definition>
-    </concept>
-    <concept>
-     <code value="new"></code>
-     <display value="new"></display>
-     <definition value="Query Status new"></definition>
-    </concept>
-    <concept>
-     <code value="waitContinuedQueryResponse"></code>
-     <display value="waitContinuedQueryResponse"></display>
-     <definition value="Query Status wait continued"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EducationLevel"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EducationLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1077"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EducationLevel"></name>
-    <title value="v3 Code System EducationLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Years of education that a person has completed"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EducationLevel"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="ASSOC"></code>
-     <display value="Associate's or technical degree complete"></display>
-     <definition value="Associate's or technical degree complete"></definition>
-    </concept>
-    <concept>
-     <code value="BD"></code>
-     <display value="College or baccalaureate degree complete"></display>
-     <definition value="College or baccalaureate degree complete"></definition>
-    </concept>
-    <concept>
-     <code value="ELEM"></code>
-     <display value="Elementary School"></display>
-     <definition value="Elementary School"></definition>
-    </concept>
-    <concept>
-     <code value="GD"></code>
-     <display value="Graduate or professional Degree complete"></display>
-     <definition value="Graduate or professional Degree complete"></definition>
-    </concept>
-    <concept>
-     <code value="HS"></code>
-     <display value="High School or secondary school degree complete"></display>
-     <definition value="High School or secondary school degree complete"></definition>
-    </concept>
-    <concept>
-     <code value="PB"></code>
-     <display value="Some post-baccalaureate education"></display>
-     <definition value="Some post-baccalaureate education"></definition>
-    </concept>
-    <concept>
-     <code value="POSTG"></code>
-     <display value="Doctoral or post graduate education"></display>
-     <definition value="Doctoral or post graduate education"></definition>
-    </concept>
-    <concept>
-     <code value="SCOL"></code>
-     <display value="Some College education"></display>
-     <definition value="Some College education"></definition>
-    </concept>
-    <concept>
-     <code value="SEC"></code>
-     <display value="Some secondary or high school education"></display>
-     <definition value="Some secondary or high school education"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CalendarCycle"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-CalendarCycle"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-CalendarCycle"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.9"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CalendarCycle"></name>
-    <title value="v3 Code System CalendarCycle"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Calendar cycle identifiers"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CalendarCycle"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_CalendarCycleOneLetter"></code>
-     <display value="CalendarCycleOneLetter"></display>
-     <definition value="CalendarCycleOneLetter"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2013-06-29"></valueDateTime>
-     </property>
-     <concept>
-      <code value="CW"></code>
-      <display value="week (continuous)"></display>
-      <definition value="week (continuous)"></definition>
-     </concept>
-     <concept>
-      <code value="CY"></code>
-      <display value="year"></display>
-      <definition value="year"></definition>
-     </concept>
-     <concept>
-      <code value="D"></code>
-      <display value="day of the month"></display>
-      <definition value="day of the month"></definition>
-     </concept>
-     <concept>
-      <code value="DW"></code>
-      <display value="day of the week (begins with Monday)"></display>
-      <definition value="day of the week (begins with Monday)"></definition>
-     </concept>
-     <concept>
-      <code value="H"></code>
-      <display value="hour of the day"></display>
-      <definition value="hour of the day"></definition>
-     </concept>
-     <concept>
-      <code value="M"></code>
-      <display value="month of the year"></display>
-      <definition value="month of the year"></definition>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="minute of the hour"></display>
-      <definition value="minute of the hour"></definition>
-     </concept>
-     <concept>
-      <code value="S"></code>
-      <display value="second of the minute"></display>
-      <definition value="second of the minute"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_CalendarCycleTwoLetter"></code>
-     <display value="CalendarCycleTwoLetter"></display>
-     <definition value="CalendarCycleTwoLetter"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2013-06-29"></valueDateTime>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="CW"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="CY"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="D"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="DW"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="H"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="M"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="N"></valueCode>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="S"></valueCode>
-     </property>
-     <concept>
-      <code value="CD"></code>
-      <display value="day (continuous)"></display>
-      <definition value="day (continuous)"></definition>
-     </concept>
-     <concept>
-      <code value="CH"></code>
-      <display value="hour (continuous)"></display>
-      <definition value="hour (continuous)"></definition>
-     </concept>
-     <concept>
-      <code value="CM"></code>
-      <display value="month (continuous)"></display>
-      <definition value="month (continuous)"></definition>
-     </concept>
-     <concept>
-      <code value="CN"></code>
-      <display value="minute (continuous)"></display>
-      <definition value="minute (continuous)"></definition>
-     </concept>
-     <concept>
-      <code value="CS"></code>
-      <display value="second (continuous)"></display>
-      <definition value="second (continuous)"></definition>
-     </concept>
-     <concept>
-      <code value="DY"></code>
-      <display value="day of the year"></display>
-      <definition value="day of the year"></definition>
-     </concept>
-     <concept>
-      <code value="WY"></code>
-      <display value="week of the year"></display>
-      <definition value="week of the year"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="WM"></code>
-     <display value="week of the month"></display>
-     <definition value="The week with the month's first Thursday in it (analagous to the ISO 8601 definition for week of the year)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActPriority"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActPriority"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.7"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActPriority"></name>
-    <title value="v3 Code System ActPriority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="ASAP"></display>
-     <definition value="As soon as possible, next highest priority after stat."></definition>
+     <code value="CE"></code>
+     <display value="Accept Acknowledgement Commit Error"></display>
+     <definition value="Receiving message handling service cannot accept message for any other reason (e.g. message sequence number, etc.)."></definition>
     </concept>
     <concept>
      <code value="CR"></code>
-     <display value="callback results"></display>
-     <definition value="Filler should contact the placer as soon as results are available, even for preliminary results.  (Was &quot;C&quot; in HL7 version 2.3's reporting priority.)"></definition>
-    </concept>
-    <concept>
-     <code value="CS"></code>
-     <display value="callback for scheduling"></display>
-     <definition value="Filler should contact the placer (or target) to schedule the service.  (Was &quot;C&quot; in HL7 version 2.3's TQ-priority component.)"></definition>
-     <concept>
-      <code value="CSP"></code>
-      <display value="callback placer for scheduling"></display>
-      <definition value="Filler should contact the placer to schedule the service.  (Was &quot;C&quot; in HL7 version 2.3's TQ-priority component.)"></definition>
-     </concept>
-     <concept>
-      <code value="CSR"></code>
-      <display value="contact recipient for scheduling"></display>
-      <definition value="Filler should contact the service recipient (target) to schedule the service.  (Was &quot;C&quot; in HL7 version 2.3's TQ-priority component.)"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="EL"></code>
-     <display value="elective"></display>
-     <definition value="Beneficial to the patient but not essential for survival."></definition>
-    </concept>
-    <concept>
-     <code value="EM"></code>
-     <display value="emergency"></display>
-     <definition value="An unforeseen combination of circumstances or the resulting state that calls for immediate action."></definition>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="preop"></display>
-     <definition value="Used to indicate that a service is to be performed prior to a scheduled surgery.  When ordering a service and using the pre-op priority, a check is done to see the amount of time that must be allowed for performance of the service.  When the order is placed, a message can be generated indicating the time needed for the service so that it is not ordered in conflict with a scheduled operation."></definition>
-    </concept>
-    <concept>
-     <code value="PRN"></code>
-     <display value="as needed"></display>
-     <definition value="An &quot;as needed&quot; order should be accompanied by a description of what constitutes a need. This description is represented by an observation service predicate as a precondition."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="routine"></display>
-     <definition value="Routine service, do at usual work hours."></definition>
-    </concept>
-    <concept>
-     <code value="RR"></code>
-     <display value="rush reporting"></display>
-     <definition value="A report should be prepared and sent as quickly as possible."></definition>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="stat"></display>
-     <definition value="With highest priority (e.g., emergency)."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="timing critical"></display>
-     <definition value="It is critical to come as close as possible to the requested time (e.g., for a through antimicrobial level)."></definition>
-    </concept>
-    <concept>
-     <code value="UD"></code>
-     <display value="use as directed"></display>
-     <definition value="Drug is to be used as directed by the prescriber."></definition>
-    </concept>
-    <concept>
-     <code value="UR"></code>
-     <display value="urgent"></display>
-     <definition value="Calls for prompt action."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7ApprovalStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7ApprovalStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7ApprovalStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1130"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7ApprovalStatus"></name>
-    <title value="v3 Code System hl7ApprovalStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for concepts describing the approval level of HL7 artifacts.  This code system reflects the concepts expressed in HL7's Governance &amp; Operations Manual (GOM) past and present."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7ApprovalStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="affd"></code>
-     <display value="affiliate ballot - DSTU"></display>
-     <definition value="Description: Content that is being presented to an international affiliate for consideration as a realm-specific draft standard for trial use."></definition>
-    </concept>
-    <concept>
-     <code value="affi"></code>
-     <display value="affiliate ballot - informative"></display>
-     <definition value="Description: Content that is being presented to an international affiliate for consideration as a realm-specific informative standard."></definition>
-    </concept>
-    <concept>
-     <code value="affn"></code>
-     <display value="affiliate ballot - normative"></display>
-     <definition value="Description: Content that is being presented to an international affiliate for consideration as a realm-specific normative standard."></definition>
-    </concept>
-    <concept>
-     <code value="appad"></code>
-     <display value="approved affiliate DSTU"></display>
-     <definition value="Description: Content that has passed ballot as a realm-specific draft standard for trial use."></definition>
-    </concept>
-    <concept>
-     <code value="appai"></code>
-     <display value="approved affiliate informative"></display>
-     <definition value="Description: Content that has passed ballot as a realm-specific informative standard."></definition>
-    </concept>
-    <concept>
-     <code value="appan"></code>
-     <display value="approved affiliate normative"></display>
-     <definition value="Description: Content that has passed ballot as a realm-specific normative standard"></definition>
-    </concept>
-    <concept>
-     <code value="appd"></code>
-     <display value="approved DSTU"></display>
-     <definition value="Description: Content that has passed ballot as a draft standard for trial use."></definition>
-    </concept>
-    <concept>
-     <code value="appi"></code>
-     <display value="approved informative"></display>
-     <definition value="Description: Content that has passed ballot as a normative standard."></definition>
-    </concept>
-    <concept>
-     <code value="appn"></code>
-     <display value="approved normative"></display>
-     <definition value="Description: Content that has passed ballot as a normative standard."></definition>
-    </concept>
-    <concept>
-     <code value="comi"></code>
-     <display value="committee ballot - informative"></display>
-     <definition value="Description: Content prepared by a committee and submitted for internal consideration as an informative standard.
-
-        
-         
-          Deprecation Comment
-         No longer supported as ballot statuses within the HL7 Governance and Operations Manual.  Use normative or informative variants instead."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2010-11-23"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="comn"></code>
-     <display value="committee ballot - normative"></display>
-     <definition value="Description: Content prepared by a committee and submitted for internal consideration as an informative standard.
-
-        
-         
-          Deprecation Comment
-         No longer supported as ballot statuses within the HL7 Governance and Operations Manual.  Use normative or informative variants instead."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2010-11-23"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="draft"></code>
-     <display value="draft"></display>
-     <definition value="Description: Content that is under development and is not intended to be used."></definition>
-    </concept>
-    <concept>
-     <code value="loc"></code>
-     <display value="localized adaptation"></display>
-     <definition value="Description: Content that represents an adaption of a implementable balloted material to represent the needs or capabilities of a particular installation."></definition>
-    </concept>
-    <concept>
-     <code value="memd"></code>
-     <display value="membership ballot - DSTU"></display>
-     <definition value="Description: Content prepared by a committee and submitted for membership consideration as a draft standard for trial use."></definition>
-    </concept>
-    <concept>
-     <code value="memi"></code>
-     <display value="membership ballot - informative"></display>
-     <definition value="Description: Content prepared by a committee and submitted for membership consideration as an informative standard."></definition>
-    </concept>
-    <concept>
-     <code value="memn"></code>
-     <display value="membership ballot - normative"></display>
-     <definition value="Description: Content prepared by a committee and submitted for membership consideration as a normative standard."></definition>
-    </concept>
-    <concept>
-     <code value="ns"></code>
-     <display value="non-standard - available for use"></display>
-     <definition value="Description: Content developed independently by an organization or individual that is declared to be 'usable' but for which there is no present intention to submit through the standards submission and review process."></definition>
-    </concept>
-    <concept>
-     <code value="prop"></code>
-     <display value="proposal"></display>
-     <definition value="Description: Content submitted to a committee for consideration for future inclusion in the standard."></definition>
-    </concept>
-    <concept>
-     <code value="ref"></code>
-     <display value="reference"></display>
-     <definition value="Description: Content intended to support other content that is subject to approval, but which is not itself subject to formal approval."></definition>
-    </concept>
-    <concept>
-     <code value="wd"></code>
-     <display value="withdrawn"></display>
-     <definition value="Description: Content that represents an item that was at one point a normative or informative standard, but was subsequently withdrawn."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EmployeeJobClass"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EmployeeJobClass"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EmployeeJobClass"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1059"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EmployeeJobClass"></name>
-    <title value="v3 Code System EmployeeJobClass"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EmployeeJobClass"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="FT"></code>
-     <display value="full-time"></display>
-     <definition value="Employment in which the employee is expected to work at least a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)"></definition>
-    </concept>
-    <concept>
-     <code value="PT"></code>
-     <display value="part-time"></display>
-     <definition value="Employment in which the employee is expected to work less than a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityRisk"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityRisk"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityRisk"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.46"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityRisk"></name>
-    <title value="v3 Code System EntityRisk"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Kinds of risks associated with the handling of the material.."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityRisk"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AGG"></code>
-     <display value="aggressive"></display>
-     <definition value="A danger that can be associated with certain living subjects, including humans."></definition>
-    </concept>
-    <concept>
-     <code value="BIO"></code>
-     <display value="Biological"></display>
-     <definition value="The dangers associated with normal biological materials. I.e. potential risk of unknown infections.  Routine biological materials from living subjects."></definition>
-    </concept>
-    <concept>
-     <code value="COR"></code>
-     <display value="Corrosive"></display>
-     <definition value="Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact."></definition>
-    </concept>
-    <concept>
-     <code value="ESC"></code>
-     <display value="Escape Risk"></display>
-     <definition value="The entity is at risk for escaping from containment or control."></definition>
-    </concept>
-    <concept>
-     <code value="IFL"></code>
-     <display value="inflammable"></display>
-     <definition value="Material is highly inflammable and in certain mixtures (with air) may lead to explosions.  Keep away from fire, sparks and excessive heat."></definition>
-     <concept>
-      <code value="EXP"></code>
-      <display value="explosive"></display>
-      <definition value="Material is an explosive mixture.  Keep away from fire, sparks, and heat."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="INF"></code>
-     <display value="infectious"></display>
-     <definition value="Material known to be infectious with human pathogenic microorganisms.  Those who handle this material must take precautions for their protection."></definition>
-     <concept>
-      <code value="BHZ"></code>
-      <display value="biohazard"></display>
-      <definition value="Material contains microorganisms that is an environmental hazard.  Must be handled with special care."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="INJ"></code>
-     <display value="injury hazard"></display>
-     <definition value="Material is solid and sharp (e.g., cannulas).  Dispose in hard container."></definition>
-    </concept>
-    <concept>
-     <code value="POI"></code>
-     <display value="poison"></display>
-     <definition value="Material is poisonous to humans and/or animals.  Special care must be taken to avoid incorporation, even of small amounts."></definition>
-    </concept>
-    <concept>
-     <code value="RAD"></code>
-     <display value="radioactive"></display>
-     <definition value="Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards."></definition>
+     <display value="Accept Acknowledgement Commit Reject"></display>
+     <definition value="Receiving message handling service rejects message if interaction identifier, version or processing mode is incompatible with known receiving application role information."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -18718,11508 +11966,6 @@ Codes for concepts describing the approval level of HL7 artifacts.  This code sy
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableCellVerticalAlign"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TableCellVerticalAlign"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TableCellVerticalAlign"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.133"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableCellVerticalAlign"></name>
-    <title value="v3 Code System TableCellVerticalAlign"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableCellVerticalAlign"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="baseline"></code>
-     <display value="baseline"></display>
-     <definition value="baseline"></definition>
-    </concept>
-    <concept>
-     <code value="bottom"></code>
-     <display value="bottom"></display>
-     <definition value="bottom"></definition>
-    </concept>
-    <concept>
-     <code value="middle"></code>
-     <display value="middle"></display>
-     <definition value="middle"></definition>
-    </concept>
-    <concept>
-     <code value="top"></code>
-     <display value="top"></display>
-     <definition value="top"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TimingEvent"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TimingEvent"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TimingEvent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.139"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TimingEvent"></name>
-    <title value="v3 Code System TimingEvent"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TimingEvent"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AC"></code>
-     <display value="AC"></display>
-     <definition value="before meal (from lat. ante cibus)"></definition>
-    </concept>
-    <concept>
-     <code value="ACD"></code>
-     <display value="ACD"></display>
-     <definition value="before lunch (from lat. ante cibus diurnus)"></definition>
-    </concept>
-    <concept>
-     <code value="ACM"></code>
-     <display value="ACM"></display>
-     <definition value="before breakfast (from lat. ante cibus matutinus)"></definition>
-    </concept>
-    <concept>
-     <code value="ACV"></code>
-     <display value="ACV"></display>
-     <definition value="before dinner (from lat. ante cibus vespertinus)"></definition>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="C"></display>
-     <definition value="Description: meal (from lat. ante cibus)"></definition>
-     <concept>
-      <code value="CD"></code>
-      <display value="CD"></display>
-      <definition value="Description: lunch (from lat. cibus diurnus)"></definition>
-     </concept>
-     <concept>
-      <code value="CM"></code>
-      <display value="CM"></display>
-      <definition value="Description: breakfast (from lat. cibus matutinus)"></definition>
-     </concept>
-     <concept>
-      <code value="CV"></code>
-      <display value="CV"></display>
-      <definition value="Description: dinner (from lat. cibus vespertinus)"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="HS"></code>
-     <display value="HS"></display>
-     <definition value="Description: Prior to beginning a regular period of extended sleep (this would exclude naps).  Note that this might occur at different times of day depending on a person's regular sleep schedule."></definition>
-    </concept>
-    <concept>
-     <code value="IC"></code>
-     <display value="IC"></display>
-     <definition value="between meals (from lat. inter cibus)"></definition>
-    </concept>
-    <concept>
-     <code value="ICD"></code>
-     <display value="ICD"></display>
-     <definition value="between lunch and dinner"></definition>
-    </concept>
-    <concept>
-     <code value="ICM"></code>
-     <display value="ICM"></display>
-     <definition value="between breakfast and lunch"></definition>
-    </concept>
-    <concept>
-     <code value="ICV"></code>
-     <display value="ICV"></display>
-     <definition value="between dinner and the hour of sleep"></definition>
-    </concept>
-    <concept>
-     <code value="PC"></code>
-     <display value="PC"></display>
-     <definition value="after meal (from lat. post cibus)"></definition>
-    </concept>
-    <concept>
-     <code value="PCD"></code>
-     <display value="PCD"></display>
-     <definition value="after lunch (from lat. post cibus diurnus)"></definition>
-    </concept>
-    <concept>
-     <code value="PCM"></code>
-     <display value="PCM"></display>
-     <definition value="after breakfast (from lat. post cibus matutinus)"></definition>
-    </concept>
-    <concept>
-     <code value="PCV"></code>
-     <display value="PCV"></display>
-     <definition value="after dinner (from lat. post cibus vespertinus)"></definition>
-    </concept>
-    <concept>
-     <code value="WAKE"></code>
-     <display value="WAKE"></display>
-     <definition value="Description: Upon waking up from a regular period of sleep, in order to start regular activities (this would exclude waking up from a nap or temporarily waking up during a period of sleep)
-
-        
-         Usage Notes: e.g.
-
-        Take pulse rate on waking in management of thyrotoxicosis.
-
-        Take BP on waking in management of hypertension
-
-        Take basal body temperature on waking in establishing date of ovulation"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.111"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleCode"></name>
-    <title value="v3 Code System RoleCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_AffiliationRoleType"></code>
-     <display value="AffiliationRoleType"></display>
-     <definition value="Concepts characterizing the type of association formed by player and scoper when there is a recognized Affiliate role by which the two parties are related.
-
-        
-         Examples: Business Partner, Business Associate, Colleague"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_AgentRoleType"></code>
-      <display value="AgentRoleType"></display>
-      <definition value="Parties that may or should contribute or have contributed to an Act."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="AMENDER"></code>
-       <display value="amender"></display>
-       <definition value="An entity which corrected, edited, or amended pre-existing information."></definition>
-      </concept>
-      <concept>
-       <code value="CLASSIFIER"></code>
-       <display value="classifier"></display>
-       <definition value="An individual authorized to assign an original classification to information, including compilations of unclassified information, based on a determination that the information requires protection against unauthorized disclosure. The individual marks the information with immutable, computable, and human readable security labels in accordance with applicable security labeling policies.  The labeling policies provide instructions on whether and if so how the security labels may be later reclassified [i.e., upgraded, downgraded, used in derivative classification, or declassified] in a manner that preserves the overridden original classification binding and provenance."></definition>
-      </concept>
-      <concept>
-       <code value="CONSENTER"></code>
-       <display value="consenter"></display>
-       <definition value="An entity or an entity's delegatee who is the grantee in an agreement such as a consent for services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy."></definition>
-      </concept>
-      <concept>
-       <code value="CONSWIT"></code>
-       <display value="consent witness"></display>
-       <definition value="An entity which has witnessed and attests to observing another entity being counseled about an agreement such as a consent for services, advanced directive, or a privacy consent directive."></definition>
-      </concept>
-      <concept>
-       <code value="COPART"></code>
-       <display value="co-participant"></display>
-       <definition value="An entity which participates in the generation of and attest to veracity of content, but is not an author or coauthor. For example a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report."></definition>
-      </concept>
-      <concept>
-       <code value="DECLASSIFIER"></code>
-       <display value="declassifier"></display>
-       <definition value="An individual which is authorized to declassify information based on a determination that the information no longer requires protection against unauthorized disclosure.  The individual marks the information being declassified using computable and human readable security labels indicating that this is copy of previously classified information is unclassified in accordance with applicable security labeling policies.  The labeling policies provide instructions on whether and if so how the security labels may be later reclassified [i.e., upgraded or used in derivative classification] in a manner that preserves the overridden original classification binding and provenance."></definition>
-      </concept>
-      <concept>
-       <code value="DELEGATEE"></code>
-       <display value="delegatee"></display>
-       <definition value="A party to whom some right or authority is granted by a delegator."></definition>
-      </concept>
-      <concept>
-       <code value="DELEGATOR"></code>
-       <display value="delegator"></display>
-       <definition value="A party that grants all or some portion its right or authority to another party."></definition>
-      </concept>
-      <concept>
-       <code value="DOWNGRDER"></code>
-       <display value="downgrader"></display>
-       <definition value="An individual authorized to lower the classification level of labeled content and provide rationale for doing so as directed by a classification guide."></definition>
-      </concept>
-      <concept>
-       <code value="DRIVCLASSIFIER"></code>
-       <display value="derivative classifier"></display>
-       <definition value="An individual who is only authorized to classify reproduced, extracted, or summarized classified information, or compile classified and unclassified information by applying classification markings derived from source material or as directed by a classification guide."></definition>
-      </concept>
-      <concept>
-       <code value="GRANTEE"></code>
-       <display value="grantee"></display>
-       <definition value="An entity which accepts certain rights or authority from a grantor."></definition>
-      </concept>
-      <concept>
-       <code value="GRANTOR"></code>
-       <display value="grantor"></display>
-       <definition value="An entity which agrees to confer certain rights or authority to a grantee."></definition>
-      </concept>
-      <concept>
-       <code value="INTPRTER"></code>
-       <display value="interpreter"></display>
-       <definition value="An entity which converts spoken or written language into the language of key participants in an event such as when a provider is obtaining a patient's consent to treatment or permission to disclose information."></definition>
-      </concept>
-      <concept>
-       <code value="REVIEWER"></code>
-       <display value="reviewer"></display>
-       <definition value="An entity authorized to filter information according to approved criteria."></definition>
-      </concept>
-      <concept>
-       <code value="VALIDATOR"></code>
-       <display value="validator"></display>
-       <definition value="An entity authorized to validate information for inclusion in a record."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_CoverageSponsorRoleType"></code>
-      <display value="CoverageSponsorRoleType"></display>
-      <definition value="Description:Codes that indicate a specific type of sponsor.  Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor.  NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="FULLINS"></code>
-       <display value="Fully insured coverage sponsor"></display>
-       <definition value="Description:An employer or organization that contracts with an underwriter to assumes the financial risk and administrative responsibility for coverage of health services for covered parties."></definition>
-      </concept>
-      <concept>
-       <code value="SELFINS"></code>
-       <display value="Self insured coverage sponsor"></display>
-       <definition value="Description:An employer or organization that assumes the financial risk and administrative responsibility for coverage of health services for covered parties."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_PayorRoleType"></code>
-      <display value="PayorRoleType"></display>
-      <definition value="Description:PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required.  The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.
-
-        
-         Examples:A Payor that is a TPA may administer a managed care plan without underwriting the risk."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ENROLBKR"></code>
-       <display value="Enrollment Broker"></display>
-       <definition value="Description:A payor that is responsible for functions related to the enrollment of covered parties."></definition>
-      </concept>
-      <concept>
-       <code value="TPA"></code>
-       <display value="Third party administrator"></display>
-       <definition value="Description:Third party administrator (TPA) is a payor organization that processes health care claims without carrying insurance risk. Third party administrators are prominent players in the managed care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other administrative activities.
-
-        Self-insured employers often contract with third party administrator to handle their insurance functions. Insurance companies oftentimes outsource the claims, utilization review or membership functions to a TPA. Sometimes TPAs only manage provider networks, only claims or only utilization review.
-
-        While some third-party administrators may operate as units of insurance companies, they are often independent. However, hospitals or provider organizations desiring to set up their own health plans will often outsource certain responsibilities to TPAs.  TPAs may perform one or several payor functions, specified by the PayorParticipationFunction value set, such as provider management, enrollment, utilization management, and fee for service claims adjudication management."></definition>
-      </concept>
-      <concept>
-       <code value="UMO"></code>
-       <display value="Utilization management organization"></display>
-       <definition value="Description:A payor that is responsible for review and case management of health services covered under a policy or program."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="RESPRSN"></code>
-      <display value="responsible party"></display>
-      <definition value="The role played by a party who has legal responsibility for another party."></definition>
-      <concept>
-       <code value="EXCEST"></code>
-       <display value="executor of estate"></display>
-       <definition value="The role played by a person acting as the estate executor for a deceased subscriber or policyholder who was the responsible party"></definition>
-      </concept>
-      <concept>
-       <code value="GUADLTM"></code>
-       <display value="guardian ad lidem"></display>
-       <definition value="The role played by a person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings."></definition>
-      </concept>
-      <concept>
-       <code value="GUARD"></code>
-       <display value="guardian"></display>
-       <definition value="The role played by a person or institution legally empowered with responsibility for the care of a ward."></definition>
-      </concept>
-      <concept>
-       <code value="POWATT"></code>
-       <display value="power of attorney"></display>
-       <definition value="A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts."></definition>
-       <concept>
-        <code value="DPOWATT"></code>
-        <display value="durable power of attorney"></display>
-        <definition value="A relationship between two people in which one person authorizes another, usually a family member or relative, to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned.  Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency."></definition>
-       </concept>
-       <concept>
-        <code value="HPOWATT"></code>
-        <display value="healthcare power of attorney"></display>
-        <definition value="A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that continues (by its terms) to be effective even though the grantor has become mentally incompetent after signing the document."></definition>
-       </concept>
-       <concept>
-        <code value="SPOWATT"></code>
-        <display value="special power of attorney"></display>
-        <definition value="A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned."></definition>
-       </concept>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_AssignedRoleType"></code>
-     <display value="AssignedRoleType"></display>
-     <definition value="AssignedRoleType"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_AssignedNonPersonLivingSubjectRoleType"></code>
-      <display value="AssignedNonPersonLivingSubjectRoleType"></display>
-      <definition value="Description:A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ASSIST"></code>
-       <display value="Assistive non-person living subject"></display>
-       <definition value="Description:Dogs trained to assist the ill or physically challenged."></definition>
-      </concept>
-      <concept>
-       <code value="BIOTH"></code>
-       <display value="Biotherapeutic non-person living subject"></display>
-       <definition value="Description:Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies."></definition>
-       <concept>
-        <code value="ANTIBIOT"></code>
-        <display value="Antibiotic"></display>
-        <definition value="Description:Non-person living subject used as antibiotic.
-
-        
-         Examples:Bacteriophage, is a virus that infects bacteria."></definition>
-       </concept>
-       <concept>
-        <code value="DEBR"></code>
-        <display value="Debridement"></display>
-        <definition value="Description:Maggots raised for biodebridement.
-
-        
-         Discussion: Maggot Debridement Therapy is the medical use of live maggots for cleaning non-healing wounds.
-
-        
-         Examples:Removal of burnt skin."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="CCO"></code>
-       <display value="Clinical Companion"></display>
-       <definition value="Description:Companion animals, such as dogs, cats, and rabbits, which may be provided to patients to improve general mood, decrease depression and loneliness, and distract from stress-inducing concerns to improve quality of life."></definition>
-      </concept>
-      <concept>
-       <code value="SEE"></code>
-       <display value="Seeing"></display>
-       <definition value="Description:Dogs trained to assist persons who are seeing impaired or blind."></definition>
-      </concept>
-      <concept>
-       <code value="SNIFF"></code>
-       <display value="Sniffing"></display>
-       <definition value="Description:Dogs trained or having the ability to detect imminent seizures or cancers in humans, probably as a result of volatile chemical (odors) given off by the malignancy of the host."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_CertifiedEntityType"></code>
-     <display value="CertifiedEntityType"></display>
-     <definition value="Defines types of certifications for all entities"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-    </concept>
-    <concept>
-     <code value="_CitizenRoleType"></code>
-     <display value="CitizenRoleType"></display>
-     <definition value="A role type used to qualify a person's legal status within a country or nation."></definition>
-     <concept>
-      <code value="CAS"></code>
-      <display value="asylum seeker"></display>
-      <definition value="A person who has fled his or her home country to find a safe place elsewhere."></definition>
-      <concept>
-       <code value="CASM"></code>
-       <display value="single minor asylum seeker"></display>
-       <definition value="A person who is someone of below legal age who has fled his or her home country, without his or her parents, to find a safe place elsewhere at time of categorization."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="CN"></code>
-      <display value="national"></display>
-      <definition value="A person who is legally recognized as a member of a nation or country, with associated rights and obligations."></definition>
-     </concept>
-     <concept>
-      <code value="CNRP"></code>
-      <display value="non-country member without residence permit"></display>
-      <definition value="A foreigner who is present in a country (which is foreign to him/her) unlawfully or without the country's authorization (may be called an illegal alien)."></definition>
-      <concept>
-       <code value="CNRPM"></code>
-       <display value="non-country member minor without residence permit"></display>
-       <definition value="A person who is below legal age present in a country, without his or her parents, (which is foreign to him/her) unlawfully or without the country's authorization."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="CPCA"></code>
-      <display value="permit card applicant"></display>
-      <definition value="A non-country member admitted to the territory of a nation or country as a non-resident for an explicit purpose."></definition>
-     </concept>
-     <concept>
-      <code value="CRP"></code>
-      <display value="non-country member with residence permit"></display>
-      <definition value="A foreigner who is a resident of the country but does not have citizenship."></definition>
-      <concept>
-       <code value="CRPM"></code>
-       <display value="non-country member minor with residence permit"></display>
-       <definition value="A person who is a resident below legal age of the country without his or her parents and does not have citizenship."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ContactRoleType"></code>
-     <display value="ContactRoleType"></display>
-     <definition value="Types of contact for Role code &quot;CON&quot;"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_AdministrativeContactRoleType"></code>
-      <display value="AdministrativeContactRoleType"></display>
-      <definition value="A contact role used for business and/or administrative purposes."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="BILL"></code>
-       <display value="Billing Contact"></display>
-       <definition value="A contact role used to identify a person within a Provider organization that can be contacted for billing purposes (e.g. about the content of the Invoice)."></definition>
-      </concept>
-      <concept>
-       <code value="ORG"></code>
-       <display value="organizational contact"></display>
-       <definition value="A contact for an organization for administrative purposes. Contact role specifies a person acting as a liason for the organization.
-
-        Example: HR Department representative."></definition>
-      </concept>
-      <concept>
-       <code value="PAYOR"></code>
-       <display value="Payor Contact"></display>
-       <definition value="A contact role used to identify a person within a Payor organization to whom this communication is addressed."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="ECON"></code>
-      <display value="emergency contact"></display>
-      <definition value="A contact designated for contact in emergent situations."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2008-12-19"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="NOK"></code>
-      <display value="next of kin"></display>
-      <definition value="Played by an individual who is designated as the next of kin for another individual which scopes the role."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2008-12-19"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_IdentifiedEntityType"></code>
-     <display value="IdentifiedEntityType"></display>
-     <definition value="Definition: A code representing the type of identifier that has been assigned to the identified entity (IDENT).
-
-        
-         Examples: Example values include Social Insurance Number, Product Catalog ID, Product Model Number."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_LocationIdentifiedEntityRoleCode"></code>
-      <display value="LocationIdentifiedEntityRoleCode"></display>
-      <definition value="Description:Describes types of identifiers other than the primary location registry identifier for a service delivery location.  Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ACHFID"></code>
-       <display value="accreditation location identifier"></display>
-       <definition value="Description:Identifier assigned to a  location by the organization responsible for accrediting the location."></definition>
-      </concept>
-      <concept>
-       <code value="JURID"></code>
-       <display value="jurisdiction location identifier"></display>
-       <definition value="Description:Identifier assigned to a location by a jurisdiction."></definition>
-      </concept>
-      <concept>
-       <code value="LOCHFID"></code>
-       <display value="local location identifier"></display>
-       <definition value="Description:Identifier assigned to a  location by a local party (which could be the facility itself or organization overseeing a group of facilities)."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_LivingSubjectProductionClass"></code>
-     <display value="LivingSubjectProductionClass"></display>
-     <definition value="Code indicating the primary use for which a living subject is bred or grown"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="BF"></code>
-      <display value="Beef"></display>
-      <definition value="Cattle used for meat production"></definition>
-     </concept>
-     <concept>
-      <code value="BL"></code>
-      <display value="Broiler"></display>
-      <definition value="Chickens raised for meat"></definition>
-     </concept>
-     <concept>
-      <code value="BR"></code>
-      <display value="Breeder"></display>
-      <definition value="Breeding/genetic stock"></definition>
-     </concept>
-     <concept>
-      <code value="CO"></code>
-      <display value="Companion"></display>
-      <definition value="Companion animals"></definition>
-     </concept>
-     <concept>
-      <code value="DA"></code>
-      <display value="Dairy"></display>
-      <definition value="Milk production"></definition>
-     </concept>
-     <concept>
-      <code value="DR"></code>
-      <display value="Draft"></display>
-      <definition value="Draft animals"></definition>
-     </concept>
-     <concept>
-      <code value="DU"></code>
-      <display value="Dual"></display>
-      <definition value="Dual purpose.  Defined purposes based on species and breed"></definition>
-     </concept>
-     <concept>
-      <code value="FI"></code>
-      <display value="Fiber"></display>
-      <definition value="Animals raised for their fur, hair or skins"></definition>
-     </concept>
-     <concept>
-      <code value="LY"></code>
-      <display value="Layer"></display>
-      <definition value="Chickens raised for egg production"></definition>
-     </concept>
-     <concept>
-      <code value="MT"></code>
-      <display value="Meat"></display>
-      <definition value="Animals raised for meat production"></definition>
-     </concept>
-     <concept>
-      <code value="MU"></code>
-      <display value="Multiplier"></display>
-      <definition value="Poultry flocks used for chick/poult production"></definition>
-     </concept>
-     <concept>
-      <code value="PL"></code>
-      <display value="Pleasure"></display>
-      <definition value="Animals rasied for recreation"></definition>
-     </concept>
-     <concept>
-      <code value="RC"></code>
-      <display value="Racing"></display>
-      <definition value="Animals raised for racing perfomance"></definition>
-     </concept>
-     <concept>
-      <code value="SH"></code>
-      <display value="Show"></display>
-      <definition value="Animals raised for shows"></definition>
-     </concept>
-     <concept>
-      <code value="VL"></code>
-      <display value="Veal"></display>
-      <definition value="Cattle raised for veal meat production.  Implicit is the husbandry method."></definition>
-     </concept>
-     <concept>
-      <code value="WL"></code>
-      <display value="Wool"></display>
-      <definition value="Sheep, goats and other mammals raised for their fiber"></definition>
-     </concept>
-     <concept>
-      <code value="WO"></code>
-      <display value="Working"></display>
-      <definition value="Animals used to perform work"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_MedicationGeneralizationRoleType"></code>
-     <display value="MedicationGeneralizationRoleType"></display>
-     <definition value="Identifies the specific hierarchical relationship between the playing and scoping medications. 
-
-        
-         Examples: Generic, Generic Formulation, Therapeutic Class, etc."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="DC"></code>
-      <display value="therapeutic class"></display>
-      <definition value="Description:A categorization of medicinal products by their therapeutic properties and/or main therapeutic use."></definition>
-     </concept>
-     <concept>
-      <code value="GD"></code>
-      <display value="generic drug"></display>
-      <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients independent of strength, and form.
-
-        The scoping entity identifies a unique combination of medicine ingredients; sometimes referred to as &quot;ingredient set&quot;."></definition>
-      <concept>
-       <code value="GDF"></code>
-       <display value="generic drug form"></display>
-       <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients and dose form, independent of strength of the ingredients. The scoping entity identifies a unique combination of medicine ingredients in a specific dose form."></definition>
-      </concept>
-      <concept>
-       <code value="GDS"></code>
-       <display value="generic drug strength"></display>
-       <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of is ingredients with their strength.  The scoping entity identifies a unique combination of medicine ingredients with their strength."></definition>
-      </concept>
-      <concept>
-       <code value="GDSF"></code>
-       <display value="generic drug strength form"></display>
-       <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="MGDSF"></code>
-      <display value="manufactured drug strength form"></display>
-      <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_MemberRoleType"></code>
-     <display value="MemberRoleType"></display>
-     <definition value="Types of membership for Role code &quot;MBR&quot;"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="TRB"></code>
-      <display value="Tribal Member"></display>
-      <definition value="A person who is a member of a tribe."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PersonalRelationshipRoleType"></code>
-     <display value="PersonalRelationshipRoleType"></display>
-     <definition value="PersonalRelationshipRoleType"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="FAMMEMB"></code>
-      <display value="family member"></display>
-      <definition value="A relationship between two people characterizing their &quot;familial&quot; relationship"></definition>
-      <concept>
-       <code value="CHILD"></code>
-       <display value="child"></display>
-       <definition value="The player of the role is a child of the scoping entity."></definition>
-       <concept>
-        <code value="CHLDADOPT"></code>
-        <display value="adopted child"></display>
-        <definition value="The player of the role is a child taken into a family through legal means and raised by the scoping person (parent) as his or her own child."></definition>
-        <concept>
-         <code value="DAUADOPT"></code>
-         <display value="adopted daughter"></display>
-         <definition value="The player of the role is a female child taken into a family through legal means and raised by the scoping person (parent) as his or her own child."></definition>
-        </concept>
-        <concept>
-         <code value="SONADOPT"></code>
-         <display value="adopted son"></display>
-         <definition value="The player of the role is a male child taken into a family through legal means and raised by the scoping person (parent) as his or her own child."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="CHLDFOST"></code>
-        <display value="foster child"></display>
-        <definition value="The player of the role is a child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties."></definition>
-        <concept>
-         <code value="DAUFOST"></code>
-         <display value="foster daughter"></display>
-         <definition value="The player of the role is a female child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties."></definition>
-        </concept>
-        <concept>
-         <code value="SONFOST"></code>
-         <display value="foster son"></display>
-         <definition value="The player of the role is a male child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="DAUC"></code>
-        <display value="daughter"></display>
-        <definition value="Description: The player of the role is a female child (of any type) of scoping entity (parent)"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="DAUADOPT"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="DAUFOST"></valueCode>
-        </property>
-        <concept>
-         <code value="DAU"></code>
-         <display value="natural daughter"></display>
-         <definition value="The player of the role is a female offspring of the scoping entity (parent)."></definition>
-        </concept>
-        <concept>
-         <code value="STPDAU"></code>
-         <display value="stepdaughter"></display>
-         <definition value="The player of the role is a daughter of the scoping person's spouse by a previous union."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="NCHILD"></code>
-        <display value="natural child"></display>
-        <definition value="The player of the role is an offspring of the scoping entity as determined by birth."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="DAU"></valueCode>
-        </property>
-        <concept>
-         <code value="SON"></code>
-         <display value="natural son"></display>
-         <definition value="The player of the role is a male offspring of the scoping entity (parent)."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="SONC"></code>
-        <display value="son"></display>
-        <definition value="Description: The player of the role is a male child (of any type) of scoping entity (parent)"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SONADOPT"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SONFOST"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SON"></valueCode>
-        </property>
-        <concept>
-         <code value="STPSON"></code>
-         <display value="stepson"></display>
-         <definition value="The player of the role is a son of the scoping person's spouse by a previous union."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="STPCHLD"></code>
-        <display value="step child"></display>
-        <definition value="The player of the role is a child of the scoping person's spouse by a previous union."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="STPDAU"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="STPSON"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="EXT"></code>
-       <display value="extended family member"></display>
-       <definition value="Description: A family member not having an immediate genetic or legal relationship e.g. Aunt, cousin, great grandparent, grandchild, grandparent, niece, nephew or uncle."></definition>
-       <concept>
-        <code value="AUNT"></code>
-        <display value="aunt"></display>
-        <definition value="The player of the role is a sister of the scoping person's mother or father."></definition>
-        <concept>
-         <code value="MAUNT"></code>
-         <display value="maternal aunt"></display>
-         <definition value="Description:The player of the role is a biological sister of the scoping person's biological mother."></definition>
-        </concept>
-        <concept>
-         <code value="PAUNT"></code>
-         <display value="paternal aunt"></display>
-         <definition value="Description:The player of the role is a biological sister of the scoping person's biological father."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="COUSN"></code>
-        <display value="cousin"></display>
-        <definition value="The player of the role is a relative of the scoping person descended from a common ancestor, such as a 	grandparent, by two or more steps in a diverging line."></definition>
-        <concept>
-         <code value="MCOUSN"></code>
-         <display value="maternal cousin"></display>
-         <definition value="Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's mother's side, such as a grandparent, by two or more steps in a diverging line."></definition>
-        </concept>
-        <concept>
-         <code value="PCOUSN"></code>
-         <display value="paternal cousin"></display>
-         <definition value="Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's father's side, such as a grandparent, by two or more steps in a diverging line."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="GGRPRN"></code>
-        <display value="great grandparent"></display>
-        <definition value="The player of the role is a parent of the scoping person's grandparent."></definition>
-        <concept>
-         <code value="GGRFTH"></code>
-         <display value="great grandfather"></display>
-         <definition value="The player of the role is the father of the scoping person's grandparent."></definition>
-         <concept>
-          <code value="MGGRFTH"></code>
-          <display value="maternal great-grandfather"></display>
-          <definition value="Description:The player of the role is the biological father of the scoping person's biological mother's parent."></definition>
-         </concept>
-         <concept>
-          <code value="PGGRFTH"></code>
-          <display value="paternal great-grandfather"></display>
-          <definition value="Description:The player of the role is the biological father of the scoping person's biological father's parent."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="GGRMTH"></code>
-         <display value="great grandmother"></display>
-         <definition value="The player of the role is the mother of the scoping person's grandparent."></definition>
-         <concept>
-          <code value="MGGRMTH"></code>
-          <display value="maternal great-grandmother"></display>
-          <definition value="Description:The player of the role is the biological mother of the scoping person's biological mother's parent."></definition>
-         </concept>
-         <concept>
-          <code value="PGGRMTH"></code>
-          <display value="paternal great-grandmother"></display>
-          <definition value="Description:The player of the role is the biological mother of the scoping person's biological father's parent."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="MGGRPRN"></code>
-         <display value="maternal great-grandparent"></display>
-         <definition value="Description:The player of the role is a biological parent of the scoping person's biological mother's parent."></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="MGGRFTH"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="MGGRMTH"></valueCode>
-         </property>
-        </concept>
-        <concept>
-         <code value="PGGRPRN"></code>
-         <display value="paternal great-grandparent"></display>
-         <definition value="Description:The player of the role is a biological parent of the scoping person's biological father's parent."></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PGGRFTH"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PGGRMTH"></valueCode>
-         </property>
-        </concept>
-       </concept>
-       <concept>
-        <code value="GRNDCHILD"></code>
-        <display value="grandchild"></display>
-        <definition value="The player of the role is a child of the scoping person's son or daughter."></definition>
-        <concept>
-         <code value="GRNDDAU"></code>
-         <display value="granddaughter"></display>
-         <definition value="The player of the role is a daughter of the scoping person's son or daughter."></definition>
-        </concept>
-        <concept>
-         <code value="GRNDSON"></code>
-         <display value="grandson"></display>
-         <definition value="The player of the role is a son of the scoping person's son or daughter."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="GRPRN"></code>
-        <display value="grandparent"></display>
-        <definition value="The player of the role is a parent of the scoping person's mother or father."></definition>
-        <concept>
-         <code value="GRFTH"></code>
-         <display value="grandfather"></display>
-         <definition value="The player of the role is the father of the scoping person's mother or father."></definition>
-         <concept>
-          <code value="MGRFTH"></code>
-          <display value="maternal grandfather"></display>
-          <definition value="Description:The player of the role is the biological father of the scoping person's biological mother."></definition>
-         </concept>
-         <concept>
-          <code value="PGRFTH"></code>
-          <display value="paternal grandfather"></display>
-          <definition value="Description:The player of the role is the biological father of the scoping person's biological father."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="GRMTH"></code>
-         <display value="grandmother"></display>
-         <definition value="The player of the role is the mother of the scoping person's mother or father."></definition>
-         <concept>
-          <code value="MGRMTH"></code>
-          <display value="maternal grandmother"></display>
-          <definition value="Description:The player of the role is the biological mother of the scoping person's biological mother."></definition>
-         </concept>
-         <concept>
-          <code value="PGRMTH"></code>
-          <display value="paternal grandmother"></display>
-          <definition value="Description:The player of the role is the biological mother of the scoping person's biological father."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="MGRPRN"></code>
-         <display value="maternal grandparent"></display>
-         <definition value="Description:The player of the role is the biological parent of the scoping person's biological mother."></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="MGRFTH"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="MGRMTH"></valueCode>
-         </property>
-        </concept>
-        <concept>
-         <code value="PGRPRN"></code>
-         <display value="paternal grandparent"></display>
-         <definition value="Description:The player of the role is the biological parent of the scoping person's biological father."></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PGRFTH"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PGRMTH"></valueCode>
-         </property>
-        </concept>
-       </concept>
-       <concept>
-        <code value="INLAW"></code>
-        <display value="inlaw"></display>
-        <definition value="A relationship between an individual and a member of their spousal partner's immediate family."></definition>
-        <concept>
-         <code value="CHLDINLAW"></code>
-         <display value="child-in-law"></display>
-         <definition value="The player of the role is the spouse of scoping person's child."></definition>
-         <concept>
-          <code value="DAUINLAW"></code>
-          <display value="daughter in-law"></display>
-          <definition value="The player of the role is the wife of scoping person's son."></definition>
-         </concept>
-         <concept>
-          <code value="SONINLAW"></code>
-          <display value="son in-law"></display>
-          <definition value="The player of the role is the husband of scoping person's daughter."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="PRNINLAW"></code>
-         <display value="parent in-law"></display>
-         <definition value="The player of the role is the parent of scoping person's husband or wife."></definition>
-         <concept>
-          <code value="FTHINLAW"></code>
-          <display value="father-in-law"></display>
-          <definition value="The player of the role is the father of the scoping person's husband or wife."></definition>
-         </concept>
-         <concept>
-          <code value="MTHINLAW"></code>
-          <display value="mother-in-law"></display>
-          <definition value="The player of the role is the mother of the scoping person's husband or wife."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="SIBINLAW"></code>
-         <display value="sibling in-law"></display>
-         <definition value="The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse."></definition>
-         <concept>
-          <code value="BROINLAW"></code>
-          <display value="brother-in-law"></display>
-          <definition value="The player of the role is: (1) a brother of the scoping person's spouse, or (2) the husband of the scoping person's sister, or (3) the husband of a sister of the scoping person's spouse."></definition>
-         </concept>
-         <concept>
-          <code value="SISINLAW"></code>
-          <display value="sister-in-law"></display>
-          <definition value="The player of the role is: (1) a sister of the scoping person's spouse, or (2) the wife of the scoping person's brother, or (3) the wife of a brother of the scoping person's spouse."></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="NIENEPH"></code>
-        <display value="niece/nephew"></display>
-        <definition value="The player of the role is a child of scoping person's brother or sister or of the brother or sister of the 	scoping person's spouse."></definition>
-        <concept>
-         <code value="NEPHEW"></code>
-         <display value="nephew"></display>
-         <definition value="The player of the role is a son of the scoping person's brother or sister or of the brother or sister of the 	scoping person's spouse."></definition>
-        </concept>
-        <concept>
-         <code value="NIECE"></code>
-         <display value="niece"></display>
-         <definition value="The player of the role is a daughter of the scoping person's brother or sister or of the brother or sister of the 	scoping person's spouse."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="UNCLE"></code>
-        <display value="uncle"></display>
-        <definition value="The player of the role is a brother of the scoping person's mother or father."></definition>
-        <concept>
-         <code value="MUNCLE"></code>
-         <display value="maternal uncle"></display>
-         <definition value="Description:The player of the role is a biological brother of the scoping person's biological mother."></definition>
-        </concept>
-        <concept>
-         <code value="PUNCLE"></code>
-         <display value="paternal uncle"></display>
-         <definition value="Description:The player of the role is a biological brother of the scoping person's biological father."></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PRN"></code>
-       <display value="parent"></display>
-       <definition value="The player of the role is one who begets, gives birth to, or nurtures and raises the scoping entity (child)."></definition>
-       <concept>
-        <code value="ADOPTP"></code>
-        <display value="adoptive parent"></display>
-        <definition value="The player of the role (parent) has taken the scoper (child) into their family through legal means and raises them as his or her own child."></definition>
-        <concept>
-         <code value="ADOPTF"></code>
-         <display value="adoptive father"></display>
-         <definition value="The player of the role (father) is a male who has taken the scoper (child) into their family through legal means and raises them as his own child."></definition>
-        </concept>
-        <concept>
-         <code value="ADOPTM"></code>
-         <display value="adoptive mother"></display>
-         <definition value="The player of the role (father) is a female who has taken the scoper (child) into their family through legal means and raises them as her own child."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="FTH"></code>
-        <display value="father"></display>
-        <definition value="The player of the role is a male who begets or raises or nurtures the scoping entity (child)."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="ADOPTF"></valueCode>
-        </property>
-        <concept>
-         <code value="FTHFOST"></code>
-         <display value="foster father"></display>
-         <definition value="The player of the role (parent) who is a male state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.
-
-        The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child."></definition>
-        </concept>
-        <concept>
-         <code value="NFTH"></code>
-         <display value="natural father"></display>
-         <definition value="The player of the role is a male who begets the scoping entity (child)."></definition>
-         <concept>
-          <code value="NFTHF"></code>
-          <display value="natural father of fetus"></display>
-          <definition value="Indicates the biologic male parent of a fetus."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="STPFTH"></code>
-         <display value="stepfather"></display>
-         <definition value="The player of the role is the husband of scoping person's mother and not the scoping person's natural father."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="MTH"></code>
-        <display value="mother"></display>
-        <definition value="The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child)."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="ADOPTM"></valueCode>
-        </property>
-        <concept>
-         <code value="GESTM"></code>
-         <display value="gestational mother"></display>
-         <definition value="The player is a female whose womb carries the fetus of the scoper.  Generally used when the gestational mother and natural mother are not the same."></definition>
-        </concept>
-        <concept>
-         <code value="MTHFOST"></code>
-         <display value="foster mother"></display>
-         <definition value="The player of the role (parent) who is a female state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.
-
-        The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child."></definition>
-        </concept>
-        <concept>
-         <code value="NMTH"></code>
-         <display value="natural mother"></display>
-         <definition value="The player of the role is a female who conceives or gives birth to the scoping entity (child)."></definition>
-         <concept>
-          <code value="NMTHF"></code>
-          <display value="natural mother of fetus"></display>
-          <definition value="The player is the biologic female parent of the scoping fetus."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="STPMTH"></code>
-         <display value="stepmother"></display>
-         <definition value="The player of the role is the wife of scoping person's father and not the scoping person's natural mother."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="NPRN"></code>
-        <display value="natural parent"></display>
-        <definition value="natural parent"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="NFTH"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="NMTH"></valueCode>
-        </property>
-       </concept>
-       <concept>
-        <code value="PRNFOST"></code>
-        <display value="foster parent"></display>
-        <definition value="The player of the role (parent) who is a state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.
-
-        The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="FTHFOST"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="MTHFOST"></valueCode>
-        </property>
-       </concept>
-       <concept>
-        <code value="STPPRN"></code>
-        <display value="step parent"></display>
-        <definition value="The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="STPFTH"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="STPMTH"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SIB"></code>
-       <display value="sibling"></display>
-       <definition value="The player of the role shares one or both parents in common with the scoping entity."></definition>
-       <concept>
-        <code value="BRO"></code>
-        <display value="brother"></display>
-        <definition value="The player of the role is a male sharing one or both parents in common with the scoping entity."></definition>
-        <concept>
-         <code value="HBRO"></code>
-         <display value="half-brother"></display>
-         <definition value="The player of the role is a male related to the scoping entity by sharing only one biological parent."></definition>
-        </concept>
-        <concept>
-         <code value="NBRO"></code>
-         <display value="natural brother"></display>
-         <definition value="The player of the role is a male having the same biological parents as the scoping entity."></definition>
-         <concept>
-          <code value="TWINBRO"></code>
-          <display value="twin brother"></display>
-          <definition value="The scoper was carried in the same womb as the male player and shares common biological parents."></definition>
-          <concept>
-           <code value="FTWINBRO"></code>
-           <display value="fraternal twin brother"></display>
-           <definition value="The scoper was carried in the same womb as the male player and shares common biological parents but is the product of a distinct egg/sperm pair."></definition>
-          </concept>
-          <concept>
-           <code value="ITWINBRO"></code>
-           <display value="identical twin brother"></display>
-           <definition value="The male scoper is an offspring of the same egg-sperm pair as the male player."></definition>
-          </concept>
-         </concept>
-        </concept>
-        <concept>
-         <code value="STPBRO"></code>
-         <display value="stepbrother"></display>
-         <definition value="The player of the role is a son of the scoping person's stepparent."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="HSIB"></code>
-        <display value="half-sibling"></display>
-        <definition value="The player of the role is related to the scoping entity by sharing only one biological parent."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="HBRO"></valueCode>
-        </property>
-        <concept>
-         <code value="HSIS"></code>
-         <display value="half-sister"></display>
-         <definition value="The player of the role is a female related to the scoping entity by sharing only one biological parent."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="NSIB"></code>
-        <display value="natural sibling"></display>
-        <definition value="The player of the role has both biological parents in common with the scoping entity."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="NBRO"></valueCode>
-        </property>
-        <concept>
-         <code value="NSIS"></code>
-         <display value="natural sister"></display>
-         <definition value="The player of the role is a female having the same biological parents as the scoping entity."></definition>
-         <concept>
-          <code value="TWINSIS"></code>
-          <display value="twin sister"></display>
-          <definition value="The scoper was carried in the same womb as the female player and shares common biological parents."></definition>
-          <concept>
-           <code value="FTWINSIS"></code>
-           <display value="fraternal twin sister"></display>
-           <definition value="The scoper was carried in the same womb as the female player and shares common biological parents but is the product of a distinct egg/sperm pair."></definition>
-          </concept>
-          <concept>
-           <code value="ITWINSIS"></code>
-           <display value="identical twin sister"></display>
-           <definition value="The female scoper is an offspring of the same egg-sperm pair as the female player."></definition>
-          </concept>
-         </concept>
-        </concept>
-        <concept>
-         <code value="TWIN"></code>
-         <display value="twin"></display>
-         <definition value="The scoper and player were carried in the same womb and shared common biological parents."></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="TWINBRO"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="TWINSIS"></valueCode>
-         </property>
-         <concept>
-          <code value="FTWIN"></code>
-          <display value="fraternal twin"></display>
-          <definition value="The scoper and player were carried in the same womb and share common biological parents but are the product of distinct egg/sperm pairs."></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="FTWINBRO"></valueCode>
-          </property>
-          <property>
-           <code value="child"></code>
-           <valueCode value="FTWINSIS"></valueCode>
-          </property>
-         </concept>
-         <concept>
-          <code value="ITWIN"></code>
-          <display value="identical twin"></display>
-          <definition value="The scoper and player are offspring of the same egg-sperm pair."></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="ITWINBRO"></valueCode>
-          </property>
-          <property>
-           <code value="child"></code>
-           <valueCode value="ITWINSIS"></valueCode>
-          </property>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="SIS"></code>
-        <display value="sister"></display>
-        <definition value="The player of the role is a female sharing one or both parents in common with the scoping entity."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="HSIS"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="NSIS"></valueCode>
-        </property>
-        <concept>
-         <code value="STPSIS"></code>
-         <display value="stepsister"></display>
-         <definition value="The player of the role is a daughter of the scoping person's stepparent."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="STPSIB"></code>
-        <display value="step sibling"></display>
-        <definition value="The player of the role is a child of the scoping person's stepparent."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="STPBRO"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="STPSIS"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SIGOTHR"></code>
-       <display value="significant other"></display>
-       <definition value="A person who is important to one's well being; especially a spouse or one in a similar relationship.  (The player is the one who is important)"></definition>
-       <concept>
-        <code value="DOMPART"></code>
-        <display value="domestic partner"></display>
-        <definition value="The player of the role cohabits with the scoping person but is not the scoping person's spouse."></definition>
-       </concept>
-       <concept>
-        <code value="FMRSPS"></code>
-        <display value="former spouse"></display>
-        <definition value="Player of the role was previously joined to the scoping person in marriage and this marriage is now dissolved and inactive.
-
-        
-         Usage Note: This is significant to indicate as some jurisdictions have different legal requirements for former spouse to access the patient's record, from a general friend."></definition>
-       </concept>
-       <concept>
-        <code value="SPS"></code>
-        <display value="spouse"></display>
-        <definition value="The player of the role is a marriage partner of the scoping person."></definition>
-        <concept>
-         <code value="HUSB"></code>
-         <display value="husband"></display>
-         <definition value="The player of the role is a man joined to a woman (scoping person) in marriage."></definition>
-        </concept>
-        <concept>
-         <code value="WIFE"></code>
-         <display value="wife"></display>
-         <definition value="The player of the role is a woman joined to a man (scoping person) in marriage."></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="FRND"></code>
-      <display value="unrelated friend"></display>
-      <definition value="The player of the role is a person who is known, liked, and trusted by the scoping person."></definition>
-     </concept>
-     <concept>
-      <code value="NBOR"></code>
-      <display value="neighbor"></display>
-      <definition value="The player of the role lives near or next to the 	scoping person."></definition>
-     </concept>
-     <concept>
-      <code value="ONESELF"></code>
-      <display value="self"></display>
-      <definition value="The relationship that a person has with his or her self."></definition>
-     </concept>
-     <concept>
-      <code value="ROOM"></code>
-      <display value="Roommate"></display>
-      <definition value="One who shares living quarters with the subject."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PolicyOrProgramCoverageRoleType"></code>
-     <display value="PolicyOrProgramCoverageRoleType"></display>
-     <definition value="Description: A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria.
-
-        Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law.  These criteria may be: 
-
-        
-         
-          The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage
-
-         
-         
-          May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent
-
-         
-         
-          May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits.
-
-         
-        
-        
-         Discussion:  The Abstract Value Set &quot;CoverageRoleType&quot;, which was developed for use in the Canadian realm &quot;pre-coordinate&quot; coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., &quot;handicapped dependent&quot;.   These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role.  For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead.
-
-        In summary, the coded concepts in the Abstract Value Set &quot;CoveredPartyRoleType&quot; can be &quot;post-coordinated&quot; with the &quot;RoleClassCoveredParty&quot; Abstract Value Set.  Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_CoverageRoleType"></code>
-      <display value="CoverageRoleType"></display>
-      <definition value="Role recognized through the issuance of insurance coverage to an identified covered party who has this relationship with the policy holder such as the policy holder themselves (self), spouse, child, etc"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="FAMDEP"></code>
-       <display value="family dependent"></display>
-       <definition value="The player of the role is dependent of the scoping entity."></definition>
-      </concept>
-      <concept>
-       <code value="HANDIC"></code>
-       <display value="handicapped dependent"></display>
-       <definition value="Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult."></definition>
-      </concept>
-      <concept>
-       <code value="INJ"></code>
-       <display value="injured plaintiff"></display>
-       <definition value="Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy."></definition>
-      </concept>
-      <concept>
-       <code value="SELF"></code>
-       <display value="self"></display>
-       <definition value="Covered party is the policy holder.  Also known as the subscriber."></definition>
-      </concept>
-      <concept>
-       <code value="SPON"></code>
-       <display value="sponsored dependent"></display>
-       <definition value="Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward."></definition>
-      </concept>
-      <concept>
-       <code value="STUD"></code>
-       <display value="student"></display>
-       <definition value="Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy."></definition>
-       <concept>
-        <code value="FSTUD"></code>
-        <display value="full-time student"></display>
-        <definition value="Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy."></definition>
-       </concept>
-       <concept>
-        <code value="PSTUD"></code>
-        <display value="part-time student"></display>
-        <definition value="Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="ADOPT"></code>
-       <display value="adopted child"></display>
-       <definition value="A child taken into one's family through legal means and raised as one's own child."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="GCHILD"></code>
-       <display value="grandchild"></display>
-       <definition value="A child of one's son or daughter."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="GPARNT"></code>
-       <display value="grandparent"></display>
-       <definition value="parent of a parent of the subject."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="NAT"></code>
-       <display value="natural child"></display>
-       <definition value="A child as determined by birth."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="NIENE"></code>
-       <display value="niece/nephew"></display>
-       <definition value="A child of one's brother or sister or of the brother or sister of one's spouse."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="PARNT"></code>
-       <display value="parent"></display>
-       <definition value="One that begets or brings forth offspring or a person who brings up and cares for for another (Webster's Collegiate Dictionary)"></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="SPSE"></code>
-       <display value="spouse"></display>
-       <definition value="A marriage partner; a husband or wife."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="STEP"></code>
-       <display value="step child"></display>
-       <definition value="A child receiving parental care and nurture from a person who is related to them through marriage to their parent."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_CoveredPartyRoleType"></code>
-      <display value="covered party role type"></display>
-      <definition value="A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program.  Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.
-
-        
-         Example:An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent. 
-
-        
-         Discussion:  The Abstract Value Set &quot;CoverageRoleType&quot;, which was developed for use in the Canadian realm &quot;pre-coordinate&quot; coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., &quot;handicapped dependent&quot;.  Other codes in the Abstract Value Set CoveredPartyRoleType domain can be &quot;post-coordinated&quot; with the EligiblePartyRoleType codes to denote comparable concepts.  Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_ClaimantCoveredPartyRoleType"></code>
-       <display value="ClaimantCoveredPartyRoleType"></display>
-       <definition value="DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="CRIMEVIC"></code>
-        <display value="crime victim"></display>
-        <definition value="Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is &quot;program eligible&quot; and the person's status as a crime victim meets jurisdictional or program criteria."></definition>
-       </concept>
-       <concept>
-        <code value="INJWKR"></code>
-        <display value="injured worker"></display>
-        <definition value="Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.
-
-        
-         Discussion:  This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either &quot;program eligible&quot;, a &quot;named insured&quot;, and &quot;individual insured&quot;,  or &quot;dependent&quot;, and the person's status as differently abled or &quot;handicapped&quot; meets jurisdictional, policy, or program criteria."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_DependentCoveredPartyRoleType"></code>
-       <display value="DependentCoveredPartyRoleType"></display>
-       <definition value="Description: A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="COCBEN"></code>
-        <display value="continuity of coverage beneficiary"></display>
-        <definition value="Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage.  Criteria for qualifying for continuity of coverage may be set by law.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria."></definition>
-       </concept>
-       <concept>
-        <code value="DIFFABL"></code>
-        <display value="differently abled"></display>
-        <definition value="Description: A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot;, &quot;named insured&quot;, &quot;individual insured&quot;, or &quot;dependent&quot;, and the person's status as differently abled meets jurisdictional, policy, or program criteria."></definition>
-       </concept>
-       <concept>
-        <code value="WARD"></code>
-        <display value="ward"></display>
-        <definition value="Description: A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a &quot;claimant&quot;, &quot;program eligible&quot;, a &quot;named insured&quot;, an &quot;individual Insured&quot; or a &quot;dependent&quot;, and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_IndividualInsuredPartyRoleType"></code>
-       <display value="IndividualInsuredPartyRoleType"></display>
-       <definition value="A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="COCBEN"></valueCode>
-       </property>
-       <concept>
-        <code value="RETIREE"></code>
-        <display value="retiree"></display>
-        <definition value="Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a retiree meets jurisdictional or policy criteria."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_ProgramEligiblePartyRoleType"></code>
-       <display value="ProgramEligiblePartyRoleType"></display>
-       <definition value="Description:A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="CRIMEVIC"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="INJWKR"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="DIFFABL"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="WARD"></valueCode>
-       </property>
-       <concept>
-        <code value="INDIG"></code>
-        <display value="member of an indigenous people"></display>
-        <definition value="Description: A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is &quot;program eligible&quot; and the person's status as a member of an indigenous people meets jurisdictional or program criteria."></definition>
-       </concept>
-       <concept>
-        <code value="MIL"></code>
-        <display value="military"></display>
-        <definition value="Definition: A person playing the role of program eligible under a program based on military status.
-
-        
-         Discussion:  This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a member of the military meets jurisdictional or program criteria"></definition>
-        <concept>
-         <code value="ACTMIL"></code>
-         <display value="active duty military"></display>
-         <definition value="Description: A person playing the role of program eligible under a program based on active military status.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the persons status as active duty military meets jurisdictional or program criteria."></definition>
-        </concept>
-        <concept>
-         <code value="RETMIL"></code>
-         <display value="retired military"></display>
-         <definition value="Description: A person playing the role of program eligible under a program based on retired military status.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the persons status as retired military meets jurisdictional or program criteria."></definition>
-        </concept>
-        <concept>
-         <code value="VET"></code>
-         <display value="veteran"></display>
-         <definition value="Description: A person playing the role of program eligible under a program based on status as a military veteran.
-
-        
-         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the persons status as a veteran meets jurisdictional or program criteria."></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_SubscriberCoveredPartyRoleType"></code>
-       <display value="SubscriberCoveredPartyRoleType"></display>
-       <definition value="Description: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="COCBEN"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="RETIREE"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="MIL"></valueCode>
-       </property>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ResearchSubjectRoleBasis"></code>
-     <display value="ResearchSubjectRoleBasis"></display>
-     <definition value="Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established.  Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ERL"></code>
-      <display value="enrollment"></display>
-      <definition value="Definition:The specific role being played by a research subject participating in the active treatment or primary data collection portion of a research study."></definition>
-     </concept>
-     <concept>
-      <code value="SCN"></code>
-      <display value="screening"></display>
-      <definition value="Definition:The specific role being played by a research subject participating in the pre-enrollment evaluation portion of  a research study."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ServiceDeliveryLocationRoleType"></code>
-     <display value="ServiceDeliveryLocationRoleType"></display>
-     <definition value="A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_DedicatedServiceDeliveryLocationRoleType"></code>
-      <display value="DedicatedServiceDeliveryLocationRoleType"></display>
-      <definition value="A role of a place that further classifies a setting that is intended to house the provision of services."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_DedicatedClinicalLocationRoleType"></code>
-       <display value="DedicatedClinicalLocationRoleType"></display>
-       <definition value="A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="DX"></code>
-        <display value="Diagnostics or therapeutics unit"></display>
-        <definition value="A practice setting where diagnostic procedures or therapeutic interventions are performed"></definition>
-        <concept>
-         <code value="CVDX"></code>
-         <display value="Cardiovascular diagnostics or therapeutics unit"></display>
-         <definition value="A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)"></definition>
-         <concept>
-          <code value="CATH"></code>
-          <display value="Cardiac catheterization lab"></display>
-          <definition value="Cardiac catheterization lab"></definition>
-         </concept>
-         <concept>
-          <code value="ECHO"></code>
-          <display value="Echocardiography lab"></display>
-          <definition value="Echocardiography lab"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="GIDX"></code>
-         <display value="Gastroenterology diagnostics or therapeutics lab"></display>
-         <definition value="A practice setting where GI procedures (such as endoscopies) are performed"></definition>
-         <concept>
-          <code value="ENDOS"></code>
-          <display value="Endoscopy lab"></display>
-          <definition value="(X12N 261QD0000N)"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="RADDX"></code>
-         <display value="Radiology diagnostics or therapeutics unit"></display>
-         <definition value="A practice setting where radiology services (diagnostic or therapeutic) are provided            (X12N 261QR0200N)"></definition>
-         <concept>
-          <code value="RADO"></code>
-          <display value="Radiation oncology unit"></display>
-          <definition value="(X12N 261QX0203N)"></definition>
-         </concept>
-         <concept>
-          <code value="RNEU"></code>
-          <display value="Neuroradiology unit"></display>
-          <definition value="Neuroradiology unit"></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="HOSP"></code>
-        <display value="Hospital"></display>
-        <definition value="An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured."></definition>
-        <concept>
-         <code value="CHR"></code>
-         <display value="Chronic Care Facility"></display>
-         <definition value="(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes"></definition>
-        </concept>
-        <concept>
-         <code value="GACH"></code>
-         <display value="Hospitals; General Acute Care Hospital"></display>
-         <definition value="(X12N 282N00000N)"></definition>
-        </concept>
-        <concept>
-         <code value="MHSP"></code>
-         <display value="Military Hospital"></display>
-         <definition value="A health care facility operated by the Department of Defense or other military operation."></definition>
-        </concept>
-        <concept>
-         <code value="PSYCHF"></code>
-         <display value="Psychatric Care Facility"></display>
-         <definition value="Healthcare facility that cares for patients with psychiatric illness(s)."></definition>
-        </concept>
-        <concept>
-         <code value="RH"></code>
-         <display value="Rehabilitation hospital"></display>
-         <definition value="(X12N 283X00000N)"></definition>
-         <concept>
-          <code value="RHAT"></code>
-          <display value="addiction treatment center"></display>
-          <definition value="Description: A location that plays the role of delivering services which may include life training and/or social support to people with addictions."></definition>
-         </concept>
-         <concept>
-          <code value="RHII"></code>
-          <display value="intellectual impairment center"></display>
-          <definition value="Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with intellectual and/or pervasive development disorders such as autism or severe behaviour disorder."></definition>
-         </concept>
-         <concept>
-          <code value="RHMAD"></code>
-          <display value="parents with adjustment difficulties center"></display>
-          <definition value="Description: A location that plays the role of delivering services which may social support services for adolescents who are pregnant or have child and are experiencing adaptation issues/difficulties in their current or eventual parenting role."></definition>
-         </concept>
-         <concept>
-          <code value="RHPI"></code>
-          <display value="physical impairment center"></display>
-          <definition value="Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with physical impairments."></definition>
-          <concept>
-           <code value="RHPIH"></code>
-           <display value="physical impairment - hearing center"></display>
-           <definition value="Description: A location that plays the role of delivering services for people with hearing impairments."></definition>
-          </concept>
-          <concept>
-           <code value="RHPIMS"></code>
-           <display value="physical impairment - motor skills center"></display>
-           <definition value="Description: A location that plays the role of delivering services for people with motor skill impairments."></definition>
-          </concept>
-          <concept>
-           <code value="RHPIVS"></code>
-           <display value="physical impairment - visual skills center"></display>
-           <definition value="Description: A location that plays the role of delivering services for people with visual skill impairments."></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="RHYAD"></code>
-          <display value="youths with adjustment difficulties center"></display>
-          <definition value="Description: A location that plays the role of delivering services which may include life training and/or social support services for the adaption, rehabilitation and social integration of youths with adjustment difficulties."></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="HU"></code>
-        <display value="Hospital unit"></display>
-        <definition value="Hospital unit"></definition>
-        <concept>
-         <code value="BMTU"></code>
-         <display value="Bone marrow transplant unit"></display>
-         <definition value="Bone marrow transplant unit"></definition>
-        </concept>
-        <concept>
-         <code value="CCU"></code>
-         <display value="Coronary care unit"></display>
-         <definition value="Coronary care unit"></definition>
-        </concept>
-        <concept>
-         <code value="CHEST"></code>
-         <display value="Chest unit"></display>
-         <definition value="A specialty unit in hospital that focuses on chronic respirator patients and pulmonary failure"></definition>
-        </concept>
-        <concept>
-         <code value="EPIL"></code>
-         <display value="Epilepsy unit"></display>
-         <definition value="Epilepsy unit"></definition>
-        </concept>
-        <concept>
-         <code value="ER"></code>
-         <display value="Emergency room"></display>
-         <definition value="The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma."></definition>
-         <concept>
-          <code value="ETU"></code>
-          <display value="Emergency trauma unit"></display>
-          <definition value="Emergency trauma unit"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="HD"></code>
-         <display value="Hemodialysis unit"></display>
-         <definition value="Hemodialysis unit"></definition>
-        </concept>
-        <concept>
-         <code value="HLAB"></code>
-         <display value="hospital laboratory"></display>
-         <definition value="Description: A location that plays the role of delivering services which may include tests done based on clinical specimens to get health information about a patient as pertaining to the diagnosis, treatment and prevention of disease.  Hospital laboratories may be further divided into specialized units such as Anatomic Pathology, Microbiology, and Biochemistry."></definition>
-         <concept>
-          <code value="INLAB"></code>
-          <display value="inpatient laboratory"></display>
-          <definition value="Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for a hospital visit longer than one day."></definition>
-         </concept>
-         <concept>
-          <code value="OUTLAB"></code>
-          <display value="outpatient laboratory"></display>
-          <definition value="Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for same day visits."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="HRAD"></code>
-         <display value="radiology unit"></display>
-         <definition value="Description: A location that plays the role of delivering services which may include the branch of medicine that uses ionizing and non-ionizing radiation to diagnose and treat diseases.  The radiology unit may be further divided into subspecialties such as Imaging, Cardiovascular, Thoracic, and Ultrasound."></definition>
-        </concept>
-        <concept>
-         <code value="HUSCS"></code>
-         <display value="specimen collection site"></display>
-         <definition value="Description: A location that plays the role of delivering services which may include collecting specimens and/or samples from patients for laboratory testing purposes, but does not perform any tests or analysis functions."></definition>
-        </concept>
-        <concept>
-         <code value="ICU"></code>
-         <display value="Intensive care unit"></display>
-         <definition value="Intensive care unit"></definition>
-         <concept>
-          <code value="PEDICU"></code>
-          <display value="Pediatric intensive care unit"></display>
-          <definition value="Pediatric intensive care unit"></definition>
-          <concept>
-           <code value="PEDNICU"></code>
-           <display value="Pediatric neonatal intensive care unit"></display>
-           <definition value="Pediatric neonatal intensive care unit"></definition>
-          </concept>
-         </concept>
-        </concept>
-        <concept>
-         <code value="INPHARM"></code>
-         <display value="inpatient pharmacy"></display>
-         <definition value="Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for visits longer than one day. The distinction between inpatient pharmacies and retail (or outpatient) pharmacies is that they are part of a patient's continuity of care while staying in the hospital."></definition>
-        </concept>
-        <concept>
-         <code value="MBL"></code>
-         <display value="medical laboratory"></display>
-         <definition value="Description: A location that plays the role of delivering services which include biochemistry, hematology, microbiology, immunochemistry, and toxicology."></definition>
-        </concept>
-        <concept>
-         <code value="NCCS"></code>
-         <display value="Neurology critical care and stroke unit"></display>
-         <definition value="Neurology critical care and stroke unit"></definition>
-        </concept>
-        <concept>
-         <code value="NS"></code>
-         <display value="Neurosurgery unit"></display>
-         <definition value="Neurosurgery unit"></definition>
-        </concept>
-        <concept>
-         <code value="OUTPHARM"></code>
-         <display value="outpatient pharmacy"></display>
-         <definition value="Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for outpatient visits and may also be used for discharge prescriptions."></definition>
-        </concept>
-        <concept>
-         <code value="PEDU"></code>
-         <display value="Pediatric unit"></display>
-         <definition value="Pediatric unit"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDICU"></valueCode>
-         </property>
-        </concept>
-        <concept>
-         <code value="PHU"></code>
-         <display value="Psychiatric hospital unit"></display>
-         <definition value="(X12N 273R00000N)"></definition>
-        </concept>
-        <concept>
-         <code value="RHU"></code>
-         <display value="Rehabilitation hospital unit"></display>
-         <definition value="Rehabilitation hospital unit"></definition>
-        </concept>
-        <concept>
-         <code value="SLEEP"></code>
-         <display value="Sleep disorders unit"></display>
-         <definition value="(X12N 261QA1200N)"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="NCCF"></code>
-        <display value="Nursing or custodial care facility"></display>
-        <definition value="Nursing or custodial care facility"></definition>
-        <concept>
-         <code value="SNF"></code>
-         <display value="Skilled nursing facility"></display>
-         <definition value="(X12N 314000000N)"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="OF"></code>
-        <display value="Outpatient facility"></display>
-        <definition value="Outpatient facility"></definition>
-        <concept>
-         <code value="ALL"></code>
-         <display value="Allergy clinic"></display>
-         <definition value="Allergy clinic"></definition>
-        </concept>
-        <concept>
-         <code value="AMPUT"></code>
-         <display value="Amputee clinic"></display>
-         <definition value="Amputee clinic"></definition>
-        </concept>
-        <concept>
-         <code value="BMTC"></code>
-         <display value="Bone marrow transplant clinic"></display>
-         <definition value="Bone marrow transplant clinic"></definition>
-        </concept>
-        <concept>
-         <code value="BREAST"></code>
-         <display value="Breast clinic"></display>
-         <definition value="Breast clinic"></definition>
-        </concept>
-        <concept>
-         <code value="CANC"></code>
-         <display value="Child and adolescent neurology clinic"></display>
-         <definition value="Child and adolescent neurology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="CAPC"></code>
-         <display value="Child and adolescent psychiatry clinic"></display>
-         <definition value="Child and adolescent psychiatry clinic"></definition>
-        </concept>
-        <concept>
-         <code value="CARD"></code>
-         <display value="Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities"></display>
-         <definition value="Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities"></definition>
-         <concept>
-          <code value="PEDCARD"></code>
-          <display value="Pediatric cardiology clinic"></display>
-          <definition value="Pediatric cardiology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="COAG"></code>
-         <display value="Coagulation clinic"></display>
-         <definition value="Coagulation clinic"></definition>
-        </concept>
-        <concept>
-         <code value="CRS"></code>
-         <display value="Colon and rectal surgery clinic"></display>
-         <definition value="Colon and rectal surgery clinic"></definition>
-        </concept>
-        <concept>
-         <code value="DERM"></code>
-         <display value="Dermatology clinic"></display>
-         <definition value="Dermatology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="ENDO"></code>
-         <display value="Endocrinology clinic"></display>
-         <definition value="Endocrinology clinic"></definition>
-         <concept>
-          <code value="PEDE"></code>
-          <display value="Pediatric endocrinology clinic"></display>
-          <definition value="Pediatric endocrinology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="ENT"></code>
-         <display value="Otorhinolaryngology clinic"></display>
-         <definition value="Otorhinolaryngology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="FMC"></code>
-         <display value="Family medicine clinic"></display>
-         <definition value="Family medicine clinic"></definition>
-        </concept>
-        <concept>
-         <code value="GI"></code>
-         <display value="Gastroenterology clinic"></display>
-         <definition value="Gastroenterology clinic"></definition>
-         <concept>
-          <code value="PEDGI"></code>
-          <display value="Pediatric gastroenterology clinic"></display>
-          <definition value="Pediatric gastroenterology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="GIM"></code>
-         <display value="General internal medicine clinic"></display>
-         <definition value="General internal medicine clinic"></definition>
-        </concept>
-        <concept>
-         <code value="GYN"></code>
-         <display value="Gynecology clinic"></display>
-         <definition value="Gynecology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="HEM"></code>
-         <display value="Hematology clinic"></display>
-         <definition value="Hematology clinic"></definition>
-         <concept>
-          <code value="PEDHEM"></code>
-          <display value="Pediatric hematology clinic"></display>
-          <definition value="Pediatric hematology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="HTN"></code>
-         <display value="Hypertension clinic"></display>
-         <definition value="Hypertension clinic"></definition>
-        </concept>
-        <concept>
-         <code value="IEC"></code>
-         <display value="Impairment evaluation center"></display>
-         <definition value="Focuses on assessing disability"></definition>
-        </concept>
-        <concept>
-         <code value="INFD"></code>
-         <display value="Infectious disease clinic"></display>
-         <definition value="Infectious disease clinic"></definition>
-         <concept>
-          <code value="PEDID"></code>
-          <display value="Pediatric infectious disease clinic"></display>
-          <definition value="Pediatric infectious disease clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="INV"></code>
-         <display value="Infertility clinic"></display>
-         <definition value="Infertility clinic"></definition>
-        </concept>
-        <concept>
-         <code value="LYMPH"></code>
-         <display value="Lympedema clinic"></display>
-         <definition value="Lympedema clinic"></definition>
-        </concept>
-        <concept>
-         <code value="MGEN"></code>
-         <display value="Medical genetics clinic"></display>
-         <definition value="Medical genetics clinic"></definition>
-        </concept>
-        <concept>
-         <code value="NEPH"></code>
-         <display value="Nephrology clinic"></display>
-         <definition value="Nephrology clinic"></definition>
-         <concept>
-          <code value="PEDNEPH"></code>
-          <display value="Pediatric nephrology clinic"></display>
-          <definition value="Pediatric nephrology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="NEUR"></code>
-         <display value="Neurology clinic"></display>
-         <definition value="Neurology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="OB"></code>
-         <display value="Obstetrics clinic"></display>
-         <definition value="Obstetrics clinic"></definition>
-        </concept>
-        <concept>
-         <code value="OMS"></code>
-         <display value="Oral and maxillofacial surgery clinic"></display>
-         <definition value="Oral and maxillofacial surgery clinic"></definition>
-        </concept>
-        <concept>
-         <code value="ONCL"></code>
-         <display value="Medical oncology clinic"></display>
-         <definition value="Medical oncology clinic"></definition>
-         <concept>
-          <code value="PEDHO"></code>
-          <display value="Pediatric oncology clinic"></display>
-          <definition value="Pediatric oncology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="OPH"></code>
-         <display value="Opthalmology clinic"></display>
-         <definition value="Opthalmology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="OPTC"></code>
-         <display value="optometry clinic"></display>
-         <definition value="Description: A location that plays the role of delivering services which may include examination, diagnosis, treatment, management, and prevention of diseases and disorders of the eye as well as prescribing and fitting appropriate corrective lenses (glasses or contact lenses) as needed.  Optometry clinics may also provide tests for visual field screening, measuring intra-ocular pressure and ophthalmoscopy, as and when required."></definition>
-        </concept>
-        <concept>
-         <code value="ORTHO"></code>
-         <display value="Orthopedics clinic"></display>
-         <definition value="Orthopedics clinic"></definition>
-         <concept>
-          <code value="HAND"></code>
-          <display value="Hand clinic"></display>
-          <definition value="Hand clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="PAINCL"></code>
-         <display value="Pain clinic"></display>
-         <definition value="(X12N 261QP3300N)"></definition>
-        </concept>
-        <concept>
-         <code value="PC"></code>
-         <display value="Primary care clinic"></display>
-         <definition value="(X12N 261QP2300N)"></definition>
-        </concept>
-        <concept>
-         <code value="PEDC"></code>
-         <display value="Pediatrics clinic"></display>
-         <definition value="Pediatrics clinic"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDCARD"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDE"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDGI"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDHEM"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDID"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDNEPH"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDHO"></valueCode>
-         </property>
-         <concept>
-          <code value="PEDRHEUM"></code>
-          <display value="Pediatric rheumatology clinic"></display>
-          <definition value="Pediatric rheumatology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="POD"></code>
-         <display value="Podiatry clinic"></display>
-         <definition value="(X12N 261QP1100N)"></definition>
-        </concept>
-        <concept>
-         <code value="PREV"></code>
-         <display value="Preventive medicine clinic"></display>
-         <definition value="Preventive medicine clinic"></definition>
-        </concept>
-        <concept>
-         <code value="PROCTO"></code>
-         <display value="Proctology clinic"></display>
-         <definition value="Proctology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="PROFF"></code>
-         <display value="Provider's Office"></display>
-         <definition value="Location where healthcare service was delivered, identified as the healthcare provider's practice office."></definition>
-        </concept>
-        <concept>
-         <code value="PROS"></code>
-         <display value="Prosthodontics clinic"></display>
-         <definition value="Prosthodontics clinic"></definition>
-        </concept>
-        <concept>
-         <code value="PSI"></code>
-         <display value="Psychology clinic"></display>
-         <definition value="Psychology clinic"></definition>
-        </concept>
-        <concept>
-         <code value="PSY"></code>
-         <display value="Psychiatry clinic"></display>
-         <definition value="Psychiatry clinic"></definition>
-        </concept>
-        <concept>
-         <code value="RHEUM"></code>
-         <display value="Rheumatology clinic"></display>
-         <definition value="Rheumatology clinic"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="PEDRHEUM"></valueCode>
-         </property>
-        </concept>
-        <concept>
-         <code value="SPMED"></code>
-         <display value="Sports medicine clinic"></display>
-         <definition value="Sports medicine clinic"></definition>
-        </concept>
-        <concept>
-         <code value="SU"></code>
-         <display value="Surgery clinic"></display>
-         <definition value="Surgery clinic"></definition>
-         <concept>
-          <code value="PLS"></code>
-          <display value="Plastic surgery clinic"></display>
-          <definition value="Plastic surgery clinic"></definition>
-         </concept>
-         <concept>
-          <code value="URO"></code>
-          <display value="Urology clinic"></display>
-          <definition value="Urology clinic"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="TR"></code>
-         <display value="Transplant clinic"></display>
-         <definition value="Transplant clinic"></definition>
-        </concept>
-        <concept>
-         <code value="TRAVEL"></code>
-         <display value="Travel and geographic medicine clinic"></display>
-         <definition value="Travel and geographic medicine clinic"></definition>
-        </concept>
-        <concept>
-         <code value="WND"></code>
-         <display value="Wound clinic"></display>
-         <definition value="Wound clinic"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="RTF"></code>
-        <display value="Residential treatment facility"></display>
-        <definition value="Residential treatment facility"></definition>
-        <concept>
-         <code value="PRC"></code>
-         <display value="Pain rehabilitation center"></display>
-         <definition value="Pain rehabilitation center"></definition>
-        </concept>
-        <concept>
-         <code value="SURF"></code>
-         <display value="Substance use rehabilitation facility"></display>
-         <definition value="(X12N 324500000N)"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_DedicatedNonClinicalLocationRoleType"></code>
-       <display value="DedicatedNonClinicalLocationRoleType"></display>
-       <definition value="A role of a place that further classifies a setting that is intended to house the provision of non-clinical services."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="DADDR"></code>
-        <display value="Delivery Address"></display>
-        <definition value="Location address where medical supplies were transported to for use."></definition>
-       </concept>
-       <concept>
-        <code value="MOBL"></code>
-        <display value="Mobile Unit"></display>
-        <definition value="Location (mobile) where healthcare service was delivered."></definition>
-        <concept>
-         <code value="AMB"></code>
-         <display value="Ambulance"></display>
-         <definition value="Location (mobile) where healthcare service was delivered, identified specifically as an ambulance."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="PHARM"></code>
-        <display value="Pharmacy"></display>
-        <definition value="Location where healthcare service was delivered, identified as a pharmacy."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="INPHARM"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="OUTPHARM"></valueCode>
-        </property>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_IncidentalServiceDeliveryLocationRoleType"></code>
-      <display value="IncidentalServiceDeliveryLocationRoleType"></display>
-      <definition value="IncidentalServiceDeliveryLocationRoleType"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ACC"></code>
-       <display value="accident site"></display>
-       <definition value="Location of an accident where healthcare service was delivered, such as a roadside."></definition>
-      </concept>
-      <concept>
-       <code value="COMM"></code>
-       <display value="Community Location"></display>
-       <definition value="Community location where healthcare is delivered."></definition>
-       <concept>
-        <code value="CSC"></code>
-        <display value="community service center"></display>
-        <definition value="Description: A location that plays the role of delivering services which may include providing front-line services to the population of a defined geographic area such as: healthcare services and social services, preventive or curative, rehabilitation or reintegration."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PTRES"></code>
-       <display value="Patient's Residence"></display>
-       <definition value="location where healthcare was delivered which is the residence of the Patient."></definition>
-      </concept>
-      <concept>
-       <code value="SCHOOL"></code>
-       <display value="school"></display>
-       <definition value="Location where healthcare service was delivered, identified as a school or educational facility."></definition>
-      </concept>
-      <concept>
-       <code value="UPC"></code>
-       <display value="underage protection center"></display>
-       <definition value="Description: A location that plays the role of delivering services which may include: social emergency services required for a young person as required under any jurisdictional youth laws, child placement, and family mediation in the defined geographical area the SDL is responsible for. It may provide expertise in a judiciary setting on child custody, adoption and biological history research."></definition>
-      </concept>
-      <concept>
-       <code value="WORK"></code>
-       <display value="work site"></display>
-       <definition value="Location where healthcare service was delivered, identified as a work place."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_SpecimenRoleType"></code>
-     <display value="SpecimenRoleType"></display>
-     <definition value="SpecimenRoleType"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="C"></code>
-      <display value="Calibrator"></display>
-      <definition value="A specimen used for initial calibration settings of an instrument"></definition>
-     </concept>
-     <concept>
-      <code value="G"></code>
-      <display value="Group"></display>
-      <definition value="A set of patient samples in which the individuals of the group may or may not be identified."></definition>
-     </concept>
-     <concept>
-      <code value="L"></code>
-      <display value="Pool"></display>
-      <definition value="Aliquots of individual specimens combined to form a single specimen representing all of the included individuals."></definition>
-     </concept>
-     <concept>
-      <code value="P"></code>
-      <display value="Patient"></display>
-      <definition value="A specimen that has been collected from a patient."></definition>
-     </concept>
-     <concept>
-      <code value="Q"></code>
-      <display value="Quality Control"></display>
-      <definition value="A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test."></definition>
-      <concept>
-       <code value="B"></code>
-       <display value="Blind"></display>
-       <definition value="Quality Control specimen submitted to the lab whose identity and composition is not known to the lab."></definition>
-      </concept>
-      <concept>
-       <code value="E"></code>
-       <display value="Electronic QC"></display>
-       <definition value="An electronically simulated QC specimen"></definition>
-      </concept>
-      <concept>
-       <code value="F"></code>
-       <display value="Filler Proficiency"></display>
-       <definition value="Specimen used for testing proficiency of an organization performing testing (how does this differ from O?)"></definition>
-      </concept>
-      <concept>
-       <code value="O"></code>
-       <display value="Operator Proficiency"></display>
-       <definition value="A specimen used for evaluation of operator proficiency (operator in what context?)"></definition>
-      </concept>
-      <concept>
-       <code value="V"></code>
-       <display value="Verifying"></display>
-       <definition value="A specimen used for periodic calibration checks of instruments"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="R"></code>
-      <display value="Replicate"></display>
-      <definition value="A portion of an original patent sample that is tested at the same time as the original sample"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="CLAIM"></code>
-     <display value="claimant"></display>
-     <definition value="A party that makes a claim for coverage under a policy."></definition>
-    </concept>
-    <concept>
-     <code value="communityLaboratory"></code>
-     <display value="Community Laboratory"></display>
-     <definition value="Community Laboratory"></definition>
-    </concept>
-    <concept>
-     <code value="GT"></code>
-     <display value="Guarantor"></display>
-     <definition value="An individual or organization that makes or gives a promise, assurance, pledge to pay or has paid the healthcare service provider."></definition>
-    </concept>
-    <concept>
-     <code value="homeHealth"></code>
-     <display value="Home Health"></display>
-     <definition value="Home Health"></definition>
-    </concept>
-    <concept>
-     <code value="laboratory"></code>
-     <display value="Laboratory"></display>
-     <definition value="Laboratory"></definition>
-    </concept>
-    <concept>
-     <code value="pathologist"></code>
-     <display value="Pathologist"></display>
-     <definition value="Pathologist"></definition>
-    </concept>
-    <concept>
-     <code value="PH"></code>
-     <display value="Policy Holder"></display>
-     <definition value="Policy holder for the insurance policy."></definition>
-    </concept>
-    <concept>
-     <code value="phlebotomist"></code>
-     <display value="Phlebotomist"></display>
-     <definition value="Phlebotomist"></definition>
-    </concept>
-    <concept>
-     <code value="PROG"></code>
-     <display value="program eligible"></display>
-     <definition value="A party that meets the eligibility criteria for coverage under a program."></definition>
-    </concept>
-    <concept>
-     <code value="PT"></code>
-     <display value="Patient"></display>
-     <definition value="The recipient for the service(s) and/or product(s) when they are not the covered party."></definition>
-    </concept>
-    <concept>
-     <code value="subject"></code>
-     <display value="Self"></display>
-     <definition value="Self"></definition>
-    </concept>
-    <concept>
-     <code value="thirdParty"></code>
-     <display value="Third Party"></display>
-     <definition value="Third Party"></definition>
-    </concept>
-    <concept>
-     <code value="DEP"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DEPEN"></code>
-     <display value="dependent"></display>
-     <definition value="A party covered under a policy based on association with a subscriber."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="FM"></code>
-     <display value="Family Member"></display>
-     <definition value="A member of the covered party's family. This could be the spouse, a parent, a grand parent, a sibling, etc."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="INDIV"></code>
-     <display value="individual"></display>
-     <definition value="A party covered under a policy as the policyholder."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="NAMED"></code>
-     <display value="named insured"></display>
-     <definition value="A party to an insurance policy to whom the insurer agrees to indemnify for losses, provides benefits for, or renders services."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="PSYCHCF"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="SUBSCR"></code>
-     <display value="subscriber"></display>
-     <definition value="A party covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7ITSVersionCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7ITSVersionCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSVersionCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1092"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7ITSVersionCode"></name>
-    <title value="v3 Code System hl7ITSVersionCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7ITSVersionCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="XMLV1PR1"></code>
-     <display value="XMLV1PR1"></display>
-     <definition value="XML ITS version 1 pre-release 1."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationInterpretation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationInterpretation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.83"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationInterpretation"></name>
-    <title value="v3 Code System ObservationInterpretation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="One or more codes providing a rough qualitative interpretation of the observation, such as &quot;normal&quot; / &quot;abnormal&quot;, &quot;low&quot; / &quot;high&quot;, &quot;better&quot; / &quot;worse&quot;, &quot;resistant&quot; /  &quot;susceptible&quot;, &quot;expected&quot; / &quot;not expected&quot;. The value set is intended to be for ANY use where coded representation of an interpretation is needed."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_GeneticObservationInterpretation"></code>
-     <display value="GeneticObservationInterpretation"></display>
-     <definition value="Codes that specify interpretation of genetic analysis, such as &quot;positive&quot;, &quot;negative&quot;, &quot;carrier&quot;, &quot;responsive&quot;, etc."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CAR"></code>
-      <display value="Carrier"></display>
-      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder."></definition>
-     </concept>
-     <concept>
-      <code value="Carrier"></code>
-      <display value="Carrier"></display>
-      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
-
-        
-         
-          Deprecation Comment: 
-         This code is currently the same string as the print name for this concept and is inconsistent with the conventions being used for the other codes in the coding system, as it is a full word with initial capitalization, rather than an all upper case mnemonic.  The recommendation from OO is to deprecate the code &quot;Carrier&quot; and to add &quot;CAR&quot; as the new active code representation for this concept."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-28"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationInterpretationChange"></code>
-     <display value="ObservationInterpretationChange"></display>
-     <definition value="Interpretations of change of quantity and/or severity. At most one of B or W and one of U or D allowed."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="B"></code>
-      <display value="Better"></display>
-      <definition value="The current result or observation value has improved compared to the previous result or observation value (the change is significant as defined in the respective test procedure).
-
-        [Note: This can be applied to quantitative or qualitative observations.]"></definition>
-     </concept>
-     <concept>
-      <code value="D"></code>
-      <display value="Significant change down"></display>
-      <definition value="The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure)."></definition>
-     </concept>
-     <concept>
-      <code value="U"></code>
-      <display value="Significant change up"></display>
-      <definition value="The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure)."></definition>
-     </concept>
-     <concept>
-      <code value="W"></code>
-      <display value="Worse"></display>
-      <definition value="The current result or observation value has degraded compared to the previous result or observation value (the change is significant as defined in the respective test procedure).
-
-        [Note: This can be applied to quantitative or qualitative observations.]"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationInterpretationExceptions"></code>
-     <display value="ObservationInterpretationExceptions"></display>
-     <definition value="Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="&lt;"></code>
-      <display value="Off scale low"></display>
-      <definition value="The result is below the minimum detection limit (the test procedure or equipment is the limiting factor).
-
-        Synonyms: Below analytical limit, low off scale."></definition>
-     </concept>
-     <concept>
-      <code value="&gt;"></code>
-      <display value="Off scale high"></display>
-      <definition value="The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor).
-
-        Synonyms: Above analytical limit, high off scale."></definition>
-     </concept>
-     <concept>
-      <code value="AC"></code>
-      <display value="Anti-complementary substances present"></display>
-      <definition value="A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample.
-
-        
-         
-          Deprecation Comment: 
-         This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-11-10"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="IE"></code>
-      <display value="Insufficient evidence"></display>
-      <definition value="There is insufficient evidence that the species in question is a good target for therapy with the drug.  A categorical interpretation is not possible.
-
-        [Note: A MIC with &quot;IE&quot; and/or a comment may be reported (without an accompanying S, I or R-categorization).]"></definition>
-     </concept>
-     <concept>
-      <code value="QCF"></code>
-      <display value="Quality control failure"></display>
-      <definition value="A result cannot be considered valid for the specified component / analyte or organism due to failure in the quality control testing component.
-
-        
-         
-          Deprecation Comment: 
-         This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-11-10"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="TOX"></code>
-      <display value="Cytotoxic substance present"></display>
-      <definition value="A valid result cannot be obtained for the specified organism or cell line due to the presence of cytotoxic substances in the sample or culture.
-
-        
-         
-          Deprecation Comment: 
-         This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-11-10"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationInterpretationNormality"></code>
-     <display value="ObservationInterpretationNormality"></display>
-     <definition value="Interpretation of normality or degree of abnormality (including critical or &quot;alert&quot; level). Concepts in this category are mutually exclusive, i.e., at most one is allowed."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="A"></code>
-      <display value="Abnormal"></display>
-      <definition value="The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).
-
-        [Note: Typically applies to non-numeric results.]"></definition>
-      <concept>
-       <code value="AA"></code>
-       <display value="Critical abnormal"></display>
-       <definition value="The result or observation value is outside a reference range or expected norm at a level at which immediate action should be considered for patient safety (as defined for the respective test procedure).
-
-        [Note: Typically applies to non-numeric results.  Analogous to critical/panic limits for numeric results.]"></definition>
-       <concept>
-        <code value="HH"></code>
-        <display value="Critical high"></display>
-        <definition value="The result for a quantitative observation is above a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).
-
-        Synonym: Above upper panic limits."></definition>
-       </concept>
-       <concept>
-        <code value="LL"></code>
-        <display value="Critical low"></display>
-        <definition value="The result for a quantitative observation is below a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).
-
-        Synonym: Below lower panic limits."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="H"></code>
-       <display value="High"></display>
-       <definition value="The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).
-
-        Synonym: Above high normal"></definition>
-       <concept>
-        <code value="H&gt;"></code>
-        <display value="Significantly high"></display>
-        <definition value="A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'H' and 'HH'.]
-
-        
-         Deprecation Comment: The code 'H&gt;' is being deprecated in order to align with the use of the code 'HU' for &quot;Very high&quot; in V2 Table 0078 &quot;Interpretation Codes&quot;.
-
-        [Note: The use of code 'H&gt;' is non-preferred, as this code is deprecated and on track to be retired; use code 'HU' instead."></definition>
-        <property>
-         <code value="status"></code>
-         <valueCode value="deprecated"></valueCode>
-        </property>
-        <property>
-         <code value="deprecationDate"></code>
-         <valueDateTime value="2015-03-23"></valueDateTime>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="HH"></valueCode>
-        </property>
-       </concept>
-       <concept>
-        <code value="HU"></code>
-        <display value="Significantly high"></display>
-        <definition value="A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="HH"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="L"></code>
-       <display value="Low"></display>
-       <definition value="The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).
-
-        Synonym: Below low normal"></definition>
-       <concept>
-        <code value="L&lt;"></code>
-        <display value="Significantly low"></display>
-        <definition value="A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'L' and 'LL'.]
-
-        
-         Deprecation Comment: The code 'L&lt;' is being deprecated in order to align with the use of the code 'LU' for &quot;Very low&quot; in V2 Table 0078 &quot;Interpretation Codes&quot;.
-
-        [Note: The use of code 'L&lt;' is non-preferred, as this code is deprecated and on track to be retired; use code 'LU' instead."></definition>
-        <property>
-         <code value="status"></code>
-         <valueCode value="deprecated"></valueCode>
-        </property>
-        <property>
-         <code value="deprecationDate"></code>
-         <valueDateTime value="2015-03-23"></valueDateTime>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="LL"></valueCode>
-        </property>
-       </concept>
-       <concept>
-        <code value="LU"></code>
-        <display value="Significantly low"></display>
-        <definition value="A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="LL"></valueCode>
-        </property>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="Normal"></display>
-      <definition value="The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).
-
-        [Note: Applies to numeric or non-numeric results.]"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationInterpretationSusceptibility"></code>
-     <display value="ObservationInterpretationSusceptibility"></display>
-     <definition value="Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="child"></code>
-      <valueCode value="IE"></valueCode>
-     </property>
-     <concept>
-      <code value="I"></code>
-      <display value="Intermediate"></display>
-      <definition value="Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm)
-Projects: ISO 20776-1, ISO 20776-2
-
-        [Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.]
-
-        [Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.]
-
-        [Note 3: This class also indicates a &quot;buffer zone,&quot; to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.]
-
-        [Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]"></definition>
-     </concept>
-     <concept>
-      <code value="MS"></code>
-      <display value="moderately susceptible"></display>
-      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
-
-        
-         
-          Deprecation Comment: 
-         This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012)."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-28"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="NCL"></code>
-      <display value="No CLSI defined breakpoint"></display>
-      <definition value="Use when not enough clinical trial data published by the Clinical and Laboratory Standards Institutes (CLSI) is available to establish the breakpoints for susceptible / intermediate and resistant."></definition>
-     </concept>
-     <concept>
-      <code value="NS"></code>
-      <display value="Non-susceptible"></display>
-      <definition value="A category used for isolates for which only a susceptible interpretive criterion has been designated because of the absence or rare occurrence of resistant strains. Isolates that have MICs above or zone diameters below the value indicated for the susceptible breakpoint should be reported as non-susceptible.
-
-        NOTE 1: An isolate that is interpreted as non-susceptible does not necessarily mean that the isolate has a resistance mechanism. It is possible that isolates with MICs above the susceptible breakpoint that lack resistance mechanisms may be encountered within the wild-type distribution subsequent to the time the susceptible-only breakpoint is set. 
-
-        NOTE 2: For strains yielding results in the &quot;nonsusceptible&quot; category, organism identification and antimicrobial susceptibility test results should be confirmed.
-
-        Synonym: decreased susceptibility."></definition>
-     </concept>
-     <concept>
-      <code value="R"></code>
-      <display value="Resistant"></display>
-      <definition value="Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure.
-Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm)  
-Projects: ISO 20776-1, ISO 20776-2
-
-        [Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.]
-
-        [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]"></definition>
-      <concept>
-       <code value="SYN-R"></code>
-       <display value="Synergy - resistant"></display>
-       <definition value="A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent).  This is predictive that this combination therapy will not be effective. 
-
-        
-         Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside.
-
-        
-         Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="S"></code>
-      <display value="Susceptible"></display>
-      <definition value="Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success.
-Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm)
-Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2
-
-        [Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.]
-
-        [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]"></definition>
-      <concept>
-       <code value="SDD"></code>
-       <display value="Susceptible-dose dependent"></display>
-       <definition value="A category that includes isolates with antimicrobial agent minimum inhibitory concentrations (MICs) that approach usually attainable blood and tissue levels and for which response rates may be lower than for susceptible isolates.
-
-        Reference: CLSI document M44-A2 2009 &quot;Method for antifungal disk diffusion susceptibility testing of yeasts; approved guideline - second edition&quot; - page 2."></definition>
-      </concept>
-      <concept>
-       <code value="SYN-S"></code>
-       <display value="Synergy - susceptible"></display>
-       <definition value="A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent).  This is predictive that this combination therapy will be effective. 
-
-        
-         Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside.
-
-        
-         Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="VS"></code>
-      <display value="very susceptible"></display>
-      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
-
-        
-         
-          Deprecation Comment: 
-         This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012)."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2013-07-28"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="EX"></code>
-     <display value="outside threshold"></display>
-     <definition value="The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.
-
-
-        Example: A positive result on a Hepatitis screening test.
-         Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L).  The only apparent significant difference is their reference to use in protocols for exclusion of study subjects.
-These concepts/codes were proposed by RCRIM for use in the CTLaboratory message.  They were submitted and approved in the November 2005 Harmonization cycle in proposal &quot;030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455&quot;.  However, this proposal was not fully implemented in the vocabulary.  The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes.
-Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response.  It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held."></definition>
-     <concept>
-      <code value="HX"></code>
-      <display value="above high threshold"></display>
-      <definition value="The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.
-
-
-        Example: A positive result on a Hepatitis screening test.
-         Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L).  The only apparent significant difference is their reference to use in protocols for exclusion of study subjects.  These concepts/codes were proposed by RCRIM for use in the CTLaboratory message.  They were submitted and approved in the November 2005 Harmonization cycle in proposal &quot;030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455&quot;. However, this proposal was not fully implemented in the vocabulary.  The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes.  Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response.  It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held."></definition>
-     </concept>
-     <concept>
-      <code value="LX"></code>
-      <display value="below low threshold"></display>
-      <definition value="The numeric observation/test result is interpreted as being below the low threshold value for a particular protocol within which the result is being reported.
-
-        Example: A Total White Blood Cell Count falling below a protocol-defined threshold value of 3000/mm^3
-         Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L).  The only apparent significant difference is their reference to use in protocols for exclusion of study subjects.  These concepts/codes were proposed by RCRIM for use in the CTLaboratory message.  They were submitted and approved in the November 2005 Harmonization cycle in proposal &quot;030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455&quot;.  However, this proposal was not fully implemented in the vocabulary.  The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes.  Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response.  It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="HM"></code>
-     <display value="Hold for Medical Review"></display>
-     <definition value="Hold for Medical Review
-
-        
-         Usage Note: This code is not intended for use in V3 artifacts.  It is included in the code system to maintain alignment with the V2 Table 0078 &quot;Interpretation Codes.&quot;"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2016-11-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ObservationInterpretationDetection"></code>
-     <display value="ObservationInterpretationDetection"></display>
-     <definition value="Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the &quot;meaning&quot; of the quantitative value for the same observation."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="IND"></code>
-      <display value="Indeterminate"></display>
-      <definition value="The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure.
-
-        
-         Usage Note: For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then &quot;indeterminate&quot; (i.e. &quot;cannot be determined&quot;) is the appropriate response, not &quot;equivocal&quot;."></definition>
-      <concept>
-       <code value="E"></code>
-       <display value="Equivocal"></display>
-       <definition value="The test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="NEG"></code>
-      <display value="Negative"></display>
-      <definition value="An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.
-
-        [Note: Negative does not necessarily imply the complete absence of the specified item.]"></definition>
-      <concept>
-       <code value="ND"></code>
-       <display value="Not detected"></display>
-       <definition value="The presence of the specified component / analyte, organism or clinical sign could not be determined within the limit of detection of the performed test or procedure."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="POS"></code>
-      <display value="Positive"></display>
-      <definition value="A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure."></definition>
-      <concept>
-       <code value="DET"></code>
-       <display value="Detected"></display>
-       <definition value="The measurement of the specified component / analyte, organism or clinical sign above the limit of detection of the performed test or procedure."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="ObservationInterpretationExpectation"></code>
-     <display value="ObservationInterpretationExpectation"></display>
-     <definition value="Interpretation of the observed result taking into account additional information (contraindicators) about the patient's situation. Concepts in this category are mutually exclusive, i.e., at most one is allowed."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="EXP"></code>
-      <display value="Expected"></display>
-      <definition value="This result has been evaluated in light of known contraindicators.  Once those contraindicators have been taken into account the result is determined to be &quot;Expected&quot;  (e.g., presence of drugs in a patient that is taking prescription medication for pain management)."></definition>
-     </concept>
-     <concept>
-      <code value="UNE"></code>
-      <display value="Unexpected"></display>
-      <definition value="This result has been evaluated in light of known contraindicators.  Once those contraindicators have been taken into account the result is determined to be &quot;Unexpected&quot; (e.g., presence of non-prescribed drugs in a patient that is taking prescription medication for pain management)."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="OBX"></code>
-     <display value="Interpretation qualifiers in separate OBX segments"></display>
-     <definition value="Interpretation qualifiers in separate OBX segments
-
-        
-         Usage Note: This code is not intended for use in V3 artifacts.  It is included in the code system to maintain alignment with the V2 Table 0078 &quot;Interpretation Codes.&quot;"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2016-11-10"></valueDateTime>
-     </property>
-    </concept>
-    <concept>
-     <code value="ReactivityObservationInterpretation"></code>
-     <display value="ReactivityObservationInterpretation"></display>
-     <definition value="Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="NR"></code>
-      <display value="Non-reactive"></display>
-      <definition value="An absence finding used to indicate that the specified component / analyte did not react measurably with the reagent."></definition>
-     </concept>
-     <concept>
-      <code value="RR"></code>
-      <display value="Reactive"></display>
-      <definition value="A presence finding used to indicate that the specified component / analyte reacted with the reagent above the reliably measurable limit of the performed test."></definition>
-      <concept>
-       <code value="WR"></code>
-       <display value="Weakly reactive"></display>
-       <definition value="A weighted presence finding used to indicate that the specified component / analyte reacted with the reagent, but below the reliably measurable limit of the performed test."></definition>
-      </concept>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ManagedParticipationStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ManagedParticipationStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1062"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ManagedParticipationStatus"></name>
-    <title value="v3 Code System ManagedParticipationStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ManagedParticipationStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="normal"></code>
-     <display value="normal"></display>
-     <definition value="The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of a participation instance that was created in error."></definition>
-     <concept>
-      <code value="active"></code>
-      <display value="active"></display>
-      <definition value="The state representing the fact that the Participation is in progress."></definition>
-     </concept>
-     <concept>
-      <code value="cancelled"></code>
-      <display value="cancelled"></display>
-      <definition value="The terminal state resulting from cancellation of the Participation prior to activation."></definition>
-     </concept>
-     <concept>
-      <code value="completed"></code>
-      <display value="completed"></display>
-      <definition value="The terminal state representing the successful completion of the Participation."></definition>
-     </concept>
-     <concept>
-      <code value="pending"></code>
-      <display value="pending"></display>
-      <definition value="The state representing that fact that the Participation has not yet become active."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="nullified"></code>
-     <display value="nullified"></display>
-     <definition value="The state representing the termination of a Participation instance that was created in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AddressPartType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-AddressPartType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-AddressPartType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.16"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AddressPartType"></name>
-    <title value="v3 Code System AddressPartType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition.  E.g. &quot;Street Name&quot; is part of &quot;Street Address Line&quot;"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressPartType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="partOf"></code>
-     <uri value="http://hl7.org/fhir/codesystem-hierarchy-meaning#part-of"></uri>
-     <description value="This relationship indicates that the source concept is a component of the target concept"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="ADL"></code>
-     <display value="additional locator"></display>
-     <definition value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="AL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="AL"></code>
-     <display value="address line"></display>
-     <definition value="Description: An address line is for either an additional locator, a delivery address or a street address."></definition>
-     <concept>
-      <code value="DAL"></code>
-      <display value="delivery address line"></display>
-      <definition value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc.  An address generally has only a delivery address line or a street address line, but not both."></definition>
-     </concept>
-     <concept>
-      <code value="SAL"></code>
-      <display value="street address line"></display>
-      <definition value="Description: A street address line is frequently used instead of breaking out build number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="BNN"></code>
-     <display value="building number numeric"></display>
-     <definition value="The numeric portion of a building number"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="BNR"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="BNR"></code>
-     <display value="building number"></display>
-     <definition value="The number of a building, house or lot alongside the street.  Also known as &quot;primary street number&quot;.  This does not number the street but rather the building."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="SAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="BNS"></code>
-     <display value="building number suffix"></display>
-     <definition value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="BNR"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="CAR"></code>
-     <display value="care of"></display>
-     <definition value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient"></definition>
-    </concept>
-    <concept>
-     <code value="CEN"></code>
-     <display value="census tract"></display>
-     <definition value="A geographic sub-unit delineated for demographic purposes."></definition>
-    </concept>
-    <concept>
-     <code value="CNT"></code>
-     <display value="country"></display>
-     <definition value="Country"></definition>
-    </concept>
-    <concept>
-     <code value="CPA"></code>
-     <display value="county or parish"></display>
-     <definition value="A sub-unit of a state or province. (49 of the United States of America use the term &quot;county;&quot; Louisiana uses the term &quot;parish&quot;.)"></definition>
-    </concept>
-    <concept>
-     <code value="CTY"></code>
-     <display value="municipality"></display>
-     <definition value="The name of the city, town, village, or other community or delivery center"></definition>
-    </concept>
-    <concept>
-     <code value="DEL"></code>
-     <display value="delimiter"></display>
-     <definition value="Delimiters are printed without framing white space.  If no value component is provided, the delimiter appears as a line break."></definition>
-    </concept>
-    <concept>
-     <code value="DINST"></code>
-     <display value="delivery installation type"></display>
-     <definition value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="DAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DINSTA"></code>
-     <display value="delivery installation area"></display>
-     <definition value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="DAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DINSTQ"></code>
-     <display value="delivery installation qualifier"></display>
-     <definition value="A number, letter or name identifying a delivery installation.  E.g., for Station A, the delivery installation qualifier would be 'A'."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="DAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DIR"></code>
-     <display value="direction"></display>
-     <definition value="Direction (e.g., N, S, W, E)"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="SAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DMOD"></code>
-     <display value="delivery mode"></display>
-     <definition value="Indicates the type of service offered, method of delivery.  For example: post office box, rural route, general delivery, etc."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="DAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DMODID"></code>
-     <display value="delivery mode identifier"></display>
-     <definition value="Represents the routing information such as a letter carrier route number.  It is the identifying number of the designator (the box number or rural route number)."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="DAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="DPID"></code>
-     <display value="delivery point identifier"></display>
-     <definition value="A value that uniquely identifies the postal address."></definition>
-    </concept>
-    <concept>
-     <code value="INT"></code>
-     <display value="intersection"></display>
-     <definition value="Description:An intersection denotes that the actual address is located AT or CLOSE TO the intersection OF two or more streets."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="AL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="POB"></code>
-     <display value="post box"></display>
-     <definition value="A numbered box located in a post station."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="DMODID"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="PRE"></code>
-     <display value="precinct"></display>
-     <definition value="A subsection of a municipality"></definition>
-    </concept>
-    <concept>
-     <code value="STA"></code>
-     <display value="state or province"></display>
-     <definition value="A sub-unit of a country with limited sovereignty in a federally organized country."></definition>
-    </concept>
-    <concept>
-     <code value="STB"></code>
-     <display value="street name base"></display>
-     <definition value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="STR"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="STR"></code>
-     <display value="street name"></display>
-     <definition value="street name"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="SAL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="STTYP"></code>
-     <display value="street type"></display>
-     <definition value="The designation given to the street.  (e.g. Street, Avenue, Crescent, etc.)"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="STR"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="UNID"></code>
-     <display value="unit identifier"></display>
-     <definition value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="ADL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="UNIT"></code>
-     <display value="unit designator"></display>
-     <definition value="Indicates the type of specific unit contained within a building or complex.  E.g. Appartment, Floor"></definition>
-     <property>
-      <code value="partOf"></code>
-      <valueCode value="ADL"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="ZIP"></code>
-     <display value="postal code"></display>
-     <definition value="A postal code designating a region defined by the postal service."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1068"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleStatus"></name>
-    <title value="v3 Code System RoleStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes representing the defined possible states of an Role, as defined by the Role class state machine."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="normal"></code>
-     <display value="normal"></display>
-     <definition value="The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of a Role instance that was created in error."></definition>
-     <concept>
-      <code value="active"></code>
-      <display value="active"></display>
-      <definition value="The state representing the fact that the Entity is currently active in the Role."></definition>
-     </concept>
-     <concept>
-      <code value="cancelled"></code>
-      <display value="cancelled"></display>
-      <definition value="The terminal state resulting from cancellation of the role prior to activation."></definition>
-     </concept>
-     <concept>
-      <code value="pending"></code>
-      <display value="pending"></display>
-      <definition value="The state representing that fact that the role has not yet become active."></definition>
-     </concept>
-     <concept>
-      <code value="suspended"></code>
-      <display value="suspended"></display>
-      <definition value="The state that represents a suspension of the Entity playing the Role. This state is arrived at from the &quot;active&quot; state."></definition>
-     </concept>
-     <concept>
-      <code value="terminated"></code>
-      <display value="terminated"></display>
-      <definition value="The state representing the successful termination of the Role."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="nullified"></code>
-     <display value="nullified"></display>
-     <definition value="The state representing the termination of a Role instance that was created in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7PublishingDomain"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7PublishingDomain"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingDomain"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1136"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7PublishingDomain"></name>
-    <title value="v3 Code System hl7PublishingDomain"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for HL7 publishing domains (specific content area)"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingDomain"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AB"></code>
-     <display value="accounting &amp; billing"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports accounting and billing functions - and &quot;provides support for the creation and management of patient billing accounts and the post of financial transactions against patient billing accounts for the purpose of aggregating financial transactions that will be submitted as claims or invoices for reimbursemen&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="AI"></code>
-     <display value="trigger event control act infrastructure"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports trigger event control act infrastructure - and &quot;covers the alternate structures of the message Trigger Event Control Acts in the HL7 Composite Message.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="AL"></code>
-     <display value="artificial listing for test purposes - faux Domain for testing"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that was defined as an &quot;artificial listing&quot; domain to support publication testing."></definition>
-    </concept>
-    <concept>
-     <code value="BB"></code>
-     <display value="blood tissue and organ"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports blood tissue and organ domain - and &quot;comprises the models, messages, and other artIfacts that are needed to support messaging related to the process of blood, tissue, and organ banking operations such as donations, eligibility, storage, dispense, administration/transfusion, explantation, and implantation. &quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CD"></code>
-     <display value="clinical document architecture"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports the clinical document architecture.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CG"></code>
-     <display value="clinical genomics"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports clinical genomics - and includes &quot; standards to enable the exchange of interrelated clinical and personalized genomic data between interested parties.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CI"></code>
-     <display value="transmission infrastructure"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports transmission infrastructure - and &quot; is primarily concerned with the data content of exchanges between healthcare applications, the sequence or interrelationships in the flow of messages and the communication of significant application level exceptions or error conditions.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CO"></code>
-     <display value="coverage"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Coverage - and provides support for managing health care coverage in the reimbursement system(s).
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CP"></code>
-     <display value="common product model"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports the common product model - which &quot;is used to improve the alignment between the different representations of products used within the body of HL7 Version 3 models.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CR"></code>
-     <display value="claims and reimbursement"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Claims and Reimbursement - and &quot;provides support for Generic, Pharmacy, Preferred Accommodation, Physician, Oral Health Vision Care and Hospital claims for eligibility, authorization, coverage extension, pre-determination, invoice adjudication, payment advice and Statement of Financial Activity (SOFA) Release 3 of this document adds claims messaging support for Physician, Oral Health Vision Care and Hospital claims.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CS"></code>
-     <display value="clinical statement"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports a common clinical statement pattern - and &quot;is a 'pattern' designed to be used within multiple HL7 Version 3 domain models. This pattern is intended to facilitate the consistent design of communications that convey clinical information to meet specific use cases.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="CT"></code>
-     <display value="common types"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports common model types - and &quot;are a work product produced by a particular committee for expressing a common, useful and reusable concept.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="DD"></code>
-     <display value="dummy domain"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that was created to support testing and initial set-up functions."></definition>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="diagnostic imaging"></display>
-     <definition value="Description: This domain has been retired in favor of &quot;imaging integration&quot; (II)."></definition>
-    </concept>
-    <concept>
-     <code value="DS"></code>
-     <display value="decision support"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that provides decision support.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="EM"></code>
-     <display value="emergency medical services"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Emergency Medical Services.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="II"></code>
-     <display value="imaging integration"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports imaging integration - and is &quot;comprises the models, implementation guides, sample documents and images that are needed to illustrate the transformation of DICOM structured reports to CDA Release 2 as well as the creation of CDA diagnostic imaging reports.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="IZ"></code>
-     <display value="immunization"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports immunization - and &quot;describes communication of information about immunization: the administration of vaccines (and/or antisera) to individuals to prevent infectious disease.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="LB"></code>
-     <display value="laboratory"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports clinical laboratory functions - and is &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to laboratory tests or observations. &quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="ME"></code>
-     <display value="medication"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports medication - and  &quot;deals with the description of a medicine for the purposes of messaging information about medicines&quot; and the applications of these descriptions.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="MI"></code>
-     <display value="masterfile infrastructure"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports master file infrastructure - and is &quot;comprises the classes and attributes needed to support Master Files and Registries.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="MM"></code>
-     <display value="materials management"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Materials Management - and is &quot;supports the simple scenario of a Materials Management application sending requests, notifications and queries to an auxiliary application. The intent is to establish a standard for the minimum functionality that is useful and comprehensive enough to explore the important concepts relative to inventory management.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="MR"></code>
-     <display value="medical records"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports medical records - and is &quot;supports clinical document management, and document querying.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="MT"></code>
-     <display value="shared messages"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports shared messages - and &quot;are a work product produced for expressing common, useful and reusable message types.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="OB"></code>
-     <display value="observations"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports observations - and is &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to resulting basic healthcare diagnostic services. &quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="OO"></code>
-     <display value="orders &amp; observations"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports orders and observations - and will provide over-arching support information for the &quot;Orders&quot; (OR) and &quot;Observations&quot; (OB) domains.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="OR"></code>
-     <display value="orders"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports orders - and &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to ordering basic healthcare services.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="patient administration"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Patient Administration - and &quot;defines person and patient demographics and visit information about patients&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="PC"></code>
-     <display value="care provision"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Care Provision - and &quot;addresses the information that is needed for the ongoing care of individuals, populations, and other targets of care.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="PH"></code>
-     <display value="public health"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports public health - and is &quot;the source of a number of Common Model Element Types (CMET) designed to meet the needs of public health data exchange.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="PM"></code>
-     <display value="personnel management"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Personnel Management - and &quot;spans a variety of clinical-administrative information functions associated with the organizations, individuals, animals and devices involved in the delivery and support of healthcare services.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="QI"></code>
-     <display value="query infrastructure"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports query infrastructure - and &quot;specifies the formation of information queries and the responses to these queries to meet the needs of healthcare applications using the HL7 version 3 messaging standard.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="QM"></code>
-     <display value="quality measures"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Quality Measures - and &quot;is a standard for representing a health quality measure as an electronic document.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="RG"></code>
-     <display value="registries"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Registries - and &quot;collects HL7 artifacts for administrative  registries.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="RI"></code>
-     <display value="informative public health"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Informative Public Health.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="RP"></code>
-     <display value="regulated products"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Regulated Products - and &quot;includes standards developed as part of the family of messages targeted for the exchange of information about regulated products and the exchange of the data needed to provide approval for such products.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="RR"></code>
-     <display value="public health reporting"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Public Health Reporting - and &quot;includes messages and documents that are specifically designed to support managment, reporting and investigation in the public health context.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="RT"></code>
-     <display value="regulated studies"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Regulated Studies - and is &quot;includes standards developed as part of the family of messages targeted for the exchange of information about the conduct of regulated studies, and the exchange of the data collected during those studies.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="RX"></code>
-     <display value="pharmacy"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports pharmacy - and is a &quot;model used to derive message patterns to describe and communicate processes related to medication.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="SC"></code>
-     <display value="scheduling"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Scheduling - and &quot;offers a generic set of messages and behavior to implement any number of Scheduling scenarios.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="SP"></code>
-     <display value="specimen"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Specimen - and &quot;comprises the models and artifacts that are needed to support the creation of messaging related to specimen.&quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-    <concept>
-     <code value="TD"></code>
-     <display value="therapeutic devices"></display>
-     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Therapeutic Devices - and is &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to therapy delivery and observations made by a medical device. &quot;
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1060"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityCode"></name>
-    <title value="v3 Code System EntityCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  OpenIssue:
-Missing description."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_MaterialEntityClassType"></code>
-     <display value="MaterialEntityClassType"></display>
-     <definition value="Types of Material for EntityClass &quot;MAT&quot;"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_ContainerEntityType"></code>
-      <display value="ContainerEntityType"></display>
-      <definition value="Material intended to hold another material for purpose of storage or transport."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="PKG"></code>
-       <display value="Package"></display>
-       <definition value="A material intended to hold other materials for purposes of storage or transportation"></definition>
-       <concept>
-        <code value="_NonRigidContainerEntityType"></code>
-        <display value="NonRigidContainerEntityType"></display>
-        <definition value="A container having dimensions that adjust somewhat based on the amount and shape of the material placed within it."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="BAG"></code>
-         <display value="Bag"></display>
-         <definition value="A pouched or pendulous container."></definition>
-        </concept>
-        <concept>
-         <code value="PACKT"></code>
-         <display value="Packet"></display>
-         <definition value="A paper"></definition>
-        </concept>
-        <concept>
-         <code value="PCH"></code>
-         <display value="Pouch"></display>
-         <definition value="A small bag or container made of a soft material."></definition>
-        </concept>
-        <concept>
-         <code value="SACH"></code>
-         <display value="Sachet"></display>
-         <definition value="A small bag or packet containing a small portion of a substance."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="_RigidContainerEntityType"></code>
-        <display value="RigidContainerEntityType"></display>
-        <definition value="A container having a fixed and inflexible dimensions and volume"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="_IndividualPackageEntityType"></code>
-         <display value="IndividualPackageEntityType"></display>
-         <definition value="Container intended to contain sufficient material for only one use."></definition>
-         <property>
-          <code value="notSelectable"></code>
-          <valueBoolean value="true"></valueBoolean>
-         </property>
-         <concept>
-          <code value="AMP"></code>
-          <display value="Ampule"></display>
-          <definition value="A small sealed glass container that holds a measured amount of a medicinal substance."></definition>
-         </concept>
-         <concept>
-          <code value="MINIM"></code>
-          <display value="Minim"></display>
-          <definition value="Individually dosed ophthalmic solution.  One time eye dropper dispenser."></definition>
-         </concept>
-         <concept>
-          <code value="NEBAMP"></code>
-          <display value="Nebuamp"></display>
-          <definition value="Individually dosed inhalation solution."></definition>
-         </concept>
-         <concept>
-          <code value="OVUL"></code>
-          <display value="Ovule"></display>
-          <definition value="A container either glass or plastic and a narrow neck, for storing liquid."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="_MultiUseContainerEntityType"></code>
-         <display value="MultiUseContainerEntityType"></display>
-         <definition value="A container intended to contain sufficient material for more than one use.  (I.e. Material is intended to be removed from the container at more than one discrete time period.)"></definition>
-         <property>
-          <code value="notSelectable"></code>
-          <valueBoolean value="true"></valueBoolean>
-         </property>
-         <concept>
-          <code value="BOT"></code>
-          <display value="Bottle"></display>
-          <definition value="A container, typically rounded, either glass or plastic with a narrow neck and capable of storing liquid."></definition>
-          <concept>
-           <code value="BOTA"></code>
-           <display value="Amber Bottle"></display>
-           <definition value="A bottle of yellow to brown color.  Used to store light-sensitive materials"></definition>
-          </concept>
-          <concept>
-           <code value="BOTD"></code>
-           <display value="Dropper Bottle"></display>
-           <definition value="A bottle with a cap designed to release the contained liquid in droplets of a specific size."></definition>
-          </concept>
-          <concept>
-           <code value="BOTG"></code>
-           <display value="Glass Bottle"></display>
-           <definition value="A bottle made of glass"></definition>
-          </concept>
-          <concept>
-           <code value="BOTP"></code>
-           <display value="Plastic Bottle"></display>
-           <definition value="A bottle made of plastic"></definition>
-           <concept>
-            <code value="BOTPLY"></code>
-            <display value="Polyethylene Bottle"></display>
-            <definition value="A bottle made of polyethylene"></definition>
-           </concept>
-          </concept>
-         </concept>
-         <concept>
-          <code value="BOX"></code>
-          <display value="Box"></display>
-          <definition value="A 6-sided container commonly made from paper or cardboard used for solid forms."></definition>
-         </concept>
-         <concept>
-          <code value="CAN"></code>
-          <display value="Can"></display>
-          <definition value="A metal container in which a material is hermetically sealed to enable storage over long periods."></definition>
-         </concept>
-         <concept>
-          <code value="CART"></code>
-          <display value="Cartridge"></display>
-          <definition value="A sealed container of liquid or powder intended to be loaded into a device."></definition>
-         </concept>
-         <concept>
-          <code value="CNSTR"></code>
-          <display value="Canister"></display>
-          <definition value="A pressurized metal container holding a substance released as a spray or aerosol."></definition>
-         </concept>
-         <concept>
-          <code value="JAR"></code>
-          <display value="Jar"></display>
-          <definition value="A container of glass, earthenware, plastic, etc.  Top of the container has a diameter of similar size to the diameter of the container as a whole"></definition>
-         </concept>
-         <concept>
-          <code value="JUG"></code>
-          <display value="Jug"></display>
-          <definition value="A deep vessel  for holding liquids, with a handle and often with a spout or lip shape for pouring."></definition>
-         </concept>
-         <concept>
-          <code value="TIN"></code>
-          <display value="Tin"></display>
-          <definition value="A lidded container made of thin sheet metal."></definition>
-         </concept>
-         <concept>
-          <code value="TUB"></code>
-          <display value="Tub"></display>
-          <definition value="An open flat bottomed round container."></definition>
-         </concept>
-         <concept>
-          <code value="TUBE"></code>
-          <display value="Tube"></display>
-          <definition value="A long hollow rigid or flexible cylinder.  Material is extruded by squeezing the container."></definition>
-         </concept>
-         <concept>
-          <code value="VIAL"></code>
-          <display value="Vial"></display>
-          <definition value="A small cylindrical glass for holding liquid medicines."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="BLSTRPK"></code>
-         <display value="Blister Pack"></display>
-         <definition value="A bubblepack.  Medications sealed individually, separated into doses."></definition>
-         <concept>
-          <code value="CARD"></code>
-          <display value="Card"></display>
-          <definition value="A bubble pack card.  Multiple individual/separated doses."></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="COMPPKG"></code>
-        <display value="Compliance Package"></display>
-        <definition value="A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use.  Often used to ensure that the proper type and amount of material is consumed/expended for each use."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="BLSTRPK"></valueCode>
-        </property>
-        <concept>
-         <code value="DIALPK"></code>
-         <display value="Dial Pack"></display>
-         <definition value="Rotatable dispenser.  Eg. Birth control package."></definition>
-        </concept>
-        <concept>
-         <code value="DISK"></code>
-         <display value="Disk"></display>
-         <definition value="Object that is thin, flat, and circular.  Doses of medication often contained in bubbles on the disk."></definition>
-        </concept>
-        <concept>
-         <code value="DOSET"></code>
-         <display value="Dosette"></display>
-         <definition value="Special packaging that will help patients take their medications on a regular basis."></definition>
-        </concept>
-        <concept>
-         <code value="STRIP"></code>
-         <display value="Strip"></display>
-         <definition value="A continuous strip of plastic sectioned into individual pouches, each one containing the quantity of 1 or more medications intended to be administered at a specific time"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="KIT"></code>
-        <display value="Kit"></display>
-        <definition value="A container for a diverse collection of products intended to be used together for some purpose (e.g. Medicinal kits often contain a syringe, a needle and the injectable medication)."></definition>
-        <concept>
-         <code value="SYSTM"></code>
-         <display value="System"></display>
-         <definition value="A kit in which the components are interconnected."></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_MedicalDevice"></code>
-      <display value="MedicalDevice"></display>
-      <definition value="A device with direct or indirect therapeutic purpose.  Values for EntityCode when EntityClass = &quot;DEV&quot;"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_AccessMedicalDevice"></code>
-       <display value="AccessMedicalDevice"></display>
-       <definition value="A device used to allow access to a part of a body"></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="LINE"></code>
-        <display value="Line"></display>
-        <definition value="A hollow tube used to administer a substance into a vein, artery or body cavity"></definition>
-        <concept>
-         <code value="IALINE"></code>
-         <display value="Intra-arterial Line"></display>
-         <definition value="A line used to administer a substance into an artery"></definition>
-        </concept>
-        <concept>
-         <code value="IVLINE"></code>
-         <display value="Intraveneous Line"></display>
-         <definition value="A line used to administer a substance into a vein"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_AdministrationMedicalDevice"></code>
-       <display value="AdministrationMedicalDevice"></display>
-       <definition value="A device intended to administer a substance to a subject"></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="_InjectionMedicalDevice"></code>
-        <display value="InjectionMedicalDevice"></display>
-        <definition value="A device intended to administer liquid into a subject via a"></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="AINJ"></code>
-         <display value="AutoInjector"></display>
-         <definition value="Automatically injects medication."></definition>
-        </concept>
-        <concept>
-         <code value="PEN"></code>
-         <display value="Pen"></display>
-         <definition value="A device which can contain a cartridge for injection purposes.  Eg. Insulin pen."></definition>
-        </concept>
-        <concept>
-         <code value="SYR"></code>
-         <display value="Syringe"></display>
-         <definition value="A barrel with a plunger."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="APLCTR"></code>
-        <display value="Applicator"></display>
-        <definition value="A device used to apply a liquid or powder to a surface."></definition>
-       </concept>
-       <concept>
-        <code value="INH"></code>
-        <display value="Inhaler"></display>
-        <definition value="A small device used for inhaling medicine in the form of a vapour or gas in order to ease a respiratory condition such as asthma or to relieve nasal congestion."></definition>
-        <concept>
-         <code value="DSKS"></code>
-         <display value="Diskus"></display>
-         <definition value="The device used to inhale the doses of medication contained in the disk form."></definition>
-        </concept>
-        <concept>
-         <code value="DSKUNH"></code>
-         <display value="Diskhaler"></display>
-         <definition value="The device used to inhale the doses of medication contained in the disk form."></definition>
-        </concept>
-        <concept>
-         <code value="TRBINH"></code>
-         <display value="Turbuhaler"></display>
-         <definition value="Asthma medication delivery device."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="PMP"></code>
-        <display value="Pump"></display>
-        <definition value="A device that is used to raise, compress, or transfer liquids or gases and is operated by a piston or similar mechanism."></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_SpecimenAdditiveEntity"></code>
-      <display value="SpecimenAdditiveEntity"></display>
-      <definition value="Set of codes related to specimen additives"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ACDA"></code>
-       <display value="ACD Solution A"></display>
-       <definition value="ACD Solution A of trisodium citrate, 22.0g/L; citric acid, 8.0 g/L; and dextrose 24.5 g/L. Used in Blood banking and histocompatibilty testing"></definition>
-      </concept>
-      <concept>
-       <code value="ACDB"></code>
-       <display value="ACD Solution B"></display>
-       <definition value="ACD Solution B of trisodium citrate, 13.2g/L; citric acid, 4.8 g/L; and dextrose 14.7 g/L. Used in Blood banking and histocompatibilty testing."></definition>
-      </concept>
-      <concept>
-       <code value="ACET"></code>
-       <display value="Acetic Acid"></display>
-       <definition value="50% V/V acetic acid in water.  Used as  a urine preservative"></definition>
-      </concept>
-      <concept>
-       <code value="AMIES"></code>
-       <display value="Amies transport medium"></display>
-       <definition value="Sodium Chloride 3.0g, Potassium Chloride 0.2g, Calcium Chloride 0.1g, Magnesium Chloride 0.1g, Monopotassium Phosphate 0.2g, Disodium Phosphate 1.15g, Sodium Thiogly collate 1.0g, Distilled Water 1 liter"></definition>
-      </concept>
-      <concept>
-       <code value="BACTM"></code>
-       <display value="Bacterial Transport medium"></display>
-       <definition value="Any medium used to maintain bacterial viability (e.g. Stuart's, Cary-Blair, Amies)"></definition>
-      </concept>
-      <concept>
-       <code value="BF10"></code>
-       <display value="Buffered 10% formalin"></display>
-       <definition value="Formaldehyde 4% w/v; methyl alcohol 1% w/v; phosphate buffering salts. Tissue preservative"></definition>
-      </concept>
-      <concept>
-       <code value="BOR"></code>
-       <display value="Boric Acid"></display>
-       <definition value="Powdered boric acid (usually 10 g) added to 24-hour urine collections as a preservative."></definition>
-      </concept>
-      <concept>
-       <code value="BOUIN"></code>
-       <display value="Bouin's solution"></display>
-       <definition value="Picric acid, saturated aqueous solution (750.0 ml), 37-40% formalin (250.0 ml), glacial acetic acid (50.0 ml). Tissue preservative."></definition>
-      </concept>
-      <concept>
-       <code value="BSKM"></code>
-       <display value="Buffered skim milk"></display>
-       <definition value="50% skim milk in 0.01 M phosphate-buffered saline.  Maintain virus viability"></definition>
-      </concept>
-      <concept>
-       <code value="C32"></code>
-       <display value="3.2% Citrate"></display>
-       <definition value="A 3.2% solution of Sodium Citrate in water.  Used as a blood preservative"></definition>
-      </concept>
-      <concept>
-       <code value="C38"></code>
-       <display value="3.8% Citrate"></display>
-       <definition value="A 3.8% solution of Sodium Citrate in water. Used as a blood preservative"></definition>
-      </concept>
-      <concept>
-       <code value="CARS"></code>
-       <display value="Carson's Modified 10% formalin"></display>
-       <definition value="A modification of buffered 10% formalin used as a general tissue preservative."></definition>
-      </concept>
-      <concept>
-       <code value="CARY"></code>
-       <display value="Cary Blair Medium"></display>
-       <definition value="Sodium Thioglycollate 1.5 g, Disodium Hydrogen Phosphate 1.1 g, Sodium Chloride 5.0 g, Calcium Chloride 0.09 g, Agar 5.0 g, per Liter of Water"></definition>
-      </concept>
-      <concept>
-       <code value="CHLTM"></code>
-       <display value="Chlamydia transport medium"></display>
-       <definition value="Any of a number of non-nutritive buffered media used to maintain Chlamydia viability during transportation to the laboratory"></definition>
-      </concept>
-      <concept>
-       <code value="CTAD"></code>
-       <display value="CTAD"></display>
-       <definition value="Buffered tri-sodium citrate solution with theophylline, adenosine and dipyridamole"></definition>
-      </concept>
-      <concept>
-       <code value="EDTK15"></code>
-       <display value="Potassium/K EDTA 15%"></display>
-       <definition value="Potassium EDTA 15% solution in water"></definition>
-      </concept>
-      <concept>
-       <code value="EDTK75"></code>
-       <display value="Potassium/K EDTA 7.5%"></display>
-       <definition value="Potassium EDTA 7.5% solution in water"></definition>
-      </concept>
-      <concept>
-       <code value="EDTN"></code>
-       <display value="Sodium/Na EDTA"></display>
-       <definition value="Sodium fluoride and Disodium EDTA"></definition>
-      </concept>
-      <concept>
-       <code value="ENT"></code>
-       <display value="Enteric bacteria transport medium"></display>
-       <definition value="Any of a number of non-nutritive buffered media used to maintain enteric bacterial viability during transportation to the laboratory"></definition>
-      </concept>
-      <concept>
-       <code value="F10"></code>
-       <display value="10% Formalin"></display>
-       <definition value="A 10% v/v solution in water of formalin( a 37% solution of formaldehyde and water).  Used for tissue preservation."></definition>
-      </concept>
-      <concept>
-       <code value="FDP"></code>
-       <display value="Thrombin NIH; soybean trypsin inhibitor"></display>
-       <definition value="Thrombin plus soybean trypsin inhibitor.  For use in identifying fibrn degredation products."></definition>
-      </concept>
-      <concept>
-       <code value="FL10"></code>
-       <display value="Sodium Fluoride, 10mg"></display>
-       <definition value="Sodium fluoride, 10mg added as a urine preservative."></definition>
-      </concept>
-      <concept>
-       <code value="FL100"></code>
-       <display value="Sodium Fluoride, 100mg"></display>
-       <definition value="Sodium fluoride, 100mg added as a urine preservative."></definition>
-      </concept>
-      <concept>
-       <code value="HCL6"></code>
-       <display value="6N HCL"></display>
-       <definition value="A solution of HCl containing 6moles of hydrogen ion/L. Used as a Urine Preservative."></definition>
-      </concept>
-      <concept>
-       <code value="HEPA"></code>
-       <display value="Ammonium heparin"></display>
-       <definition value="Ammonium heparin"></definition>
-      </concept>
-      <concept>
-       <code value="HEPL"></code>
-       <display value="Lithium/Li Heparin"></display>
-       <definition value="Lithium heparin salt"></definition>
-      </concept>
-      <concept>
-       <code value="HEPN"></code>
-       <display value="Sodium/Na Heparin"></display>
-       <definition value="Sodium heparin salt"></definition>
-      </concept>
-      <concept>
-       <code value="HNO3"></code>
-       <display value="Nitric Acid"></display>
-       <definition value="6N Nitric acid used to preserve urine for heavy metal analysis."></definition>
-      </concept>
-      <concept>
-       <code value="JKM"></code>
-       <display value="Jones Kendrick Medium"></display>
-       <definition value="A transport medium formulated to maintain Bordetella pertussis viability."></definition>
-      </concept>
-      <concept>
-       <code value="KARN"></code>
-       <display value="Karnovsky's fixative"></display>
-       <definition value="5% Glutaraldehyde, 4% Formaldehyde in 0.08M buffer. Tissue preservation"></definition>
-      </concept>
-      <concept>
-       <code value="KOX"></code>
-       <display value="Potassium Oxalate"></display>
-       <definition value="Potassium oxalate and sodium fluoride in a 1.25:1 ratio"></definition>
-      </concept>
-      <concept>
-       <code value="LIA"></code>
-       <display value="Lithium iodoacetate"></display>
-       <definition value="Iodoacetate lithium salt"></definition>
-      </concept>
-      <concept>
-       <code value="M4"></code>
-       <display value="M4"></display>
-       <definition value="Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with HEPES buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to"></definition>
-      </concept>
-      <concept>
-       <code value="M4RT"></code>
-       <display value="M4-RT"></display>
-       <definition value="Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Gentamicin and amphotericin B are used to inhibit c"></definition>
-      </concept>
-      <concept>
-       <code value="M5"></code>
-       <display value="M5"></display>
-       <definition value="Modified Hank's balanced salt solution supplemented with protein stabilizers, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to inhibit c"></definition>
-      </concept>
-      <concept>
-       <code value="MICHTM"></code>
-       <display value="Michel's transport medium"></display>
-       <definition value="1M potassium citrate, pH 7.0 2.5 ml, 0.1M magnesium sulfate 5.0 ml, 0.1M N-ethyl malemide  5.0 ml, dH2O 87.5 ml, ammonium sulfate 55gm. Preserve antigens for Immunofluorescence procedures"></definition>
-      </concept>
-      <concept>
-       <code value="MMDTM"></code>
-       <display value="MMD transport medium"></display>
-       <definition value="A buffered medium with ammonium sulfate added to preserve antigens for Immunofluorescence procedures"></definition>
-      </concept>
-      <concept>
-       <code value="NAF"></code>
-       <display value="Sodium Fluoride"></display>
-       <definition value="Sodium fluoride"></definition>
-      </concept>
-      <concept>
-       <code value="NONE"></code>
-       <display value="None"></display>
-       <definition value="No additive. Specifically identifes the specimen as having no additives."></definition>
-      </concept>
-      <concept>
-       <code value="PAGE"></code>
-       <display value="Page's Saline"></display>
-       <definition value="0.12 g NaCl, 0.004 g MgSO, 0.004 g, CaCl, 0.142 g Na2HPO4 and 0.136 g KH2PO4 per liter of distilled water. Maintain Acanthaoemba viability."></definition>
-      </concept>
-      <concept>
-       <code value="PHENOL"></code>
-       <display value="Phenol"></display>
-       <definition value="Phenol. Urine preservative"></definition>
-      </concept>
-      <concept>
-       <code value="PVA"></code>
-       <display value="Polyvinylalcohol"></display>
-       <definition value="Polyvinyl alcohol"></definition>
-      </concept>
-      <concept>
-       <code value="RLM"></code>
-       <display value="Reagan Lowe Medium"></display>
-       <definition value="A transport medium formulated to maintain Bordetella pertussis viability."></definition>
-      </concept>
-      <concept>
-       <code value="SILICA"></code>
-       <display value="Siliceous earth"></display>
-       <definition value="Diatomaceous earth. For glucose determination blood samples"></definition>
-      </concept>
-      <concept>
-       <code value="SPS"></code>
-       <display value="Sodium polyanethol sulfonate 0.35% in 0.85% sodium chloride"></display>
-       <definition value="Sodium polyanethol sulfonate in saline. Anticomplementary and antiphagocytic properties. Used in blood culture collection."></definition>
-      </concept>
-      <concept>
-       <code value="SST"></code>
-       <display value="Serum Separator Tube"></display>
-       <definition value="Polymer separator gel with clot activator"></definition>
-      </concept>
-      <concept>
-       <code value="STUTM"></code>
-       <display value="Stuart transport medium"></display>
-       <definition value="Sodium Glycerophosphate 10.0g, Calcium Chloride 0.1g, Mercaptoacetic Acid 1.0ml, Distilled Water 1 liter"></definition>
-      </concept>
-      <concept>
-       <code value="THROM"></code>
-       <display value="Thrombin"></display>
-       <definition value="Thrombin. Accelerates clotting."></definition>
-      </concept>
-      <concept>
-       <code value="THYMOL"></code>
-       <display value="Thymol"></display>
-       <definition value="2-Isopropyl-5-methyl phenol. A preservative for 24 Hr Urine samples"></definition>
-      </concept>
-      <concept>
-       <code value="THYO"></code>
-       <display value="Thyoglycolate broth"></display>
-       <definition value="A nutritive medium with a reducing agent  (sodium thioglycolate) which, due to a chemical reaction, removes oxygen from the broth."></definition>
-      </concept>
-      <concept>
-       <code value="TOLU"></code>
-       <display value="Toluene"></display>
-       <definition value="Also known as Methylbenzene; Toluol; Phenylmethane. A preservative for 24 Hr Urine samples"></definition>
-      </concept>
-      <concept>
-       <code value="URETM"></code>
-       <display value="Ureaplasma transport medium"></display>
-       <definition value="A buffered salt solution with antifungal agents added for the collection and transport of Ureaplasma specimens."></definition>
-      </concept>
-      <concept>
-       <code value="VIRTM"></code>
-       <display value="Viral Transport medium"></display>
-       <definition value="Sucrose 74.6g, Potassium hydrogenphosphate 0.52g, L-glutamic acid 0.72g, Bovine serum albumin 5.0g, Gentamicin 50mg, Potassium dihydrogenphosphate 1.25g, L-15 medium 9.9L, Water to 10L. Maintain Virus viability."></definition>
-      </concept>
-      <concept>
-       <code value="WEST"></code>
-       <display value="Buffered Citrate"></display>
-       <definition value="3.8% Citrate buffered to a pH of 5.5 for Westergren Sedimentation Rate"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="BLDPRD"></code>
-      <display value="Blood Product"></display>
-      <definition value="A manufactured product that is produced from the raw blood oi a donor with the intention of using it in a recipient transfusion."></definition>
-     </concept>
-     <concept>
-      <code value="VCCNE"></code>
-      <display value="Vaccine"></display>
-      <definition value="A Type of medicine that creates an immune protection without the recipient experiencing the disease."></definition>
-     </concept>
-     <concept>
-      <code value="_DrugEntity"></code>
-      <display value="DrugEntity"></display>
-      <definition value="A substance whose therapeutic effect is produced by chemical action within the body."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <concept>
-       <code value="_ClinicalDrug"></code>
-       <display value="ClinicalDrug"></display>
-       <definition value="Any substance or mixture of substances manufactured, sold or represented for use in: (a) the diagnosis, treatment, mitigation or prevention of a disease, disorder, abnormal physical state, or its symptoms, in human beings or animals; (b) restoring, correcting or modifying organic functions in human beings or animals."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_NonDrugAgentEntity"></code>
-     <display value="NonDrugAgentEntity"></display>
-     <definition value="Indicates types of allergy and intolerance agents which are non-drugs.  (E.g. foods, latex, etc.)"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="NDA01"></code>
-      <display value="egg"></display>
-      <definition value="egg"></definition>
-     </concept>
-     <concept>
-      <code value="NDA02"></code>
-      <display value="fish"></display>
-      <definition value="fish"></definition>
-     </concept>
-     <concept>
-      <code value="NDA03"></code>
-      <display value="lactose"></display>
-      <definition value="lactose"></definition>
-     </concept>
-     <concept>
-      <code value="NDA04"></code>
-      <display value="peanut"></display>
-      <definition value="peanut"></definition>
-     </concept>
-     <concept>
-      <code value="NDA05"></code>
-      <display value="soy"></display>
-      <definition value="soy"></definition>
-     </concept>
-     <concept>
-      <code value="NDA06"></code>
-      <display value="sulfites"></display>
-      <definition value="sulfites"></definition>
-     </concept>
-     <concept>
-      <code value="NDA07"></code>
-      <display value="wheat or gluten"></display>
-      <definition value="wheat or gluten"></definition>
-     </concept>
-     <concept>
-      <code value="NDA08"></code>
-      <display value="isocyanates"></display>
-      <definition value="isocyanates"></definition>
-     </concept>
-     <concept>
-      <code value="NDA09"></code>
-      <display value="solvents"></display>
-      <definition value="solvents"></definition>
-     </concept>
-     <concept>
-      <code value="NDA10"></code>
-      <display value="oils"></display>
-      <definition value="oils"></definition>
-     </concept>
-     <concept>
-      <code value="NDA11"></code>
-      <display value="venoms"></display>
-      <definition value="venoms"></definition>
-     </concept>
-     <concept>
-      <code value="NDA12"></code>
-      <display value="latex"></display>
-      <definition value="latex"></definition>
-     </concept>
-     <concept>
-      <code value="NDA13"></code>
-      <display value="shellfish"></display>
-      <definition value="shellfish"></definition>
-     </concept>
-     <concept>
-      <code value="NDA14"></code>
-      <display value="strawberries"></display>
-      <definition value="strawberries"></definition>
-     </concept>
-     <concept>
-      <code value="NDA15"></code>
-      <display value="tomatoes"></display>
-      <definition value="tomatoes"></definition>
-     </concept>
-     <concept>
-      <code value="NDA16"></code>
-      <display value="dust"></display>
-      <definition value="dust"></definition>
-     </concept>
-     <concept>
-      <code value="NDA17"></code>
-      <display value="dust mites"></display>
-      <definition value="dust mites"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_OrganizationEntityType"></code>
-     <display value="OrganizationEntityType"></display>
-     <definition value="Further classifies entities of classCode ORG."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="HHOLD"></code>
-      <display value="household"></display>
-      <definition value="The group of persons who occupy a single housing unit."></definition>
-     </concept>
-     <concept>
-      <code value="NAT"></code>
-      <display value="NationEntityType"></display>
-      <definition value="Codes identifying nation states.  Allows for finer grained specification of Entity with classcode &lt;= NAT
-
-        
-         Example:ISO3166 country codes."></definition>
-     </concept>
-     <concept>
-      <code value="RELIG"></code>
-      <display value="religious institution"></display>
-      <definition value="An organization that provides religious rites of worship."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PlaceEntityType"></code>
-     <display value="PlaceEntityType"></display>
-     <definition value="Types of places for EntityClass &quot;PLC&quot;"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="BED"></code>
-      <display value="Bed Location"></display>
-      <definition value="The location of a bed"></definition>
-     </concept>
-     <concept>
-      <code value="BLDG"></code>
-      <display value="Building Location"></display>
-      <definition value="The location of a building"></definition>
-     </concept>
-     <concept>
-      <code value="FLOOR"></code>
-      <display value="Floor Location"></display>
-      <definition value="The location of a floor of a building"></definition>
-     </concept>
-     <concept>
-      <code value="ROOM"></code>
-      <display value="Room Location"></display>
-      <definition value="The location of a room"></definition>
-     </concept>
-     <concept>
-      <code value="WING"></code>
-      <display value="Wing Location"></display>
-      <definition value="The location of a wing of a building (e.g. East Wing).  The same room number for the same floor number can be distinguished by wing number in some situations"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ResourceGroupEntityType"></code>
-     <display value="ResourceGroupEntityType"></display>
-     <definition value="Codes to characterize a Resource Group using categories that typify its membership and/or function
-
-        .
-
-        
-         Example: PractitionerGroup"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="PRAC"></code>
-      <display value="PractitionerGroup"></display>
-      <definition value="PractitionerGroup"></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7VoteResolution"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7VoteResolution"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7VoteResolution"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1131"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7VoteResolution"></name>
-    <title value="v3 Code System hl7VoteResolution"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's Governance &amp; Operations Manual (GOM)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7VoteResolution"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="affirmativeResolution"></code>
-     <display value="affirmative resolution"></display>
-     <definition value="Description: An abstract concept grouping resolutions that can be applied to affirmative ballot comments."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="affdef"></code>
-      <display value="affirmative-deferred"></display>
-      <definition value="Description: The recommended change has been deferred to consideration for a future release."></definition>
-     </concept>
-     <concept>
-      <code value="affi"></code>
-      <display value="affirmative-incorporated"></display>
-      <definition value="Description: The recommended change has been incorporated or identified issue has been answered."></definition>
-     </concept>
-     <concept>
-      <code value="affr"></code>
-      <display value="affirmative-rejected"></display>
-      <definition value="Description: The recommended change has been refused and is not expected to be incorporated."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="negativeResolution"></code>
-     <display value="negative resolution"></display>
-     <definition value="Description: An abstract concept grouping resolutions that can be applied to negative ballot comments."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="nonsubp"></code>
-      <display value="non-substantive proposed"></display>
-      <definition value="Description: Responsible group has recommended that the negative vote be considered non-substantive.  (Issue raised does not provide sufficiently convincing reason to make changes to the item under ballot, or otherwise impede its adoption.)"></definition>
-     </concept>
-     <concept>
-      <code value="nonsubv"></code>
-      <display value="non-substantive voted"></display>
-      <definition value="Description: Ballot group has voted and declared the negative vote non-substantive."></definition>
-     </concept>
-     <concept>
-      <code value="notrelp"></code>
-      <display value="not related proposed"></display>
-      <definition value="Description: Responsible group has recommended that the negative vote be considered not-related.  (Issue raised is not related to the current scope of the item under ballot, or does not prevent the item under ballot for being used for its defined intent.  Recommended changes may be considered as part of future versions.)  (Perhaps after further reading or explanation)."></definition>
-     </concept>
-     <concept>
-      <code value="notrelv"></code>
-      <display value="not related voted"></display>
-      <definition value="Description: Ballot group has voted and declared the negative vote non-related."></definition>
-     </concept>
-     <concept>
-      <code value="prevcons"></code>
-      <display value="previously considered"></display>
-      <definition value="Description: Committee identifies that the same issue has been raised as part of a previous ballot on the same element version and was found by the ballot group to be non-substantive or not related.)"></definition>
-     </concept>
-     <concept>
-      <code value="retract"></code>
-      <display value="retracted"></display>
-      <definition value="Description: Voter has formally withdrawn their vote or comment as having been in error.  (Perhaps after further reading or explanation)."></definition>
-     </concept>
-     <concept>
-      <code value="unresolved"></code>
-      <display value="unresolved"></display>
-      <definition value="Description: Vote has not yet gone through resolution."></definition>
-     </concept>
-     <concept>
-      <code value="withdraw"></code>
-      <display value="withdrawn"></display>
-      <definition value="Description: Voter has formally withdrawn their vote or comment on the basis of agreed changes or proposed future changes."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AdministrativeGender"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-AdministrativeGender"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AdministrativeGender"></name>
-    <title value="v3 Code System AdministrativeGender"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The gender of a person used for adminstrative purposes (as opposed to clinical gender)">
-     <extension url="http://hl7.org/fhir/StructureDefinition/translation">
-      <extension url="lang">
-       <valueCode value="nl"></valueCode>
-      </extension>
-      <extension url="content">
-       <valueString value=" Het geslacht van een persoon bedoeld voor administratieve doeleinden (in tegenstelling tot klinisch geslacht)"></valueString>
-      </extension>
-     </extension>
-    </description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="F"></code>
-     <display value="Female"></display>
-     <definition value="Female"></definition>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vrouw"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="definition"></code>
-      </use>
-      <value value="Vrouwelijk"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Male"></display>
-     <definition value="Male"></definition>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Man"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="definition"></code>
-      </use>
-      <value value="Man"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="UN"></code>
-     <display value="Undifferentiated"></display>
-     <definition value="En: The gender of a person could not be uniquely defined as male or female, such as intersex.  Nl: Het geslacht van een persoon kan niet uniek worden gedefinieerd als man of vrouw, zoals een intersekse-conditie.
-
-        
-         Open Issue: This is a short-term stopgap solution to the definition issue, full solutions are being worked out by the Gender Harmony project launched in 2019."></definition>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ongedifferentieerd"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="definition"></code>
-      </use>
-      <value value="Het geslacht van een persoon kan niet uniek worden gedefinieerd als man of vrouw, zoals een hermafrodiet."></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-PaymentTerms"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-PaymentTerms"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-PaymentTerms"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.91"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.PaymentTerms"></name>
-    <title value="v3 Code System PaymentTerms"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-PaymentTerms"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="COD"></code>
-     <display value="Cash on Delivery"></display>
-     <definition value="Payment in full for products and/or services is required as soon as the service is performed or goods delivered."></definition>
-    </concept>
-    <concept>
-     <code value="N30"></code>
-     <display value="Net 30 days"></display>
-     <definition value="Payment in full for products and/or services is required 30 days from the time the service is performed or goods delivered."></definition>
-    </concept>
-    <concept>
-     <code value="N60"></code>
-     <display value="Net 60 days"></display>
-     <definition value="Payment in full for products and/or services is required 60 days from the time the service is performed or goods delivered."></definition>
-    </concept>
-    <concept>
-     <code value="N90"></code>
-     <display value="Net 90 days"></display>
-     <definition value="Payment in full for products and/or services is required 90 days from the time the service is performed or goods delivered."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7PublishingSection"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7PublishingSection"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSection"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1133"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7PublishingSection"></name>
-    <title value="v3 Code System hl7PublishingSection"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for HL7 publishing sections (major business categories)"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSection"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AM"></code>
-     <display value="administrative management"></display>
-     <definition value="Description: Represents the HL7 V3 publishing section that deals with the administration and management of health care activities and organizations.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="HM"></code>
-     <display value="health and clinical management"></display>
-     <definition value="Description: Represents the HL7 V3 publishing section that deals with the health care provision and clinical management.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="IM"></code>
-     <display value="infrastructure management"></display>
-     <definition value="Description: Represents the HL7 V3 publishing section that deals with the definition and management of the computing and communication infrastructure necessary to support health care.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="UU"></code>
-     <display value="unknown"></display>
-     <definition value="Description: Represents the HL7 V3 publishing section that holds specifications that are unassigned - that have not yet been assigned to one of the formal publishing sections.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContainerSeparator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ContainerSeparator"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ContainerSeparator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.27"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ContainerSeparator"></name>
-    <title value="v3 Code System ContainerSeparator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A material in a blood collection container that facilites the separation of of blood cells from serum or plasma"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContainerSeparator"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="GEL"></code>
-     <display value="Gel"></display>
-     <definition value="A gelatinous type of separator material."></definition>
-    </concept>
-    <concept>
-     <code value="NONE"></code>
-     <display value="None"></display>
-     <definition value="No separator material is present in the container."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActUSPrivacyLaw"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActUSPrivacyLaw"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1138"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActUSPrivacyLaw"></name>
-    <title value="v3 Code System ActUSPrivacyLaw"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A jurisdictional mandate in the US relating to privacy.   Deprecation Comment:
-Content moved to ActCode under _ActPrivacyLaw; use that instead."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="_ActUSPrivacyLaw"></code>
-     <display value="ActUSPrivacyLaw"></display>
-     <definition value="Definition: A jurisdictional mandate in the U.S. relating to privacy.
-
-        
-         Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.  May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="deprecated"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2016-03-12"></valueDateTime>
-     </property>
-     <concept>
-      <code value="42CFRPart2"></code>
-      <display value="42 CFR Part2"></display>
-      <definition value="42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program.
-
-        
-         Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent.
-
-        
-         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-03-12"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="CommonRule"></code>
-      <display value="Common Rule"></display>
-      <definition value="U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.
-
-        
-         Definition: U.S. federal laws governing research-related privacy policies.
-
-        
-         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-03-12"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="HIPAANOPP"></code>
-      <display value="HIPAA notice of privacy practices"></display>
-      <definition value="The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law.
-
-        
-         Definition: Notification of HIPAA Privacy Practices.
-
-        
-         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-03-12"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="HIPAAPsyNotes"></code>
-      <display value="HIPAA psychotherapy notes"></display>
-      <definition value="The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes.
-
-        
-         Definition: Authorization that must be obtained for disclosure of psychotherapy notes.
-
-        
-         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-03-12"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="HIPAASelfPay"></code>
-      <display value="HIPAA self-pay"></display>
-      <definition value="Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan.
-
-        
-         Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full.
-
-        
-         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-03-12"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="Title38Section7332"></code>
-      <display value="Title 38 Section 7332"></display>
-      <definition value="Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfill the duties of the contract; and researchers who provide assurances that the information will not be identified in any report.  This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes.
-
-        
-         Definition: Title 38 Part 1 - §1.462 Confidentiality restrictions.
-
-        
-(a) General. The patient records to which §§1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b).
-
-        
-         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2016-03-12"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableCellHorizontalAlign"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TableCellHorizontalAlign"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TableCellHorizontalAlign"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.131"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableCellHorizontalAlign"></name>
-    <title value="v3 Code System TableCellHorizontalAlign"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableCellHorizontalAlign"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="center"></code>
-     <display value="center"></display>
-     <definition value="center"></definition>
-    </concept>
-    <concept>
-     <code value="char"></code>
-     <display value="char"></display>
-     <definition value="char"></definition>
-    </concept>
-    <concept>
-     <code value="justify"></code>
-     <display value="justify"></display>
-     <definition value="justify"></definition>
-    </concept>
-    <concept>
-     <code value="left"></code>
-     <display value="left"></display>
-     <definition value="left"></definition>
-    </concept>
-    <concept>
-     <code value="right"></code>
-     <display value="right"></display>
-     <definition value="right"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryParameterValue"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryParameterValue"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryParameterValue"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1096"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryParameterValue"></name>
-    <title value="v3 Code System QueryParameterValue"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The domain of coded values used as parameters within QueryByParameter queries."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryParameterValue"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_DispenseQueryFilterCode"></code>
-     <display value="dispense query filter code"></display>
-     <definition value="Description:Filter codes used to manage volume of dispenses returned by  a parameter-based queries."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ALLDISP"></code>
-      <display value="all dispenses"></display>
-      <definition value="Description:Returns all dispenses to date for a prescription."></definition>
-     </concept>
-     <concept>
-      <code value="LASTDISP"></code>
-      <display value="last dispense"></display>
-      <definition value="Description:Returns the most recent dispense for a prescription."></definition>
-     </concept>
-     <concept>
-      <code value="NODISP"></code>
-      <display value="no dispense"></display>
-      <definition value="Description:Returns no dispense for a prescription."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_OrderFilterCode"></code>
-     <display value="_OrderFilterCode"></display>
-     <definition value="Filter codes used to manage types of orders being returned by a parameter-based query."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AO"></code>
-      <display value="all orders"></display>
-      <definition value="Return all orders."></definition>
-     </concept>
-     <concept>
-      <code value="ONR"></code>
-      <display value="orders without results"></display>
-      <definition value="Return only those orders that do not have results."></definition>
-     </concept>
-     <concept>
-      <code value="OWR"></code>
-      <display value="orders with results"></display>
-      <definition value="Return only those orders that have results."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PrescriptionDispenseFilterCode"></code>
-     <display value="Prescription Dispense Filter Code"></display>
-     <definition value="A &quot;helper&quot; vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="C"></code>
-      <display value="Completely dispensed"></display>
-      <definition value="Filter to only include SubstanceAdministration orders which have no remaining quantity authorized to be dispensed."></definition>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="Never Dispensed"></display>
-      <definition value="Filter to only include SubstanceAdministration orders which have no fulfilling supply events performed."></definition>
-     </concept>
-     <concept>
-      <code value="R"></code>
-      <display value="Dispensed with remaining fills"></display>
-      <definition value="Filter to only include SubstanceAdministration orders which have had at least one fulfilling supply event, but which still have outstanding quantity remaining to be authorized."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_QueryParameterValue"></code>
-     <display value="QueryParameterValue"></display>
-     <definition value="Description:Indicates how result sets should be filtered based on whether they have associated issues."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ISSFA"></code>
-      <display value="all"></display>
-      <definition value="Description:Result set should not be filtered based on the presence of issues."></definition>
-     </concept>
-     <concept>
-      <code value="ISSFI"></code>
-      <display value="with issues"></display>
-      <definition value="Description:Result set should be filtered to only include records with associated issues."></definition>
-     </concept>
-     <concept>
-      <code value="ISSFU"></code>
-      <display value="with unmanaged issues"></display>
-      <definition value="Description:Result set should be filtered to only include records with associated unmanaged issues."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EquipmentAlertLevel"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EquipmentAlertLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EquipmentAlertLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.49"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EquipmentAlertLevel"></name>
-    <title value="v3 Code System EquipmentAlertLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EquipmentAlertLevel"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Critical"></display>
-     <definition value="Shut Down, Fix Problem and Re-init"></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Normal"></display>
-     <definition value="No Corrective Action Needed"></definition>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Serious"></display>
-     <definition value="Corrective Action Required"></definition>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Warning"></display>
-     <definition value="Corrective Action Anticipated"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-IdentifierReliability"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-IdentifierReliability"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-IdentifierReliability"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1117"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.IdentifierReliability"></name>
-    <title value="v3 Code System IdentifierReliability"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-IdentifierReliability"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="ISS"></code>
-     <display value="Issued by System"></display>
-     <definition value="Description: The identifier was issued by the system responsible for constructing the instance."></definition>
-    </concept>
-    <concept>
-     <code value="UNV"></code>
-     <display value="Unverified by system"></display>
-     <definition value="Description: The identifier was provided to the system that constructed the instance, but has not been verified. e.g. a Drivers  license entered manually into a system by a user."></definition>
-    </concept>
-    <concept>
-     <code value="VRF"></code>
-     <display value="Verified by system"></display>
-     <definition value="Description: The identifier was not issued by the system responsible for constructing the instance, but the system that captured the id has verified the identifier with the issuing authority, or with another system that has verified the identifier."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationMode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1064"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationMode"></name>
-    <title value="v3 Code System ParticipationMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying the modality by which the Entity playing the Role is participating in the Act.  Examples:
-Physically present, over the telephone, written communication.  Rationale:
-Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically.  Open Issue:
-There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="ELECTRONIC"></code>
-     <display value="electronic data"></display>
-     <definition value="Participation by non-human-languaged based electronic signal"></definition>
-    </concept>
-    <concept>
-     <code value="PHYSICAL"></code>
-     <display value="physical presence"></display>
-     <definition value="Participation by direct action where subject and actor are in the same location. (The participation involves more than communication.)"></definition>
-    </concept>
-    <concept>
-     <code value="REMOTE"></code>
-     <display value="remote presence"></display>
-     <definition value="Participation by direct action where subject and actor are in separate locations, and the actions of the actor are transmitted by electronic or mechanical means. (The participation involves more than communication.)"></definition>
-    </concept>
-    <concept>
-     <code value="VERBAL"></code>
-     <display value="verbal"></display>
-     <definition value="Participation by voice communication"></definition>
-     <concept>
-      <code value="DICTATE"></code>
-      <display value="dictated"></display>
-      <definition value="Participation by pre-recorded voice.  Communication is limited to one direction (from the recorder to recipient)."></definition>
-     </concept>
-     <concept>
-      <code value="FACE"></code>
-      <display value="face-to-face"></display>
-      <definition value="Participation by voice communication where parties speak to each other directly."></definition>
-     </concept>
-     <concept>
-      <code value="PHONE"></code>
-      <display value="telephone"></display>
-      <definition value="Participation by voice communication where the voices of the communicating parties are transported over an electronic medium"></definition>
-     </concept>
-     <concept>
-      <code value="VIDEOCONF"></code>
-      <display value="videoconferencing"></display>
-      <definition value="Participation by voice and visual communication where the voices and images of the communicating parties are transported over an electronic medium"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="WRITTEN"></code>
-     <display value="written"></display>
-     <definition value="Participation by human language recorded on a physical material"></definition>
-     <concept>
-      <code value="FAXWRIT"></code>
-      <display value="telefax"></display>
-      <definition value="Participation by text or diagrams printed on paper that have been transmitted over a fax device"></definition>
-     </concept>
-     <concept>
-      <code value="HANDWRIT"></code>
-      <display value="handwritten"></display>
-      <definition value="Participation by text or diagrams printed on paper or other recording medium"></definition>
-     </concept>
-     <concept>
-      <code value="MAILWRIT"></code>
-      <display value="mail"></display>
-      <definition value="Participation by text or diagrams printed on paper transmitted physically (e.g. by courier service, postal service)."></definition>
-     </concept>
-     <concept>
-      <code value="ONLINEWRIT"></code>
-      <display value="online written"></display>
-      <definition value="Participation by text or diagrams submitted by computer network, e.g. online survey."></definition>
-      <concept>
-       <code value="EMAILWRIT"></code>
-       <display value="email"></display>
-       <definition value="Participation by text or diagrams transmitted over an electronic mail system."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="TYPEWRIT"></code>
-      <display value="typewritten"></display>
-      <definition value="Participation by text or diagrams printed on paper or other recording medium where the recording was performed using a typewriter, typesetter, computer or similar mechanism."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RelationalOperator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RelationalOperator"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RelationalOperator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.105"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RelationalOperator"></name>
-    <title value="v3 Code System RelationalOperator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RelationalOperator"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="CT"></code>
-     <display value="Contains"></display>
-     <definition value="Specified set of things includes value being evaluated."></definition>
-    </concept>
-    <concept>
-     <code value="EQ"></code>
-     <display value="Equal"></display>
-     <definition value="Equal condition applied to comparisons."></definition>
-    </concept>
-    <concept>
-     <code value="GE"></code>
-     <display value="Greater than or equal"></display>
-     <definition value="Greater than or equal condition applied to comparisons."></definition>
-    </concept>
-    <concept>
-     <code value="GN"></code>
-     <display value="Generic"></display>
-     <definition value="A generic comparison selects a record for inclusion in the response if the beginning of the designated element value matches the select string."></definition>
-    </concept>
-    <concept>
-     <code value="GT"></code>
-     <display value="Greater than"></display>
-     <definition value="Greater than condition applied to comparisons."></definition>
-    </concept>
-    <concept>
-     <code value="LE"></code>
-     <display value="Less than or equal"></display>
-     <definition value="Less than or equal condition applied to comparisons."></definition>
-    </concept>
-    <concept>
-     <code value="LT"></code>
-     <display value="Less than"></display>
-     <definition value="Less than condition applied to comparisons."></definition>
-    </concept>
-    <concept>
-     <code value="NE"></code>
-     <display value="Not Equal"></display>
-     <definition value="Not equal condition applied to comparisons."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-triggerEventID"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-triggerEventID"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-triggerEventID"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.1.18"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.triggerEventID"></name>
-    <title value="v3 Code System triggerEventID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-This code system contains all HL7 artifacts of type TE (Trigger Event) that are created by HL7 or its affiliates or their designates using the realm namespacing rules approved by HL7.  Local implementations who create trigger events outside of these namespacing rules, (e.g. using the ZZ realm code) must register their own code system.  The specific list of legal codes can be found by consulting the HL7 publications (editions, ballots, implementation guides, etc.) published by HL7 Inc. and by the various HL7 affiliates and their designates.  Codes shall be expressed in upper case, with separator as shown in HL7 publications with no version id.  E.g. PORX_TE123456UV."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-triggerEventID"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="POLB_TE004000UV"></code>
-     <display value="Result Status"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004001UV"></code>
-     <display value="Result Confirm"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004002UV"></code>
-     <display value="Result Reject"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004007UV"></code>
-     <display value="Result Tracking"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004100UV"></code>
-     <display value="Result in Progress"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004102UV"></code>
-     <display value="Result Activate"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004200UV"></code>
-     <display value="Result Complete with Fulfillment"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004201UV"></code>
-     <display value="Result Corrected"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004202UV"></code>
-     <display value="Result Complete"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004301UV"></code>
-     <display value="Result Abort"></display>
-     <definition value="Description:"></definition>
-    </concept>
-    <concept>
-     <code value="POLB_TE004500UV"></code>
-     <display value="Result Nullify"></display>
-     <definition value="Description:"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableFrame"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TableFrame"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TableFrame"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.134"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableFrame"></name>
-    <title value="v3 Code System TableFrame"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableFrame"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="above"></code>
-     <display value="above"></display>
-     <definition value="above"></definition>
-    </concept>
-    <concept>
-     <code value="below"></code>
-     <display value="below"></display>
-     <definition value="below"></definition>
-    </concept>
-    <concept>
-     <code value="border"></code>
-     <display value="border"></display>
-     <definition value="border"></definition>
-    </concept>
-    <concept>
-     <code value="box"></code>
-     <display value="box"></display>
-     <definition value="box"></definition>
-    </concept>
-    <concept>
-     <code value="hsides"></code>
-     <display value="hsides"></display>
-     <definition value="hsides"></definition>
-    </concept>
-    <concept>
-     <code value="lhs"></code>
-     <display value="lhs"></display>
-     <definition value="lhs"></definition>
-    </concept>
-    <concept>
-     <code value="rhs"></code>
-     <display value="rhs"></display>
-     <definition value="rhs"></definition>
-    </concept>
-    <concept>
-     <code value="void"></code>
-     <display value="void"></display>
-     <definition value="void"></definition>
-    </concept>
-    <concept>
-     <code value="vsides"></code>
-     <display value="vsides"></display>
-     <definition value="vsides"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-MessageWaitingPriority"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-MessageWaitingPriority"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-MessageWaitingPriority"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1083"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.MessageWaitingPriority"></name>
-    <title value="v3 Code System MessageWaitingPriority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Indicates that the receiver has messages for the sender  OpenIssue:
-Description does not make sense relative to name of coding system.  Must be reviewed and improved."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-MessageWaitingPriority"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="H"></code>
-     <display value="High"></display>
-     <definition value="High priority messages are available"></definition>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Low"></display>
-     <definition value="Low priority messages are available"></definition>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Medium"></display>
-     <definition value="Medium priority messages are available"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TargetAwareness"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TargetAwareness"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TargetAwareness"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.137"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TargetAwareness"></name>
-    <title value="v3 Code System TargetAwareness"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="denying"></display>
-     <definition value="Target person has been informed about the issue but currently denies it."></definition>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="full awareness"></display>
-     <definition value="Target person is fully aware of the issue."></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="incapable"></display>
-     <definition value="Target person is not capable of comprehending the issue."></definition>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="marginal"></display>
-     <definition value="Target person is marginally aware of the issue."></definition>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="partial"></display>
-     <definition value="Target person is partially aware of the issue."></definition>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="uninformed"></display>
-     <definition value="Target person has not yet been informed of the issue."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7ITSType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7ITSType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1135"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7ITSType"></name>
-    <title value="v3 Code System hl7ITSType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes identifying types of HL7 Implementation Technology Specifications"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7ITSType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="UML"></code>
-     <display value="universal modeling language"></display>
-     <definition value="Description: ITS based on the Universal Modeling Language."></definition>
-    </concept>
-    <concept>
-     <code value="XML"></code>
-     <display value="extensible markup language"></display>
-     <definition value="Description: ITS based on the Extensible Markup Language."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableRules"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TableRules"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TableRules"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.136"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableRules"></name>
-    <title value="v3 Code System TableRules"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableRules"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="all"></code>
-     <display value="all"></display>
-     <definition value="all"></definition>
-    </concept>
-    <concept>
-     <code value="cols"></code>
-     <display value="cols"></display>
-     <definition value="cols"></definition>
-    </concept>
-    <concept>
-     <code value="groups"></code>
-     <display value="groups"></display>
-     <definition value="groups"></definition>
-    </concept>
-    <concept>
-     <code value="none"></code>
-     <display value="none"></display>
-     <definition value="none"></definition>
-    </concept>
-    <concept>
-     <code value="rows"></code>
-     <display value="rows"></display>
-     <definition value="rows"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EncounterAdmissionSource"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EncounterAdmissionSource"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EncounterAdmissionSource"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.37"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EncounterAdmissionSource"></name>
-    <title value="v3 Code System EncounterAdmissionSource"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EncounterAdmissionSource"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="emergency"></display>
-     <definition value="emergency"></definition>
-    </concept>
-    <concept>
-     <code value="LD"></code>
-     <display value="labor and delivery"></display>
-     <definition value="labor and delivery"></definition>
-    </concept>
-    <concept>
-     <code value="NB"></code>
-     <display value="newborn"></display>
-     <definition value="newborn"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Race"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Race"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Race"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.104"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Race"></name>
-    <title value="v3 Code System Race"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations.  The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification.  Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from &quot;the original peoples&quot; of a specified region or nation.  The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White.  The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Race"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="1002-5"></code>
-     <display value="American Indian or Alaska Native"></display>
-     <definition value="American Indian or Alaska Native"></definition>
-     <concept>
-      <code value="1004-1"></code>
-      <display value="American Indian"></display>
-      <definition value="American Indian"></definition>
-      <concept>
-       <code value="1006-6"></code>
-       <display value="Abenaki"></display>
-       <definition value="Abenaki"></definition>
-      </concept>
-      <concept>
-       <code value="1008-2"></code>
-       <display value="Algonquian"></display>
-       <definition value="Algonquian"></definition>
-      </concept>
-      <concept>
-       <code value="1010-8"></code>
-       <display value="Apache"></display>
-       <definition value="Apache"></definition>
-       <concept>
-        <code value="1011-6"></code>
-        <display value="Chiricahua"></display>
-        <definition value="Chiricahua"></definition>
-       </concept>
-       <concept>
-        <code value="1012-4"></code>
-        <display value="Fort Sill Apache"></display>
-        <definition value="Fort Sill Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1013-2"></code>
-        <display value="Jicarilla Apache"></display>
-        <definition value="Jicarilla Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1014-0"></code>
-        <display value="Lipan Apache"></display>
-        <definition value="Lipan Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1015-7"></code>
-        <display value="Mescalero Apache"></display>
-        <definition value="Mescalero Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1016-5"></code>
-        <display value="Oklahoma Apache"></display>
-        <definition value="Oklahoma Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1017-3"></code>
-        <display value="Payson Apache"></display>
-        <definition value="Payson Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1018-1"></code>
-        <display value="San Carlos Apache"></display>
-        <definition value="San Carlos Apache"></definition>
-       </concept>
-       <concept>
-        <code value="1019-9"></code>
-        <display value="White Mountain Apache"></display>
-        <definition value="White Mountain Apache"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1021-5"></code>
-       <display value="Arapaho"></display>
-       <definition value="Arapaho"></definition>
-       <concept>
-        <code value="1022-3"></code>
-        <display value="Northern Arapaho"></display>
-        <definition value="Northern Arapaho"></definition>
-       </concept>
-       <concept>
-        <code value="1023-1"></code>
-        <display value="Southern Arapaho"></display>
-        <definition value="Southern Arapaho"></definition>
-       </concept>
-       <concept>
-        <code value="1024-9"></code>
-        <display value="Wind River Arapaho"></display>
-        <definition value="Wind River Arapaho"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1026-4"></code>
-       <display value="Arikara"></display>
-       <definition value="Arikara"></definition>
-      </concept>
-      <concept>
-       <code value="1028-0"></code>
-       <display value="Assiniboine"></display>
-       <definition value="Assiniboine"></definition>
-      </concept>
-      <concept>
-       <code value="1030-6"></code>
-       <display value="Assiniboine Sioux"></display>
-       <definition value="Assiniboine Sioux"></definition>
-       <concept>
-        <code value="1031-4"></code>
-        <display value="Fort Peck Assiniboine Sioux"></display>
-        <definition value="Fort Peck Assiniboine Sioux"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1033-0"></code>
-       <display value="Bannock"></display>
-       <definition value="Bannock"></definition>
-      </concept>
-      <concept>
-       <code value="1035-5"></code>
-       <display value="Blackfeet"></display>
-       <definition value="Blackfeet"></definition>
-      </concept>
-      <concept>
-       <code value="1037-1"></code>
-       <display value="Brotherton"></display>
-       <definition value="Brotherton"></definition>
-      </concept>
-      <concept>
-       <code value="1039-7"></code>
-       <display value="Burt Lake Band"></display>
-       <definition value="Burt Lake Band"></definition>
-      </concept>
-      <concept>
-       <code value="1041-3"></code>
-       <display value="Caddo"></display>
-       <definition value="Caddo"></definition>
-       <concept>
-        <code value="1042-1"></code>
-        <display value="Oklahoma Cado"></display>
-        <definition value="Oklahoma Cado"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1044-7"></code>
-       <display value="Cahuilla"></display>
-       <definition value="Cahuilla"></definition>
-       <concept>
-        <code value="1045-4"></code>
-        <display value="Agua Caliente Cahuilla"></display>
-        <definition value="Agua Caliente Cahuilla"></definition>
-       </concept>
-       <concept>
-        <code value="1046-2"></code>
-        <display value="Augustine"></display>
-        <definition value="Augustine"></definition>
-       </concept>
-       <concept>
-        <code value="1047-0"></code>
-        <display value="Cabazon"></display>
-        <definition value="Cabazon"></definition>
-       </concept>
-       <concept>
-        <code value="1048-8"></code>
-        <display value="Los Coyotes"></display>
-        <definition value="Los Coyotes"></definition>
-       </concept>
-       <concept>
-        <code value="1049-6"></code>
-        <display value="Morongo"></display>
-        <definition value="Morongo"></definition>
-       </concept>
-       <concept>
-        <code value="1050-4"></code>
-        <display value="Santa Rosa Cahuilla"></display>
-        <definition value="Santa Rosa Cahuilla"></definition>
-       </concept>
-       <concept>
-        <code value="1051-2"></code>
-        <display value="Torres-Martinez"></display>
-        <definition value="Torres-Martinez"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1053-8"></code>
-       <display value="California Tribes"></display>
-       <definition value="California Tribes"></definition>
-       <concept>
-        <code value="1054-6"></code>
-        <display value="Cahto"></display>
-        <definition value="Cahto"></definition>
-       </concept>
-       <concept>
-        <code value="1055-3"></code>
-        <display value="Chimariko"></display>
-        <definition value="Chimariko"></definition>
-       </concept>
-       <concept>
-        <code value="1056-1"></code>
-        <display value="Coast Miwok"></display>
-        <definition value="Coast Miwok"></definition>
-       </concept>
-       <concept>
-        <code value="1057-9"></code>
-        <display value="Digger"></display>
-        <definition value="Digger"></definition>
-       </concept>
-       <concept>
-        <code value="1058-7"></code>
-        <display value="Kawaiisu"></display>
-        <definition value="Kawaiisu"></definition>
-       </concept>
-       <concept>
-        <code value="1059-5"></code>
-        <display value="Kern River"></display>
-        <definition value="Kern River"></definition>
-       </concept>
-       <concept>
-        <code value="1060-3"></code>
-        <display value="Mattole"></display>
-        <definition value="Mattole"></definition>
-       </concept>
-       <concept>
-        <code value="1061-1"></code>
-        <display value="Red Wood"></display>
-        <definition value="Red Wood"></definition>
-       </concept>
-       <concept>
-        <code value="1062-9"></code>
-        <display value="Santa Rosa"></display>
-        <definition value="Santa Rosa"></definition>
-       </concept>
-       <concept>
-        <code value="1063-7"></code>
-        <display value="Takelma"></display>
-        <definition value="Takelma"></definition>
-       </concept>
-       <concept>
-        <code value="1064-5"></code>
-        <display value="Wappo"></display>
-        <definition value="Wappo"></definition>
-       </concept>
-       <concept>
-        <code value="1065-2"></code>
-        <display value="Yana"></display>
-        <definition value="Yana"></definition>
-       </concept>
-       <concept>
-        <code value="1066-0"></code>
-        <display value="Yuki"></display>
-        <definition value="Yuki"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1068-6"></code>
-       <display value="Canadian and Latin American Indian"></display>
-       <definition value="Canadian and Latin American Indian"></definition>
-       <concept>
-        <code value="1069-4"></code>
-        <display value="Canadian Indian"></display>
-        <definition value="Canadian Indian"></definition>
-       </concept>
-       <concept>
-        <code value="1070-2"></code>
-        <display value="Central American Indian"></display>
-        <definition value="Central American Indian"></definition>
-       </concept>
-       <concept>
-        <code value="1071-0"></code>
-        <display value="French American Indian"></display>
-        <definition value="French American Indian"></definition>
-       </concept>
-       <concept>
-        <code value="1072-8"></code>
-        <display value="Mexican American Indian"></display>
-        <definition value="Mexican American Indian"></definition>
-       </concept>
-       <concept>
-        <code value="1073-6"></code>
-        <display value="South American Indian"></display>
-        <definition value="South American Indian"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1074-4"></code>
-       <display value="Spanish American Indian"></display>
-       <definition value="Spanish American Indian"></definition>
-      </concept>
-      <concept>
-       <code value="1076-9"></code>
-       <display value="Catawba"></display>
-       <definition value="Catawba"></definition>
-       <concept>
-        <code value="1741-8"></code>
-        <display value="Alatna"></display>
-        <definition value="Alatna"></definition>
-       </concept>
-       <concept>
-        <code value="1742-6"></code>
-        <display value="Alexander"></display>
-        <definition value="Alexander"></definition>
-       </concept>
-       <concept>
-        <code value="1743-4"></code>
-        <display value="Allakaket"></display>
-        <definition value="Allakaket"></definition>
-       </concept>
-       <concept>
-        <code value="1744-2"></code>
-        <display value="Alanvik"></display>
-        <definition value="Alanvik"></definition>
-       </concept>
-       <concept>
-        <code value="1745-9"></code>
-        <display value="Anvik"></display>
-        <definition value="Anvik"></definition>
-       </concept>
-       <concept>
-        <code value="1746-7"></code>
-        <display value="Arctic"></display>
-        <definition value="Arctic"></definition>
-       </concept>
-       <concept>
-        <code value="1747-5"></code>
-        <display value="Beaver"></display>
-        <definition value="Beaver"></definition>
-       </concept>
-       <concept>
-        <code value="1748-3"></code>
-        <display value="Birch Creek"></display>
-        <definition value="Birch Creek"></definition>
-       </concept>
-       <concept>
-        <code value="1749-1"></code>
-        <display value="Cantwell"></display>
-        <definition value="Cantwell"></definition>
-       </concept>
-       <concept>
-        <code value="1750-9"></code>
-        <display value="Chalkyitsik"></display>
-        <definition value="Chalkyitsik"></definition>
-       </concept>
-       <concept>
-        <code value="1751-7"></code>
-        <display value="Chickaloon"></display>
-        <definition value="Chickaloon"></definition>
-       </concept>
-       <concept>
-        <code value="1752-5"></code>
-        <display value="Chistochina"></display>
-        <definition value="Chistochina"></definition>
-       </concept>
-       <concept>
-        <code value="1753-3"></code>
-        <display value="Chitina"></display>
-        <definition value="Chitina"></definition>
-       </concept>
-       <concept>
-        <code value="1754-1"></code>
-        <display value="Circle"></display>
-        <definition value="Circle"></definition>
-       </concept>
-       <concept>
-        <code value="1755-8"></code>
-        <display value="Cook Inlet"></display>
-        <definition value="Cook Inlet"></definition>
-       </concept>
-       <concept>
-        <code value="1756-6"></code>
-        <display value="Copper Center"></display>
-        <definition value="Copper Center"></definition>
-       </concept>
-       <concept>
-        <code value="1757-4"></code>
-        <display value="Copper River"></display>
-        <definition value="Copper River"></definition>
-       </concept>
-       <concept>
-        <code value="1758-2"></code>
-        <display value="Dot Lake"></display>
-        <definition value="Dot Lake"></definition>
-       </concept>
-       <concept>
-        <code value="1759-0"></code>
-        <display value="Doyon"></display>
-        <definition value="Doyon"></definition>
-       </concept>
-       <concept>
-        <code value="1760-8"></code>
-        <display value="Eagle"></display>
-        <definition value="Eagle"></definition>
-       </concept>
-       <concept>
-        <code value="1761-6"></code>
-        <display value="Eklutna"></display>
-        <definition value="Eklutna"></definition>
-       </concept>
-       <concept>
-        <code value="1762-4"></code>
-        <display value="Evansville"></display>
-        <definition value="Evansville"></definition>
-       </concept>
-       <concept>
-        <code value="1763-2"></code>
-        <display value="Fort Yukon"></display>
-        <definition value="Fort Yukon"></definition>
-       </concept>
-       <concept>
-        <code value="1764-0"></code>
-        <display value="Gakona"></display>
-        <definition value="Gakona"></definition>
-       </concept>
-       <concept>
-        <code value="1765-7"></code>
-        <display value="Galena"></display>
-        <definition value="Galena"></definition>
-       </concept>
-       <concept>
-        <code value="1766-5"></code>
-        <display value="Grayling"></display>
-        <definition value="Grayling"></definition>
-       </concept>
-       <concept>
-        <code value="1767-3"></code>
-        <display value="Gulkana"></display>
-        <definition value="Gulkana"></definition>
-       </concept>
-       <concept>
-        <code value="1768-1"></code>
-        <display value="Healy Lake"></display>
-        <definition value="Healy Lake"></definition>
-       </concept>
-       <concept>
-        <code value="1769-9"></code>
-        <display value="Holy Cross"></display>
-        <definition value="Holy Cross"></definition>
-       </concept>
-       <concept>
-        <code value="1770-7"></code>
-        <display value="Hughes"></display>
-        <definition value="Hughes"></definition>
-       </concept>
-       <concept>
-        <code value="1771-5"></code>
-        <display value="Huslia"></display>
-        <definition value="Huslia"></definition>
-       </concept>
-       <concept>
-        <code value="1772-3"></code>
-        <display value="Iliamna"></display>
-        <definition value="Iliamna"></definition>
-       </concept>
-       <concept>
-        <code value="1773-1"></code>
-        <display value="Kaltag"></display>
-        <definition value="Kaltag"></definition>
-       </concept>
-       <concept>
-        <code value="1774-9"></code>
-        <display value="Kluti Kaah"></display>
-        <definition value="Kluti Kaah"></definition>
-       </concept>
-       <concept>
-        <code value="1775-6"></code>
-        <display value="Knik"></display>
-        <definition value="Knik"></definition>
-       </concept>
-       <concept>
-        <code value="1776-4"></code>
-        <display value="Koyukuk"></display>
-        <definition value="Koyukuk"></definition>
-       </concept>
-       <concept>
-        <code value="1777-2"></code>
-        <display value="Lake Minchumina"></display>
-        <definition value="Lake Minchumina"></definition>
-       </concept>
-       <concept>
-        <code value="1778-0"></code>
-        <display value="Lime"></display>
-        <definition value="Lime"></definition>
-       </concept>
-       <concept>
-        <code value="1779-8"></code>
-        <display value="Mcgrath"></display>
-        <definition value="Mcgrath"></definition>
-       </concept>
-       <concept>
-        <code value="1780-6"></code>
-        <display value="Manley Hot Springs"></display>
-        <definition value="Manley Hot Springs"></definition>
-       </concept>
-       <concept>
-        <code value="1781-4"></code>
-        <display value="Mentasta Lake"></display>
-        <definition value="Mentasta Lake"></definition>
-       </concept>
-       <concept>
-        <code value="1782-2"></code>
-        <display value="Minto"></display>
-        <definition value="Minto"></definition>
-       </concept>
-       <concept>
-        <code value="1783-0"></code>
-        <display value="Nenana"></display>
-        <definition value="Nenana"></definition>
-       </concept>
-       <concept>
-        <code value="1784-8"></code>
-        <display value="Nikolai"></display>
-        <definition value="Nikolai"></definition>
-       </concept>
-       <concept>
-        <code value="1785-5"></code>
-        <display value="Ninilchik"></display>
-        <definition value="Ninilchik"></definition>
-       </concept>
-       <concept>
-        <code value="1786-3"></code>
-        <display value="Nondalton"></display>
-        <definition value="Nondalton"></definition>
-       </concept>
-       <concept>
-        <code value="1787-1"></code>
-        <display value="Northway"></display>
-        <definition value="Northway"></definition>
-       </concept>
-       <concept>
-        <code value="1788-9"></code>
-        <display value="Nulato"></display>
-        <definition value="Nulato"></definition>
-       </concept>
-       <concept>
-        <code value="1789-7"></code>
-        <display value="Pedro Bay"></display>
-        <definition value="Pedro Bay"></definition>
-       </concept>
-       <concept>
-        <code value="1790-5"></code>
-        <display value="Rampart"></display>
-        <definition value="Rampart"></definition>
-       </concept>
-       <concept>
-        <code value="1791-3"></code>
-        <display value="Ruby"></display>
-        <definition value="Ruby"></definition>
-       </concept>
-       <concept>
-        <code value="1792-1"></code>
-        <display value="Salamatof"></display>
-        <definition value="Salamatof"></definition>
-       </concept>
-       <concept>
-        <code value="1793-9"></code>
-        <display value="Seldovia"></display>
-        <definition value="Seldovia"></definition>
-       </concept>
-       <concept>
-        <code value="1794-7"></code>
-        <display value="Slana"></display>
-        <definition value="Slana"></definition>
-       </concept>
-       <concept>
-        <code value="1795-4"></code>
-        <display value="Shageluk"></display>
-        <definition value="Shageluk"></definition>
-       </concept>
-       <concept>
-        <code value="1796-2"></code>
-        <display value="Stevens"></display>
-        <definition value="Stevens"></definition>
-       </concept>
-       <concept>
-        <code value="1797-0"></code>
-        <display value="Stony River"></display>
-        <definition value="Stony River"></definition>
-       </concept>
-       <concept>
-        <code value="1798-8"></code>
-        <display value="Takotna"></display>
-        <definition value="Takotna"></definition>
-       </concept>
-       <concept>
-        <code value="1799-6"></code>
-        <display value="Tanacross"></display>
-        <definition value="Tanacross"></definition>
-       </concept>
-       <concept>
-        <code value="1800-2"></code>
-        <display value="Tanaina"></display>
-        <definition value="Tanaina"></definition>
-       </concept>
-       <concept>
-        <code value="1801-0"></code>
-        <display value="Tanana"></display>
-        <definition value="Tanana"></definition>
-       </concept>
-       <concept>
-        <code value="1802-8"></code>
-        <display value="Tanana Chiefs"></display>
-        <definition value="Tanana Chiefs"></definition>
-       </concept>
-       <concept>
-        <code value="1803-6"></code>
-        <display value="Tazlina"></display>
-        <definition value="Tazlina"></definition>
-       </concept>
-       <concept>
-        <code value="1804-4"></code>
-        <display value="Telida"></display>
-        <definition value="Telida"></definition>
-       </concept>
-       <concept>
-        <code value="1805-1"></code>
-        <display value="Tetlin"></display>
-        <definition value="Tetlin"></definition>
-       </concept>
-       <concept>
-        <code value="1806-9"></code>
-        <display value="Tok"></display>
-        <definition value="Tok"></definition>
-       </concept>
-       <concept>
-        <code value="1807-7"></code>
-        <display value="Tyonek"></display>
-        <definition value="Tyonek"></definition>
-       </concept>
-       <concept>
-        <code value="1808-5"></code>
-        <display value="Venetie"></display>
-        <definition value="Venetie"></definition>
-       </concept>
-       <concept>
-        <code value="1809-3"></code>
-        <display value="Wiseman"></display>
-        <definition value="Wiseman"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1078-5"></code>
-       <display value="Cayuse"></display>
-       <definition value="Cayuse"></definition>
-      </concept>
-      <concept>
-       <code value="1080-1"></code>
-       <display value="Chehalis"></display>
-       <definition value="Chehalis"></definition>
-      </concept>
-      <concept>
-       <code value="1082-7"></code>
-       <display value="Chemakuan"></display>
-       <definition value="Chemakuan"></definition>
-       <concept>
-        <code value="1083-5"></code>
-        <display value="Hoh"></display>
-        <definition value="Hoh"></definition>
-       </concept>
-       <concept>
-        <code value="1084-3"></code>
-        <display value="Quileute"></display>
-        <definition value="Quileute"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1086-8"></code>
-       <display value="Chemehuevi"></display>
-       <definition value="Chemehuevi"></definition>
-      </concept>
-      <concept>
-       <code value="1088-4"></code>
-       <display value="Cherokee"></display>
-       <definition value="Cherokee"></definition>
-       <concept>
-        <code value="1089-2"></code>
-        <display value="Cherokee Alabama"></display>
-        <definition value="Cherokee Alabama"></definition>
-       </concept>
-       <concept>
-        <code value="1090-0"></code>
-        <display value="Cherokees of Northeast Alabama"></display>
-        <definition value="Cherokees of Northeast Alabama"></definition>
-       </concept>
-       <concept>
-        <code value="1091-8"></code>
-        <display value="Cherokees of Southeast Alabama"></display>
-        <definition value="Cherokees of Southeast Alabama"></definition>
-       </concept>
-       <concept>
-        <code value="1092-6"></code>
-        <display value="Eastern Cherokee"></display>
-        <definition value="Eastern Cherokee"></definition>
-       </concept>
-       <concept>
-        <code value="1093-4"></code>
-        <display value="Echota Cherokee"></display>
-        <definition value="Echota Cherokee"></definition>
-       </concept>
-       <concept>
-        <code value="1094-2"></code>
-        <display value="Etowah Cherokee"></display>
-        <definition value="Etowah Cherokee"></definition>
-       </concept>
-       <concept>
-        <code value="1095-9"></code>
-        <display value="Northern Cherokee"></display>
-        <definition value="Northern Cherokee"></definition>
-       </concept>
-       <concept>
-        <code value="1096-7"></code>
-        <display value="Tuscola"></display>
-        <definition value="Tuscola"></definition>
-       </concept>
-       <concept>
-        <code value="1097-5"></code>
-        <display value="United Keetowah Band of Cherokee"></display>
-        <definition value="United Keetowah Band of Cherokee"></definition>
-       </concept>
-       <concept>
-        <code value="1098-3"></code>
-        <display value="Western Cherokee"></display>
-        <definition value="Western Cherokee"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1100-7"></code>
-       <display value="Cherokee Shawnee"></display>
-       <definition value="Cherokee Shawnee"></definition>
-      </concept>
-      <concept>
-       <code value="1102-3"></code>
-       <display value="Cheyenne"></display>
-       <definition value="Cheyenne"></definition>
-       <concept>
-        <code value="1103-1"></code>
-        <display value="Northern Cheyenne"></display>
-        <definition value="Northern Cheyenne"></definition>
-       </concept>
-       <concept>
-        <code value="1104-9"></code>
-        <display value="Southern Cheyenne"></display>
-        <definition value="Southern Cheyenne"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1106-4"></code>
-       <display value="Cheyenne-Arapaho"></display>
-       <definition value="Cheyenne-Arapaho"></definition>
-      </concept>
-      <concept>
-       <code value="1108-0"></code>
-       <display value="Chickahominy"></display>
-       <definition value="Chickahominy"></definition>
-       <concept>
-        <code value="1109-8"></code>
-        <display value="Eastern Chickahominy"></display>
-        <definition value="Eastern Chickahominy"></definition>
-       </concept>
-       <concept>
-        <code value="1110-6"></code>
-        <display value="Western Chickahominy"></display>
-        <definition value="Western Chickahominy"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1112-2"></code>
-       <display value="Chickasaw"></display>
-       <definition value="Chickasaw"></definition>
-      </concept>
-      <concept>
-       <code value="1114-8"></code>
-       <display value="Chinook"></display>
-       <definition value="Chinook"></definition>
-       <concept>
-        <code value="1115-5"></code>
-        <display value="Clatsop"></display>
-        <definition value="Clatsop"></definition>
-       </concept>
-       <concept>
-        <code value="1116-3"></code>
-        <display value="Columbia River Chinook"></display>
-        <definition value="Columbia River Chinook"></definition>
-       </concept>
-       <concept>
-        <code value="1117-1"></code>
-        <display value="Kathlamet"></display>
-        <definition value="Kathlamet"></definition>
-       </concept>
-       <concept>
-        <code value="1118-9"></code>
-        <display value="Upper Chinook"></display>
-        <definition value="Upper Chinook"></definition>
-       </concept>
-       <concept>
-        <code value="1119-7"></code>
-        <display value="Wakiakum Chinook"></display>
-        <definition value="Wakiakum Chinook"></definition>
-       </concept>
-       <concept>
-        <code value="1120-5"></code>
-        <display value="Willapa Chinook"></display>
-        <definition value="Willapa Chinook"></definition>
-       </concept>
-       <concept>
-        <code value="1121-3"></code>
-        <display value="Wishram"></display>
-        <definition value="Wishram"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1123-9"></code>
-       <display value="Chippewa"></display>
-       <definition value="Chippewa"></definition>
-       <concept>
-        <code value="1124-7"></code>
-        <display value="Bad River"></display>
-        <definition value="Bad River"></definition>
-       </concept>
-       <concept>
-        <code value="1125-4"></code>
-        <display value="Bay Mills Chippewa"></display>
-        <definition value="Bay Mills Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1126-2"></code>
-        <display value="Bois Forte"></display>
-        <definition value="Bois Forte"></definition>
-       </concept>
-       <concept>
-        <code value="1127-0"></code>
-        <display value="Burt Lake Chippewa"></display>
-        <definition value="Burt Lake Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1128-8"></code>
-        <display value="Fond du Lac"></display>
-        <definition value="Fond du Lac"></definition>
-       </concept>
-       <concept>
-        <code value="1129-6"></code>
-        <display value="Grand Portage"></display>
-        <definition value="Grand Portage"></definition>
-       </concept>
-       <concept>
-        <code value="1130-4"></code>
-        <display value="Grand Traverse Band of Ottawa-Chippewa"></display>
-        <definition value="Grand Traverse Band of Ottawa-Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1131-2"></code>
-        <display value="Keweenaw"></display>
-        <definition value="Keweenaw"></definition>
-       </concept>
-       <concept>
-        <code value="1132-0"></code>
-        <display value="Lac Courte Oreilles"></display>
-        <definition value="Lac Courte Oreilles"></definition>
-       </concept>
-       <concept>
-        <code value="1133-8"></code>
-        <display value="Lac du Flambeau"></display>
-        <definition value="Lac du Flambeau"></definition>
-       </concept>
-       <concept>
-        <code value="1134-6"></code>
-        <display value="Lac Vieux Desert Chippewa"></display>
-        <definition value="Lac Vieux Desert Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1135-3"></code>
-        <display value="Lake Superior"></display>
-        <definition value="Lake Superior"></definition>
-       </concept>
-       <concept>
-        <code value="1136-1"></code>
-        <display value="Leech Lake"></display>
-        <definition value="Leech Lake"></definition>
-       </concept>
-       <concept>
-        <code value="1137-9"></code>
-        <display value="Little Shell Chippewa"></display>
-        <definition value="Little Shell Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1138-7"></code>
-        <display value="Mille Lacs"></display>
-        <definition value="Mille Lacs"></definition>
-       </concept>
-       <concept>
-        <code value="1139-5"></code>
-        <display value="Minnesota Chippewa"></display>
-        <definition value="Minnesota Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1140-3"></code>
-        <display value="Ontonagon"></display>
-        <definition value="Ontonagon"></definition>
-       </concept>
-       <concept>
-        <code value="1141-1"></code>
-        <display value="Red Cliff Chippewa"></display>
-        <definition value="Red Cliff Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1142-9"></code>
-        <display value="Red Lake Chippewa"></display>
-        <definition value="Red Lake Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1143-7"></code>
-        <display value="Saginaw Chippewa"></display>
-        <definition value="Saginaw Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1144-5"></code>
-        <display value="St. Croix Chippewa"></display>
-        <definition value="St. Croix Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1145-2"></code>
-        <display value="Sault Ste. Marie Chippewa"></display>
-        <definition value="Sault Ste. Marie Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1146-0"></code>
-        <display value="Sokoagon Chippewa"></display>
-        <definition value="Sokoagon Chippewa"></definition>
-       </concept>
-       <concept>
-        <code value="1147-8"></code>
-        <display value="Turtle Mountain"></display>
-        <definition value="Turtle Mountain"></definition>
-       </concept>
-       <concept>
-        <code value="1148-6"></code>
-        <display value="White Earth"></display>
-        <definition value="White Earth"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1150-2"></code>
-       <display value="Chippewa Cree"></display>
-       <definition value="Chippewa Cree"></definition>
-       <concept>
-        <code value="1151-0"></code>
-        <display value="Rocky Boy's Chippewa Cree"></display>
-        <definition value="Rocky Boy's Chippewa Cree"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1153-6"></code>
-       <display value="Chitimacha"></display>
-       <definition value="Chitimacha"></definition>
-      </concept>
-      <concept>
-       <code value="1155-1"></code>
-       <display value="Choctaw"></display>
-       <definition value="Choctaw"></definition>
-       <concept>
-        <code value="1156-9"></code>
-        <display value="Clifton Choctaw"></display>
-        <definition value="Clifton Choctaw"></definition>
-       </concept>
-       <concept>
-        <code value="1157-7"></code>
-        <display value="Jena Choctaw"></display>
-        <definition value="Jena Choctaw"></definition>
-       </concept>
-       <concept>
-        <code value="1158-5"></code>
-        <display value="Mississippi Choctaw"></display>
-        <definition value="Mississippi Choctaw"></definition>
-       </concept>
-       <concept>
-        <code value="1159-3"></code>
-        <display value="Mowa Band of Choctaw"></display>
-        <definition value="Mowa Band of Choctaw"></definition>
-       </concept>
-       <concept>
-        <code value="1160-1"></code>
-        <display value="Oklahoma Choctaw"></display>
-        <definition value="Oklahoma Choctaw"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1162-7"></code>
-       <display value="Chumash"></display>
-       <definition value="Chumash"></definition>
-       <concept>
-        <code value="1163-5"></code>
-        <display value="Santa Ynez"></display>
-        <definition value="Santa Ynez"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1165-0"></code>
-       <display value="Clear Lake"></display>
-       <definition value="Clear Lake"></definition>
-      </concept>
-      <concept>
-       <code value="1167-6"></code>
-       <display value="Coeur D'Alene"></display>
-       <definition value="Coeur D'Alene"></definition>
-      </concept>
-      <concept>
-       <code value="1169-2"></code>
-       <display value="Coharie"></display>
-       <definition value="Coharie"></definition>
-      </concept>
-      <concept>
-       <code value="1171-8"></code>
-       <display value="Colorado River"></display>
-       <definition value="Colorado River"></definition>
-      </concept>
-      <concept>
-       <code value="1173-4"></code>
-       <display value="Colville"></display>
-       <definition value="Colville"></definition>
-      </concept>
-      <concept>
-       <code value="1175-9"></code>
-       <display value="Comanche"></display>
-       <definition value="Comanche"></definition>
-       <concept>
-        <code value="1176-7"></code>
-        <display value="Oklahoma Comanche"></display>
-        <definition value="Oklahoma Comanche"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1178-3"></code>
-       <display value="Coos, Lower Umpqua, Siuslaw"></display>
-       <definition value="Coos, Lower Umpqua, Siuslaw"></definition>
-      </concept>
-      <concept>
-       <code value="1180-9"></code>
-       <display value="Coos"></display>
-       <definition value="Coos"></definition>
-      </concept>
-      <concept>
-       <code value="1182-5"></code>
-       <display value="Coquilles"></display>
-       <definition value="Coquilles"></definition>
-      </concept>
-      <concept>
-       <code value="1184-1"></code>
-       <display value="Costanoan"></display>
-       <definition value="Costanoan"></definition>
-      </concept>
-      <concept>
-       <code value="1186-6"></code>
-       <display value="Coushatta"></display>
-       <definition value="Coushatta"></definition>
-       <concept>
-        <code value="1187-4"></code>
-        <display value="Alabama Coushatta"></display>
-        <definition value="Alabama Coushatta"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1189-0"></code>
-       <display value="Cowlitz"></display>
-       <definition value="Cowlitz"></definition>
-      </concept>
-      <concept>
-       <code value="1191-6"></code>
-       <display value="Cree"></display>
-       <definition value="Cree"></definition>
-      </concept>
-      <concept>
-       <code value="1193-2"></code>
-       <display value="Creek"></display>
-       <definition value="Creek"></definition>
-       <concept>
-        <code value="1194-0"></code>
-        <display value="Alabama Creek"></display>
-        <definition value="Alabama Creek"></definition>
-       </concept>
-       <concept>
-        <code value="1195-7"></code>
-        <display value="Alabama Quassarte"></display>
-        <definition value="Alabama Quassarte"></definition>
-       </concept>
-       <concept>
-        <code value="1196-5"></code>
-        <display value="Eastern Creek"></display>
-        <definition value="Eastern Creek"></definition>
-       </concept>
-       <concept>
-        <code value="1197-3"></code>
-        <display value="Eastern Muscogee"></display>
-        <definition value="Eastern Muscogee"></definition>
-       </concept>
-       <concept>
-        <code value="1198-1"></code>
-        <display value="Kialegee"></display>
-        <definition value="Kialegee"></definition>
-       </concept>
-       <concept>
-        <code value="1199-9"></code>
-        <display value="Lower Muscogee"></display>
-        <definition value="Lower Muscogee"></definition>
-       </concept>
-       <concept>
-        <code value="1200-5"></code>
-        <display value="Machis Lower Creek Indian"></display>
-        <definition value="Machis Lower Creek Indian"></definition>
-       </concept>
-       <concept>
-        <code value="1201-3"></code>
-        <display value="Poarch Band"></display>
-        <definition value="Poarch Band"></definition>
-       </concept>
-       <concept>
-        <code value="1202-1"></code>
-        <display value="Principal Creek Indian Nation"></display>
-        <definition value="Principal Creek Indian Nation"></definition>
-       </concept>
-       <concept>
-        <code value="1203-9"></code>
-        <display value="Star Clan of Muscogee Creeks"></display>
-        <definition value="Star Clan of Muscogee Creeks"></definition>
-       </concept>
-       <concept>
-        <code value="1204-7"></code>
-        <display value="Thlopthlocco"></display>
-        <definition value="Thlopthlocco"></definition>
-       </concept>
-       <concept>
-        <code value="1205-4"></code>
-        <display value="Tuckabachee"></display>
-        <definition value="Tuckabachee"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1207-0"></code>
-       <display value="Croatan"></display>
-       <definition value="Croatan"></definition>
-      </concept>
-      <concept>
-       <code value="1209-6"></code>
-       <display value="Crow"></display>
-       <definition value="Crow"></definition>
-      </concept>
-      <concept>
-       <code value="1211-2"></code>
-       <display value="Cupeno"></display>
-       <definition value="Cupeno"></definition>
-       <concept>
-        <code value="1212-0"></code>
-        <display value="Agua Caliente"></display>
-        <definition value="Agua Caliente"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1214-6"></code>
-       <display value="Delaware"></display>
-       <definition value="Delaware"></definition>
-       <concept>
-        <code value="1215-3"></code>
-        <display value="Eastern Delaware"></display>
-        <definition value="Eastern Delaware"></definition>
-       </concept>
-       <concept>
-        <code value="1216-1"></code>
-        <display value="Lenni-Lenape"></display>
-        <definition value="Lenni-Lenape"></definition>
-       </concept>
-       <concept>
-        <code value="1217-9"></code>
-        <display value="Munsee"></display>
-        <definition value="Munsee"></definition>
-       </concept>
-       <concept>
-        <code value="1218-7"></code>
-        <display value="Oklahoma Delaware"></display>
-        <definition value="Oklahoma Delaware"></definition>
-       </concept>
-       <concept>
-        <code value="1219-5"></code>
-        <display value="Rampough Mountain"></display>
-        <definition value="Rampough Mountain"></definition>
-       </concept>
-       <concept>
-        <code value="1220-3"></code>
-        <display value="Sand Hill"></display>
-        <definition value="Sand Hill"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1222-9"></code>
-       <display value="Diegueno"></display>
-       <definition value="Diegueno"></definition>
-       <concept>
-        <code value="1223-7"></code>
-        <display value="Campo"></display>
-        <definition value="Campo"></definition>
-       </concept>
-       <concept>
-        <code value="1224-5"></code>
-        <display value="Capitan Grande"></display>
-        <definition value="Capitan Grande"></definition>
-       </concept>
-       <concept>
-        <code value="1225-2"></code>
-        <display value="Cuyapaipe"></display>
-        <definition value="Cuyapaipe"></definition>
-       </concept>
-       <concept>
-        <code value="1226-0"></code>
-        <display value="La Posta"></display>
-        <definition value="La Posta"></definition>
-       </concept>
-       <concept>
-        <code value="1227-8"></code>
-        <display value="Manzanita"></display>
-        <definition value="Manzanita"></definition>
-       </concept>
-       <concept>
-        <code value="1228-6"></code>
-        <display value="Mesa Grande"></display>
-        <definition value="Mesa Grande"></definition>
-       </concept>
-       <concept>
-        <code value="1229-4"></code>
-        <display value="San Pasqual"></display>
-        <definition value="San Pasqual"></definition>
-       </concept>
-       <concept>
-        <code value="1230-2"></code>
-        <display value="Santa Ysabel"></display>
-        <definition value="Santa Ysabel"></definition>
-       </concept>
-       <concept>
-        <code value="1231-0"></code>
-        <display value="Sycuan"></display>
-        <definition value="Sycuan"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1233-6"></code>
-       <display value="Eastern Tribes"></display>
-       <definition value="Eastern Tribes"></definition>
-       <concept>
-        <code value="1234-4"></code>
-        <display value="Attacapa"></display>
-        <definition value="Attacapa"></definition>
-       </concept>
-       <concept>
-        <code value="1235-1"></code>
-        <display value="Biloxi"></display>
-        <definition value="Biloxi"></definition>
-       </concept>
-       <concept>
-        <code value="1236-9"></code>
-        <display value="Georgetown"></display>
-        <definition value="Georgetown"></definition>
-       </concept>
-       <concept>
-        <code value="1237-7"></code>
-        <display value="Moor"></display>
-        <definition value="Moor"></definition>
-       </concept>
-       <concept>
-        <code value="1238-5"></code>
-        <display value="Nansemond"></display>
-        <definition value="Nansemond"></definition>
-       </concept>
-       <concept>
-        <code value="1239-3"></code>
-        <display value="Natchez"></display>
-        <definition value="Natchez"></definition>
-       </concept>
-       <concept>
-        <code value="1240-1"></code>
-        <display value="Nausu Waiwash"></display>
-        <definition value="Nausu Waiwash"></definition>
-       </concept>
-       <concept>
-        <code value="1241-9"></code>
-        <display value="Nipmuc"></display>
-        <definition value="Nipmuc"></definition>
-       </concept>
-       <concept>
-        <code value="1242-7"></code>
-        <display value="Paugussett"></display>
-        <definition value="Paugussett"></definition>
-       </concept>
-       <concept>
-        <code value="1243-5"></code>
-        <display value="Pocomoke Acohonock"></display>
-        <definition value="Pocomoke Acohonock"></definition>
-       </concept>
-       <concept>
-        <code value="1244-3"></code>
-        <display value="Southeastern Indians"></display>
-        <definition value="Southeastern Indians"></definition>
-       </concept>
-       <concept>
-        <code value="1245-0"></code>
-        <display value="Susquehanock"></display>
-        <definition value="Susquehanock"></definition>
-       </concept>
-       <concept>
-        <code value="1246-8"></code>
-        <display value="Tunica Biloxi"></display>
-        <definition value="Tunica Biloxi"></definition>
-       </concept>
-       <concept>
-        <code value="1247-6"></code>
-        <display value="Waccamaw-Siousan"></display>
-        <definition value="Waccamaw-Siousan"></definition>
-       </concept>
-       <concept>
-        <code value="1248-4"></code>
-        <display value="Wicomico"></display>
-        <definition value="Wicomico"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1250-0"></code>
-       <display value="Esselen"></display>
-       <definition value="Esselen"></definition>
-      </concept>
-      <concept>
-       <code value="1252-6"></code>
-       <display value="Fort Belknap"></display>
-       <definition value="Fort Belknap"></definition>
-      </concept>
-      <concept>
-       <code value="1254-2"></code>
-       <display value="Fort Berthold"></display>
-       <definition value="Fort Berthold"></definition>
-      </concept>
-      <concept>
-       <code value="1256-7"></code>
-       <display value="Fort Mcdowell"></display>
-       <definition value="Fort Mcdowell"></definition>
-      </concept>
-      <concept>
-       <code value="1258-3"></code>
-       <display value="Fort Hall"></display>
-       <definition value="Fort Hall"></definition>
-      </concept>
-      <concept>
-       <code value="1260-9"></code>
-       <display value="Gabrieleno"></display>
-       <definition value="Gabrieleno"></definition>
-      </concept>
-      <concept>
-       <code value="1262-5"></code>
-       <display value="Grand Ronde"></display>
-       <definition value="Grand Ronde"></definition>
-      </concept>
-      <concept>
-       <code value="1264-1"></code>
-       <display value="Gros Ventres"></display>
-       <definition value="Gros Ventres"></definition>
-       <concept>
-        <code value="1265-8"></code>
-        <display value="Atsina"></display>
-        <definition value="Atsina"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1267-4"></code>
-       <display value="Haliwa"></display>
-       <definition value="Haliwa"></definition>
-      </concept>
-      <concept>
-       <code value="1269-0"></code>
-       <display value="Hidatsa"></display>
-       <definition value="Hidatsa"></definition>
-      </concept>
-      <concept>
-       <code value="1271-6"></code>
-       <display value="Hoopa"></display>
-       <definition value="Hoopa"></definition>
-       <concept>
-        <code value="1272-4"></code>
-        <display value="Trinity"></display>
-        <definition value="Trinity"></definition>
-       </concept>
-       <concept>
-        <code value="1273-2"></code>
-        <display value="Whilkut"></display>
-        <definition value="Whilkut"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1275-7"></code>
-       <display value="Hoopa Extension"></display>
-       <definition value="Hoopa Extension"></definition>
-      </concept>
-      <concept>
-       <code value="1277-3"></code>
-       <display value="Houma"></display>
-       <definition value="Houma"></definition>
-      </concept>
-      <concept>
-       <code value="1279-9"></code>
-       <display value="Inaja-Cosmit"></display>
-       <definition value="Inaja-Cosmit"></definition>
-      </concept>
-      <concept>
-       <code value="1281-5"></code>
-       <display value="Iowa"></display>
-       <definition value="Iowa"></definition>
-       <concept>
-        <code value="1282-3"></code>
-        <display value="Iowa of Kansas-Nebraska"></display>
-        <definition value="Iowa of Kansas-Nebraska"></definition>
-       </concept>
-       <concept>
-        <code value="1283-1"></code>
-        <display value="Iowa of Oklahoma"></display>
-        <definition value="Iowa of Oklahoma"></definition>
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-      </concept>
-      <concept>
-       <code value="1285-6"></code>
-       <display value="Iroquois"></display>
-       <definition value="Iroquois"></definition>
-       <concept>
-        <code value="1286-4"></code>
-        <display value="Cayuga"></display>
-        <definition value="Cayuga"></definition>
-       </concept>
-       <concept>
-        <code value="1287-2"></code>
-        <display value="Mohawk"></display>
-        <definition value="Mohawk"></definition>
-       </concept>
-       <concept>
-        <code value="1288-0"></code>
-        <display value="Oneida"></display>
-        <definition value="Oneida"></definition>
-       </concept>
-       <concept>
-        <code value="1289-8"></code>
-        <display value="Onondaga"></display>
-        <definition value="Onondaga"></definition>
-       </concept>
-       <concept>
-        <code value="1290-6"></code>
-        <display value="Seneca"></display>
-        <definition value="Seneca"></definition>
-       </concept>
-       <concept>
-        <code value="1291-4"></code>
-        <display value="Seneca Nation"></display>
-        <definition value="Seneca Nation"></definition>
-       </concept>
-       <concept>
-        <code value="1292-2"></code>
-        <display value="Seneca-Cayuga"></display>
-        <definition value="Seneca-Cayuga"></definition>
-       </concept>
-       <concept>
-        <code value="1293-0"></code>
-        <display value="Tonawanda Seneca"></display>
-        <definition value="Tonawanda Seneca"></definition>
-       </concept>
-       <concept>
-        <code value="1294-8"></code>
-        <display value="Tuscarora"></display>
-        <definition value="Tuscarora"></definition>
-       </concept>
-       <concept>
-        <code value="1295-5"></code>
-        <display value="Wyandotte"></display>
-        <definition value="Wyandotte"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1297-1"></code>
-       <display value="Juaneno"></display>
-       <definition value="Juaneno"></definition>
-      </concept>
-      <concept>
-       <code value="1299-7"></code>
-       <display value="Kalispel"></display>
-       <definition value="Kalispel"></definition>
-      </concept>
-      <concept>
-       <code value="1301-1"></code>
-       <display value="Karuk"></display>
-       <definition value="Karuk"></definition>
-      </concept>
-      <concept>
-       <code value="1303-7"></code>
-       <display value="Kaw"></display>
-       <definition value="Kaw"></definition>
-      </concept>
-      <concept>
-       <code value="1305-2"></code>
-       <display value="Kickapoo"></display>
-       <definition value="Kickapoo"></definition>
-       <concept>
-        <code value="1306-0"></code>
-        <display value="Oklahoma Kickapoo"></display>
-        <definition value="Oklahoma Kickapoo"></definition>
-       </concept>
-       <concept>
-        <code value="1307-8"></code>
-        <display value="Texas Kickapoo"></display>
-        <definition value="Texas Kickapoo"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1309-4"></code>
-       <display value="Kiowa"></display>
-       <definition value="Kiowa"></definition>
-       <concept>
-        <code value="1310-2"></code>
-        <display value="Oklahoma Kiowa"></display>
-        <definition value="Oklahoma Kiowa"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1312-8"></code>
-       <display value="Klallam"></display>
-       <definition value="Klallam"></definition>
-       <concept>
-        <code value="1313-6"></code>
-        <display value="Jamestown"></display>
-        <definition value="Jamestown"></definition>
-       </concept>
-       <concept>
-        <code value="1314-4"></code>
-        <display value="Lower Elwha"></display>
-        <definition value="Lower Elwha"></definition>
-       </concept>
-       <concept>
-        <code value="1315-1"></code>
-        <display value="Port Gamble Klallam"></display>
-        <definition value="Port Gamble Klallam"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1317-7"></code>
-       <display value="Klamath"></display>
-       <definition value="Klamath"></definition>
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-      <concept>
-       <code value="1319-3"></code>
-       <display value="Konkow"></display>
-       <definition value="Konkow"></definition>
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-      <concept>
-       <code value="1321-9"></code>
-       <display value="Kootenai"></display>
-       <definition value="Kootenai"></definition>
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-      <concept>
-       <code value="1323-5"></code>
-       <display value="Lassik"></display>
-       <definition value="Lassik"></definition>
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-      <concept>
-       <code value="1325-0"></code>
-       <display value="Long Island"></display>
-       <definition value="Long Island"></definition>
-       <concept>
-        <code value="1326-8"></code>
-        <display value="Matinecock"></display>
-        <definition value="Matinecock"></definition>
-       </concept>
-       <concept>
-        <code value="1327-6"></code>
-        <display value="Montauk"></display>
-        <definition value="Montauk"></definition>
-       </concept>
-       <concept>
-        <code value="1328-4"></code>
-        <display value="Poospatuck"></display>
-        <definition value="Poospatuck"></definition>
-       </concept>
-       <concept>
-        <code value="1329-2"></code>
-        <display value="Setauket"></display>
-        <definition value="Setauket"></definition>
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-      </concept>
-      <concept>
-       <code value="1331-8"></code>
-       <display value="Luiseno"></display>
-       <definition value="Luiseno"></definition>
-       <concept>
-        <code value="1332-6"></code>
-        <display value="La Jolla"></display>
-        <definition value="La Jolla"></definition>
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-       <concept>
-        <code value="1333-4"></code>
-        <display value="Pala"></display>
-        <definition value="Pala"></definition>
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-       <concept>
-        <code value="1334-2"></code>
-        <display value="Pauma"></display>
-        <definition value="Pauma"></definition>
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-       <concept>
-        <code value="1335-9"></code>
-        <display value="Pechanga"></display>
-        <definition value="Pechanga"></definition>
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-       <concept>
-        <code value="1336-7"></code>
-        <display value="Soboba"></display>
-        <definition value="Soboba"></definition>
-       </concept>
-       <concept>
-        <code value="1337-5"></code>
-        <display value="Twenty-Nine Palms"></display>
-        <definition value="Twenty-Nine Palms"></definition>
-       </concept>
-       <concept>
-        <code value="1338-3"></code>
-        <display value="Temecula"></display>
-        <definition value="Temecula"></definition>
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-      <concept>
-       <code value="1340-9"></code>
-       <display value="Lumbee"></display>
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-      <concept>
-       <code value="1342-5"></code>
-       <display value="Lummi"></display>
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-      <concept>
-       <code value="1344-1"></code>
-       <display value="Maidu"></display>
-       <definition value="Maidu"></definition>
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-        <code value="1345-8"></code>
-        <display value="Mountain Maidu"></display>
-        <definition value="Mountain Maidu"></definition>
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-       <concept>
-        <code value="1346-6"></code>
-        <display value="Nishinam"></display>
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-      <concept>
-       <code value="1348-2"></code>
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-      <concept>
-       <code value="1350-8"></code>
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-       <definition value="Maliseet"></definition>
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-      <concept>
-       <code value="1352-4"></code>
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-      <concept>
-       <code value="1354-0"></code>
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-       <definition value="Mattaponi"></definition>
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-      <concept>
-       <code value="1356-5"></code>
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-      <concept>
-       <code value="1358-1"></code>
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-       <definition value="Miami"></definition>
-       <concept>
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-        <definition value="Illinois Miami"></definition>
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-       <concept>
-        <code value="1360-7"></code>
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-        <code value="1361-5"></code>
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-       <code value="1363-1"></code>
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-      <concept>
-       <code value="1365-6"></code>
-       <display value="Micmac"></display>
-       <definition value="Micmac"></definition>
-       <concept>
-        <code value="1366-4"></code>
-        <display value="Aroostook"></display>
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-      <concept>
-       <code value="1368-0"></code>
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-       <definition value="Mission Indians"></definition>
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-      <concept>
-       <code value="1370-6"></code>
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-      <concept>
-       <code value="1372-2"></code>
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-       <definition value="Modoc"></definition>
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-      <concept>
-       <code value="1374-8"></code>
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-      <concept>
-       <code value="1376-3"></code>
-       <display value="Mono"></display>
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-      <concept>
-       <code value="1378-9"></code>
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-       <definition value="Nanticoke"></definition>
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-      <concept>
-       <code value="1380-5"></code>
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-       <definition value="Narragansett"></definition>
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-      <concept>
-       <code value="1382-1"></code>
-       <display value="Navajo"></display>
-       <definition value="Navajo"></definition>
-       <concept>
-        <code value="1383-9"></code>
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-        <definition value="Alamo Navajo"></definition>
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-       <concept>
-        <code value="1384-7"></code>
-        <display value="Canoncito Navajo"></display>
-        <definition value="Canoncito Navajo"></definition>
-       </concept>
-       <concept>
-        <code value="1385-4"></code>
-        <display value="Ramah Navajo"></display>
-        <definition value="Ramah Navajo"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1387-0"></code>
-       <display value="Nez Perce"></display>
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-      </concept>
-      <concept>
-       <code value="1389-6"></code>
-       <display value="Nomalaki"></display>
-       <definition value="Nomalaki"></definition>
-      </concept>
-      <concept>
-       <code value="1391-2"></code>
-       <display value="Northwest Tribes"></display>
-       <definition value="Northwest Tribes"></definition>
-       <concept>
-        <code value="1392-0"></code>
-        <display value="Alsea"></display>
-        <definition value="Alsea"></definition>
-       </concept>
-       <concept>
-        <code value="1393-8"></code>
-        <display value="Celilo"></display>
-        <definition value="Celilo"></definition>
-       </concept>
-       <concept>
-        <code value="1394-6"></code>
-        <display value="Columbia"></display>
-        <definition value="Columbia"></definition>
-       </concept>
-       <concept>
-        <code value="1395-3"></code>
-        <display value="Kalapuya"></display>
-        <definition value="Kalapuya"></definition>
-       </concept>
-       <concept>
-        <code value="1396-1"></code>
-        <display value="Molala"></display>
-        <definition value="Molala"></definition>
-       </concept>
-       <concept>
-        <code value="1397-9"></code>
-        <display value="Talakamish"></display>
-        <definition value="Talakamish"></definition>
-       </concept>
-       <concept>
-        <code value="1398-7"></code>
-        <display value="Tenino"></display>
-        <definition value="Tenino"></definition>
-       </concept>
-       <concept>
-        <code value="1399-5"></code>
-        <display value="Tillamook"></display>
-        <definition value="Tillamook"></definition>
-       </concept>
-       <concept>
-        <code value="1400-1"></code>
-        <display value="Wenatchee"></display>
-        <definition value="Wenatchee"></definition>
-       </concept>
-       <concept>
-        <code value="1401-9"></code>
-        <display value="Yahooskin"></display>
-        <definition value="Yahooskin"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1403-5"></code>
-       <display value="Omaha"></display>
-       <definition value="Omaha"></definition>
-      </concept>
-      <concept>
-       <code value="1405-0"></code>
-       <display value="Oregon Athabaskan"></display>
-       <definition value="Oregon Athabaskan"></definition>
-      </concept>
-      <concept>
-       <code value="1407-6"></code>
-       <display value="Osage"></display>
-       <definition value="Osage"></definition>
-      </concept>
-      <concept>
-       <code value="1409-2"></code>
-       <display value="Otoe-Missouria"></display>
-       <definition value="Otoe-Missouria"></definition>
-      </concept>
-      <concept>
-       <code value="1411-8"></code>
-       <display value="Ottawa"></display>
-       <definition value="Ottawa"></definition>
-       <concept>
-        <code value="1412-6"></code>
-        <display value="Burt Lake Ottawa"></display>
-        <definition value="Burt Lake Ottawa"></definition>
-       </concept>
-       <concept>
-        <code value="1413-4"></code>
-        <display value="Michigan Ottawa"></display>
-        <definition value="Michigan Ottawa"></definition>
-       </concept>
-       <concept>
-        <code value="1414-2"></code>
-        <display value="Oklahoma Ottawa"></display>
-        <definition value="Oklahoma Ottawa"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1416-7"></code>
-       <display value="Paiute"></display>
-       <definition value="Paiute"></definition>
-       <concept>
-        <code value="1417-5"></code>
-        <display value="Bishop"></display>
-        <definition value="Bishop"></definition>
-       </concept>
-       <concept>
-        <code value="1418-3"></code>
-        <display value="Bridgeport"></display>
-        <definition value="Bridgeport"></definition>
-       </concept>
-       <concept>
-        <code value="1419-1"></code>
-        <display value="Burns Paiute"></display>
-        <definition value="Burns Paiute"></definition>
-       </concept>
-       <concept>
-        <code value="1420-9"></code>
-        <display value="Cedarville"></display>
-        <definition value="Cedarville"></definition>
-       </concept>
-       <concept>
-        <code value="1421-7"></code>
-        <display value="Fort Bidwell"></display>
-        <definition value="Fort Bidwell"></definition>
-       </concept>
-       <concept>
-        <code value="1422-5"></code>
-        <display value="Fort Independence"></display>
-        <definition value="Fort Independence"></definition>
-       </concept>
-       <concept>
-        <code value="1423-3"></code>
-        <display value="Kaibab"></display>
-        <definition value="Kaibab"></definition>
-       </concept>
-       <concept>
-        <code value="1424-1"></code>
-        <display value="Las Vegas"></display>
-        <definition value="Las Vegas"></definition>
-       </concept>
-       <concept>
-        <code value="1425-8"></code>
-        <display value="Lone Pine"></display>
-        <definition value="Lone Pine"></definition>
-       </concept>
-       <concept>
-        <code value="1426-6"></code>
-        <display value="Lovelock"></display>
-        <definition value="Lovelock"></definition>
-       </concept>
-       <concept>
-        <code value="1427-4"></code>
-        <display value="Malheur Paiute"></display>
-        <definition value="Malheur Paiute"></definition>
-       </concept>
-       <concept>
-        <code value="1428-2"></code>
-        <display value="Moapa"></display>
-        <definition value="Moapa"></definition>
-       </concept>
-       <concept>
-        <code value="1429-0"></code>
-        <display value="Northern Paiute"></display>
-        <definition value="Northern Paiute"></definition>
-       </concept>
-       <concept>
-        <code value="1430-8"></code>
-        <display value="Owens Valley"></display>
-        <definition value="Owens Valley"></definition>
-       </concept>
-       <concept>
-        <code value="1431-6"></code>
-        <display value="Pyramid Lake"></display>
-        <definition value="Pyramid Lake"></definition>
-       </concept>
-       <concept>
-        <code value="1432-4"></code>
-        <display value="San Juan Southern Paiute"></display>
-        <definition value="San Juan Southern Paiute"></definition>
-       </concept>
-       <concept>
-        <code value="1433-2"></code>
-        <display value="Southern Paiute"></display>
-        <definition value="Southern Paiute"></definition>
-       </concept>
-       <concept>
-        <code value="1434-0"></code>
-        <display value="Summit Lake"></display>
-        <definition value="Summit Lake"></definition>
-       </concept>
-       <concept>
-        <code value="1435-7"></code>
-        <display value="Utu Utu Gwaitu Paiute"></display>
-        <definition value="Utu Utu Gwaitu Paiute"></definition>
-       </concept>
-       <concept>
-        <code value="1436-5"></code>
-        <display value="Walker River"></display>
-        <definition value="Walker River"></definition>
-       </concept>
-       <concept>
-        <code value="1437-3"></code>
-        <display value="Yerington Paiute"></display>
-        <definition value="Yerington Paiute"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1439-9"></code>
-       <display value="Pamunkey"></display>
-       <definition value="Pamunkey"></definition>
-      </concept>
-      <concept>
-       <code value="1441-5"></code>
-       <display value="Passamaquoddy"></display>
-       <definition value="Passamaquoddy"></definition>
-       <concept>
-        <code value="1442-3"></code>
-        <display value="Indian Township"></display>
-        <definition value="Indian Township"></definition>
-       </concept>
-       <concept>
-        <code value="1443-1"></code>
-        <display value="Pleasant Point Passamaquoddy"></display>
-        <definition value="Pleasant Point Passamaquoddy"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1445-6"></code>
-       <display value="Pawnee"></display>
-       <definition value="Pawnee"></definition>
-       <concept>
-        <code value="1446-4"></code>
-        <display value="Oklahoma Pawnee"></display>
-        <definition value="Oklahoma Pawnee"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1448-0"></code>
-       <display value="Penobscot"></display>
-       <definition value="Penobscot"></definition>
-      </concept>
-      <concept>
-       <code value="1450-6"></code>
-       <display value="Peoria"></display>
-       <definition value="Peoria"></definition>
-       <concept>
-        <code value="1451-4"></code>
-        <display value="Oklahoma Peoria"></display>
-        <definition value="Oklahoma Peoria"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1453-0"></code>
-       <display value="Pequot"></display>
-       <definition value="Pequot"></definition>
-       <concept>
-        <code value="1454-8"></code>
-        <display value="Marshantucket Pequot"></display>
-        <definition value="Marshantucket Pequot"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1456-3"></code>
-       <display value="Pima"></display>
-       <definition value="Pima"></definition>
-       <concept>
-        <code value="1457-1"></code>
-        <display value="Gila River Pima-Maricopa"></display>
-        <definition value="Gila River Pima-Maricopa"></definition>
-       </concept>
-       <concept>
-        <code value="1458-9"></code>
-        <display value="Salt River Pima-Maricopa"></display>
-        <definition value="Salt River Pima-Maricopa"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1460-5"></code>
-       <display value="Piscataway"></display>
-       <definition value="Piscataway"></definition>
-      </concept>
-      <concept>
-       <code value="1462-1"></code>
-       <display value="Pit River"></display>
-       <definition value="Pit River"></definition>
-      </concept>
-      <concept>
-       <code value="1464-7"></code>
-       <display value="Pomo"></display>
-       <definition value="Pomo"></definition>
-       <concept>
-        <code value="1465-4"></code>
-        <display value="Central Pomo"></display>
-        <definition value="Central Pomo"></definition>
-       </concept>
-       <concept>
-        <code value="1466-2"></code>
-        <display value="Dry Creek"></display>
-        <definition value="Dry Creek"></definition>
-       </concept>
-       <concept>
-        <code value="1467-0"></code>
-        <display value="Eastern Pomo"></display>
-        <definition value="Eastern Pomo"></definition>
-       </concept>
-       <concept>
-        <code value="1468-8"></code>
-        <display value="Kashia"></display>
-        <definition value="Kashia"></definition>
-       </concept>
-       <concept>
-        <code value="1469-6"></code>
-        <display value="Northern Pomo"></display>
-        <definition value="Northern Pomo"></definition>
-       </concept>
-       <concept>
-        <code value="1470-4"></code>
-        <display value="Scotts Valley"></display>
-        <definition value="Scotts Valley"></definition>
-       </concept>
-       <concept>
-        <code value="1471-2"></code>
-        <display value="Stonyford"></display>
-        <definition value="Stonyford"></definition>
-       </concept>
-       <concept>
-        <code value="1472-0"></code>
-        <display value="Sulphur Bank"></display>
-        <definition value="Sulphur Bank"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1474-6"></code>
-       <display value="Ponca"></display>
-       <definition value="Ponca"></definition>
-       <concept>
-        <code value="1475-3"></code>
-        <display value="Nebraska Ponca"></display>
-        <definition value="Nebraska Ponca"></definition>
-       </concept>
-       <concept>
-        <code value="1476-1"></code>
-        <display value="Oklahoma Ponca"></display>
-        <definition value="Oklahoma Ponca"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1478-7"></code>
-       <display value="Potawatomi"></display>
-       <definition value="Potawatomi"></definition>
-       <concept>
-        <code value="1479-5"></code>
-        <display value="Citizen Band Potawatomi"></display>
-        <definition value="Citizen Band Potawatomi"></definition>
-       </concept>
-       <concept>
-        <code value="1480-3"></code>
-        <display value="Forest County"></display>
-        <definition value="Forest County"></definition>
-       </concept>
-       <concept>
-        <code value="1481-1"></code>
-        <display value="Hannahville"></display>
-        <definition value="Hannahville"></definition>
-       </concept>
-       <concept>
-        <code value="1482-9"></code>
-        <display value="Huron Potawatomi"></display>
-        <definition value="Huron Potawatomi"></definition>
-       </concept>
-       <concept>
-        <code value="1483-7"></code>
-        <display value="Pokagon Potawatomi"></display>
-        <definition value="Pokagon Potawatomi"></definition>
-       </concept>
-       <concept>
-        <code value="1484-5"></code>
-        <display value="Prairie Band"></display>
-        <definition value="Prairie Band"></definition>
-       </concept>
-       <concept>
-        <code value="1485-2"></code>
-        <display value="Wisconsin Potawatomi"></display>
-        <definition value="Wisconsin Potawatomi"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1487-8"></code>
-       <display value="Powhatan"></display>
-       <definition value="Powhatan"></definition>
-      </concept>
-      <concept>
-       <code value="1489-4"></code>
-       <display value="Pueblo"></display>
-       <definition value="Pueblo"></definition>
-       <concept>
-        <code value="1490-2"></code>
-        <display value="Acoma"></display>
-        <definition value="Acoma"></definition>
-       </concept>
-       <concept>
-        <code value="1491-0"></code>
-        <display value="Arizona Tewa"></display>
-        <definition value="Arizona Tewa"></definition>
-       </concept>
-       <concept>
-        <code value="1492-8"></code>
-        <display value="Cochiti"></display>
-        <definition value="Cochiti"></definition>
-       </concept>
-       <concept>
-        <code value="1493-6"></code>
-        <display value="Hopi"></display>
-        <definition value="Hopi"></definition>
-       </concept>
-       <concept>
-        <code value="1494-4"></code>
-        <display value="Isleta"></display>
-        <definition value="Isleta"></definition>
-       </concept>
-       <concept>
-        <code value="1495-1"></code>
-        <display value="Jemez"></display>
-        <definition value="Jemez"></definition>
-       </concept>
-       <concept>
-        <code value="1496-9"></code>
-        <display value="Keres"></display>
-        <definition value="Keres"></definition>
-       </concept>
-       <concept>
-        <code value="1497-7"></code>
-        <display value="Laguna"></display>
-        <definition value="Laguna"></definition>
-       </concept>
-       <concept>
-        <code value="1498-5"></code>
-        <display value="Nambe"></display>
-        <definition value="Nambe"></definition>
-       </concept>
-       <concept>
-        <code value="1499-3"></code>
-        <display value="Picuris"></display>
-        <definition value="Picuris"></definition>
-       </concept>
-       <concept>
-        <code value="1500-8"></code>
-        <display value="Piro"></display>
-        <definition value="Piro"></definition>
-       </concept>
-       <concept>
-        <code value="1501-6"></code>
-        <display value="Pojoaque"></display>
-        <definition value="Pojoaque"></definition>
-       </concept>
-       <concept>
-        <code value="1502-4"></code>
-        <display value="San Felipe"></display>
-        <definition value="San Felipe"></definition>
-       </concept>
-       <concept>
-        <code value="1503-2"></code>
-        <display value="San Ildefonso"></display>
-        <definition value="San Ildefonso"></definition>
-       </concept>
-       <concept>
-        <code value="1504-0"></code>
-        <display value="San Juan Pueblo"></display>
-        <definition value="San Juan Pueblo"></definition>
-       </concept>
-       <concept>
-        <code value="1505-7"></code>
-        <display value="San Juan De"></display>
-        <definition value="San Juan De"></definition>
-       </concept>
-       <concept>
-        <code value="1506-5"></code>
-        <display value="San Juan"></display>
-        <definition value="San Juan"></definition>
-       </concept>
-       <concept>
-        <code value="1507-3"></code>
-        <display value="Sandia"></display>
-        <definition value="Sandia"></definition>
-       </concept>
-       <concept>
-        <code value="1508-1"></code>
-        <display value="Santa Ana"></display>
-        <definition value="Santa Ana"></definition>
-       </concept>
-       <concept>
-        <code value="1509-9"></code>
-        <display value="Santa Clara"></display>
-        <definition value="Santa Clara"></definition>
-       </concept>
-       <concept>
-        <code value="1510-7"></code>
-        <display value="Santo Domingo"></display>
-        <definition value="Santo Domingo"></definition>
-       </concept>
-       <concept>
-        <code value="1511-5"></code>
-        <display value="Taos"></display>
-        <definition value="Taos"></definition>
-       </concept>
-       <concept>
-        <code value="1512-3"></code>
-        <display value="Tesuque"></display>
-        <definition value="Tesuque"></definition>
-       </concept>
-       <concept>
-        <code value="1513-1"></code>
-        <display value="Tewa"></display>
-        <definition value="Tewa"></definition>
-       </concept>
-       <concept>
-        <code value="1514-9"></code>
-        <display value="Tigua"></display>
-        <definition value="Tigua"></definition>
-       </concept>
-       <concept>
-        <code value="1515-6"></code>
-        <display value="Zia"></display>
-        <definition value="Zia"></definition>
-       </concept>
-       <concept>
-        <code value="1516-4"></code>
-        <display value="Zuni"></display>
-        <definition value="Zuni"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1518-0"></code>
-       <display value="Puget Sound Salish"></display>
-       <definition value="Puget Sound Salish"></definition>
-       <concept>
-        <code value="1519-8"></code>
-        <display value="Duwamish"></display>
-        <definition value="Duwamish"></definition>
-       </concept>
-       <concept>
-        <code value="1520-6"></code>
-        <display value="Kikiallus"></display>
-        <definition value="Kikiallus"></definition>
-       </concept>
-       <concept>
-        <code value="1521-4"></code>
-        <display value="Lower Skagit"></display>
-        <definition value="Lower Skagit"></definition>
-       </concept>
-       <concept>
-        <code value="1522-2"></code>
-        <display value="Muckleshoot"></display>
-        <definition value="Muckleshoot"></definition>
-       </concept>
-       <concept>
-        <code value="1523-0"></code>
-        <display value="Nisqually"></display>
-        <definition value="Nisqually"></definition>
-       </concept>
-       <concept>
-        <code value="1524-8"></code>
-        <display value="Nooksack"></display>
-        <definition value="Nooksack"></definition>
-       </concept>
-       <concept>
-        <code value="1525-5"></code>
-        <display value="Port Madison"></display>
-        <definition value="Port Madison"></definition>
-       </concept>
-       <concept>
-        <code value="1526-3"></code>
-        <display value="Puyallup"></display>
-        <definition value="Puyallup"></definition>
-       </concept>
-       <concept>
-        <code value="1527-1"></code>
-        <display value="Samish"></display>
-        <definition value="Samish"></definition>
-       </concept>
-       <concept>
-        <code value="1528-9"></code>
-        <display value="Sauk-Suiattle"></display>
-        <definition value="Sauk-Suiattle"></definition>
-       </concept>
-       <concept>
-        <code value="1529-7"></code>
-        <display value="Skokomish"></display>
-        <definition value="Skokomish"></definition>
-       </concept>
-       <concept>
-        <code value="1530-5"></code>
-        <display value="Skykomish"></display>
-        <definition value="Skykomish"></definition>
-       </concept>
-       <concept>
-        <code value="1531-3"></code>
-        <display value="Snohomish"></display>
-        <definition value="Snohomish"></definition>
-       </concept>
-       <concept>
-        <code value="1532-1"></code>
-        <display value="Snoqualmie"></display>
-        <definition value="Snoqualmie"></definition>
-       </concept>
-       <concept>
-        <code value="1533-9"></code>
-        <display value="Squaxin Island"></display>
-        <definition value="Squaxin Island"></definition>
-       </concept>
-       <concept>
-        <code value="1534-7"></code>
-        <display value="Steilacoom"></display>
-        <definition value="Steilacoom"></definition>
-       </concept>
-       <concept>
-        <code value="1535-4"></code>
-        <display value="Stillaguamish"></display>
-        <definition value="Stillaguamish"></definition>
-       </concept>
-       <concept>
-        <code value="1536-2"></code>
-        <display value="Suquamish"></display>
-        <definition value="Suquamish"></definition>
-       </concept>
-       <concept>
-        <code value="1537-0"></code>
-        <display value="Swinomish"></display>
-        <definition value="Swinomish"></definition>
-       </concept>
-       <concept>
-        <code value="1538-8"></code>
-        <display value="Tulalip"></display>
-        <definition value="Tulalip"></definition>
-       </concept>
-       <concept>
-        <code value="1539-6"></code>
-        <display value="Upper Skagit"></display>
-        <definition value="Upper Skagit"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1541-2"></code>
-       <display value="Quapaw"></display>
-       <definition value="Quapaw"></definition>
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-      <concept>
-       <code value="1543-8"></code>
-       <display value="Quinault"></display>
-       <definition value="Quinault"></definition>
-      </concept>
-      <concept>
-       <code value="1545-3"></code>
-       <display value="Rappahannock"></display>
-       <definition value="Rappahannock"></definition>
-      </concept>
-      <concept>
-       <code value="1547-9"></code>
-       <display value="Reno-Sparks"></display>
-       <definition value="Reno-Sparks"></definition>
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-      <concept>
-       <code value="1549-5"></code>
-       <display value="Round Valley"></display>
-       <definition value="Round Valley"></definition>
-      </concept>
-      <concept>
-       <code value="1551-1"></code>
-       <display value="Sac and Fox"></display>
-       <definition value="Sac and Fox"></definition>
-       <concept>
-        <code value="1552-9"></code>
-        <display value="Iowa Sac and Fox"></display>
-        <definition value="Iowa Sac and Fox"></definition>
-       </concept>
-       <concept>
-        <code value="1553-7"></code>
-        <display value="Missouri Sac and Fox"></display>
-        <definition value="Missouri Sac and Fox"></definition>
-       </concept>
-       <concept>
-        <code value="1554-5"></code>
-        <display value="Oklahoma Sac and Fox"></display>
-        <definition value="Oklahoma Sac and Fox"></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1556-0"></code>
-       <display value="Salinan"></display>
-       <definition value="Salinan"></definition>
-      </concept>
-      <concept>
-       <code value="1558-6"></code>
-       <display value="Salish"></display>
-       <definition value="Salish"></definition>
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-      <concept>
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-       <display value="Salish and Kootenai"></display>
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-        </concept>
-        <concept>
-         <code value="1963-8"></code>
-         <display value="St. Mary's"></display>
-         <definition value="St. Mary's"></definition>
-        </concept>
-        <concept>
-         <code value="1964-6"></code>
-         <display value="Umkumiate"></display>
-         <definition value="Umkumiate"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="1966-1"></code>
-       <display value="Aleut"></display>
-       <definition value="Aleut"></definition>
-       <concept>
-        <code value="1968-7"></code>
-        <display value="Alutiiq Aleut"></display>
-        <definition value="Alutiiq Aleut"></definition>
-        <concept>
-         <code value="1969-5"></code>
-         <display value="Tatitlek"></display>
-         <definition value="Tatitlek"></definition>
-        </concept>
-        <concept>
-         <code value="1970-3"></code>
-         <display value="Ugashik"></display>
-         <definition value="Ugashik"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="1972-9"></code>
-        <display value="Bristol Bay Aleut"></display>
-        <definition value="Bristol Bay Aleut"></definition>
-        <concept>
-         <code value="1973-7"></code>
-         <display value="Chignik"></display>
-         <definition value="Chignik"></definition>
-        </concept>
-        <concept>
-         <code value="1974-5"></code>
-         <display value="Chignik Lake"></display>
-         <definition value="Chignik Lake"></definition>
-        </concept>
-        <concept>
-         <code value="1975-2"></code>
-         <display value="Egegik"></display>
-         <definition value="Egegik"></definition>
-        </concept>
-        <concept>
-         <code value="1976-0"></code>
-         <display value="Igiugig"></display>
-         <definition value="Igiugig"></definition>
-        </concept>
-        <concept>
-         <code value="1977-8"></code>
-         <display value="Ivanof Bay"></display>
-         <definition value="Ivanof Bay"></definition>
-        </concept>
-        <concept>
-         <code value="1978-6"></code>
-         <display value="King Salmon"></display>
-         <definition value="King Salmon"></definition>
-        </concept>
-        <concept>
-         <code value="1979-4"></code>
-         <display value="Kokhanok"></display>
-         <definition value="Kokhanok"></definition>
-        </concept>
-        <concept>
-         <code value="1980-2"></code>
-         <display value="Perryville"></display>
-         <definition value="Perryville"></definition>
-        </concept>
-        <concept>
-         <code value="1981-0"></code>
-         <display value="Pilot Point"></display>
-         <definition value="Pilot Point"></definition>
-        </concept>
-        <concept>
-         <code value="1982-8"></code>
-         <display value="Port Heiden"></display>
-         <definition value="Port Heiden"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="1984-4"></code>
-        <display value="Chugach Aleut"></display>
-        <definition value="Chugach Aleut"></definition>
-        <concept>
-         <code value="1985-1"></code>
-         <display value="Chenega"></display>
-         <definition value="Chenega"></definition>
-        </concept>
-        <concept>
-         <code value="1986-9"></code>
-         <display value="Chugach Corporation"></display>
-         <definition value="Chugach Corporation"></definition>
-        </concept>
-        <concept>
-         <code value="1987-7"></code>
-         <display value="English Bay"></display>
-         <definition value="English Bay"></definition>
-        </concept>
-        <concept>
-         <code value="1988-5"></code>
-         <display value="Port Graham"></display>
-         <definition value="Port Graham"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="1990-1"></code>
-        <display value="Eyak"></display>
-        <definition value="Eyak"></definition>
-       </concept>
-       <concept>
-        <code value="1992-7"></code>
-        <display value="Koniag Aleut"></display>
-        <definition value="Koniag Aleut"></definition>
-        <concept>
-         <code value="1993-5"></code>
-         <display value="Akhiok"></display>
-         <definition value="Akhiok"></definition>
-        </concept>
-        <concept>
-         <code value="1994-3"></code>
-         <display value="Agdaagux"></display>
-         <definition value="Agdaagux"></definition>
-        </concept>
-        <concept>
-         <code value="1995-0"></code>
-         <display value="Karluk"></display>
-         <definition value="Karluk"></definition>
-        </concept>
-        <concept>
-         <code value="1996-8"></code>
-         <display value="Kodiak"></display>
-         <definition value="Kodiak"></definition>
-        </concept>
-        <concept>
-         <code value="1997-6"></code>
-         <display value="Larsen Bay"></display>
-         <definition value="Larsen Bay"></definition>
-        </concept>
-        <concept>
-         <code value="1998-4"></code>
-         <display value="Old Harbor"></display>
-         <definition value="Old Harbor"></definition>
-        </concept>
-        <concept>
-         <code value="1999-2"></code>
-         <display value="Ouzinkie"></display>
-         <definition value="Ouzinkie"></definition>
-        </concept>
-        <concept>
-         <code value="2000-8"></code>
-         <display value="Port Lions"></display>
-         <definition value="Port Lions"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="2002-4"></code>
-        <display value="Sugpiaq"></display>
-        <definition value="Sugpiaq"></definition>
-       </concept>
-       <concept>
-        <code value="2004-0"></code>
-        <display value="Suqpigaq"></display>
-        <definition value="Suqpigaq"></definition>
-       </concept>
-       <concept>
-        <code value="2006-5"></code>
-        <display value="Unangan Aleut"></display>
-        <definition value="Unangan Aleut"></definition>
-        <concept>
-         <code value="2007-3"></code>
-         <display value="Akutan"></display>
-         <definition value="Akutan"></definition>
-        </concept>
-        <concept>
-         <code value="2008-1"></code>
-         <display value="Aleut Corporation"></display>
-         <definition value="Aleut Corporation"></definition>
-        </concept>
-        <concept>
-         <code value="2009-9"></code>
-         <display value="Aleutian"></display>
-         <definition value="Aleutian"></definition>
-        </concept>
-        <concept>
-         <code value="2010-7"></code>
-         <display value="Aleutian Islander"></display>
-         <definition value="Aleutian Islander"></definition>
-        </concept>
-        <concept>
-         <code value="2011-5"></code>
-         <display value="Atka"></display>
-         <definition value="Atka"></definition>
-        </concept>
-        <concept>
-         <code value="2012-3"></code>
-         <display value="Belkofski"></display>
-         <definition value="Belkofski"></definition>
-        </concept>
-        <concept>
-         <code value="2013-1"></code>
-         <display value="Chignik Lagoon"></display>
-         <definition value="Chignik Lagoon"></definition>
-        </concept>
-        <concept>
-         <code value="2014-9"></code>
-         <display value="King Cove"></display>
-         <definition value="King Cove"></definition>
-        </concept>
-        <concept>
-         <code value="2015-6"></code>
-         <display value="False Pass"></display>
-         <definition value="False Pass"></definition>
-        </concept>
-        <concept>
-         <code value="2016-4"></code>
-         <display value="Nelson Lagoon"></display>
-         <definition value="Nelson Lagoon"></definition>
-        </concept>
-        <concept>
-         <code value="2017-2"></code>
-         <display value="Nikolski"></display>
-         <definition value="Nikolski"></definition>
-        </concept>
-        <concept>
-         <code value="2018-0"></code>
-         <display value="Pauloff Harbor"></display>
-         <definition value="Pauloff Harbor"></definition>
-        </concept>
-        <concept>
-         <code value="2019-8"></code>
-         <display value="Qagan Toyagungin"></display>
-         <definition value="Qagan Toyagungin"></definition>
-        </concept>
-        <concept>
-         <code value="2020-6"></code>
-         <display value="Qawalangin"></display>
-         <definition value="Qawalangin"></definition>
-        </concept>
-        <concept>
-         <code value="2021-4"></code>
-         <display value="St. George"></display>
-         <definition value="St. George"></definition>
-        </concept>
-        <concept>
-         <code value="2022-2"></code>
-         <display value="St. Paul"></display>
-         <definition value="St. Paul"></definition>
-        </concept>
-        <concept>
-         <code value="2023-0"></code>
-         <display value="Sand Point"></display>
-         <definition value="Sand Point"></definition>
-        </concept>
-        <concept>
-         <code value="2024-8"></code>
-         <display value="South Naknek"></display>
-         <definition value="South Naknek"></definition>
-        </concept>
-        <concept>
-         <code value="2025-5"></code>
-         <display value="Unalaska"></display>
-         <definition value="Unalaska"></definition>
-        </concept>
-        <concept>
-         <code value="2026-3"></code>
-         <display value="Unga"></display>
-         <definition value="Unga"></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="2028-9"></code>
-     <display value="Asian"></display>
-     <definition value="Asian"></definition>
-     <concept>
-      <code value="2029-7"></code>
-      <display value="Asian Indian"></display>
-      <definition value="Asian Indian"></definition>
-     </concept>
-     <concept>
-      <code value="2030-5"></code>
-      <display value="Bangladeshi"></display>
-      <definition value="Bangladeshi"></definition>
-     </concept>
-     <concept>
-      <code value="2031-3"></code>
-      <display value="Bhutanese"></display>
-      <definition value="Bhutanese"></definition>
-     </concept>
-     <concept>
-      <code value="2032-1"></code>
-      <display value="Burmese"></display>
-      <definition value="Burmese"></definition>
-     </concept>
-     <concept>
-      <code value="2033-9"></code>
-      <display value="Cambodian"></display>
-      <definition value="Cambodian"></definition>
-     </concept>
-     <concept>
-      <code value="2034-7"></code>
-      <display value="Chinese"></display>
-      <definition value="Chinese"></definition>
-     </concept>
-     <concept>
-      <code value="2035-4"></code>
-      <display value="Taiwanese"></display>
-      <definition value="Taiwanese"></definition>
-     </concept>
-     <concept>
-      <code value="2036-2"></code>
-      <display value="Filipino"></display>
-      <definition value="Filipino"></definition>
-     </concept>
-     <concept>
-      <code value="2037-0"></code>
-      <display value="Hmong"></display>
-      <definition value="Hmong"></definition>
-     </concept>
-     <concept>
-      <code value="2038-8"></code>
-      <display value="Indonesian"></display>
-      <definition value="Indonesian"></definition>
-     </concept>
-     <concept>
-      <code value="2039-6"></code>
-      <display value="Japanese"></display>
-      <definition value="Japanese"></definition>
-     </concept>
-     <concept>
-      <code value="2040-4"></code>
-      <display value="Korean"></display>
-      <definition value="Korean"></definition>
-     </concept>
-     <concept>
-      <code value="2041-2"></code>
-      <display value="Laotian"></display>
-      <definition value="Laotian"></definition>
-     </concept>
-     <concept>
-      <code value="2042-0"></code>
-      <display value="Malaysian"></display>
-      <definition value="Malaysian"></definition>
-     </concept>
-     <concept>
-      <code value="2043-8"></code>
-      <display value="Okinawan"></display>
-      <definition value="Okinawan"></definition>
-     </concept>
-     <concept>
-      <code value="2044-6"></code>
-      <display value="Pakistani"></display>
-      <definition value="Pakistani"></definition>
-     </concept>
-     <concept>
-      <code value="2045-3"></code>
-      <display value="Sri Lankan"></display>
-      <definition value="Sri Lankan"></definition>
-     </concept>
-     <concept>
-      <code value="2046-1"></code>
-      <display value="Thai"></display>
-      <definition value="Thai"></definition>
-     </concept>
-     <concept>
-      <code value="2047-9"></code>
-      <display value="Vietnamese"></display>
-      <definition value="Vietnamese"></definition>
-     </concept>
-     <concept>
-      <code value="2048-7"></code>
-      <display value="Iwo Jiman"></display>
-      <definition value="Iwo Jiman"></definition>
-     </concept>
-     <concept>
-      <code value="2049-5"></code>
-      <display value="Maldivian"></display>
-      <definition value="Maldivian"></definition>
-     </concept>
-     <concept>
-      <code value="2050-3"></code>
-      <display value="Nepalese"></display>
-      <definition value="Nepalese"></definition>
-     </concept>
-     <concept>
-      <code value="2051-1"></code>
-      <display value="Singaporean"></display>
-      <definition value="Singaporean"></definition>
-     </concept>
-     <concept>
-      <code value="2052-9"></code>
-      <display value="Madagascar"></display>
-      <definition value="Madagascar"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="2054-5"></code>
-     <display value="Black or African American"></display>
-     <definition value="Black or African American"></definition>
-     <concept>
-      <code value="2056-0"></code>
-      <display value="Black"></display>
-      <definition value="Black"></definition>
-     </concept>
-     <concept>
-      <code value="2058-6"></code>
-      <display value="African American"></display>
-      <definition value="African American"></definition>
-     </concept>
-     <concept>
-      <code value="2060-2"></code>
-      <display value="African"></display>
-      <definition value="African"></definition>
-      <concept>
-       <code value="2061-0"></code>
-       <display value="Botswanan"></display>
-       <definition value="Botswanan"></definition>
-      </concept>
-      <concept>
-       <code value="2062-8"></code>
-       <display value="Ethiopian"></display>
-       <definition value="Ethiopian"></definition>
-      </concept>
-      <concept>
-       <code value="2063-6"></code>
-       <display value="Liberian"></display>
-       <definition value="Liberian"></definition>
-      </concept>
-      <concept>
-       <code value="2064-4"></code>
-       <display value="Namibian"></display>
-       <definition value="Namibian"></definition>
-      </concept>
-      <concept>
-       <code value="2065-1"></code>
-       <display value="Nigerian"></display>
-       <definition value="Nigerian"></definition>
-      </concept>
-      <concept>
-       <code value="2066-9"></code>
-       <display value="Zairean"></display>
-       <definition value="Zairean"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2067-7"></code>
-      <display value="Bahamian"></display>
-      <definition value="Bahamian"></definition>
-     </concept>
-     <concept>
-      <code value="2068-5"></code>
-      <display value="Barbadian"></display>
-      <definition value="Barbadian"></definition>
-     </concept>
-     <concept>
-      <code value="2069-3"></code>
-      <display value="Dominican"></display>
-      <definition value="Dominican"></definition>
-     </concept>
-     <concept>
-      <code value="2070-1"></code>
-      <display value="Dominica Islander"></display>
-      <definition value="Dominica Islander"></definition>
-     </concept>
-     <concept>
-      <code value="2071-9"></code>
-      <display value="Haitian"></display>
-      <definition value="Haitian"></definition>
-     </concept>
-     <concept>
-      <code value="2072-7"></code>
-      <display value="Jamaican"></display>
-      <definition value="Jamaican"></definition>
-     </concept>
-     <concept>
-      <code value="2073-5"></code>
-      <display value="Tobagoan"></display>
-      <definition value="Tobagoan"></definition>
-     </concept>
-     <concept>
-      <code value="2074-3"></code>
-      <display value="Trinidadian"></display>
-      <definition value="Trinidadian"></definition>
-     </concept>
-     <concept>
-      <code value="2075-0"></code>
-      <display value="West Indian"></display>
-      <definition value="West Indian"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="2076-8"></code>
-     <display value="Native Hawaiian or Other Pacific Islander"></display>
-     <definition value="Native Hawaiian or Other Pacific Islander"></definition>
-     <concept>
-      <code value="2078-4"></code>
-      <display value="Polynesian"></display>
-      <definition value="Polynesian"></definition>
-      <concept>
-       <code value="2079-2"></code>
-       <display value="Native Hawaiian"></display>
-       <definition value="Native Hawaiian"></definition>
-      </concept>
-      <concept>
-       <code value="2080-0"></code>
-       <display value="Samoan"></display>
-       <definition value="Samoan"></definition>
-      </concept>
-      <concept>
-       <code value="2081-8"></code>
-       <display value="Tahitian"></display>
-       <definition value="Tahitian"></definition>
-      </concept>
-      <concept>
-       <code value="2082-6"></code>
-       <display value="Tongan"></display>
-       <definition value="Tongan"></definition>
-      </concept>
-      <concept>
-       <code value="2083-4"></code>
-       <display value="Tokelauan"></display>
-       <definition value="Tokelauan"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2085-9"></code>
-      <display value="Micronesian"></display>
-      <definition value="Micronesian"></definition>
-      <concept>
-       <code value="2086-7"></code>
-       <display value="Guamanian or Chamorro"></display>
-       <definition value="Guamanian or Chamorro"></definition>
-      </concept>
-      <concept>
-       <code value="2087-5"></code>
-       <display value="Guamanian"></display>
-       <definition value="Guamanian"></definition>
-      </concept>
-      <concept>
-       <code value="2088-3"></code>
-       <display value="Chamorro"></display>
-       <definition value="Chamorro"></definition>
-      </concept>
-      <concept>
-       <code value="2089-1"></code>
-       <display value="Mariana Islander"></display>
-       <definition value="Mariana Islander"></definition>
-      </concept>
-      <concept>
-       <code value="2090-9"></code>
-       <display value="Marshallese"></display>
-       <definition value="Marshallese"></definition>
-      </concept>
-      <concept>
-       <code value="2091-7"></code>
-       <display value="Palauan"></display>
-       <definition value="Palauan"></definition>
-      </concept>
-      <concept>
-       <code value="2092-5"></code>
-       <display value="Carolinian"></display>
-       <definition value="Carolinian"></definition>
-      </concept>
-      <concept>
-       <code value="2093-3"></code>
-       <display value="Kosraean"></display>
-       <definition value="Kosraean"></definition>
-      </concept>
-      <concept>
-       <code value="2094-1"></code>
-       <display value="Pohnpeian"></display>
-       <definition value="Pohnpeian"></definition>
-      </concept>
-      <concept>
-       <code value="2095-8"></code>
-       <display value="Saipanese"></display>
-       <definition value="Saipanese"></definition>
-      </concept>
-      <concept>
-       <code value="2096-6"></code>
-       <display value="Kiribati"></display>
-       <definition value="Kiribati"></definition>
-      </concept>
-      <concept>
-       <code value="2097-4"></code>
-       <display value="Chuukese"></display>
-       <definition value="Chuukese"></definition>
-      </concept>
-      <concept>
-       <code value="2098-2"></code>
-       <display value="Yapese"></display>
-       <definition value="Yapese"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2100-6"></code>
-      <display value="Melanesian"></display>
-      <definition value="Melanesian"></definition>
-      <concept>
-       <code value="2101-4"></code>
-       <display value="Fijian"></display>
-       <definition value="Fijian"></definition>
-      </concept>
-      <concept>
-       <code value="2102-2"></code>
-       <display value="Papua New Guinean"></display>
-       <definition value="Papua New Guinean"></definition>
-      </concept>
-      <concept>
-       <code value="2103-0"></code>
-       <display value="Solomon Islander"></display>
-       <definition value="Solomon Islander"></definition>
-      </concept>
-      <concept>
-       <code value="2104-8"></code>
-       <display value="New Hebrides"></display>
-       <definition value="New Hebrides"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2500-7"></code>
-      <display value="Other Pacific Islander"></display>
-      <definition value="Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="2106-3"></code>
-     <display value="White"></display>
-     <definition value="White"></definition>
-     <concept>
-      <code value="2108-9"></code>
-      <display value="European"></display>
-      <definition value="European"></definition>
-      <concept>
-       <code value="2109-7"></code>
-       <display value="Armenian"></display>
-       <definition value="Armenian"></definition>
-      </concept>
-      <concept>
-       <code value="2110-5"></code>
-       <display value="English"></display>
-       <definition value="English"></definition>
-      </concept>
-      <concept>
-       <code value="2111-3"></code>
-       <display value="French"></display>
-       <definition value="French"></definition>
-      </concept>
-      <concept>
-       <code value="2112-1"></code>
-       <display value="German"></display>
-       <definition value="German"></definition>
-      </concept>
-      <concept>
-       <code value="2113-9"></code>
-       <display value="Irish"></display>
-       <definition value="Irish"></definition>
-      </concept>
-      <concept>
-       <code value="2114-7"></code>
-       <display value="Italian"></display>
-       <definition value="Italian"></definition>
-      </concept>
-      <concept>
-       <code value="2115-4"></code>
-       <display value="Polish"></display>
-       <definition value="Polish"></definition>
-      </concept>
-      <concept>
-       <code value="2116-2"></code>
-       <display value="Scottish"></display>
-       <definition value="Scottish"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2118-8"></code>
-      <display value="Middle Eastern or North African"></display>
-      <definition value="Middle Eastern or North African"></definition>
-      <concept>
-       <code value="2119-6"></code>
-       <display value="Assyrian"></display>
-       <definition value="Assyrian"></definition>
-      </concept>
-      <concept>
-       <code value="2120-4"></code>
-       <display value="Egyptian"></display>
-       <definition value="Egyptian"></definition>
-      </concept>
-      <concept>
-       <code value="2121-2"></code>
-       <display value="Iranian"></display>
-       <definition value="Iranian"></definition>
-      </concept>
-      <concept>
-       <code value="2122-0"></code>
-       <display value="Iraqi"></display>
-       <definition value="Iraqi"></definition>
-      </concept>
-      <concept>
-       <code value="2123-8"></code>
-       <display value="Lebanese"></display>
-       <definition value="Lebanese"></definition>
-      </concept>
-      <concept>
-       <code value="2124-6"></code>
-       <display value="Palestinian"></display>
-       <definition value="Palestinian"></definition>
-      </concept>
-      <concept>
-       <code value="2125-3"></code>
-       <display value="Syrian"></display>
-       <definition value="Syrian"></definition>
-      </concept>
-      <concept>
-       <code value="2126-1"></code>
-       <display value="Afghanistani"></display>
-       <definition value="Afghanistani"></definition>
-      </concept>
-      <concept>
-       <code value="2127-9"></code>
-       <display value="Israeili"></display>
-       <definition value="Israeili"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2129-5"></code>
-      <display value="Arab"></display>
-      <definition value="Arab"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="2131-1"></code>
-     <display value="Other Race"></display>
-     <definition value="Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ExposureMode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ExposureMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ExposureMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1113"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ExposureMode"></name>
-    <title value="v3 Code System ExposureMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ExposureMode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_ExposureMode"></code>
-     <display value="ExposureMode"></display>
-     <definition value="Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AIRBORNE"></code>
-      <display value="airborne"></display>
-      <definition value="Description: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation."></definition>
-     </concept>
-     <concept>
-      <code value="CONTACT"></code>
-      <display value="contact"></display>
-      <definition value="Description: Communication of an agent from a living subject or environmental source to a living subject through direct physical contact."></definition>
-     </concept>
-     <concept>
-      <code value="FOODBORNE"></code>
-      <display value="foodborne"></display>
-      <definition value="Description: Communication of an agent from a food source to a living subject via oral consumption."></definition>
-     </concept>
-     <concept>
-      <code value="WATERBORNE"></code>
-      <display value="waterborne"></display>
-      <definition value="Description: Communication of an agent to a living subject by contact and/or consumption via an aqueous medium"></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LivingArrangement"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-LivingArrangement"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-LivingArrangement"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.63"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.LivingArrangement"></name>
-    <title value="v3 Code System LivingArrangement"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code depicting the living arrangements of a person"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LivingArrangement"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="HL"></code>
-     <display value="homeless"></display>
-     <definition value="Definition: Living arrangements lacking a permanent residence."></definition>
-     <concept>
-      <code value="M"></code>
-      <display value="Nomadic"></display>
-      <definition value="Nomadic"></definition>
-     </concept>
-     <concept>
-      <code value="T"></code>
-      <display value="Transient"></display>
-      <definition value="Transient"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Institution"></display>
-     <definition value="Institution"></definition>
-     <concept>
-      <code value="CS"></code>
-      <display value="community shelter"></display>
-      <definition value="Definition: A group living arrangement specifically for the care of those in need of temporary and crisis housing assistance.  Examples include domestic violence shelters, shelters for displaced or homeless individuals, Salvation Army, Jesus House, etc.  Community based services may be provided."></definition>
-     </concept>
-     <concept>
-      <code value="G"></code>
-      <display value="Group Home"></display>
-      <definition value="Group Home"></definition>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="Nursing Home"></display>
-      <definition value="Nursing Home"></definition>
-     </concept>
-     <concept>
-      <code value="X"></code>
-      <display value="Extended care facility"></display>
-      <definition value="Extended care facility"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="private residence"></display>
-     <definition value="Definition:  A living arrangement within a private residence for single family."></definition>
-     <concept>
-      <code value="H"></code>
-      <display value="Independent Household"></display>
-      <definition value="Independent Household"></definition>
-     </concept>
-     <concept>
-      <code value="R"></code>
-      <display value="Retirement Community"></display>
-      <definition value="Retirement Community"></definition>
-     </concept>
-     <concept>
-      <code value="SL"></code>
-      <display value="supported living"></display>
-      <definition value="Definition: Assisted living in a single family residence for persons with physical, behavioral, or functional health, or socio-economic challenges.  There may or may not be on-site supervision but the housing is designed to assist the client with developing independent living skills. Community based services may be provided."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActCode"></fullUrl>
   <resource>
@@ -38350,6 +20096,3860 @@ the measure population as a narrative description (e.g., all patients seen in th
    </CodeSystem>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActExposureLevelCode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActExposureLevelCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActExposureLevelCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1114"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActExposureLevelCode"></name>
+    <title value="v3 Code System ActExposureLevelCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A qualitative measure of the degree of exposure to the causative agent.  This includes concepts such as &quot;low&quot;, &quot;medium&quot; and &quot;high&quot;.  This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActExposureLevelCode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_ActExposureLevelCode"></code>
+     <display value="ActExposureLevelCode"></display>
+     <definition value="A qualitative measure of the degree of exposure to the causative agent.  This includes concepts such as &quot;low&quot;, &quot;medium&quot; and &quot;high&quot;.  This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="HIGH"></code>
+      <display value="high"></display>
+      <definition value="Description: Exposure to an agent at a relatively high level above background."></definition>
+     </concept>
+     <concept>
+      <code value="LOW"></code>
+      <display value="low"></display>
+      <definition value="Description: Exposure to an agent at a relatively low level above background."></definition>
+     </concept>
+     <concept>
+      <code value="MEDIUM"></code>
+      <display value="medium"></display>
+      <definition value="Description: Exposure to an agent at a relatively moderate level above background.A"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActInvoiceElementModifier"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActInvoiceElementModifier"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActInvoiceElementModifier"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1051"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActInvoiceElementModifier"></name>
+    <title value="v3 Code System ActInvoiceElementModifier"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Processing consideration and clarification codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActInvoiceElementModifier"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="EFORM"></code>
+     <display value="Electronic Form To Follow"></display>
+     <definition value="Electronic form with supporting information to follow."></definition>
+    </concept>
+    <concept>
+     <code value="FAX"></code>
+     <display value="Fax To Follow"></display>
+     <definition value="Fax with supporting information to follow."></definition>
+    </concept>
+    <concept>
+     <code value="LINV"></code>
+     <display value="Last Invoice"></display>
+     <definition value="Represents the last invoice from the perspective of the provider."></definition>
+    </concept>
+    <concept>
+     <code value="PAPER"></code>
+     <display value="Paper Documentation To Follow"></display>
+     <definition value="Paper documentation (or other physical format) with supporting information to follow."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActMood"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActMood"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1001"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActMood"></name>
+    <title value="v3 Code System ActMood"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" OpenIssue:  In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found &quot;Persuasive With Mod&quot;, with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="_ActMoodCompletionTrack"></code>
+     <display value="ActMoodCompletionTrack"></display>
+     <definition value="These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_ActMoodPotential"></code>
+      <display value="potential"></display>
+      <definition value="Definition: A possible act."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="DEF"></code>
+       <display value="definition"></display>
+       <definition value="Definition: A definition of a kind of act that can occur .
+
+        
+         OpenIssue: The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be &quot;retired&quot; in the future in favor of the more general ActMood.CRT."></definition>
+      </concept>
+      <concept>
+       <code value="PERM"></code>
+       <display value="permission"></display>
+       <definition value="Definition: A kind of act that defines a permission that has been granted."></definition>
+      </concept>
+      <concept>
+       <code value="SLOT"></code>
+       <display value="resource slot"></display>
+       <definition value="Definition: A kind of act that may occur during the specified time period."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="EVN"></code>
+      <display value="event (occurrence)"></display>
+      <definition value="Definition: An act that actually happens (may be an ongoing act or a documentation of a past act)."></definition>
+     </concept>
+     <concept>
+      <code value="INT"></code>
+      <display value="intent"></display>
+      <definition value="Definition: An intention or plan for an act. 
+
+        
+         &gt;UsageNotes: The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur."></definition>
+      <concept>
+       <code value="_ActMoodDesire"></code>
+       <display value="desire"></display>
+       <definition value="Definition:  A desire to have an act occur."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="_ActMoodActRequest"></code>
+        <display value="act request"></display>
+        <definition value="Definition: A request (or order) for an act that is part of a defined request/fulfillment cycle.
+
+        
+         UsageNotes: Use of an HL7 defined request/fulfillment framework is not required to use this mood code."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="ARQ"></code>
+         <display value="appointment request"></display>
+         <definition value="Definition: A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment (the actual act may well not happen if that is the professional decision during the appointment)."></definition>
+        </concept>
+        <concept>
+         <code value="PERMRQ"></code>
+         <display value="permission request"></display>
+         <definition value="Definition: A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission."></definition>
+        </concept>
+        <concept>
+         <code value="RQO"></code>
+         <display value="request"></display>
+         <definition value="Definition: A request act that is specialized for an event request/fulfillment cycle. 
+
+        
+         UsageNotes: The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event. 
+
+        
+         UsageNotes: The concepts of a &quot;request&quot; and an &quot;order&quot; are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  &quot;Orders&quot; are commonly refused for a variety of clinical and business reasons, and the notion of a &quot;request&quot; obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is &quot;request.&quot;
+
+        Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the &quot;local&quot; business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.
+
+        The critical distinction here, is the difference between this concept and an &quot;intent&quot;, of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="PRP"></code>
+        <display value="proposal"></display>
+        <definition value="Definition: A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present."></definition>
+        <concept>
+         <code value="RMD"></code>
+         <display value="recommendation"></display>
+         <definition value="Definition: A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .
+
+        
+         UsageNotes: Where there is no clear definition or applicable concept of &quot;professional responsibility�, RMD becomes indistinguishable from PRP. ."></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PRMS"></code>
+       <display value="promise"></display>
+       <definition value="Definition: A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.
+
+        
+         UsageNotes: Commitments may be retracted or cancelled."></definition>
+       <concept>
+        <code value="APT"></code>
+        <display value="appointment"></display>
+        <definition value="Definition: An act that has been scheduled to be performed at a specific place and time."></definition>
+       </concept>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActMoodPredicate"></code>
+     <display value="ActMoodPredicate"></display>
+     <definition value="Definition: An act that expresses condition statements for other acts."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CRT"></code>
+      <display value="criterion"></display>
+      <definition value="Deprecation Comment: 
+         This concept This codes should no longer be used.  Instead, set attribute Act.isCriterionInd to &quot;true&quot; and use the desired mood for your criterion.
+
+        
+         Definition: A condition that must be true for the source act to be considered."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2010-07-12"></valueDateTime>
+      </property>
+      <concept>
+       <code value="EVN.CRT"></code>
+       <display value="event criterion"></display>
+       <definition value="Deprecation Comment: 
+         This concept This codes should no longer be used.  Instead, set attribute Act.isCriterionInd to &quot;true&quot; and use the desired mood for your criterion.
+
+        
+         Definition: A criterion (CRT) that has_match = an event (EVN)."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="deprecated"></valueCode>
+       </property>
+       <property>
+        <code value="deprecationDate"></code>
+        <valueDateTime value="2010-07-12"></valueDateTime>
+       </property>
+      </concept>
+      <concept>
+       <code value="GOL.CRT"></code>
+       <display value="goal criterion"></display>
+       <definition value="A criterion expressed over goals (ActMood.GOL)."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="INT.CRT"></code>
+       <display value="intent criterion"></display>
+       <definition value="A criterion expressed over intents (ActMood.INT)."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+       <concept>
+        <code value="PRMS.CRT"></code>
+        <display value="promise criterion"></display>
+        <definition value="A criterion expressed over promises (ActMood.PRMS)."></definition>
+        <property>
+         <code value="status"></code>
+         <valueCode value="retired"></valueCode>
+        </property>
+       </concept>
+       <concept>
+        <code value="RQO.CRT"></code>
+        <display value="request criterion"></display>
+        <definition value="A criterion expressed over requests or orders (ActMood.RQO)."></definition>
+        <property>
+         <code value="status"></code>
+         <valueCode value="retired"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="RSK.CRT"></code>
+       <display value="risk criterion"></display>
+       <definition value="A criterion expressed over risks (ActMood.RSK)."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+     </concept>
+     <concept>
+      <code value="EXPEC"></code>
+      <display value="expectation"></display>
+      <definition value="Definition: An act that is considered to have some noteworthy likelihood of occurring in the future (has_match = event).
+
+        
+         Examples:Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.
+
+        
+         UsageNotes:INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."></definition>
+      <concept>
+       <code value="GOL"></code>
+       <display value="Goal"></display>
+       <definition value="Definition: An expectation that is considered to be desirable to occur in the future 
+
+        
+         Examples:Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.
+
+        
+         UsageNotes: INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  &quot;I will reduce the dose of drug x to 20mg&quot; is an intent.  &quot;I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg&quot; is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."></definition>
+      </concept>
+      <concept>
+       <code value="RSK"></code>
+       <display value="risk"></display>
+       <definition value="Definition:An act that may occur in the future and which is regarded as undesirable 
+
+        
+         Examples:Increased risk of DVT, at risk for sub-acute bacterial endocarditis.
+
+        
+         UsageNotes:Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="OPT"></code>
+      <display value="option"></display>
+      <definition value="Definition: One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActPriority"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActPriority"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActPriority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.7"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActPriority"></name>
+    <title value="v3 Code System ActPriority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActPriority"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="ASAP"></display>
+     <definition value="As soon as possible, next highest priority after stat."></definition>
+    </concept>
+    <concept>
+     <code value="CR"></code>
+     <display value="callback results"></display>
+     <definition value="Filler should contact the placer as soon as results are available, even for preliminary results.  (Was &quot;C&quot; in HL7 version 2.3's reporting priority.)"></definition>
+    </concept>
+    <concept>
+     <code value="CS"></code>
+     <display value="callback for scheduling"></display>
+     <definition value="Filler should contact the placer (or target) to schedule the service.  (Was &quot;C&quot; in HL7 version 2.3's TQ-priority component.)"></definition>
+     <concept>
+      <code value="CSP"></code>
+      <display value="callback placer for scheduling"></display>
+      <definition value="Filler should contact the placer to schedule the service.  (Was &quot;C&quot; in HL7 version 2.3's TQ-priority component.)"></definition>
+     </concept>
+     <concept>
+      <code value="CSR"></code>
+      <display value="contact recipient for scheduling"></display>
+      <definition value="Filler should contact the service recipient (target) to schedule the service.  (Was &quot;C&quot; in HL7 version 2.3's TQ-priority component.)"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="EL"></code>
+     <display value="elective"></display>
+     <definition value="Beneficial to the patient but not essential for survival."></definition>
+    </concept>
+    <concept>
+     <code value="EM"></code>
+     <display value="emergency"></display>
+     <definition value="An unforeseen combination of circumstances or the resulting state that calls for immediate action."></definition>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="preop"></display>
+     <definition value="Used to indicate that a service is to be performed prior to a scheduled surgery.  When ordering a service and using the pre-op priority, a check is done to see the amount of time that must be allowed for performance of the service.  When the order is placed, a message can be generated indicating the time needed for the service so that it is not ordered in conflict with a scheduled operation."></definition>
+    </concept>
+    <concept>
+     <code value="PRN"></code>
+     <display value="as needed"></display>
+     <definition value="An &quot;as needed&quot; order should be accompanied by a description of what constitutes a need. This description is represented by an observation service predicate as a precondition."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="routine"></display>
+     <definition value="Routine service, do at usual work hours."></definition>
+    </concept>
+    <concept>
+     <code value="RR"></code>
+     <display value="rush reporting"></display>
+     <definition value="A report should be prepared and sent as quickly as possible."></definition>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="stat"></display>
+     <definition value="With highest priority (e.g., emergency)."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="timing critical"></display>
+     <definition value="It is critical to come as close as possible to the requested time (e.g., for a through antimicrobial level)."></definition>
+    </concept>
+    <concept>
+     <code value="UD"></code>
+     <display value="use as directed"></display>
+     <definition value="Drug is to be used as directed by the prescriber."></definition>
+    </concept>
+    <concept>
+     <code value="UR"></code>
+     <display value="urgent"></display>
+     <definition value="Calls for prompt action."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActReason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActReason"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActReason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.8"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActReason"></name>
+    <title value="v3 Code System ActReason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type &quot;has reason&quot; linking to another Act.  Examples:
+Example reasons that might qualify for being coded in this field might be: &quot;routine requirement&quot;, &quot;infectious disease reporting requirement&quot;, &quot;on patient request&quot;, &quot;required by law&quot;."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActReason"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_ActAccommodationReason"></code>
+     <display value="ActAccommodationReason"></display>
+     <definition value="Identifies the reason the patient is assigned to this accommodation type"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ACCREQNA"></code>
+      <display value="Accommodation Requested Not Available"></display>
+      <definition value="Accommodation requested is not available."></definition>
+     </concept>
+     <concept>
+      <code value="FLRCNV"></code>
+      <display value="Floor Convenience"></display>
+      <definition value="Accommodation is assigned for floor convenience."></definition>
+     </concept>
+     <concept>
+      <code value="MEDNEC"></code>
+      <display value="Medical Necessity"></display>
+      <definition value="Required for medical reasons(s)."></definition>
+     </concept>
+     <concept>
+      <code value="PAT"></code>
+      <display value="Patient request"></display>
+      <definition value="The Patient requested the action"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActCoverageReason"></code>
+     <display value="ActCoverageReason"></display>
+     <definition value="Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program.  May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_EligibilityActReasonCode"></code>
+      <display value="EligibilityActReasonCode"></display>
+      <definition value="Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. 
+
+        
+         Examples:  A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier.  A new employee is eligible for health insurance as an employment benefit.  A person meets a government program eligibility criteria for financial, age or health status."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_ActIneligibilityReason"></code>
+       <display value="ActIneligibilityReason"></display>
+       <definition value="Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.
+
+        Examples are client deceased &amp; adopted client has been given a new policy identifier."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="COVSUS"></code>
+        <display value="coverage suspended"></display>
+        <definition value="When a client has no contact with the health system for an extended period, coverage is suspended.  Client will be reinstated to original start date upon proof of identification, residency etc.
+
+        Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect)."></definition>
+       </concept>
+       <concept>
+        <code value="DECSD"></code>
+        <display value="deceased"></display>
+        <definition value="Client deceased."></definition>
+       </concept>
+       <concept>
+        <code value="REGERR"></code>
+        <display value="registered in error"></display>
+        <definition value="Client was registered in error."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_CoverageEligibilityReason"></code>
+       <display value="CoverageEligibilityReason"></display>
+       <definition value="Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. 
+
+        
+         Examples:  A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier.  A new employee is eligible for health insurance as an employment benefit.  A person meets a government program eligibility criteria for financial, age or health status."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="AGE"></code>
+        <display value="age eligibility"></display>
+        <definition value="A person becomes eligible for a program based on age.
+
+        
+         Example:  In the U.S., a person who is 65 years of age or older is eligible for Medicare."></definition>
+       </concept>
+       <concept>
+        <code value="CRIME"></code>
+        <display value="crime victim"></display>
+        <definition value="A person becomes eligible for insurance or a program because of crime related health condition or injury. 
+
+        
+         Example:  A person is a claimant under the U.S. Crime Victims Compensation program."></definition>
+       </concept>
+       <concept>
+        <code value="DIS"></code>
+        <display value="disability"></display>
+        <definition value="A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization."></definition>
+       </concept>
+       <concept>
+        <code value="EMPLOY"></code>
+        <display value="employment benefit"></display>
+        <definition value="A person becomes eligible for insurance provided as an employment benefit based on employment status."></definition>
+       </concept>
+       <concept>
+        <code value="FINAN"></code>
+        <display value="financial eligibility"></display>
+        <definition value="A person becomes eligible for a program based on financial criteria.
+
+        
+         Example:  A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP."></definition>
+       </concept>
+       <concept>
+        <code value="HEALTH"></code>
+        <display value="health status"></display>
+        <definition value="A person becomes eligible for a program because of a qualifying health condition or injury. 
+
+        
+         Examples:  A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program"></definition>
+       </concept>
+       <concept>
+        <code value="MULTI"></code>
+        <display value="multiple criteria eligibility"></display>
+        <definition value="A person becomes eligible for a program based on more than one criterion.
+
+        
+         Examples:  In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT).  A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles."></definition>
+       </concept>
+       <concept>
+        <code value="PNC"></code>
+        <display value="property and casualty condition"></display>
+        <definition value="A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. 
+
+        
+         Example:  A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises."></definition>
+       </concept>
+       <concept>
+        <code value="STATUTORY"></code>
+        <display value="statutory eligibility"></display>
+        <definition value="A person becomes eligible for a program based on statutory criteria.
+
+        
+         Examples:  A person is a member of an indigenous group, a veteran of military service, or  in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security."></definition>
+       </concept>
+       <concept>
+        <code value="VEHIC"></code>
+        <display value="motor vehicle accident victim"></display>
+        <definition value="A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury."></definition>
+       </concept>
+       <concept>
+        <code value="WORK"></code>
+        <display value="work related"></display>
+        <definition value="A person becomes eligible for insurance or a program because of a work related health condition or injury. 
+
+        
+         Example:  A person is a claimant under the U.S. Black Lung Program."></definition>
+       </concept>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActInformationManagementReason"></code>
+     <display value="ActInformationManagementReason"></display>
+     <definition value="Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_ActHealthInformationManagementReason"></code>
+      <display value="ActHealthInformationManagementReason"></display>
+      <definition value="Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to  data retention."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_ActConsentInformationAccessOverrideReason"></code>
+       <display value="ActConsentInformationAccessOverrideReason"></display>
+       <definition value="To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition;  or for protecting public or third party safety.
+
+        
+         Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information.  Typically, this involves overriding the subject's consent directives."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="OVRER"></code>
+        <display value="emergency treatment override"></display>
+        <definition value="To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.
+
+        
+         Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record."></definition>
+       </concept>
+       <concept>
+        <code value="OVRINCOMP"></code>
+        <display value="incompetency override"></display>
+        <definition value="To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent.
+
+        
+         Usage Note: Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC &quot;Subject is not competent to consent&quot;."></definition>
+       </concept>
+       <concept>
+        <code value="OVRPJ"></code>
+        <display value="professional judgment override"></display>
+        <definition value="To perform one or more operations on information to which the patient declined to consent for providing health care.
+
+        
+         Usage Notes: The patient, while able to give consent, has not.  However the provider believes it is in the patient's interest to access the record without patient consent."></definition>
+       </concept>
+       <concept>
+        <code value="OVRPS"></code>
+        <display value="public safety override"></display>
+        <definition value="To perform one or more operations on information to which the patient has not consented for public safety reasons.
+
+        
+         Usage Notes: The patient, while able to give consent, has not.  However, the provider believes that access to masked patient information is justified because of concerns related to public safety."></definition>
+       </concept>
+       <concept>
+        <code value="OVRTPS"></code>
+        <display value="third party safety override"></display>
+        <definition value="To perform one or more operations on information to which the patient has not consented for third party safety.  
+
+        
+         Usage Notes: The patient, while able to give consent, has not.  However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PurposeOfUse"></code>
+       <display value="purpose of use"></display>
+       <definition value="Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.
+
+        
+         Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes."></definition>
+       <concept>
+        <code value="HMARKT"></code>
+        <display value="healthcare marketing"></display>
+        <definition value="To perform one or more operations on information for marketing services and products related to health care."></definition>
+       </concept>
+       <concept>
+        <code value="HOPERAT"></code>
+        <display value="healthcare operations"></display>
+        <definition value="To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care."></definition>
+        <concept>
+         <code value="CAREMGT"></code>
+         <display value="care management"></display>
+         <definition value="To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.
+
+        
+         Usage Note: The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service.
+
+        
+         Map: Maps to ISO 14265 Classification Term &quot;Health service management and quality assurance&quot; described as &quot;To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services.&quot; 
+
+        There is a semantic gap in concepts.  This classification term  is described as activities, i.e., &quot;to inform persons&quot; or &quot;to inform processes&quot; rather than the rationale for performing actions/operations on information related to the activity."></definition>
+        </concept>
+        <concept>
+         <code value="DONAT"></code>
+         <display value="donation"></display>
+         <definition value="To perform one or more operations on information used for cadaveric organ, eye or tissue donation."></definition>
+        </concept>
+        <concept>
+         <code value="FRAUD"></code>
+         <display value="fraud"></display>
+         <definition value="To perform one or more operations on information used for fraud detection and prevention processes."></definition>
+        </concept>
+        <concept>
+         <code value="GOV"></code>
+         <display value="government"></display>
+         <definition value="To perform one or more operations on information used within government processes."></definition>
+        </concept>
+        <concept>
+         <code value="HACCRED"></code>
+         <display value="health accreditation"></display>
+         <definition value="To perform one or more operations on information for conducting activities related to meeting accreditation criteria."></definition>
+        </concept>
+        <concept>
+         <code value="HCOMPL"></code>
+         <display value="health compliance"></display>
+         <definition value="To perform one or more operations on information used for conducting activities required to meet a mandate."></definition>
+        </concept>
+        <concept>
+         <code value="HDECD"></code>
+         <display value="decedent"></display>
+         <definition value="To perform one or more operations on information used for handling deceased patient matters."></definition>
+        </concept>
+        <concept>
+         <code value="HDIRECT"></code>
+         <display value="directory"></display>
+         <definition value="To perform one or more operation operations on information used to manage a patient directory.
+
+        
+         Examples: 
+        
+
+        
+         facility
+         enterprise
+         payer
+         health information exchange patient directory"></definition>
+        </concept>
+        <concept>
+         <code value="HDM"></code>
+         <display value="healthcare delivery management"></display>
+         <definition value="To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of  an individual's benefits in a healthcare program, health plan or insurance.   Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.
+
+
+        
+         Usage Note: Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking.
+
+        
+         Map: Maps to ISO 14265 Classification Term  &quot;Administration of care for an individual subject of care&quot; described as &quot;To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care.&quot;
+
+        However, this classification term is described as activities, i.e., &quot;to inform persons&quot; or &quot;to inform processes&quot; rather than the rationale for performing actions/operations on information related to the activity."></definition>
+        </concept>
+        <concept>
+         <code value="HLEGAL"></code>
+         <display value="legal"></display>
+         <definition value="To perform one or more operations on information for conducting activities required by legal proceeding."></definition>
+        </concept>
+        <concept>
+         <code value="HOUTCOMS"></code>
+         <display value="health outcome measure"></display>
+         <definition value="To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions."></definition>
+        </concept>
+        <concept>
+         <code value="HPRGRP"></code>
+         <display value="health program reporting"></display>
+         <definition value="To perform one or more operations on information used for conducting activities to meet program accounting requirements."></definition>
+        </concept>
+        <concept>
+         <code value="HQUALIMP"></code>
+         <display value="health quality improvement"></display>
+         <definition value="To perform one or more operations on information used for conducting administrative activities to improve health care quality."></definition>
+        </concept>
+        <concept>
+         <code value="HSYSADMIN"></code>
+         <display value="health system administration"></display>
+         <definition value="To perform one or more operations on information to administer the electronic systems used for the delivery of health care."></definition>
+         <concept>
+          <code value="LABELING"></code>
+          <display value="labeling"></display>
+          <definition value="To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies.
+
+        Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides.  Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification.
+
+        Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent.  If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked."></definition>
+         </concept>
+         <concept>
+          <code value="METAMGT"></code>
+          <display value="metadata management"></display>
+          <definition value="To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users.  For example, master index identifier, media type, and location."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="MEMADMIN"></code>
+         <display value="member administration"></display>
+         <definition value="To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program."></definition>
+        </concept>
+        <concept>
+         <code value="MILCDM"></code>
+         <display value="military command"></display>
+         <definition value="To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law."></definition>
+        </concept>
+        <concept>
+         <code value="PATADMIN"></code>
+         <display value="patient administration"></display>
+         <definition value="To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient."></definition>
+        </concept>
+        <concept>
+         <code value="PATSFTY"></code>
+         <display value="patient safety"></display>
+         <definition value="To perform one or more operations on information in processes related to ensuring the safety of health care."></definition>
+        </concept>
+        <concept>
+         <code value="PERFMSR"></code>
+         <display value="performance measure"></display>
+         <definition value="To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions."></definition>
+        </concept>
+        <concept>
+         <code value="RECORDMGT"></code>
+         <display value="records management"></display>
+         <definition value="To perform one or more operations on information used within the health records management process."></definition>
+        </concept>
+        <concept>
+         <code value="SYSDEV"></code>
+         <display value="system development"></display>
+         <definition value="To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application."></definition>
+         <concept>
+          <code value="HTEST"></code>
+          <display value="test health data"></display>
+          <definition value="To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment.
+
+        
+         Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="TRAIN"></code>
+         <display value="training"></display>
+         <definition value="To perform one or more operations on information used in training and education."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="HPAYMT"></code>
+        <display value="healthcare payment"></display>
+        <definition value="To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care."></definition>
+        <concept>
+         <code value="CLMATTCH"></code>
+         <display value="claim attachment"></display>
+         <definition value="To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services."></definition>
+        </concept>
+        <concept>
+         <code value="COVAUTH"></code>
+         <display value="coverage authorization"></display>
+         <definition value="To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services."></definition>
+        </concept>
+        <concept>
+         <code value="COVERAGE"></code>
+         <display value="coverage under policy or program"></display>
+         <definition value="To perform one or more operations on information for conducting activities related to coverage under a program or policy."></definition>
+         <concept>
+          <code value="ELIGDTRM"></code>
+          <display value="eligibility determination"></display>
+          <definition value="To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy.  May entail review of financial status or disability assessment."></definition>
+         </concept>
+         <concept>
+          <code value="ELIGVER"></code>
+          <display value="eligibility verification"></display>
+          <definition value="To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy.  May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays."></definition>
+         </concept>
+         <concept>
+          <code value="ENROLLM"></code>
+          <display value="enrollment"></display>
+          <definition value="To perform one or more operations on information used for enrolling a covered party in a program or policy.  May entail recording of covered party's and any dependent's demographic information and benefit choices."></definition>
+         </concept>
+         <concept>
+          <code value="MILDCRG"></code>
+          <display value="military discharge"></display>
+          <definition value="To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="REMITADV"></code>
+         <display value="remittance advice"></display>
+         <definition value="To perform one or more operations on information about the amount remitted for a health care claim."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="HRESCH"></code>
+        <display value="healthcare research"></display>
+        <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.  Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research."></definition>
+        <concept>
+         <code value="BIORCH"></code>
+         <display value="biomedical research"></display>
+         <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research.  For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
+        </concept>
+        <concept>
+         <code value="CLINTRCH"></code>
+         <display value="clinical trial research"></display>
+         <definition value="To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge."></definition>
+         <concept>
+          <code value="CLINTRCHNPC"></code>
+          <display value="clinical trial research without patient care"></display>
+          <definition value="To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population."></definition>
+         </concept>
+         <concept>
+          <code value="CLINTRCHPC"></code>
+          <display value="clinical trial research with patient care"></display>
+          <definition value="To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an &quot;off-label&quot; drug used for cancer therapy administer to a specified patient population."></definition>
+         </concept>
+         <concept>
+          <code value="PRECLINTRCH"></code>
+          <display value="preclinical trial research"></display>
+          <definition value="To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process.  May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="DSRCH"></code>
+         <display value="disease specific healthcare research"></display>
+         <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research.  For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
+        </concept>
+        <concept>
+         <code value="POARCH"></code>
+         <display value="population origins or ancestry healthcare research"></display>
+         <definition value="To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research.  For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
+        </concept>
+        <concept>
+         <code value="TRANSRCH"></code>
+         <display value="translational healthcare research"></display>
+         <definition value="To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment.  Sometimes referred to as &quot;bench to bedside&quot;, which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="PATRQT"></code>
+        <display value="patient requested"></display>
+        <definition value="To perform one or more operations on information in response to a patient's request."></definition>
+        <concept>
+         <code value="FAMRQT"></code>
+         <display value="family requested"></display>
+         <definition value="To perform one or more operations on information in response to a request by a family member authorized by the patient."></definition>
+        </concept>
+        <concept>
+         <code value="PWATRNY"></code>
+         <display value="power of attorney"></display>
+         <definition value="To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative."></definition>
+        </concept>
+        <concept>
+         <code value="SUPNWK"></code>
+         <display value="support network"></display>
+         <definition value="To perform one or more operations on information in response to a request by a person authorized by the patient."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="PUBHLTH"></code>
+        <display value="public health"></display>
+        <definition value="To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions."></definition>
+        <concept>
+         <code value="DISASTER"></code>
+         <display value="disaster"></display>
+         <definition value="To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone."></definition>
+        </concept>
+        <concept>
+         <code value="THREAT"></code>
+         <display value="threat"></display>
+         <definition value="To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="TREAT"></code>
+        <display value="treatment"></display>
+        <definition value="To perform one or more operations on information for provision of health care."></definition>
+        <concept>
+         <code value="CLINTRL"></code>
+         <display value="clinical trial"></display>
+         <definition value="To perform health care as part of the clinical trial protocol."></definition>
+        </concept>
+        <concept>
+         <code value="COC"></code>
+         <display value="coordination of care"></display>
+         <definition value="To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care.
+
+        
+         Usage Note: Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences.   2. Acting as the communication link between two or more participants concerned with a person's health and wellness.  3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person.  4. Ensuring safe, appropriate, non-duplicative, and effective integrated care.
+
+        The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment.
+
+        For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare.
+
+        
+         Map: Maps to ISO 14265 Classification Terms: &quot;Support of care activities within the provider organisation for an individual subject of care&quot; described as &quot;To inform persons or processes enabling others to provide health care services to the subject of care.&quot;  &quot;Subject of Care Uses&quot; described as &quot;To inform the subject of care in support of his or her own interests.&quot;"></definition>
+        </concept>
+        <concept>
+         <code value="ETREAT"></code>
+         <display value="Emergency Treatment"></display>
+         <definition value="To perform one or more operations on information for provision of immediately needed health care for an emergent condition."></definition>
+         <concept>
+          <code value="BTG"></code>
+          <display value="break the glass"></display>
+          <definition value="To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use.  Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.
+
+        
+         Map: Partially Maps to ISO 14265 Classification Term &quot;Emergency care provision to an individual subject of care&quot; described as &quot;To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the  policies and consents pertaining to Purpose 1 above.&quot; Purpose 1 is equivalent to HL7 treatment purpose of use: &quot;Clinical care provision to an individual subject of care&quot; described as &quot;To inform persons or processes responsible for providing health care services to the subject of care.&quot;
+The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent.  This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure."></definition>
+         </concept>
+         <concept>
+          <code value="ERTREAT"></code>
+          <display value="emergency room treatment"></display>
+          <definition value="To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a &quot;Break the Glass&quot; purpose of use.
+
+        Map:Partially Maps to ISO 14265 Classification Term &quot;Emergency care provision to an individual subject of care&quot; described as &quot;To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the  policies and consents pertaining to Purpose 1 above.&quot; Purpose 1 is equivalent to HL7 treatment purpose of use: &quot;Clinical care provision to an individual subject of care&quot; described as &quot;To inform persons or processes responsible for providing health care services to the subject of care.&quot;
+
+        The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent.  This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. 
+
+        There is a semantic gap in concepts.  This classification term is described as activities “to inform persons� rather than the rationale for performing actions/operations on information related to the activity."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="POPHLTH"></code>
+         <display value="population health"></display>
+         <definition value="To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program."></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_ActInformationPrivacyReason"></code>
+      <display value="ActInformationPrivacyReason"></display>
+      <definition value="Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="MARKT"></code>
+       <display value="marketing"></display>
+       <definition value="Description:"></definition>
+      </concept>
+      <concept>
+       <code value="OPERAT"></code>
+       <display value="operations"></display>
+       <definition value="Description:Administrative and contractual processes required to support an activity, product, or service"></definition>
+       <concept>
+        <code value="LEGAL"></code>
+        <display value="subpoena"></display>
+        <definition value="Definition:To provide information as a result of a subpoena."></definition>
+       </concept>
+       <concept>
+        <code value="ACCRED"></code>
+        <display value="accreditation"></display>
+        <definition value="Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service"></definition>
+       </concept>
+       <concept>
+        <code value="COMPL"></code>
+        <display value="compliance"></display>
+        <definition value="Description:Operational activities required to meet a mandate related to an activity, product, or service"></definition>
+       </concept>
+       <concept>
+        <code value="ENADMIN"></code>
+        <display value="entity administration"></display>
+        <definition value="Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service"></definition>
+       </concept>
+       <concept>
+        <code value="OUTCOMS"></code>
+        <display value="outcome measure"></display>
+        <definition value="Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service"></definition>
+       </concept>
+       <concept>
+        <code value="PRGRPT"></code>
+        <display value="program reporting"></display>
+        <definition value="Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service"></definition>
+       </concept>
+       <concept>
+        <code value="QUALIMP"></code>
+        <display value="quality improvement"></display>
+        <definition value="Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service"></definition>
+       </concept>
+       <concept>
+        <code value="SYSADMN"></code>
+        <display value="system administration"></display>
+        <definition value="Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PAYMT"></code>
+       <display value="payment"></display>
+       <definition value="Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service"></definition>
+      </concept>
+      <concept>
+       <code value="RESCH"></code>
+       <display value="research"></display>
+       <definition value="Description:Investigative activities conducted for the purposes of obtaining knowledge"></definition>
+      </concept>
+      <concept>
+       <code value="SRVC"></code>
+       <display value="service"></display>
+       <definition value="Description:Provision of a service, product, or capability to an individual or organization"></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActInvalidReason"></code>
+     <display value="ActInvalidReason"></display>
+     <definition value="Description: Types of reasons why a substance is invalid for use."></definition>
+     <concept>
+      <code value="ADVSTORAGE"></code>
+      <display value="adverse storage condition"></display>
+      <definition value="Description: Storage conditions caused the substance to be ineffective."></definition>
+      <concept>
+       <code value="COLDCHNBRK"></code>
+       <display value="cold chain break"></display>
+       <definition value="Description: Cold chain was not maintained for the substance."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="EXPLOT"></code>
+      <display value="expired lot"></display>
+      <definition value="Description: The lot from which the substance was drawn was expired."></definition>
+     </concept>
+     <concept>
+      <code value="OUTSIDESCHED"></code>
+      <display value="administered outside recommended schedule or practice"></display>
+      <definition value="The substance was administered outside of the recommended schedule or practice."></definition>
+     </concept>
+     <concept>
+      <code value="PRODRECALL"></code>
+      <display value="product recall"></display>
+      <definition value="Description: The substance was recalled by the manufacturer."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActInvoiceCancelReason"></code>
+     <display value="ActInvoiceCancelReason"></display>
+     <definition value="Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="INCCOVPTY"></code>
+      <display value="incorrect covered party as patient"></display>
+      <definition value="The covered party (patient) specified with the Invoice is not correct."></definition>
+     </concept>
+     <concept>
+      <code value="INCINVOICE"></code>
+      <display value="incorrect billing"></display>
+      <definition value="The billing information, specified in the Invoice Elements, is not correct.  This could include incorrect costing for items included in the Invoice."></definition>
+     </concept>
+     <concept>
+      <code value="INCPOLICY"></code>
+      <display value="incorrect policy"></display>
+      <definition value="The policy specified with the Invoice is not correct.  For example, it may belong to another Adjudicator or Covered Party."></definition>
+     </concept>
+     <concept>
+      <code value="INCPROV"></code>
+      <display value="incorrect provider"></display>
+      <definition value="The provider specified with the Invoice is not correct."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActNoImmunizationReason"></code>
+     <display value="ActNoImmunizationReason"></display>
+     <definition value="A coded description of the reason for why a patient did not receive a scheduled immunization.
+
+        (important for public health strategy"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="IMMUNE"></code>
+      <display value="immunity"></display>
+      <definition value="Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization."></definition>
+     </concept>
+     <concept>
+      <code value="MEDPREC"></code>
+      <display value="medical precaution"></display>
+      <definition value="Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted."></definition>
+     </concept>
+     <concept>
+      <code value="OSTOCK"></code>
+      <display value="product out of stock"></display>
+      <definition value="Definition:There was no supply of the product on hand to perform the service."></definition>
+     </concept>
+     <concept>
+      <code value="PATOBJ"></code>
+      <display value="patient objection"></display>
+      <definition value="Definition:The patient or their guardian objects to receiving the vaccine."></definition>
+     </concept>
+     <concept>
+      <code value="PHILISOP"></code>
+      <display value="philosophical objection"></display>
+      <definition value="Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs."></definition>
+     </concept>
+     <concept>
+      <code value="RELIG"></code>
+      <display value="religious objection"></display>
+      <definition value="Definition:The patient or their guardian objects to receiving the vaccine on religious grounds."></definition>
+     </concept>
+     <concept>
+      <code value="VACEFF"></code>
+      <display value="vaccine efficacy concerns"></display>
+      <definition value="Definition:The intended vaccine has expired or is otherwise believed to no longer be effective.
+
+        
+         Example:Due to temperature exposure."></definition>
+     </concept>
+     <concept>
+      <code value="VACSAF"></code>
+      <display value="vaccine safety concerns"></display>
+      <definition value="Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActSupplyFulfillmentRefusalReason"></code>
+     <display value="ActSupplyFulfillmentRefusalReason"></display>
+     <definition value="Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision.  E.g. &quot;Suspect fraud&quot;, &quot;Possible abuse&quot;, &quot;Contraindicated&quot;.
+
+        (used when capturing 'refusal to fill' annotations)"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="FRR01"></code>
+      <display value="order stopped"></display>
+      <definition value="Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically.
+
+        
+         Example:A verbal stop, a fax, etc."></definition>
+     </concept>
+     <concept>
+      <code value="FRR02"></code>
+      <display value="stale-dated order"></display>
+      <definition value="Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current."></definition>
+     </concept>
+     <concept>
+      <code value="FRR03"></code>
+      <display value="incomplete data"></display>
+      <definition value="Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available
+
+        
+         Example:Lab results, diagnostic imaging, etc."></definition>
+     </concept>
+     <concept>
+      <code value="FRR04"></code>
+      <display value="product unavailable"></display>
+      <definition value="Definition:Product not available or manufactured. Cannot supply."></definition>
+     </concept>
+     <concept>
+      <code value="FRR05"></code>
+      <display value="ethical/religious"></display>
+      <definition value="Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product."></definition>
+     </concept>
+     <concept>
+      <code value="FRR06"></code>
+      <display value="unable to provide care"></display>
+      <definition value="Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order.
+
+        
+         Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ClinicalResearchEventReason"></code>
+     <display value="ClinicalResearchEventReason"></display>
+     <definition value="Definition:Specifies the reason that an event occurred in a clinical research study."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="RET"></code>
+      <display value="retest"></display>
+      <definition value="Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol."></definition>
+     </concept>
+     <concept>
+      <code value="SCH"></code>
+      <display value="scheduled"></display>
+      <definition value="Definition:The event occurred due to it being scheduled in the research protocol."></definition>
+     </concept>
+     <concept>
+      <code value="TRM"></code>
+      <display value="termination"></display>
+      <definition value="Definition:The event occurred in order to terminate the subject's participation in the study."></definition>
+     </concept>
+     <concept>
+      <code value="UNS"></code>
+      <display value="unscheduled"></display>
+      <definition value="Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ClinicalResearchObservationReason"></code>
+     <display value="ClinicalResearchObservationReason"></display>
+     <definition value="Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study.
+
+        
+         Note:This set of codes are not strictly reasons, but are used in the currently Normative standard.  Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired.  Thus, these codes should not be used for new specifications."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="NPT"></code>
+      <display value="non-protocol"></display>
+      <definition value="Definition:The observation or test was neither defined or scheduled in the study protocol."></definition>
+     </concept>
+     <concept>
+      <code value="PPT"></code>
+      <display value="per protocol"></display>
+      <definition value="Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol."></definition>
+     </concept>
+     <concept>
+      <code value="UPT"></code>
+      <display value="per definition"></display>
+      <definition value=":The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CombinedPharmacyOrderSuspendReasonCode"></code>
+     <display value="CombinedPharmacyOrderSuspendReasonCode"></display>
+     <definition value="Description:Indicates why the prescription should be suspended."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ALTCHOICE"></code>
+      <display value="try another treatment first"></display>
+      <definition value="Description:This therapy has been ordered as a backup to a preferred therapy.  This order will be released when and if the preferred therapy is unsuccessful."></definition>
+     </concept>
+     <concept>
+      <code value="CLARIF"></code>
+      <display value="prescription requires clarification"></display>
+      <definition value="Description:Clarification is required before the order can be acted upon."></definition>
+     </concept>
+     <concept>
+      <code value="DRUGHIGH"></code>
+      <display value="drug level too high"></display>
+      <definition value="Description:The current level of the medication in the patient's system is too high.  The medication is suspended to allow the level to subside to a safer level."></definition>
+     </concept>
+     <concept>
+      <code value="HOSPADM"></code>
+      <display value="admission to hospital"></display>
+      <definition value="Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."></definition>
+     </concept>
+     <concept>
+      <code value="LABINT"></code>
+      <display value="lab interference issues"></display>
+      <definition value="Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."></definition>
+     </concept>
+     <concept>
+      <code value="NON-AVAIL"></code>
+      <display value="patient not-available"></display>
+      <definition value="Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."></definition>
+     </concept>
+     <concept>
+      <code value="PREG"></code>
+      <display value="parent is pregnant/breast feeding"></display>
+      <definition value="Description:The patient is pregnant or breast feeding.  The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."></definition>
+     </concept>
+     <concept>
+      <code value="SALG"></code>
+      <display value="allergy"></display>
+      <definition value="Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
+     </concept>
+     <concept>
+      <code value="SDDI"></code>
+      <display value="drug interacts with another drug"></display>
+      <definition value="Description:The drug interacts with a short-term treatment that is more urgently required.  This order will be resumed when the short-term treatment is complete."></definition>
+     </concept>
+     <concept>
+      <code value="SDUPTHER"></code>
+      <display value="duplicate therapy"></display>
+      <definition value="Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy.  This therapy will be resumed when the co-occuring therapy is complete."></definition>
+     </concept>
+     <concept>
+      <code value="SINTOL"></code>
+      <display value="suspected intolerance"></display>
+      <definition value="Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
+     </concept>
+     <concept>
+      <code value="SURG"></code>
+      <display value="patient scheduled for surgery"></display>
+      <definition value="Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future.  The drug will be resumed when the patient has sufficiently recovered from the surgery."></definition>
+     </concept>
+     <concept>
+      <code value="WASHOUT"></code>
+      <display value="waiting for old drug to wash out"></display>
+      <definition value="Description:The patient was previously receiving a medication contraindicated with the current medication.  The current medication will remain on hold until the prior medication has been cleansed from their system."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ControlActNullificationReasonCode"></code>
+     <display value="ControlActNullificationReasonCode"></display>
+     <definition value="Description:Identifies reasons for nullifying (retracting) a particular control act."></definition>
+     <concept>
+      <code value="ALTD"></code>
+      <display value="altered decision"></display>
+      <definition value="Description:The decision on which the recorded information was based was changed before the decision had an effect.
+
+        
+         Example:Aborted prescription before patient left office, released prescription before suspend took effect."></definition>
+     </concept>
+     <concept>
+      <code value="EIE"></code>
+      <display value="entered in error"></display>
+      <definition value="Description:The information was recorded incorrectly or was recorded in the wrong record."></definition>
+     </concept>
+     <concept>
+      <code value="NORECMTCH"></code>
+      <display value="no record match"></display>
+      <definition value="Description: There is no match for the record in the database."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ControlActNullificationRefusalReasonType"></code>
+     <display value="ControlActNullificationRefusalReasonType"></display>
+     <definition value="Description: Reasons to refuse a transaction to be undone."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="INRQSTATE"></code>
+      <display value="in requested state"></display>
+      <definition value="The record is already in the requested state."></definition>
+     </concept>
+     <concept>
+      <code value="NOMATCH"></code>
+      <display value="no match"></display>
+      <definition value="Description: There is no match."></definition>
+      <property>
+       <code value="child"></code>
+       <valueCode value="NORECMTCH"></valueCode>
+      </property>
+      <concept>
+       <code value="NOPRODMTCH"></code>
+       <display value="no product match"></display>
+       <definition value="Description: There is no match for the product in the master file repository."></definition>
+      </concept>
+      <concept>
+       <code value="NOSERMTCH"></code>
+       <display value="no service match"></display>
+       <definition value="Description: There is no match for the service in the master file repository."></definition>
+      </concept>
+      <concept>
+       <code value="NOVERMTCH"></code>
+       <display value="no version match"></display>
+       <definition value="Description: There is no match for the record and version."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="NOPERM"></code>
+      <display value="no permission"></display>
+      <definition value="Description: There is no permission."></definition>
+      <concept>
+       <code value="NOUSERPERM"></code>
+       <display value="no user permission"></display>
+       <definition value="Definition:The user does not have permission"></definition>
+      </concept>
+      <concept>
+       <code value="NOAGNTPERM"></code>
+       <display value="no agent permission"></display>
+       <definition value="Description: The agent does not have permission."></definition>
+      </concept>
+      <concept>
+       <code value="NOUSRPERM"></code>
+       <display value="no user permission"></display>
+       <definition value="Description: The user does not have permission."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+     </concept>
+     <concept>
+      <code value="WRNGVER"></code>
+      <display value="wrong version"></display>
+      <definition value="Description: The record and version requested to update is not the current version."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ControlActReason"></code>
+     <display value="ControlActReason"></display>
+     <definition value="Identifies why a specific query, request, or other trigger event occurred."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_MedicationOrderAbortReasonCode"></code>
+      <display value="medication order abort reason"></display>
+      <definition value="Description:Indicates the reason the medication order should be aborted."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="DISCONT"></code>
+       <display value="product discontinued"></display>
+       <definition value="Description:The medication is no longer being manufactured or is otherwise no longer available."></definition>
+      </concept>
+      <concept>
+       <code value="INEFFECT"></code>
+       <display value="ineffective"></display>
+       <definition value="Description:The therapy has been found to not have the desired therapeutic benefit on the patient."></definition>
+      </concept>
+      <concept>
+       <code value="MONIT"></code>
+       <display value="response to monitoring"></display>
+       <definition value="Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate."></definition>
+      </concept>
+      <concept>
+       <code value="NOREQ"></code>
+       <display value="no longer required for treatment"></display>
+       <definition value="Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed."></definition>
+      </concept>
+      <concept>
+       <code value="NOTCOVER"></code>
+       <display value="not covered"></display>
+       <definition value="Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy."></definition>
+      </concept>
+      <concept>
+       <code value="PREFUS"></code>
+       <display value="patient refuse"></display>
+       <definition value="Description:The patient refused to take the product."></definition>
+      </concept>
+      <concept>
+       <code value="RECALL"></code>
+       <display value="product recalled"></display>
+       <definition value="Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation."></definition>
+      </concept>
+      <concept>
+       <code value="REPLACE"></code>
+       <display value="change in order"></display>
+       <definition value="Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it."></definition>
+       <concept>
+        <code value="DOSECHG"></code>
+        <display value="change in medication/dose"></display>
+        <definition value="Description:The medication is being re-prescribed at a different dosage."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="REPLACEFIX"></code>
+       <display value="error in order"></display>
+       <definition value="Description:Current order was issued with incorrect data and a new order has/will be created to replace it."></definition>
+      </concept>
+      <concept>
+       <code value="UNABLE"></code>
+       <display value="unable to use"></display>
+       <definition value="Description:&lt;The patient is not (or is no longer) able to use the medication in a manner prescribed.
+
+        
+         Example:CanaTMt swallow."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_MedicationOrderReleaseReasonCode"></code>
+      <display value="medication order release reason"></display>
+      <definition value="Definition:A collection of concepts that indicate why the prescription should be released from suspended state."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="HOLDDONE"></code>
+       <display value="suspend reason no longer applies"></display>
+       <definition value="Definition:The original reason for suspending the medication has ended."></definition>
+      </concept>
+      <concept>
+       <code value="HOLDINAP"></code>
+       <display value="suspend reason inappropriate"></display>
+       <definition value="Definition:"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_ModifyPrescriptionReasonType"></code>
+      <display value="ModifyPrescriptionReasonType"></display>
+      <definition value="Types of reason why a prescription is being changed."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ADMINERROR"></code>
+       <display value="administrative error in order"></display>
+       <definition value="Order was created with incorrect data and is changed to reflect the intended accuracy of the order."></definition>
+      </concept>
+      <concept>
+       <code value="CLINMOD"></code>
+       <display value="clinical modification"></display>
+       <definition value="Order is changed based on a clinical reason."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_PharmacySupplyEventAbortReason"></code>
+      <display value="PharmacySupplyEventAbortReason"></display>
+      <definition value="Definition:Identifies why the dispense event was not completed."></definition>
+      <concept>
+       <code value="CONTRA"></code>
+       <display value="contraindication"></display>
+       <definition value="Definition:Contraindication identified"></definition>
+      </concept>
+      <concept>
+       <code value="FOABORT"></code>
+       <display value="order aborted"></display>
+       <definition value="Definition:Order to be fulfilled was aborted"></definition>
+      </concept>
+      <concept>
+       <code value="FOSUSP"></code>
+       <display value="order suspended"></display>
+       <definition value="Definition:Order to be fulfilled was suspended"></definition>
+      </concept>
+      <concept>
+       <code value="NOPICK"></code>
+       <display value="not picked up"></display>
+       <definition value="Definition:Patient did not come to get medication"></definition>
+      </concept>
+      <concept>
+       <code value="PATDEC"></code>
+       <display value="patient changed mind"></display>
+       <definition value="Definition:Patient changed their mind regarding obtaining medication"></definition>
+      </concept>
+      <concept>
+       <code value="QUANTCHG"></code>
+       <display value="change supply quantity"></display>
+       <definition value="Definition:Patient requested a revised quantity of medication"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_PharmacySupplyEventStockReasonCode"></code>
+      <display value="pharmacy supply event stock reason"></display>
+      <definition value="Definition:A collection of concepts that indicates the reason for a &quot;bulk supply&quot; of medication."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="FLRSTCK"></code>
+       <display value="floor stock"></display>
+       <definition value="Definition:The bulk supply is issued to replenish a ward for local dispensing.  (Includes both mobile and fixed-location ward stocks.)"></definition>
+      </concept>
+      <concept>
+       <code value="LTC"></code>
+       <display value="long term care use"></display>
+       <definition value="Definition:The bulk supply will be administered within a long term care facility."></definition>
+      </concept>
+      <concept>
+       <code value="OFFICE"></code>
+       <display value="office use"></display>
+       <definition value="Definition:The bulk supply is intended for general clinician office use."></definition>
+      </concept>
+      <concept>
+       <code value="PHARM"></code>
+       <display value="pharmacy transfer"></display>
+       <definition value="Definition:The bulk supply is being transferred to another dispensing facility to.
+
+        
+         Example:Alleviate a temporary shortage."></definition>
+      </concept>
+      <concept>
+       <code value="PROG"></code>
+       <display value="program use"></display>
+       <definition value="Definition:The bulk supply is intended for dispensing according to a specific program.
+
+        
+         Example:Mass immunization."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_PharmacySupplyRequestRenewalRefusalReasonCode"></code>
+      <display value="pharmacy supply request renewal refusal reason"></display>
+      <definition value="Definition:A collection of concepts that identifies why a renewal prescription has been refused."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="DISCONT"></valueCode>
+      </property>
+      <concept>
+       <code value="ALREADYRX"></code>
+       <display value="new prescription exists"></display>
+       <definition value="Definition:Patient has already been given a new (renewal) prescription."></definition>
+      </concept>
+      <concept>
+       <code value="FAMPHYS"></code>
+       <display value="family physician must authorize further fills"></display>
+       <definition value="Definition:Request for further authorization must be done through patient's family physician."></definition>
+      </concept>
+      <concept>
+       <code value="MODIFY"></code>
+       <display value="modified prescription exists"></display>
+       <definition value="Definition:Therapy has been changed and new prescription issued"></definition>
+      </concept>
+      <concept>
+       <code value="NEEDAPMT"></code>
+       <display value="patient must make appointment"></display>
+       <definition value="Definition:Patient must see prescriber prior to further fills."></definition>
+      </concept>
+      <concept>
+       <code value="NOTAVAIL"></code>
+       <display value="prescriber not available"></display>
+       <definition value="Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient."></definition>
+      </concept>
+      <concept>
+       <code value="NOTPAT"></code>
+       <display value="patient no longer in this practice"></display>
+       <definition value="Definition:Patient no longer or has never been under this prescribers care."></definition>
+      </concept>
+      <concept>
+       <code value="ONHOLD"></code>
+       <display value="medication on hold"></display>
+       <definition value="Definition:This medication is on hold."></definition>
+      </concept>
+      <concept>
+       <code value="PRNA"></code>
+       <display value="product not available"></display>
+       <definition value="Description:This product is not available or manufactured."></definition>
+      </concept>
+      <concept>
+       <code value="STOPMED"></code>
+       <display value="prescriber stopped medication for patient"></display>
+       <definition value="Renewing or original prescriber informed patient to stop using the medication."></definition>
+      </concept>
+      <concept>
+       <code value="TOOEARLY"></code>
+       <display value="too early"></display>
+       <definition value="Definition:The patient should have medication remaining."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_SupplyOrderAbortReasonCode"></code>
+      <display value="supply order abort reason"></display>
+      <definition value="Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed)."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="IMPROV"></code>
+       <display value="condition improved"></display>
+       <definition value="Definition:The patient's medical condition has nearly abated."></definition>
+      </concept>
+      <concept>
+       <code value="INTOL"></code>
+       <display value="intolerance"></display>
+       <definition value="Description:The patient has an intolerance to the medication."></definition>
+      </concept>
+      <concept>
+       <code value="NEWSTR"></code>
+       <display value="new strength"></display>
+       <definition value="Definition:The current medication will be replaced by a new strength of the same medication."></definition>
+      </concept>
+      <concept>
+       <code value="NEWTHER"></code>
+       <display value="new therapy"></display>
+       <definition value="Definition:A new therapy will be commenced when current supply exhausted."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_GenericUpdateReasonCode"></code>
+     <display value="GenericUpdateReasonCode"></display>
+     <definition value="Description:Identifies why a change is being made to a  record."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CHGDATA"></code>
+      <display value="information change"></display>
+      <definition value="Description:Information has changed since the record was created."></definition>
+     </concept>
+     <concept>
+      <code value="FIXDATA"></code>
+      <display value="error correction"></display>
+      <definition value="Description:Previously recorded information was erroneous and is being corrected."></definition>
+     </concept>
+     <concept>
+      <code value="MDATA"></code>
+      <display value="merge data"></display>
+      <definition value="Information is combined into the record."></definition>
+     </concept>
+     <concept>
+      <code value="NEWDATA"></code>
+      <display value="new information"></display>
+      <definition value="Description:New information has become available to supplement the record."></definition>
+     </concept>
+     <concept>
+      <code value="UMDATA"></code>
+      <display value="unmerge data"></display>
+      <definition value="Information is separated from the record."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PatientProfileQueryReasonCode"></code>
+     <display value="patient profile query reason"></display>
+     <definition value="Definition:A collection of concepts identifying why the patient's profile is being queried."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="LEGAL"></valueCode>
+     </property>
+     <concept>
+      <code value="ADMREV"></code>
+      <display value="administrative review"></display>
+      <definition value="Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures."></definition>
+     </concept>
+     <concept>
+      <code value="PATCAR"></code>
+      <display value="patient care"></display>
+      <definition value="Definition:To obtain records as part of patient care."></definition>
+     </concept>
+     <concept>
+      <code value="PATREQ"></code>
+      <display value="patient request query"></display>
+      <definition value="Definition:Patient requests information from their profile."></definition>
+     </concept>
+     <concept>
+      <code value="PRCREV"></code>
+      <display value="practice review"></display>
+      <definition value="Definition:To evaluate the provider's current practice for professional-improvement reasons."></definition>
+     </concept>
+     <concept>
+      <code value="REGUL"></code>
+      <display value="regulatory review"></display>
+      <definition value="Description:Review for the purpose of regulatory compliance."></definition>
+     </concept>
+     <concept>
+      <code value="RSRCH"></code>
+      <display value="research"></display>
+      <definition value="Definition:To provide research data, as authorized by the patient."></definition>
+     </concept>
+     <concept>
+      <code value="VALIDATION"></code>
+      <display value="validation review"></display>
+      <definition value="Description:To validate the patient's record.
+
+        
+         Example:Merging or unmerging records."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"></code>
+     <display value="PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"></display>
+     <definition value="Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused."></definition>
+     <property>
+      <code value="child"></code>
+      <valueCode value="NOUSERPERM"></valueCode>
+     </property>
+     <concept>
+      <code value="LOCKED"></code>
+      <display value="locked"></display>
+      <definition value="Definition:The prescription may not be reassigned from the original pharmacy."></definition>
+     </concept>
+     <concept>
+      <code value="UNKWNTARGET"></code>
+      <display value="unknown target"></display>
+      <definition value="Definition:The target facility does not recognize the dispensing facility."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_RefusalReasonCode"></code>
+     <display value="RefusalReasonCode"></display>
+     <definition value="Description: Identifies why a request to add (or activate) a record is being refused.  Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="NOMATCH"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="NOPERM"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="_SchedulingActReason"></code>
+     <display value="SchedulingActReason"></display>
+     <definition value="Reasons for cancelling or rescheduling an Appointment"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="PAT"></valueCode>
+     </property>
+     <concept>
+      <code value="BLK"></code>
+      <display value="Unexpected Block (of Schedule)"></display>
+      <definition value="The time slots previously allocated are now blocked and no longer available for booking Appointments"></definition>
+     </concept>
+     <concept>
+      <code value="DEC"></code>
+      <display value="Patient Deceased"></display>
+      <definition value="The Patient is deceased"></definition>
+     </concept>
+     <concept>
+      <code value="FIN"></code>
+      <display value="No Financial Backing"></display>
+      <definition value="Patient unable to pay and not covered by insurance"></definition>
+     </concept>
+     <concept>
+      <code value="MED"></code>
+      <display value="Medical Status Altered"></display>
+      <definition value="The medical condition of the Patient has changed"></definition>
+     </concept>
+     <concept>
+      <code value="MTG"></code>
+      <display value="In an outside meeting"></display>
+      <definition value="The Physician is in a meeting.  For example, he/she may request administrative time to talk to family after appointment"></definition>
+     </concept>
+     <concept>
+      <code value="PHY"></code>
+      <display value="Physician request"></display>
+      <definition value="The Physician requested the action"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_StatusRevisionRefusalReasonCode"></code>
+     <display value="StatusRevisionRefusalReasonCode"></display>
+     <definition value="Indicates why the act revision (status update) is being refused."></definition>
+     <property>
+      <code value="child"></code>
+      <valueCode value="NORECMTCH"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="INRQSTATE"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="NOUSERPERM"></valueCode>
+     </property>
+     <concept>
+      <code value="FILLED"></code>
+      <display value="fully filled"></display>
+      <definition value="Ordered quantity has already been completely fulfilled."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SubstanceAdministrationPermissionRefusalReasonCode"></code>
+     <display value="SubstanceAdministrationPermissionRefusalReasonCode"></display>
+     <definition value="Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused."></definition>
+     <property>
+      <code value="child"></code>
+      <valueCode value="NOUSERPERM"></valueCode>
+     </property>
+     <concept>
+      <code value="PATINELIG"></code>
+      <display value="patient not eligible"></display>
+      <definition value="Definition:Patient not eligible for drug"></definition>
+     </concept>
+     <concept>
+      <code value="PROTUNMET"></code>
+      <display value="protocol not met"></display>
+      <definition value="Definition:Patient does not meet required protocol"></definition>
+     </concept>
+     <concept>
+      <code value="PROVUNAUTH"></code>
+      <display value="provider not authorized"></display>
+      <definition value="Definition:Provider is not authorized to prescribe or dispense"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SubstanceAdminSubstitutionNotAllowedReason"></code>
+     <display value="SubstanceAdminSubstitutionNotAllowedReason"></display>
+     <definition value="Reasons why substitution of a substance administration request is not permitted."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="PAT"></valueCode>
+     </property>
+     <concept>
+      <code value="ALGINT"></code>
+      <display value="allergy intolerance"></display>
+      <definition value="Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components."></definition>
+     </concept>
+     <concept>
+      <code value="COMPCON"></code>
+      <display value="compliance concern"></display>
+      <definition value="Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency."></definition>
+     </concept>
+     <concept>
+      <code value="THERCHAR"></code>
+      <display value="therapeutic characteristics"></display>
+      <definition value="The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications."></definition>
+     </concept>
+     <concept>
+      <code value="TRIAL"></code>
+      <display value="clinical trial drug"></display>
+      <definition value="Definition: The specific manufactured drug is part of a clinical trial."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SubstanceAdminSubstitutionReason"></code>
+     <display value="SubstanceAdminSubstitutionReason"></display>
+     <definition value="SubstanceAdminSubstitutionReason"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CT"></code>
+      <display value="continuing therapy"></display>
+      <definition value="Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy.  I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent."></definition>
+     </concept>
+     <concept>
+      <code value="FP"></code>
+      <display value="formulary policy"></display>
+      <definition value="Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary."></definition>
+     </concept>
+     <concept>
+      <code value="OS"></code>
+      <display value="out of stock"></display>
+      <definition value="In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock.  In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock."></definition>
+     </concept>
+     <concept>
+      <code value="RR"></code>
+      <display value="regulatory requirement"></display>
+      <definition value="Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_TransferActReason"></code>
+     <display value="TransferActReason"></display>
+     <definition value="The explanation for why a patient is moved from one location to another within the organization"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ER"></code>
+      <display value="Error"></display>
+      <definition value="Moved to an error in placing the patient in the original location."></definition>
+     </concept>
+     <concept>
+      <code value="RQ"></code>
+      <display value="Request"></display>
+      <definition value="Moved at the request of the patient."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ActBillableServiceReason"></code>
+     <display value="ActBillableServiceReason"></display>
+     <definition value="Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+     <concept>
+      <code value="_ActBillableClinicalServiceReason"></code>
+      <display value="ActBillableClinicalServiceReason"></display>
+      <definition value="Reason for Clinical Service being performed.
+
+        This domain excludes reasons specified by diagnosed conditions.
+
+        Examples of values from this domain include duplicate therapy and fraudulent prescription."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="BONUS"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="CHD"></code>
+     <display value="Children only"></display>
+     <definition value="Description:The level of coverage under the policy or program is available only to children"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DEP"></code>
+     <display value="Dependents only"></display>
+     <definition value="Description:The level of coverage under the policy or program is available only to a subscriber's dependents."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="ECH"></code>
+     <display value="Employee and children"></display>
+     <definition value="Description:The level of coverage under the policy or program is available to an employee and his or her children."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="EDU"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="EMP"></code>
+     <display value="Employee only"></display>
+     <definition value="Description:The level of coverage under the policy or program is available only to an employee."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="ESP"></code>
+     <display value="Employee and spouse"></display>
+     <definition value="Description:The level of coverage under the policy or program is available to an employee and his or her spouse."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="FAM"></code>
+     <display value="Family"></display>
+     <definition value="Description:The level of coverage under the policy or program is available to a subscriber's family."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="IND"></code>
+     <display value="Individual"></display>
+     <definition value="Description:The level of coverage under the policy or program is available to an individual."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="INVOICE"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="PROA"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="RECOV"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="RETRO"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="SPC"></code>
+     <display value="Spouse and children"></display>
+     <definition value="Description:The level of coverage under the policy or program is available to a subscriber's spouse and children"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="SPO"></code>
+     <display value="Spouse only"></display>
+     <definition value="Description:The level of coverage under the policy or program is available only to a subscribers spouse"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="TRAN"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipCheckpoint"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipCheckpoint"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipCheckpoint"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.10"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipCheckpoint"></name>
+    <title value="v3 Code System ActRelationshipCheckpoint"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipCheckpoint"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="beginning"></display>
+     <definition value="Condition is tested every time before execution of the service (WHILE condition DO service)."></definition>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="end"></display>
+     <definition value="Condition is tested at the end of a repeated service execution.  The service is repeated only if the condition is true (DO service WHILE condition)."></definition>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="entry"></display>
+     <definition value="Condition is tested once before the service is executed (IF condition THEN service)."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="through"></display>
+     <definition value="Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop).  The service must be interruptible."></definition>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="exit"></display>
+     <definition value="Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipJoin"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipJoin"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipJoin"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.12"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipJoin"></name>
+    <title value="v3 Code System ActRelationshipJoin"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipJoin"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="detached"></display>
+     <definition value="Detach this branch from the other branches so it will not be resynchronized with the other branches."></definition>
+    </concept>
+    <concept>
+     <code value="K"></code>
+     <display value="kill"></display>
+     <definition value="When all other concurrent branches are terminated, interrupt and discontinue this branch."></definition>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="wait"></display>
+     <definition value="Wait for this branch to terminate."></definition>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="exclusive wait"></display>
+     <definition value="Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipSplit"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipSplit"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSplit"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.13"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipSplit"></name>
+    <title value="v3 Code System ActRelationshipSplit"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSplit"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="E1"></code>
+     <display value="exclusive try once"></display>
+     <definition value="The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or &quot;XOR-split.&quot; The order in which the branches are considered may be specified in the priorityNumber attribute."></definition>
+    </concept>
+    <concept>
+     <code value="EW"></code>
+     <display value="exclusive wait"></display>
+     <definition value="A branch is selected as soon as the pre-condition associated with the branch evaluates to true.  If the condition is false, the branch may be entered later, when the condition turns true.  All other exclusive branches compete with each other and only one will be selected.  Each waiting branch executes in parallel with the default join code wait  (see below). The order in which the branches are considered may be specified in the Service_relationship.priority_nmb."></definition>
+    </concept>
+    <concept>
+     <code value="I1"></code>
+     <display value="inclusive try once"></display>
+     <definition value="A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped.  Inclusive branches are not suppressed and do not suppress other branches."></definition>
+    </concept>
+    <concept>
+     <code value="IW"></code>
+     <display value="inclusive wait"></display>
+     <definition value="A branch is executed as soon as its associated conditions permit.  If the condition is false, the branch may be entered later, when the condition turns true.  Inclusive branches are not suppressed and do not suppress other branches.  Each waiting branch executes in parallel with the default join code wait  (see below)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipSubset"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipSubset"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSubset"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1099"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipSubset"></name>
+    <title value="v3 Code System ActRelationshipSubset"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" &lt;ns1:p&gt;Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.&lt;/ns1:p&gt;&lt;ns1:p&gt;Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.&lt;/ns1:p&gt;"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSubset"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_ParticipationSubset"></code>
+     <display value="ParticipationSubset"></display>
+     <definition value="Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act. 
+
+        Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="FUTURE"></code>
+      <display value="expected future"></display>
+      <definition value="An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored."></definition>
+      <concept>
+       <code value="FUTSUM"></code>
+       <display value="future summary"></display>
+       <definition value="Represents a 'summary' of all acts that are scheduled to occur in the future (whose effective time is greater than 'now' where is the time the instance is authored.). The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc."></definition>
+      </concept>
+      <concept>
+       <code value="LAST"></code>
+       <display value="expected last"></display>
+       <definition value="Restricted to the latest known occurrence that is scheduled to occur. The Act with the highest known effective time."></definition>
+      </concept>
+      <concept>
+       <code value="NEXT"></code>
+       <display value="expected next"></display>
+       <definition value="Restricted to the nearest recent known occurrence scheduled to occur in the future. The Act with the lowest effective time, still greater than 'now'. ('now' is the time the instance is authored.)"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="PAST"></code>
+      <display value="previous"></display>
+      <definition value="An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)"></definition>
+      <concept>
+       <code value="FIRST"></code>
+       <display value="first known"></display>
+       <definition value="Restricted to the earliest known occurrence that occurred or was scheduled to occur in the past. The Act with the lowest effective time. ('now' is the time the instance is authored.)"></definition>
+      </concept>
+      <concept>
+       <code value="PREVSUM"></code>
+       <display value="previous summary"></display>
+       <definition value="Represents a 'summary' of all acts that previously occurred or were scheduled to occur. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc. ('now' is the time the instance is authored.)"></definition>
+      </concept>
+      <concept>
+       <code value="RECENT"></code>
+       <display value="most recent"></display>
+       <definition value="Restricted to the most recent known occurrence that occurred or was scheduled to occur in the past. The Act with the most recent effective time, still less than 'now'. ('now' is the time the instance is authored.)"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SUM"></code>
+      <display value="summary"></display>
+      <definition value="Represents a 'summary' of all acts that have occurred or were scheduled to occur and which are scheduled to occur in the future. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="ActRelationshipExpectedSubset"></code>
+     <display value="ActRelationshipExpectedSubset"></display>
+     <definition value="ActRelationshipExpectedSubset"></definition>
+    </concept>
+    <concept>
+     <code value="ActRelationshipPastSubset"></code>
+     <display value="ActRelationshipPastSubset"></display>
+     <definition value="ActRelationshipPastSubset"></definition>
+    </concept>
+    <concept>
+     <code value="MAX"></code>
+     <display value="maximum"></display>
+     <definition value="The occurrence whose value attribute is greater than all other occurrences at the time the instance is created."></definition>
+    </concept>
+    <concept>
+     <code value="MIN"></code>
+     <display value="minimum"></display>
+     <definition value="The occurrence whose value attribute is less than all other occurrences at the time the instance is created."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ActRelationshipType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1002"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ActRelationshipType"></name>
+    <title value="v3 Code System ActRelationshipType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The source is an excerpt from the target."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="ART"></code>
+     <display value="act relationship type"></display>
+     <definition value="Description: A directed association between a source Act and a target Act.
+
+        
+         Usage Note: This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)"></definition>
+     <concept>
+      <code value="_ActClassTemporallyPertains"></code>
+      <display value="ActClassTemporallyPertains"></display>
+      <definition value="ActClassTemporallyPertains"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+     </concept>
+     <concept>
+      <code value="_ActRelationshipAccounting"></code>
+      <display value="ActRelationshipAccounting"></display>
+      <definition value="Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_ActRelationshipCostTracking"></code>
+       <display value="ActRelationshipCostTracking"></display>
+       <definition value="Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="CHRG"></code>
+        <display value="has charge"></display>
+        <definition value="A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source).  A clinical act may have a charge associated with the execution or delivery of the service.
+
+        The financial transaction will define the charge (bill) for delivery or performance of the service.
+
+        Charges and costs are distinct terms.  A charge defines what is charged or billed to another organization or entity within an organization.  The cost defines what it costs an organization to perform or deliver a service or product."></definition>
+       </concept>
+       <concept>
+        <code value="COST"></code>
+        <display value="has cost"></display>
+        <definition value="A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source).  A clinical act may have an inherit cost associated with the execution or delivery of the service.
+
+        The financial transaction will define the cost of delivery or performance of the service.
+
+        Charges and costs are distinct terms.  A charge defines what is charged or billed to another organization or entity within an organization.  The cost defines what it costs an organization to perform or deliver a service or product."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_ActRelationshipPosting"></code>
+       <display value="ActRelationshipPosting"></display>
+       <definition value="Expresses values for describing the relationship between a FinancialTransaction and an Account."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="CREDIT"></code>
+        <display value="has credit"></display>
+        <definition value="A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance."></definition>
+       </concept>
+       <concept>
+        <code value="DEBIT"></code>
+        <display value="has debit"></display>
+        <definition value="A debit relationship ties a financial transaction (target) to an account (source).  A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account.  An asset account debit will increase the account balance.  A non-asset account debit will decrease the account balance."></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_ActRelationshipConditional"></code>
+      <display value="ActRelationshipConditional"></display>
+      <definition value="Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="CIND"></code>
+       <display value="has contra-indication"></display>
+       <definition value="A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used."></definition>
+      </concept>
+      <concept>
+       <code value="PRCN"></code>
+       <display value="has pre-condition"></display>
+       <definition value="A requirement to be true before a service is performed. The target can be any service in criterion mood.  For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable."></definition>
+      </concept>
+      <concept>
+       <code value="RSON"></code>
+       <display value="has reason"></display>
+       <definition value="Description: The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action.  As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication.  Child concepts may be used to describe types of indication. 
+
+        
+         Discussion: In prior releases, the code &quot;SUGG&quot; (suggests) was expressed as &quot;an inversion of the reason link.&quot; That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship."></definition>
+       <concept>
+        <code value="BLOCK"></code>
+        <display value="blocks"></display>
+        <definition value="Definition: The source act is performed to block the effects of the target act.  This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring."></definition>
+       </concept>
+       <concept>
+        <code value="DIAG"></code>
+        <display value="diagnoses"></display>
+        <definition value="Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
+       </concept>
+       <concept>
+        <code value="IMM"></code>
+        <display value="immunization against"></display>
+        <definition value="Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)"></definition>
+        <concept>
+         <code value="ACTIMM"></code>
+         <display value="active immunization against"></display>
+         <definition value="Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)"></definition>
+        </concept>
+        <concept>
+         <code value="PASSIMM"></code>
+         <display value="passive immunization against"></display>
+         <definition value="Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease)."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="MITGT"></code>
+        <display value="mitigates"></display>
+        <definition value="The source act removes or lessens the occurrence or effect of the target act."></definition>
+        <concept>
+         <code value="RCVY"></code>
+         <display value="recovers"></display>
+         <definition value="Definition: The source act is performed to recover from the effects of the target act."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="PRYLX"></code>
+        <display value="prophylaxis of"></display>
+        <definition value="Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
+       </concept>
+       <concept>
+        <code value="TREAT"></code>
+        <display value="treats"></display>
+        <definition value="Description: The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
+        <concept>
+         <code value="ADJUNCT"></code>
+         <display value="adjunctive treatment"></display>
+         <definition value="Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.  It is not a requirement that the non-adjunctive treatment is explicitly specified."></definition>
+        </concept>
+        <concept>
+         <code value="MTREAT"></code>
+         <display value="maintenance treatment"></display>
+         <definition value="Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
+        </concept>
+        <concept>
+         <code value="PALLTREAT"></code>
+         <display value="palliates"></display>
+         <definition value="Description: The source act is intended to provide palliation for the effects of the target act."></definition>
+        </concept>
+        <concept>
+         <code value="SYMP"></code>
+         <display value="symptomatic relief"></display>
+         <definition value="Description: The source act is intented to provide symptomatic relief for the effects of the target act."></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="TRIG"></code>
+       <display value="has trigger"></display>
+       <definition value="A pre-condition that if true should result in the source Act being executed.  The target is in typically in criterion mood.  When reported after the fact (i.e. the criterion has been met) it may be in Event mood.  A delay between the trigger and the triggered action can be specified.
+
+        
+         Discussion: This includes the concept of a  required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_ActRelationshipTemporallyPertains"></code>
+      <display value="ActRelationshipTemporallyPertains"></display>
+      <definition value="Abstract collector for ActRelationhsip types that relate two acts by their timing."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_ActRelationshipTemporallyPertainsApproximates"></code>
+       <display value="ActRelationshipTemporallyPertainsApproximates"></display>
+       <definition value="Abstract collector for ActRelationship types that relate two acts by their approximate timing."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="ENE"></code>
+        <display value="ends near end"></display>
+        <definition value="A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval.
+
+        
+         Usage Note: Inverse code is ENS"></definition>
+        <concept>
+         <code value="ECW"></code>
+         <display value="ends concurrent with"></display>
+         <definition value="A relationship in which the source act's effective time ends with the end of the target act's effective time.
+
+        
+         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
+         <concept>
+          <code value="CONCURRENT"></code>
+          <display value="concurrent with"></display>
+          <definition value="A relationship in which the source act's effective time is the same as the target act's effective time.
+
+        
+         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
+         </concept>
+         <concept>
+          <code value="SBSECWE"></code>
+          <display value="starts before start of, ends with"></display>
+          <definition value="The source Act starts before the start of the target Act, and ends with the target Act.
+
+        
+         UsageNote: Inverse code is SASECWE"></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="ENS"></code>
+        <display value="ends near start"></display>
+        <definition value="A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval.
+
+        
+         Usage Note: Inverse code is ENE"></definition>
+        <concept>
+         <code value="ECWS"></code>
+         <display value="ends concurrent with start of"></display>
+         <definition value="The source Act ends when the target act starts (i.e. if we say &quot;ActOne ECWS ActTwo&quot;, it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target).
+
+        
+         UsageNote: Inverse code is SCWE"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="SNE"></code>
+        <display value="starts near end"></display>
+        <definition value="A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval.
+
+        
+         Usage Note: Inverse code is SNS"></definition>
+        <concept>
+         <code value="SCWE"></code>
+         <display value="starts concurrent with end of"></display>
+         <definition value="The source Act starts when the target act ends (i.e. if we say &quot;ActOne SCWE ActTwo&quot;, it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target).
+
+        
+         UsageNote: Inverse code is SBSECWS"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="SNS"></code>
+        <display value="starts near start"></display>
+        <definition value="A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval.
+
+        
+         Usage Note: Inverse code is SNE"></definition>
+        <concept>
+         <code value="SCW"></code>
+         <display value="starts concurrent with"></display>
+         <definition value="A relationship in which the source act's effective time starts with the start of the target act's effective time.
+
+        
+         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="CONCURRENT"></valueCode>
+         </property>
+         <concept>
+          <code value="SCWSEBE"></code>
+          <display value="starts with. ends before end of"></display>
+          <definition value="The source Act starts with.the target Act and ends before the end of the target Act.
+
+        
+         UsageNote: Inverse code is SCWSEAE"></definition>
+         </concept>
+         <concept>
+          <code value="SCWSEAE"></code>
+          <display value="starts with, ends after end of"></display>
+          <definition value="The source Act starts with the target Act, and ends after the end of the target Act."></definition>
+         </concept>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="EAS"></code>
+       <display value="ends after start of"></display>
+       <definition value="A relationship in which the source act ends after the target act starts.
+
+        
+         UsageNote: Inverse code is SBE"></definition>
+       <concept>
+        <code value="EAE"></code>
+        <display value="ends after end of"></display>
+        <definition value="A relationship in which the source act ends after the target act ends.
+
+        
+         UsageNote: Inverse code is EBE"></definition>
+        <concept>
+         <code value="SASEAE"></code>
+         <display value="starts after start of, ends after end of"></display>
+         <definition value="The source Act starts after start of the target Act and ends after end of the target Act.
+
+        
+         UsageNote: Inverse code is SBSEBE"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SASSBEEAS"></valueCode>
+         </property>
+         <concept>
+          <code value="SBEEAE"></code>
+          <display value="contains end of"></display>
+          <definition value="The source Act contains the end of the target Act.
+
+        
+         UsageNote: Inverse code is EDU"></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="SCWSEAE"></valueCode>
+          </property>
+          <concept>
+           <code value="SASSBEEAS"></code>
+           <display value="start after start of, contains end of"></display>
+           <definition value="The source Act start after the start of the target Act, and contains the end of the target Act.
+
+        
+         UsageNote: Inverse code is SBSEASEBE"></definition>
+          </concept>
+          <concept>
+           <code value="SBSEAE"></code>
+           <display value="contains time of"></display>
+           <definition value="The source Act contains the time of the target Act.
+
+        
+         UsageNote: Inverse code is DURING"></definition>
+          </concept>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="SAS"></code>
+        <display value="starts after start of"></display>
+        <definition value="The source Act starts after the start of the target Act (i.e. if we say &quot;ActOne SAS ActTwo&quot;, it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target).
+
+        
+         UsageNote: Inverse code is SBS"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SASEAE"></valueCode>
+        </property>
+        <concept>
+         <code value="SAE"></code>
+         <display value="starts after end of"></display>
+         <definition value="A relationship in which the source act starts after the target act ends.
+
+        
+         UsageNote: Inverse code is EBS"></definition>
+        </concept>
+        <concept>
+         <code value="DURING"></code>
+         <display value="occurs during"></display>
+         <definition value="A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times)
+
+        
+         UsageNote: Inverse code is SBSEAE"></definition>
+        </concept>
+        <concept>
+         <code value="SASECWE"></code>
+         <display value="starts after start of, ends with"></display>
+         <definition value="The source Act starts after start of the target Act, and ends with the target Act.
+
+        
+         UsageNote: Inverse code is SBSECWE"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="EASORECWS"></code>
+       <display value="ends after or concurrent with start of"></display>
+       <definition value="A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time.
+
+        
+         Usage Note: Inverse code is EBSORECWS"></definition>
+       <property>
+        <code value="child"></code>
+        <valueCode value="EAS"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="ECWS"></valueCode>
+       </property>
+       <concept>
+        <code value="EAEORECW"></code>
+        <display value="ends after or concurrent with end of"></display>
+        <definition value="A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time.
+
+        
+         Usage Note: Inverse code is EBEORECW"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="EAE"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="ECW"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="INDEPENDENT"></code>
+       <display value="independent of time of"></display>
+       <definition value="The source Act is independent of the time of the target Act.
+
+        
+         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
+      </concept>
+      <concept>
+       <code value="SAEORSCWE"></code>
+       <display value="starts after or concurrent with end of"></display>
+       <definition value="A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time.
+
+        
+         Usage Note: Inverse code is SBEORSCWE"></definition>
+       <property>
+        <code value="child"></code>
+        <valueCode value="SCWE"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="SAE"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="SASORSCW"></code>
+       <display value="starts after or concurrent with start of"></display>
+       <definition value="A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time.
+
+        
+         Usage Note: Inverse code is SBSORSCW"></definition>
+       <property>
+        <code value="child"></code>
+        <valueCode value="SAS"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="SCW"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="SBEORSCWE"></code>
+       <display value="starts before or concurrent with end of"></display>
+       <definition value="A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time.
+
+        
+         Usage Note: Inverse code is SAEORSCWE"></definition>
+       <concept>
+        <code value="OVERLAP"></code>
+        <display value="overlaps with"></display>
+        <definition value="A relationship in which the source act's effective time overlaps the target act's effective time in any way.
+
+        
+         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="ECW"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SBEEAE"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SCW"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SCWE"></valueCode>
+        </property>
+        <concept>
+         <code value="EDU"></code>
+         <display value="ends during"></display>
+         <definition value="A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times)
+
+        
+         UsageNote: Inverse code is SBEEAE"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SCWSEBE"></valueCode>
+         </property>
+         <concept>
+          <code value="SBSEASEBE"></code>
+          <display value="contains start of, ends before end of"></display>
+          <definition value="The source Act contains the start of the target Act,  and ends before the end of the target Act.
+
+        
+         UsageNote: Inverse code is SASSBEEAS"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="SBSEAS"></code>
+         <display value="contains start of"></display>
+         <definition value="The source Act contains the start of the target Act.
+
+        
+         UsageNote: Inverse code is SDU"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SBSECWE"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SBSEASEBE"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SBSEAE"></valueCode>
+         </property>
+        </concept>
+        <concept>
+         <code value="SDU"></code>
+         <display value="starts during"></display>
+         <definition value="A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times)
+
+        
+         UsageNote: Inverse code is SBSEAS"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SASSBEEAS"></valueCode>
+         </property>
+        </concept>
+       </concept>
+       <concept>
+        <code value="SBE"></code>
+        <display value="starts before end of"></display>
+        <definition value="The source Act starts before the end of the target Act (i.e. if we say &quot;ActOne SBE ActTwo&quot;, it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).
+
+        
+         UsageNote: Inverse code is EAS"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SBSEASEBE"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SCWSEBE"></valueCode>
+        </property>
+        <concept>
+         <code value="EBE"></code>
+         <display value="ends before end of"></display>
+         <definition value="The source Act ends before the end of the target Act (i.e. if we say &quot;ActOne EBE ActTwo&quot;, it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).
+
+        
+         UsageNote: Inverse code is EAE"></definition>
+         <concept>
+          <code value="SBSEBE"></code>
+          <display value="starts before start of, ends before end of"></display>
+          <definition value="The source Act starts before the start of the target Act, and ends before the end of the target Act.
+
+        
+         UsageNote: Inverse code is SASEAE"></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="SBSEASEBE"></valueCode>
+          </property>
+          <concept>
+           <code value="EBSORECWS"></code>
+           <display value="ends before or concurrent with start of"></display>
+           <definition value="A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time.
+
+        
+         Usage Note: Inverse code is EASORECWS"></definition>
+           <property>
+            <code value="child"></code>
+            <valueCode value="ECWS"></valueCode>
+           </property>
+           <concept>
+            <code value="EBS"></code>
+            <display value="ends before start of"></display>
+            <definition value="A relationship in which the source act ends before the target act starts.
+
+        
+         UsageNote: Inverse code is SAE"></definition>
+           </concept>
+          </concept>
+         </concept>
+        </concept>
+        <concept>
+         <code value="EBEORECW"></code>
+         <display value="ends before or concurrent with end of"></display>
+         <definition value="A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time.
+
+        
+         Usage Note: Inverse code is EAEORECW"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="ECW"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="EBE"></valueCode>
+         </property>
+        </concept>
+        <concept>
+         <code value="SBSORSCW"></code>
+         <display value="starts before or concurrent with start of"></display>
+         <definition value="A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time.
+
+        
+         Usage Note: Inverse code is SASORSCW"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="SCW"></valueCode>
+         </property>
+         <concept>
+          <code value="SBS"></code>
+          <display value="starts before start of"></display>
+          <definition value="A relationship in which the source act begins before the target act begins.
+
+        
+         UsageNote: Inverse code is SAS"></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="SBSEBE"></valueCode>
+          </property>
+          <property>
+           <code value="child"></code>
+           <valueCode value="SBSEAS"></valueCode>
+          </property>
+         </concept>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="AUTH"></code>
+      <display value="authorized by"></display>
+      <definition value="A relationship in which the target act authorizes or certifies the source act."></definition>
+     </concept>
+     <concept>
+      <code value="CAUS"></code>
+      <display value="is etiology for"></display>
+      <definition value="Description: An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act.
+
+        
+         Examples:
+        
+
+        
+         a growth of Staphylococcus aureus may be considered the cause of an abscess
+         contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced
+         lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the  bed-sides had not been put up which caused the night patient to fall out of bed"></definition>
+     </concept>
+     <concept>
+      <code value="COMP"></code>
+      <display value="has component"></display>
+      <definition value="The target act is a component of the source act, with no semantics regarding composition or aggregation implied."></definition>
+      <concept>
+       <code value="CTRLV"></code>
+       <display value="has control variable"></display>
+       <definition value="A relationship from an Act to a Control Variable.  For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting  the device's settings that influenced the observation."></definition>
+      </concept>
+      <concept>
+       <code value="MBR"></code>
+       <display value="has member"></display>
+       <definition value="The target Acts are aggregated by the source Act.  Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source.
+
+        
+         UsageNotes: This explicitly represents the conventional notion of aggregation.  The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts).
+
+        It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST"></definition>
+       <concept>
+        <code value="STEP"></code>
+        <display value="has step"></display>
+        <definition value="A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.
+
+        
+         UsageNotes: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via  ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.
+
+        
+         OpenIssue: Need Additional guidelines on when each approach should be used."></definition>
+        <concept>
+         <code value="ARR"></code>
+         <display value="arrival"></display>
+         <definition value="The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act."></definition>
+        </concept>
+        <concept>
+         <code value="DEP"></code>
+         <display value="departure"></display>
+         <definition value="The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act."></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PART"></code>
+       <display value="has part"></display>
+       <definition value="The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act.
+
+        
+         UsageNote: In UML 1.1, this is a &quot;composition&quot; defined as: 
+         &quot;A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive.&quot;"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="COVBY"></code>
+      <display value="covered by"></display>
+      <definition value="A relationship in which the source act is covered by or is under the authority of a target act.  A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy."></definition>
+     </concept>
+     <concept>
+      <code value="DRIV"></code>
+      <display value="is derived from"></display>
+      <definition value="Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts."></definition>
+     </concept>
+     <concept>
+      <code value="ELNK"></code>
+      <display value="episodeLink"></display>
+      <definition value="Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter."></definition>
+     </concept>
+     <concept>
+      <code value="EVID"></code>
+      <display value="provides evidence for"></display>
+      <definition value="Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc.
+
+        
+         Rationale: Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies."></definition>
+     </concept>
+     <concept>
+      <code value="EXACBY"></code>
+      <display value="exacerbated by"></display>
+      <definition value="Description:The source act is aggravated by the target act. (Example &quot;chest pain&quot; EXACBY &quot;exercise&quot;)"></definition>
+     </concept>
+     <concept>
+      <code value="EXPL"></code>
+      <display value="has explanation"></display>
+      <definition value="This is the inversion of support.  Used to indicate that a given observation is explained by another observation or condition."></definition>
+     </concept>
+     <concept>
+      <code value="INTF"></code>
+      <display value="interfered by"></display>
+      <definition value="the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act.
+
+        
+         UsageNote: This provides the semantics to document barriers to care"></definition>
+     </concept>
+     <concept>
+      <code value="ITEMSLOC"></code>
+      <display value="items located"></display>
+      <definition value="Items located"></definition>
+     </concept>
+     <concept>
+      <code value="LIMIT"></code>
+      <display value="limited by"></display>
+      <definition value="A relationship that limits or restricts the source act by the elements of the target act.  For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood."></definition>
+     </concept>
+     <concept>
+      <code value="META"></code>
+      <display value="has metadata"></display>
+      <definition value="Definition: Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act.
+
+        
+         Constraint:  Source act must have either a mood code that is not &quot;EVN&quot; (event) or its &quot;isCriterion&quot; attribute must set to &quot;true&quot;.  Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to &quot;true&quot;."></definition>
+     </concept>
+     <concept>
+      <code value="MFST"></code>
+      <display value="is manifestation of"></display>
+      <definition value="An assertion that a new observation may be the manifestation of another existing observation or action.  This assumption is attributed to the same actor who asserts the manifestation.  This is stronger and more specific than an inverted support link.  For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia.  This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition.  The target (cause) may be any service, while the source (manifestation) must be an observation."></definition>
+     </concept>
+     <concept>
+      <code value="NAME"></code>
+      <display value="assigns name"></display>
+      <definition value="Used to assign a &quot;name&quot; to a condition thread. Source is a condition node, target can be any service."></definition>
+     </concept>
+     <concept>
+      <code value="OUTC"></code>
+      <display value="has outcome"></display>
+      <definition value="An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called &quot;post-conditional&quot;.) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used.  An outcome link is often inverted to describe an outcome assessment."></definition>
+      <concept>
+       <code value="_ActRelationsipObjective"></code>
+       <display value="Act Relationsip Objective"></display>
+       <definition value="The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="OBJC"></code>
+        <display value="has continuing objective"></display>
+        <definition value="A desired state that a service action aims to maintain.  E.g., keep systolic blood pressure between 90 and 110 mm Hg.  Source is an intervention service.  Target must be an observation in criterion mood."></definition>
+       </concept>
+       <concept>
+        <code value="OBJF"></code>
+        <display value="has final objective"></display>
+        <definition value="A desired outcome that a service action aims to meet finally.  Source is any service (typically an intervention).  Target must be an observation in criterion mood."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="GOAL"></code>
+       <display value="has goal"></display>
+       <definition value="A goal that one defines given a patient's health condition.  Subsequently planned actions aim to meet that goal.  Source is an observation or condition node, target must be an observation in goal mood."></definition>
+      </concept>
+      <concept>
+       <code value="RISK"></code>
+       <display value="has risk"></display>
+       <definition value="A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="PERT"></code>
+      <display value="has pertinent information"></display>
+      <definition value="This is a very unspecific relationship from one item of clinical information to another.  It does not judge about the role the pertinent information plays."></definition>
+     </concept>
+     <concept>
+      <code value="PREV"></code>
+      <display value="has previous instance"></display>
+      <definition value="A relationship in which the target act is a predecessor instance to the source act.  Generally each of these instances is similar, but no identical.  In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services."></definition>
+     </concept>
+     <concept>
+      <code value="REFR"></code>
+      <display value="refers to"></display>
+      <definition value="A relationship in which the target act is referred to by the source act.  This permits a simple reference relationship that distinguishes between the referent and the referee."></definition>
+      <concept>
+       <code value="USE"></code>
+       <display value="uses"></display>
+       <definition value="Indicates that the source act makes use of (or will make use of) the information content of the target act.
+
+        
+         UsageNotes: A usage relationship only makes sense if the target act is authored and occurs independently of the source act.  Otherwise a simpler relationship such as COMP would be appropriate.
+
+        
+         Rationale: There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications.  This is stronger than the assertion of &quot;references&quot;.  References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="REFV"></code>
+      <display value="has reference values"></display>
+      <definition value="Reference ranges are essentially descriptors of a class of result values assumed to be &quot;normal&quot;, &quot;abnormal&quot;, or &quot;critical.&quot;  Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood.  This link type can act as a trigger in case of alarms being triggered by critical results."></definition>
+     </concept>
+     <concept>
+      <code value="RELVBY"></code>
+      <display value="relieved by"></display>
+      <definition value="Description:The source act is wholly or partially alleviated by the target act. (Example &quot;chest pain&quot; RELVBY &quot;sublingual nitroglycerin administration&quot;)"></definition>
+     </concept>
+     <concept>
+      <code value="SEQL"></code>
+      <display value="is sequel"></display>
+      <definition value="An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation."></definition>
+      <concept>
+       <code value="APND"></code>
+       <display value="is appendage"></display>
+       <definition value="An addendum (source) to an existing service object (target), containing supplemental information.  The addendum is itself an original service object linked to the supplemented service object.  The supplemented service object remains in place and its content and status are unaltered."></definition>
+      </concept>
+      <concept>
+       <code value="BSLN"></code>
+       <display value="has baseline"></display>
+       <definition value="Indicates that the target observation(s) provide an initial reference for the source observation or observation group.
+
+        
+         UsageConstraints: Both source and target must be Observations or specializations thereof."></definition>
+      </concept>
+      <concept>
+       <code value="COMPLY"></code>
+       <display value="complies with"></display>
+       <definition value="Description:The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act.
+
+        Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy."></definition>
+      </concept>
+      <concept>
+       <code value="DOC"></code>
+       <display value="documents"></display>
+       <definition value="The source act documents the target act."></definition>
+      </concept>
+      <concept>
+       <code value="FLFS"></code>
+       <display value="fulfills"></display>
+       <definition value="The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act."></definition>
+       <concept>
+        <code value="OCCR"></code>
+        <display value="occurrence"></display>
+        <definition value="The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the &quot;completion track&quot; but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa)."></definition>
+       </concept>
+       <concept>
+        <code value="OREF"></code>
+        <display value="references order"></display>
+        <definition value="Relates either an appointment request or an appointment to the order for the service being scheduled."></definition>
+       </concept>
+       <concept>
+        <code value="SCH"></code>
+        <display value="schedules request"></display>
+        <definition value="Associates a specific time (and associated resources) with a scheduling request or other intent."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="GEN"></code>
+       <display value="has generalization"></display>
+       <definition value="The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic)."></definition>
+      </concept>
+      <concept>
+       <code value="GEVL"></code>
+       <display value="evaluates (goal)"></display>
+       <definition value="A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a &quot;goal distance&quot; (e.g., goal to observation) can be &quot;calculated&quot; and need not be sent explicitly."></definition>
+      </concept>
+      <concept>
+       <code value="INST"></code>
+       <display value="instantiates (master)"></display>
+       <definition value="Used to capture the link between a potential service (&quot;master&quot; or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults."></definition>
+      </concept>
+      <concept>
+       <code value="MOD"></code>
+       <display value="modifies"></display>
+       <definition value="Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target).
+
+        
+         Usage:The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead.
+
+        Name from source to target = &quot;modifiesPrior&quot;
+
+        Name from target to source = &quot;modifiesByNew&quot;"></definition>
+      </concept>
+      <concept>
+       <code value="MTCH"></code>
+       <display value="matches (trigger)"></display>
+       <definition value="A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood.  For example if the trigger is &quot;observation of pain&quot; and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger."></definition>
+      </concept>
+      <concept>
+       <code value="OPTN"></code>
+       <display value="has option"></display>
+       <definition value="A relationship between a source Act that provides more detailed properties to the target Act.
+
+        The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements.
+
+        The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements.
+
+        Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options."></definition>
+      </concept>
+      <concept>
+       <code value="RCHAL"></code>
+       <display value="re-challenge"></display>
+       <definition value="Description:A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated."></definition>
+      </concept>
+      <concept>
+       <code value="REV"></code>
+       <display value="reverses"></display>
+       <definition value="A relationship between a source Act that seeks to reverse or undo the action of the prior target Act.
+
+        Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction.
+
+        Constraints: the &quot;completion track&quot; mood of the target Act must be equally or more &quot;actual&quot; than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT."></definition>
+      </concept>
+      <concept>
+       <code value="RPLC"></code>
+       <display value="replaces"></display>
+       <definition value="A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference.  The source and target must be of the same type."></definition>
+      </concept>
+      <concept>
+       <code value="SUCC"></code>
+       <display value="succeeds"></display>
+       <definition value="Definition:  A new act that carries forward the intention of the original act, but does not completely replace it.  The status of the predecessor act must be 'completed'.  The original act is the target act and the successor is the source act."></definition>
+      </concept>
+      <concept>
+       <code value="UPDT"></code>
+       <display value="updates (condition)"></display>
+       <definition value="A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread."></definition>
+      </concept>
+      <concept>
+       <code value="XCRPT"></code>
+       <display value="Excerpts"></display>
+       <definition value="The source is an excerpt from the target."></definition>
+       <concept>
+        <code value="VRXCRPT"></code>
+        <display value="Excerpt verbatim"></display>
+        <definition value="The source is a direct quote from the target."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="XFRM"></code>
+       <display value="transformation"></display>
+       <definition value="Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SPRT"></code>
+      <display value="has support"></display>
+      <definition value="Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service  (e.g., to indicate a status post)."></definition>
+      <concept>
+       <code value="SPRTBND"></code>
+       <display value="has bounded support"></display>
+       <definition value="A specialization of &quot;has support&quot; (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area.  For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the  &quot;ST elevation&quot; observation -- the ROI defines the true beginning and ending of the episode.  Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general &quot;has support&quot; relation is used.  Likewise, if a ROI on an image defines the true bounds of a &quot;1st degree burn&quot;, the relation &quot;has bounded support&quot; is used; but if the ROI only points to the approximate area of the burn, the general &quot;has support&quot; relation is used."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SUBJ"></code>
+      <display value="has subject"></display>
+      <definition value="Relates an Act to its subject Act that the first Act is primarily concerned with.
+
+        Examples
+
+        
+         
+          The first Act may be a ControlAct manipulating the subject Act 
+
+         
+         
+          The first act is a region of interest (ROI) that defines a region within the subject Act.
+
+         
+         
+          The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose.
+
+         
+        
+        Constraints
+
+        An Act may have multiple subject acts.
+
+        Rationale
+
+        The ActRelationshipType &quot;has subject&quot; is similar to the ParticipationType &quot;subject&quot;, Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship."></definition>
+      <concept>
+       <code value="QUALF"></code>
+       <display value="has qualifier"></display>
+       <definition value="The target observation qualifies (refines) the semantics of the source observation.
+
+        
+         UsageNote: This is not intended to replace concept refinement and qualification via vocabulary.  It is used when there are multiple components which together provide the complete understanding of the source Act."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SUMM"></code>
+      <display value="summarized by"></display>
+      <definition value="An act that contains summary values for a list or set of subordinate acts.  For example, a summary of transactions for a particular accounting period."></definition>
+     </concept>
+     <concept>
+      <code value="VALUE"></code>
+      <display value="has value"></display>
+      <definition value="Description:Indicates that the target Act represents the result of the source observation Act.
+
+        
+         FormalConstraint: Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified
+
+        
+         UsageNote: This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute.  For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation.
+
+        The valueNegationInd attribute on the source Act has the same semantics of &quot;negated finding&quot; when it applies to the target of a VALUE ActRelationship as it does to the value attribute.  On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding.  Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd.
+
+        
+         OpenIssue: The implications of negationInd on ActRelationship and the valueNegationind on Observation."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="CURE"></code>
+     <display value="curative indication"></display>
+     <definition value="curative indication"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="CURE.ADJ"></code>
+     <display value="adjunct curative indication"></display>
+     <definition value="adjunct curative indication"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="MTGT.ADJ"></code>
+     <display value="adjunct mitigation"></display>
+     <definition value="adjunct mitigation"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="RACT"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="SUGG"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActSite"></fullUrl>
   <resource>
@@ -38675,10 +24275,10 @@ the measure population as a narrative description (e.g., all patients seen in th
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContentProcessingMode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActStatus"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ContentProcessingMode"></id>
+    <id value="v3-ActStatus"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -38688,14 +24288,14 @@ the measure population as a narrative description (e.g., all patients seen in th
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ContentProcessingMode"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActStatus"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1110"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.14"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.ContentProcessingMode"></name>
-    <title value="v3 Code System ContentProcessingMode"></title>
+    <name value="v3.ActStatus"></name>
+    <title value="v3 Code System ActStatus"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -38706,262 +24306,60 @@ the measure population as a narrative description (e.g., all patients seen in th
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  Description:
-Identifies the order in which content should be processed."></description>
+    <description value=" Codes representing the defined possible states of an Act, as defined by the Act class state machine."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContentProcessingMode"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
-     <code value="SEQL"></code>
-     <display value="Sequential"></display>
-     <definition value="Description:The content should be processed in a sequential fashion."></definition>
+     <code value="normal"></code>
+     <display value="normal"></display>
+     <definition value="Encompasses the expected states of an Act, but excludes &quot;nullified&quot; and &quot;obsolete&quot; which represent unusual terminal states for the life-cycle."></definition>
+     <concept>
+      <code value="aborted"></code>
+      <display value="aborted"></display>
+      <definition value="The Act has been terminated prior to the originally intended completion."></definition>
+     </concept>
+     <concept>
+      <code value="active"></code>
+      <display value="active"></display>
+      <definition value="The Act can be performed or is being performed"></definition>
+     </concept>
+     <concept>
+      <code value="cancelled"></code>
+      <display value="cancelled"></display>
+      <definition value="The Act has been abandoned before activation."></definition>
+     </concept>
+     <concept>
+      <code value="completed"></code>
+      <display value="completed"></display>
+      <definition value="An Act that has terminated normally after all of its constituents have been performed."></definition>
+     </concept>
+     <concept>
+      <code value="held"></code>
+      <display value="held"></display>
+      <definition value="An Act that is still in the preparatory stages has been put aside.  No action can occur until the Act is released."></definition>
+     </concept>
+     <concept>
+      <code value="new"></code>
+      <display value="new"></display>
+      <definition value="An Act that is in the preparatory stages and may not yet be acted upon"></definition>
+     </concept>
+     <concept>
+      <code value="suspended"></code>
+      <display value="suspended"></display>
+      <definition value="An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled.  No further action should be taken against it until it is released"></definition>
+     </concept>
     </concept>
     <concept>
-     <code value="UNOR"></code>
-     <display value="Unordered"></display>
-     <definition value="Description:The content may be processed in any order."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-IntegrityCheckAlgorithm"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-IntegrityCheckAlgorithm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-IntegrityCheckAlgorithm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1010"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.IntegrityCheckAlgorithm"></name>
-    <title value="v3 Code System IntegrityCheckAlgorithm"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="SHA-1"></code>
-     <display value="secure hash algorithm - 1"></display>
-     <definition value="This algorithm is defined in FIPS PUB 180-1: Secure Hash Standard.  As of April 17, 1995."></definition>
+     <code value="nullified"></code>
+     <display value="nullified"></display>
+     <definition value="This Act instance was created in error and has been 'removed' and is treated as though it never existed.  A record is retained for audit purposes only."></definition>
     </concept>
     <concept>
-     <code value="SHA-256"></code>
-     <display value="secure hash algorithm - 256"></display>
-     <definition value="This algorithm is defined in FIPS PUB 180-2: Secure Hash Standard."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7PublishingSubSection"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7PublishingSubSection"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSubSection"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1134"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7PublishingSubSection"></name>
-    <title value="v3 Code System hl7PublishingSubSection"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes for HL7 publishing sub-sections (business sub-categories)"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSubSection"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="CO"></code>
-     <display value="common"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds common or shared specifications within the Infrastructure Management (IM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="FI"></code>
-     <display value="financial information"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the management of financial information within the Administrative Management (AM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="MC"></code>
-     <display value="message control"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and control of interoperability messages within the Infrastructure Management (IM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="MF"></code>
-     <display value="master file"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to master file and registry management activities within the Infrastructure Management (IM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="PO"></code>
-     <display value="operations"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to managing clinical operations within the Health and Clinical Management (HM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="practice"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the management of practice settings within the Administrative Management (AM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="QU"></code>
-     <display value="query"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to query/response activities within the Infrastructure Management (IM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="RC"></code>
-     <display value="records"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and communication of records of clinical care within the Health and Clinical Management (HM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="RE"></code>
-     <display value="reasoning"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and communication of reasoning (knowledge) within the Health and Clinical Management (HM) section.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-    <concept>
-     <code value="UU"></code>
-     <display value="unknown"></display>
-     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications that are unassigned - that have not yet been assigned to one of the formal publishing sections.
-
-        
-         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
-
-        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryPriority"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryPriority"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryPriority"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.102"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryPriority"></name>
-    <title value="v3 Code System QueryPriority"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryPriority"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Deferred"></display>
-     <definition value="Query response is deferred."></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Immediate"></display>
-     <definition value="Query response is immediate."></definition>
+     <code value="obsolete"></code>
+     <display value="obsolete"></display>
+     <definition value="This Act instance has been replaced by a new instance."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -39018,10 +24416,10 @@ Missing Description"></description>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ProcessingID"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActUSPrivacyLaw"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ProcessingID"></id>
+    <id value="v3-ActUSPrivacyLaw"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -39031,14 +24429,14 @@ Missing Description"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ProcessingID"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.100"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1138"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.ProcessingID"></name>
-    <title value="v3 Code System ProcessingID"></title>
+    <name value="v3.ActUSPrivacyLaw"></name>
+    <title value="v3 Code System ActUSPrivacyLaw"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -39049,64 +24447,10 @@ Missing Description"></description>
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Codes used to specify whether a message is part of a production, training, or debugging system."></description>
+    <description value=" A jurisdictional mandate in the US relating to privacy.   Deprecation Comment:
+Content moved to ActCode under _ActPrivacyLaw; use that instead."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProcessingID"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="Debugging"></display>
-     <definition value="Identifies debugging type of processing."></definition>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Production"></display>
-     <definition value="Identifies production type of processing."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Training"></display>
-     <definition value="Identifies training type of processing."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityDeterminer"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityDeterminer"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.30"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityDeterminer"></name>
-    <title value="v3 Code System EntityDeterminer"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <property>
@@ -39122,124 +24466,146 @@ Missing Description"></description>
      <type value="dateTime"></type>
     </property>
     <concept>
-     <code value="INSTANCE"></code>
-     <display value="specific"></display>
-     <definition value="Description:A determiner that specifies that the Entity object represents a particular physical thing (as opposed to a universal, kind, or class of physical thing).
+     <code value="_ActUSPrivacyLaw"></code>
+     <display value="ActUSPrivacyLaw"></display>
+     <definition value="Definition: A jurisdictional mandate in the U.S. relating to privacy.
 
         
-         Discussion: It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose."></definition>
+         Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.  May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2016-03-12"></valueDateTime>
+     </property>
      <concept>
-      <code value="GROUP"></code>
-      <display value="specific group"></display>
-      <definition value="A determiner that specifies that the Entity object represents a particular collection of physical things (as opposed to a universal, kind, or class of physical thing).  While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="KIND"></code>
-     <display value="described"></display>
-     <definition value="Description:A determiner that specifies that the Entity object represents a universal, kind or class of physical thing (as opposed to a particular thing)."></definition>
-     <concept>
-      <code value="GROUPKIND"></code>
-      <display value="described group"></display>
-      <definition value="A determiner that specifies that the Entity object represents a universal, kind or class of collections physical things.  While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals."></definition>
-     </concept>
-     <concept>
-      <code value="QUANTIFIED_KIND"></code>
-      <display value="described quantified"></display>
-      <definition value="The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED_KIND of syringe (quantity = 3,) stands for exactly three syringes."></definition>
+      <code value="42CFRPart2"></code>
+      <display value="42 CFR Part2"></display>
+      <definition value="42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program.
+
+        
+         Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent.
+
+        
+         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
       <property>
        <code value="status"></code>
-       <valueCode value="retired"></valueCode>
+       <valueCode value="deprecated"></valueCode>
       </property>
       <property>
        <code value="deprecationDate"></code>
-       <valueDateTime value="2008-11-14"></valueDateTime>
+       <valueDateTime value="2016-03-12"></valueDateTime>
       </property>
      </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1061"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityStatus"></name>
-    <title value="v3 Code System EntityStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes representing the defined possible states of an Entity, as defined by the Entity class state machine."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="normal"></code>
-     <display value="normal"></display>
-     <definition value="The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of an Entity record instance that was created in error."></definition>
      <concept>
-      <code value="active"></code>
-      <display value="active"></display>
-      <definition value="The state representing the fact that the Entity record is currently active."></definition>
-     </concept>
-     <concept>
-      <code value="inactive"></code>
-      <display value="inactive"></display>
-      <definition value="Definition: The state representing the fact that the entity is inactive."></definition>
-     </concept>
-     <concept>
-      <code value="terminated"></code>
-      <display value="terminated"></display>
-      <definition value="The state representing the normal termination of an Entity record."></definition>
+      <code value="CommonRule"></code>
+      <display value="Common Rule"></display>
+      <definition value="U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.
+
+        
+         Definition: U.S. federal laws governing research-related privacy policies.
+
+        
+         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies."></definition>
       <property>
        <code value="status"></code>
-       <valueCode value="retired"></valueCode>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-03-12"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="HIPAANOPP"></code>
+      <display value="HIPAA notice of privacy practices"></display>
+      <definition value="The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law.
+
+        
+         Definition: Notification of HIPAA Privacy Practices.
+
+        
+         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-03-12"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="HIPAAPsyNotes"></code>
+      <display value="HIPAA psychotherapy notes"></display>
+      <definition value="The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes.
+
+        
+         Definition: Authorization that must be obtained for disclosure of psychotherapy notes.
+
+        
+         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-03-12"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="HIPAASelfPay"></code>
+      <display value="HIPAA self-pay"></display>
+      <definition value="Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan.
+
+        
+         Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full.
+
+        
+         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-03-12"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="Title38Section7332"></code>
+      <display value="Title 38 Section 7332"></display>
+      <definition value="Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfill the duties of the contract; and researchers who provide assurances that the information will not be identified in any report.  This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes.
+
+        
+         Definition: Title 38 Part 1 - §1.462 Confidentiality restrictions.
+
+        
+(a) General. The patient records to which §§1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b).
+
+        
+         Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-03-12"></valueDateTime>
       </property>
      </concept>
     </concept>
-    <concept>
-     <code value="nullified"></code>
-     <display value="nullified"></display>
-     <definition value="The state representing the termination of an Entity record instance that was created in error."></definition>
-    </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-SpecimenType"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AddressPartType"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-SpecimenType"></id>
+    <id value="v3-AddressPartType"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -39249,2354 +24615,14 @@ Missing Description"></description>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-SpecimenType"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-AddressPartType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.129"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.16"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.SpecimenType"></name>
-    <title value="v3 Code System SpecimenType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-SpecimenType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_SpecimenEntityType"></code>
-     <display value="SpecimenEntityType"></display>
-     <definition value="SpecimenEntityType"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ABS"></code>
-      <display value="Abcess"></display>
-      <definition value="Abcess"></definition>
-     </concept>
-     <concept>
-      <code value="AMN"></code>
-      <display value="Amniotic fluid"></display>
-      <definition value="Amniotic fluid"></definition>
-     </concept>
-     <concept>
-      <code value="ASP"></code>
-      <display value="Aspirate"></display>
-      <definition value="Aspirate"></definition>
-     </concept>
-     <concept>
-      <code value="BBL"></code>
-      <display value="Blood bag"></display>
-      <definition value="Blood bag"></definition>
-     </concept>
-     <concept>
-      <code value="BDY"></code>
-      <display value="Whole body"></display>
-      <definition value="Whole body"></definition>
-     </concept>
-     <concept>
-      <code value="BIFL"></code>
-      <display value="Bile fluid"></display>
-      <definition value="Bile fluid"></definition>
-     </concept>
-     <concept>
-      <code value="BLD"></code>
-      <display value="Whole blood"></display>
-      <definition value="Whole blood"></definition>
-     </concept>
-     <concept>
-      <code value="BLDA"></code>
-      <display value="Blood arterial"></display>
-      <definition value="Blood arterial"></definition>
-     </concept>
-     <concept>
-      <code value="BLDC"></code>
-      <display value="Blood capillary"></display>
-      <definition value="Blood capillary"></definition>
-     </concept>
-     <concept>
-      <code value="BLDCO"></code>
-      <display value="Blood - cord"></display>
-      <definition value="Blood - cord"></definition>
-     </concept>
-     <concept>
-      <code value="BLDV"></code>
-      <display value="Blood venous"></display>
-      <definition value="Blood venous"></definition>
-     </concept>
-     <concept>
-      <code value="BON"></code>
-      <display value="Bone"></display>
-      <definition value="Bone"></definition>
-     </concept>
-     <concept>
-      <code value="BPH"></code>
-      <display value="Basophils"></display>
-      <definition value="Basophils"></definition>
-     </concept>
-     <concept>
-      <code value="BPU"></code>
-      <display value="Blood product unit"></display>
-      <definition value="Blood product unit"></definition>
-     </concept>
-     <concept>
-      <code value="BRN"></code>
-      <display value="Burn"></display>
-      <definition value="Burn"></definition>
-     </concept>
-     <concept>
-      <code value="BRO"></code>
-      <display value="Bronchial"></display>
-      <definition value="Bronchial"></definition>
-     </concept>
-     <concept>
-      <code value="BRTH"></code>
-      <display value="Exhaled gas (=breath)"></display>
-      <definition value="Exhaled gas (=breath)"></definition>
-     </concept>
-     <concept>
-      <code value="CALC"></code>
-      <display value="Calculus (=Stone)"></display>
-      <definition value="Calculus (=Stone)"></definition>
-     </concept>
-     <concept>
-      <code value="CDM"></code>
-      <display value="Cardiac muscle"></display>
-      <definition value="Cardiac muscle"></definition>
-     </concept>
-     <concept>
-      <code value="CNJT"></code>
-      <display value="Conjunctiva"></display>
-      <definition value="Conjunctiva"></definition>
-     </concept>
-     <concept>
-      <code value="CNL"></code>
-      <display value="Cannula"></display>
-      <definition value="Cannula"></definition>
-     </concept>
-     <concept>
-      <code value="COL"></code>
-      <display value="Colostrum"></display>
-      <definition value="Colostrum"></definition>
-     </concept>
-     <concept>
-      <code value="CRN"></code>
-      <display value="Cornea"></display>
-      <definition value="Cornea"></definition>
-     </concept>
-     <concept>
-      <code value="CSF"></code>
-      <display value="Cerebral spinal fluid"></display>
-      <definition value="Cerebral spinal fluid"></definition>
-     </concept>
-     <concept>
-      <code value="CTP"></code>
-      <display value="Catheter tip"></display>
-      <definition value="Catheter tip"></definition>
-     </concept>
-     <concept>
-      <code value="CUR"></code>
-      <display value="Curettage"></display>
-      <definition value="Curettage"></definition>
-     </concept>
-     <concept>
-      <code value="CVM"></code>
-      <display value="Cervical mucus"></display>
-      <definition value="Cervical mucus"></definition>
-     </concept>
-     <concept>
-      <code value="CVX"></code>
-      <display value="Cervix"></display>
-      <definition value="Cervix"></definition>
-     </concept>
-     <concept>
-      <code value="CYST"></code>
-      <display value="Cyst"></display>
-      <definition value="Cyst"></definition>
-     </concept>
-     <concept>
-      <code value="DIAF"></code>
-      <display value="Dialysis fluid"></display>
-      <definition value="Dialysis fluid"></definition>
-     </concept>
-     <concept>
-      <code value="DOSE"></code>
-      <display value="Dose med or substance"></display>
-      <definition value="Dose med or substance"></definition>
-     </concept>
-     <concept>
-      <code value="DRN"></code>
-      <display value="Drain"></display>
-      <definition value="Drain"></definition>
-     </concept>
-     <concept>
-      <code value="DUFL"></code>
-      <display value="Duodenal fluid"></display>
-      <definition value="Duodenal fluid"></definition>
-     </concept>
-     <concept>
-      <code value="EAR"></code>
-      <display value="Ear"></display>
-      <definition value="Ear"></definition>
-     </concept>
-     <concept>
-      <code value="EARW"></code>
-      <display value="Ear wax (cerumen)"></display>
-      <definition value="Ear wax (cerumen)"></definition>
-     </concept>
-     <concept>
-      <code value="ELT"></code>
-      <display value="Electrode"></display>
-      <definition value="Electrode"></definition>
-     </concept>
-     <concept>
-      <code value="ENDC"></code>
-      <display value="Endocardium"></display>
-      <definition value="Endocardium"></definition>
-     </concept>
-     <concept>
-      <code value="ENDM"></code>
-      <display value="Endometrium"></display>
-      <definition value="Endometrium"></definition>
-     </concept>
-     <concept>
-      <code value="EOS"></code>
-      <display value="Eosinophils"></display>
-      <definition value="Eosinophils"></definition>
-     </concept>
-     <concept>
-      <code value="EYE"></code>
-      <display value="Eye"></display>
-      <definition value="Eye"></definition>
-     </concept>
-     <concept>
-      <code value="FIB"></code>
-      <display value="Fibroblasts"></display>
-      <definition value="Fibroblasts"></definition>
-     </concept>
-     <concept>
-      <code value="FIST"></code>
-      <display value="Fistula"></display>
-      <definition value="Fistula"></definition>
-     </concept>
-     <concept>
-      <code value="FLT"></code>
-      <display value="Filter"></display>
-      <definition value="Filter"></definition>
-     </concept>
-     <concept>
-      <code value="FLU"></code>
-      <display value="Body fluid, unsp"></display>
-      <definition value="Body fluid, unsp"></definition>
-     </concept>
-     <concept>
-      <code value="FOOD"></code>
-      <display value="Food sample"></display>
-      <definition value="Food sample"></definition>
-     </concept>
-     <concept>
-      <code value="GAS"></code>
-      <display value="Gas"></display>
-      <definition value="Gas"></definition>
-     </concept>
-     <concept>
-      <code value="GAST"></code>
-      <display value="Gastric fluid/contents"></display>
-      <definition value="Gastric fluid/contents"></definition>
-     </concept>
-     <concept>
-      <code value="GEN"></code>
-      <display value="Genital"></display>
-      <definition value="Genital"></definition>
-     </concept>
-     <concept>
-      <code value="GENC"></code>
-      <display value="Genital cervix"></display>
-      <definition value="Genital cervix"></definition>
-     </concept>
-     <concept>
-      <code value="GENF"></code>
-      <display value="Genital fluid"></display>
-      <definition value="Genital fluid"></definition>
-     </concept>
-     <concept>
-      <code value="GENL"></code>
-      <display value="Genital lochia"></display>
-      <definition value="Genital lochia"></definition>
-     </concept>
-     <concept>
-      <code value="GENV"></code>
-      <display value="Genital vaginal"></display>
-      <definition value="Genital vaginal"></definition>
-     </concept>
-     <concept>
-      <code value="HAR"></code>
-      <display value="Hair"></display>
-      <definition value="Hair"></definition>
-     </concept>
-     <concept>
-      <code value="IHG"></code>
-      <display value="Inhaled Gas"></display>
-      <definition value="Inhaled Gas"></definition>
-     </concept>
-     <concept>
-      <code value="ISLT"></code>
-      <display value="Isolate"></display>
-      <definition value="Isolate"></definition>
-     </concept>
-     <concept>
-      <code value="IT"></code>
-      <display value="Intubation tube"></display>
-      <definition value="Intubation tube"></definition>
-     </concept>
-     <concept>
-      <code value="LAM"></code>
-      <display value="Lamella"></display>
-      <definition value="Lamella"></definition>
-     </concept>
-     <concept>
-      <code value="LIQ"></code>
-      <display value="Liquid NOS"></display>
-      <definition value="Liquid NOS"></definition>
-     </concept>
-     <concept>
-      <code value="LN"></code>
-      <display value="Line"></display>
-      <definition value="Line"></definition>
-     </concept>
-     <concept>
-      <code value="LNA"></code>
-      <display value="Line arterial"></display>
-      <definition value="Line arterial"></definition>
-     </concept>
-     <concept>
-      <code value="LNV"></code>
-      <display value="Line venous"></display>
-      <definition value="Line venous"></definition>
-     </concept>
-     <concept>
-      <code value="LYM"></code>
-      <display value="Lymphocytes"></display>
-      <definition value="Lymphocytes"></definition>
-     </concept>
-     <concept>
-      <code value="MAC"></code>
-      <display value="Macrophages"></display>
-      <definition value="Macrophages"></definition>
-     </concept>
-     <concept>
-      <code value="MAR"></code>
-      <display value="Marrow (bone)"></display>
-      <definition value="Marrow (bone)"></definition>
-     </concept>
-     <concept>
-      <code value="MBLD"></code>
-      <display value="Menstrual blood"></display>
-      <definition value="Menstrual blood"></definition>
-     </concept>
-     <concept>
-      <code value="MEC"></code>
-      <display value="Meconium"></display>
-      <definition value="Meconium"></definition>
-     </concept>
-     <concept>
-      <code value="MILK"></code>
-      <display value="Breast milk"></display>
-      <definition value="Breast milk"></definition>
-     </concept>
-     <concept>
-      <code value="MLK"></code>
-      <display value="Milk"></display>
-      <definition value="Milk"></definition>
-     </concept>
-     <concept>
-      <code value="NAIL"></code>
-      <display value="Nail"></display>
-      <definition value="Nail"></definition>
-     </concept>
-     <concept>
-      <code value="NOS"></code>
-      <display value="Nose (nasal passage)"></display>
-      <definition value="Nose (nasal passage)"></definition>
-     </concept>
-     <concept>
-      <code value="PAFL"></code>
-      <display value="Pancreatic fluid"></display>
-      <definition value="Pancreatic fluid"></definition>
-     </concept>
-     <concept>
-      <code value="PAT"></code>
-      <display value="Patient"></display>
-      <definition value="Patient"></definition>
-     </concept>
-     <concept>
-      <code value="PLAS"></code>
-      <display value="Plasma"></display>
-      <definition value="Plasma"></definition>
-     </concept>
-     <concept>
-      <code value="PLB"></code>
-      <display value="Plasma bag"></display>
-      <definition value="Plasma bag"></definition>
-     </concept>
-     <concept>
-      <code value="PLC"></code>
-      <display value="Placenta"></display>
-      <definition value="Placenta"></definition>
-     </concept>
-     <concept>
-      <code value="PLR"></code>
-      <display value="Pleural fluid (thoracentesis fld)"></display>
-      <definition value="Pleural fluid (thoracentesis fld)"></definition>
-     </concept>
-     <concept>
-      <code value="PMN"></code>
-      <display value="Polymorphonuclear neutrophils"></display>
-      <definition value="Polymorphonuclear neutrophils"></definition>
-     </concept>
-     <concept>
-      <code value="PPP"></code>
-      <display value="Platelet poor plasma"></display>
-      <definition value="Platelet poor plasma"></definition>
-     </concept>
-     <concept>
-      <code value="PRP"></code>
-      <display value="Platelet rich plasma"></display>
-      <definition value="Platelet rich plasma"></definition>
-     </concept>
-     <concept>
-      <code value="PRT"></code>
-      <display value="Peritoneal fluid /ascites"></display>
-      <definition value="Peritoneal fluid /ascites"></definition>
-     </concept>
-     <concept>
-      <code value="PUS"></code>
-      <display value="Pus"></display>
-      <definition value="Pus"></definition>
-     </concept>
-     <concept>
-      <code value="RBC"></code>
-      <display value="Erythrocytes"></display>
-      <definition value="Erythrocytes"></definition>
-     </concept>
-     <concept>
-      <code value="SAL"></code>
-      <display value="Saliva"></display>
-      <definition value="Saliva"></definition>
-     </concept>
-     <concept>
-      <code value="SER"></code>
-      <display value="Serum"></display>
-      <definition value="Serum"></definition>
-     </concept>
-     <concept>
-      <code value="SKM"></code>
-      <display value="Skeletal muscle"></display>
-      <definition value="Skeletal muscle"></definition>
-     </concept>
-     <concept>
-      <code value="SKN"></code>
-      <display value="Skin"></display>
-      <definition value="Skin"></definition>
-     </concept>
-     <concept>
-      <code value="SMN"></code>
-      <display value="Seminal fluid"></display>
-      <definition value="Seminal fluid"></definition>
-     </concept>
-     <concept>
-      <code value="SMPLS"></code>
-      <display value="Seminal plasma"></display>
-      <definition value="Seminal plasma"></definition>
-     </concept>
-     <concept>
-      <code value="SNV"></code>
-      <display value="Synovial fluid (Joint fluid)"></display>
-      <definition value="Synovial fluid (Joint fluid)"></definition>
-     </concept>
-     <concept>
-      <code value="SPRM"></code>
-      <display value="Spermatozoa"></display>
-      <definition value="Spermatozoa"></definition>
-     </concept>
-     <concept>
-      <code value="SPT"></code>
-      <display value="Sputum"></display>
-      <definition value="Sputum"></definition>
-     </concept>
-     <concept>
-      <code value="SPTC"></code>
-      <display value="Sputum - coughed"></display>
-      <definition value="Sputum - coughed"></definition>
-     </concept>
-     <concept>
-      <code value="SPTT"></code>
-      <display value="Sputum - tracheal aspirate"></display>
-      <definition value="Sputum - tracheal aspirate"></definition>
-     </concept>
-     <concept>
-      <code value="STL"></code>
-      <display value="Stool = Fecal"></display>
-      <definition value="Stool = Fecal"></definition>
-     </concept>
-     <concept>
-      <code value="SWT"></code>
-      <display value="Sweat"></display>
-      <definition value="Sweat"></definition>
-     </concept>
-     <concept>
-      <code value="TEAR"></code>
-      <display value="Tears"></display>
-      <definition value="Tears"></definition>
-     </concept>
-     <concept>
-      <code value="THRB"></code>
-      <display value="Thrombocyte (platelet)"></display>
-      <definition value="Thrombocyte (platelet)"></definition>
-     </concept>
-     <concept>
-      <code value="THRT"></code>
-      <display value="Throat"></display>
-      <definition value="Throat"></definition>
-     </concept>
-     <concept>
-      <code value="TISG"></code>
-      <display value="Tissue gall bladder"></display>
-      <definition value="Tissue gall bladder"></definition>
-     </concept>
-     <concept>
-      <code value="TISPL"></code>
-      <display value="Tissue placenta"></display>
-      <definition value="Tissue placenta"></definition>
-     </concept>
-     <concept>
-      <code value="TISS"></code>
-      <display value="Tissue, unspecified"></display>
-      <definition value="Tissue, unspecified"></definition>
-     </concept>
-     <concept>
-      <code value="TISU"></code>
-      <display value="Tissue ulcer"></display>
-      <definition value="Tissue ulcer"></definition>
-     </concept>
-     <concept>
-      <code value="TLGI"></code>
-      <display value="Tissue large intestine"></display>
-      <definition value="Tissue large intestine"></definition>
-     </concept>
-     <concept>
-      <code value="TLNG"></code>
-      <display value="Tissue lung"></display>
-      <definition value="Tissue lung"></definition>
-     </concept>
-     <concept>
-      <code value="TSMI"></code>
-      <display value="Tissue small intestine Tissue ulcer"></display>
-      <definition value="Tissue small intestine Tissue ulcer"></definition>
-     </concept>
-     <concept>
-      <code value="TUB"></code>
-      <display value="Tube, unspecified"></display>
-      <definition value="Tube, unspecified"></definition>
-     </concept>
-     <concept>
-      <code value="ULC"></code>
-      <display value="Ulcer"></display>
-      <definition value="Ulcer"></definition>
-     </concept>
-     <concept>
-      <code value="UMB"></code>
-      <display value="Umbilical blood"></display>
-      <definition value="Umbilical blood"></definition>
-     </concept>
-     <concept>
-      <code value="UMED"></code>
-      <display value="Unknown medicine"></display>
-      <definition value="Unknown medicine"></definition>
-     </concept>
-     <concept>
-      <code value="UR"></code>
-      <display value="Urine"></display>
-      <definition value="Urine"></definition>
-     </concept>
-     <concept>
-      <code value="URC"></code>
-      <display value="Urine clean catch"></display>
-      <definition value="Urine clean catch"></definition>
-     </concept>
-     <concept>
-      <code value="URNS"></code>
-      <display value="Urine sediment"></display>
-      <definition value="Urine sediment"></definition>
-     </concept>
-     <concept>
-      <code value="URT"></code>
-      <display value="Urine catheter"></display>
-      <definition value="Urine catheter"></definition>
-     </concept>
-     <concept>
-      <code value="URTH"></code>
-      <display value="Urethra"></display>
-      <definition value="Urethra"></definition>
-     </concept>
-     <concept>
-      <code value="USUB"></code>
-      <display value="Unknown substance"></display>
-      <definition value="Unknown substance"></definition>
-     </concept>
-     <concept>
-      <code value="VOM"></code>
-      <display value="Vomitus"></display>
-      <definition value="Vomitus"></definition>
-     </concept>
-     <concept>
-      <code value="WAT"></code>
-      <display value="Water"></display>
-      <definition value="Water"></definition>
-     </concept>
-     <concept>
-      <code value="WBC"></code>
-      <display value="Leukocytes"></display>
-      <definition value="Leukocytes"></definition>
-     </concept>
-     <concept>
-      <code value="WICK"></code>
-      <display value="Wick"></display>
-      <definition value="Wick"></definition>
-     </concept>
-     <concept>
-      <code value="WND"></code>
-      <display value="Wound"></display>
-      <definition value="Wound"></definition>
-     </concept>
-     <concept>
-      <code value="WNDA"></code>
-      <display value="Wound abscess"></display>
-      <definition value="Wound abscess"></definition>
-     </concept>
-     <concept>
-      <code value="WNDD"></code>
-      <display value="Wound drainage"></display>
-      <definition value="Wound drainage"></definition>
-     </concept>
-     <concept>
-      <code value="WNDE"></code>
-      <display value="Wound exudate"></display>
-      <definition value="Wound exudate"></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationMethod"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationMethod"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationMethod"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.84"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationMethod"></name>
-    <title value="v3 Code System ObservationMethod"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code that provides additional detail about the means or technique used to ascertain the observation.  Examples:
-Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified.  Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description.  Needs to be improved."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="_DecisionObservationMethod"></code>
-     <display value="DecisionObservationMethod"></display>
-     <definition value="Provides codes for decision methods, initially for assessing the causality of events."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ALGM"></code>
-      <display value="algorithm"></display>
-      <definition value="Reaching a decision through the application of an algorithm designed to weigh the different factors involved."></definition>
-      <concept>
-       <code value="BYCL"></code>
-       <display value="bayesian calculation"></display>
-       <definition value="Reaching a decision through the use of Bayesian statistical analysis."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="GINT"></code>
-      <display value="global introspection"></display>
-      <definition value="Reaching a decision by consideration of the totality of factors involved in order to reach a judgement."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_GeneticObservationMethod"></code>
-     <display value="GeneticObservationMethod"></display>
-     <definition value="A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="PCR"></code>
-      <display value="PCR"></display>
-      <definition value="Description: Polymerase Chain Reaction"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ObservationMethodAggregate"></code>
-     <display value="observation method aggregate"></display>
-     <definition value="Provides additional detail about the aggregation methods used to compute the aggregated values for an observation. This is an abstract code."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AVERAGE"></code>
-      <display value="average"></display>
-      <definition value="Average of non-null values in the referenced set of values"></definition>
-     </concept>
-     <concept>
-      <code value="COUNT"></code>
-      <display value="count"></display>
-      <definition value="Count of non-null values in the referenced set of values"></definition>
-     </concept>
-     <concept>
-      <code value="MAX"></code>
-      <display value="maxima"></display>
-      <definition value="Largest of all non-null values in the referenced set of values."></definition>
-     </concept>
-     <concept>
-      <code value="MEDIAN"></code>
-      <display value="median"></display>
-      <definition value="The median of all non-null values in the referenced set of values."></definition>
-     </concept>
-     <concept>
-      <code value="MIN"></code>
-      <display value="minima"></display>
-      <definition value="Smallest of all non-null values in the referenced set of values."></definition>
-     </concept>
-     <concept>
-      <code value="MODE"></code>
-      <display value="mode"></display>
-      <definition value="The most common value of all non-null values in the referenced set of values."></definition>
-     </concept>
-     <concept>
-      <code value="STDEV.P"></code>
-      <display value="population standard deviation"></display>
-      <definition value="Standard Deviation of the values in the referenced set of values, computed over the population."></definition>
-     </concept>
-     <concept>
-      <code value="STDEV.S"></code>
-      <display value="sample standard deviation"></display>
-      <definition value="Standard Deviation of the values in the referenced set of values, computed over a sample of the population."></definition>
-     </concept>
-     <concept>
-      <code value="SUM"></code>
-      <display value="sum"></display>
-      <definition value="Sum of non-null values in the referenced set of values"></definition>
-     </concept>
-     <concept>
-      <code value="VARIANCE.P"></code>
-      <display value="population variance"></display>
-      <definition value="Variance of the values in the referenced set of values, computed over the population."></definition>
-     </concept>
-     <concept>
-      <code value="VARIANCE.S"></code>
-      <display value="sample variance"></display>
-      <definition value="Variance of the values in the referenced set of values, computed over a sample of the population."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_VerificationMethod"></code>
-     <display value="VerificationMethod"></display>
-     <definition value="VerificationMethod"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="VDOC"></code>
-      <display value="document verification"></display>
-      <definition value="Verification by means of document.
-
-        
-         Example: Fax, letter, attachment to e-mail."></definition>
-     </concept>
-     <concept>
-      <code value="VREG"></code>
-      <display value="registry verification"></display>
-      <definition value="verification by means of  a response to an electronic query
-
-        
-         Example: query message to a Covered Party registry application or Coverage Administrator."></definition>
-     </concept>
-     <concept>
-      <code value="VTOKEN"></code>
-      <display value="electronic token verification"></display>
-      <definition value="Verification by means of electronic token.
-
-        
-         Example: smartcard, magnetic swipe card, RFID device."></definition>
-     </concept>
-     <concept>
-      <code value="VVOICE"></code>
-      <display value="voice-based verification"></display>
-      <definition value="Verification by means of voice.
-
-        
-         Example: By speaking with or calling the Coverage Administrator or Covered Party"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="0001"></code>
-     <display value="Complement fixation"></display>
-     <definition value="Complement fixation"></definition>
-    </concept>
-    <concept>
-     <code value="0002"></code>
-     <display value="Computed axial tomography"></display>
-     <definition value="Computed axial tomography"></definition>
-    </concept>
-    <concept>
-     <code value="0003"></code>
-     <display value="HLAR agar test"></display>
-     <definition value="Susceptibility, High Level Aminoglycoside Resistance agar test"></definition>
-    </concept>
-    <concept>
-     <code value="0004"></code>
-     <display value="Macroscopic observation"></display>
-     <definition value="Visual, Macroscopic observation"></definition>
-    </concept>
-    <concept>
-     <code value="0005"></code>
-     <display value="Magnetic resonance"></display>
-     <definition value="Computed, Magnetic resonance"></definition>
-    </concept>
-    <concept>
-     <code value="0006"></code>
-     <display value="Morphometry"></display>
-     <definition value="Computed, Morphometry"></definition>
-    </concept>
-    <concept>
-     <code value="0007"></code>
-     <display value="Positron emission tomography"></display>
-     <definition value="Computed, Positron emission tomography"></definition>
-    </concept>
-    <concept>
-     <code value="0008"></code>
-     <display value="SAMHSA confirmation"></display>
-     <definition value="SAMHSA drug assay confirmation"></definition>
-    </concept>
-    <concept>
-     <code value="0009"></code>
-     <display value="SAMHSA screening"></display>
-     <definition value="SAMHSA drug assay screening"></definition>
-    </concept>
-    <concept>
-     <code value="0010"></code>
-     <display value="Serum Neutralization"></display>
-     <definition value="Serum Neutralization"></definition>
-    </concept>
-    <concept>
-     <code value="0011"></code>
-     <display value="Titration"></display>
-     <definition value="Titration"></definition>
-    </concept>
-    <concept>
-     <code value="0012"></code>
-     <display value="Ultrasound"></display>
-     <definition value="Ultrasound"></definition>
-    </concept>
-    <concept>
-     <code value="0013"></code>
-     <display value="X-ray crystallography"></display>
-     <definition value="X-ray crystallography"></definition>
-    </concept>
-    <concept>
-     <code value="0014"></code>
-     <display value="Agglutination"></display>
-     <definition value="Agglutination"></definition>
-    </concept>
-    <concept>
-     <code value="0015"></code>
-     <display value="Buffered acidified plate agglutination"></display>
-     <definition value="Agglutination, Buffered acidified plate"></definition>
-    </concept>
-    <concept>
-     <code value="0016"></code>
-     <display value="Card agglutination"></display>
-     <definition value="Agglutination, Card"></definition>
-    </concept>
-    <concept>
-     <code value="0017"></code>
-     <display value="Hemagglutination"></display>
-     <definition value="Agglutination, Hemagglutination"></definition>
-    </concept>
-    <concept>
-     <code value="0018"></code>
-     <display value="Hemagglutination inhibition"></display>
-     <definition value="Agglutination, Hemagglutination inhibition"></definition>
-    </concept>
-    <concept>
-     <code value="0019"></code>
-     <display value="Latex agglutination"></display>
-     <definition value="Agglutination, Latex"></definition>
-    </concept>
-    <concept>
-     <code value="0020"></code>
-     <display value="Plate agglutination"></display>
-     <definition value="Agglutination, Plate"></definition>
-    </concept>
-    <concept>
-     <code value="0021"></code>
-     <display value="Rapid agglutination"></display>
-     <definition value="Agglutination, Rapid Plate"></definition>
-    </concept>
-    <concept>
-     <code value="0022"></code>
-     <display value="RBC agglutination"></display>
-     <definition value="Agglutination, RBC"></definition>
-    </concept>
-    <concept>
-     <code value="0023"></code>
-     <display value="Rivanol agglutination"></display>
-     <definition value="Agglutination, Rivanol"></definition>
-    </concept>
-    <concept>
-     <code value="0024"></code>
-     <display value="Tube agglutination"></display>
-     <definition value="Agglutination, Tube"></definition>
-    </concept>
-    <concept>
-     <code value="0025"></code>
-     <display value="Bioassay"></display>
-     <definition value="Bioassay"></definition>
-    </concept>
-    <concept>
-     <code value="0026"></code>
-     <display value="Animal Inoculation"></display>
-     <definition value="Bioassay, Animal Inoculation"></definition>
-    </concept>
-    <concept>
-     <code value="0027"></code>
-     <display value="Cytotoxicity"></display>
-     <definition value="Bioassay, Cytotoxicity"></definition>
-    </concept>
-    <concept>
-     <code value="0028"></code>
-     <display value="Embryo infective dose 50"></display>
-     <definition value="Bioassay, Embryo Infective Dose 50"></definition>
-    </concept>
-    <concept>
-     <code value="0029"></code>
-     <display value="Embryo lethal dose 50"></display>
-     <definition value="Bioassay, Embryo Lethal Dose 50"></definition>
-    </concept>
-    <concept>
-     <code value="0030"></code>
-     <display value="Mouse intercerebral inoculation"></display>
-     <definition value="Bioassay, Mouse intercerebral inoculation"></definition>
-    </concept>
-    <concept>
-     <code value="0031"></code>
-     <display value="Bioassay, qualitative"></display>
-     <definition value="Bioassay, qualitative"></definition>
-    </concept>
-    <concept>
-     <code value="0032"></code>
-     <display value="Bioassay, quantitative"></display>
-     <definition value="Bioassay, quantitative"></definition>
-    </concept>
-    <concept>
-     <code value="0033"></code>
-     <display value="Chemical method"></display>
-     <definition value="Chemical"></definition>
-    </concept>
-    <concept>
-     <code value="0034"></code>
-     <display value="Differential light absorption chemical test"></display>
-     <definition value="Chemical, Differential light absorption"></definition>
-    </concept>
-    <concept>
-     <code value="0035"></code>
-     <display value="Dipstick"></display>
-     <definition value="Chemical, Dipstick"></definition>
-    </concept>
-    <concept>
-     <code value="0036"></code>
-     <display value="Dipstick colorimetric laboratory test"></display>
-     <definition value="Chemical, Dipstick colorimetric laboratory test"></definition>
-    </concept>
-    <concept>
-     <code value="0037"></code>
-     <display value="Test strip"></display>
-     <definition value="Chemical, Test strip"></definition>
-    </concept>
-    <concept>
-     <code value="0038"></code>
-     <display value="Chromatography"></display>
-     <definition value="Chromatography"></definition>
-    </concept>
-    <concept>
-     <code value="0039"></code>
-     <display value="Affinity chromatography"></display>
-     <definition value="Chromatography, Affinity"></definition>
-    </concept>
-    <concept>
-     <code value="0040"></code>
-     <display value="Gas liquid chromatography"></display>
-     <definition value="Chromatography, Gas liquid"></definition>
-    </concept>
-    <concept>
-     <code value="0041"></code>
-     <display value="High performance liquid chromatography"></display>
-     <definition value="Chromatography, High performance liquid"></definition>
-    </concept>
-    <concept>
-     <code value="0042"></code>
-     <display value="Liquid Chromatography"></display>
-     <definition value="Chromatography, Liquid"></definition>
-    </concept>
-    <concept>
-     <code value="0043"></code>
-     <display value="Protein A affinity chromatography"></display>
-     <definition value="Chromatography, Protein A affinity"></definition>
-    </concept>
-    <concept>
-     <code value="0044"></code>
-     <display value="Coagulation"></display>
-     <definition value="Coagulation"></definition>
-    </concept>
-    <concept>
-     <code value="0045"></code>
-     <display value="Tilt tube coagulation time"></display>
-     <definition value="Coagulation, Tilt tube"></definition>
-    </concept>
-    <concept>
-     <code value="0046"></code>
-     <display value="Tilt tube reptilase induced coagulation"></display>
-     <definition value="Coagulation, Tilt tube reptilase induced"></definition>
-    </concept>
-    <concept>
-     <code value="0047"></code>
-     <display value="Automated count"></display>
-     <definition value="Count, Automated"></definition>
-    </concept>
-    <concept>
-     <code value="0048"></code>
-     <display value="Manual cell count"></display>
-     <definition value="Count, Manual"></definition>
-    </concept>
-    <concept>
-     <code value="0049"></code>
-     <display value="Platelet count, Rees-Ecker"></display>
-     <definition value="Count, Platelet, Rees-Ecker"></definition>
-    </concept>
-    <concept>
-     <code value="0050"></code>
-     <display value="Aerobic Culture"></display>
-     <definition value="Culture, Aerobic"></definition>
-    </concept>
-    <concept>
-     <code value="0051"></code>
-     <display value="Anaerobic Culture"></display>
-     <definition value="Culture, Anaerobic"></definition>
-    </concept>
-    <concept>
-     <code value="0052"></code>
-     <display value="Chicken embryo culture"></display>
-     <definition value="Culture, Chicken Embryo"></definition>
-    </concept>
-    <concept>
-     <code value="0053"></code>
-     <display value="Delayed secondary enrichment"></display>
-     <definition value="Culture, Delayed secondary enrichment"></definition>
-    </concept>
-    <concept>
-     <code value="0054"></code>
-     <display value="Microaerophilic Culture"></display>
-     <definition value="Culture, Microaerophilic"></definition>
-    </concept>
-    <concept>
-     <code value="0055"></code>
-     <display value="Quantitative microbial culture, cup"></display>
-     <definition value="Culture, Quantitative microbial, cup"></definition>
-    </concept>
-    <concept>
-     <code value="0056"></code>
-     <display value="Quantitative microbial culture, droplet"></display>
-     <definition value="Culture, Quantitative microbial, droplet"></definition>
-    </concept>
-    <concept>
-     <code value="0057"></code>
-     <display value="Quantitative microbial culture, filter paper"></display>
-     <definition value="Culture, Quantitative microbial, filter paper"></definition>
-    </concept>
-    <concept>
-     <code value="0058"></code>
-     <display value="Quantitative microbial culture, pad culture"></display>
-     <definition value="Culture, Quantitative microbial, pad"></definition>
-    </concept>
-    <concept>
-     <code value="0059"></code>
-     <display value="Quantitative microbial culture, pour plate"></display>
-     <definition value="Culture, Quantitative microbial, pour plate"></definition>
-    </concept>
-    <concept>
-     <code value="0060"></code>
-     <display value="Quantitative microbial culture, surface streak"></display>
-     <definition value="Culture, Quantitative microbial, surface streak"></definition>
-    </concept>
-    <concept>
-     <code value="0061"></code>
-     <display value="Somatic Cell culture"></display>
-     <definition value="Culture, Somatic Cell"></definition>
-    </concept>
-    <concept>
-     <code value="0062"></code>
-     <display value="Agar diffusion"></display>
-     <definition value="Diffusion, Agar"></definition>
-    </concept>
-    <concept>
-     <code value="0063"></code>
-     <display value="Agar Gel Immunodiffusion"></display>
-     <definition value="Diffusion, Agar Gel Immunodiffusion"></definition>
-    </concept>
-    <concept>
-     <code value="0064"></code>
-     <display value="Electrophoresis"></display>
-     <definition value="Electrophoresis"></definition>
-    </concept>
-    <concept>
-     <code value="0065"></code>
-     <display value="Agaorse gel electrophoresis"></display>
-     <definition value="Electrophoresis, Agaorse gel"></definition>
-    </concept>
-    <concept>
-     <code value="0066"></code>
-     <display value="Electrophoresis, citrate agar"></display>
-     <definition value="Electrophoresis, citrate agar"></definition>
-    </concept>
-    <concept>
-     <code value="0067"></code>
-     <display value="Immunoelectrophoresis"></display>
-     <definition value="Electrophoresis, Immuno"></definition>
-    </concept>
-    <concept>
-     <code value="0068"></code>
-     <display value="Polyacrylamide gel electrophoresis"></display>
-     <definition value="Electrophoresis, Polyacrylamide gel"></definition>
-    </concept>
-    <concept>
-     <code value="0069"></code>
-     <display value="Starch gel electrophoresis"></display>
-     <definition value="Electrophoresis, Starch gel"></definition>
-    </concept>
-    <concept>
-     <code value="0070"></code>
-     <display value="ELISA"></display>
-     <definition value="ELISA"></definition>
-    </concept>
-    <concept>
-     <code value="0071"></code>
-     <display value="ELISA, antigen capture"></display>
-     <definition value="ELISA, antigen capture"></definition>
-    </concept>
-    <concept>
-     <code value="0072"></code>
-     <display value="ELISA, avidin biotin peroxidase complex"></display>
-     <definition value="ELISA, avidin biotin peroxidase complex"></definition>
-    </concept>
-    <concept>
-     <code value="0073"></code>
-     <display value="Kinetic ELISA"></display>
-     <definition value="ELISA, Kinetic"></definition>
-    </concept>
-    <concept>
-     <code value="0074"></code>
-     <display value="ELISA, peroxidase-antiperoxidase"></display>
-     <definition value="ELISA, peroxidase-antiperoxidase"></definition>
-    </concept>
-    <concept>
-     <code value="0075"></code>
-     <display value="API 20 Strep"></display>
-     <definition value="Identification, API 20 Strep"></definition>
-    </concept>
-    <concept>
-     <code value="0076"></code>
-     <display value="API 20A"></display>
-     <definition value="Identification, API 20A"></definition>
-    </concept>
-    <concept>
-     <code value="0077"></code>
-     <display value="API 20C AUX"></display>
-     <definition value="Identification, API 20C AUX"></definition>
-    </concept>
-    <concept>
-     <code value="0078"></code>
-     <display value="API 20E"></display>
-     <definition value="Identification, API 20E"></definition>
-    </concept>
-    <concept>
-     <code value="0079"></code>
-     <display value="API 20NE"></display>
-     <definition value="Identification, API 20NE"></definition>
-    </concept>
-    <concept>
-     <code value="0080"></code>
-     <display value="API 50 CH"></display>
-     <definition value="Identification, API 50 CH"></definition>
-    </concept>
-    <concept>
-     <code value="0081"></code>
-     <display value="API An-IDENT"></display>
-     <definition value="Identification, API An-IDENT"></definition>
-    </concept>
-    <concept>
-     <code value="0082"></code>
-     <display value="API Coryne"></display>
-     <definition value="Identification, API Coryne"></definition>
-    </concept>
-    <concept>
-     <code value="0083"></code>
-     <display value="API Rapid 20E"></display>
-     <definition value="Identification, API Rapid 20E"></definition>
-    </concept>
-    <concept>
-     <code value="0084"></code>
-     <display value="API Staph"></display>
-     <definition value="Identification, API Staph"></definition>
-    </concept>
-    <concept>
-     <code value="0085"></code>
-     <display value="API ZYM"></display>
-     <definition value="Identification, API ZYM"></definition>
-    </concept>
-    <concept>
-     <code value="0086"></code>
-     <display value="Bacterial identification"></display>
-     <definition value="Identification, Bacterial"></definition>
-    </concept>
-    <concept>
-     <code value="0087"></code>
-     <display value="mini VIDAS"></display>
-     <definition value="Identification, mini VIDAS"></definition>
-    </concept>
-    <concept>
-     <code value="0088"></code>
-     <display value="Phage susceptibility typing"></display>
-     <definition value="Identification, Phage susceptibility typing"></definition>
-    </concept>
-    <concept>
-     <code value="0089"></code>
-     <display value="Quad-FERM+"></display>
-     <definition value="Identification, Quad-FERM+"></definition>
-    </concept>
-    <concept>
-     <code value="0090"></code>
-     <display value="RAPIDEC Staph"></display>
-     <definition value="Identification, RAPIDEC Staph"></definition>
-    </concept>
-    <concept>
-     <code value="0091"></code>
-     <display value="Staphaurex"></display>
-     <definition value="Identification, Staphaurex"></definition>
-    </concept>
-    <concept>
-     <code value="0092"></code>
-     <display value="VIDAS"></display>
-     <definition value="Identification, VIDAS"></definition>
-    </concept>
-    <concept>
-     <code value="0093"></code>
-     <display value="Vitek"></display>
-     <definition value="Identification, Vitek"></definition>
-    </concept>
-    <concept>
-     <code value="0094"></code>
-     <display value="VITEK 2"></display>
-     <definition value="Identification, VITEK 2"></definition>
-    </concept>
-    <concept>
-     <code value="0095"></code>
-     <display value="Immune stain"></display>
-     <definition value="Immune stain"></definition>
-    </concept>
-    <concept>
-     <code value="0096"></code>
-     <display value="Immunofluorescent antibody, direct"></display>
-     <definition value="Immune stain, Immunofluorescent antibody, direct"></definition>
-    </concept>
-    <concept>
-     <code value="0097"></code>
-     <display value="Immunofluorescent antibody, indirect"></display>
-     <definition value="Immune stain, Immunofluorescent antibody, indirect"></definition>
-    </concept>
-    <concept>
-     <code value="0098"></code>
-     <display value="Immunoperoxidase, Avidin-Biotin Complex"></display>
-     <definition value="Immune stain, Immunoperoxidase, Avidin-Biotin Complex"></definition>
-    </concept>
-    <concept>
-     <code value="0099"></code>
-     <display value="Immunoperoxidase, Peroxidase anti-peroxidase complex"></display>
-     <definition value="Immune stain, Immunoperoxidase, Peroxidase anti-peroxidase complex"></definition>
-    </concept>
-    <concept>
-     <code value="0100"></code>
-     <display value="Immunoperoxidase, Protein A-peroxidase complex"></display>
-     <definition value="Immune stain, Immunoperoxidase, Protein A-peroxidase complex"></definition>
-    </concept>
-    <concept>
-     <code value="0101"></code>
-     <display value="Immunoassay"></display>
-     <definition value="Immunoassay"></definition>
-    </concept>
-    <concept>
-     <code value="0102"></code>
-     <display value="Immunoassay, qualitative, multiple step"></display>
-     <definition value="Immunoassay, qualitative, multiple step"></definition>
-    </concept>
-    <concept>
-     <code value="0103"></code>
-     <display value="Immunoassay, qualitative, single step"></display>
-     <definition value="Immunoassay, qualitative, single step"></definition>
-    </concept>
-    <concept>
-     <code value="0104"></code>
-     <display value="Radioimmunoassay"></display>
-     <definition value="Immunoassay, Radioimmunoassay"></definition>
-    </concept>
-    <concept>
-     <code value="0105"></code>
-     <display value="Immunoassay, semi-quantitative, multiple step"></display>
-     <definition value="Immunoassay, semi-quantitative, multiple step"></definition>
-    </concept>
-    <concept>
-     <code value="0106"></code>
-     <display value="Immunoassay, semi-quantitative, single step"></display>
-     <definition value="Immunoassay, semi-quantitative, single step"></definition>
-    </concept>
-    <concept>
-     <code value="0107"></code>
-     <display value="Microscopy"></display>
-     <definition value="Microscopy"></definition>
-    </concept>
-    <concept>
-     <code value="0108"></code>
-     <display value="Darkfield microscopy"></display>
-     <definition value="Microscopy, Darkfield"></definition>
-    </concept>
-    <concept>
-     <code value="0109"></code>
-     <display value="Electron microscopy"></display>
-     <definition value="Microscopy, Electron"></definition>
-    </concept>
-    <concept>
-     <code value="0110"></code>
-     <display value="Electron microscopy tomography"></display>
-     <definition value="Microscopy, Electron microscopy tomography"></definition>
-    </concept>
-    <concept>
-     <code value="0111"></code>
-     <display value="Electron microscopy, negative stain"></display>
-     <definition value="Microscopy, Electron, negative stain"></definition>
-    </concept>
-    <concept>
-     <code value="0112"></code>
-     <display value="Electron microscopy, thick section"></display>
-     <definition value="Microscopy, Electron, thick section transmission"></definition>
-    </concept>
-    <concept>
-     <code value="0113"></code>
-     <display value="Electron microscopy, thin section"></display>
-     <definition value="Microscopy, Electron, thin section transmission"></definition>
-    </concept>
-    <concept>
-     <code value="0114"></code>
-     <display value="Microscopy, Light"></display>
-     <definition value="Microscopy, Light"></definition>
-    </concept>
-    <concept>
-     <code value="0115"></code>
-     <display value="Polarizing light microscopy"></display>
-     <definition value="Microscopy, Polarized light"></definition>
-    </concept>
-    <concept>
-     <code value="0116"></code>
-     <display value="Scanning electron microscopy"></display>
-     <definition value="Microscopy, Scanning electron"></definition>
-    </concept>
-    <concept>
-     <code value="0117"></code>
-     <display value="Transmission electron microscopy"></display>
-     <definition value="Microscopy, Transmission electron"></definition>
-    </concept>
-    <concept>
-     <code value="0118"></code>
-     <display value="Transparent tape direct examination"></display>
-     <definition value="Microscopy, Transparent tape direct examination"></definition>
-    </concept>
-    <concept>
-     <code value="0119"></code>
-     <display value="3 Self-Sustaining Sequence Replication"></display>
-     <definition value="Molecular, 3 Self-Sustaining Sequence Replication"></definition>
-    </concept>
-    <concept>
-     <code value="0120"></code>
-     <display value="Branched Chain DNA"></display>
-     <definition value="Molecular, Branched Chain DNA"></definition>
-    </concept>
-    <concept>
-     <code value="0121"></code>
-     <display value="Hybridization Protection Assay"></display>
-     <definition value="Molecular, Hybridization Protection Assay"></definition>
-    </concept>
-    <concept>
-     <code value="0122"></code>
-     <display value="Immune blot"></display>
-     <definition value="Molecular, Immune blot"></definition>
-    </concept>
-    <concept>
-     <code value="0123"></code>
-     <display value="In-situ hybridization"></display>
-     <definition value="Molecular, In-situ hybridization"></definition>
-    </concept>
-    <concept>
-     <code value="0124"></code>
-     <display value="Ligase Chain Reaction"></display>
-     <definition value="Molecular, Ligase Chain Reaction"></definition>
-    </concept>
-    <concept>
-     <code value="0125"></code>
-     <display value="Ligation Activated Transcription"></display>
-     <definition value="Molecular, Ligation Activated Transcription"></definition>
-    </concept>
-    <concept>
-     <code value="0126"></code>
-     <display value="Nucleic Acid Probe"></display>
-     <definition value="Molecular, Nucleic Acid Probe"></definition>
-    </concept>
-    <concept>
-     <code value="0128"></code>
-     <display value="Nucleic acid probe with amplification"></display>
-     <definition value="Molecular, Nucleic acid probe with amplification
-
-        
-
-        Rationale: Duplicate of code 0126. Use code 0126 instead."></definition>
-    </concept>
-    <concept>
-     <code value="0129"></code>
-     <display value="Nucleic acid probe with target amplification"></display>
-     <definition value="Molecular, Nucleic acid probe with target amplification"></definition>
-    </concept>
-    <concept>
-     <code value="0130"></code>
-     <display value="Nucleic acid reverse transcription"></display>
-     <definition value="Molecular, Nucleic acid reverse transcription"></definition>
-    </concept>
-    <concept>
-     <code value="0131"></code>
-     <display value="Nucleic Acid Sequence Based Analysis"></display>
-     <definition value="Molecular, Nucleic Acid Sequence Based Analysis"></definition>
-    </concept>
-    <concept>
-     <code value="0132"></code>
-     <display value="Polymerase chain reaction"></display>
-     <definition value="Molecular, Polymerase chain reaction"></definition>
-    </concept>
-    <concept>
-     <code value="0133"></code>
-     <display value="Q-Beta Replicase or probe amplification category method"></display>
-     <definition value="Molecular, Q-Beta Replicase or probe amplification category method"></definition>
-    </concept>
-    <concept>
-     <code value="0134"></code>
-     <display value="Restriction Fragment Length Polymorphism"></display>
-     <definition value="Molecular, Restriction Fragment Length Polymorphism"></definition>
-    </concept>
-    <concept>
-     <code value="0135"></code>
-     <display value="Southern Blot"></display>
-     <definition value="Molecular, Southern Blot"></definition>
-    </concept>
-    <concept>
-     <code value="0136"></code>
-     <display value="Strand Displacement Amplification"></display>
-     <definition value="Molecular, Strand Displacement Amplification"></definition>
-    </concept>
-    <concept>
-     <code value="0137"></code>
-     <display value="Transcription Mediated Amplification"></display>
-     <definition value="Molecular, Transcription Mediated Amplification"></definition>
-    </concept>
-    <concept>
-     <code value="0138"></code>
-     <display value="Western Blot"></display>
-     <definition value="Molecular, Western Blot"></definition>
-    </concept>
-    <concept>
-     <code value="0139"></code>
-     <display value="Flocculation"></display>
-     <definition value="Precipitation, Flocculation"></definition>
-    </concept>
-    <concept>
-     <code value="0140"></code>
-     <display value="Immune precipitation"></display>
-     <definition value="Precipitation, Immune precipitation"></definition>
-    </concept>
-    <concept>
-     <code value="0141"></code>
-     <display value="Milk ring test"></display>
-     <definition value="Precipitation, Milk ring test"></definition>
-    </concept>
-    <concept>
-     <code value="0142"></code>
-     <display value="Precipitin"></display>
-     <definition value="Precipitation, Precipitin"></definition>
-    </concept>
-    <concept>
-     <code value="0143"></code>
-     <display value="Acid fast stain"></display>
-     <definition value="Stain, Acid fast"></definition>
-    </concept>
-    <concept>
-     <code value="0144"></code>
-     <display value="Acid fast stain, fluorochrome"></display>
-     <definition value="Stain, Acid fast, fluorochrome"></definition>
-    </concept>
-    <concept>
-     <code value="0145"></code>
-     <display value="Acid fast stain, Kinyoun's cold carbolfuchsin"></display>
-     <definition value="Stain, Acid fast, Kinyoun's cold carbolfuchsin"></definition>
-    </concept>
-    <concept>
-     <code value="0146"></code>
-     <display value="Acid fast stain, Ziehl-Neelsen"></display>
-     <definition value="Stain, Acid fast, Ziehl-Neelsen"></definition>
-    </concept>
-    <concept>
-     <code value="0147"></code>
-     <display value="Acid phosphatase stain"></display>
-     <definition value="Stain, Acid phosphatase"></definition>
-    </concept>
-    <concept>
-     <code value="0148"></code>
-     <display value="Acridine orange stain"></display>
-     <definition value="Stain, Acridine orange"></definition>
-    </concept>
-    <concept>
-     <code value="0149"></code>
-     <display value="Active brilliant orange KH stain"></display>
-     <definition value="Stain, Active brilliant orange KH"></definition>
-    </concept>
-    <concept>
-     <code value="0150"></code>
-     <display value="Alazarin red S stain"></display>
-     <definition value="Stain, Alazarin red S"></definition>
-    </concept>
-    <concept>
-     <code value="0151"></code>
-     <display value="Alcian blue stain"></display>
-     <definition value="Stain, Alcian blue"></definition>
-    </concept>
-    <concept>
-     <code value="0152"></code>
-     <display value="Alcian blue with Periodic acid Schiff stain"></display>
-     <definition value="Stain, Alcian blue with Periodic acid Schiff"></definition>
-    </concept>
-    <concept>
-     <code value="0153"></code>
-     <display value="Argentaffin stain"></display>
-     <definition value="Stain, Argentaffin"></definition>
-    </concept>
-    <concept>
-     <code value="0154"></code>
-     <display value="Argentaffin silver stain"></display>
-     <definition value="Stain, Argentaffin silver"></definition>
-    </concept>
-    <concept>
-     <code value="0155"></code>
-     <display value="Azure-eosin stain"></display>
-     <definition value="Stain, Azure-eosin"></definition>
-    </concept>
-    <concept>
-     <code value="0156"></code>
-     <display value="Basic Fuschin stain"></display>
-     <definition value="Stain, Basic Fuschin"></definition>
-    </concept>
-    <concept>
-     <code value="0157"></code>
-     <display value="Bennhold stain"></display>
-     <definition value="Stain, Bennhold"></definition>
-    </concept>
-    <concept>
-     <code value="0158"></code>
-     <display value="Bennhold's Congo red stain"></display>
-     <definition value="Stain, Bennhold's Congo red"></definition>
-    </concept>
-    <concept>
-     <code value="0159"></code>
-     <display value="Bielschowsky stain"></display>
-     <definition value="Stain, Bielschowsky"></definition>
-    </concept>
-    <concept>
-     <code value="0160"></code>
-     <display value="Bielschowsky's silver stain"></display>
-     <definition value="Stain, Bielschowsky's silver"></definition>
-    </concept>
-    <concept>
-     <code value="0161"></code>
-     <display value="Bleach stain"></display>
-     <definition value="Stain, Bleach"></definition>
-    </concept>
-    <concept>
-     <code value="0162"></code>
-     <display value="Bodian stain"></display>
-     <definition value="Stain, Bodian"></definition>
-    </concept>
-    <concept>
-     <code value="0163"></code>
-     <display value="Brown-Brenn stain"></display>
-     <definition value="Stain, Brown-Brenn"></definition>
-    </concept>
-    <concept>
-     <code value="0164"></code>
-     <display value="Butyrate-esterase stain"></display>
-     <definition value="Stain, Butyrate-esterase"></definition>
-    </concept>
-    <concept>
-     <code value="0165"></code>
-     <display value="Calcofluor white fluorescent stain"></display>
-     <definition value="Stain, Calcofluor white fluorescent"></definition>
-    </concept>
-    <concept>
-     <code value="0166"></code>
-     <display value="Carbol-fuchsin stain"></display>
-     <definition value="Stain, Carbol-fuchsin"></definition>
-    </concept>
-    <concept>
-     <code value="0167"></code>
-     <display value="Carmine stain"></display>
-     <definition value="Stain, Carmine"></definition>
-    </concept>
-    <concept>
-     <code value="0168"></code>
-     <display value="Churukian-Schenk stain"></display>
-     <definition value="Stain, Churukian-Schenk"></definition>
-    </concept>
-    <concept>
-     <code value="0169"></code>
-     <display value="Congo red stain"></display>
-     <definition value="Stain, Congo red"></definition>
-    </concept>
-    <concept>
-     <code value="0170"></code>
-     <display value="Cresyl echt violet stain"></display>
-     <definition value="Stain, Cresyl echt violet"></definition>
-    </concept>
-    <concept>
-     <code value="0171"></code>
-     <display value="Crystal violet stain"></display>
-     <definition value="Stain, Crystal violet"></definition>
-    </concept>
-    <concept>
-     <code value="0172"></code>
-     <display value="De Galantha stain"></display>
-     <definition value="Stain, De Galantha"></definition>
-    </concept>
-    <concept>
-     <code value="0173"></code>
-     <display value="Dieterle silver impregnation stain"></display>
-     <definition value="Stain, Dieterle silver impregnation"></definition>
-    </concept>
-    <concept>
-     <code value="0174"></code>
-     <display value="Fite-Farco stain"></display>
-     <definition value="Stain, Fite-Farco"></definition>
-    </concept>
-    <concept>
-     <code value="0175"></code>
-     <display value="Fontana-Masson silver stain"></display>
-     <definition value="Stain, Fontana-Masson silver"></definition>
-    </concept>
-    <concept>
-     <code value="0176"></code>
-     <display value="Fouchet stain"></display>
-     <definition value="Stain, Fouchet"></definition>
-    </concept>
-    <concept>
-     <code value="0177"></code>
-     <display value="Gomori stain"></display>
-     <definition value="Stain, Gomori"></definition>
-    </concept>
-    <concept>
-     <code value="0178"></code>
-     <display value="Gomori methenamine silver stain"></display>
-     <definition value="Stain, Gomori methenamine silver"></definition>
-    </concept>
-    <concept>
-     <code value="0179"></code>
-     <display value="Gomori-Wheatly trichrome stain"></display>
-     <definition value="Stain, Gomori-Wheatly trichrome"></definition>
-    </concept>
-    <concept>
-     <code value="0180"></code>
-     <display value="Gridley stain"></display>
-     <definition value="Stain, Gridley"></definition>
-    </concept>
-    <concept>
-     <code value="0181"></code>
-     <display value="Grimelius silver stain"></display>
-     <definition value="Stain, Grimelius silver"></definition>
-    </concept>
-    <concept>
-     <code value="0182"></code>
-     <display value="Grocott stain"></display>
-     <definition value="Stain, Grocott"></definition>
-    </concept>
-    <concept>
-     <code value="0183"></code>
-     <display value="Grocott methenamine silver stain"></display>
-     <definition value="Stain, Grocott methenamine silver"></definition>
-    </concept>
-    <concept>
-     <code value="0184"></code>
-     <display value="Hale's colloidal ferric oxide stain"></display>
-     <definition value="Stain, Hale's colloidal ferric oxide"></definition>
-    </concept>
-    <concept>
-     <code value="0185"></code>
-     <display value="Hale's colloidal iron stain"></display>
-     <definition value="Stain, Hale's colloidal iron"></definition>
-    </concept>
-    <concept>
-     <code value="0186"></code>
-     <display value="Hansel stain"></display>
-     <definition value="Stain, Hansel"></definition>
-    </concept>
-    <concept>
-     <code value="0187"></code>
-     <display value="Harris regressive hematoxylin and eosin stain"></display>
-     <definition value="Stain, Harris regressive hematoxylin and eosin"></definition>
-    </concept>
-    <concept>
-     <code value="0188"></code>
-     <display value="Hematoxylin and eosin stain"></display>
-     <definition value="Stain, Hematoxylin and eosin"></definition>
-    </concept>
-    <concept>
-     <code value="0189"></code>
-     <display value="Highman stain"></display>
-     <definition value="Stain, Highman"></definition>
-    </concept>
-    <concept>
-     <code value="0190"></code>
-     <display value="Holzer stain"></display>
-     <definition value="Stain, Holzer"></definition>
-    </concept>
-    <concept>
-     <code value="0191"></code>
-     <display value="Iron hematoxylin stain"></display>
-     <definition value="Stain, Iron hematoxylin"></definition>
-    </concept>
-    <concept>
-     <code value="0192"></code>
-     <display value="Jones stain"></display>
-     <definition value="Stain, Jones"></definition>
-    </concept>
-    <concept>
-     <code value="0193"></code>
-     <display value="Jones methenamine silver stain"></display>
-     <definition value="Stain, Jones methenamine silver"></definition>
-    </concept>
-    <concept>
-     <code value="0194"></code>
-     <display value="Kossa stain"></display>
-     <definition value="Stain, Kossa"></definition>
-    </concept>
-    <concept>
-     <code value="0195"></code>
-     <display value="Lawson-Van Gieson stain"></display>
-     <definition value="Stain, Lawson-Van Gieson"></definition>
-    </concept>
-    <concept>
-     <code value="0196"></code>
-     <display value="Loeffler methylene blue stain"></display>
-     <definition value="Stain, Loeffler methylene blue"></definition>
-    </concept>
-    <concept>
-     <code value="0197"></code>
-     <display value="Luxol fast blue with cresyl violet stain"></display>
-     <definition value="Stain, Luxol fast blue with cresyl violet"></definition>
-    </concept>
-    <concept>
-     <code value="0198"></code>
-     <display value="Luxol fast blue with Periodic acid-Schiff stain"></display>
-     <definition value="Stain, Luxol fast blue with Periodic acid-Schiff"></definition>
-    </concept>
-    <concept>
-     <code value="0199"></code>
-     <display value="MacNeal's tetrachrome blood stain"></display>
-     <definition value="Stain, MacNeal's tetrachrome blood"></definition>
-    </concept>
-    <concept>
-     <code value="0200"></code>
-     <display value="Mallory-Heidenhain stain"></display>
-     <definition value="Stain, Mallory-Heidenhain"></definition>
-    </concept>
-    <concept>
-     <code value="0201"></code>
-     <display value="Masson trichrome stain"></display>
-     <definition value="Stain, Masson trichrome"></definition>
-    </concept>
-    <concept>
-     <code value="0202"></code>
-     <display value="Mayer mucicarmine stain"></display>
-     <definition value="Stain, Mayer mucicarmine"></definition>
-    </concept>
-    <concept>
-     <code value="0203"></code>
-     <display value="Mayers progressive hematoxylin and eosin stain"></display>
-     <definition value="Stain, Mayers progressive hematoxylin and eosin"></definition>
-    </concept>
-    <concept>
-     <code value="0204"></code>
-     <display value="May-Grunwald Giemsa stain"></display>
-     <definition value="Stain, May-Grunwald Giemsa"></definition>
-    </concept>
-    <concept>
-     <code value="0205"></code>
-     <display value="Methyl green stain"></display>
-     <definition value="Stain, Methyl green"></definition>
-    </concept>
-    <concept>
-     <code value="0206"></code>
-     <display value="Methyl green pyronin stain"></display>
-     <definition value="Stain, Methyl green pyronin"></definition>
-    </concept>
-    <concept>
-     <code value="0207"></code>
-     <display value="Modified Gomori-Wheatly trichrome stain"></display>
-     <definition value="Stain, Modified Gomori-Wheatly trichrome"></definition>
-    </concept>
-    <concept>
-     <code value="0208"></code>
-     <display value="Modified Masson trichrome stain"></display>
-     <definition value="Stain, Modified Masson trichrome"></definition>
-    </concept>
-    <concept>
-     <code value="0209"></code>
-     <display value="Modified trichrome stain"></display>
-     <definition value="Stain, Modified trichrome"></definition>
-    </concept>
-    <concept>
-     <code value="0210"></code>
-     <display value="Movat pentachrome stain"></display>
-     <definition value="Stain, Movat pentachrome"></definition>
-    </concept>
-    <concept>
-     <code value="0211"></code>
-     <display value="Mucicarmine stain"></display>
-     <definition value="Stain, Mucicarmine"></definition>
-    </concept>
-    <concept>
-     <code value="0212"></code>
-     <display value="Neutral red stain"></display>
-     <definition value="Stain, Neutral red"></definition>
-    </concept>
-    <concept>
-     <code value="0213"></code>
-     <display value="Night blue stain"></display>
-     <definition value="Stain, Night blue"></definition>
-    </concept>
-    <concept>
-     <code value="0214"></code>
-     <display value="Non-specific esterase stain"></display>
-     <definition value="Stain, Non-specific esterase"></definition>
-    </concept>
-    <concept>
-     <code value="0215"></code>
-     <display value="Oil red-O stain"></display>
-     <definition value="Stain, Oil red-O"></definition>
-    </concept>
-    <concept>
-     <code value="0216"></code>
-     <display value="Orcein stain"></display>
-     <definition value="Stain, Orcein"></definition>
-    </concept>
-    <concept>
-     <code value="0217"></code>
-     <display value="Perls' stain"></display>
-     <definition value="Stain, Perls'"></definition>
-    </concept>
-    <concept>
-     <code value="0218"></code>
-     <display value="Phosphotungstic acid-hematoxylin stain"></display>
-     <definition value="Stain, Phosphotungstic acid-hematoxylin"></definition>
-    </concept>
-    <concept>
-     <code value="0219"></code>
-     <display value="Potassium ferrocyanide stain"></display>
-     <definition value="Stain, Potassium ferrocyanide"></definition>
-    </concept>
-    <concept>
-     <code value="0220"></code>
-     <display value="Prussian blue stain"></display>
-     <definition value="Stain, Prussian blue"></definition>
-    </concept>
-    <concept>
-     <code value="0221"></code>
-     <display value="Putchler modified Bennhold stain"></display>
-     <definition value="Stain, Putchler modified Bennhold"></definition>
-    </concept>
-    <concept>
-     <code value="0222"></code>
-     <display value="Quinacrine fluorescent stain"></display>
-     <definition value="Stain, Quinacrine fluorescent"></definition>
-    </concept>
-    <concept>
-     <code value="0223"></code>
-     <display value="Reticulin stain"></display>
-     <definition value="Stain, Reticulin"></definition>
-    </concept>
-    <concept>
-     <code value="0224"></code>
-     <display value="Rhodamine stain"></display>
-     <definition value="Stain, Rhodamine"></definition>
-    </concept>
-    <concept>
-     <code value="0225"></code>
-     <display value="Safranin stain"></display>
-     <definition value="Stain, Safranin"></definition>
-    </concept>
-    <concept>
-     <code value="0226"></code>
-     <display value="Schmorl stain"></display>
-     <definition value="Stain, Schmorl"></definition>
-    </concept>
-    <concept>
-     <code value="0227"></code>
-     <display value="Seiver-Munger stain"></display>
-     <definition value="Stain, Seiver-Munger"></definition>
-    </concept>
-    <concept>
-     <code value="0228"></code>
-     <display value="Silver stain"></display>
-     <definition value="Stain, Silver"></definition>
-    </concept>
-    <concept>
-     <code value="0229"></code>
-     <display value="Specific esterase stain"></display>
-     <definition value="Stain, Specific esterase"></definition>
-    </concept>
-    <concept>
-     <code value="0230"></code>
-     <display value="Steiner silver stain"></display>
-     <definition value="Stain, Steiner silver"></definition>
-    </concept>
-    <concept>
-     <code value="0231"></code>
-     <display value="Sudan III stain"></display>
-     <definition value="Stain, Sudan III"></definition>
-    </concept>
-    <concept>
-     <code value="0232"></code>
-     <display value="Sudan IVI stain"></display>
-     <definition value="Stain, Sudan IVI"></definition>
-    </concept>
-    <concept>
-     <code value="0233"></code>
-     <display value="Sulfated alcian blue stain"></display>
-     <definition value="Stain, Sulfated alcian blue"></definition>
-    </concept>
-    <concept>
-     <code value="0234"></code>
-     <display value="Supravital stain"></display>
-     <definition value="Stain, Supravital"></definition>
-    </concept>
-    <concept>
-     <code value="0235"></code>
-     <display value="Thioflavine-S stain"></display>
-     <definition value="Stain, Thioflavine-S"></definition>
-    </concept>
-    <concept>
-     <code value="0236"></code>
-     <display value="Three micron Giemsa stain"></display>
-     <definition value="Stain, Three micron Giemsa"></definition>
-    </concept>
-    <concept>
-     <code value="0237"></code>
-     <display value="Vassar-Culling stain"></display>
-     <definition value="Stain, Vassar-Culling"></definition>
-    </concept>
-    <concept>
-     <code value="0238"></code>
-     <display value="Vital Stain"></display>
-     <definition value="Stain, Vital"></definition>
-    </concept>
-    <concept>
-     <code value="0239"></code>
-     <display value="von Kossa stain"></display>
-     <definition value="Stain, von Kossa"></definition>
-    </concept>
-    <concept>
-     <code value="0243"></code>
-     <display value="Minimum bactericidal concentration test, macrodilution"></display>
-     <definition value="Susceptibility, Minimum bactericidal concentration, macrodilution"></definition>
-    </concept>
-    <concept>
-     <code value="0244"></code>
-     <display value="Minimum bactericidal concentration test, microdilution"></display>
-     <definition value="Susceptibility, Minimum bactericidal concentration, microdilution"></definition>
-    </concept>
-    <concept>
-     <code value="0247"></code>
-     <display value="Turbidometric"></display>
-     <definition value="Turbidometric"></definition>
-    </concept>
-    <concept>
-     <code value="0248"></code>
-     <display value="Refractometric"></display>
-     <definition value="Turbidometric, Refractometric"></definition>
-    </concept>
-    <concept>
-     <code value="0249"></code>
-     <display value="Thin layer chromatography (TLC)"></display>
-     <definition value="Chromatography, Thin Layer"></definition>
-    </concept>
-    <concept>
-     <code value="0250"></code>
-     <display value="EMIT"></display>
-     <definition value="Immunoassay, enzyme-multiplied technique (EMIT)"></definition>
-    </concept>
-    <concept>
-     <code value="0251"></code>
-     <display value="Flow cytometry (FC)"></display>
-     <definition value="Flow Cytometry"></definition>
-    </concept>
-    <concept>
-     <code value="0252"></code>
-     <display value="Radial immunodiffusion (RID)"></display>
-     <definition value="Radial Immunodiffusion"></definition>
-    </concept>
-    <concept>
-     <code value="0253"></code>
-     <display value="Fluorescence polarization immunoassay (FPIA)"></display>
-     <definition value="Immunoassay, Fluorescence Polarization"></definition>
-    </concept>
-    <concept>
-     <code value="0254"></code>
-     <display value="Immunofixation electrophoresis (IFE)"></display>
-     <definition value="Electrophoresis, Immunofixation"></definition>
-    </concept>
-    <concept>
-     <code value="0255"></code>
-     <display value="Equilibrium dialysis"></display>
-     <definition value="Dialysis, Direct Equilibrium"></definition>
-    </concept>
-    <concept>
-     <code value="0256"></code>
-     <display value="Kleihauer-Betke acid elution"></display>
-     <definition value="Acid Elution, Kleihauer-Betke Method"></definition>
-    </concept>
-    <concept>
-     <code value="0257"></code>
-     <display value="Anti-complement immunofluorescence (ACIF)"></display>
-     <definition value="Immunofluorescence, Anti-Complement"></definition>
-    </concept>
-    <concept>
-     <code value="0258"></code>
-     <display value="GC/MS"></display>
-     <definition value="Gas Chromatography/Mass Spectroscopy"></definition>
-    </concept>
-    <concept>
-     <code value="0259"></code>
-     <display value="Nephelometry"></display>
-     <definition value="Light Scatter, Nephelometry"></definition>
-    </concept>
-    <concept>
-     <code value="0260"></code>
-     <display value="IgE immunoassay antibody"></display>
-     <definition value="Immunoassay, IgE Antibody Test"></definition>
-    </concept>
-    <concept>
-     <code value="0261"></code>
-     <display value="Lymphocyte Microcytotoxicity Assay"></display>
-     <definition value="Lymphocyte Microcytotoxicity Assay"></definition>
-    </concept>
-    <concept>
-     <code value="0262"></code>
-     <display value="Spectrophotometry"></display>
-     <definition value="Spectrophotometry"></definition>
-    </concept>
-    <concept>
-     <code value="0263"></code>
-     <display value="Atomic absorption spectrophotometry (AAS)"></display>
-     <definition value="Spectrophotometry, Atomic Absorption"></definition>
-    </concept>
-    <concept>
-     <code value="0264"></code>
-     <display value="Ion selective electrode (ISE)"></display>
-     <definition value="Electrochemical, Ion Selective Electrode"></definition>
-    </concept>
-    <concept>
-     <code value="0265"></code>
-     <display value="Gas chromatography (GC)"></display>
-     <definition value="Chromatography, Gas"></definition>
-    </concept>
-    <concept>
-     <code value="0266"></code>
-     <display value="Isoelectric focusing (IEF)"></display>
-     <definition value="Isoelectric Focusing"></definition>
-    </concept>
-    <concept>
-     <code value="0267"></code>
-     <display value="Immunochemiluminescence"></display>
-     <definition value="Immunoassay, Chemiluminescent"></definition>
-    </concept>
-    <concept>
-     <code value="0268"></code>
-     <display value="Microparticle enzyme immunoassay (MEIA)"></display>
-     <definition value="Immunoassay, Microparticle Enzyme"></definition>
-    </concept>
-    <concept>
-     <code value="0269"></code>
-     <display value="ICP/MS"></display>
-     <definition value="Inductively-Coupled Plasma/Mass Spectrometry"></definition>
-    </concept>
-    <concept>
-     <code value="0270"></code>
-     <display value="Immunoradiometric assay (IRMA)"></display>
-     <definition value="Immunoassay, Immunoradiometric Assay"></definition>
-    </concept>
-    <concept>
-     <code value="0271"></code>
-     <display value="Photo optical clot detection"></display>
-     <definition value="Coagulation, Photo Optical Clot Detection"></definition>
-    </concept>
-    <concept>
-     <code value="0280"></code>
-     <display value="Susceptibility Testing"></display>
-     <definition value="Test methods designed to determine a microorganismaTMs susceptibility to being killed by an antibiotic."></definition>
-     <concept>
-      <code value="0240"></code>
-      <display value="Antibiotic sensitivity, disk"></display>
-      <definition value="Susceptibility, Antibiotic sensitivity, disk"></definition>
-     </concept>
-     <concept>
-      <code value="0241"></code>
-      <display value="BACTEC susceptibility test"></display>
-      <definition value="Susceptibility, BACTEC susceptibility test"></definition>
-     </concept>
-     <concept>
-      <code value="0242"></code>
-      <display value="Disk dilution"></display>
-      <definition value="Susceptibility, Disk dilution"></definition>
-     </concept>
-     <concept>
-      <code value="0272"></code>
-      <display value="Minimum Inhibitory Concentration"></display>
-      <definition value="Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited."></definition>
-      <concept>
-       <code value="0245"></code>
-       <display value="Minimum Inhibitory Concentration, macrodilution"></display>
-       <definition value="Susceptibility, Minimum Inhibitory concentration, macrodilution"></definition>
-      </concept>
-      <concept>
-       <code value="0246"></code>
-       <display value="Minimum Inhibitory Concentration, microdilution"></display>
-       <definition value="Susceptibility, Minimum Inhibitory concentration, microdilution"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="0273"></code>
-      <display value="Viral Genotype Susceptibility"></display>
-      <definition value="Viral Genotype Susceptibility"></definition>
-     </concept>
-     <concept>
-      <code value="0274"></code>
-      <display value="Viral Phenotype Susceptibility"></display>
-      <definition value="Viral Phenotype Susceptibility"></definition>
-     </concept>
-     <concept>
-      <code value="0275"></code>
-      <display value="Gradient Strip"></display>
-      <definition value="Gradient Strip"></definition>
-     </concept>
-     <concept>
-      <code value="0275a"></code>
-      <display value="Minimum Lethal Concentration (MLC)"></display>
-      <definition value="Minimum Lethal Concentration (MLC)"></definition>
-     </concept>
-     <concept>
-      <code value="0276"></code>
-      <display value="Slow Mycobacteria Susceptibility"></display>
-      <definition value="Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited."></definition>
-     </concept>
-     <concept>
-      <code value="0277"></code>
-      <display value="Serum bactericidal titer"></display>
-      <definition value="Serum bactericidal titer"></definition>
-     </concept>
-     <concept>
-      <code value="0278"></code>
-      <display value="Agar screen"></display>
-      <definition value="Agar screen"></definition>
-     </concept>
-     <concept>
-      <code value="0279"></code>
-      <display value="Disk induction"></display>
-      <definition value="Disk induction"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="0127"></code>
-     <display value="Nucleic acid probe"></display>
-     <definition value="Molecular, Nucleic acid probe"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableCellScope"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TableCellScope"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TableCellScope"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.132"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TableCellScope"></name>
-    <title value="v3 Code System TableCellScope"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableCellScope"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="col"></code>
-     <display value="col"></display>
-     <definition value="col"></definition>
-    </concept>
-    <concept>
-     <code value="colgroup"></code>
-     <display value="colgroup"></display>
-     <definition value="colgroup"></definition>
-    </concept>
-    <concept>
-     <code value="row"></code>
-     <display value="row"></display>
-     <definition value="row"></definition>
-    </concept>
-    <concept>
-     <code value="rowgroup"></code>
-     <display value="rowgroup"></display>
-     <definition value="rowgroup"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7Realm"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7Realm"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7Realm"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1124"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7Realm"></name>
-    <title value="v3 Code System hl7Realm"></title>
+    <name value="v3.AddressPartType"></name>
+    <title value="v3 Code System AddressPartType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -41608,278 +24634,243 @@ Description copied from Concept Domain of same name.  Must be verified.  Note th
      </telecom>
     </contact>
     <description value="  Description:
-Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models)  and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms.  All affiliate realm codes may automatically be used as both binding realms and namespace realms.  Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms.  (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.)  All other codes must be associated with an owning affiliate realm and must appear as a specialization of _BindingRealm or _NamespaceRealm.  For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types.  It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes.  However, tooling does not currently support namepace realm codes greater than 2 characters.  Open Issue:
-The name of the concept property &quot;owningAffiliate&quot; should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.  Open Issue:
-In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length."></description>
+Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition.  E.g. &quot;Street Name&quot; is part of &quot;Street Address Line&quot;"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7Realm"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressPartType"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <code value="partOf"></code>
+     <uri value="http://hl7.org/fhir/codesystem-hierarchy-meaning#part-of"></uri>
+     <description value="This relationship indicates that the source concept is a component of the target concept"></description>
      <type value="code"></type>
     </property>
     <concept>
-     <code value="BindingRealms"></code>
-     <display value="binding realms"></display>
-     <definition value="Description: Concepts that can be used as Binding Realms when creating Binding Statements.  These codes are permitted to appear in the InfrastructureRoot.realmCode attribute."></definition>
+     <code value="ADL"></code>
+     <display value="additional locator"></display>
+     <definition value="This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., &quot;3rd floor, Appt. 342&quot;). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch &quot;t.o.&quot; means &quot;opposite to&quot; for house boats located across the street facing houses)."></definition>
      <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
+      <code value="partOf"></code>
+      <valueCode value="AL"></valueCode>
      </property>
+    </concept>
+    <concept>
+     <code value="AL"></code>
+     <display value="address line"></display>
+     <definition value="Description: An address line is for either an additional locator, a delivery address or a street address."></definition>
      <concept>
-      <code value="AffiliateRealms"></code>
-      <display value="Affiliate Realms"></display>
-      <definition value="Description: Realm codes for official HL7 organizational bodies.  This includes both the HL7 International organization as well as all recognized international affiliates (past and present).  These groups have the ability to bind vocabulary and develop artifacts.  As well, they have the ability to have &quot;ownership&quot; over other binding realms and namespace realms via the owningAffiliate property of those other realm codes."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="AR"></code>
-       <display value="Argentina"></display>
-       <definition value="Description: Realm code for use of Argentina"></definition>
-      </concept>
-      <concept>
-       <code value="AT"></code>
-       <display value="Austria"></display>
-       <definition value="Description: Realm code for use of Austria"></definition>
-      </concept>
-      <concept>
-       <code value="AU"></code>
-       <display value="Australia"></display>
-       <definition value="Description: Realm code for use of Australia"></definition>
-      </concept>
-      <concept>
-       <code value="BR"></code>
-       <display value="Brazil"></display>
-       <definition value="Description: Realm code for use of Brazil"></definition>
-      </concept>
-      <concept>
-       <code value="CA"></code>
-       <display value="Canada"></display>
-       <definition value="Description: Realm code for use of Canada"></definition>
-      </concept>
-      <concept>
-       <code value="CH"></code>
-       <display value="Switzerland"></display>
-       <definition value="Description: Realm code for use of Switzerland"></definition>
-      </concept>
-      <concept>
-       <code value="CL"></code>
-       <display value="Chile"></display>
-       <definition value="Description: Realm code for use of Chile"></definition>
-      </concept>
-      <concept>
-       <code value="CN"></code>
-       <display value="China"></display>
-       <definition value="Description: Realm code for use of China"></definition>
-      </concept>
-      <concept>
-       <code value="CO"></code>
-       <display value="Columbia"></display>
-       <definition value="Description: Realm code for use of Localized Version"></definition>
-      </concept>
-      <concept>
-       <code value="CZ"></code>
-       <display value="Czech Republic"></display>
-       <definition value="Description: Realm code for use of Czech Republic"></definition>
-      </concept>
-      <concept>
-       <code value="DE"></code>
-       <display value="Germany"></display>
-       <definition value="Description: Realm code for use of Germany"></definition>
-      </concept>
-      <concept>
-       <code value="DK"></code>
-       <display value="Denmark"></display>
-       <definition value="Description: Realm code for use of Denmark"></definition>
-      </concept>
-      <concept>
-       <code value="ES"></code>
-       <display value="Spain"></display>
-       <definition value="Description: Realm code for use of Spain"></definition>
-      </concept>
-      <concept>
-       <code value="FI"></code>
-       <display value="Finland"></display>
-       <definition value="Description: Realm code for use of Finland"></definition>
-      </concept>
-      <concept>
-       <code value="FR"></code>
-       <display value="France"></display>
-       <definition value="Description: Realm code for use of France"></definition>
-      </concept>
-      <concept>
-       <code value="GR"></code>
-       <display value="Greece"></display>
-       <definition value="Description: Realm code for use of Greece"></definition>
-      </concept>
-      <concept>
-       <code value="HR"></code>
-       <display value="Croatia"></display>
-       <definition value="Description: Realm code for use of Croatia"></definition>
-      </concept>
-      <concept>
-       <code value="IE"></code>
-       <display value="Ireland"></display>
-       <definition value="Description: Realm code for use of Ireland"></definition>
-      </concept>
-      <concept>
-       <code value="IN"></code>
-       <display value="India"></display>
-       <definition value="Description: Realm code for use of India"></definition>
-      </concept>
-      <concept>
-       <code value="IT"></code>
-       <display value="Italy"></display>
-       <definition value="Description: Realm code for use of Italy"></definition>
-      </concept>
-      <concept>
-       <code value="JP"></code>
-       <display value="Japan"></display>
-       <definition value="Description: Realm code for use of Japan"></definition>
-      </concept>
-      <concept>
-       <code value="KR"></code>
-       <display value="Korea"></display>
-       <definition value="Description: Realm code for use of Korea"></definition>
-      </concept>
-      <concept>
-       <code value="LT"></code>
-       <display value="Lithuania"></display>
-       <definition value="Description: Realm code for use of Lithuania"></definition>
-      </concept>
-      <concept>
-       <code value="MX"></code>
-       <display value="Mexico"></display>
-       <definition value="Description: Realm code for use of Mexico"></definition>
-      </concept>
-      <concept>
-       <code value="NL"></code>
-       <display value="The Netherlands"></display>
-       <definition value="Description: Realm code for use of The Netherlands"></definition>
-      </concept>
-      <concept>
-       <code value="NZ"></code>
-       <display value="New Zealand"></display>
-       <definition value="Description: Realm code for use of New Zealand"></definition>
-      </concept>
-      <concept>
-       <code value="RO"></code>
-       <display value="Romania"></display>
-       <definition value="Description: Realm code for use of Romania"></definition>
-      </concept>
-      <concept>
-       <code value="RU"></code>
-       <display value="Russian Federation"></display>
-       <definition value="Description: Realm code for use of Russian Federation"></definition>
-      </concept>
-      <concept>
-       <code value="SE"></code>
-       <display value="Sweden"></display>
-       <definition value="Description: Realm code for use of Sweden"></definition>
-      </concept>
-      <concept>
-       <code value="SG"></code>
-       <display value="Singapore"></display>
-       <definition value="Description: Realm code for use of Localized Version"></definition>
-      </concept>
-      <concept>
-       <code value="SOA"></code>
-       <display value="Southern Africa"></display>
-       <definition value="Description: Realm code for use of Southern Africa"></definition>
-      </concept>
-      <concept>
-       <code value="TR"></code>
-       <display value="Turkey"></display>
-       <definition value="Description: Realm code for use of Turkey"></definition>
-      </concept>
-      <concept>
-       <code value="TW"></code>
-       <display value="Taiwan"></display>
-       <definition value="Description: Realm code for use of Taiwan"></definition>
-      </concept>
-      <concept>
-       <code value="UK"></code>
-       <display value="United Kingdom"></display>
-       <definition value="Description: Realm code for use of United Kingdom"></definition>
-      </concept>
-      <concept>
-       <code value="US"></code>
-       <display value="United States of America"></display>
-       <definition value="Description: Realm code for use of United States of America"></definition>
-      </concept>
-      <concept>
-       <code value="UV"></code>
-       <display value="Universal"></display>
-       <definition value="Description: Realm code for use of Universal realm or context, used in every instance"></definition>
-      </concept>
-      <concept>
-       <code value="UY"></code>
-       <display value="Uruguay"></display>
-       <definition value="Description: Realm code for use of Uruguay"></definition>
-      </concept>
+      <code value="DAL"></code>
+      <display value="delivery address line"></display>
+      <definition value="A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc.  An address generally has only a delivery address line or a street address line, but not both."></definition>
      </concept>
      <concept>
-      <code value="C1"></code>
-      <display value="Unclassified Realm"></display>
-      <definition value="Description: Realm code for use of Unclassified Realm"></definition>
-     </concept>
-     <concept>
-      <code value="GB"></code>
-      <display value="Great Britain"></display>
-      <definition value="Description: Realm code for use of Great Britain"></definition>
-     </concept>
-     <concept>
-      <code value="R1"></code>
-      <display value="Representative Realm"></display>
-      <definition value="Description: Realm code for use of Representative Realm"></definition>
-     </concept>
-     <concept>
-      <code value="X1"></code>
-      <display value="Example Realm"></display>
-      <definition value="Description: Realm code for use of Example Realm"></definition>
+      <code value="SAL"></code>
+      <display value="street address line"></display>
+      <definition value="Description: A street address line is frequently used instead of breaking out build number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both."></definition>
      </concept>
     </concept>
     <concept>
-     <code value="NamespaceRealms"></code>
-     <display value="namespace realms"></display>
-     <definition value="Description: Codes that can be used in the &quot;realm&quot; portion of HL7 v3 artifact identifiers."></definition>
+     <code value="BNN"></code>
+     <display value="building number numeric"></display>
+     <definition value="The numeric portion of a building number"></definition>
      <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
+      <code value="partOf"></code>
+      <valueCode value="BNR"></valueCode>
      </property>
+    </concept>
+    <concept>
+     <code value="BNR"></code>
+     <display value="building number"></display>
+     <definition value="The number of a building, house or lot alongside the street.  Also known as &quot;primary street number&quot;.  This does not number the street but rather the building."></definition>
      <property>
-      <code value="child"></code>
-      <valueCode value="AffiliateRealms"></valueCode>
+      <code value="partOf"></code>
+      <valueCode value="SAL"></valueCode>
      </property>
+    </concept>
+    <concept>
+     <code value="BNS"></code>
+     <display value="building number suffix"></display>
+     <definition value="Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number"></definition>
      <property>
-      <code value="child"></code>
-      <valueCode value="GB"></valueCode>
+      <code value="partOf"></code>
+      <valueCode value="BNR"></valueCode>
      </property>
-     <concept>
-      <code value="ZZ"></code>
-      <display value="Localized Version"></display>
-      <definition value="Description: An artifact created for local use only.  This realm namespace has no owning affiliate.  Its use is uncontrolled, i.e. anyone can create artifacts using this realm namespace.  Because of this, there is a significant likelihood of artifact identifier collisions.  Implementers are encouraged to register their artifacts under an affiliate owned and controlled namespace to avoid such collision problems where possible."></definition>
-     </concept>
+    </concept>
+    <concept>
+     <code value="CAR"></code>
+     <display value="care of"></display>
+     <definition value="The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient"></definition>
+    </concept>
+    <concept>
+     <code value="CEN"></code>
+     <display value="census tract"></display>
+     <definition value="A geographic sub-unit delineated for demographic purposes."></definition>
+    </concept>
+    <concept>
+     <code value="CNT"></code>
+     <display value="country"></display>
+     <definition value="Country"></definition>
+    </concept>
+    <concept>
+     <code value="CPA"></code>
+     <display value="county or parish"></display>
+     <definition value="A sub-unit of a state or province. (49 of the United States of America use the term &quot;county;&quot; Louisiana uses the term &quot;parish&quot;.)"></definition>
+    </concept>
+    <concept>
+     <code value="CTY"></code>
+     <display value="municipality"></display>
+     <definition value="The name of the city, town, village, or other community or delivery center"></definition>
+    </concept>
+    <concept>
+     <code value="DEL"></code>
+     <display value="delimiter"></display>
+     <definition value="Delimiters are printed without framing white space.  If no value component is provided, the delimiter appears as a line break."></definition>
+    </concept>
+    <concept>
+     <code value="DINST"></code>
+     <display value="delivery installation type"></display>
+     <definition value="Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="DAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DINSTA"></code>
+     <display value="delivery installation area"></display>
+     <definition value="The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="DAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DINSTQ"></code>
+     <display value="delivery installation qualifier"></display>
+     <definition value="A number, letter or name identifying a delivery installation.  E.g., for Station A, the delivery installation qualifier would be 'A'."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="DAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DIR"></code>
+     <display value="direction"></display>
+     <definition value="Direction (e.g., N, S, W, E)"></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="SAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DMOD"></code>
+     <display value="delivery mode"></display>
+     <definition value="Indicates the type of service offered, method of delivery.  For example: post office box, rural route, general delivery, etc."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="DAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DMODID"></code>
+     <display value="delivery mode identifier"></display>
+     <definition value="Represents the routing information such as a letter carrier route number.  It is the identifying number of the designator (the box number or rural route number)."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="DAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DPID"></code>
+     <display value="delivery point identifier"></display>
+     <definition value="A value that uniquely identifies the postal address."></definition>
+    </concept>
+    <concept>
+     <code value="INT"></code>
+     <display value="intersection"></display>
+     <definition value="Description:An intersection denotes that the actual address is located AT or CLOSE TO the intersection OF two or more streets."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="AL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="POB"></code>
+     <display value="post box"></display>
+     <definition value="A numbered box located in a post station."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="DMODID"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="PRE"></code>
+     <display value="precinct"></display>
+     <definition value="A subsection of a municipality"></definition>
+    </concept>
+    <concept>
+     <code value="STA"></code>
+     <display value="state or province"></display>
+     <definition value="A sub-unit of a country with limited sovereignty in a federally organized country."></definition>
+    </concept>
+    <concept>
+     <code value="STB"></code>
+     <display value="street name base"></display>
+     <definition value="The base name of a roadway or artery recognized by a municipality (excluding street type and direction)"></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="STR"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="STR"></code>
+     <display value="street name"></display>
+     <definition value="street name"></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="SAL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="STTYP"></code>
+     <display value="street type"></display>
+     <definition value="The designation given to the street.  (e.g. Street, Avenue, Crescent, etc.)"></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="STR"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="UNID"></code>
+     <display value="unit identifier"></display>
+     <definition value="The number or name of a specific unit contained within a building or complex, as assigned by that building or complex."></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="ADL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="UNIT"></code>
+     <display value="unit designator"></display>
+     <definition value="Indicates the type of specific unit contained within a building or complex.  E.g. Appartment, Floor"></definition>
+     <property>
+      <code value="partOf"></code>
+      <valueCode value="ADL"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="ZIP"></code>
+     <display value="postal code"></display>
+     <definition value="A postal code designating a region defined by the postal service."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HL7ContextConductionStyle"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AddressUse"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-HL7ContextConductionStyle"></id>
+    <id value="v3-AddressUse"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -41889,14 +24880,14 @@ In spite of the inability of tooling to process codes longer than 2 characters,
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-HL7ContextConductionStyle"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-AddressUse"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1129"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1119"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.HL7ContextConductionStyle"></name>
-    <title value="v3 Code System HL7ContextConductionStyle"></title>
+    <name value="v3.AddressUse"></name>
+    <title value="v3 Code System AddressUse"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -41907,31 +24898,241 @@ In spite of the inability of tooling to process codes longer than 2 characters,
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model."></description>
+    <description value=" Codes that provide guidance around the circumstances in which a given address should be used."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HL7ContextConductionStyle"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressUse"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_GeneralAddressUse"></code>
+     <display value="_GeneralAddressUse"></display>
+     <definition value="Description: Address uses that can apply to both postal and telecommunication addresses."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="BAD"></code>
+      <display value="bad address"></display>
+      <definition value="Description: A flag indicating that the address is bad, in fact, useless."></definition>
+     </concept>
+     <concept>
+      <code value="CONF"></code>
+      <display value="confidential address"></display>
+      <definition value="Description: Indicates that the address is considered sensitive and should only be shared or published in accordance with organizational controls governing patient demographic information with increased sensitivity. Uses of Addresses.   Lloyd to supply more complete description."></definition>
+     </concept>
+     <concept>
+      <code value="H"></code>
+      <display value="home address"></display>
+      <definition value="Description: A communication address at a home, attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available."></definition>
+      <concept>
+       <code value="HP"></code>
+       <display value="primary home"></display>
+       <definition value="Description: The primary home, to reach a person after business hours."></definition>
+      </concept>
+      <concept>
+       <code value="HV"></code>
+       <display value="vacation home"></display>
+       <definition value="Description: A vacation home, to reach a person while on vacation."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="OLD"></code>
+      <display value="no longer in use"></display>
+      <definition value="This address is no longer in use.
+
+        
+         Usage Note: Address may also carry valid time ranges. This code is used to cover the situations where it is known that the address is no longer valid, but no particular time range for its use is known."></definition>
+     </concept>
+     <concept>
+      <code value="TMP"></code>
+      <display value="temporary address"></display>
+      <definition value="Description: A temporary address, may be good for visit or mailing. Note that an address history can provide more detailed information."></definition>
+     </concept>
+     <concept>
+      <code value="WP"></code>
+      <display value="work place"></display>
+      <definition value="Description: An office address. First choice for business related contacts during business hours."></definition>
+      <concept>
+       <code value="DIR"></code>
+       <display value="direct"></display>
+       <definition value="Description: Indicates a work place address or telecommunication address that reaches the individual or organization directly without intermediaries. For phones, often referred to as a 'private line'."></definition>
+      </concept>
+      <concept>
+       <code value="PUB"></code>
+       <display value="public"></display>
+       <definition value="Description: Indicates a work place address or telecommunication address that is a 'standard' address which may reach a reception service, mail-room, or other intermediary prior to the target entity."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PostalAddressUse"></code>
+     <display value="_PostalAddressUse"></display>
+     <definition value="Description: Address uses that only apply to postal addresses, not telecommunication addresses."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="PHYS"></code>
+      <display value="physical visit address"></display>
+      <definition value="Description: Used primarily to visit an address."></definition>
+     </concept>
+     <concept>
+      <code value="PST"></code>
+      <display value="postal address"></display>
+      <definition value="Description: Used to send mail."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_TelecommunicationAddressUse"></code>
+     <display value="_TelecommunicationAddressUse"></display>
+     <definition value="Description: Address uses that only apply to telecommunication addresses, not postal addresses."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AS"></code>
+      <display value="answering service"></display>
+      <definition value="Description: An automated answering machine used for less urgent cases and if the main purpose of contact is to leave a message or access an automated announcement."></definition>
+     </concept>
+     <concept>
+      <code value="EC"></code>
+      <display value="emergency contact"></display>
+      <definition value="Description: A contact specifically designated to be used for emergencies. This is the first choice in emergencies, independent of any other use codes."></definition>
+     </concept>
+     <concept>
+      <code value="MC"></code>
+      <display value="mobile contact)"></display>
+      <definition value="Description: A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business."></definition>
+     </concept>
+     <concept>
+      <code value="PG"></code>
+      <display value="pager"></display>
+      <definition value="Description: A paging device suitable to solicit a callback or to leave a very short message."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AdministrativeGender"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-AdministrativeGender"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.AdministrativeGender"></name>
+    <title value="v3 Code System AdministrativeGender"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The gender of a person used for adminstrative purposes (as opposed to clinical gender)">
+     <extension url="http://hl7.org/fhir/StructureDefinition/translation">
+      <extension url="lang">
+       <valueCode value="nl"></valueCode>
+      </extension>
+      <extension url="content">
+       <valueString value=" Het geslacht van een persoon bedoeld voor administratieve doeleinden (in tegenstelling tot klinisch geslacht)"></valueString>
+      </extension>
+     </extension>
+    </description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
-     <code value="C"></code>
-     <display value="conduction-indicator-based"></display>
-     <definition value="Definition: Context conduction is defined using the contextConductionCode and contextConductionInd attributes on ActRelationship and Participation.
-
-        
-         UsageNotes: This approach is deprecated as of March, 2010."></definition>
+     <code value="F"></code>
+     <display value="Female"></display>
+     <definition value="Female"></definition>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vrouw"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="definition"></code>
+      </use>
+      <value value="Vrouwelijk"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="I"></code>
-     <display value="inferred"></display>
-     <definition value="Definition: Context conduction is not explicitly defined.  The recipient of an instance must infer conduction based on the semantics of the model and what is deemed &quot;reasonable&quot;.
-
-        
-         UsageNotes: Because this approach can lead to variation in instance interpretation, its use is discouraged."></definition>
+     <code value="M"></code>
+     <display value="Male"></display>
+     <definition value="Male"></definition>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Man"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="definition"></code>
+      </use>
+      <value value="Man"></value>
+     </designation>
     </concept>
     <concept>
-     <code value="V"></code>
-     <display value="vocabulary-based"></display>
-     <definition value="Definition: Context conduction is defined using the ActRelationship.blockedContextActRelationshipType and blockedContextParticipationType attributes and the &quot;conductible&quot; property on the ActRelationshipType and ParticipationType code systems."></definition>
+     <code value="UN"></code>
+     <display value="Undifferentiated"></display>
+     <definition value="En: The gender of a person could not be uniquely defined as male or female, such as intersex.  Nl: Het geslacht van een persoon kan niet uniek worden gedefinieerd als man of vrouw, zoals een intersekse-conditie.
+
+        
+         Open Issue: This is a short-term stopgap solution to the definition issue, full solutions are being worked out by the Gender Harmony project launched in 2019."></definition>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ongedifferentieerd"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="definition"></code>
+      </use>
+      <value value="Het geslacht van een persoon kan niet uniek worden gedefinieerd als man of vrouw, zoals een hermafrodiet."></value>
+     </designation>
     </concept>
    </CodeSystem>
   </resource>
@@ -43641,6 +26842,25450 @@ In spite of the inability of tooling to process codes longer than 2 characters,
    </CodeSystem>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Calendar"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-Calendar"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Calendar"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1055"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Calendar"></name>
+    <title value="v3 Code System Calendar"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Calendar"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="GREG"></code>
+     <display value="Gregorian"></display>
+     <definition value="The Gregorian calendar is the calendar in effect in most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CalendarCycle"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-CalendarCycle"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-CalendarCycle"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.9"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CalendarCycle"></name>
+    <title value="v3 Code System CalendarCycle"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Calendar cycle identifiers"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CalendarCycle"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_CalendarCycleOneLetter"></code>
+     <display value="CalendarCycleOneLetter"></display>
+     <definition value="CalendarCycleOneLetter"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2013-06-29"></valueDateTime>
+     </property>
+     <concept>
+      <code value="CW"></code>
+      <display value="week (continuous)"></display>
+      <definition value="week (continuous)"></definition>
+     </concept>
+     <concept>
+      <code value="CY"></code>
+      <display value="year"></display>
+      <definition value="year"></definition>
+     </concept>
+     <concept>
+      <code value="D"></code>
+      <display value="day of the month"></display>
+      <definition value="day of the month"></definition>
+     </concept>
+     <concept>
+      <code value="DW"></code>
+      <display value="day of the week (begins with Monday)"></display>
+      <definition value="day of the week (begins with Monday)"></definition>
+     </concept>
+     <concept>
+      <code value="H"></code>
+      <display value="hour of the day"></display>
+      <definition value="hour of the day"></definition>
+     </concept>
+     <concept>
+      <code value="M"></code>
+      <display value="month of the year"></display>
+      <definition value="month of the year"></definition>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="minute of the hour"></display>
+      <definition value="minute of the hour"></definition>
+     </concept>
+     <concept>
+      <code value="S"></code>
+      <display value="second of the minute"></display>
+      <definition value="second of the minute"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CalendarCycleTwoLetter"></code>
+     <display value="CalendarCycleTwoLetter"></display>
+     <definition value="CalendarCycleTwoLetter"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2013-06-29"></valueDateTime>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="CW"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="CY"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="D"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="DW"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="H"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="M"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="N"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="S"></valueCode>
+     </property>
+     <concept>
+      <code value="CD"></code>
+      <display value="day (continuous)"></display>
+      <definition value="day (continuous)"></definition>
+     </concept>
+     <concept>
+      <code value="CH"></code>
+      <display value="hour (continuous)"></display>
+      <definition value="hour (continuous)"></definition>
+     </concept>
+     <concept>
+      <code value="CM"></code>
+      <display value="month (continuous)"></display>
+      <definition value="month (continuous)"></definition>
+     </concept>
+     <concept>
+      <code value="CN"></code>
+      <display value="minute (continuous)"></display>
+      <definition value="minute (continuous)"></definition>
+     </concept>
+     <concept>
+      <code value="CS"></code>
+      <display value="second (continuous)"></display>
+      <definition value="second (continuous)"></definition>
+     </concept>
+     <concept>
+      <code value="DY"></code>
+      <display value="day of the year"></display>
+      <definition value="day of the year"></definition>
+     </concept>
+     <concept>
+      <code value="WY"></code>
+      <display value="week of the year"></display>
+      <definition value="week of the year"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="WM"></code>
+     <display value="week of the month"></display>
+     <definition value="The week with the month's first Thursday in it (analagous to the ISO 8601 definition for week of the year)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CalendarType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-CalendarType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-CalendarType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1017"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CalendarType"></name>
+    <title value="v3 Code System CalendarType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CalendarType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="GREG"></code>
+     <display value="Gregorian"></display>
+     <definition value="The Gregorian calendar is in effect in the most countries of Christian influence since approximately 1582.  This calendar superceded the Julian calendar."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Charset"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-Charset"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Charset"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.21"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Charset"></name>
+    <title value="v3 Code System Charset"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Internet Assigned Numbers Authority (IANA) Charset Types"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Charset"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="EBCDIC"></code>
+     <display value="EBCDIC"></display>
+     <definition value="HL7 is indifferent to the use of this Charset."></definition>
+    </concept>
+    <concept>
+     <code value="ISO-10646-UCS-2"></code>
+     <display value="ISO-10646-UCS-2"></display>
+     <definition value="Deprecated for HL7 use."></definition>
+    </concept>
+    <concept>
+     <code value="ISO-10646-UCS-4"></code>
+     <display value="ISO-10646-UCS-4"></display>
+     <definition value="Deprecated for HL7 use."></definition>
+    </concept>
+    <concept>
+     <code value="ISO-8859-1"></code>
+     <display value="ISO-8859-1"></display>
+     <definition value="HL7 is indifferent to the use of this Charset."></definition>
+    </concept>
+    <concept>
+     <code value="ISO-8859-2"></code>
+     <display value="ISO-8859-2"></display>
+     <definition value="HL7 is indifferent to the use of this Charset."></definition>
+    </concept>
+    <concept>
+     <code value="ISO-8859-5"></code>
+     <display value="ISO-8859-5"></display>
+     <definition value="HL7 is indifferent to the use of this Charset."></definition>
+    </concept>
+    <concept>
+     <code value="JIS-2022-JP"></code>
+     <display value="JIS-2022-JP"></display>
+     <definition value="HL7 is indifferent to the use of this Charset."></definition>
+    </concept>
+    <concept>
+     <code value="US-ASCII"></code>
+     <display value="US-ASCII"></display>
+     <definition value="Required for HL7 use."></definition>
+    </concept>
+    <concept>
+     <code value="UTF-7"></code>
+     <display value="UTF-7"></display>
+     <definition value="HL7 is indifferent to the use of this Charset."></definition>
+    </concept>
+    <concept>
+     <code value="UTF-8"></code>
+     <display value="UTF-8"></display>
+     <definition value="Required for Unicode support."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CodingRationale"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-CodingRationale"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-CodingRationale"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1074"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CodingRationale"></name>
+    <title value="v3 Code System CodingRationale"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies how to interpret the instance of the code, codeSystem value in a set of translations.  Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role.  When this code is NULL, it indicates that the translation is an undefined type.  When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CodingRationale"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="O"></code>
+     <display value="originally produced code"></display>
+     <definition value="Description: Originally produced code."></definition>
+    </concept>
+    <concept>
+     <code value="OR"></code>
+     <display value="original and required"></display>
+     <definition value="Originally produced code, required by the specification describing the use of the coded concept."></definition>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="post-coded"></display>
+     <definition value="Description: Post-coded from free text source&lt;/description&gt;"></definition>
+    </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="post-coded and required"></display>
+     <definition value="Post-coded from free text source, required by the specification describing the use of the coded concept."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="required"></display>
+     <definition value="Description: Required standard code for HL7."></definition>
+    </concept>
+    <concept>
+     <code value="HL7"></code>
+     <display value="HL7 Specified or Mandated"></display>
+     <definition value="HL7 Specified or Mandated"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="SH"></code>
+     <display value="Both HL7 mandated and the original code"></display>
+     <definition value="Both HL7 mandated and the original code (precoordination)"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="SRC"></code>
+     <display value="Source (or original) code"></display>
+     <definition value="Source (or original) code"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CommunicationFunctionType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-CommunicationFunctionType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-CommunicationFunctionType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1056"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CommunicationFunctionType"></name>
+    <title value="v3 Code System CommunicationFunctionType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Describes the type of communication function that the associated entity plays in the associated transmission."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CommunicationFunctionType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="RCV"></code>
+     <display value="receiver"></display>
+     <definition value="The entity is the receiver of the transmission."></definition>
+    </concept>
+    <concept>
+     <code value="RSP"></code>
+     <display value="respond to"></display>
+     <definition value="The entity is the one to which the response or reply to the transmission should be sent."></definition>
+    </concept>
+    <concept>
+     <code value="SND"></code>
+     <display value="sender"></display>
+     <definition value="The entity is the sender of the transmission."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CompressionAlgorithm"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-CompressionAlgorithm"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-CompressionAlgorithm"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1009"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.CompressionAlgorithm"></name>
+    <title value="v3 Code System CompressionAlgorithm"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CompressionAlgorithm"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="BZ"></code>
+     <display value="bzip"></display>
+     <definition value="bzip-2 compression format. See [http://www.bzip.org/] for more information."></definition>
+    </concept>
+    <concept>
+     <code value="DF"></code>
+     <display value="deflate"></display>
+     <definition value="The deflate compressed data format as specified in RFC 1951 [http://www.ietf.org/rfc/rfc1951.txt]."></definition>
+    </concept>
+    <concept>
+     <code value="GZ"></code>
+     <display value="gzip"></display>
+     <definition value="A compressed data format that is compatible with the widely used GZIP utility as specified in RFC 1952 [http://www.ietf.org/rfc/rfc1952.txt] (uses the deflate algorithm)."></definition>
+    </concept>
+    <concept>
+     <code value="Z"></code>
+     <display value="compress"></display>
+     <definition value="Original UNIX compress algorithm and file format using the LZC algorithm (a variant of LZW).  Patent encumbered and less efficient than deflate."></definition>
+    </concept>
+    <concept>
+     <code value="Z7"></code>
+     <display value="Z7"></display>
+     <definition value="7z compression file format. See [http://www.7-zip.org/7z.html] for more information."></definition>
+    </concept>
+    <concept>
+     <code value="ZL"></code>
+     <display value="zlib"></display>
+     <definition value="A compressed data format that also uses the deflate algorithm.  Specified as RFC 1950 [http://www.ietf.org/rfc/rfc1952.txt]"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Confidentiality"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-Confidentiality"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.25"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Confidentiality"></name>
+    <title value="v3 Code System Confidentiality"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain &quot;Confidentiality&quot;."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Confidentiality"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="_Confidentiality"></code>
+     <display value="Confidentiality"></display>
+     <definition value="A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain &quot;Confidentiality&quot;."></definition>
+     <concept>
+      <code value="L"></code>
+      <display value="low"></display>
+      <definition value="Privacy metadata indicating that a low level of protection is required to safeguard personal and healthcare information, which has been altered in such a way as to minimize the need for confidentiality protections with some residual risks associated with re-linking. The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk.
+
+        
+         Usage Note: 
+        
+The level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.
+         Example: Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. See 45 CFR Section 164.514.
+
+        This metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.
+
+        Confidentiality code total order hierarchy: Low (L) is less protective than V, R, N, and M, and subsumes U."></definition>
+     </concept>
+     <concept>
+      <code value="M"></code>
+      <display value="moderate"></display>
+      <definition value="Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.
+
+        
+         Usage Note: The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject.
+
+        Privacy policies mandating moderate levels of protection, which preempt less protective privacy policies. &quot;Moderate&quot; confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.
+
+        Confidentiality code total order hierarchy: Moderate (M) is less protective than V, R, and N, and subsumes all other protection levels (i.e., L and U).
+
+        
+         Examples: Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account; to health oversight authorities; to a hospital patient directory; to worker compensation, disability, property and casualty or life insurers; and to personal health record systems, consumer-controlled devices, social media accounts and online Apps; or for marketing purposes"></definition>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="normal"></display>
+      <definition value="Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.
+
+        
+         Usage Note: The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.
+
+        Privacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).
+
+        Confidentiality code total order hierarchy: Normal (N) is less protective than V and R, and subsumes all other protection levels (i.e., M, L, and U).
+
+        
+         Map:Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations. 
+
+        
+         Examples: 
+        
+n the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103."></definition>
+     </concept>
+     <concept>
+      <code value="R"></code>
+      <display value="restricted"></display>
+      <definition value="Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.
+
+        
+         Usage Note: The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual’s request, intended to engender patient trust in providers of sensitive services.
+
+        Privacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).
+
+        Confidentiality code total order hierarchy: Restricted (R) is less protective than V, and subsumes all other protection levels (i.e., N, M, L, and U).
+
+        
+         Examples: 
+        
+Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient’s standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer)."></definition>
+     </concept>
+     <concept>
+      <code value="U"></code>
+      <display value="unrestricted"></display>
+      <definition value="Privacy metadata indicating that no level of protection is required to safeguard personal and healthcare information that has been disclosed by an authorized individual without restrictions on its use.
+
+        
+         Examples: Includes publicly available information e.g., business name, phone, email and physical address.
+
+        
+         Usage Note: The authorization to collect, access, use, and disclose this information may be stipulated in a contract of adhesion by a data user (e.g., via terms of service or data user privacy policies) in exchange for the data subject's use of a service.
+
+        This metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.
+
+        This metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.
+
+        Confidentiality code total order hierarchy: Unrestricted (U) is less protective than V, R, N, M, and L, and is the lowest protection levels."></definition>
+     </concept>
+     <concept>
+      <code value="V"></code>
+      <display value="very restricted"></display>
+      <definition value="Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.
+
+        
+         Usage Note: The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..
+
+        Privacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).
+
+        Confidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., R, N, M, L, and UI).
+
+        
+         Examples: 
+        
+Includes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under a legal hold or attorney-client privilege."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ConfidentialityByAccessKind"></code>
+     <display value="ConfidentialityByAccessKind"></display>
+     <definition value="Description: By accessing subject / role and relationship based  rights  (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)
+
+        
+         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-12-14"></valueDateTime>
+     </property>
+     <concept>
+      <code value="B"></code>
+      <display value="business"></display>
+      <definition value="Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality.  However, no patient related information may ever be of this confidentiality level.
+
+        
+         Deprecation Comment: Replced by ActCode.B"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="D"></code>
+      <display value="clinician"></display>
+      <definition value="Description: Only clinicians may see this item, billing and administration persons can not access this item without special permission.
+
+        
+         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="I"></code>
+      <display value="individual"></display>
+      <definition value="Description: Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).
+
+        
+         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ConfidentialityByInfoType"></code>
+     <display value="ConfidentialityByInfoType"></display>
+     <definition value="Description: By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data!
+
+        
+         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-12-14"></valueDateTime>
+     </property>
+     <concept>
+      <code value="ETH"></code>
+      <display value="substance abuse related"></display>
+      <definition value="Description: Alcohol/drug-abuse related item
+
+        
+         Deprecation Comment:Replced by ActCode.ETH"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="HIV"></code>
+      <display value="HIV related"></display>
+      <definition value="Description: HIV and AIDS related item
+
+        
+         Deprecation Comment:Replced by ActCode.HIV"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="PSY"></code>
+      <display value="psychiatry relate"></display>
+      <definition value="Description: Psychiatry related item
+
+        
+         Deprecation Comment:Replced by ActCode.PSY"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="SDV"></code>
+      <display value="sexual and domestic violence related"></display>
+      <definition value="Description: Sexual assault / domestic violence related item
+
+        
+         Deprecation Comment:Replced by ActCode.SDV"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ConfidentialityModifiers"></code>
+     <display value="ConfidentialityModifiers"></display>
+     <definition value="Description: Modifiers of role based access rights  (multiple allowed)
+
+        
+         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2011-12-14"></valueDateTime>
+     </property>
+     <concept>
+      <code value="C"></code>
+      <display value="celebrity"></display>
+      <definition value="Description: Celebrities are people of public interest (VIP) including employees, whose information require special protection.
+
+        
+         Deprecation Comment:Replced by ActCode.CEL"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="S"></code>
+      <display value="sensitive"></display>
+      <definition value="Description: 
+        
+Information for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members.  Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request.
+         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="T"></code>
+      <display value="taboo"></display>
+      <definition value="Description: Information not to be disclosed or discussed with patient except through physician assigned to patient in this case.  This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV.
+
+        
+         Deprecation Note:Replced by ActCode.TBOO"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2011-12-14"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContainerCap"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ContainerCap"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ContainerCap"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.26"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ContainerCap"></name>
+    <title value="v3 Code System ContainerCap"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The type of cap associated with a container"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContainerCap"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_MedicationCap"></code>
+     <display value="MedicationCap"></display>
+     <definition value="Cap types for medication containers"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CHILD"></code>
+      <display value="ChildProof"></display>
+      <definition value="A cap designed to be difficult to open for children.  Generally requires multiple simultaneous actions (e.g. squeeze and twist) to open.  Used for products that may be dangerous if ingested or overdosed by children."></definition>
+     </concept>
+     <concept>
+      <code value="EASY"></code>
+      <display value="EasyOpen"></display>
+      <definition value="A cap designed to be easily removed.  For products intended to be opened by persons with limited strength or dexterity."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="FILM"></code>
+     <display value="Film"></display>
+     <definition value="A non-reactive plastic film covering over the opening of a container."></definition>
+    </concept>
+    <concept>
+     <code value="FOIL"></code>
+     <display value="Foil"></display>
+     <definition value="A foil covering (type of foil not specified) over the opening of a container"></definition>
+    </concept>
+    <concept>
+     <code value="PUSH"></code>
+     <display value="Push Cap"></display>
+     <definition value="A non-threaded cap that forms a tight-fitting closure on a container by pushing the fitted end into the conatiner opening"></definition>
+    </concept>
+    <concept>
+     <code value="SCR"></code>
+     <display value="Screw Cap"></display>
+     <definition value="A threaded cap that is screwed onto the opening of a container"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContainerSeparator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ContainerSeparator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ContainerSeparator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.27"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ContainerSeparator"></name>
+    <title value="v3 Code System ContainerSeparator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A material in a blood collection container that facilites the separation of of blood cells from serum or plasma"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContainerSeparator"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="GEL"></code>
+     <display value="Gel"></display>
+     <definition value="A gelatinous type of separator material."></definition>
+    </concept>
+    <concept>
+     <code value="NONE"></code>
+     <display value="None"></display>
+     <definition value="No separator material is present in the container."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContentProcessingMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ContentProcessingMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ContentProcessingMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1110"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ContentProcessingMode"></name>
+    <title value="v3 Code System ContentProcessingMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Identifies the order in which content should be processed."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContentProcessingMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="SEQL"></code>
+     <display value="Sequential"></display>
+     <definition value="Description:The content should be processed in a sequential fashion."></definition>
+    </concept>
+    <concept>
+     <code value="UNOR"></code>
+     <display value="Unordered"></display>
+     <definition value="Description:The content may be processed in any order."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ContextControl"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ContextControl"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ContextControl"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1057"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ContextControl"></name>
+    <title value="v3 Code System ContextControl"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ContextControl"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_ContextControlAdditive"></code>
+     <display value="ContextControlAdditive"></display>
+     <definition value="The association adds to the existing context associated with the Act.  Both this association and any associations propagated from ancestor Acts are interpreted as being related to this Act."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AN"></code>
+      <display value="additive, non-propagating"></display>
+      <definition value="The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Additive, Non-Propagating&quot; it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated."></definition>
+     </concept>
+     <concept>
+      <code value="AP"></code>
+      <display value="additive, propagating"></display>
+      <definition value="The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Additive, Propagating&quot; it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ContextControlNonPropagating"></code>
+     <display value="ContextControlNonPropagating"></display>
+     <definition value="The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd)."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="AN"></valueCode>
+     </property>
+     <concept>
+      <code value="ON"></code>
+      <display value="overriding, non-propagating"></display>
+      <definition value="The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Overriding, Non-Propagating&quot; it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ContextControlOverriding"></code>
+     <display value="ContextControlOverriding"></display>
+     <definition value="The association adds to the existing context associated with the Act, but replaces associations propagated from ancestor Acts whose typeCodes are the same or more specific."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="ON"></valueCode>
+     </property>
+     <concept>
+      <code value="OP"></code>
+      <display value="overriding, propagating"></display>
+      <definition value="The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as &quot;Overriding, Propagating&quot; it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ContextControlPropagating"></code>
+     <display value="ContextControlPropagating"></display>
+     <definition value="The association propagates to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd)."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="AP"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="OP"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DataOperation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-DataOperation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1123"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.DataOperation"></name>
+    <title value="v3 Code System DataOperation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DataOperation"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="OPERATE"></code>
+     <display value="operate"></display>
+     <definition value="Description:Act on an object or objects."></definition>
+     <concept>
+      <code value="CREATE"></code>
+      <display value="create"></display>
+      <definition value="Description:Fundamental operation in an Information System (IS) that results only in the act of bringing an object into existence. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+     </concept>
+     <concept>
+      <code value="DELETE"></code>
+      <display value="delete"></display>
+      <definition value="Description:Fundamental operation in an Information System (IS) that results only in the removal of information about an object from memory or storage. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
+     </concept>
+     <concept>
+      <code value="EXECUTE"></code>
+      <display value="execute"></display>
+      <definition value="Description:Fundamental operation in an IS that results only in initiating performance of a single or set of programs (i.e., software objects). Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
+     </concept>
+     <concept>
+      <code value="READ"></code>
+      <display value="read"></display>
+      <definition value="Description:Fundamental operation in an Information System (IS) that results only in the flow of information about an object to a subject. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
+     </concept>
+     <concept>
+      <code value="UPDATE"></code>
+      <display value="revise"></display>
+      <definition value="Definition:Fundamental operation in an Information System (IS) that results only in the revision or alteration of an object. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
+      <concept>
+       <code value="APPEND"></code>
+       <display value="append"></display>
+       <definition value="Description:Fundamental operation in an Information System (IS) that results only in the addition of information to an object already in existence. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
+      </concept>
+      <concept>
+       <code value="MODIFYSTATUS"></code>
+       <display value="modify status"></display>
+       <definition value="Description:Change the status of an object representing an Act."></definition>
+       <concept>
+        <code value="ABORT"></code>
+        <display value="abort"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;aborted&quot;, i.e., terminated prior to the originally intended completion. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="ACTIVATE"></code>
+        <display value="activate"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;active&quot;, i.e., so it can be performed or is being performed, for the first time. (Contrast with REACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="CANCEL"></code>
+        <display value="cancel"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;cancelled&quot;, i.e., abandoned before activation. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="COMPLETE"></code>
+        <display value="complete"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;completed&quot;, i.e., terminated normally after all of its constituents have been performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="HOLD"></code>
+        <display value="hold"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;held&quot;, i.e., put aside an Act that is still in preparatory stages.  No action can occur until the Act is released. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="JUMP"></code>
+        <display value="jump"></display>
+        <definition value="Description:Change the status of an object representing an Act to a normal state. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="NULLIFY"></code>
+        <display value="nullify"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;nullified&quot;, i.e., treat as though it never existed. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="OBSOLETE"></code>
+        <display value="obsolete"></display>
+        <definition value="Description:Change the status of an object representing an Act to &quot;obsolete&quot; when it has been replaced by a new instance. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="REACTIVATE"></code>
+        <display value="reactivate"></display>
+        <definition value="Description:Change the status of a formerly active object representing an Act to &quot;active&quot;, i.e., so it can again be performed or is being performed. (Contrast with ACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="RELEASE"></code>
+        <display value="release"></display>
+        <definition value="Description:Change the status of an object representing an Act so it is no longer &quot;held&quot;, i.e., allow action to occur. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="RESUME"></code>
+        <display value="resume"></display>
+        <definition value="Description:Change the status of a suspended object representing an Act to &quot;active&quot;, i.e., so it can be performed or is being performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
+       </concept>
+       <concept>
+        <code value="SUSPEND"></code>
+        <display value="suspend"></display>
+        <definition value="Definition:Change the status of an object representing an Act to suspended, i.e., so it is temporarily not in service."></definition>
+       </concept>
+      </concept>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Dentition"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-Dentition"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Dentition"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1080"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Dentition"></name>
+    <title value="v3 Code System Dentition"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Dentition"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="ArtificialDentition"></code>
+     <display value="Artificial dentition"></display>
+     <definition value="Artificial dentition, artificial subsitutes for the natural dentition"></definition>
+     <concept>
+      <code value="TID10a"></code>
+      <display value="10a"></display>
+      <definition value="Maxillary left lateral incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID10i"></code>
+      <display value="10i"></display>
+      <definition value="Maxillary left lateral incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID10p"></code>
+      <display value="10p"></display>
+      <definition value="Maxillary left lateral incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID10pd"></code>
+      <display value="10pd"></display>
+      <definition value="Maxillary left lateral incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID10pm"></code>
+      <display value="10pm"></display>
+      <definition value="Maxillary left lateral incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID11a"></code>
+      <display value="11a"></display>
+      <definition value="Maxillary left canine abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID11i"></code>
+      <display value="11i"></display>
+      <definition value="Maxillary left canine implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID11p"></code>
+      <display value="11p"></display>
+      <definition value="Maxillary left canine prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID11pd"></code>
+      <display value="11pd"></display>
+      <definition value="Maxillary left canine distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID11pm"></code>
+      <display value="11pm"></display>
+      <definition value="Maxillary left canine mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID12a"></code>
+      <display value="12a"></display>
+      <definition value="Maxillary left first premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID12i"></code>
+      <display value="12i"></display>
+      <definition value="Maxillary left first premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID12p"></code>
+      <display value="12p"></display>
+      <definition value="Maxillary left first premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID12pd"></code>
+      <display value="12pd"></display>
+      <definition value="Maxillary left first premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID12pm"></code>
+      <display value="12pm"></display>
+      <definition value="Maxillary left first premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID13a"></code>
+      <display value="13a"></display>
+      <definition value="Maxillary left second premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID13i"></code>
+      <display value="13i"></display>
+      <definition value="Maxillary left second premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID13p"></code>
+      <display value="13p"></display>
+      <definition value="Maxillary left second premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID13pd"></code>
+      <display value="13pd"></display>
+      <definition value="Maxillary left second premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID13pm"></code>
+      <display value="13pm"></display>
+      <definition value="Maxillary left second premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID14a"></code>
+      <display value="14a"></display>
+      <definition value="Maxillary left first molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID14i"></code>
+      <display value="14i"></display>
+      <definition value="Maxillary left first molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID14p"></code>
+      <display value="14p"></display>
+      <definition value="Maxillary left first molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID14pd"></code>
+      <display value="14pd"></display>
+      <definition value="Maxillary left first molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID14pm"></code>
+      <display value="14pm"></display>
+      <definition value="Maxillary left first molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID15a"></code>
+      <display value="15a"></display>
+      <definition value="Maxillary left second molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID15i"></code>
+      <display value="15i"></display>
+      <definition value="Maxillary left second molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID15p"></code>
+      <display value="15p"></display>
+      <definition value="Maxillary left second molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID15pd"></code>
+      <display value="15pd"></display>
+      <definition value="Maxillary left second molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID15pm"></code>
+      <display value="15pm"></display>
+      <definition value="Maxillary left second molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID16a"></code>
+      <display value="16a"></display>
+      <definition value="Maxillary left third molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID16i"></code>
+      <display value="16i"></display>
+      <definition value="Maxillary left third molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID16p"></code>
+      <display value="16p"></display>
+      <definition value="Maxillary left third molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID16pd"></code>
+      <display value="16pd"></display>
+      <definition value="Maxillary left third molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID16pm"></code>
+      <display value="16pm"></display>
+      <definition value="Maxillary left third molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID17a"></code>
+      <display value="17a"></display>
+      <definition value="Mandibular left third molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID17ad"></code>
+      <display value="17ad"></display>
+      <definition value="Mandibular left third molar abutment distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID17am"></code>
+      <display value="17am"></display>
+      <definition value="Mandibular left third molar abutment mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID17i"></code>
+      <display value="17i"></display>
+      <definition value="Mandibular left third molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID17id"></code>
+      <display value="17id"></display>
+      <definition value="Mandibular left third molar implant distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID17im"></code>
+      <display value="17im"></display>
+      <definition value="Mandibular left third molar implant mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID17p"></code>
+      <display value="17p"></display>
+      <definition value="Mandibular left third molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID17pd"></code>
+      <display value="17pd"></display>
+      <definition value="Mandibular left third molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID17pm"></code>
+      <display value="17pm"></display>
+      <definition value="Mandibular left third molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID18a"></code>
+      <display value="18a"></display>
+      <definition value="Mandibular left second molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID18ad"></code>
+      <display value="18ad"></display>
+      <definition value="Mandibular left second molar abutment distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID18am"></code>
+      <display value="18am"></display>
+      <definition value="Mandibular left second molar abutment mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID18i"></code>
+      <display value="18i"></display>
+      <definition value="Mandibular left second molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID18id"></code>
+      <display value="18id"></display>
+      <definition value="Mandibular left second molar implant distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID18im"></code>
+      <display value="18im"></display>
+      <definition value="Mandibular left second molar implant mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID18p"></code>
+      <display value="18p"></display>
+      <definition value="Mandibular left second molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID18pd"></code>
+      <display value="18pd"></display>
+      <definition value="Mandibular left second molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID18pm"></code>
+      <display value="18pm"></display>
+      <definition value="Mandibular left second molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID19a"></code>
+      <display value="19a"></display>
+      <definition value="Mandibular left first molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID19ad"></code>
+      <display value="19ad"></display>
+      <definition value="Mandibular left first molar abutment distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID19am"></code>
+      <display value="19am"></display>
+      <definition value="Mandibular left first molar abutment mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID19i"></code>
+      <display value="19i"></display>
+      <definition value="Mandibular left first molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID19id"></code>
+      <display value="19id"></display>
+      <definition value="Mandibular left first molar implant distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID19im"></code>
+      <display value="19im"></display>
+      <definition value="Mandibular left first molar implant mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID19p"></code>
+      <display value="19p"></display>
+      <definition value="Mandibular left first molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID19pd"></code>
+      <display value="19pd"></display>
+      <definition value="Mandibular left first molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID19pm"></code>
+      <display value="19pm"></display>
+      <definition value="Mandibular left first molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID1a"></code>
+      <display value="1a"></display>
+      <definition value="Maxillary right third molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID1i"></code>
+      <display value="1i"></display>
+      <definition value="Maxillary right third molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID1p"></code>
+      <display value="1p"></display>
+      <definition value="Maxillary right third molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID1pd"></code>
+      <display value="1pd"></display>
+      <definition value="Maxillary right third molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID1pm"></code>
+      <display value="1pm"></display>
+      <definition value="Maxillary right third molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID20a"></code>
+      <display value="20a"></display>
+      <definition value="Mandibular left second premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID20i"></code>
+      <display value="20i"></display>
+      <definition value="Mandibular left second premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID20p"></code>
+      <display value="20p"></display>
+      <definition value="Mandibular left second premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID20pd"></code>
+      <display value="20pd"></display>
+      <definition value="Mandibular left second premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID20pm"></code>
+      <display value="20pm"></display>
+      <definition value="Mandibular left second premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID21a"></code>
+      <display value="21a"></display>
+      <definition value="Mandibular left first premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID21i"></code>
+      <display value="21i"></display>
+      <definition value="Mandibular left first premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID21p"></code>
+      <display value="21p"></display>
+      <definition value="Mandibular left first premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID21pd"></code>
+      <display value="21pd"></display>
+      <definition value="Mandibular left first premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID21pm"></code>
+      <display value="21pm"></display>
+      <definition value="Mandibular left first premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID22a"></code>
+      <display value="22a"></display>
+      <definition value="Mandibular left canine abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID22i"></code>
+      <display value="22i"></display>
+      <definition value="Mandibular left canine implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID22p"></code>
+      <display value="22p"></display>
+      <definition value="Mandibular left canine prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID22pd"></code>
+      <display value="22pd"></display>
+      <definition value="Mandibular left canine distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID22pm"></code>
+      <display value="22pm"></display>
+      <definition value="Mandibular left canine mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID23a"></code>
+      <display value="23a"></display>
+      <definition value="Mandibular left lateral incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID23i"></code>
+      <display value="23i"></display>
+      <definition value="Mandibular left lateral incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID23p"></code>
+      <display value="23p"></display>
+      <definition value="Mandibular left lateral incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID23pd"></code>
+      <display value="23pd"></display>
+      <definition value="Mandibular left lateral incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID23pm"></code>
+      <display value="23pm"></display>
+      <definition value="Mandibular left lateral incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID24a"></code>
+      <display value="24a"></display>
+      <definition value="Mandibular left central incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID24i"></code>
+      <display value="24i"></display>
+      <definition value="Mandibular left central incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID24p"></code>
+      <display value="24p"></display>
+      <definition value="Mandibular left central incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID24pd"></code>
+      <display value="24pd"></display>
+      <definition value="Mandibular left central incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID24pm"></code>
+      <display value="24pm"></display>
+      <definition value="Mandibular left central incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID25a"></code>
+      <display value="25a"></display>
+      <definition value="Mandibular right central incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID25i"></code>
+      <display value="25i"></display>
+      <definition value="Mandibular right central incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID25p"></code>
+      <display value="25p"></display>
+      <definition value="Mandibular right central incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID25pd"></code>
+      <display value="25pd"></display>
+      <definition value="Mandibular right central incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID25pm"></code>
+      <display value="25pm"></display>
+      <definition value="Mandibular right central incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID26a"></code>
+      <display value="26a"></display>
+      <definition value="Mandibular right lateral incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID26i"></code>
+      <display value="26i"></display>
+      <definition value="Mandibular right lateral incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID26p"></code>
+      <display value="26p"></display>
+      <definition value="Mandibular right lateral incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID26pd"></code>
+      <display value="26pd"></display>
+      <definition value="Mandibular right lateral incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID26pm"></code>
+      <display value="26pm"></display>
+      <definition value="Mandibular right lateral incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID27a"></code>
+      <display value="27a"></display>
+      <definition value="Mandibular right canine abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID27i"></code>
+      <display value="27i"></display>
+      <definition value="Mandibular right canine implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID27p"></code>
+      <display value="27p"></display>
+      <definition value="Mandibular right canine prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID27pd"></code>
+      <display value="27pd"></display>
+      <definition value="Mandibular right canine distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID27pm"></code>
+      <display value="27pm"></display>
+      <definition value="Mandibular right canine mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID28a"></code>
+      <display value="28a"></display>
+      <definition value="Mandibular right first premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID28i"></code>
+      <display value="28i"></display>
+      <definition value="Mandibular right first premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID28p"></code>
+      <display value="28p"></display>
+      <definition value="Mandibular right first premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID28pd"></code>
+      <display value="28pd"></display>
+      <definition value="Mandibular right first premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID28pm"></code>
+      <display value="28pm"></display>
+      <definition value="Mandibular right first premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID29a"></code>
+      <display value="29a"></display>
+      <definition value="Mandibular right second premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID29i"></code>
+      <display value="29i"></display>
+      <definition value="Mandibular right second premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID29p"></code>
+      <display value="29p"></display>
+      <definition value="Mandibular right second premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID29pd"></code>
+      <display value="29pd"></display>
+      <definition value="Mandibular right second premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID29pm"></code>
+      <display value="29pm"></display>
+      <definition value="Mandibular right second premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID2a"></code>
+      <display value="2a"></display>
+      <definition value="Maxillary right second molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID2i"></code>
+      <display value="2i"></display>
+      <definition value="Maxillary right second molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID2p"></code>
+      <display value="2p"></display>
+      <definition value="Maxillary right second molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID2pd"></code>
+      <display value="2pd"></display>
+      <definition value="Maxillary right second molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID2pm"></code>
+      <display value="2pm"></display>
+      <definition value="Maxillary right second molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID30a"></code>
+      <display value="30a"></display>
+      <definition value="Mandibular right first molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID30ad"></code>
+      <display value="30ad"></display>
+      <definition value="Mandibular right first molar abutment distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID30am"></code>
+      <display value="30am"></display>
+      <definition value="Mandibular right first molar abutment mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID30i"></code>
+      <display value="30i"></display>
+      <definition value="Mandibular right first molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID30id"></code>
+      <display value="30id"></display>
+      <definition value="Mandibular right first molar implant distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID30im"></code>
+      <display value="30im"></display>
+      <definition value="Mandibular right first molar implant mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID30p"></code>
+      <display value="30p"></display>
+      <definition value="Mandibular right first molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID30pd"></code>
+      <display value="30pd"></display>
+      <definition value="Mandibular right first molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID30pm"></code>
+      <display value="30pm"></display>
+      <definition value="Mandibular right first molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID31a"></code>
+      <display value="31a"></display>
+      <definition value="Mandibular right second molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID31ad"></code>
+      <display value="31ad"></display>
+      <definition value="Mandibular right second molar abutment distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID31am"></code>
+      <display value="31am"></display>
+      <definition value="Mandibular right second molar abutment mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID31i"></code>
+      <display value="31i"></display>
+      <definition value="Mandibular right second molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID31id"></code>
+      <display value="31id"></display>
+      <definition value="Mandibular right second molar implant distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID31im"></code>
+      <display value="31im"></display>
+      <definition value="Mandibular right second molar implant mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID31p"></code>
+      <display value="31p"></display>
+      <definition value="Mandibular right second molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID31pd"></code>
+      <display value="31pd"></display>
+      <definition value="Mandibular right second molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID31pm"></code>
+      <display value="31pm"></display>
+      <definition value="Mandibular right second molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID32a"></code>
+      <display value="32a"></display>
+      <definition value="Mandibular right third molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID32ad"></code>
+      <display value="32ad"></display>
+      <definition value="Mandibular right third molar abutment distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID32am"></code>
+      <display value="32am"></display>
+      <definition value="Mandibular right third molar abutment mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID32i"></code>
+      <display value="32i"></display>
+      <definition value="Mandibular right third molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID32id"></code>
+      <display value="32id"></display>
+      <definition value="Mandibular right third molar implant distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID32im"></code>
+      <display value="32im"></display>
+      <definition value="Mandibular right third molar implant mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID32p"></code>
+      <display value="32p"></display>
+      <definition value="Mandibular right third molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID32pd"></code>
+      <display value="32pd"></display>
+      <definition value="Mandibular right third molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID32pm"></code>
+      <display value="32pm"></display>
+      <definition value="Mandibular right third molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID3a"></code>
+      <display value="3a"></display>
+      <definition value="Maxillary right first molar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID3i"></code>
+      <display value="3i"></display>
+      <definition value="Maxillary right first molar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID3p"></code>
+      <display value="3p"></display>
+      <definition value="Maxillary right first molar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID3pd"></code>
+      <display value="3pd"></display>
+      <definition value="Maxillary right first molar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID3pm"></code>
+      <display value="3pm"></display>
+      <definition value="Maxillary right first molar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID4a"></code>
+      <display value="4a"></display>
+      <definition value="Maxillary right second premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID4i"></code>
+      <display value="4i"></display>
+      <definition value="Maxillary right second premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID4p"></code>
+      <display value="4p"></display>
+      <definition value="Maxillary right second premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID4pd"></code>
+      <display value="4pd"></display>
+      <definition value="Maxillary right second premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID4pm"></code>
+      <display value="4pm"></display>
+      <definition value="Maxillary right second premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID5a"></code>
+      <display value="5a"></display>
+      <definition value="Maxillary right first premolar abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID5i"></code>
+      <display value="5i"></display>
+      <definition value="Maxillary right first premolar implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID5p"></code>
+      <display value="5p"></display>
+      <definition value="Maxillary right first premolar prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID5pd"></code>
+      <display value="5pd"></display>
+      <definition value="Maxillary right first premolar distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID5pm"></code>
+      <display value="5pm"></display>
+      <definition value="Maxillary right first premolar mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID6a"></code>
+      <display value="6a"></display>
+      <definition value="Maxillary right canine abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID6i"></code>
+      <display value="6i"></display>
+      <definition value="Maxillary right canine implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID6p"></code>
+      <display value="6p"></display>
+      <definition value="Maxillary right canine prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID6pd"></code>
+      <display value="6pd"></display>
+      <definition value="Maxillary right canine distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID6pm"></code>
+      <display value="6pm"></display>
+      <definition value="Maxillary right canine mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID7a"></code>
+      <display value="7a"></display>
+      <definition value="Maxillary right lateral incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID7i"></code>
+      <display value="7i"></display>
+      <definition value="Maxillary right lateral incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID7p"></code>
+      <display value="7p"></display>
+      <definition value="Maxillary right lateral incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID7pd"></code>
+      <display value="7pd"></display>
+      <definition value="Maxillary right lateral incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID7pm"></code>
+      <display value="7pm"></display>
+      <definition value="Maxillary right lateral incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID8a"></code>
+      <display value="8a"></display>
+      <definition value="Maxillary right central incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID8i"></code>
+      <display value="8i"></display>
+      <definition value="Maxillary right central incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID8p"></code>
+      <display value="8p"></display>
+      <definition value="Maxillary right central incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID8pd"></code>
+      <display value="8pd"></display>
+      <definition value="Maxillary right central incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID8pm"></code>
+      <display value="8pm"></display>
+      <definition value="Maxillary right central incisor mesial prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID9a"></code>
+      <display value="9a"></display>
+      <definition value="Maxillary left central incisor abutment"></definition>
+     </concept>
+     <concept>
+      <code value="TID9i"></code>
+      <display value="9i"></display>
+      <definition value="Maxillary left central incisor implant"></definition>
+     </concept>
+     <concept>
+      <code value="TID9p"></code>
+      <display value="9p"></display>
+      <definition value="Maxillary left central incisor prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID9pd"></code>
+      <display value="9pd"></display>
+      <definition value="Maxillary left central incisor distal prosthesis"></definition>
+     </concept>
+     <concept>
+      <code value="TID9pm"></code>
+      <display value="9pm"></display>
+      <definition value="Maxillary left central incisor mesial prosthesis"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="PermanentDentition"></code>
+     <display value="Permanent dentition"></display>
+     <definition value="Permanent dentition, the natural teeth of adulthood that replace or are added to the deciduous teeth"></definition>
+     <concept>
+      <code value="TID1"></code>
+      <display value="1"></display>
+      <definition value="Maxillary right third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID10"></code>
+      <display value="10"></display>
+      <definition value="Maxillary left lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID11"></code>
+      <display value="11"></display>
+      <definition value="Maxillary left canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID12"></code>
+      <display value="12"></display>
+      <definition value="Maxillary left first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID13"></code>
+      <display value="13"></display>
+      <definition value="Maxillary left second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID14"></code>
+      <display value="14"></display>
+      <definition value="Maxillary left first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID15"></code>
+      <display value="15"></display>
+      <definition value="Maxillary left second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID16"></code>
+      <display value="16"></display>
+      <definition value="Maxillary left third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID17"></code>
+      <display value="17"></display>
+      <definition value="Mandibular left third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID17d"></code>
+      <display value="17d"></display>
+      <definition value="Mandibular left third molar distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID17m"></code>
+      <display value="17m"></display>
+      <definition value="Mandibular left third molar mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID18"></code>
+      <display value="18"></display>
+      <definition value="Mandibular left second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID18d"></code>
+      <display value="18d"></display>
+      <definition value="Mandibular left second molar distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID18m"></code>
+      <display value="18m"></display>
+      <definition value="Mandibular left second molar mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID19"></code>
+      <display value="19"></display>
+      <definition value="Mandibular left first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID19d"></code>
+      <display value="19d"></display>
+      <definition value="Mandibular left first molar distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID19m"></code>
+      <display value="19m"></display>
+      <definition value="Mandibular left first molar mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID2"></code>
+      <display value="2"></display>
+      <definition value="Maxillary right second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID20"></code>
+      <display value="20"></display>
+      <definition value="Mandibular left second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID21"></code>
+      <display value="21"></display>
+      <definition value="Mandibular left first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID22"></code>
+      <display value="22"></display>
+      <definition value="Mandibular left canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID23"></code>
+      <display value="23"></display>
+      <definition value="Mandibular left lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID24"></code>
+      <display value="24"></display>
+      <definition value="Mandibular left central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID25"></code>
+      <display value="25"></display>
+      <definition value="Mandibular right central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID26"></code>
+      <display value="26"></display>
+      <definition value="Mandibular right lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID27"></code>
+      <display value="27"></display>
+      <definition value="Mandibular right canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID28"></code>
+      <display value="28"></display>
+      <definition value="Mandibular right first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID29"></code>
+      <display value="29"></display>
+      <definition value="Mandibular right second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID3"></code>
+      <display value="3"></display>
+      <definition value="Maxillary right first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID30"></code>
+      <display value="30"></display>
+      <definition value="Mandibular right first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID30d"></code>
+      <display value="30d"></display>
+      <definition value="Mandibular right first molar distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID30m"></code>
+      <display value="30m"></display>
+      <definition value="Mandibular right first molar mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID31"></code>
+      <display value="31"></display>
+      <definition value="Mandibular right second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID31d"></code>
+      <display value="31d"></display>
+      <definition value="Mandibular right second molar distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID31m"></code>
+      <display value="31m"></display>
+      <definition value="Mandibular right second molar mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID32"></code>
+      <display value="32"></display>
+      <definition value="Mandibular right third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID32d"></code>
+      <display value="32d"></display>
+      <definition value="Mandibular right third molar distal hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID32m"></code>
+      <display value="32m"></display>
+      <definition value="Mandibular right third molar mesial hemisection"></definition>
+     </concept>
+     <concept>
+      <code value="TID4"></code>
+      <display value="4"></display>
+      <definition value="Maxillary right second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID5"></code>
+      <display value="5"></display>
+      <definition value="Maxillary right first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID6"></code>
+      <display value="6"></display>
+      <definition value="Maxillary right canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID7"></code>
+      <display value="7"></display>
+      <definition value="Maxillary right lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID8"></code>
+      <display value="8"></display>
+      <definition value="Maxillary right central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID9"></code>
+      <display value="9"></display>
+      <definition value="Maxillary left central incisor"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="PrimaryDentition"></code>
+     <display value="Primary dentition"></display>
+     <definition value="Primary dentition, the first teeth to errupt and usually replaced with permanent dentition"></definition>
+     <concept>
+      <code value="TIDA"></code>
+      <display value="A"></display>
+      <definition value="Maxillary right second primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDB"></code>
+      <display value="B"></display>
+      <definition value="Maxillary right first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDC"></code>
+      <display value="C"></display>
+      <definition value="Maxillary right primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDD"></code>
+      <display value="D"></display>
+      <definition value="Maxillary right lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDE"></code>
+      <display value="E"></display>
+      <definition value="Maxillary right central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDF"></code>
+      <display value="F"></display>
+      <definition value="Maxillary left central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDG"></code>
+      <display value="G"></display>
+      <definition value="Maxillary left lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDH"></code>
+      <display value="H"></display>
+      <definition value="Maxillary left primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDI"></code>
+      <display value="I"></display>
+      <definition value="Maxillary left first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDJ"></code>
+      <display value="J"></display>
+      <definition value="Maxillary left second primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDK"></code>
+      <display value="K"></display>
+      <definition value="Mandibular left second primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDL"></code>
+      <display value="L"></display>
+      <definition value="Mandibular left first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDM"></code>
+      <display value="M"></display>
+      <definition value="Mandibular left primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDN"></code>
+      <display value="N"></display>
+      <definition value="Mandibular left lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDO"></code>
+      <display value="O"></display>
+      <definition value="Mandibular left central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDP"></code>
+      <display value="P"></display>
+      <definition value="Mandibular right central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDQ"></code>
+      <display value="Q"></display>
+      <definition value="Mandibular right lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDR"></code>
+      <display value="R"></display>
+      <definition value="Mandibular right primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDS"></code>
+      <display value="S"></display>
+      <definition value="Mandibular right first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDT"></code>
+      <display value="T"></display>
+      <definition value="Mandibular right second primary molar"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="SupernumeraryTooth"></code>
+     <display value="Supernumerary Tooth"></display>
+     <definition value="Supernumerary tooth, any tooth in addition to the normal permanent and primary dentition"></definition>
+     <concept>
+      <code value="TID10s"></code>
+      <display value="10s"></display>
+      <definition value="Supernumerary maxillary left lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID11s"></code>
+      <display value="11s"></display>
+      <definition value="Supernumerary maxillary left canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID12s"></code>
+      <display value="12s"></display>
+      <definition value="Supernumerary maxillary left first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID13s"></code>
+      <display value="13s"></display>
+      <definition value="Supernumerary maxillary left second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID14s"></code>
+      <display value="14s"></display>
+      <definition value="Supernumerary maxillary left first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID15s"></code>
+      <display value="15s"></display>
+      <definition value="Supernumerary maxillary left second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID16s"></code>
+      <display value="16s"></display>
+      <definition value="Supernumerary maxillary left third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID17s"></code>
+      <display value="17s"></display>
+      <definition value="Supernumerary mandibular left third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID18s"></code>
+      <display value="18s"></display>
+      <definition value="Supernumerary mandibular left second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID19s"></code>
+      <display value="19s"></display>
+      <definition value="Supernumerary mandibular left first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID1s"></code>
+      <display value="1s"></display>
+      <definition value="Supernumerary maxillary right third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID20s"></code>
+      <display value="20s"></display>
+      <definition value="Supernumerary mandibular left second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID21s"></code>
+      <display value="21s"></display>
+      <definition value="Supernumerary mandibular left first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID22s"></code>
+      <display value="22s"></display>
+      <definition value="Supernumerary mandibular left canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID23s"></code>
+      <display value="23s"></display>
+      <definition value="Supernumerary mandibular left lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID24s"></code>
+      <display value="24s"></display>
+      <definition value="Supernumerary mandibular left central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID25s"></code>
+      <display value="25s"></display>
+      <definition value="Supernumerary mandibular right central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID26s"></code>
+      <display value="26s"></display>
+      <definition value="Supernumerary mandibular right lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID27s"></code>
+      <display value="27s"></display>
+      <definition value="Supernumerary mandibular right canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID28s"></code>
+      <display value="28s"></display>
+      <definition value="Supernumerary mandibular right first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID29s"></code>
+      <display value="29s"></display>
+      <definition value="Supernumerary mandibular right second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID2s"></code>
+      <display value="2s"></display>
+      <definition value="Supernumerary maxillary right second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID30s"></code>
+      <display value="30s"></display>
+      <definition value="Supernumerary mandibular right first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID31s"></code>
+      <display value="31s"></display>
+      <definition value="Supernumerary mandibular right second molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID32s"></code>
+      <display value="32s"></display>
+      <definition value="Supernumerary mandibular right third molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID3s"></code>
+      <display value="3s"></display>
+      <definition value="Supernumerary maxillary right first molar"></definition>
+     </concept>
+     <concept>
+      <code value="TID4s"></code>
+      <display value="4s"></display>
+      <definition value="Supernumerary maxillary right second premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID5s"></code>
+      <display value="5s"></display>
+      <definition value="Supernumerary maxillary right first premolar"></definition>
+     </concept>
+     <concept>
+      <code value="TID6s"></code>
+      <display value="6s"></display>
+      <definition value="Supernumerary maxillary right canine"></definition>
+     </concept>
+     <concept>
+      <code value="TID7s"></code>
+      <display value="7s"></display>
+      <definition value="Supernumerary maxillary right lateral incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID8s"></code>
+      <display value="8s"></display>
+      <definition value="Supernumerary maxillary right central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TID9s"></code>
+      <display value="9s"></display>
+      <definition value="Supernumerary maxillary left central incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDAs"></code>
+      <display value="As"></display>
+      <definition value="Supernumerary maxillary right second primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDBs"></code>
+      <display value="Bs"></display>
+      <definition value="Supernumerary maxillary right first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDCs"></code>
+      <display value="Cs"></display>
+      <definition value="Supernumerary maxillary right primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDDs"></code>
+      <display value="Ds"></display>
+      <definition value="Supernumerary maxillary right lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDEs"></code>
+      <display value="Es"></display>
+      <definition value="Supernumerary maxillary right central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDFs"></code>
+      <display value="Fs"></display>
+      <definition value="Supernumerary maxillary left central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDGs"></code>
+      <display value="Gs"></display>
+      <definition value="Supernumerary maxillary left lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDHs"></code>
+      <display value="Hs"></display>
+      <definition value="Supernumerary maxillary left primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDIs"></code>
+      <display value="Is"></display>
+      <definition value="Supernumerary maxillary left first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDJs"></code>
+      <display value="Js"></display>
+      <definition value="Supernumerary maxillary left second primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDKs"></code>
+      <display value="Ks"></display>
+      <definition value="Supernumerary mandibular left second primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDLs"></code>
+      <display value="Ls"></display>
+      <definition value="Supernumerary mandibular left first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDMs"></code>
+      <display value="Ms"></display>
+      <definition value="Supernumerary mandibular left primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDNs"></code>
+      <display value="Ns"></display>
+      <definition value="Supernumerary mandibular left lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDOs"></code>
+      <display value="Os"></display>
+      <definition value="Supernumerary mandibular left central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDPs"></code>
+      <display value="Ps"></display>
+      <definition value="Supernumerary mandibular right central primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDQs"></code>
+      <display value="Qs"></display>
+      <definition value="Supernumerary mandibular right lateral primary incisor"></definition>
+     </concept>
+     <concept>
+      <code value="TIDRs"></code>
+      <display value="Rs"></display>
+      <definition value="Supernumerary mandibular right primary canine"></definition>
+     </concept>
+     <concept>
+      <code value="TIDSs"></code>
+      <display value="Ss"></display>
+      <definition value="Supernumerary mandibular right first primary molar"></definition>
+     </concept>
+     <concept>
+      <code value="TIDTs"></code>
+      <display value="Ts"></display>
+      <definition value="Supernumerary mandibular right second primary molar"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DeviceAlertLevel"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-DeviceAlertLevel"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-DeviceAlertLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.31"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.DeviceAlertLevel"></name>
+    <title value="v3 Code System DeviceAlertLevel"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Domain values for the Device.Alert_levelCode"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DeviceAlertLevel"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Critical"></display>
+     <definition value="Shut Down, Fix Problem and Re-initialize"></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Normal"></display>
+     <definition value="No Corrective Action Needed"></definition>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Serious"></display>
+     <definition value="Corrective Action Required"></definition>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Warning"></display>
+     <definition value="Corrective Action Anticipated"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DocumentCompletion"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-DocumentCompletion"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.33"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.DocumentCompletion"></name>
+    <title value="v3 Code System DocumentCompletion"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies the current completion state of a clinical document."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DocumentCompletion"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AU"></code>
+     <display value="authenticated"></display>
+     <definition value="A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy.  No explicit determination is made that the assigned individual has performed the authentication.  While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual."></definition>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="dictated"></display>
+     <definition value="A completion status in which information has been orally recorded but not yet transcribed."></definition>
+    </concept>
+    <concept>
+     <code value="DO"></code>
+     <display value="documented"></display>
+     <definition value="A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format.  Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text."></definition>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="incomplete"></display>
+     <definition value="A completion status in which information is known to be missing from a transcribed document."></definition>
+    </concept>
+    <concept>
+     <code value="IP"></code>
+     <display value="in progress"></display>
+     <definition value="A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed."></definition>
+    </concept>
+    <concept>
+     <code value="LA"></code>
+     <display value="legally authenticated"></display>
+     <definition value="A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression."></definition>
+    </concept>
+    <concept>
+     <code value="NU"></code>
+     <display value="nullified document"></display>
+     <definition value="A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available."></definition>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="pre-authenticated"></display>
+     <definition value="A completion status in which a document is transcribed but not authenticated."></definition>
+    </concept>
+    <concept>
+     <code value="UC"></code>
+     <display value="unsigned completed document"></display>
+     <definition value="A completion status where the document is complete and there is no expectation that the document will be signed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DocumentStorage"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-DocumentStorage"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-DocumentStorage"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.34"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.DocumentStorage"></name>
+    <title value="v3 Code System DocumentStorage"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies the storage status of a document."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DocumentStorage"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AC"></code>
+     <display value="active"></display>
+     <definition value="A storage status in which a document is available on-line."></definition>
+     <concept>
+      <code value="AA"></code>
+      <display value="active and archived"></display>
+      <definition value="A storage status in which a document is available on-line and is also stored off-line for long-term access."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="AR"></code>
+     <display value="archived (not active)"></display>
+     <definition value="A storage status in which a document has been stored off-line for long-term access."></definition>
+    </concept>
+    <concept>
+     <code value="PU"></code>
+     <display value="purged"></display>
+     <definition value="A storage status in which a document is no longer available in this system."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EducationLevel"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EducationLevel"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EducationLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1077"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EducationLevel"></name>
+    <title value="v3 Code System EducationLevel"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Years of education that a person has completed"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EducationLevel"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="ASSOC"></code>
+     <display value="Associate's or technical degree complete"></display>
+     <definition value="Associate's or technical degree complete"></definition>
+    </concept>
+    <concept>
+     <code value="BD"></code>
+     <display value="College or baccalaureate degree complete"></display>
+     <definition value="College or baccalaureate degree complete"></definition>
+    </concept>
+    <concept>
+     <code value="ELEM"></code>
+     <display value="Elementary School"></display>
+     <definition value="Elementary School"></definition>
+    </concept>
+    <concept>
+     <code value="GD"></code>
+     <display value="Graduate or professional Degree complete"></display>
+     <definition value="Graduate or professional Degree complete"></definition>
+    </concept>
+    <concept>
+     <code value="HS"></code>
+     <display value="High School or secondary school degree complete"></display>
+     <definition value="High School or secondary school degree complete"></definition>
+    </concept>
+    <concept>
+     <code value="PB"></code>
+     <display value="Some post-baccalaureate education"></display>
+     <definition value="Some post-baccalaureate education"></definition>
+    </concept>
+    <concept>
+     <code value="POSTG"></code>
+     <display value="Doctoral or post graduate education"></display>
+     <definition value="Doctoral or post graduate education"></definition>
+    </concept>
+    <concept>
+     <code value="SCOL"></code>
+     <display value="Some College education"></display>
+     <definition value="Some College education"></definition>
+    </concept>
+    <concept>
+     <code value="SEC"></code>
+     <display value="Some secondary or high school education"></display>
+     <definition value="Some secondary or high school education"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EmployeeJobClass"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EmployeeJobClass"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EmployeeJobClass"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1059"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EmployeeJobClass"></name>
+    <title value="v3 Code System EmployeeJobClass"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EmployeeJobClass"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="FT"></code>
+     <display value="full-time"></display>
+     <definition value="Employment in which the employee is expected to work at least a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)"></definition>
+    </concept>
+    <concept>
+     <code value="PT"></code>
+     <display value="part-time"></display>
+     <definition value="Employment in which the employee is expected to work less than a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EncounterAdmissionSource"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EncounterAdmissionSource"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EncounterAdmissionSource"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.37"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EncounterAdmissionSource"></name>
+    <title value="v3 Code System EncounterAdmissionSource"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EncounterAdmissionSource"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="emergency"></display>
+     <definition value="emergency"></definition>
+    </concept>
+    <concept>
+     <code value="LD"></code>
+     <display value="labor and delivery"></display>
+     <definition value="labor and delivery"></definition>
+    </concept>
+    <concept>
+     <code value="NB"></code>
+     <display value="newborn"></display>
+     <definition value="newborn"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EncounterSpecialCourtesy"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EncounterSpecialCourtesy"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.40"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EncounterSpecialCourtesy"></name>
+    <title value="v3 Code System EncounterSpecialCourtesy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EncounterSpecialCourtesy"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="EXT"></code>
+     <display value="extended courtesy"></display>
+     <definition value="extended courtesy"></definition>
+    </concept>
+    <concept>
+     <code value="NRM"></code>
+     <display value="normal courtesy"></display>
+     <definition value="normal courtesy"></definition>
+    </concept>
+    <concept>
+     <code value="PRF"></code>
+     <display value="professional courtesy"></display>
+     <definition value="professional courtesy"></definition>
+    </concept>
+    <concept>
+     <code value="STF"></code>
+     <display value="staff"></display>
+     <definition value="Courtesies extended to the staff of the entity providing service."></definition>
+    </concept>
+    <concept>
+     <code value="VIP"></code>
+     <display value="very important person"></display>
+     <definition value="very important person"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityClass"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityClass"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.41"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityClass"></name>
+    <title value="v3 Code System EntityClass"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Classifies the Entity class and all of its subclasses.  The terminology is hierarchical.  At the top is this  HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityClass"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="ENT"></code>
+     <display value="entity"></display>
+     <definition value="Corresponds to the Entity class"></definition>
+     <concept>
+      <code value="HCE"></code>
+      <display value="health chart entity"></display>
+      <definition value="A health chart included to serve as a document receiving entity in the management of medical records."></definition>
+     </concept>
+     <concept>
+      <code value="LIV"></code>
+      <display value="living subject"></display>
+      <definition value="Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject)."></definition>
+      <concept>
+       <code value="NLIV"></code>
+       <display value="non-person living subject"></display>
+       <definition value="A subtype of living subject that includes all living things except the species Homo Sapiens."></definition>
+       <concept>
+        <code value="ANM"></code>
+        <display value="animal"></display>
+        <definition value="A living subject from the animal kingdom."></definition>
+       </concept>
+       <concept>
+        <code value="MIC"></code>
+        <display value="microorganism"></display>
+        <definition value="All single celled living organisms including protozoa, bacteria, yeast, viruses, etc."></definition>
+       </concept>
+       <concept>
+        <code value="PLNT"></code>
+        <display value="plant"></display>
+        <definition value="A living subject from the order of plants."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PSN"></code>
+       <display value="person"></display>
+       <definition value="A living subject of the species homo sapiens."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="MAT"></code>
+      <display value="material"></display>
+      <definition value="Any thing that has extension in space and mass, may be of living or non-living origin."></definition>
+      <concept>
+       <code value="CHEM"></code>
+       <display value="chemical substance"></display>
+       <definition value="A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes."></definition>
+      </concept>
+      <concept>
+       <code value="FOOD"></code>
+       <display value="food"></display>
+       <definition value="Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals."></definition>
+      </concept>
+      <concept>
+       <code value="MMAT"></code>
+       <display value="manufactured material"></display>
+       <definition value="Corresponds to the ManufacturedMaterial class"></definition>
+       <concept>
+        <code value="CONT"></code>
+        <display value="container"></display>
+        <definition value="A container of other entities."></definition>
+        <concept>
+         <code value="HOLD"></code>
+         <display value="holder"></display>
+         <definition value="A type of container that can hold other containers or other holders."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="DEV"></code>
+        <display value="device"></display>
+        <definition value="A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity.  The kind of device is identified by the code attribute inherited from Entity.
+
+        
+         Usage: This includes durable (reusable) medical equipment as well as disposable equipment."></definition>
+        <concept>
+         <code value="CER"></code>
+         <display value="certificate representation"></display>
+         <definition value="A physical artifact that stores information about the granting of authorization."></definition>
+        </concept>
+        <concept>
+         <code value="MODDV"></code>
+         <display value="imaging modality"></display>
+         <definition value="Class to contain unique attributes of diagnostic imaging equipment."></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="ORG"></code>
+      <display value="organization"></display>
+      <definition value="A social or legal structure formed by human beings."></definition>
+      <concept>
+       <code value="PUB"></code>
+       <display value="public institution"></display>
+       <definition value="An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations."></definition>
+      </concept>
+      <concept>
+       <code value="STATE"></code>
+       <display value="state"></display>
+       <definition value="A politically organized body of people bonded by territory, culture, or ethnicity, having sovereignty (to a certain extent) granted by other states (enclosing or neighboring states). This includes countries (nations), provinces (e.g., one of the United States of America or a French departement), counties or municipalities. Refine using, e.g., ISO country codes, FIPS-PUB state codes, etc."></definition>
+       <concept>
+        <code value="NAT"></code>
+        <display value="Nation"></display>
+        <definition value="A politically organized body of people bonded by territory and known as a nation."></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="PLC"></code>
+      <display value="place"></display>
+      <definition value="A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant."></definition>
+      <concept>
+       <code value="CITY"></code>
+       <display value="city or town"></display>
+       <definition value="The territory of a city, town or other municipality."></definition>
+      </concept>
+      <concept>
+       <code value="COUNTRY"></code>
+       <display value="country"></display>
+       <definition value="The territory of a sovereign nation."></definition>
+      </concept>
+      <concept>
+       <code value="COUNTY"></code>
+       <display value="county or parish"></display>
+       <definition value="The territory of a county, parish or other division of a state or province."></definition>
+      </concept>
+      <concept>
+       <code value="PROVINCE"></code>
+       <display value="state or province"></display>
+       <definition value="The territory of a state, province, department or other division of a sovereign country."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="RGRP"></code>
+      <display value="group"></display>
+      <definition value="A grouping of resources (personnel, material, or places) to be used for scheduling purposes.  May be a pool of like-type resources, a team, or combination of personnel, material and places."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityCode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1060"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityCode"></name>
+    <title value="v3 Code System EntityCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  OpenIssue:
+Missing description."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityCode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_MaterialEntityClassType"></code>
+     <display value="MaterialEntityClassType"></display>
+     <definition value="Types of Material for EntityClass &quot;MAT&quot;"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_ContainerEntityType"></code>
+      <display value="ContainerEntityType"></display>
+      <definition value="Material intended to hold another material for purpose of storage or transport."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="PKG"></code>
+       <display value="Package"></display>
+       <definition value="A material intended to hold other materials for purposes of storage or transportation"></definition>
+       <concept>
+        <code value="_NonRigidContainerEntityType"></code>
+        <display value="NonRigidContainerEntityType"></display>
+        <definition value="A container having dimensions that adjust somewhat based on the amount and shape of the material placed within it."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="BAG"></code>
+         <display value="Bag"></display>
+         <definition value="A pouched or pendulous container."></definition>
+        </concept>
+        <concept>
+         <code value="PACKT"></code>
+         <display value="Packet"></display>
+         <definition value="A paper"></definition>
+        </concept>
+        <concept>
+         <code value="PCH"></code>
+         <display value="Pouch"></display>
+         <definition value="A small bag or container made of a soft material."></definition>
+        </concept>
+        <concept>
+         <code value="SACH"></code>
+         <display value="Sachet"></display>
+         <definition value="A small bag or packet containing a small portion of a substance."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="_RigidContainerEntityType"></code>
+        <display value="RigidContainerEntityType"></display>
+        <definition value="A container having a fixed and inflexible dimensions and volume"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="_IndividualPackageEntityType"></code>
+         <display value="IndividualPackageEntityType"></display>
+         <definition value="Container intended to contain sufficient material for only one use."></definition>
+         <property>
+          <code value="notSelectable"></code>
+          <valueBoolean value="true"></valueBoolean>
+         </property>
+         <concept>
+          <code value="AMP"></code>
+          <display value="Ampule"></display>
+          <definition value="A small sealed glass container that holds a measured amount of a medicinal substance."></definition>
+         </concept>
+         <concept>
+          <code value="MINIM"></code>
+          <display value="Minim"></display>
+          <definition value="Individually dosed ophthalmic solution.  One time eye dropper dispenser."></definition>
+         </concept>
+         <concept>
+          <code value="NEBAMP"></code>
+          <display value="Nebuamp"></display>
+          <definition value="Individually dosed inhalation solution."></definition>
+         </concept>
+         <concept>
+          <code value="OVUL"></code>
+          <display value="Ovule"></display>
+          <definition value="A container either glass or plastic and a narrow neck, for storing liquid."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="_MultiUseContainerEntityType"></code>
+         <display value="MultiUseContainerEntityType"></display>
+         <definition value="A container intended to contain sufficient material for more than one use.  (I.e. Material is intended to be removed from the container at more than one discrete time period.)"></definition>
+         <property>
+          <code value="notSelectable"></code>
+          <valueBoolean value="true"></valueBoolean>
+         </property>
+         <concept>
+          <code value="BOT"></code>
+          <display value="Bottle"></display>
+          <definition value="A container, typically rounded, either glass or plastic with a narrow neck and capable of storing liquid."></definition>
+          <concept>
+           <code value="BOTA"></code>
+           <display value="Amber Bottle"></display>
+           <definition value="A bottle of yellow to brown color.  Used to store light-sensitive materials"></definition>
+          </concept>
+          <concept>
+           <code value="BOTD"></code>
+           <display value="Dropper Bottle"></display>
+           <definition value="A bottle with a cap designed to release the contained liquid in droplets of a specific size."></definition>
+          </concept>
+          <concept>
+           <code value="BOTG"></code>
+           <display value="Glass Bottle"></display>
+           <definition value="A bottle made of glass"></definition>
+          </concept>
+          <concept>
+           <code value="BOTP"></code>
+           <display value="Plastic Bottle"></display>
+           <definition value="A bottle made of plastic"></definition>
+           <concept>
+            <code value="BOTPLY"></code>
+            <display value="Polyethylene Bottle"></display>
+            <definition value="A bottle made of polyethylene"></definition>
+           </concept>
+          </concept>
+         </concept>
+         <concept>
+          <code value="BOX"></code>
+          <display value="Box"></display>
+          <definition value="A 6-sided container commonly made from paper or cardboard used for solid forms."></definition>
+         </concept>
+         <concept>
+          <code value="CAN"></code>
+          <display value="Can"></display>
+          <definition value="A metal container in which a material is hermetically sealed to enable storage over long periods."></definition>
+         </concept>
+         <concept>
+          <code value="CART"></code>
+          <display value="Cartridge"></display>
+          <definition value="A sealed container of liquid or powder intended to be loaded into a device."></definition>
+         </concept>
+         <concept>
+          <code value="CNSTR"></code>
+          <display value="Canister"></display>
+          <definition value="A pressurized metal container holding a substance released as a spray or aerosol."></definition>
+         </concept>
+         <concept>
+          <code value="JAR"></code>
+          <display value="Jar"></display>
+          <definition value="A container of glass, earthenware, plastic, etc.  Top of the container has a diameter of similar size to the diameter of the container as a whole"></definition>
+         </concept>
+         <concept>
+          <code value="JUG"></code>
+          <display value="Jug"></display>
+          <definition value="A deep vessel  for holding liquids, with a handle and often with a spout or lip shape for pouring."></definition>
+         </concept>
+         <concept>
+          <code value="TIN"></code>
+          <display value="Tin"></display>
+          <definition value="A lidded container made of thin sheet metal."></definition>
+         </concept>
+         <concept>
+          <code value="TUB"></code>
+          <display value="Tub"></display>
+          <definition value="An open flat bottomed round container."></definition>
+         </concept>
+         <concept>
+          <code value="TUBE"></code>
+          <display value="Tube"></display>
+          <definition value="A long hollow rigid or flexible cylinder.  Material is extruded by squeezing the container."></definition>
+         </concept>
+         <concept>
+          <code value="VIAL"></code>
+          <display value="Vial"></display>
+          <definition value="A small cylindrical glass for holding liquid medicines."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="BLSTRPK"></code>
+         <display value="Blister Pack"></display>
+         <definition value="A bubblepack.  Medications sealed individually, separated into doses."></definition>
+         <concept>
+          <code value="CARD"></code>
+          <display value="Card"></display>
+          <definition value="A bubble pack card.  Multiple individual/separated doses."></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="COMPPKG"></code>
+        <display value="Compliance Package"></display>
+        <definition value="A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use.  Often used to ensure that the proper type and amount of material is consumed/expended for each use."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="BLSTRPK"></valueCode>
+        </property>
+        <concept>
+         <code value="DIALPK"></code>
+         <display value="Dial Pack"></display>
+         <definition value="Rotatable dispenser.  Eg. Birth control package."></definition>
+        </concept>
+        <concept>
+         <code value="DISK"></code>
+         <display value="Disk"></display>
+         <definition value="Object that is thin, flat, and circular.  Doses of medication often contained in bubbles on the disk."></definition>
+        </concept>
+        <concept>
+         <code value="DOSET"></code>
+         <display value="Dosette"></display>
+         <definition value="Special packaging that will help patients take their medications on a regular basis."></definition>
+        </concept>
+        <concept>
+         <code value="STRIP"></code>
+         <display value="Strip"></display>
+         <definition value="A continuous strip of plastic sectioned into individual pouches, each one containing the quantity of 1 or more medications intended to be administered at a specific time"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="KIT"></code>
+        <display value="Kit"></display>
+        <definition value="A container for a diverse collection of products intended to be used together for some purpose (e.g. Medicinal kits often contain a syringe, a needle and the injectable medication)."></definition>
+        <concept>
+         <code value="SYSTM"></code>
+         <display value="System"></display>
+         <definition value="A kit in which the components are interconnected."></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_MedicalDevice"></code>
+      <display value="MedicalDevice"></display>
+      <definition value="A device with direct or indirect therapeutic purpose.  Values for EntityCode when EntityClass = &quot;DEV&quot;"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_AccessMedicalDevice"></code>
+       <display value="AccessMedicalDevice"></display>
+       <definition value="A device used to allow access to a part of a body"></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="LINE"></code>
+        <display value="Line"></display>
+        <definition value="A hollow tube used to administer a substance into a vein, artery or body cavity"></definition>
+        <concept>
+         <code value="IALINE"></code>
+         <display value="Intra-arterial Line"></display>
+         <definition value="A line used to administer a substance into an artery"></definition>
+        </concept>
+        <concept>
+         <code value="IVLINE"></code>
+         <display value="Intraveneous Line"></display>
+         <definition value="A line used to administer a substance into a vein"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_AdministrationMedicalDevice"></code>
+       <display value="AdministrationMedicalDevice"></display>
+       <definition value="A device intended to administer a substance to a subject"></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="_InjectionMedicalDevice"></code>
+        <display value="InjectionMedicalDevice"></display>
+        <definition value="A device intended to administer liquid into a subject via a"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="AINJ"></code>
+         <display value="AutoInjector"></display>
+         <definition value="Automatically injects medication."></definition>
+        </concept>
+        <concept>
+         <code value="PEN"></code>
+         <display value="Pen"></display>
+         <definition value="A device which can contain a cartridge for injection purposes.  Eg. Insulin pen."></definition>
+        </concept>
+        <concept>
+         <code value="SYR"></code>
+         <display value="Syringe"></display>
+         <definition value="A barrel with a plunger."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="APLCTR"></code>
+        <display value="Applicator"></display>
+        <definition value="A device used to apply a liquid or powder to a surface."></definition>
+       </concept>
+       <concept>
+        <code value="INH"></code>
+        <display value="Inhaler"></display>
+        <definition value="A small device used for inhaling medicine in the form of a vapour or gas in order to ease a respiratory condition such as asthma or to relieve nasal congestion."></definition>
+        <concept>
+         <code value="DSKS"></code>
+         <display value="Diskus"></display>
+         <definition value="The device used to inhale the doses of medication contained in the disk form."></definition>
+        </concept>
+        <concept>
+         <code value="DSKUNH"></code>
+         <display value="Diskhaler"></display>
+         <definition value="The device used to inhale the doses of medication contained in the disk form."></definition>
+        </concept>
+        <concept>
+         <code value="TRBINH"></code>
+         <display value="Turbuhaler"></display>
+         <definition value="Asthma medication delivery device."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="PMP"></code>
+        <display value="Pump"></display>
+        <definition value="A device that is used to raise, compress, or transfer liquids or gases and is operated by a piston or similar mechanism."></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_SpecimenAdditiveEntity"></code>
+      <display value="SpecimenAdditiveEntity"></display>
+      <definition value="Set of codes related to specimen additives"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ACDA"></code>
+       <display value="ACD Solution A"></display>
+       <definition value="ACD Solution A of trisodium citrate, 22.0g/L; citric acid, 8.0 g/L; and dextrose 24.5 g/L. Used in Blood banking and histocompatibilty testing"></definition>
+      </concept>
+      <concept>
+       <code value="ACDB"></code>
+       <display value="ACD Solution B"></display>
+       <definition value="ACD Solution B of trisodium citrate, 13.2g/L; citric acid, 4.8 g/L; and dextrose 14.7 g/L. Used in Blood banking and histocompatibilty testing."></definition>
+      </concept>
+      <concept>
+       <code value="ACET"></code>
+       <display value="Acetic Acid"></display>
+       <definition value="50% V/V acetic acid in water.  Used as  a urine preservative"></definition>
+      </concept>
+      <concept>
+       <code value="AMIES"></code>
+       <display value="Amies transport medium"></display>
+       <definition value="Sodium Chloride 3.0g, Potassium Chloride 0.2g, Calcium Chloride 0.1g, Magnesium Chloride 0.1g, Monopotassium Phosphate 0.2g, Disodium Phosphate 1.15g, Sodium Thiogly collate 1.0g, Distilled Water 1 liter"></definition>
+      </concept>
+      <concept>
+       <code value="BACTM"></code>
+       <display value="Bacterial Transport medium"></display>
+       <definition value="Any medium used to maintain bacterial viability (e.g. Stuart's, Cary-Blair, Amies)"></definition>
+      </concept>
+      <concept>
+       <code value="BF10"></code>
+       <display value="Buffered 10% formalin"></display>
+       <definition value="Formaldehyde 4% w/v; methyl alcohol 1% w/v; phosphate buffering salts. Tissue preservative"></definition>
+      </concept>
+      <concept>
+       <code value="BOR"></code>
+       <display value="Boric Acid"></display>
+       <definition value="Powdered boric acid (usually 10 g) added to 24-hour urine collections as a preservative."></definition>
+      </concept>
+      <concept>
+       <code value="BOUIN"></code>
+       <display value="Bouin's solution"></display>
+       <definition value="Picric acid, saturated aqueous solution (750.0 ml), 37-40% formalin (250.0 ml), glacial acetic acid (50.0 ml). Tissue preservative."></definition>
+      </concept>
+      <concept>
+       <code value="BSKM"></code>
+       <display value="Buffered skim milk"></display>
+       <definition value="50% skim milk in 0.01 M phosphate-buffered saline.  Maintain virus viability"></definition>
+      </concept>
+      <concept>
+       <code value="C32"></code>
+       <display value="3.2% Citrate"></display>
+       <definition value="A 3.2% solution of Sodium Citrate in water.  Used as a blood preservative"></definition>
+      </concept>
+      <concept>
+       <code value="C38"></code>
+       <display value="3.8% Citrate"></display>
+       <definition value="A 3.8% solution of Sodium Citrate in water. Used as a blood preservative"></definition>
+      </concept>
+      <concept>
+       <code value="CARS"></code>
+       <display value="Carson's Modified 10% formalin"></display>
+       <definition value="A modification of buffered 10% formalin used as a general tissue preservative."></definition>
+      </concept>
+      <concept>
+       <code value="CARY"></code>
+       <display value="Cary Blair Medium"></display>
+       <definition value="Sodium Thioglycollate 1.5 g, Disodium Hydrogen Phosphate 1.1 g, Sodium Chloride 5.0 g, Calcium Chloride 0.09 g, Agar 5.0 g, per Liter of Water"></definition>
+      </concept>
+      <concept>
+       <code value="CHLTM"></code>
+       <display value="Chlamydia transport medium"></display>
+       <definition value="Any of a number of non-nutritive buffered media used to maintain Chlamydia viability during transportation to the laboratory"></definition>
+      </concept>
+      <concept>
+       <code value="CTAD"></code>
+       <display value="CTAD"></display>
+       <definition value="Buffered tri-sodium citrate solution with theophylline, adenosine and dipyridamole"></definition>
+      </concept>
+      <concept>
+       <code value="EDTK15"></code>
+       <display value="Potassium/K EDTA 15%"></display>
+       <definition value="Potassium EDTA 15% solution in water"></definition>
+      </concept>
+      <concept>
+       <code value="EDTK75"></code>
+       <display value="Potassium/K EDTA 7.5%"></display>
+       <definition value="Potassium EDTA 7.5% solution in water"></definition>
+      </concept>
+      <concept>
+       <code value="EDTN"></code>
+       <display value="Sodium/Na EDTA"></display>
+       <definition value="Sodium fluoride and Disodium EDTA"></definition>
+      </concept>
+      <concept>
+       <code value="ENT"></code>
+       <display value="Enteric bacteria transport medium"></display>
+       <definition value="Any of a number of non-nutritive buffered media used to maintain enteric bacterial viability during transportation to the laboratory"></definition>
+      </concept>
+      <concept>
+       <code value="F10"></code>
+       <display value="10% Formalin"></display>
+       <definition value="A 10% v/v solution in water of formalin( a 37% solution of formaldehyde and water).  Used for tissue preservation."></definition>
+      </concept>
+      <concept>
+       <code value="FDP"></code>
+       <display value="Thrombin NIH; soybean trypsin inhibitor"></display>
+       <definition value="Thrombin plus soybean trypsin inhibitor.  For use in identifying fibrn degredation products."></definition>
+      </concept>
+      <concept>
+       <code value="FL10"></code>
+       <display value="Sodium Fluoride, 10mg"></display>
+       <definition value="Sodium fluoride, 10mg added as a urine preservative."></definition>
+      </concept>
+      <concept>
+       <code value="FL100"></code>
+       <display value="Sodium Fluoride, 100mg"></display>
+       <definition value="Sodium fluoride, 100mg added as a urine preservative."></definition>
+      </concept>
+      <concept>
+       <code value="HCL6"></code>
+       <display value="6N HCL"></display>
+       <definition value="A solution of HCl containing 6moles of hydrogen ion/L. Used as a Urine Preservative."></definition>
+      </concept>
+      <concept>
+       <code value="HEPA"></code>
+       <display value="Ammonium heparin"></display>
+       <definition value="Ammonium heparin"></definition>
+      </concept>
+      <concept>
+       <code value="HEPL"></code>
+       <display value="Lithium/Li Heparin"></display>
+       <definition value="Lithium heparin salt"></definition>
+      </concept>
+      <concept>
+       <code value="HEPN"></code>
+       <display value="Sodium/Na Heparin"></display>
+       <definition value="Sodium heparin salt"></definition>
+      </concept>
+      <concept>
+       <code value="HNO3"></code>
+       <display value="Nitric Acid"></display>
+       <definition value="6N Nitric acid used to preserve urine for heavy metal analysis."></definition>
+      </concept>
+      <concept>
+       <code value="JKM"></code>
+       <display value="Jones Kendrick Medium"></display>
+       <definition value="A transport medium formulated to maintain Bordetella pertussis viability."></definition>
+      </concept>
+      <concept>
+       <code value="KARN"></code>
+       <display value="Karnovsky's fixative"></display>
+       <definition value="5% Glutaraldehyde, 4% Formaldehyde in 0.08M buffer. Tissue preservation"></definition>
+      </concept>
+      <concept>
+       <code value="KOX"></code>
+       <display value="Potassium Oxalate"></display>
+       <definition value="Potassium oxalate and sodium fluoride in a 1.25:1 ratio"></definition>
+      </concept>
+      <concept>
+       <code value="LIA"></code>
+       <display value="Lithium iodoacetate"></display>
+       <definition value="Iodoacetate lithium salt"></definition>
+      </concept>
+      <concept>
+       <code value="M4"></code>
+       <display value="M4"></display>
+       <definition value="Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with HEPES buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to"></definition>
+      </concept>
+      <concept>
+       <code value="M4RT"></code>
+       <display value="M4-RT"></display>
+       <definition value="Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Gentamicin and amphotericin B are used to inhibit c"></definition>
+      </concept>
+      <concept>
+       <code value="M5"></code>
+       <display value="M5"></display>
+       <definition value="Modified Hank's balanced salt solution supplemented with protein stabilizers, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to inhibit c"></definition>
+      </concept>
+      <concept>
+       <code value="MICHTM"></code>
+       <display value="Michel's transport medium"></display>
+       <definition value="1M potassium citrate, pH 7.0 2.5 ml, 0.1M magnesium sulfate 5.0 ml, 0.1M N-ethyl malemide  5.0 ml, dH2O 87.5 ml, ammonium sulfate 55gm. Preserve antigens for Immunofluorescence procedures"></definition>
+      </concept>
+      <concept>
+       <code value="MMDTM"></code>
+       <display value="MMD transport medium"></display>
+       <definition value="A buffered medium with ammonium sulfate added to preserve antigens for Immunofluorescence procedures"></definition>
+      </concept>
+      <concept>
+       <code value="NAF"></code>
+       <display value="Sodium Fluoride"></display>
+       <definition value="Sodium fluoride"></definition>
+      </concept>
+      <concept>
+       <code value="NONE"></code>
+       <display value="None"></display>
+       <definition value="No additive. Specifically identifes the specimen as having no additives."></definition>
+      </concept>
+      <concept>
+       <code value="PAGE"></code>
+       <display value="Page's Saline"></display>
+       <definition value="0.12 g NaCl, 0.004 g MgSO, 0.004 g, CaCl, 0.142 g Na2HPO4 and 0.136 g KH2PO4 per liter of distilled water. Maintain Acanthaoemba viability."></definition>
+      </concept>
+      <concept>
+       <code value="PHENOL"></code>
+       <display value="Phenol"></display>
+       <definition value="Phenol. Urine preservative"></definition>
+      </concept>
+      <concept>
+       <code value="PVA"></code>
+       <display value="Polyvinylalcohol"></display>
+       <definition value="Polyvinyl alcohol"></definition>
+      </concept>
+      <concept>
+       <code value="RLM"></code>
+       <display value="Reagan Lowe Medium"></display>
+       <definition value="A transport medium formulated to maintain Bordetella pertussis viability."></definition>
+      </concept>
+      <concept>
+       <code value="SILICA"></code>
+       <display value="Siliceous earth"></display>
+       <definition value="Diatomaceous earth. For glucose determination blood samples"></definition>
+      </concept>
+      <concept>
+       <code value="SPS"></code>
+       <display value="Sodium polyanethol sulfonate 0.35% in 0.85% sodium chloride"></display>
+       <definition value="Sodium polyanethol sulfonate in saline. Anticomplementary and antiphagocytic properties. Used in blood culture collection."></definition>
+      </concept>
+      <concept>
+       <code value="SST"></code>
+       <display value="Serum Separator Tube"></display>
+       <definition value="Polymer separator gel with clot activator"></definition>
+      </concept>
+      <concept>
+       <code value="STUTM"></code>
+       <display value="Stuart transport medium"></display>
+       <definition value="Sodium Glycerophosphate 10.0g, Calcium Chloride 0.1g, Mercaptoacetic Acid 1.0ml, Distilled Water 1 liter"></definition>
+      </concept>
+      <concept>
+       <code value="THROM"></code>
+       <display value="Thrombin"></display>
+       <definition value="Thrombin. Accelerates clotting."></definition>
+      </concept>
+      <concept>
+       <code value="THYMOL"></code>
+       <display value="Thymol"></display>
+       <definition value="2-Isopropyl-5-methyl phenol. A preservative for 24 Hr Urine samples"></definition>
+      </concept>
+      <concept>
+       <code value="THYO"></code>
+       <display value="Thyoglycolate broth"></display>
+       <definition value="A nutritive medium with a reducing agent  (sodium thioglycolate) which, due to a chemical reaction, removes oxygen from the broth."></definition>
+      </concept>
+      <concept>
+       <code value="TOLU"></code>
+       <display value="Toluene"></display>
+       <definition value="Also known as Methylbenzene; Toluol; Phenylmethane. A preservative for 24 Hr Urine samples"></definition>
+      </concept>
+      <concept>
+       <code value="URETM"></code>
+       <display value="Ureaplasma transport medium"></display>
+       <definition value="A buffered salt solution with antifungal agents added for the collection and transport of Ureaplasma specimens."></definition>
+      </concept>
+      <concept>
+       <code value="VIRTM"></code>
+       <display value="Viral Transport medium"></display>
+       <definition value="Sucrose 74.6g, Potassium hydrogenphosphate 0.52g, L-glutamic acid 0.72g, Bovine serum albumin 5.0g, Gentamicin 50mg, Potassium dihydrogenphosphate 1.25g, L-15 medium 9.9L, Water to 10L. Maintain Virus viability."></definition>
+      </concept>
+      <concept>
+       <code value="WEST"></code>
+       <display value="Buffered Citrate"></display>
+       <definition value="3.8% Citrate buffered to a pH of 5.5 for Westergren Sedimentation Rate"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="BLDPRD"></code>
+      <display value="Blood Product"></display>
+      <definition value="A manufactured product that is produced from the raw blood oi a donor with the intention of using it in a recipient transfusion."></definition>
+     </concept>
+     <concept>
+      <code value="VCCNE"></code>
+      <display value="Vaccine"></display>
+      <definition value="A Type of medicine that creates an immune protection without the recipient experiencing the disease."></definition>
+     </concept>
+     <concept>
+      <code value="_DrugEntity"></code>
+      <display value="DrugEntity"></display>
+      <definition value="A substance whose therapeutic effect is produced by chemical action within the body."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <concept>
+       <code value="_ClinicalDrug"></code>
+       <display value="ClinicalDrug"></display>
+       <definition value="Any substance or mixture of substances manufactured, sold or represented for use in: (a) the diagnosis, treatment, mitigation or prevention of a disease, disorder, abnormal physical state, or its symptoms, in human beings or animals; (b) restoring, correcting or modifying organic functions in human beings or animals."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_NonDrugAgentEntity"></code>
+     <display value="NonDrugAgentEntity"></display>
+     <definition value="Indicates types of allergy and intolerance agents which are non-drugs.  (E.g. foods, latex, etc.)"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="NDA01"></code>
+      <display value="egg"></display>
+      <definition value="egg"></definition>
+     </concept>
+     <concept>
+      <code value="NDA02"></code>
+      <display value="fish"></display>
+      <definition value="fish"></definition>
+     </concept>
+     <concept>
+      <code value="NDA03"></code>
+      <display value="lactose"></display>
+      <definition value="lactose"></definition>
+     </concept>
+     <concept>
+      <code value="NDA04"></code>
+      <display value="peanut"></display>
+      <definition value="peanut"></definition>
+     </concept>
+     <concept>
+      <code value="NDA05"></code>
+      <display value="soy"></display>
+      <definition value="soy"></definition>
+     </concept>
+     <concept>
+      <code value="NDA06"></code>
+      <display value="sulfites"></display>
+      <definition value="sulfites"></definition>
+     </concept>
+     <concept>
+      <code value="NDA07"></code>
+      <display value="wheat or gluten"></display>
+      <definition value="wheat or gluten"></definition>
+     </concept>
+     <concept>
+      <code value="NDA08"></code>
+      <display value="isocyanates"></display>
+      <definition value="isocyanates"></definition>
+     </concept>
+     <concept>
+      <code value="NDA09"></code>
+      <display value="solvents"></display>
+      <definition value="solvents"></definition>
+     </concept>
+     <concept>
+      <code value="NDA10"></code>
+      <display value="oils"></display>
+      <definition value="oils"></definition>
+     </concept>
+     <concept>
+      <code value="NDA11"></code>
+      <display value="venoms"></display>
+      <definition value="venoms"></definition>
+     </concept>
+     <concept>
+      <code value="NDA12"></code>
+      <display value="latex"></display>
+      <definition value="latex"></definition>
+     </concept>
+     <concept>
+      <code value="NDA13"></code>
+      <display value="shellfish"></display>
+      <definition value="shellfish"></definition>
+     </concept>
+     <concept>
+      <code value="NDA14"></code>
+      <display value="strawberries"></display>
+      <definition value="strawberries"></definition>
+     </concept>
+     <concept>
+      <code value="NDA15"></code>
+      <display value="tomatoes"></display>
+      <definition value="tomatoes"></definition>
+     </concept>
+     <concept>
+      <code value="NDA16"></code>
+      <display value="dust"></display>
+      <definition value="dust"></definition>
+     </concept>
+     <concept>
+      <code value="NDA17"></code>
+      <display value="dust mites"></display>
+      <definition value="dust mites"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_OrganizationEntityType"></code>
+     <display value="OrganizationEntityType"></display>
+     <definition value="Further classifies entities of classCode ORG."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="HHOLD"></code>
+      <display value="household"></display>
+      <definition value="The group of persons who occupy a single housing unit."></definition>
+     </concept>
+     <concept>
+      <code value="NAT"></code>
+      <display value="NationEntityType"></display>
+      <definition value="Codes identifying nation states.  Allows for finer grained specification of Entity with classcode &lt;= NAT
+
+        
+         Example:ISO3166 country codes."></definition>
+     </concept>
+     <concept>
+      <code value="RELIG"></code>
+      <display value="religious institution"></display>
+      <definition value="An organization that provides religious rites of worship."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PlaceEntityType"></code>
+     <display value="PlaceEntityType"></display>
+     <definition value="Types of places for EntityClass &quot;PLC&quot;"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="BED"></code>
+      <display value="Bed Location"></display>
+      <definition value="The location of a bed"></definition>
+     </concept>
+     <concept>
+      <code value="BLDG"></code>
+      <display value="Building Location"></display>
+      <definition value="The location of a building"></definition>
+     </concept>
+     <concept>
+      <code value="FLOOR"></code>
+      <display value="Floor Location"></display>
+      <definition value="The location of a floor of a building"></definition>
+     </concept>
+     <concept>
+      <code value="ROOM"></code>
+      <display value="Room Location"></display>
+      <definition value="The location of a room"></definition>
+     </concept>
+     <concept>
+      <code value="WING"></code>
+      <display value="Wing Location"></display>
+      <definition value="The location of a wing of a building (e.g. East Wing).  The same room number for the same floor number can be distinguished by wing number in some situations"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ResourceGroupEntityType"></code>
+     <display value="ResourceGroupEntityType"></display>
+     <definition value="Codes to characterize a Resource Group using categories that typify its membership and/or function
+
+        .
+
+        
+         Example: PractitionerGroup"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="PRAC"></code>
+      <display value="PractitionerGroup"></display>
+      <definition value="PractitionerGroup"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityDeterminer"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityDeterminer"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.30"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityDeterminer"></name>
+    <title value="v3 Code System EntityDeterminer"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="INSTANCE"></code>
+     <display value="specific"></display>
+     <definition value="Description:A determiner that specifies that the Entity object represents a particular physical thing (as opposed to a universal, kind, or class of physical thing).
+
+        
+         Discussion: It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose."></definition>
+     <concept>
+      <code value="GROUP"></code>
+      <display value="specific group"></display>
+      <definition value="A determiner that specifies that the Entity object represents a particular collection of physical things (as opposed to a universal, kind, or class of physical thing).  While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="KIND"></code>
+     <display value="described"></display>
+     <definition value="Description:A determiner that specifies that the Entity object represents a universal, kind or class of physical thing (as opposed to a particular thing)."></definition>
+     <concept>
+      <code value="GROUPKIND"></code>
+      <display value="described group"></display>
+      <definition value="A determiner that specifies that the Entity object represents a universal, kind or class of collections physical things.  While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals."></definition>
+     </concept>
+     <concept>
+      <code value="QUANTIFIED_KIND"></code>
+      <display value="described quantified"></display>
+      <definition value="The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED_KIND of syringe (quantity = 3,) stands for exactly three syringes."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2008-11-14"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityHandling"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityHandling"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityHandling"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.42"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityHandling"></name>
+    <title value="v3 Code System EntityHandling"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityHandling"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AMB"></code>
+     <display value="Ambient Temperature"></display>
+     <definition value="Keep at ambient temperature, 22 +/- 2C"></definition>
+    </concept>
+    <concept>
+     <code value="C37"></code>
+     <display value="Body Temperature"></display>
+     <definition value="Critical to keep at body temperature 36-38C"></definition>
+    </concept>
+    <concept>
+     <code value="CAMB"></code>
+     <display value="Critical Ambient temperature"></display>
+     <definition value="Critical ambient - must not be refrigerated or frozen."></definition>
+    </concept>
+    <concept>
+     <code value="CATM"></code>
+     <display value="Protect from Air"></display>
+     <definition value="Critical. Do not expose to atmosphere.  Do not uncap."></definition>
+    </concept>
+    <concept>
+     <code value="CFRZ"></code>
+     <display value="Critical frozen"></display>
+     <definition value="Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing."></definition>
+    </concept>
+    <concept>
+     <code value="CREF"></code>
+     <display value="Critical refrigerated temperature"></display>
+     <definition value="Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing."></definition>
+    </concept>
+    <concept>
+     <code value="DFRZ"></code>
+     <display value="Deep Frozen"></display>
+     <definition value="Deep Frozen -16 to -20C."></definition>
+    </concept>
+    <concept>
+     <code value="DRY"></code>
+     <display value="dry"></display>
+     <definition value="Keep in a dry environment"></definition>
+    </concept>
+    <concept>
+     <code value="FRZ"></code>
+     <display value="frozen"></display>
+     <definition value="Keep frozen below 0 ?C"></definition>
+    </concept>
+    <concept>
+     <code value="MTLF"></code>
+     <display value="Metal Free"></display>
+     <definition value="Container is free of heavy metals, including lead."></definition>
+    </concept>
+    <concept>
+     <code value="NTR"></code>
+     <display value="nitrogen"></display>
+     <definition value="Keep in liquid nitrogen"></definition>
+    </concept>
+    <concept>
+     <code value="PRTL"></code>
+     <display value="Protect from Light"></display>
+     <definition value="Protect from light (eg. Wrap in aluminum foil)."></definition>
+    </concept>
+    <concept>
+     <code value="PSA"></code>
+     <display value="do not shake"></display>
+     <definition value="Do not shake"></definition>
+    </concept>
+    <concept>
+     <code value="PSO"></code>
+     <display value="no shock"></display>
+     <definition value="Protect against shock"></definition>
+    </concept>
+    <concept>
+     <code value="REF"></code>
+     <display value="Refrigerated temperature"></display>
+     <definition value="Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence."></definition>
+    </concept>
+    <concept>
+     <code value="SBU"></code>
+     <display value="Shake before use"></display>
+     <definition value="Shake thoroughly before using"></definition>
+    </concept>
+    <concept>
+     <code value="UFRZ"></code>
+     <display value="Ultra frozen"></display>
+     <definition value="Ultra cold frozen -75 to -85C.  Ultra cold freezer is typically at temperature of dry ice."></definition>
+    </concept>
+    <concept>
+     <code value="UPR"></code>
+     <display value="upright"></display>
+     <definition value="Keep upright, do not turn upside down"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartQualifier"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartQualifier"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifier"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.43"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartQualifier"></name>
+    <title value="v3 Code System EntityNamePartQualifier"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  OpenIssue:
+Needs description"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifier"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_OrganizationNamePartQualifier"></code>
+     <display value="OrganizationNamePartQualifier"></display>
+     <definition value="OrganizationNamePartQualifier"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AC"></code>
+      <display value="academic"></display>
+      <definition value="Indicates that a prefix like &quot;Dr.&quot; or a suffix like &quot;M.D.&quot; or &quot;Ph.D.&quot; is an academic title."></definition>
+     </concept>
+     <concept>
+      <code value="AD"></code>
+      <display value="adopted"></display>
+      <definition value="The name the person was given at the time of adoption."></definition>
+     </concept>
+     <concept>
+      <code value="BR"></code>
+      <display value="birth"></display>
+      <definition value="A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later."></definition>
+     </concept>
+     <concept>
+      <code value="CL"></code>
+      <display value="callme"></display>
+      <definition value="A callme name is (usually a given name) that is preferred when a person is directly addressed."></definition>
+     </concept>
+     <concept>
+      <code value="IN"></code>
+      <display value="initial"></display>
+      <definition value="Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts.  Initials may consist of more than one letter, e.g., &quot;Ph.&quot; could stand for &quot;Philippe&quot; or &quot;Th.&quot; for &quot;Thomas&quot;."></definition>
+     </concept>
+     <concept>
+      <code value="LS"></code>
+      <display value="Legal status"></display>
+      <definition value="For organizations a suffix indicating the legal status, e.g., &quot;Inc.&quot;, &quot;Co.&quot;, &quot;AG&quot;, &quot;GmbH&quot;, &quot;B.V.&quot; &quot;S.A.&quot;,  &quot;Ltd.&quot; etc."></definition>
+     </concept>
+     <concept>
+      <code value="NB"></code>
+      <display value="nobility"></display>
+      <definition value="In Europe and Asia, there are still people with nobility titles (aristocrats).  German &quot;von&quot; is generally a nobility title, not a mere voorvoegsel.  Others are &quot;Earl of&quot; or &quot;His Majesty King of...&quot; etc.  Rarely used nowadays, but some systems do keep track of this."></definition>
+     </concept>
+     <concept>
+      <code value="PR"></code>
+      <display value="professional"></display>
+      <definition value="Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential suffices."></definition>
+     </concept>
+     <concept>
+      <code value="SP"></code>
+      <display value="spouse"></display>
+      <definition value="The name assumed from the partner in a marital relationship (hence the &quot;SP&quot;). Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names."></definition>
+     </concept>
+     <concept>
+      <code value="TITLE"></code>
+      <display value="title"></display>
+      <definition value="Indicates that a prefix or a suffix is a title that applies to the whole name, not just the adjacent name part."></definition>
+     </concept>
+     <concept>
+      <code value="VV"></code>
+      <display value="voorvoegsel"></display>
+      <definition value="A Dutch &quot;voorvoegsel&quot; is something like &quot;van&quot; or &quot;de&quot; that might have indicated nobility in the past but no longer so. Similar prefixes exist in other languages such as Spanish, French or Portugese."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="PharmaceuticalEntityNamePartQualifiers"></code>
+     <display value="PharmaceuticalEntityNamePartQualifiers"></display>
+     <definition value="Description: Medication Name Parts are a means of specifying a range of acceptable &quot;official&quot; forms of the name of a product.  They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports.   While they cover the concepts held under &quot;doseForm&quot; or &quot;route&quot; or &quot;strength&quot; the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CON"></code>
+      <display value="container name"></display>
+      <definition value="Description: This refers to the container if present in the medicinal product name.
+
+        EXAMPLES: 
+
+        
+         
+          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe"></definition>
+     </concept>
+     <concept>
+      <code value="DEV"></code>
+      <display value="device name"></display>
+      <definition value="Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products.
+
+        EXAMPLES: 
+
+        
+         
+          For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen."></definition>
+     </concept>
+     <concept>
+      <code value="FLAV"></code>
+      <display value="FlavorName"></display>
+      <definition value="Description: This refers to a flavor of the medicinal product if present in the medicinal product name.
+
+        
+         Examples:
+        
+
+        
+         For 'CoughCure Linctus Orange Flavor', the flavor part is &quot;Orange&quot;
+         For 'Wonderdrug Syrup Cherry Flavor', the flavor part is &quot;Cherry&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="FORMUL"></code>
+      <display value="FormulationPartName"></display>
+      <definition value="Description: This refers to the formulation of the medicinal product if present in the medicinal product name.
+
+        
+         Examples:
+        
+
+        
+         For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is &quot;Sugar Free&quot;
+         For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is &quot;gluten-free&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="FRM"></code>
+      <display value="form name"></display>
+      <definition value="Description: This refers to the pharmaceutical form/ if present in the medicinal product name.
+
+        EXAMPLES: 
+
+        
+         
+          For Agenerase 50 mg soft capsules: Soft Capsules
+
+         
+         
+          For Ludiomil 25mg-Filmtabletten: Filmtabletten
+
+         
+         
+          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection"></definition>
+     </concept>
+     <concept>
+      <code value="INV"></code>
+      <display value="invented name"></display>
+      <definition value="Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. 
+
+        EXAMPLES: 
+
+        
+         
+          Agenerase
+
+         
+         
+          Optaflu
+
+         
+         
+          Ludiomil"></definition>
+     </concept>
+     <concept>
+      <code value="POPUL"></code>
+      <display value="TargetPopulationName"></display>
+      <definition value="Description: This refers to the target population for the medicinal product if present in the medicinal product name
+
+        
+         Examples:
+        
+
+        
+         For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is &quot;children&quot;
+         For 'Adult Chesty Cough Syrup', the target population part is &quot;adult&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="SCI"></code>
+      <display value="scientific name"></display>
+      <definition value="Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
+
+        EXAMPLES: 
+
+        
+         
+          For Agenerase: N/A
+
+         
+         
+          For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season)
+
+         
+         
+          For Ludiomil: N/A"></definition>
+     </concept>
+     <concept>
+      <code value="STR"></code>
+      <display value="strength name"></display>
+      <definition value="Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required.
+
+        EXAMPLES:
+
+        
+         
+          For Agenerase 50 mg soft capsules: 50mg
+
+         
+         
+          For Ludiomil 25mg-Filmtabletten: 25 mg
+
+         
+         
+          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A"></definition>
+     </concept>
+     <concept>
+      <code value="TIME"></code>
+      <display value="TimeOrPeriodName"></display>
+      <definition value="Description: This refers to a time or time period that may be specified in the text of the medicinal product name
+
+        
+         Example:
+        
+
+        
+         For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is &quot;2008/2009 season&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="TMK"></code>
+      <display value="trademark name"></display>
+      <definition value="Description: This refers to trademark/company element if present in the medicinal product name.
+
+        EXAMPLES: 
+
+        
+         
+          for Insulin Human Winthrop Comb 15: Winthrop"></definition>
+     </concept>
+     <concept>
+      <code value="USE"></code>
+      <display value="intended use name"></display>
+      <definition value="Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
+
+
+        
+         Examples:
+        
+
+        
+         For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: &quot;Heartburn Relief&quot;
+         For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is &quot;Soothing Coughs&quot;"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PersonNamePartQualifier"></code>
+     <display value="PersonNamePartQualifier"></display>
+     <definition value="PersonNamePartQualifier"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="IN"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="TITLE"></valueCode>
+     </property>
+     <concept>
+      <code value="_PersonNamePartAffixTypes"></code>
+      <display value="PersonNamePartAffixTypes"></display>
+      <definition value="PersonNamePartAffixTypes"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="AC"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="NB"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="PR"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="VV"></valueCode>
+      </property>
+     </concept>
+     <concept>
+      <code value="_PersonNamePartChangeQualifier"></code>
+      <display value="PersonNamePartChangeQualifier"></display>
+      <definition value="PersonNamePartChangeQualifier"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="AD"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="BR"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="SP"></valueCode>
+      </property>
+     </concept>
+     <concept>
+      <code value="_PersonNamePartMiscQualifier"></code>
+      <display value="PersonNamePartMiscQualifier"></display>
+      <definition value="PersonNamePartMiscQualifier"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+      <property>
+       <code value="child"></code>
+       <valueCode value="CL"></valueCode>
+      </property>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartQualifierR2"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartQualifierR2"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifierR2"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1122"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartQualifierR2"></name>
+    <title value="v3 Code System EntityNamePartQualifierR2"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifierR2"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="AD"></code>
+     <display value="acquired"></display>
+     <definition value="Description:A name part a person acquired.  The name part may be acquired by adoption, or the person may have chosen to use the name part for some other reason.
+
+        
+         Note: this differs from an Other/Psuedonym/Alias in that an acquired name part is acquired on a formal basis rather than an informal one (e.g. registered as part of the official name)."></definition>
+     <concept>
+      <code value="SP"></code>
+      <display value="spouse"></display>
+      <definition value="Description:The name assumed from the partner in a marital relationship.  Usually the spouse's family name.  Note that no inference about gender can be made from the existence of spouse names."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="BR"></code>
+     <display value="birth"></display>
+     <definition value="Description:A name that a person was given at birth or established as a consequence of adoption. 
+
+        
+         Note: This is not used for temporary names assigned at birth such as &quot;Baby of Smith&quot; a&quot; which is just a name with a use code of &quot;TEMP&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="CL"></code>
+     <display value="callme"></display>
+     <definition value="Description:Used to indicate which of the various name parts is used when interacting with the person."></definition>
+    </concept>
+    <concept>
+     <code value="IN"></code>
+     <display value="initial"></display>
+     <definition value="Description:Indicates that a name part is just an initial.  Initials do not imply a trailing period since this would not work with non-Latin scripts.  In some languages, initials may consist of more than one letter, e.g., &quot;Ph&quot; could stand for &quot;Philippe&quot; or &quot;Th&quot; For &quot;Thomas&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="LS"></code>
+     <display value="legal status"></display>
+     <definition value="Description:For organizations a suffix indicating the legal status, e.g., &quot;Inc.&quot;, &quot;Co.&quot;, &quot;AG&quot;, &quot;GmbH&quot;, &quot;B.V.&quot; &quot;S.A.&quot;, &quot;Ltd.&quot; etc."></definition>
+    </concept>
+    <concept>
+     <code value="MID"></code>
+     <display value="middle name"></display>
+     <definition value="Description:Indicates that the name part is a middle name.
+
+        
+         Usage Notes: In general, the english &quot;middle name&quot; concept is all of the given names after the first. This qualifier may be used to explicitly indicate which given names are considered to be middle names. The middle name qualifier may also be used with family names. This is a Scandinavian use case, matching the concept of &quot;mellomnavn&quot;,&quot;mellannamn&quot;. Note that there are specific rules that indicate what names may be taken as a mellannamn in different Scandinavian countries."></definition>
+    </concept>
+    <concept>
+     <code value="PFX"></code>
+     <display value="prefix"></display>
+     <definition value="Description:A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though)."></definition>
+    </concept>
+    <concept>
+     <code value="PharmaceuticalEntityNamePartQualifiers"></code>
+     <display value="PharmaceuticalEntityNamePartQualifiers"></display>
+     <definition value="Description: Medication Name Parts are a means of specifying a range of acceptable &quot;official&quot; forms of the name of a product.  They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports.   While they cover the concepts held under &quot;doseForm&quot; or &quot;route&quot; or &quot;strength&quot; the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CON"></code>
+      <display value="container name"></display>
+      <definition value="Description: This refers to the container if present in the medicinal product name.
+
+        EXAMPLES: 
+
+        
+         
+          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe"></definition>
+     </concept>
+     <concept>
+      <code value="DEV"></code>
+      <display value="device name"></display>
+      <definition value="Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products.
+
+        EXAMPLES: 
+
+        
+         
+          For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen."></definition>
+     </concept>
+     <concept>
+      <code value="FLAV"></code>
+      <display value="FlavorName"></display>
+      <definition value="Description: This refers to a flavor of the medicinal product if present in the medicinal product name.
+
+        
+         Examples:
+        
+
+        
+         For 'CoughCure Linctus Orange Flavor', the flavor part is &quot;Orange&quot;
+         For 'Wonderdrug Syrup Cherry Flavor', the flavor part is &quot;Cherry&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="FORMUL"></code>
+      <display value="FormulationPartName"></display>
+      <definition value="Description: This refers to the formulation of the medicinal product if present in the medicinal product name.
+
+        
+         Examples:
+        
+
+        
+         For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is &quot;Sugar Free&quot;
+         For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is &quot;gluten-free&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="FRM"></code>
+      <display value="form name"></display>
+      <definition value="Description: This refers to the pharmaceutical form/ if present in the medicinal product name.
+
+        EXAMPLES: 
+
+        
+         
+          For Agenerase 50 mg soft capsules: Soft Capsules
+
+         
+         
+          For Ludiomil 25mg-Filmtabletten: Filmtabletten
+
+         
+         
+          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection"></definition>
+     </concept>
+     <concept>
+      <code value="INV"></code>
+      <display value="invented name"></display>
+      <definition value="Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. 
+
+        EXAMPLES: 
+
+        
+         
+          Agenerase
+
+         
+         
+          Optaflu
+
+         
+         
+          Ludiomil"></definition>
+     </concept>
+     <concept>
+      <code value="POPUL"></code>
+      <display value="TargetPopulationName"></display>
+      <definition value="Description: This refers to the target population for the medicinal product if present in the medicinal product name
+
+        
+         Examples:
+        
+
+        
+         For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is &quot;children&quot;
+         For 'Adult Chesty Cough Syrup', the target population part is &quot;adult&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="SCI"></code>
+      <display value="scientific name"></display>
+      <definition value="Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
+
+        EXAMPLES: 
+
+        
+         
+          For Agenerase: N/A
+
+         
+         
+          For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season)
+
+         
+         
+          For Ludiomil: N/A"></definition>
+     </concept>
+     <concept>
+      <code value="STR"></code>
+      <display value="strength name"></display>
+      <definition value="Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required.
+
+        EXAMPLES:
+
+        
+         
+          For Agenerase 50 mg soft capsules: 50mg
+
+         
+         
+          For Ludiomil 25mg-Filmtabletten: 25 mg
+
+         
+         
+          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A"></definition>
+     </concept>
+     <concept>
+      <code value="TIME"></code>
+      <display value="TimeOrPeriodName"></display>
+      <definition value="Description: This refers to a time or time period that may be specified in the text of the medicinal product name
+
+        
+         Example:
+        
+
+        
+         For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is &quot;2008/2009 season&quot;"></definition>
+     </concept>
+     <concept>
+      <code value="TMK"></code>
+      <display value="trademark name"></display>
+      <definition value="Description: This refers to trademark/company element if present in the medicinal product name.
+
+        EXAMPLES: 
+
+        
+         
+          for Insulin Human Winthrop Comb 15: Winthrop"></definition>
+     </concept>
+     <concept>
+      <code value="USE"></code>
+      <display value="intended use name"></display>
+      <definition value="Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
+
+
+        
+         Examples:
+        
+
+        
+         For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: &quot;Heartburn Relief&quot;
+         For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is &quot;Soothing Coughs&quot;"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="SFX"></code>
+     <display value="suffix"></display>
+     <definition value="Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though)."></definition>
+    </concept>
+    <concept>
+     <code value="TitleStyles"></code>
+     <display value="TitleStyles"></display>
+     <definition value="Description:Extra information about the style of a title"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AC"></code>
+      <display value="academic"></display>
+      <definition value="Description:Indicates that a title like &quot;Dr.&quot;, &quot;M.D.&quot; or &quot;Ph.D.&quot; is an academic title."></definition>
+     </concept>
+     <concept>
+      <code value="HON"></code>
+      <display value="honorific"></display>
+      <definition value="Description:A honorific such as &quot;The Right Honourable&quot; or &quot;Weledelgeleerde Heer&quot;."></definition>
+     </concept>
+     <concept>
+      <code value="NB"></code>
+      <display value="nobility"></display>
+      <definition value="Description:A nobility title such as Sir, Count, Grafin."></definition>
+     </concept>
+     <concept>
+      <code value="PR"></code>
+      <display value="professional"></display>
+      <definition value="Description:Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential titles."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.44"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartType"></name>
+    <title value="v3 Code System EntityNamePartType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="DEL"></code>
+     <display value="delimiter"></display>
+     <definition value="A delimiter has no meaning other than being literally printed in this name representation.  A delimiter has no implicit leading and trailing white space."></definition>
+    </concept>
+    <concept>
+     <code value="FAM"></code>
+     <display value="family"></display>
+     <definition value="Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father."></definition>
+    </concept>
+    <concept>
+     <code value="GIV"></code>
+     <display value="given"></display>
+     <definition value="Given name (don't call it &quot;first name&quot; since this given names do not always come first)"></definition>
+    </concept>
+    <concept>
+     <code value="PFX"></code>
+     <display value="prefix"></display>
+     <definition value="A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted."></definition>
+    </concept>
+    <concept>
+     <code value="SFX"></code>
+     <display value="suffix"></display>
+     <definition value="Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though). Suffices cannot be inverted."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartTypeR2"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNamePartTypeR2"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartTypeR2"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1121"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNamePartTypeR2"></name>
+    <title value="v3 Code System EntityNamePartTypeR2"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Indicates whether the name part is a given name, family name, prefix, suffix, etc."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartTypeR2"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="DEL"></code>
+     <display value="delimiter"></display>
+     <definition value="Description:A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space."></definition>
+    </concept>
+    <concept>
+     <code value="FAM"></code>
+     <display value="family"></display>
+     <definition value="Description:Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father."></definition>
+    </concept>
+    <concept>
+     <code value="GIV"></code>
+     <display value="given"></display>
+     <definition value="Description:Given name. Note: don't call it &quot;first name&quot; since the given names do not always come first."></definition>
+    </concept>
+    <concept>
+     <code value="TITLE"></code>
+     <display value="title"></display>
+     <definition value="Description:Part of the name that is acquired as a title due to academic, legal, employment or nobility status etc.
+
+        
+         Note:Title name parts include name parts that come after the name such as qualifications, even if they are not always considered to be titles."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNameUse"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNameUse"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.45"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNameUse"></name>
+    <title value="v3 Code System EntityNameUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUse"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_NameRepresentationUse"></code>
+     <display value="NameRepresentationUse"></display>
+     <definition value="Identifies the different representations of a name.  The representation may affect how the name is used.  (E.g. use of Ideographic for formal communications.)"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ABC"></code>
+      <display value="Alphabetic"></display>
+      <definition value="Alphabetic transcription of name (Japanese: romaji)"></definition>
+     </concept>
+     <concept>
+      <code value="IDE"></code>
+      <display value="Ideographic"></display>
+      <definition value="Ideographic representation of name (e.g., Japanese kanji, Chinese characters)"></definition>
+     </concept>
+     <concept>
+      <code value="SYL"></code>
+      <display value="Syllabic"></display>
+      <definition value="Syllabic transcription of name (e.g., Japanese kana, Korean hangul)"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="ASGN"></code>
+     <display value="assigned"></display>
+     <definition value="A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call &quot;alias&quot; may fit into this category."></definition>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="License"></display>
+     <definition value="As recorded on a license, record, certificate, etc. (only if different from legal name)"></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Indigenous/Tribal"></display>
+     <definition value="e.g. Chief Red Cloud"></definition>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Legal"></display>
+     <definition value="Known as/conventional/the one you use"></definition>
+     <concept>
+      <code value="OR"></code>
+      <display value="official registry"></display>
+      <definition value="Definition:The formal name as registered in an official (government) registry, but which name might not be commonly used. Particularly used in countries with a law system based on Napoleonic law."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="pseudonym"></display>
+     <definition value="A self asserted name that the person is using or has used."></definition>
+     <concept>
+      <code value="A"></code>
+      <display value="Artist/Stage"></display>
+      <definition value="Includes writer's pseudonym, stage name, etc"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Religious"></display>
+     <definition value="e.g. Sister Mary Francis, Brother John"></definition>
+    </concept>
+    <concept>
+     <code value="SRCH"></code>
+     <display value="search"></display>
+     <definition value="A name intended for use in searching or matching."></definition>
+     <concept>
+      <code value="PHON"></code>
+      <display value="phonetic"></display>
+      <definition value="A name spelled phonetically.
+
+        There are a variety of phonetic spelling algorithms. This code value does not distinguish between these.Discussion:"></definition>
+     </concept>
+     <concept>
+      <code value="SNDX"></code>
+      <display value="Soundex"></display>
+      <definition value="A name spelled according to the SoundEx algorithm."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNameUseR2"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityNameUseR2"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUseR2"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1120"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityNameUseR2"></name>
+    <title value="v3 Code System EntityNameUseR2"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="Assumed"></code>
+     <display value="Assumed"></display>
+     <definition value="Description:A name that a person has assumed or has been assumed to them."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="A"></code>
+      <display value="business name"></display>
+      <definition value="Description:A name used in a Professional or Business context .  Examples: Continuing to use a maiden name in a professional context, or using a stage performing name (some of these names are also pseudonyms)"></definition>
+     </concept>
+     <concept>
+      <code value="ANON"></code>
+      <display value="Anonymous"></display>
+      <definition value="Description:Anonymous assigned name (used to protect a persons identity for privacy reasons)"></definition>
+     </concept>
+     <concept>
+      <code value="I"></code>
+      <display value="Indigenous/Tribal"></display>
+      <definition value="Description:e.g .  Chief Red Cloud"></definition>
+     </concept>
+     <concept>
+      <code value="P"></code>
+      <display value="Other/Pseudonym/Alias"></display>
+      <definition value="Description:A non-official name by which the person is sometimes known.  (This may also be used to record informal names such as a nickname)"></definition>
+     </concept>
+     <concept>
+      <code value="R"></code>
+      <display value="religious"></display>
+      <definition value="Description:A name assumed as part of a religious vocation .  e.g .  Sister Mary Francis, Brother John"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="customary"></display>
+     <definition value="Description:Known as/conventional/the one you normally use"></definition>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="maiden name"></display>
+     <definition value="Description:A name used prior to marriage.Note that marriage naming customs vary greatly around the world.  This name use is for use by applications that collect and store maiden names.  Though the concept of maiden name is often gender specific, the use of this term is not gender specific.  The use of this term does not imply any particular history for a person's name, nor should the maiden name be determined algorithmically"></definition>
+    </concept>
+    <concept>
+     <code value="NameRepresentationUse"></code>
+     <display value="NameRepresentationUse"></display>
+     <definition value="Description:Identifies the different representations of a name .  The representation may affect how the name is used .  (E.g .  use of Ideographic for formal communications.)"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ABC"></code>
+      <display value="alphabetic"></display>
+      <definition value="Description:Alphabetic transcription of name in latin alphabet (Japanese: romaji)"></definition>
+     </concept>
+     <concept>
+      <code value="IDE"></code>
+      <display value="ideographic"></display>
+      <definition value="Description:Ideographic representation of name (e.g., Japanese kanji, Chinese characters)"></definition>
+     </concept>
+     <concept>
+      <code value="SYL"></code>
+      <display value="syllabic"></display>
+      <definition value="Description:Syllabic transcription of name (e.g., Japanese kana, Korean hangul)"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="OLD"></code>
+     <display value="no longer in use"></display>
+     <definition value="Description:This name is no longer in use (note: Names may also carry valid time ranges .  This code is used to cover the situations where it is known that the name is no longer valid, but no particular time range for its use is known)"></definition>
+     <concept>
+      <code value="DN"></code>
+      <display value="do not use"></display>
+      <definition value="Description:This name should no longer be used when interacting with the person (i.e .  in addition to no longer being used, the name should not be even mentioned when interacting with the person)Note: applications are not required to compare names labeled &quot;Do Not Use&quot; and other names in order to eliminate name parts that are common between the other name and a name labeled &quot;Do Not Use&quot;."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="OR"></code>
+     <display value="official registry name"></display>
+     <definition value="Description:The formal name as registered in an official (government) registry, but which name might not be commonly used .  May correspond to the concept of legal name"></definition>
+    </concept>
+    <concept>
+     <code value="PHON"></code>
+     <display value="phonetic"></display>
+     <definition value="Description:The name as understood by the data enterer, i.e. a close approximation of a phonetic spelling of the name, not based on a phonetic algorithm."></definition>
+    </concept>
+    <concept>
+     <code value="SRCH"></code>
+     <display value="search"></display>
+     <definition value="Description:A name intended for use in searching or matching.  This is used when the name is incomplete and contains enough details for search matching, but not enough for other uses."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="temporary"></display>
+     <definition value="Description:A temporary name.  Note that a name valid time can provide more detailed information.  This may also be used for temporary names assigned at birth or in emergency situations."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityRisk"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityRisk"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityRisk"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.46"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityRisk"></name>
+    <title value="v3 Code System EntityRisk"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Kinds of risks associated with the handling of the material.."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityRisk"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AGG"></code>
+     <display value="aggressive"></display>
+     <definition value="A danger that can be associated with certain living subjects, including humans."></definition>
+    </concept>
+    <concept>
+     <code value="BIO"></code>
+     <display value="Biological"></display>
+     <definition value="The dangers associated with normal biological materials. I.e. potential risk of unknown infections.  Routine biological materials from living subjects."></definition>
+    </concept>
+    <concept>
+     <code value="COR"></code>
+     <display value="Corrosive"></display>
+     <definition value="Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact."></definition>
+    </concept>
+    <concept>
+     <code value="ESC"></code>
+     <display value="Escape Risk"></display>
+     <definition value="The entity is at risk for escaping from containment or control."></definition>
+    </concept>
+    <concept>
+     <code value="IFL"></code>
+     <display value="inflammable"></display>
+     <definition value="Material is highly inflammable and in certain mixtures (with air) may lead to explosions.  Keep away from fire, sparks and excessive heat."></definition>
+     <concept>
+      <code value="EXP"></code>
+      <display value="explosive"></display>
+      <definition value="Material is an explosive mixture.  Keep away from fire, sparks, and heat."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="INF"></code>
+     <display value="infectious"></display>
+     <definition value="Material known to be infectious with human pathogenic microorganisms.  Those who handle this material must take precautions for their protection."></definition>
+     <concept>
+      <code value="BHZ"></code>
+      <display value="biohazard"></display>
+      <definition value="Material contains microorganisms that is an environmental hazard.  Must be handled with special care."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="INJ"></code>
+     <display value="injury hazard"></display>
+     <definition value="Material is solid and sharp (e.g., cannulas).  Dispose in hard container."></definition>
+    </concept>
+    <concept>
+     <code value="POI"></code>
+     <display value="poison"></display>
+     <definition value="Material is poisonous to humans and/or animals.  Special care must be taken to avoid incorporation, even of small amounts."></definition>
+    </concept>
+    <concept>
+     <code value="RAD"></code>
+     <display value="radioactive"></display>
+     <definition value="Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EntityStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1061"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EntityStatus"></name>
+    <title value="v3 Code System EntityStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of an Entity, as defined by the Entity class state machine."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="normal"></code>
+     <display value="normal"></display>
+     <definition value="The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of an Entity record instance that was created in error."></definition>
+     <concept>
+      <code value="active"></code>
+      <display value="active"></display>
+      <definition value="The state representing the fact that the Entity record is currently active."></definition>
+     </concept>
+     <concept>
+      <code value="inactive"></code>
+      <display value="inactive"></display>
+      <definition value="Definition: The state representing the fact that the entity is inactive."></definition>
+     </concept>
+     <concept>
+      <code value="terminated"></code>
+      <display value="terminated"></display>
+      <definition value="The state representing the normal termination of an Entity record."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="nullified"></code>
+     <display value="nullified"></display>
+     <definition value="The state representing the termination of an Entity record instance that was created in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EquipmentAlertLevel"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-EquipmentAlertLevel"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-EquipmentAlertLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.49"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.EquipmentAlertLevel"></name>
+    <title value="v3 Code System EquipmentAlertLevel"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EquipmentAlertLevel"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Critical"></display>
+     <definition value="Shut Down, Fix Problem and Re-init"></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Normal"></display>
+     <definition value="No Corrective Action Needed"></definition>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="Serious"></display>
+     <definition value="Corrective Action Required"></definition>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Warning"></display>
+     <definition value="Corrective Action Anticipated"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Ethnicity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-Ethnicity"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Ethnicity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.50"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Ethnicity"></name>
+    <title value="v3 Code System Ethnicity"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification.  Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification.  The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino.  The standards define a Hispanic or Latino as a person of &quot;Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race.&quot; The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories.  In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="2135-2"></code>
+     <display value="Hispanic or Latino"></display>
+     <definition value="Hispanic or Latino"></definition>
+     <concept>
+      <code value="2137-8"></code>
+      <display value="Spaniard"></display>
+      <definition value="Spaniard"></definition>
+      <concept>
+       <code value="2138-6"></code>
+       <display value="Andalusian"></display>
+       <definition value="Andalusian"></definition>
+      </concept>
+      <concept>
+       <code value="2139-4"></code>
+       <display value="Asturian"></display>
+       <definition value="Asturian"></definition>
+      </concept>
+      <concept>
+       <code value="2140-2"></code>
+       <display value="Castillian"></display>
+       <definition value="Castillian"></definition>
+      </concept>
+      <concept>
+       <code value="2141-0"></code>
+       <display value="Catalonian"></display>
+       <definition value="Catalonian"></definition>
+      </concept>
+      <concept>
+       <code value="2142-8"></code>
+       <display value="Belearic Islander"></display>
+       <definition value="Belearic Islander"></definition>
+      </concept>
+      <concept>
+       <code value="2143-6"></code>
+       <display value="Gallego"></display>
+       <definition value="Gallego"></definition>
+      </concept>
+      <concept>
+       <code value="2144-4"></code>
+       <display value="Valencian"></display>
+       <definition value="Valencian"></definition>
+      </concept>
+      <concept>
+       <code value="2145-1"></code>
+       <display value="Canarian"></display>
+       <definition value="Canarian"></definition>
+      </concept>
+      <concept>
+       <code value="2146-9"></code>
+       <display value="Spanish Basque"></display>
+       <definition value="Spanish Basque"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2148-5"></code>
+      <display value="Mexican"></display>
+      <definition value="Mexican"></definition>
+      <concept>
+       <code value="2149-3"></code>
+       <display value="Mexican American"></display>
+       <definition value="Mexican American"></definition>
+      </concept>
+      <concept>
+       <code value="2150-1"></code>
+       <display value="Mexicano"></display>
+       <definition value="Mexicano"></definition>
+      </concept>
+      <concept>
+       <code value="2151-9"></code>
+       <display value="Chicano"></display>
+       <definition value="Chicano"></definition>
+      </concept>
+      <concept>
+       <code value="2152-7"></code>
+       <display value="La Raza"></display>
+       <definition value="La Raza"></definition>
+      </concept>
+      <concept>
+       <code value="2153-5"></code>
+       <display value="Mexican American Indian"></display>
+       <definition value="Mexican American Indian"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2155-0"></code>
+      <display value="Central American"></display>
+      <definition value="Central American"></definition>
+      <concept>
+       <code value="2156-8"></code>
+       <display value="Costa Rican"></display>
+       <definition value="Costa Rican"></definition>
+      </concept>
+      <concept>
+       <code value="2157-6"></code>
+       <display value="Guatemalan"></display>
+       <definition value="Guatemalan"></definition>
+      </concept>
+      <concept>
+       <code value="2158-4"></code>
+       <display value="Honduran"></display>
+       <definition value="Honduran"></definition>
+      </concept>
+      <concept>
+       <code value="2159-2"></code>
+       <display value="Nicaraguan"></display>
+       <definition value="Nicaraguan"></definition>
+      </concept>
+      <concept>
+       <code value="2160-0"></code>
+       <display value="Panamanian"></display>
+       <definition value="Panamanian"></definition>
+      </concept>
+      <concept>
+       <code value="2161-8"></code>
+       <display value="Salvadoran"></display>
+       <definition value="Salvadoran"></definition>
+      </concept>
+      <concept>
+       <code value="2162-6"></code>
+       <display value="Central American Indian"></display>
+       <definition value="Central American Indian"></definition>
+      </concept>
+      <concept>
+       <code value="2163-4"></code>
+       <display value="Canal Zone"></display>
+       <definition value="Canal Zone"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2165-9"></code>
+      <display value="South American"></display>
+      <definition value="South American"></definition>
+      <concept>
+       <code value="2166-7"></code>
+       <display value="Argentinean"></display>
+       <definition value="Argentinean"></definition>
+      </concept>
+      <concept>
+       <code value="2167-5"></code>
+       <display value="Bolivian"></display>
+       <definition value="Bolivian"></definition>
+      </concept>
+      <concept>
+       <code value="2168-3"></code>
+       <display value="Chilean"></display>
+       <definition value="Chilean"></definition>
+      </concept>
+      <concept>
+       <code value="2169-1"></code>
+       <display value="Colombian"></display>
+       <definition value="Colombian"></definition>
+      </concept>
+      <concept>
+       <code value="2170-9"></code>
+       <display value="Ecuadorian"></display>
+       <definition value="Ecuadorian"></definition>
+      </concept>
+      <concept>
+       <code value="2171-7"></code>
+       <display value="Paraguayan"></display>
+       <definition value="Paraguayan"></definition>
+      </concept>
+      <concept>
+       <code value="2172-5"></code>
+       <display value="Peruvian"></display>
+       <definition value="Peruvian"></definition>
+      </concept>
+      <concept>
+       <code value="2173-3"></code>
+       <display value="Uruguayan"></display>
+       <definition value="Uruguayan"></definition>
+      </concept>
+      <concept>
+       <code value="2174-1"></code>
+       <display value="Venezuelan"></display>
+       <definition value="Venezuelan"></definition>
+      </concept>
+      <concept>
+       <code value="2175-8"></code>
+       <display value="South American Indian"></display>
+       <definition value="South American Indian"></definition>
+      </concept>
+      <concept>
+       <code value="2176-6"></code>
+       <display value="Criollo"></display>
+       <definition value="Criollo"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2178-2"></code>
+      <display value="Latin American"></display>
+      <definition value="Latin American"></definition>
+     </concept>
+     <concept>
+      <code value="2180-8"></code>
+      <display value="Puerto Rican"></display>
+      <definition value="Puerto Rican"></definition>
+     </concept>
+     <concept>
+      <code value="2182-4"></code>
+      <display value="Cuban"></display>
+      <definition value="Cuban"></definition>
+     </concept>
+     <concept>
+      <code value="2184-0"></code>
+      <display value="Dominican"></display>
+      <definition value="Dominican"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="2186-5"></code>
+     <display value="Not Hispanic or Latino"></display>
+     <definition value="Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ExposureMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ExposureMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ExposureMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1113"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ExposureMode"></name>
+    <title value="v3 Code System ExposureMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ExposureMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_ExposureMode"></code>
+     <display value="ExposureMode"></display>
+     <definition value="Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AIRBORNE"></code>
+      <display value="airborne"></display>
+      <definition value="Description: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation."></definition>
+     </concept>
+     <concept>
+      <code value="CONTACT"></code>
+      <display value="contact"></display>
+      <definition value="Description: Communication of an agent from a living subject or environmental source to a living subject through direct physical contact."></definition>
+     </concept>
+     <concept>
+      <code value="FOODBORNE"></code>
+      <display value="foodborne"></display>
+      <definition value="Description: Communication of an agent from a food source to a living subject via oral consumption."></definition>
+     </concept>
+     <concept>
+      <code value="WATERBORNE"></code>
+      <display value="waterborne"></display>
+      <definition value="Description: Communication of an agent to a living subject by contact and/or consumption via an aqueous medium"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-GenderStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-GenderStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-GenderStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.51"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.GenderStatus"></name>
+    <title value="v3 Code System GenderStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-GenderStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="I"></code>
+     <display value="Intact"></display>
+     <definition value="Reproductively intact"></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="Neutered"></display>
+     <definition value="Reproductively neutered"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-GTSAbbreviation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-GTSAbbreviation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1022"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.GTSAbbreviation"></name>
+    <title value="v3 Code System GTSAbbreviation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Open Issue:
+It appears that the printnames are suboptimal and should be improved for many of the existing codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-GTSAbbreviation"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="AM"></code>
+     <display value="AM"></display>
+     <definition value="Every morning at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="BED"></code>
+     <display value="at bedtime"></display>
+     <definition value="At bedtime (institution specified time)."></definition>
+    </concept>
+    <concept>
+     <code value="BID"></code>
+     <display value="BID"></display>
+     <definition value="Two times a day at institution specified time"></definition>
+    </concept>
+    <concept>
+     <code value="JB"></code>
+     <display value="JB"></display>
+     <definition value="Regular business days (Monday to Friday excluding holidays)"></definition>
+    </concept>
+    <concept>
+     <code value="JE"></code>
+     <display value="JE"></display>
+     <definition value="Regular weekends (Saturday and Sunday excluding holidays)"></definition>
+    </concept>
+    <concept>
+     <code value="JH"></code>
+     <display value="GTSAbbreviationHolidays"></display>
+     <definition value="Holidays"></definition>
+     <concept>
+      <code value="_GTSAbbreviationHolidaysChristianRoman"></code>
+      <display value="GTSAbbreviationHolidaysChristianRoman"></display>
+      <definition value="Christian Holidays (Roman/Gregorian [Western] Tradition.)"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="JHCHREAS"></code>
+       <display value="JHCHREAS"></display>
+       <definition value="Easter Sunday.  The Easter date is a rather complex calculation based on Astronomical tables describing full moon dates.  Details can be found at [http://www.assa.org.au/edm.html, and http://aa.usno.navy.mil/AA/faq/docs/easter.html].  Note that the Christian Orthodox Holidays are based on the Julian calendar."></definition>
+      </concept>
+      <concept>
+       <code value="JHCHRGFR"></code>
+       <display value="JHCHRGFR"></display>
+       <definition value="Good Friday, is the Friday right before Easter Sunday."></definition>
+      </concept>
+      <concept>
+       <code value="JHCHRNEW"></code>
+       <display value="JHCHRNEW"></display>
+       <definition value="New Year's Day (January 1)"></definition>
+      </concept>
+      <concept>
+       <code value="JHCHRPEN"></code>
+       <display value="JHCHRPEN"></display>
+       <definition value="Pentecost Sunday, is seven weeks after Easter (the 50th day of Easter)."></definition>
+      </concept>
+      <concept>
+       <code value="JHCHRXME"></code>
+       <display value="JHCHRXME"></display>
+       <definition value="Christmas Eve (December 24)"></definition>
+      </concept>
+      <concept>
+       <code value="JHCHRXMS"></code>
+       <display value="JHCHRXMS"></display>
+       <definition value="Christmas Day (December 25)"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="JHNNL"></code>
+      <display value="The Netherlands National Holidays"></display>
+      <definition value="Description:The Netherlands National Holidays."></definition>
+      <concept>
+       <code value="JHNNLLD"></code>
+       <display value="Liberation day (May 5 every five years)"></display>
+       <definition value="Description:Liberation day  (May 5 every five years)"></definition>
+      </concept>
+      <concept>
+       <code value="JHNNLQD"></code>
+       <display value="Queen's day (April 30)"></display>
+       <definition value="Description:Queen's day (April 30)"></definition>
+      </concept>
+      <concept>
+       <code value="JHNNLSK"></code>
+       <display value="Sinterklaas (December 5)"></display>
+       <definition value="Description:Sinterklaas (December 5)"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="JHNUS"></code>
+      <display value="GTSAbbreviationHolidaysUSNational"></display>
+      <definition value="United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103)."></definition>
+      <concept>
+       <code value="JHNUSCLM"></code>
+       <display value="JHNUSCLM"></display>
+       <definition value="Columbus Day, the second Monday in October."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSIND"></code>
+       <display value="JHNUSIND"></display>
+       <definition value="Independence Day (4th of July)"></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSIND1"></code>
+       <display value="JHNUSIND1"></display>
+       <definition value="Alternative Monday after 4th of July Weekend [5 U.S.C. 6103(b)]."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSIND5"></code>
+       <display value="JHNUSIND5"></display>
+       <definition value="Alternative Friday before 4th of July Weekend [5 U.S.C. 6103(b)]."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSLBR"></code>
+       <display value="JHNUSLBR"></display>
+       <definition value="Labor Day, the first Monday in September."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSMEM"></code>
+       <display value="JHNUSMEM"></display>
+       <definition value="Memorial Day, the last Monday in May."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSMEM5"></code>
+       <display value="JHNUSMEM5"></display>
+       <definition value="Friday before Memorial Day Weekend"></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSMEM6"></code>
+       <display value="JHNUSMEM6"></display>
+       <definition value="Saturday of Memorial Day Weekend"></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSMLK"></code>
+       <display value="JHNUSMLK"></display>
+       <definition value="Dr. Martin Luther King, Jr. Day, the third Monday in January."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSPRE"></code>
+       <display value="JHNUSPRE"></display>
+       <definition value="Washington's Birthday (Presidential Day) the third Monday in February."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSTKS"></code>
+       <display value="JHNUSTKS"></display>
+       <definition value="Thanksgiving Day, the fourth Thursday in November."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSTKS5"></code>
+       <display value="JHNUSTKS5"></display>
+       <definition value="Friday after Thanksgiving."></definition>
+      </concept>
+      <concept>
+       <code value="JHNUSVET"></code>
+       <display value="JHNUSVET"></display>
+       <definition value="Veteran's Day, November 11."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="MO"></code>
+     <display value="monthly"></display>
+     <definition value="Monthly at institution specified time."></definition>
+    </concept>
+    <concept>
+     <code value="PM"></code>
+     <display value="PM"></display>
+     <definition value="Every afternoon at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="Q1H"></code>
+     <display value="every hour"></display>
+     <definition value="Every hour at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="Q2H"></code>
+     <display value="every 2 hours"></display>
+     <definition value="Every 2 hours at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="Q3H"></code>
+     <display value="every 3 hours"></display>
+     <definition value="Every 3 hours at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="Q4H"></code>
+     <display value="Q4H"></display>
+     <definition value="Every 4 hours at institution specified time"></definition>
+    </concept>
+    <concept>
+     <code value="Q6H"></code>
+     <display value="Q6H"></display>
+     <definition value="Every 6 hours at institution specified time"></definition>
+    </concept>
+    <concept>
+     <code value="Q8H"></code>
+     <display value="every 8 hours"></display>
+     <definition value="Every 8 hours at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="QD"></code>
+     <display value="QD"></display>
+     <definition value="Every day at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="QID"></code>
+     <display value="QID"></display>
+     <definition value="Four times a day at institution specified time"></definition>
+    </concept>
+    <concept>
+     <code value="QOD"></code>
+     <display value="QOD"></display>
+     <definition value="Every other day at institution specified times."></definition>
+    </concept>
+    <concept>
+     <code value="TID"></code>
+     <display value="TID"></display>
+     <definition value="Three times a day at institution specified time"></definition>
+    </concept>
+    <concept>
+     <code value="WK"></code>
+     <display value="weekly"></display>
+     <definition value="Weekly at institution specified time."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7ApprovalStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7ApprovalStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7ApprovalStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1130"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7ApprovalStatus"></name>
+    <title value="v3 Code System hl7ApprovalStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for concepts describing the approval level of HL7 artifacts.  This code system reflects the concepts expressed in HL7's Governance &amp; Operations Manual (GOM) past and present."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7ApprovalStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="affd"></code>
+     <display value="affiliate ballot - DSTU"></display>
+     <definition value="Description: Content that is being presented to an international affiliate for consideration as a realm-specific draft standard for trial use."></definition>
+    </concept>
+    <concept>
+     <code value="affi"></code>
+     <display value="affiliate ballot - informative"></display>
+     <definition value="Description: Content that is being presented to an international affiliate for consideration as a realm-specific informative standard."></definition>
+    </concept>
+    <concept>
+     <code value="affn"></code>
+     <display value="affiliate ballot - normative"></display>
+     <definition value="Description: Content that is being presented to an international affiliate for consideration as a realm-specific normative standard."></definition>
+    </concept>
+    <concept>
+     <code value="appad"></code>
+     <display value="approved affiliate DSTU"></display>
+     <definition value="Description: Content that has passed ballot as a realm-specific draft standard for trial use."></definition>
+    </concept>
+    <concept>
+     <code value="appai"></code>
+     <display value="approved affiliate informative"></display>
+     <definition value="Description: Content that has passed ballot as a realm-specific informative standard."></definition>
+    </concept>
+    <concept>
+     <code value="appan"></code>
+     <display value="approved affiliate normative"></display>
+     <definition value="Description: Content that has passed ballot as a realm-specific normative standard"></definition>
+    </concept>
+    <concept>
+     <code value="appd"></code>
+     <display value="approved DSTU"></display>
+     <definition value="Description: Content that has passed ballot as a draft standard for trial use."></definition>
+    </concept>
+    <concept>
+     <code value="appi"></code>
+     <display value="approved informative"></display>
+     <definition value="Description: Content that has passed ballot as a normative standard."></definition>
+    </concept>
+    <concept>
+     <code value="appn"></code>
+     <display value="approved normative"></display>
+     <definition value="Description: Content that has passed ballot as a normative standard."></definition>
+    </concept>
+    <concept>
+     <code value="comi"></code>
+     <display value="committee ballot - informative"></display>
+     <definition value="Description: Content prepared by a committee and submitted for internal consideration as an informative standard.
+
+        
+         
+          Deprecation Comment
+         No longer supported as ballot statuses within the HL7 Governance and Operations Manual.  Use normative or informative variants instead."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2010-11-23"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="comn"></code>
+     <display value="committee ballot - normative"></display>
+     <definition value="Description: Content prepared by a committee and submitted for internal consideration as an informative standard.
+
+        
+         
+          Deprecation Comment
+         No longer supported as ballot statuses within the HL7 Governance and Operations Manual.  Use normative or informative variants instead."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2010-11-23"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="draft"></code>
+     <display value="draft"></display>
+     <definition value="Description: Content that is under development and is not intended to be used."></definition>
+    </concept>
+    <concept>
+     <code value="loc"></code>
+     <display value="localized adaptation"></display>
+     <definition value="Description: Content that represents an adaption of a implementable balloted material to represent the needs or capabilities of a particular installation."></definition>
+    </concept>
+    <concept>
+     <code value="memd"></code>
+     <display value="membership ballot - DSTU"></display>
+     <definition value="Description: Content prepared by a committee and submitted for membership consideration as a draft standard for trial use."></definition>
+    </concept>
+    <concept>
+     <code value="memi"></code>
+     <display value="membership ballot - informative"></display>
+     <definition value="Description: Content prepared by a committee and submitted for membership consideration as an informative standard."></definition>
+    </concept>
+    <concept>
+     <code value="memn"></code>
+     <display value="membership ballot - normative"></display>
+     <definition value="Description: Content prepared by a committee and submitted for membership consideration as a normative standard."></definition>
+    </concept>
+    <concept>
+     <code value="ns"></code>
+     <display value="non-standard - available for use"></display>
+     <definition value="Description: Content developed independently by an organization or individual that is declared to be 'usable' but for which there is no present intention to submit through the standards submission and review process."></definition>
+    </concept>
+    <concept>
+     <code value="prop"></code>
+     <display value="proposal"></display>
+     <definition value="Description: Content submitted to a committee for consideration for future inclusion in the standard."></definition>
+    </concept>
+    <concept>
+     <code value="ref"></code>
+     <display value="reference"></display>
+     <definition value="Description: Content intended to support other content that is subject to approval, but which is not itself subject to formal approval."></definition>
+    </concept>
+    <concept>
+     <code value="wd"></code>
+     <display value="withdrawn"></display>
+     <definition value="Description: Content that represents an item that was at one point a normative or informative standard, but was subsequently withdrawn."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7CMETAttribution"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7CMETAttribution"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7CMETAttribution"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1132"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7CMETAttribution"></name>
+    <title value="v3 Code System hl7CMETAttribution"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7CMETAttribution"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="contact"></code>
+     <display value="contact"></display>
+     <definition value="Description: Provides sufficient information to allow the object identified to be contacted. This is likely to have the content of identified and confirmable plus telephone number."></definition>
+    </concept>
+    <concept>
+     <code value="identified"></code>
+     <display value="identified"></display>
+     <definition value="Description: This variant is a proper subset of universal and is intended to provide sufficient information to identify the object(s) modeled by the CMET. This variant is only suitable for use within TIGHTLY COUPLED SYSTEMS ONLY. This variant provides ONLY the ID (and code where applicable) and Name. Other variants may not be substituted at runtime."></definition>
+    </concept>
+    <concept>
+     <code value="identified-confirmable"></code>
+     <display value="identified-confirmable"></display>
+     <definition value="Description: This extends the identified variant by adding just sufficient additional information to allow the identity of object modeled to be confirmed by a number of corroborating items of data; for instance a patient's date of birth and current address. However, specific contact information, such as telephone number, are not viewed as confirming information."></definition>
+    </concept>
+    <concept>
+     <code value="identified-informational"></code>
+     <display value="identified-informational"></display>
+     <definition value="Description: Generally the same information content as &quot;contactable&quot; but using new &quot;informational&quot; CMETs as dependant CMETs. This flavor allows expression of the CMET when non-focal class information is not known."></definition>
+    </concept>
+    <concept>
+     <code value="informational"></code>
+     <display value="informational"></display>
+     <definition value="Description: Generally the same information content as &quot;contactable&quot;, but with required (not mandatory) ids on entry point class. This flavor allows expression of the CMET even when mandatory information is not known."></definition>
+    </concept>
+    <concept>
+     <code value="minimal"></code>
+     <display value="minimal"></display>
+     <definition value="Description: Provides more than identified, but not as much as universal. There are not expected to be many of these."></definition>
+    </concept>
+    <concept>
+     <code value="universal"></code>
+     <display value="universal"></display>
+     <definition value="Description: This variant includes all attributes and associations present in the R-MIM. Any of non-mandatory and non-required attributes and/or associations may be present or absent, as permitted in the cardinality constraints."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HL7ContextConductionStyle"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-HL7ContextConductionStyle"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-HL7ContextConductionStyle"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1129"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HL7ContextConductionStyle"></name>
+    <title value="v3 Code System HL7ContextConductionStyle"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HL7ContextConductionStyle"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="conduction-indicator-based"></display>
+     <definition value="Definition: Context conduction is defined using the contextConductionCode and contextConductionInd attributes on ActRelationship and Participation.
+
+        
+         UsageNotes: This approach is deprecated as of March, 2010."></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="inferred"></display>
+     <definition value="Definition: Context conduction is not explicitly defined.  The recipient of an instance must infer conduction based on the semantics of the model and what is deemed &quot;reasonable&quot;.
+
+        
+         UsageNotes: Because this approach can lead to variation in instance interpretation, its use is discouraged."></definition>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="vocabulary-based"></display>
+     <definition value="Definition: Context conduction is defined using the ActRelationship.blockedContextActRelationshipType and blockedContextParticipationType attributes and the &quot;conductible&quot; property on the ActRelationshipType and ParticipationType code systems."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7ITSType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7ITSType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1135"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7ITSType"></name>
+    <title value="v3 Code System hl7ITSType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes identifying types of HL7 Implementation Technology Specifications"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7ITSType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="UML"></code>
+     <display value="universal modeling language"></display>
+     <definition value="Description: ITS based on the Universal Modeling Language."></definition>
+    </concept>
+    <concept>
+     <code value="XML"></code>
+     <display value="extensible markup language"></display>
+     <definition value="Description: ITS based on the Extensible Markup Language."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7ITSVersionCode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7ITSVersionCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7ITSVersionCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1092"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7ITSVersionCode"></name>
+    <title value="v3 Code System hl7ITSVersionCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7ITSVersionCode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="XMLV1PR1"></code>
+     <display value="XMLV1PR1"></display>
+     <definition value="XML ITS version 1 pre-release 1."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7PublishingDomain"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7PublishingDomain"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingDomain"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1136"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7PublishingDomain"></name>
+    <title value="v3 Code System hl7PublishingDomain"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for HL7 publishing domains (specific content area)"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingDomain"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AB"></code>
+     <display value="accounting &amp; billing"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports accounting and billing functions - and &quot;provides support for the creation and management of patient billing accounts and the post of financial transactions against patient billing accounts for the purpose of aggregating financial transactions that will be submitted as claims or invoices for reimbursemen&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="AI"></code>
+     <display value="trigger event control act infrastructure"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports trigger event control act infrastructure - and &quot;covers the alternate structures of the message Trigger Event Control Acts in the HL7 Composite Message.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="AL"></code>
+     <display value="artificial listing for test purposes - faux Domain for testing"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that was defined as an &quot;artificial listing&quot; domain to support publication testing."></definition>
+    </concept>
+    <concept>
+     <code value="BB"></code>
+     <display value="blood tissue and organ"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports blood tissue and organ domain - and &quot;comprises the models, messages, and other artIfacts that are needed to support messaging related to the process of blood, tissue, and organ banking operations such as donations, eligibility, storage, dispense, administration/transfusion, explantation, and implantation. &quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CD"></code>
+     <display value="clinical document architecture"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports the clinical document architecture.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CG"></code>
+     <display value="clinical genomics"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports clinical genomics - and includes &quot; standards to enable the exchange of interrelated clinical and personalized genomic data between interested parties.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CI"></code>
+     <display value="transmission infrastructure"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports transmission infrastructure - and &quot; is primarily concerned with the data content of exchanges between healthcare applications, the sequence or interrelationships in the flow of messages and the communication of significant application level exceptions or error conditions.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CO"></code>
+     <display value="coverage"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Coverage - and provides support for managing health care coverage in the reimbursement system(s).
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CP"></code>
+     <display value="common product model"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports the common product model - which &quot;is used to improve the alignment between the different representations of products used within the body of HL7 Version 3 models.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CR"></code>
+     <display value="claims and reimbursement"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Claims and Reimbursement - and &quot;provides support for Generic, Pharmacy, Preferred Accommodation, Physician, Oral Health Vision Care and Hospital claims for eligibility, authorization, coverage extension, pre-determination, invoice adjudication, payment advice and Statement of Financial Activity (SOFA) Release 3 of this document adds claims messaging support for Physician, Oral Health Vision Care and Hospital claims.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CS"></code>
+     <display value="clinical statement"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports a common clinical statement pattern - and &quot;is a 'pattern' designed to be used within multiple HL7 Version 3 domain models. This pattern is intended to facilitate the consistent design of communications that convey clinical information to meet specific use cases.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="CT"></code>
+     <display value="common types"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports common model types - and &quot;are a work product produced by a particular committee for expressing a common, useful and reusable concept.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="DD"></code>
+     <display value="dummy domain"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that was created to support testing and initial set-up functions."></definition>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="diagnostic imaging"></display>
+     <definition value="Description: This domain has been retired in favor of &quot;imaging integration&quot; (II)."></definition>
+    </concept>
+    <concept>
+     <code value="DS"></code>
+     <display value="decision support"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that provides decision support.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="EM"></code>
+     <display value="emergency medical services"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Emergency Medical Services.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="II"></code>
+     <display value="imaging integration"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports imaging integration - and is &quot;comprises the models, implementation guides, sample documents and images that are needed to illustrate the transformation of DICOM structured reports to CDA Release 2 as well as the creation of CDA diagnostic imaging reports.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="IZ"></code>
+     <display value="immunization"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports immunization - and &quot;describes communication of information about immunization: the administration of vaccines (and/or antisera) to individuals to prevent infectious disease.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="LB"></code>
+     <display value="laboratory"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports clinical laboratory functions - and is &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to laboratory tests or observations. &quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="ME"></code>
+     <display value="medication"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports medication - and  &quot;deals with the description of a medicine for the purposes of messaging information about medicines&quot; and the applications of these descriptions.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="MI"></code>
+     <display value="masterfile infrastructure"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports master file infrastructure - and is &quot;comprises the classes and attributes needed to support Master Files and Registries.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="MM"></code>
+     <display value="materials management"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Materials Management - and is &quot;supports the simple scenario of a Materials Management application sending requests, notifications and queries to an auxiliary application. The intent is to establish a standard for the minimum functionality that is useful and comprehensive enough to explore the important concepts relative to inventory management.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="MR"></code>
+     <display value="medical records"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports medical records - and is &quot;supports clinical document management, and document querying.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="MT"></code>
+     <display value="shared messages"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports shared messages - and &quot;are a work product produced for expressing common, useful and reusable message types.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="OB"></code>
+     <display value="observations"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports observations - and is &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to resulting basic healthcare diagnostic services. &quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="OO"></code>
+     <display value="orders &amp; observations"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports orders and observations - and will provide over-arching support information for the &quot;Orders&quot; (OR) and &quot;Observations&quot; (OB) domains.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="OR"></code>
+     <display value="orders"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports orders - and &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to ordering basic healthcare services.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="patient administration"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Patient Administration - and &quot;defines person and patient demographics and visit information about patients&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="PC"></code>
+     <display value="care provision"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Care Provision - and &quot;addresses the information that is needed for the ongoing care of individuals, populations, and other targets of care.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="PH"></code>
+     <display value="public health"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports public health - and is &quot;the source of a number of Common Model Element Types (CMET) designed to meet the needs of public health data exchange.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="PM"></code>
+     <display value="personnel management"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Personnel Management - and &quot;spans a variety of clinical-administrative information functions associated with the organizations, individuals, animals and devices involved in the delivery and support of healthcare services.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="QI"></code>
+     <display value="query infrastructure"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports query infrastructure - and &quot;specifies the formation of information queries and the responses to these queries to meet the needs of healthcare applications using the HL7 version 3 messaging standard.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="QM"></code>
+     <display value="quality measures"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Quality Measures - and &quot;is a standard for representing a health quality measure as an electronic document.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="RG"></code>
+     <display value="registries"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Registries - and &quot;collects HL7 artifacts for administrative  registries.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="RI"></code>
+     <display value="informative public health"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Informative Public Health.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="RP"></code>
+     <display value="regulated products"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Regulated Products - and &quot;includes standards developed as part of the family of messages targeted for the exchange of information about regulated products and the exchange of the data needed to provide approval for such products.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="RR"></code>
+     <display value="public health reporting"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Public Health Reporting - and &quot;includes messages and documents that are specifically designed to support managment, reporting and investigation in the public health context.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="RT"></code>
+     <display value="regulated studies"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Regulated Studies - and is &quot;includes standards developed as part of the family of messages targeted for the exchange of information about the conduct of regulated studies, and the exchange of the data collected during those studies.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="RX"></code>
+     <display value="pharmacy"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports pharmacy - and is a &quot;model used to derive message patterns to describe and communicate processes related to medication.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="SC"></code>
+     <display value="scheduling"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Scheduling - and &quot;offers a generic set of messages and behavior to implement any number of Scheduling scenarios.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="SP"></code>
+     <display value="specimen"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Specimen - and &quot;comprises the models and artifacts that are needed to support the creation of messaging related to specimen.&quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+    <concept>
+     <code value="TD"></code>
+     <display value="therapeutic devices"></display>
+     <definition value="Description: Represents the HL7 content &quot;domain&quot; that supports Therapeutic Devices - and is &quot;comprises the models, messages, and other artifacts that are needed to support messaging related to therapy delivery and observations made by a medical device. &quot;
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7PublishingSection"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7PublishingSection"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSection"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1133"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7PublishingSection"></name>
+    <title value="v3 Code System hl7PublishingSection"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for HL7 publishing sections (major business categories)"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSection"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AM"></code>
+     <display value="administrative management"></display>
+     <definition value="Description: Represents the HL7 V3 publishing section that deals with the administration and management of health care activities and organizations.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="HM"></code>
+     <display value="health and clinical management"></display>
+     <definition value="Description: Represents the HL7 V3 publishing section that deals with the health care provision and clinical management.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="IM"></code>
+     <display value="infrastructure management"></display>
+     <definition value="Description: Represents the HL7 V3 publishing section that deals with the definition and management of the computing and communication infrastructure necessary to support health care.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="UU"></code>
+     <display value="unknown"></display>
+     <definition value="Description: Represents the HL7 V3 publishing section that holds specifications that are unassigned - that have not yet been assigned to one of the formal publishing sections.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7PublishingSubSection"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7PublishingSubSection"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7PublishingSubSection"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1134"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7PublishingSubSection"></name>
+    <title value="v3 Code System hl7PublishingSubSection"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes for HL7 publishing sub-sections (business sub-categories)"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7PublishingSubSection"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="CO"></code>
+     <display value="common"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds common or shared specifications within the Infrastructure Management (IM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="FI"></code>
+     <display value="financial information"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the management of financial information within the Administrative Management (AM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="MC"></code>
+     <display value="message control"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and control of interoperability messages within the Infrastructure Management (IM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="MF"></code>
+     <display value="master file"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to master file and registry management activities within the Infrastructure Management (IM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="PO"></code>
+     <display value="operations"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to managing clinical operations within the Health and Clinical Management (HM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="practice"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the management of practice settings within the Administrative Management (AM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="QU"></code>
+     <display value="query"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to query/response activities within the Infrastructure Management (IM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="RC"></code>
+     <display value="records"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and communication of records of clinical care within the Health and Clinical Management (HM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="RE"></code>
+     <display value="reasoning"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and communication of reasoning (knowledge) within the Health and Clinical Management (HM) section.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+    <concept>
+     <code value="UU"></code>
+     <display value="unknown"></display>
+     <definition value="Description: Represents the HL7 V3 publishing sub-section that holds specifications that are unassigned - that have not yet been assigned to one of the formal publishing sections.
+
+        
+         UsageNote: V3 Specifications are published in a set of &quot;domains&quot;, which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
+
+        For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7Realm"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7Realm"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7Realm"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1124"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7Realm"></name>
+    <title value="v3 Code System hl7Realm"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models)  and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms.  All affiliate realm codes may automatically be used as both binding realms and namespace realms.  Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms.  (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.)  All other codes must be associated with an owning affiliate realm and must appear as a specialization of _BindingRealm or _NamespaceRealm.  For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types.  It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes.  However, tooling does not currently support namepace realm codes greater than 2 characters.  Open Issue:
+The name of the concept property &quot;owningAffiliate&quot; should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.  Open Issue:
+In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7Realm"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="BindingRealms"></code>
+     <display value="binding realms"></display>
+     <definition value="Description: Concepts that can be used as Binding Realms when creating Binding Statements.  These codes are permitted to appear in the InfrastructureRoot.realmCode attribute."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AffiliateRealms"></code>
+      <display value="Affiliate Realms"></display>
+      <definition value="Description: Realm codes for official HL7 organizational bodies.  This includes both the HL7 International organization as well as all recognized international affiliates (past and present).  These groups have the ability to bind vocabulary and develop artifacts.  As well, they have the ability to have &quot;ownership&quot; over other binding realms and namespace realms via the owningAffiliate property of those other realm codes."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="AR"></code>
+       <display value="Argentina"></display>
+       <definition value="Description: Realm code for use of Argentina"></definition>
+      </concept>
+      <concept>
+       <code value="AT"></code>
+       <display value="Austria"></display>
+       <definition value="Description: Realm code for use of Austria"></definition>
+      </concept>
+      <concept>
+       <code value="AU"></code>
+       <display value="Australia"></display>
+       <definition value="Description: Realm code for use of Australia"></definition>
+      </concept>
+      <concept>
+       <code value="BR"></code>
+       <display value="Brazil"></display>
+       <definition value="Description: Realm code for use of Brazil"></definition>
+      </concept>
+      <concept>
+       <code value="CA"></code>
+       <display value="Canada"></display>
+       <definition value="Description: Realm code for use of Canada"></definition>
+      </concept>
+      <concept>
+       <code value="CH"></code>
+       <display value="Switzerland"></display>
+       <definition value="Description: Realm code for use of Switzerland"></definition>
+      </concept>
+      <concept>
+       <code value="CL"></code>
+       <display value="Chile"></display>
+       <definition value="Description: Realm code for use of Chile"></definition>
+      </concept>
+      <concept>
+       <code value="CN"></code>
+       <display value="China"></display>
+       <definition value="Description: Realm code for use of China"></definition>
+      </concept>
+      <concept>
+       <code value="CO"></code>
+       <display value="Columbia"></display>
+       <definition value="Description: Realm code for use of Localized Version"></definition>
+      </concept>
+      <concept>
+       <code value="CZ"></code>
+       <display value="Czech Republic"></display>
+       <definition value="Description: Realm code for use of Czech Republic"></definition>
+      </concept>
+      <concept>
+       <code value="DE"></code>
+       <display value="Germany"></display>
+       <definition value="Description: Realm code for use of Germany"></definition>
+      </concept>
+      <concept>
+       <code value="DK"></code>
+       <display value="Denmark"></display>
+       <definition value="Description: Realm code for use of Denmark"></definition>
+      </concept>
+      <concept>
+       <code value="ES"></code>
+       <display value="Spain"></display>
+       <definition value="Description: Realm code for use of Spain"></definition>
+      </concept>
+      <concept>
+       <code value="FI"></code>
+       <display value="Finland"></display>
+       <definition value="Description: Realm code for use of Finland"></definition>
+      </concept>
+      <concept>
+       <code value="FR"></code>
+       <display value="France"></display>
+       <definition value="Description: Realm code for use of France"></definition>
+      </concept>
+      <concept>
+       <code value="GR"></code>
+       <display value="Greece"></display>
+       <definition value="Description: Realm code for use of Greece"></definition>
+      </concept>
+      <concept>
+       <code value="HR"></code>
+       <display value="Croatia"></display>
+       <definition value="Description: Realm code for use of Croatia"></definition>
+      </concept>
+      <concept>
+       <code value="IE"></code>
+       <display value="Ireland"></display>
+       <definition value="Description: Realm code for use of Ireland"></definition>
+      </concept>
+      <concept>
+       <code value="IN"></code>
+       <display value="India"></display>
+       <definition value="Description: Realm code for use of India"></definition>
+      </concept>
+      <concept>
+       <code value="IT"></code>
+       <display value="Italy"></display>
+       <definition value="Description: Realm code for use of Italy"></definition>
+      </concept>
+      <concept>
+       <code value="JP"></code>
+       <display value="Japan"></display>
+       <definition value="Description: Realm code for use of Japan"></definition>
+      </concept>
+      <concept>
+       <code value="KR"></code>
+       <display value="Korea"></display>
+       <definition value="Description: Realm code for use of Korea"></definition>
+      </concept>
+      <concept>
+       <code value="LT"></code>
+       <display value="Lithuania"></display>
+       <definition value="Description: Realm code for use of Lithuania"></definition>
+      </concept>
+      <concept>
+       <code value="MX"></code>
+       <display value="Mexico"></display>
+       <definition value="Description: Realm code for use of Mexico"></definition>
+      </concept>
+      <concept>
+       <code value="NL"></code>
+       <display value="The Netherlands"></display>
+       <definition value="Description: Realm code for use of The Netherlands"></definition>
+      </concept>
+      <concept>
+       <code value="NZ"></code>
+       <display value="New Zealand"></display>
+       <definition value="Description: Realm code for use of New Zealand"></definition>
+      </concept>
+      <concept>
+       <code value="RO"></code>
+       <display value="Romania"></display>
+       <definition value="Description: Realm code for use of Romania"></definition>
+      </concept>
+      <concept>
+       <code value="RU"></code>
+       <display value="Russian Federation"></display>
+       <definition value="Description: Realm code for use of Russian Federation"></definition>
+      </concept>
+      <concept>
+       <code value="SE"></code>
+       <display value="Sweden"></display>
+       <definition value="Description: Realm code for use of Sweden"></definition>
+      </concept>
+      <concept>
+       <code value="SG"></code>
+       <display value="Singapore"></display>
+       <definition value="Description: Realm code for use of Localized Version"></definition>
+      </concept>
+      <concept>
+       <code value="SOA"></code>
+       <display value="Southern Africa"></display>
+       <definition value="Description: Realm code for use of Southern Africa"></definition>
+      </concept>
+      <concept>
+       <code value="TR"></code>
+       <display value="Turkey"></display>
+       <definition value="Description: Realm code for use of Turkey"></definition>
+      </concept>
+      <concept>
+       <code value="TW"></code>
+       <display value="Taiwan"></display>
+       <definition value="Description: Realm code for use of Taiwan"></definition>
+      </concept>
+      <concept>
+       <code value="UK"></code>
+       <display value="United Kingdom"></display>
+       <definition value="Description: Realm code for use of United Kingdom"></definition>
+      </concept>
+      <concept>
+       <code value="US"></code>
+       <display value="United States of America"></display>
+       <definition value="Description: Realm code for use of United States of America"></definition>
+      </concept>
+      <concept>
+       <code value="UV"></code>
+       <display value="Universal"></display>
+       <definition value="Description: Realm code for use of Universal realm or context, used in every instance"></definition>
+      </concept>
+      <concept>
+       <code value="UY"></code>
+       <display value="Uruguay"></display>
+       <definition value="Description: Realm code for use of Uruguay"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="C1"></code>
+      <display value="Unclassified Realm"></display>
+      <definition value="Description: Realm code for use of Unclassified Realm"></definition>
+     </concept>
+     <concept>
+      <code value="GB"></code>
+      <display value="Great Britain"></display>
+      <definition value="Description: Realm code for use of Great Britain"></definition>
+     </concept>
+     <concept>
+      <code value="R1"></code>
+      <display value="Representative Realm"></display>
+      <definition value="Description: Realm code for use of Representative Realm"></definition>
+     </concept>
+     <concept>
+      <code value="X1"></code>
+      <display value="Example Realm"></display>
+      <definition value="Description: Realm code for use of Example Realm"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="NamespaceRealms"></code>
+     <display value="namespace realms"></display>
+     <definition value="Description: Codes that can be used in the &quot;realm&quot; portion of HL7 v3 artifact identifiers."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="AffiliateRealms"></valueCode>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="GB"></valueCode>
+     </property>
+     <concept>
+      <code value="ZZ"></code>
+      <display value="Localized Version"></display>
+      <definition value="Description: An artifact created for local use only.  This realm namespace has no owning affiliate.  Its use is uncontrolled, i.e. anyone can create artifacts using this realm namespace.  Because of this, there is a significant likelihood of artifact identifier collisions.  Implementers are encouraged to register their artifacts under an affiliate owned and controlled namespace to avoid such collision problems where possible."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HL7StandardVersionCode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-HL7StandardVersionCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-HL7StandardVersionCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1097"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HL7StandardVersionCode"></name>
+    <title value="v3 Code System HL7StandardVersionCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This code system holds version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HL7StandardVersionCode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="Ballot2008Jan"></code>
+     <display value="Ballot 2008 January"></display>
+     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2008."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2008May"></code>
+     <display value="Ballot 2008 May"></display>
+     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2008."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2008Sep"></code>
+     <display value="Ballot 2008 September"></display>
+     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2008."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2009Jan"></code>
+     <display value="Ballot 2009 January"></display>
+     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2009."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2009May"></code>
+     <display value="Ballot 2009 May"></display>
+     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2009."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2009Sep"></code>
+     <display value="Ballot 2009 September"></display>
+     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2009."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2010Jan"></code>
+     <display value="Ballot 2010 Jan"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2010."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2010May"></code>
+     <display value="Ballot 2010 May"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2010."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2010Sep"></code>
+     <display value="Ballot 2010 Sep"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2010."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2011Jan"></code>
+     <display value="Ballot 2011 Jan"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2011."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2011May"></code>
+     <display value="Ballot 2011 May"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2011."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2011Sep"></code>
+     <display value="Ballot 2011 Sep"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2011."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2012Jan"></code>
+     <display value="Ballot 2012 Jan"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2012."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2012May"></code>
+     <display value="Ballot 2012 May"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2012."></definition>
+    </concept>
+    <concept>
+     <code value="Ballot2012Sep"></code>
+     <display value="Ballot 2012 Sep"></display>
+     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2012."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2003-12"></code>
+     <display value="HL7 Version V3-2003-12"></display>
+     <definition value="The consistent set of messaging artefacts as published or contained in repositories in December of 2003, based on the latest version of any V3 models or artefacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) as available in December of 2003. Note: This versioncode does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2005N"></code>
+     <display value="2005 Normative Edition"></display>
+     <definition value="Description:The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2004, based on the latest version of any V3 models or artifacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) as published under the title of Normative Edition 2005. Note: This versioncode does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2006N"></code>
+     <display value="2006 Normative Edition"></display>
+     <definition value="Description:The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2005, based on the latest version of any V3 models or artifacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) as published under the title of Normative Edition 2006. Note: This versioncode does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2008N"></code>
+     <display value="2008 Normative Edition"></display>
+     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2007, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2008. Note: This version code does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2009N"></code>
+     <display value="2009 Normative Edition"></display>
+     <definition value="Description: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2008, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2009. Note: This version code does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2010N"></code>
+     <display value="2010 Normative Edition"></display>
+     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2009, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2010. Note: This version code does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2011N"></code>
+     <display value="2011 Normative Edition"></display>
+     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2010, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2011. Note: This version code does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2012N"></code>
+     <display value="2012 Normative Edition"></display>
+     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2011, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2012. Note: This version code does not cover the version of the XML ITS."></definition>
+    </concept>
+    <concept>
+     <code value="V3PR1"></code>
+     <display value="Version3 Pre-release #1"></display>
+     <definition value="Includes all material published as part of the ballot package released for vote in July-August 2003."></definition>
+    </concept>
+    <concept>
+     <code value="V3-2007N"></code>
+     <display value="2007 Normative Edition"></display>
+     <definition value="Description:The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2006, based on the latest version of any V3 models or artifacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2007. Note: This versioncode does not cover the version of the XML ITS."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HL7UpdateMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-HL7UpdateMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.57"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HL7UpdateMode"></name>
+    <title value="v3 Code System HL7UpdateMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HL7UpdateMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="A"></code>
+     <display value="Add"></display>
+     <definition value="Description:The item was (or is to be) added, having not been present immediately before. (If it is already present, this may be treated as an error condition.)"></definition>
+    </concept>
+    <concept>
+     <code value="AR"></code>
+     <display value="Add or Replace"></display>
+     <definition value="Description:The item was (or is to be) either added or replaced."></definition>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Remove"></display>
+     <definition value="Description:The item was (or is to be) removed (sometimes referred to as deleted). If the item is part of a collection, delete any matching items."></definition>
+    </concept>
+    <concept>
+     <code value="K"></code>
+     <display value="Key"></display>
+     <definition value="Description:This item is part of the identifying information for this object."></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="No Change"></display>
+     <definition value="Description:There was (or is to be) no change to the item. This is primarily used when this element has not changed, but other attributes in the instance have changed."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Replace"></display>
+     <definition value="Description:The item existed previously and has (or is to be) revised. (If an item does not already exist, this may be treated as an error condition.)"></definition>
+    </concept>
+    <concept>
+     <code value="REF"></code>
+     <display value="Reference"></display>
+     <definition value="Description:This item provides enough information to allow a processing system to locate the full applicable record by identifying the object."></definition>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Unknown"></display>
+     <definition value="Description:Description:&lt;/b&gt;It is not specified whether or what kind of change has occurred to the item, or whether the item is present as a reference or identifying property."></definition>
+    </concept>
+    <concept>
+     <code value="_SetUpdateMode"></code>
+     <display value="SetUpdateMode"></display>
+     <definition value="These concepts apply when the element and/or message is updating a set of items."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+     <concept>
+      <code value="ESA"></code>
+      <display value="Set Add"></display>
+      <definition value="Add the message element to the collection of items on the receiving system that correspond to the message element."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+     </concept>
+     <concept>
+      <code value="ESAC"></code>
+      <display value="Set Add or Change"></display>
+      <definition value="Change the item on the receiving system that corresponds to this message element; if a matching element does not exist, add a new one created with the values in the message."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+     </concept>
+     <concept>
+      <code value="ESC"></code>
+      <display value="Set Change"></display>
+      <definition value="Change the item on the receiving system that corresponds to this message element; do not process if a matching element does not exist."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+     </concept>
+     <concept>
+      <code value="ESD"></code>
+      <display value="Set Delete"></display>
+      <definition value="Delete the item on the receiving system that corresponds to this message element."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="retired"></valueCode>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="AU"></code>
+     <display value="Add or Update"></display>
+     <definition value="Description: AU: If this item exists, update it with these values. If it does not exist, create it with these values. If the item is part of the collection, update each item that matches this item, and if no items match, add a new item to the collection."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Ignore"></display>
+     <definition value="Ignore this role, it is not relevant to the update."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Verify"></display>
+     <definition value="Verify - this message element must match a value already in the receiving systems database in order to process the message."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7V3Conformance"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7V3Conformance"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7V3Conformance"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1125"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7V3Conformance"></name>
+    <title value="v3 Code System hl7V3Conformance"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Identifies allowed codes for HL7aTMs v3 conformance property."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7V3Conformance"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="I"></code>
+     <display value="ignored"></display>
+     <definition value="Description: Implementers receiving this property must not raise an error if the data is received, but will not perform any useful function with the data.  This conformance level is not used in profiles or other artifacts that are specific to the &quot;sender&quot; or &quot;initiator&quot; of a communication."></definition>
+    </concept>
+    <concept>
+     <code value="NP"></code>
+     <display value="not permitted"></display>
+     <definition value="Description: All implementers are prohibited from transmitting this content, and may raise an error if they receive it."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="required"></display>
+     <definition value="Description: All implementers must support this property.  I.e. they must be able to transmit, or to receive and usefully handle the concept."></definition>
+    </concept>
+    <concept>
+     <code value="RC"></code>
+     <display value="required for consumer"></display>
+     <definition value="Description: The element is considered &quot;required&quot; (i.e. must be supported) from the perspective of systems that consume  instances, but is &quot;undetermined&quot; for systems that generate instances.  Used only as part of specifications that define both initiator and consumer expectations."></definition>
+    </concept>
+    <concept>
+     <code value="RI"></code>
+     <display value="required for initiator"></display>
+     <definition value="Description: The element is considered &quot;required&quot; (i.e. must be supported) from the perspective of systems that generate instances, but is &quot;undetermined&quot; for systems that consume instances.  Used only as part of specifications that define both initiator and consumer expectations."></definition>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="undetermined"></display>
+     <definition value="Description: The conformance expectations for this element have not yet been determined."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7VoteResolution"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-hl7VoteResolution"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7VoteResolution"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1131"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.hl7VoteResolution"></name>
+    <title value="v3 Code System hl7VoteResolution"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's Governance &amp; Operations Manual (GOM)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7VoteResolution"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="affirmativeResolution"></code>
+     <display value="affirmative resolution"></display>
+     <definition value="Description: An abstract concept grouping resolutions that can be applied to affirmative ballot comments."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="affdef"></code>
+      <display value="affirmative-deferred"></display>
+      <definition value="Description: The recommended change has been deferred to consideration for a future release."></definition>
+     </concept>
+     <concept>
+      <code value="affi"></code>
+      <display value="affirmative-incorporated"></display>
+      <definition value="Description: The recommended change has been incorporated or identified issue has been answered."></definition>
+     </concept>
+     <concept>
+      <code value="affr"></code>
+      <display value="affirmative-rejected"></display>
+      <definition value="Description: The recommended change has been refused and is not expected to be incorporated."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="negativeResolution"></code>
+     <display value="negative resolution"></display>
+     <definition value="Description: An abstract concept grouping resolutions that can be applied to negative ballot comments."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="nonsubp"></code>
+      <display value="non-substantive proposed"></display>
+      <definition value="Description: Responsible group has recommended that the negative vote be considered non-substantive.  (Issue raised does not provide sufficiently convincing reason to make changes to the item under ballot, or otherwise impede its adoption.)"></definition>
+     </concept>
+     <concept>
+      <code value="nonsubv"></code>
+      <display value="non-substantive voted"></display>
+      <definition value="Description: Ballot group has voted and declared the negative vote non-substantive."></definition>
+     </concept>
+     <concept>
+      <code value="notrelp"></code>
+      <display value="not related proposed"></display>
+      <definition value="Description: Responsible group has recommended that the negative vote be considered not-related.  (Issue raised is not related to the current scope of the item under ballot, or does not prevent the item under ballot for being used for its defined intent.  Recommended changes may be considered as part of future versions.)  (Perhaps after further reading or explanation)."></definition>
+     </concept>
+     <concept>
+      <code value="notrelv"></code>
+      <display value="not related voted"></display>
+      <definition value="Description: Ballot group has voted and declared the negative vote non-related."></definition>
+     </concept>
+     <concept>
+      <code value="prevcons"></code>
+      <display value="previously considered"></display>
+      <definition value="Description: Committee identifies that the same issue has been raised as part of a previous ballot on the same element version and was found by the ballot group to be non-substantive or not related.)"></definition>
+     </concept>
+     <concept>
+      <code value="retract"></code>
+      <display value="retracted"></display>
+      <definition value="Description: Voter has formally withdrawn their vote or comment as having been in error.  (Perhaps after further reading or explanation)."></definition>
+     </concept>
+     <concept>
+      <code value="unresolved"></code>
+      <display value="unresolved"></display>
+      <definition value="Description: Vote has not yet gone through resolution."></definition>
+     </concept>
+     <concept>
+      <code value="withdraw"></code>
+      <display value="withdrawn"></display>
+      <definition value="Description: Voter has formally withdrawn their vote or comment on the basis of agreed changes or proposed future changes."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HtmlLinkType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-HtmlLinkType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-HtmlLinkType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.58"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.HtmlLinkType"></name>
+    <title value="v3 Code System HtmlLinkType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HtmlLinkType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="alternate"></code>
+     <display value="alternate"></display>
+     <definition value="Designates substitute versions for the document in which the link occurs. When used together with the lang attribute, it implies a translated version of the document. When used together with the media attribute, it implies a version designed for a different medium (or media)."></definition>
+    </concept>
+    <concept>
+     <code value="appendix"></code>
+     <display value="appendix"></display>
+     <definition value="Refers to a document serving as an appendix in a collection of documents."></definition>
+    </concept>
+    <concept>
+     <code value="bookmark"></code>
+     <display value="bookmark"></display>
+     <definition value="Refers to a bookmark. A bookmark is a link to a key entry point within an extended document. The title attribute may be used, for example, to label the bookmark. Note that several bookmarks may be defined in each document."></definition>
+    </concept>
+    <concept>
+     <code value="chapter"></code>
+     <display value="chapter"></display>
+     <definition value="Refers to a document serving as a chapter in a collection of documents."></definition>
+    </concept>
+    <concept>
+     <code value="contents"></code>
+     <display value="contents"></display>
+     <definition value="Refers to a document serving as a table of contents. Some user agents also support the synonym ToC (from &quot;Table of Contents&quot;)."></definition>
+    </concept>
+    <concept>
+     <code value="copyright"></code>
+     <display value="copyright"></display>
+     <definition value="Refers to a copyright statement for the current document."></definition>
+    </concept>
+    <concept>
+     <code value="glossary"></code>
+     <display value="glossary"></display>
+     <definition value="Refers to a document providing a glossary of terms that pertain to the current document."></definition>
+    </concept>
+    <concept>
+     <code value="help"></code>
+     <display value="help"></display>
+     <definition value="Refers to a document offering help (more information, links to other sources of information, etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="index"></code>
+     <display value="index"></display>
+     <definition value="Refers to a document providing an index for the current document."></definition>
+    </concept>
+    <concept>
+     <code value="next"></code>
+     <display value="next"></display>
+     <definition value="Refers to the next document in a linear sequence of documents. User agents may choose to preload the &quot;next&quot; document, to reduce the perceived load time."></definition>
+    </concept>
+    <concept>
+     <code value="prev"></code>
+     <display value="prev"></display>
+     <definition value="Refers to the previous document in an ordered series of documents. Some user agents also support the synonym &quot;Previous&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="section"></code>
+     <display value="section"></display>
+     <definition value="Refers to a document serving as a section in a collection of documents."></definition>
+    </concept>
+    <concept>
+     <code value="start"></code>
+     <display value="start"></display>
+     <definition value="Refers to the first document in a collection of documents. This link type tells search engines which document is considered by the author to be the starting point of the collection."></definition>
+    </concept>
+    <concept>
+     <code value="stylesheet"></code>
+     <display value="stylesheet"></display>
+     <definition value="Refers to an external style sheet. See the section on external style sheets for details. This is used together with the link type &quot;Alternate&quot; for user-selectable alternate style sheets."></definition>
+    </concept>
+    <concept>
+     <code value="subsection"></code>
+     <display value="subsection"></display>
+     <definition value="Refers to a document serving as a subsection in a collection of documents."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-IdentifierReliability"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-IdentifierReliability"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-IdentifierReliability"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1117"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.IdentifierReliability"></name>
+    <title value="v3 Code System IdentifierReliability"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-IdentifierReliability"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="ISS"></code>
+     <display value="Issued by System"></display>
+     <definition value="Description: The identifier was issued by the system responsible for constructing the instance."></definition>
+    </concept>
+    <concept>
+     <code value="UNV"></code>
+     <display value="Unverified by system"></display>
+     <definition value="Description: The identifier was provided to the system that constructed the instance, but has not been verified. e.g. a Drivers  license entered manually into a system by a user."></definition>
+    </concept>
+    <concept>
+     <code value="VRF"></code>
+     <display value="Verified by system"></display>
+     <definition value="Description: The identifier was not issued by the system responsible for constructing the instance, but the system that captured the id has verified the identifier with the issuing authority, or with another system that has verified the identifier."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-IdentifierScope"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-IdentifierScope"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-IdentifierScope"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1116"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.IdentifierScope"></name>
+    <title value="v3 Code System IdentifierScope"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-IdentifierScope"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="BUSN"></code>
+     <display value="Business Identifier"></display>
+     <definition value="Description: An identifier whose scope is defined by the business practices associated with the object. In contrast to the other scope identifiers, the scope of the use of the id is not necessarily restricted to a single object, but may be reused for other objects closely associated with the object due to business practice."></definition>
+    </concept>
+    <concept>
+     <code value="OBJ"></code>
+     <display value="Object Identifier"></display>
+     <definition value="Description: The identifier associated with a particular object. It remains consistent as the object undergoes state transitions."></definition>
+    </concept>
+    <concept>
+     <code value="VER"></code>
+     <display value="Version Identifier"></display>
+     <definition value="Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object. I.e. The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated).
+
+        
+         NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes."></definition>
+    </concept>
+    <concept>
+     <code value="VW"></code>
+     <display value="View Specific Identifier"></display>
+     <definition value="Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object.
+
+        
+         Example The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated).
+
+        
+         NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-IntegrityCheckAlgorithm"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-IntegrityCheckAlgorithm"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-IntegrityCheckAlgorithm"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1010"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.IntegrityCheckAlgorithm"></name>
+    <title value="v3 Code System IntegrityCheckAlgorithm"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="SHA-1"></code>
+     <display value="secure hash algorithm - 1"></display>
+     <definition value="This algorithm is defined in FIPS PUB 180-1: Secure Hash Standard.  As of April 17, 1995."></definition>
+    </concept>
+    <concept>
+     <code value="SHA-256"></code>
+     <display value="secure hash algorithm - 256"></display>
+     <definition value="This algorithm is defined in FIPS PUB 180-2: Secure Hash Standard."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LanguageAbilityMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-LanguageAbilityMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.60"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LanguageAbilityMode"></name>
+    <title value="v3 Code System LanguageAbilityMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A value representing the method of expression of the language.  Example:
+Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="ESGN"></code>
+     <display value="Expressed signed"></display>
+     <definition value="Expressed signed"></definition>
+    </concept>
+    <concept>
+     <code value="ESP"></code>
+     <display value="Expressed spoken"></display>
+     <definition value="Expressed spoken"></definition>
+    </concept>
+    <concept>
+     <code value="EWR"></code>
+     <display value="Expressed written"></display>
+     <definition value="Expressed written"></definition>
+    </concept>
+    <concept>
+     <code value="RSGN"></code>
+     <display value="Received signed"></display>
+     <definition value="Received signed"></definition>
+    </concept>
+    <concept>
+     <code value="RSP"></code>
+     <display value="Received spoken"></display>
+     <definition value="Received spoken"></definition>
+    </concept>
+    <concept>
+     <code value="RWR"></code>
+     <display value="Received written"></display>
+     <definition value="Received written"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LanguageAbilityProficiency"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-LanguageAbilityProficiency"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityProficiency"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.61"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LanguageAbilityProficiency"></name>
+    <title value="v3 Code System LanguageAbilityProficiency"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A value representing the level of proficiency in a language.  Example:
+Excellent, good, fair, poor.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="E"></code>
+     <display value="Excellent"></display>
+     <definition value="Excellent"></definition>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="Fair"></display>
+     <definition value="Fair"></definition>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="Good"></display>
+     <definition value="Good"></definition>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Poor"></display>
+     <definition value="Poor"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LivingArrangement"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-LivingArrangement"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-LivingArrangement"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.63"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LivingArrangement"></name>
+    <title value="v3 Code System LivingArrangement"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code depicting the living arrangements of a person"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LivingArrangement"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="HL"></code>
+     <display value="homeless"></display>
+     <definition value="Definition: Living arrangements lacking a permanent residence."></definition>
+     <concept>
+      <code value="M"></code>
+      <display value="Nomadic"></display>
+      <definition value="Nomadic"></definition>
+     </concept>
+     <concept>
+      <code value="T"></code>
+      <display value="Transient"></display>
+      <definition value="Transient"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Institution"></display>
+     <definition value="Institution"></definition>
+     <concept>
+      <code value="CS"></code>
+      <display value="community shelter"></display>
+      <definition value="Definition: A group living arrangement specifically for the care of those in need of temporary and crisis housing assistance.  Examples include domestic violence shelters, shelters for displaced or homeless individuals, Salvation Army, Jesus House, etc.  Community based services may be provided."></definition>
+     </concept>
+     <concept>
+      <code value="G"></code>
+      <display value="Group Home"></display>
+      <definition value="Group Home"></definition>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="Nursing Home"></display>
+      <definition value="Nursing Home"></definition>
+     </concept>
+     <concept>
+      <code value="X"></code>
+      <display value="Extended care facility"></display>
+      <definition value="Extended care facility"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="PR"></code>
+     <display value="private residence"></display>
+     <definition value="Definition:  A living arrangement within a private residence for single family."></definition>
+     <concept>
+      <code value="H"></code>
+      <display value="Independent Household"></display>
+      <definition value="Independent Household"></definition>
+     </concept>
+     <concept>
+      <code value="R"></code>
+      <display value="Retirement Community"></display>
+      <definition value="Retirement Community"></definition>
+     </concept>
+     <concept>
+      <code value="SL"></code>
+      <display value="supported living"></display>
+      <definition value="Definition: Assisted living in a single family residence for persons with physical, behavioral, or functional health, or socio-economic challenges.  There may or may not be on-site supervision but the housing is designed to assist the client with developing independent living skills. Community based services may be provided."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LocalMarkupIgnore"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-LocalMarkupIgnore"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-LocalMarkupIgnore"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.65"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LocalMarkupIgnore"></name>
+    <title value="v3 Code System LocalMarkupIgnore"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value=&quot;markup&quot;, or to ignore the local markup tags and all contained content when value=&quot;all&quot;"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LocalMarkupIgnore"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="all"></code>
+     <display value="all"></display>
+     <definition value="all"></definition>
+    </concept>
+    <concept>
+     <code value="markup"></code>
+     <display value="markup"></display>
+     <definition value="markup"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LocalRemoteControlState"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-LocalRemoteControlState"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-LocalRemoteControlState"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.66"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.LocalRemoteControlState"></name>
+    <title value="v3 Code System LocalRemoteControlState"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LocalRemoteControlState"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="L"></code>
+     <display value="Local"></display>
+     <definition value="An equipment can either work autonomously ('Local' control state)."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Remote"></display>
+     <definition value="An equipment can be controlled by another system, e.g., LAS computer ('Remote' control state)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ManagedParticipationStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ManagedParticipationStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ManagedParticipationStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1062"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ManagedParticipationStatus"></name>
+    <title value="v3 Code System ManagedParticipationStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ManagedParticipationStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="normal"></code>
+     <display value="normal"></display>
+     <definition value="The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of a participation instance that was created in error."></definition>
+     <concept>
+      <code value="active"></code>
+      <display value="active"></display>
+      <definition value="The state representing the fact that the Participation is in progress."></definition>
+     </concept>
+     <concept>
+      <code value="cancelled"></code>
+      <display value="cancelled"></display>
+      <definition value="The terminal state resulting from cancellation of the Participation prior to activation."></definition>
+     </concept>
+     <concept>
+      <code value="completed"></code>
+      <display value="completed"></display>
+      <definition value="The terminal state representing the successful completion of the Participation."></definition>
+     </concept>
+     <concept>
+      <code value="pending"></code>
+      <display value="pending"></display>
+      <definition value="The state representing that fact that the Participation has not yet become active."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="nullified"></code>
+     <display value="nullified"></display>
+     <definition value="The state representing the termination of a Participation instance that was created in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-MapRelationship"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-MapRelationship"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-MapRelationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.67"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.MapRelationship"></name>
+    <title value="v3 Code System MapRelationship"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-MapRelationship"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="BT"></code>
+     <display value="Broader Than"></display>
+     <definition value="The first concept is at a more abstract level than the second concept.  For example, Hepatitis is broader than Hepatitis A, and endocrine disease is broader than Diabetes Mellitus.  Broader than is the opposite of the narrower than relationship."></definition>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Exact"></display>
+     <definition value="The two concepts have identical meaning."></definition>
+    </concept>
+    <concept>
+     <code value="NT"></code>
+     <display value="Narrower Than"></display>
+     <definition value="The first concept is at a more detailed level than the second concept.  For example, Pennicillin G is narrower than Pennicillin, and vellus hair is narrower than hair.  Narrower than is the opposite of broader than."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-MaritalStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-MaritalStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.2"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.MaritalStatus"></name>
+    <title value="v3 Code System MaritalStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" * * * No description supplied * * *  Open Issue:
+The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.  Open Issue:
+fixing and completion of the hierarchy and proper good definitions of all the concepts is badly needed."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-MaritalStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Annulled"></display>
+     <definition value="Marriage contract has been declared null and to not have existed"></definition>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Divorced"></display>
+     <definition value="Marriage contract has been declared dissolved and inactive"></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Interlocutory"></display>
+     <definition value="Subject to an Interlocutory Decree."></definition>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Legally Separated"></display>
+     <definition value="Legally Separated"></definition>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Married"></display>
+     <definition value="A current marriage contract is active"></definition>
+     <concept>
+      <code value="C"></code>
+      <display value="Common Law"></display>
+      <definition value="a marriage recognized in some jurisdictions and based on the parties' agreement to consider themselves married and can also be based on documentation of cohabitation.
+
+        This definition was based on https://www.merriam-webster.com/dictionary/common-law%20marriage."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Polygamous"></display>
+     <definition value="More than 1 current spouse"></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Domestic partner"></display>
+     <definition value="Person declares that a domestic partner relationship exists."></definition>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="unmarried"></display>
+     <definition value="Currently not in a marriage contract."></definition>
+     <concept>
+      <code value="S"></code>
+      <display value="Never Married"></display>
+      <definition value="No marriage contract has ever been entered"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="W"></code>
+     <display value="Widowed"></display>
+     <definition value="The spouse has died"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-MessageWaitingPriority"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-MessageWaitingPriority"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-MessageWaitingPriority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1083"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.MessageWaitingPriority"></name>
+    <title value="v3 Code System MessageWaitingPriority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Indicates that the receiver has messages for the sender  OpenIssue:
+Description does not make sense relative to name of coding system.  Must be reviewed and improved."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-MessageWaitingPriority"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="H"></code>
+     <display value="High"></display>
+     <definition value="High priority messages are available"></definition>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Low"></display>
+     <definition value="Low priority messages are available"></definition>
+    </concept>
+    <concept>
+     <code value="M"></code>
+     <display value="Medium"></display>
+     <definition value="Medium priority messages are available"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ModifyIndicator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ModifyIndicator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ModifyIndicator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.81"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ModifyIndicator"></name>
+    <title value="v3 Code System ModifyIndicator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ModifyIndicator"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="M"></code>
+     <display value="Modified subscription"></display>
+     <definition value="Modified subscription to a query server."></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="New subscription"></display>
+     <definition value="New subscription to a query server."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-NullFlavor"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-NullFlavor"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1008"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.NullFlavor"></name>
+    <title value="v3 Code System NullFlavor"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A collection of codes specifying why a valid value is not present."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="NI"></code>
+     <display value="NoInformation"></display>
+     <definition value="Description:The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value."></definition>
+     <concept>
+      <code value="INV"></code>
+      <display value="invalid"></display>
+      <definition value="Description:The value as represented in the instance is not a member of the set of permitted data values in the constrained value domain of a variable."></definition>
+      <concept>
+       <code value="DER"></code>
+       <display value="derived"></display>
+       <definition value="Description:An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expressionexpression ."></definition>
+      </concept>
+      <concept>
+       <code value="OTH"></code>
+       <display value="other"></display>
+       <definition value="Description:The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).
+
+        
+         Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors.  However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed.  For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.
+
+        With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE.  By definition, all local codes and original text are part of the value set if the coding strength is CWE."></definition>
+       <concept>
+        <code value="NINF"></code>
+        <display value="negative infinity"></display>
+        <definition value="Negative infinity of numbers."></definition>
+       </concept>
+       <concept>
+        <code value="PINF"></code>
+        <display value="positive infinity"></display>
+        <definition value="Positive infinity of numbers."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="UNC"></code>
+       <display value="un-encoded"></display>
+       <definition value="Description: The actual value has not yet been encoded within the approved value domain.
+
+        
+         Example: Original text or a local code has been specified but translation or encoding to the approved value set has not yet occurred due to limitations of the sending system.  Original text has been captured for a PQ, but not attempt has been made to split the value and unit or to encode the unit in UCUM.
+
+        
+         Usage Notes: If it is known that it is not possible to encode the concept, OTH should be used instead.  However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted.
+
+        Data type properties such as original text and translations may be present when this null flavor is included."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="MSK"></code>
+      <display value="masked"></display>
+      <definition value="There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.
+
+        Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided.  Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail."></definition>
+     </concept>
+     <concept>
+      <code value="NA"></code>
+      <display value="not applicable"></display>
+      <definition value="Known to have no proper value (e.g., last menstrual period for a male)."></definition>
+     </concept>
+     <concept>
+      <code value="UNK"></code>
+      <display value="unknown"></display>
+      <definition value="Description:A proper value is applicable, but not known.
+
+        
+         Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:
+
+        
+         Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')
+         Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)"></definition>
+      <concept>
+       <code value="ASKU"></code>
+       <display value="asked but unknown"></display>
+       <definition value="Information was sought but not found (e.g., patient was asked but didn't know)"></definition>
+       <concept>
+        <code value="NAV"></code>
+        <display value="temporarily unavailable"></display>
+        <definition value="Information is not available at this time but it is expected that it will be available later."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="NASK"></code>
+       <display value="not asked"></display>
+       <definition value="This information has not been sought (e.g., patient was not asked)"></definition>
+      </concept>
+      <concept>
+       <code value="NAVU"></code>
+       <display value="Not available"></display>
+       <definition value="Information is not available at this time (with no expectation regarding whether it will or will not be available in the future)."></definition>
+       <property>
+        <code value="child"></code>
+        <valueCode value="NAV"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="QS"></code>
+       <display value="Sufficient Quantity"></display>
+       <definition value="Description:The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor would be used to express the quantity of water."></definition>
+      </concept>
+      <concept>
+       <code value="TRC"></code>
+       <display value="trace"></display>
+       <definition value="The content is greater than zero, but too small to be quantified."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="NP"></code>
+     <display value="not present"></display>
+     <definition value="Value is not present in a message.  This is only defined in messages, never in application data!  All values not present in the message must be replaced by the applicable default, or no-information (NI) as the default of all defaults."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationCategory"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationCategory"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationCategory"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.222"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationCategory"></name>
+    <title value="v3 Code System ObservationCategory"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" High level observation categories for the general type of observation being made. URL: http://hl7-fhir.github.io/valueset-observation-category.html This is an inline code system http://hl7.org/fhir/observation-category."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationCategory"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="exam"></code>
+     <display value="Exam"></display>
+     <definition value="Observations generated by physical exam findings including direct observations made by a clinician and use of simple instruments and the result of simple maneuvers performed directly on the patient's body."></definition>
+    </concept>
+    <concept>
+     <code value="imaging"></code>
+     <display value="Imaging"></display>
+     <definition value="Observations generated by imaging. The scope includes observations, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine."></definition>
+    </concept>
+    <concept>
+     <code value="laboratory"></code>
+     <display value="Laboratory"></display>
+     <definition value="The results of observations generated by laboratories. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory."></definition>
+    </concept>
+    <concept>
+     <code value="procedure"></code>
+     <display value="Procedure"></display>
+     <definition value="Observations generated by other procedures. This category includes observations resulting from interventional and non-interventional procedures excluding lab and imaging (e.g. cardiology catheterization, endoscopy, electrodiagnostics, etc.). Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy."></definition>
+    </concept>
+    <concept>
+     <code value="social-history"></code>
+     <display value="Social History"></display>
+     <definition value="The Social History Observations define the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation."></definition>
+    </concept>
+    <concept>
+     <code value="survey"></code>
+     <display value="Survey"></display>
+     <definition value="Assessment tool/survey instrument observations (e.g. Apgar Scores, Montreal Cognitive Assessment (MoCA))"></definition>
+    </concept>
+    <concept>
+     <code value="therapy"></code>
+     <display value="Therapy"></display>
+     <definition value="Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)"></definition>
+    </concept>
+    <concept>
+     <code value="vital-signs"></code>
+     <display value="Vital Signs"></display>
+     <definition value="Clinical observations measure the body's basic functions such as such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse oximetry, temperature, and body surface area."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationInterpretation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationInterpretation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.83"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationInterpretation"></name>
+    <title value="v3 Code System ObservationInterpretation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="One or more codes providing a rough qualitative interpretation of the observation, such as &quot;normal&quot; / &quot;abnormal&quot;, &quot;low&quot; / &quot;high&quot;, &quot;better&quot; / &quot;worse&quot;, &quot;resistant&quot; /  &quot;susceptible&quot;, &quot;expected&quot; / &quot;not expected&quot;. The value set is intended to be for ANY use where coded representation of an interpretation is needed."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_GeneticObservationInterpretation"></code>
+     <display value="GeneticObservationInterpretation"></display>
+     <definition value="Codes that specify interpretation of genetic analysis, such as &quot;positive&quot;, &quot;negative&quot;, &quot;carrier&quot;, &quot;responsive&quot;, etc."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CAR"></code>
+      <display value="Carrier"></display>
+      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder."></definition>
+     </concept>
+     <concept>
+      <code value="Carrier"></code>
+      <display value="Carrier"></display>
+      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
+
+        
+         
+          Deprecation Comment: 
+         This code is currently the same string as the print name for this concept and is inconsistent with the conventions being used for the other codes in the coding system, as it is a full word with initial capitalization, rather than an all upper case mnemonic.  The recommendation from OO is to deprecate the code &quot;Carrier&quot; and to add &quot;CAR&quot; as the new active code representation for this concept."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-28"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationInterpretationChange"></code>
+     <display value="ObservationInterpretationChange"></display>
+     <definition value="Interpretations of change of quantity and/or severity. At most one of B or W and one of U or D allowed."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="B"></code>
+      <display value="Better"></display>
+      <definition value="The current result or observation value has improved compared to the previous result or observation value (the change is significant as defined in the respective test procedure).
+
+        [Note: This can be applied to quantitative or qualitative observations.]"></definition>
+     </concept>
+     <concept>
+      <code value="D"></code>
+      <display value="Significant change down"></display>
+      <definition value="The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure)."></definition>
+     </concept>
+     <concept>
+      <code value="U"></code>
+      <display value="Significant change up"></display>
+      <definition value="The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure)."></definition>
+     </concept>
+     <concept>
+      <code value="W"></code>
+      <display value="Worse"></display>
+      <definition value="The current result or observation value has degraded compared to the previous result or observation value (the change is significant as defined in the respective test procedure).
+
+        [Note: This can be applied to quantitative or qualitative observations.]"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationInterpretationExceptions"></code>
+     <display value="ObservationInterpretationExceptions"></display>
+     <definition value="Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="&lt;"></code>
+      <display value="Off scale low"></display>
+      <definition value="The result is below the minimum detection limit (the test procedure or equipment is the limiting factor).
+
+        Synonyms: Below analytical limit, low off scale."></definition>
+     </concept>
+     <concept>
+      <code value="&gt;"></code>
+      <display value="Off scale high"></display>
+      <definition value="The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor).
+
+        Synonyms: Above analytical limit, high off scale."></definition>
+     </concept>
+     <concept>
+      <code value="AC"></code>
+      <display value="Anti-complementary substances present"></display>
+      <definition value="A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample.
+
+        
+         
+          Deprecation Comment: 
+         This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-11-10"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="IE"></code>
+      <display value="Insufficient evidence"></display>
+      <definition value="There is insufficient evidence that the species in question is a good target for therapy with the drug.  A categorical interpretation is not possible.
+
+        [Note: A MIC with &quot;IE&quot; and/or a comment may be reported (without an accompanying S, I or R-categorization).]"></definition>
+     </concept>
+     <concept>
+      <code value="QCF"></code>
+      <display value="Quality control failure"></display>
+      <definition value="A result cannot be considered valid for the specified component / analyte or organism due to failure in the quality control testing component.
+
+        
+         
+          Deprecation Comment: 
+         This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-11-10"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="TOX"></code>
+      <display value="Cytotoxic substance present"></display>
+      <definition value="A valid result cannot be obtained for the specified organism or cell line due to the presence of cytotoxic substances in the sample or culture.
+
+        
+         
+          Deprecation Comment: 
+         This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2016-11-10"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationInterpretationNormality"></code>
+     <display value="ObservationInterpretationNormality"></display>
+     <definition value="Interpretation of normality or degree of abnormality (including critical or &quot;alert&quot; level). Concepts in this category are mutually exclusive, i.e., at most one is allowed."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="A"></code>
+      <display value="Abnormal"></display>
+      <definition value="The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).
+
+        [Note: Typically applies to non-numeric results.]"></definition>
+      <concept>
+       <code value="AA"></code>
+       <display value="Critical abnormal"></display>
+       <definition value="The result or observation value is outside a reference range or expected norm at a level at which immediate action should be considered for patient safety (as defined for the respective test procedure).
+
+        [Note: Typically applies to non-numeric results.  Analogous to critical/panic limits for numeric results.]"></definition>
+       <concept>
+        <code value="HH"></code>
+        <display value="Critical high"></display>
+        <definition value="The result for a quantitative observation is above a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).
+
+        Synonym: Above upper panic limits."></definition>
+       </concept>
+       <concept>
+        <code value="LL"></code>
+        <display value="Critical low"></display>
+        <definition value="The result for a quantitative observation is below a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).
+
+        Synonym: Below lower panic limits."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="H"></code>
+       <display value="High"></display>
+       <definition value="The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).
+
+        Synonym: Above high normal"></definition>
+       <concept>
+        <code value="H&gt;"></code>
+        <display value="Significantly high"></display>
+        <definition value="A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'H' and 'HH'.]
+
+        
+         Deprecation Comment: The code 'H&gt;' is being deprecated in order to align with the use of the code 'HU' for &quot;Very high&quot; in V2 Table 0078 &quot;Interpretation Codes&quot;.
+
+        [Note: The use of code 'H&gt;' is non-preferred, as this code is deprecated and on track to be retired; use code 'HU' instead."></definition>
+        <property>
+         <code value="status"></code>
+         <valueCode value="deprecated"></valueCode>
+        </property>
+        <property>
+         <code value="deprecationDate"></code>
+         <valueDateTime value="2015-03-23"></valueDateTime>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="HH"></valueCode>
+        </property>
+       </concept>
+       <concept>
+        <code value="HU"></code>
+        <display value="Significantly high"></display>
+        <definition value="A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="HH"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="L"></code>
+       <display value="Low"></display>
+       <definition value="The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).
+
+        Synonym: Below low normal"></definition>
+       <concept>
+        <code value="L&lt;"></code>
+        <display value="Significantly low"></display>
+        <definition value="A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'L' and 'LL'.]
+
+        
+         Deprecation Comment: The code 'L&lt;' is being deprecated in order to align with the use of the code 'LU' for &quot;Very low&quot; in V2 Table 0078 &quot;Interpretation Codes&quot;.
+
+        [Note: The use of code 'L&lt;' is non-preferred, as this code is deprecated and on track to be retired; use code 'LU' instead."></definition>
+        <property>
+         <code value="status"></code>
+         <valueCode value="deprecated"></valueCode>
+        </property>
+        <property>
+         <code value="deprecationDate"></code>
+         <valueDateTime value="2015-03-23"></valueDateTime>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="LL"></valueCode>
+        </property>
+       </concept>
+       <concept>
+        <code value="LU"></code>
+        <display value="Significantly low"></display>
+        <definition value="A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="LL"></valueCode>
+        </property>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="Normal"></display>
+      <definition value="The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).
+
+        [Note: Applies to numeric or non-numeric results.]"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationInterpretationSusceptibility"></code>
+     <display value="ObservationInterpretationSusceptibility"></display>
+     <definition value="Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="child"></code>
+      <valueCode value="IE"></valueCode>
+     </property>
+     <concept>
+      <code value="I"></code>
+      <display value="Intermediate"></display>
+      <definition value="Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm)
+Projects: ISO 20776-1, ISO 20776-2
+
+        [Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.]
+
+        [Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.]
+
+        [Note 3: This class also indicates a &quot;buffer zone,&quot; to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.]
+
+        [Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]"></definition>
+     </concept>
+     <concept>
+      <code value="MS"></code>
+      <display value="moderately susceptible"></display>
+      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
+
+        
+         
+          Deprecation Comment: 
+         This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012)."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-28"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="NCL"></code>
+      <display value="No CLSI defined breakpoint"></display>
+      <definition value="Use when not enough clinical trial data published by the Clinical and Laboratory Standards Institutes (CLSI) is available to establish the breakpoints for susceptible / intermediate and resistant."></definition>
+     </concept>
+     <concept>
+      <code value="NS"></code>
+      <display value="Non-susceptible"></display>
+      <definition value="A category used for isolates for which only a susceptible interpretive criterion has been designated because of the absence or rare occurrence of resistant strains. Isolates that have MICs above or zone diameters below the value indicated for the susceptible breakpoint should be reported as non-susceptible.
+
+        NOTE 1: An isolate that is interpreted as non-susceptible does not necessarily mean that the isolate has a resistance mechanism. It is possible that isolates with MICs above the susceptible breakpoint that lack resistance mechanisms may be encountered within the wild-type distribution subsequent to the time the susceptible-only breakpoint is set. 
+
+        NOTE 2: For strains yielding results in the &quot;nonsusceptible&quot; category, organism identification and antimicrobial susceptibility test results should be confirmed.
+
+        Synonym: decreased susceptibility."></definition>
+     </concept>
+     <concept>
+      <code value="R"></code>
+      <display value="Resistant"></display>
+      <definition value="Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure.
+Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm)  
+Projects: ISO 20776-1, ISO 20776-2
+
+        [Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.]
+
+        [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]"></definition>
+      <concept>
+       <code value="SYN-R"></code>
+       <display value="Synergy - resistant"></display>
+       <definition value="A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent).  This is predictive that this combination therapy will not be effective. 
+
+        
+         Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside.
+
+        
+         Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="S"></code>
+      <display value="Susceptible"></display>
+      <definition value="Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success.
+Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm)
+Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2
+
+        [Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.]
+
+        [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]"></definition>
+      <concept>
+       <code value="SDD"></code>
+       <display value="Susceptible-dose dependent"></display>
+       <definition value="A category that includes isolates with antimicrobial agent minimum inhibitory concentrations (MICs) that approach usually attainable blood and tissue levels and for which response rates may be lower than for susceptible isolates.
+
+        Reference: CLSI document M44-A2 2009 &quot;Method for antifungal disk diffusion susceptibility testing of yeasts; approved guideline - second edition&quot; - page 2."></definition>
+      </concept>
+      <concept>
+       <code value="SYN-S"></code>
+       <display value="Synergy - susceptible"></display>
+       <definition value="A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent).  This is predictive that this combination therapy will be effective. 
+
+        
+         Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside.
+
+        
+         Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="VS"></code>
+      <display value="very susceptible"></display>
+      <definition value="The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
+
+        
+         
+          Deprecation Comment: 
+         This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012)."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-28"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="EX"></code>
+     <display value="outside threshold"></display>
+     <definition value="The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.
+
+
+        Example: A positive result on a Hepatitis screening test.
+         Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L).  The only apparent significant difference is their reference to use in protocols for exclusion of study subjects.
+These concepts/codes were proposed by RCRIM for use in the CTLaboratory message.  They were submitted and approved in the November 2005 Harmonization cycle in proposal &quot;030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455&quot;.  However, this proposal was not fully implemented in the vocabulary.  The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes.
+Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response.  It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held."></definition>
+     <concept>
+      <code value="HX"></code>
+      <display value="above high threshold"></display>
+      <definition value="The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.
+
+
+        Example: A positive result on a Hepatitis screening test.
+         Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L).  The only apparent significant difference is their reference to use in protocols for exclusion of study subjects.  These concepts/codes were proposed by RCRIM for use in the CTLaboratory message.  They were submitted and approved in the November 2005 Harmonization cycle in proposal &quot;030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455&quot;. However, this proposal was not fully implemented in the vocabulary.  The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes.  Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response.  It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held."></definition>
+     </concept>
+     <concept>
+      <code value="LX"></code>
+      <display value="below low threshold"></display>
+      <definition value="The numeric observation/test result is interpreted as being below the low threshold value for a particular protocol within which the result is being reported.
+
+        Example: A Total White Blood Cell Count falling below a protocol-defined threshold value of 3000/mm^3
+         Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L).  The only apparent significant difference is their reference to use in protocols for exclusion of study subjects.  These concepts/codes were proposed by RCRIM for use in the CTLaboratory message.  They were submitted and approved in the November 2005 Harmonization cycle in proposal &quot;030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455&quot;.  However, this proposal was not fully implemented in the vocabulary.  The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes.  Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response.  It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="HM"></code>
+     <display value="Hold for Medical Review"></display>
+     <definition value="Hold for Medical Review
+
+        
+         Usage Note: This code is not intended for use in V3 artifacts.  It is included in the code system to maintain alignment with the V2 Table 0078 &quot;Interpretation Codes.&quot;"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2016-11-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ObservationInterpretationDetection"></code>
+     <display value="ObservationInterpretationDetection"></display>
+     <definition value="Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the &quot;meaning&quot; of the quantitative value for the same observation."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="IND"></code>
+      <display value="Indeterminate"></display>
+      <definition value="The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure.
+
+        
+         Usage Note: For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then &quot;indeterminate&quot; (i.e. &quot;cannot be determined&quot;) is the appropriate response, not &quot;equivocal&quot;."></definition>
+      <concept>
+       <code value="E"></code>
+       <display value="Equivocal"></display>
+       <definition value="The test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="NEG"></code>
+      <display value="Negative"></display>
+      <definition value="An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.
+
+        [Note: Negative does not necessarily imply the complete absence of the specified item.]"></definition>
+      <concept>
+       <code value="ND"></code>
+       <display value="Not detected"></display>
+       <definition value="The presence of the specified component / analyte, organism or clinical sign could not be determined within the limit of detection of the performed test or procedure."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="POS"></code>
+      <display value="Positive"></display>
+      <definition value="A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure."></definition>
+      <concept>
+       <code value="DET"></code>
+       <display value="Detected"></display>
+       <definition value="The measurement of the specified component / analyte, organism or clinical sign above the limit of detection of the performed test or procedure."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="ObservationInterpretationExpectation"></code>
+     <display value="ObservationInterpretationExpectation"></display>
+     <definition value="Interpretation of the observed result taking into account additional information (contraindicators) about the patient's situation. Concepts in this category are mutually exclusive, i.e., at most one is allowed."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="EXP"></code>
+      <display value="Expected"></display>
+      <definition value="This result has been evaluated in light of known contraindicators.  Once those contraindicators have been taken into account the result is determined to be &quot;Expected&quot;  (e.g., presence of drugs in a patient that is taking prescription medication for pain management)."></definition>
+     </concept>
+     <concept>
+      <code value="UNE"></code>
+      <display value="Unexpected"></display>
+      <definition value="This result has been evaluated in light of known contraindicators.  Once those contraindicators have been taken into account the result is determined to be &quot;Unexpected&quot; (e.g., presence of non-prescribed drugs in a patient that is taking prescription medication for pain management)."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="OBX"></code>
+     <display value="Interpretation qualifiers in separate OBX segments"></display>
+     <definition value="Interpretation qualifiers in separate OBX segments
+
+        
+         Usage Note: This code is not intended for use in V3 artifacts.  It is included in the code system to maintain alignment with the V2 Table 0078 &quot;Interpretation Codes.&quot;"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2016-11-10"></valueDateTime>
+     </property>
+    </concept>
+    <concept>
+     <code value="ReactivityObservationInterpretation"></code>
+     <display value="ReactivityObservationInterpretation"></display>
+     <definition value="Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="NR"></code>
+      <display value="Non-reactive"></display>
+      <definition value="An absence finding used to indicate that the specified component / analyte did not react measurably with the reagent."></definition>
+     </concept>
+     <concept>
+      <code value="RR"></code>
+      <display value="Reactive"></display>
+      <definition value="A presence finding used to indicate that the specified component / analyte reacted with the reagent above the reliably measurable limit of the performed test."></definition>
+      <concept>
+       <code value="WR"></code>
+       <display value="Weakly reactive"></display>
+       <definition value="A weighted presence finding used to indicate that the specified component / analyte reacted with the reagent, but below the reliably measurable limit of the performed test."></definition>
+      </concept>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationMethod"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationMethod"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationMethod"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.84"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationMethod"></name>
+    <title value="v3 Code System ObservationMethod"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code that provides additional detail about the means or technique used to ascertain the observation.  Examples:
+Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified.  Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description.  Needs to be improved."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationMethod"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_DecisionObservationMethod"></code>
+     <display value="DecisionObservationMethod"></display>
+     <definition value="Provides codes for decision methods, initially for assessing the causality of events."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ALGM"></code>
+      <display value="algorithm"></display>
+      <definition value="Reaching a decision through the application of an algorithm designed to weigh the different factors involved."></definition>
+      <concept>
+       <code value="BYCL"></code>
+       <display value="bayesian calculation"></display>
+       <definition value="Reaching a decision through the use of Bayesian statistical analysis."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="GINT"></code>
+      <display value="global introspection"></display>
+      <definition value="Reaching a decision by consideration of the totality of factors involved in order to reach a judgement."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_GeneticObservationMethod"></code>
+     <display value="GeneticObservationMethod"></display>
+     <definition value="A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="PCR"></code>
+      <display value="PCR"></display>
+      <definition value="Description: Polymerase Chain Reaction"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationMethodAggregate"></code>
+     <display value="observation method aggregate"></display>
+     <definition value="Provides additional detail about the aggregation methods used to compute the aggregated values for an observation. This is an abstract code."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AVERAGE"></code>
+      <display value="average"></display>
+      <definition value="Average of non-null values in the referenced set of values"></definition>
+     </concept>
+     <concept>
+      <code value="COUNT"></code>
+      <display value="count"></display>
+      <definition value="Count of non-null values in the referenced set of values"></definition>
+     </concept>
+     <concept>
+      <code value="MAX"></code>
+      <display value="maxima"></display>
+      <definition value="Largest of all non-null values in the referenced set of values."></definition>
+     </concept>
+     <concept>
+      <code value="MEDIAN"></code>
+      <display value="median"></display>
+      <definition value="The median of all non-null values in the referenced set of values."></definition>
+     </concept>
+     <concept>
+      <code value="MIN"></code>
+      <display value="minima"></display>
+      <definition value="Smallest of all non-null values in the referenced set of values."></definition>
+     </concept>
+     <concept>
+      <code value="MODE"></code>
+      <display value="mode"></display>
+      <definition value="The most common value of all non-null values in the referenced set of values."></definition>
+     </concept>
+     <concept>
+      <code value="STDEV.P"></code>
+      <display value="population standard deviation"></display>
+      <definition value="Standard Deviation of the values in the referenced set of values, computed over the population."></definition>
+     </concept>
+     <concept>
+      <code value="STDEV.S"></code>
+      <display value="sample standard deviation"></display>
+      <definition value="Standard Deviation of the values in the referenced set of values, computed over a sample of the population."></definition>
+     </concept>
+     <concept>
+      <code value="SUM"></code>
+      <display value="sum"></display>
+      <definition value="Sum of non-null values in the referenced set of values"></definition>
+     </concept>
+     <concept>
+      <code value="VARIANCE.P"></code>
+      <display value="population variance"></display>
+      <definition value="Variance of the values in the referenced set of values, computed over the population."></definition>
+     </concept>
+     <concept>
+      <code value="VARIANCE.S"></code>
+      <display value="sample variance"></display>
+      <definition value="Variance of the values in the referenced set of values, computed over a sample of the population."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_VerificationMethod"></code>
+     <display value="VerificationMethod"></display>
+     <definition value="VerificationMethod"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="VDOC"></code>
+      <display value="document verification"></display>
+      <definition value="Verification by means of document.
+
+        
+         Example: Fax, letter, attachment to e-mail."></definition>
+     </concept>
+     <concept>
+      <code value="VREG"></code>
+      <display value="registry verification"></display>
+      <definition value="verification by means of  a response to an electronic query
+
+        
+         Example: query message to a Covered Party registry application or Coverage Administrator."></definition>
+     </concept>
+     <concept>
+      <code value="VTOKEN"></code>
+      <display value="electronic token verification"></display>
+      <definition value="Verification by means of electronic token.
+
+        
+         Example: smartcard, magnetic swipe card, RFID device."></definition>
+     </concept>
+     <concept>
+      <code value="VVOICE"></code>
+      <display value="voice-based verification"></display>
+      <definition value="Verification by means of voice.
+
+        
+         Example: By speaking with or calling the Coverage Administrator or Covered Party"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="0001"></code>
+     <display value="Complement fixation"></display>
+     <definition value="Complement fixation"></definition>
+    </concept>
+    <concept>
+     <code value="0002"></code>
+     <display value="Computed axial tomography"></display>
+     <definition value="Computed axial tomography"></definition>
+    </concept>
+    <concept>
+     <code value="0003"></code>
+     <display value="HLAR agar test"></display>
+     <definition value="Susceptibility, High Level Aminoglycoside Resistance agar test"></definition>
+    </concept>
+    <concept>
+     <code value="0004"></code>
+     <display value="Macroscopic observation"></display>
+     <definition value="Visual, Macroscopic observation"></definition>
+    </concept>
+    <concept>
+     <code value="0005"></code>
+     <display value="Magnetic resonance"></display>
+     <definition value="Computed, Magnetic resonance"></definition>
+    </concept>
+    <concept>
+     <code value="0006"></code>
+     <display value="Morphometry"></display>
+     <definition value="Computed, Morphometry"></definition>
+    </concept>
+    <concept>
+     <code value="0007"></code>
+     <display value="Positron emission tomography"></display>
+     <definition value="Computed, Positron emission tomography"></definition>
+    </concept>
+    <concept>
+     <code value="0008"></code>
+     <display value="SAMHSA confirmation"></display>
+     <definition value="SAMHSA drug assay confirmation"></definition>
+    </concept>
+    <concept>
+     <code value="0009"></code>
+     <display value="SAMHSA screening"></display>
+     <definition value="SAMHSA drug assay screening"></definition>
+    </concept>
+    <concept>
+     <code value="0010"></code>
+     <display value="Serum Neutralization"></display>
+     <definition value="Serum Neutralization"></definition>
+    </concept>
+    <concept>
+     <code value="0011"></code>
+     <display value="Titration"></display>
+     <definition value="Titration"></definition>
+    </concept>
+    <concept>
+     <code value="0012"></code>
+     <display value="Ultrasound"></display>
+     <definition value="Ultrasound"></definition>
+    </concept>
+    <concept>
+     <code value="0013"></code>
+     <display value="X-ray crystallography"></display>
+     <definition value="X-ray crystallography"></definition>
+    </concept>
+    <concept>
+     <code value="0014"></code>
+     <display value="Agglutination"></display>
+     <definition value="Agglutination"></definition>
+    </concept>
+    <concept>
+     <code value="0015"></code>
+     <display value="Buffered acidified plate agglutination"></display>
+     <definition value="Agglutination, Buffered acidified plate"></definition>
+    </concept>
+    <concept>
+     <code value="0016"></code>
+     <display value="Card agglutination"></display>
+     <definition value="Agglutination, Card"></definition>
+    </concept>
+    <concept>
+     <code value="0017"></code>
+     <display value="Hemagglutination"></display>
+     <definition value="Agglutination, Hemagglutination"></definition>
+    </concept>
+    <concept>
+     <code value="0018"></code>
+     <display value="Hemagglutination inhibition"></display>
+     <definition value="Agglutination, Hemagglutination inhibition"></definition>
+    </concept>
+    <concept>
+     <code value="0019"></code>
+     <display value="Latex agglutination"></display>
+     <definition value="Agglutination, Latex"></definition>
+    </concept>
+    <concept>
+     <code value="0020"></code>
+     <display value="Plate agglutination"></display>
+     <definition value="Agglutination, Plate"></definition>
+    </concept>
+    <concept>
+     <code value="0021"></code>
+     <display value="Rapid agglutination"></display>
+     <definition value="Agglutination, Rapid Plate"></definition>
+    </concept>
+    <concept>
+     <code value="0022"></code>
+     <display value="RBC agglutination"></display>
+     <definition value="Agglutination, RBC"></definition>
+    </concept>
+    <concept>
+     <code value="0023"></code>
+     <display value="Rivanol agglutination"></display>
+     <definition value="Agglutination, Rivanol"></definition>
+    </concept>
+    <concept>
+     <code value="0024"></code>
+     <display value="Tube agglutination"></display>
+     <definition value="Agglutination, Tube"></definition>
+    </concept>
+    <concept>
+     <code value="0025"></code>
+     <display value="Bioassay"></display>
+     <definition value="Bioassay"></definition>
+    </concept>
+    <concept>
+     <code value="0026"></code>
+     <display value="Animal Inoculation"></display>
+     <definition value="Bioassay, Animal Inoculation"></definition>
+    </concept>
+    <concept>
+     <code value="0027"></code>
+     <display value="Cytotoxicity"></display>
+     <definition value="Bioassay, Cytotoxicity"></definition>
+    </concept>
+    <concept>
+     <code value="0028"></code>
+     <display value="Embryo infective dose 50"></display>
+     <definition value="Bioassay, Embryo Infective Dose 50"></definition>
+    </concept>
+    <concept>
+     <code value="0029"></code>
+     <display value="Embryo lethal dose 50"></display>
+     <definition value="Bioassay, Embryo Lethal Dose 50"></definition>
+    </concept>
+    <concept>
+     <code value="0030"></code>
+     <display value="Mouse intercerebral inoculation"></display>
+     <definition value="Bioassay, Mouse intercerebral inoculation"></definition>
+    </concept>
+    <concept>
+     <code value="0031"></code>
+     <display value="Bioassay, qualitative"></display>
+     <definition value="Bioassay, qualitative"></definition>
+    </concept>
+    <concept>
+     <code value="0032"></code>
+     <display value="Bioassay, quantitative"></display>
+     <definition value="Bioassay, quantitative"></definition>
+    </concept>
+    <concept>
+     <code value="0033"></code>
+     <display value="Chemical method"></display>
+     <definition value="Chemical"></definition>
+    </concept>
+    <concept>
+     <code value="0034"></code>
+     <display value="Differential light absorption chemical test"></display>
+     <definition value="Chemical, Differential light absorption"></definition>
+    </concept>
+    <concept>
+     <code value="0035"></code>
+     <display value="Dipstick"></display>
+     <definition value="Chemical, Dipstick"></definition>
+    </concept>
+    <concept>
+     <code value="0036"></code>
+     <display value="Dipstick colorimetric laboratory test"></display>
+     <definition value="Chemical, Dipstick colorimetric laboratory test"></definition>
+    </concept>
+    <concept>
+     <code value="0037"></code>
+     <display value="Test strip"></display>
+     <definition value="Chemical, Test strip"></definition>
+    </concept>
+    <concept>
+     <code value="0038"></code>
+     <display value="Chromatography"></display>
+     <definition value="Chromatography"></definition>
+    </concept>
+    <concept>
+     <code value="0039"></code>
+     <display value="Affinity chromatography"></display>
+     <definition value="Chromatography, Affinity"></definition>
+    </concept>
+    <concept>
+     <code value="0040"></code>
+     <display value="Gas liquid chromatography"></display>
+     <definition value="Chromatography, Gas liquid"></definition>
+    </concept>
+    <concept>
+     <code value="0041"></code>
+     <display value="High performance liquid chromatography"></display>
+     <definition value="Chromatography, High performance liquid"></definition>
+    </concept>
+    <concept>
+     <code value="0042"></code>
+     <display value="Liquid Chromatography"></display>
+     <definition value="Chromatography, Liquid"></definition>
+    </concept>
+    <concept>
+     <code value="0043"></code>
+     <display value="Protein A affinity chromatography"></display>
+     <definition value="Chromatography, Protein A affinity"></definition>
+    </concept>
+    <concept>
+     <code value="0044"></code>
+     <display value="Coagulation"></display>
+     <definition value="Coagulation"></definition>
+    </concept>
+    <concept>
+     <code value="0045"></code>
+     <display value="Tilt tube coagulation time"></display>
+     <definition value="Coagulation, Tilt tube"></definition>
+    </concept>
+    <concept>
+     <code value="0046"></code>
+     <display value="Tilt tube reptilase induced coagulation"></display>
+     <definition value="Coagulation, Tilt tube reptilase induced"></definition>
+    </concept>
+    <concept>
+     <code value="0047"></code>
+     <display value="Automated count"></display>
+     <definition value="Count, Automated"></definition>
+    </concept>
+    <concept>
+     <code value="0048"></code>
+     <display value="Manual cell count"></display>
+     <definition value="Count, Manual"></definition>
+    </concept>
+    <concept>
+     <code value="0049"></code>
+     <display value="Platelet count, Rees-Ecker"></display>
+     <definition value="Count, Platelet, Rees-Ecker"></definition>
+    </concept>
+    <concept>
+     <code value="0050"></code>
+     <display value="Aerobic Culture"></display>
+     <definition value="Culture, Aerobic"></definition>
+    </concept>
+    <concept>
+     <code value="0051"></code>
+     <display value="Anaerobic Culture"></display>
+     <definition value="Culture, Anaerobic"></definition>
+    </concept>
+    <concept>
+     <code value="0052"></code>
+     <display value="Chicken embryo culture"></display>
+     <definition value="Culture, Chicken Embryo"></definition>
+    </concept>
+    <concept>
+     <code value="0053"></code>
+     <display value="Delayed secondary enrichment"></display>
+     <definition value="Culture, Delayed secondary enrichment"></definition>
+    </concept>
+    <concept>
+     <code value="0054"></code>
+     <display value="Microaerophilic Culture"></display>
+     <definition value="Culture, Microaerophilic"></definition>
+    </concept>
+    <concept>
+     <code value="0055"></code>
+     <display value="Quantitative microbial culture, cup"></display>
+     <definition value="Culture, Quantitative microbial, cup"></definition>
+    </concept>
+    <concept>
+     <code value="0056"></code>
+     <display value="Quantitative microbial culture, droplet"></display>
+     <definition value="Culture, Quantitative microbial, droplet"></definition>
+    </concept>
+    <concept>
+     <code value="0057"></code>
+     <display value="Quantitative microbial culture, filter paper"></display>
+     <definition value="Culture, Quantitative microbial, filter paper"></definition>
+    </concept>
+    <concept>
+     <code value="0058"></code>
+     <display value="Quantitative microbial culture, pad culture"></display>
+     <definition value="Culture, Quantitative microbial, pad"></definition>
+    </concept>
+    <concept>
+     <code value="0059"></code>
+     <display value="Quantitative microbial culture, pour plate"></display>
+     <definition value="Culture, Quantitative microbial, pour plate"></definition>
+    </concept>
+    <concept>
+     <code value="0060"></code>
+     <display value="Quantitative microbial culture, surface streak"></display>
+     <definition value="Culture, Quantitative microbial, surface streak"></definition>
+    </concept>
+    <concept>
+     <code value="0061"></code>
+     <display value="Somatic Cell culture"></display>
+     <definition value="Culture, Somatic Cell"></definition>
+    </concept>
+    <concept>
+     <code value="0062"></code>
+     <display value="Agar diffusion"></display>
+     <definition value="Diffusion, Agar"></definition>
+    </concept>
+    <concept>
+     <code value="0063"></code>
+     <display value="Agar Gel Immunodiffusion"></display>
+     <definition value="Diffusion, Agar Gel Immunodiffusion"></definition>
+    </concept>
+    <concept>
+     <code value="0064"></code>
+     <display value="Electrophoresis"></display>
+     <definition value="Electrophoresis"></definition>
+    </concept>
+    <concept>
+     <code value="0065"></code>
+     <display value="Agaorse gel electrophoresis"></display>
+     <definition value="Electrophoresis, Agaorse gel"></definition>
+    </concept>
+    <concept>
+     <code value="0066"></code>
+     <display value="Electrophoresis, citrate agar"></display>
+     <definition value="Electrophoresis, citrate agar"></definition>
+    </concept>
+    <concept>
+     <code value="0067"></code>
+     <display value="Immunoelectrophoresis"></display>
+     <definition value="Electrophoresis, Immuno"></definition>
+    </concept>
+    <concept>
+     <code value="0068"></code>
+     <display value="Polyacrylamide gel electrophoresis"></display>
+     <definition value="Electrophoresis, Polyacrylamide gel"></definition>
+    </concept>
+    <concept>
+     <code value="0069"></code>
+     <display value="Starch gel electrophoresis"></display>
+     <definition value="Electrophoresis, Starch gel"></definition>
+    </concept>
+    <concept>
+     <code value="0070"></code>
+     <display value="ELISA"></display>
+     <definition value="ELISA"></definition>
+    </concept>
+    <concept>
+     <code value="0071"></code>
+     <display value="ELISA, antigen capture"></display>
+     <definition value="ELISA, antigen capture"></definition>
+    </concept>
+    <concept>
+     <code value="0072"></code>
+     <display value="ELISA, avidin biotin peroxidase complex"></display>
+     <definition value="ELISA, avidin biotin peroxidase complex"></definition>
+    </concept>
+    <concept>
+     <code value="0073"></code>
+     <display value="Kinetic ELISA"></display>
+     <definition value="ELISA, Kinetic"></definition>
+    </concept>
+    <concept>
+     <code value="0074"></code>
+     <display value="ELISA, peroxidase-antiperoxidase"></display>
+     <definition value="ELISA, peroxidase-antiperoxidase"></definition>
+    </concept>
+    <concept>
+     <code value="0075"></code>
+     <display value="API 20 Strep"></display>
+     <definition value="Identification, API 20 Strep"></definition>
+    </concept>
+    <concept>
+     <code value="0076"></code>
+     <display value="API 20A"></display>
+     <definition value="Identification, API 20A"></definition>
+    </concept>
+    <concept>
+     <code value="0077"></code>
+     <display value="API 20C AUX"></display>
+     <definition value="Identification, API 20C AUX"></definition>
+    </concept>
+    <concept>
+     <code value="0078"></code>
+     <display value="API 20E"></display>
+     <definition value="Identification, API 20E"></definition>
+    </concept>
+    <concept>
+     <code value="0079"></code>
+     <display value="API 20NE"></display>
+     <definition value="Identification, API 20NE"></definition>
+    </concept>
+    <concept>
+     <code value="0080"></code>
+     <display value="API 50 CH"></display>
+     <definition value="Identification, API 50 CH"></definition>
+    </concept>
+    <concept>
+     <code value="0081"></code>
+     <display value="API An-IDENT"></display>
+     <definition value="Identification, API An-IDENT"></definition>
+    </concept>
+    <concept>
+     <code value="0082"></code>
+     <display value="API Coryne"></display>
+     <definition value="Identification, API Coryne"></definition>
+    </concept>
+    <concept>
+     <code value="0083"></code>
+     <display value="API Rapid 20E"></display>
+     <definition value="Identification, API Rapid 20E"></definition>
+    </concept>
+    <concept>
+     <code value="0084"></code>
+     <display value="API Staph"></display>
+     <definition value="Identification, API Staph"></definition>
+    </concept>
+    <concept>
+     <code value="0085"></code>
+     <display value="API ZYM"></display>
+     <definition value="Identification, API ZYM"></definition>
+    </concept>
+    <concept>
+     <code value="0086"></code>
+     <display value="Bacterial identification"></display>
+     <definition value="Identification, Bacterial"></definition>
+    </concept>
+    <concept>
+     <code value="0087"></code>
+     <display value="mini VIDAS"></display>
+     <definition value="Identification, mini VIDAS"></definition>
+    </concept>
+    <concept>
+     <code value="0088"></code>
+     <display value="Phage susceptibility typing"></display>
+     <definition value="Identification, Phage susceptibility typing"></definition>
+    </concept>
+    <concept>
+     <code value="0089"></code>
+     <display value="Quad-FERM+"></display>
+     <definition value="Identification, Quad-FERM+"></definition>
+    </concept>
+    <concept>
+     <code value="0090"></code>
+     <display value="RAPIDEC Staph"></display>
+     <definition value="Identification, RAPIDEC Staph"></definition>
+    </concept>
+    <concept>
+     <code value="0091"></code>
+     <display value="Staphaurex"></display>
+     <definition value="Identification, Staphaurex"></definition>
+    </concept>
+    <concept>
+     <code value="0092"></code>
+     <display value="VIDAS"></display>
+     <definition value="Identification, VIDAS"></definition>
+    </concept>
+    <concept>
+     <code value="0093"></code>
+     <display value="Vitek"></display>
+     <definition value="Identification, Vitek"></definition>
+    </concept>
+    <concept>
+     <code value="0094"></code>
+     <display value="VITEK 2"></display>
+     <definition value="Identification, VITEK 2"></definition>
+    </concept>
+    <concept>
+     <code value="0095"></code>
+     <display value="Immune stain"></display>
+     <definition value="Immune stain"></definition>
+    </concept>
+    <concept>
+     <code value="0096"></code>
+     <display value="Immunofluorescent antibody, direct"></display>
+     <definition value="Immune stain, Immunofluorescent antibody, direct"></definition>
+    </concept>
+    <concept>
+     <code value="0097"></code>
+     <display value="Immunofluorescent antibody, indirect"></display>
+     <definition value="Immune stain, Immunofluorescent antibody, indirect"></definition>
+    </concept>
+    <concept>
+     <code value="0098"></code>
+     <display value="Immunoperoxidase, Avidin-Biotin Complex"></display>
+     <definition value="Immune stain, Immunoperoxidase, Avidin-Biotin Complex"></definition>
+    </concept>
+    <concept>
+     <code value="0099"></code>
+     <display value="Immunoperoxidase, Peroxidase anti-peroxidase complex"></display>
+     <definition value="Immune stain, Immunoperoxidase, Peroxidase anti-peroxidase complex"></definition>
+    </concept>
+    <concept>
+     <code value="0100"></code>
+     <display value="Immunoperoxidase, Protein A-peroxidase complex"></display>
+     <definition value="Immune stain, Immunoperoxidase, Protein A-peroxidase complex"></definition>
+    </concept>
+    <concept>
+     <code value="0101"></code>
+     <display value="Immunoassay"></display>
+     <definition value="Immunoassay"></definition>
+    </concept>
+    <concept>
+     <code value="0102"></code>
+     <display value="Immunoassay, qualitative, multiple step"></display>
+     <definition value="Immunoassay, qualitative, multiple step"></definition>
+    </concept>
+    <concept>
+     <code value="0103"></code>
+     <display value="Immunoassay, qualitative, single step"></display>
+     <definition value="Immunoassay, qualitative, single step"></definition>
+    </concept>
+    <concept>
+     <code value="0104"></code>
+     <display value="Radioimmunoassay"></display>
+     <definition value="Immunoassay, Radioimmunoassay"></definition>
+    </concept>
+    <concept>
+     <code value="0105"></code>
+     <display value="Immunoassay, semi-quantitative, multiple step"></display>
+     <definition value="Immunoassay, semi-quantitative, multiple step"></definition>
+    </concept>
+    <concept>
+     <code value="0106"></code>
+     <display value="Immunoassay, semi-quantitative, single step"></display>
+     <definition value="Immunoassay, semi-quantitative, single step"></definition>
+    </concept>
+    <concept>
+     <code value="0107"></code>
+     <display value="Microscopy"></display>
+     <definition value="Microscopy"></definition>
+    </concept>
+    <concept>
+     <code value="0108"></code>
+     <display value="Darkfield microscopy"></display>
+     <definition value="Microscopy, Darkfield"></definition>
+    </concept>
+    <concept>
+     <code value="0109"></code>
+     <display value="Electron microscopy"></display>
+     <definition value="Microscopy, Electron"></definition>
+    </concept>
+    <concept>
+     <code value="0110"></code>
+     <display value="Electron microscopy tomography"></display>
+     <definition value="Microscopy, Electron microscopy tomography"></definition>
+    </concept>
+    <concept>
+     <code value="0111"></code>
+     <display value="Electron microscopy, negative stain"></display>
+     <definition value="Microscopy, Electron, negative stain"></definition>
+    </concept>
+    <concept>
+     <code value="0112"></code>
+     <display value="Electron microscopy, thick section"></display>
+     <definition value="Microscopy, Electron, thick section transmission"></definition>
+    </concept>
+    <concept>
+     <code value="0113"></code>
+     <display value="Electron microscopy, thin section"></display>
+     <definition value="Microscopy, Electron, thin section transmission"></definition>
+    </concept>
+    <concept>
+     <code value="0114"></code>
+     <display value="Microscopy, Light"></display>
+     <definition value="Microscopy, Light"></definition>
+    </concept>
+    <concept>
+     <code value="0115"></code>
+     <display value="Polarizing light microscopy"></display>
+     <definition value="Microscopy, Polarized light"></definition>
+    </concept>
+    <concept>
+     <code value="0116"></code>
+     <display value="Scanning electron microscopy"></display>
+     <definition value="Microscopy, Scanning electron"></definition>
+    </concept>
+    <concept>
+     <code value="0117"></code>
+     <display value="Transmission electron microscopy"></display>
+     <definition value="Microscopy, Transmission electron"></definition>
+    </concept>
+    <concept>
+     <code value="0118"></code>
+     <display value="Transparent tape direct examination"></display>
+     <definition value="Microscopy, Transparent tape direct examination"></definition>
+    </concept>
+    <concept>
+     <code value="0119"></code>
+     <display value="3 Self-Sustaining Sequence Replication"></display>
+     <definition value="Molecular, 3 Self-Sustaining Sequence Replication"></definition>
+    </concept>
+    <concept>
+     <code value="0120"></code>
+     <display value="Branched Chain DNA"></display>
+     <definition value="Molecular, Branched Chain DNA"></definition>
+    </concept>
+    <concept>
+     <code value="0121"></code>
+     <display value="Hybridization Protection Assay"></display>
+     <definition value="Molecular, Hybridization Protection Assay"></definition>
+    </concept>
+    <concept>
+     <code value="0122"></code>
+     <display value="Immune blot"></display>
+     <definition value="Molecular, Immune blot"></definition>
+    </concept>
+    <concept>
+     <code value="0123"></code>
+     <display value="In-situ hybridization"></display>
+     <definition value="Molecular, In-situ hybridization"></definition>
+    </concept>
+    <concept>
+     <code value="0124"></code>
+     <display value="Ligase Chain Reaction"></display>
+     <definition value="Molecular, Ligase Chain Reaction"></definition>
+    </concept>
+    <concept>
+     <code value="0125"></code>
+     <display value="Ligation Activated Transcription"></display>
+     <definition value="Molecular, Ligation Activated Transcription"></definition>
+    </concept>
+    <concept>
+     <code value="0126"></code>
+     <display value="Nucleic Acid Probe"></display>
+     <definition value="Molecular, Nucleic Acid Probe"></definition>
+    </concept>
+    <concept>
+     <code value="0128"></code>
+     <display value="Nucleic acid probe with amplification"></display>
+     <definition value="Molecular, Nucleic acid probe with amplification
+
+        
+
+        Rationale: Duplicate of code 0126. Use code 0126 instead."></definition>
+    </concept>
+    <concept>
+     <code value="0129"></code>
+     <display value="Nucleic acid probe with target amplification"></display>
+     <definition value="Molecular, Nucleic acid probe with target amplification"></definition>
+    </concept>
+    <concept>
+     <code value="0130"></code>
+     <display value="Nucleic acid reverse transcription"></display>
+     <definition value="Molecular, Nucleic acid reverse transcription"></definition>
+    </concept>
+    <concept>
+     <code value="0131"></code>
+     <display value="Nucleic Acid Sequence Based Analysis"></display>
+     <definition value="Molecular, Nucleic Acid Sequence Based Analysis"></definition>
+    </concept>
+    <concept>
+     <code value="0132"></code>
+     <display value="Polymerase chain reaction"></display>
+     <definition value="Molecular, Polymerase chain reaction"></definition>
+    </concept>
+    <concept>
+     <code value="0133"></code>
+     <display value="Q-Beta Replicase or probe amplification category method"></display>
+     <definition value="Molecular, Q-Beta Replicase or probe amplification category method"></definition>
+    </concept>
+    <concept>
+     <code value="0134"></code>
+     <display value="Restriction Fragment Length Polymorphism"></display>
+     <definition value="Molecular, Restriction Fragment Length Polymorphism"></definition>
+    </concept>
+    <concept>
+     <code value="0135"></code>
+     <display value="Southern Blot"></display>
+     <definition value="Molecular, Southern Blot"></definition>
+    </concept>
+    <concept>
+     <code value="0136"></code>
+     <display value="Strand Displacement Amplification"></display>
+     <definition value="Molecular, Strand Displacement Amplification"></definition>
+    </concept>
+    <concept>
+     <code value="0137"></code>
+     <display value="Transcription Mediated Amplification"></display>
+     <definition value="Molecular, Transcription Mediated Amplification"></definition>
+    </concept>
+    <concept>
+     <code value="0138"></code>
+     <display value="Western Blot"></display>
+     <definition value="Molecular, Western Blot"></definition>
+    </concept>
+    <concept>
+     <code value="0139"></code>
+     <display value="Flocculation"></display>
+     <definition value="Precipitation, Flocculation"></definition>
+    </concept>
+    <concept>
+     <code value="0140"></code>
+     <display value="Immune precipitation"></display>
+     <definition value="Precipitation, Immune precipitation"></definition>
+    </concept>
+    <concept>
+     <code value="0141"></code>
+     <display value="Milk ring test"></display>
+     <definition value="Precipitation, Milk ring test"></definition>
+    </concept>
+    <concept>
+     <code value="0142"></code>
+     <display value="Precipitin"></display>
+     <definition value="Precipitation, Precipitin"></definition>
+    </concept>
+    <concept>
+     <code value="0143"></code>
+     <display value="Acid fast stain"></display>
+     <definition value="Stain, Acid fast"></definition>
+    </concept>
+    <concept>
+     <code value="0144"></code>
+     <display value="Acid fast stain, fluorochrome"></display>
+     <definition value="Stain, Acid fast, fluorochrome"></definition>
+    </concept>
+    <concept>
+     <code value="0145"></code>
+     <display value="Acid fast stain, Kinyoun's cold carbolfuchsin"></display>
+     <definition value="Stain, Acid fast, Kinyoun's cold carbolfuchsin"></definition>
+    </concept>
+    <concept>
+     <code value="0146"></code>
+     <display value="Acid fast stain, Ziehl-Neelsen"></display>
+     <definition value="Stain, Acid fast, Ziehl-Neelsen"></definition>
+    </concept>
+    <concept>
+     <code value="0147"></code>
+     <display value="Acid phosphatase stain"></display>
+     <definition value="Stain, Acid phosphatase"></definition>
+    </concept>
+    <concept>
+     <code value="0148"></code>
+     <display value="Acridine orange stain"></display>
+     <definition value="Stain, Acridine orange"></definition>
+    </concept>
+    <concept>
+     <code value="0149"></code>
+     <display value="Active brilliant orange KH stain"></display>
+     <definition value="Stain, Active brilliant orange KH"></definition>
+    </concept>
+    <concept>
+     <code value="0150"></code>
+     <display value="Alazarin red S stain"></display>
+     <definition value="Stain, Alazarin red S"></definition>
+    </concept>
+    <concept>
+     <code value="0151"></code>
+     <display value="Alcian blue stain"></display>
+     <definition value="Stain, Alcian blue"></definition>
+    </concept>
+    <concept>
+     <code value="0152"></code>
+     <display value="Alcian blue with Periodic acid Schiff stain"></display>
+     <definition value="Stain, Alcian blue with Periodic acid Schiff"></definition>
+    </concept>
+    <concept>
+     <code value="0153"></code>
+     <display value="Argentaffin stain"></display>
+     <definition value="Stain, Argentaffin"></definition>
+    </concept>
+    <concept>
+     <code value="0154"></code>
+     <display value="Argentaffin silver stain"></display>
+     <definition value="Stain, Argentaffin silver"></definition>
+    </concept>
+    <concept>
+     <code value="0155"></code>
+     <display value="Azure-eosin stain"></display>
+     <definition value="Stain, Azure-eosin"></definition>
+    </concept>
+    <concept>
+     <code value="0156"></code>
+     <display value="Basic Fuschin stain"></display>
+     <definition value="Stain, Basic Fuschin"></definition>
+    </concept>
+    <concept>
+     <code value="0157"></code>
+     <display value="Bennhold stain"></display>
+     <definition value="Stain, Bennhold"></definition>
+    </concept>
+    <concept>
+     <code value="0158"></code>
+     <display value="Bennhold's Congo red stain"></display>
+     <definition value="Stain, Bennhold's Congo red"></definition>
+    </concept>
+    <concept>
+     <code value="0159"></code>
+     <display value="Bielschowsky stain"></display>
+     <definition value="Stain, Bielschowsky"></definition>
+    </concept>
+    <concept>
+     <code value="0160"></code>
+     <display value="Bielschowsky's silver stain"></display>
+     <definition value="Stain, Bielschowsky's silver"></definition>
+    </concept>
+    <concept>
+     <code value="0161"></code>
+     <display value="Bleach stain"></display>
+     <definition value="Stain, Bleach"></definition>
+    </concept>
+    <concept>
+     <code value="0162"></code>
+     <display value="Bodian stain"></display>
+     <definition value="Stain, Bodian"></definition>
+    </concept>
+    <concept>
+     <code value="0163"></code>
+     <display value="Brown-Brenn stain"></display>
+     <definition value="Stain, Brown-Brenn"></definition>
+    </concept>
+    <concept>
+     <code value="0164"></code>
+     <display value="Butyrate-esterase stain"></display>
+     <definition value="Stain, Butyrate-esterase"></definition>
+    </concept>
+    <concept>
+     <code value="0165"></code>
+     <display value="Calcofluor white fluorescent stain"></display>
+     <definition value="Stain, Calcofluor white fluorescent"></definition>
+    </concept>
+    <concept>
+     <code value="0166"></code>
+     <display value="Carbol-fuchsin stain"></display>
+     <definition value="Stain, Carbol-fuchsin"></definition>
+    </concept>
+    <concept>
+     <code value="0167"></code>
+     <display value="Carmine stain"></display>
+     <definition value="Stain, Carmine"></definition>
+    </concept>
+    <concept>
+     <code value="0168"></code>
+     <display value="Churukian-Schenk stain"></display>
+     <definition value="Stain, Churukian-Schenk"></definition>
+    </concept>
+    <concept>
+     <code value="0169"></code>
+     <display value="Congo red stain"></display>
+     <definition value="Stain, Congo red"></definition>
+    </concept>
+    <concept>
+     <code value="0170"></code>
+     <display value="Cresyl echt violet stain"></display>
+     <definition value="Stain, Cresyl echt violet"></definition>
+    </concept>
+    <concept>
+     <code value="0171"></code>
+     <display value="Crystal violet stain"></display>
+     <definition value="Stain, Crystal violet"></definition>
+    </concept>
+    <concept>
+     <code value="0172"></code>
+     <display value="De Galantha stain"></display>
+     <definition value="Stain, De Galantha"></definition>
+    </concept>
+    <concept>
+     <code value="0173"></code>
+     <display value="Dieterle silver impregnation stain"></display>
+     <definition value="Stain, Dieterle silver impregnation"></definition>
+    </concept>
+    <concept>
+     <code value="0174"></code>
+     <display value="Fite-Farco stain"></display>
+     <definition value="Stain, Fite-Farco"></definition>
+    </concept>
+    <concept>
+     <code value="0175"></code>
+     <display value="Fontana-Masson silver stain"></display>
+     <definition value="Stain, Fontana-Masson silver"></definition>
+    </concept>
+    <concept>
+     <code value="0176"></code>
+     <display value="Fouchet stain"></display>
+     <definition value="Stain, Fouchet"></definition>
+    </concept>
+    <concept>
+     <code value="0177"></code>
+     <display value="Gomori stain"></display>
+     <definition value="Stain, Gomori"></definition>
+    </concept>
+    <concept>
+     <code value="0178"></code>
+     <display value="Gomori methenamine silver stain"></display>
+     <definition value="Stain, Gomori methenamine silver"></definition>
+    </concept>
+    <concept>
+     <code value="0179"></code>
+     <display value="Gomori-Wheatly trichrome stain"></display>
+     <definition value="Stain, Gomori-Wheatly trichrome"></definition>
+    </concept>
+    <concept>
+     <code value="0180"></code>
+     <display value="Gridley stain"></display>
+     <definition value="Stain, Gridley"></definition>
+    </concept>
+    <concept>
+     <code value="0181"></code>
+     <display value="Grimelius silver stain"></display>
+     <definition value="Stain, Grimelius silver"></definition>
+    </concept>
+    <concept>
+     <code value="0182"></code>
+     <display value="Grocott stain"></display>
+     <definition value="Stain, Grocott"></definition>
+    </concept>
+    <concept>
+     <code value="0183"></code>
+     <display value="Grocott methenamine silver stain"></display>
+     <definition value="Stain, Grocott methenamine silver"></definition>
+    </concept>
+    <concept>
+     <code value="0184"></code>
+     <display value="Hale's colloidal ferric oxide stain"></display>
+     <definition value="Stain, Hale's colloidal ferric oxide"></definition>
+    </concept>
+    <concept>
+     <code value="0185"></code>
+     <display value="Hale's colloidal iron stain"></display>
+     <definition value="Stain, Hale's colloidal iron"></definition>
+    </concept>
+    <concept>
+     <code value="0186"></code>
+     <display value="Hansel stain"></display>
+     <definition value="Stain, Hansel"></definition>
+    </concept>
+    <concept>
+     <code value="0187"></code>
+     <display value="Harris regressive hematoxylin and eosin stain"></display>
+     <definition value="Stain, Harris regressive hematoxylin and eosin"></definition>
+    </concept>
+    <concept>
+     <code value="0188"></code>
+     <display value="Hematoxylin and eosin stain"></display>
+     <definition value="Stain, Hematoxylin and eosin"></definition>
+    </concept>
+    <concept>
+     <code value="0189"></code>
+     <display value="Highman stain"></display>
+     <definition value="Stain, Highman"></definition>
+    </concept>
+    <concept>
+     <code value="0190"></code>
+     <display value="Holzer stain"></display>
+     <definition value="Stain, Holzer"></definition>
+    </concept>
+    <concept>
+     <code value="0191"></code>
+     <display value="Iron hematoxylin stain"></display>
+     <definition value="Stain, Iron hematoxylin"></definition>
+    </concept>
+    <concept>
+     <code value="0192"></code>
+     <display value="Jones stain"></display>
+     <definition value="Stain, Jones"></definition>
+    </concept>
+    <concept>
+     <code value="0193"></code>
+     <display value="Jones methenamine silver stain"></display>
+     <definition value="Stain, Jones methenamine silver"></definition>
+    </concept>
+    <concept>
+     <code value="0194"></code>
+     <display value="Kossa stain"></display>
+     <definition value="Stain, Kossa"></definition>
+    </concept>
+    <concept>
+     <code value="0195"></code>
+     <display value="Lawson-Van Gieson stain"></display>
+     <definition value="Stain, Lawson-Van Gieson"></definition>
+    </concept>
+    <concept>
+     <code value="0196"></code>
+     <display value="Loeffler methylene blue stain"></display>
+     <definition value="Stain, Loeffler methylene blue"></definition>
+    </concept>
+    <concept>
+     <code value="0197"></code>
+     <display value="Luxol fast blue with cresyl violet stain"></display>
+     <definition value="Stain, Luxol fast blue with cresyl violet"></definition>
+    </concept>
+    <concept>
+     <code value="0198"></code>
+     <display value="Luxol fast blue with Periodic acid-Schiff stain"></display>
+     <definition value="Stain, Luxol fast blue with Periodic acid-Schiff"></definition>
+    </concept>
+    <concept>
+     <code value="0199"></code>
+     <display value="MacNeal's tetrachrome blood stain"></display>
+     <definition value="Stain, MacNeal's tetrachrome blood"></definition>
+    </concept>
+    <concept>
+     <code value="0200"></code>
+     <display value="Mallory-Heidenhain stain"></display>
+     <definition value="Stain, Mallory-Heidenhain"></definition>
+    </concept>
+    <concept>
+     <code value="0201"></code>
+     <display value="Masson trichrome stain"></display>
+     <definition value="Stain, Masson trichrome"></definition>
+    </concept>
+    <concept>
+     <code value="0202"></code>
+     <display value="Mayer mucicarmine stain"></display>
+     <definition value="Stain, Mayer mucicarmine"></definition>
+    </concept>
+    <concept>
+     <code value="0203"></code>
+     <display value="Mayers progressive hematoxylin and eosin stain"></display>
+     <definition value="Stain, Mayers progressive hematoxylin and eosin"></definition>
+    </concept>
+    <concept>
+     <code value="0204"></code>
+     <display value="May-Grunwald Giemsa stain"></display>
+     <definition value="Stain, May-Grunwald Giemsa"></definition>
+    </concept>
+    <concept>
+     <code value="0205"></code>
+     <display value="Methyl green stain"></display>
+     <definition value="Stain, Methyl green"></definition>
+    </concept>
+    <concept>
+     <code value="0206"></code>
+     <display value="Methyl green pyronin stain"></display>
+     <definition value="Stain, Methyl green pyronin"></definition>
+    </concept>
+    <concept>
+     <code value="0207"></code>
+     <display value="Modified Gomori-Wheatly trichrome stain"></display>
+     <definition value="Stain, Modified Gomori-Wheatly trichrome"></definition>
+    </concept>
+    <concept>
+     <code value="0208"></code>
+     <display value="Modified Masson trichrome stain"></display>
+     <definition value="Stain, Modified Masson trichrome"></definition>
+    </concept>
+    <concept>
+     <code value="0209"></code>
+     <display value="Modified trichrome stain"></display>
+     <definition value="Stain, Modified trichrome"></definition>
+    </concept>
+    <concept>
+     <code value="0210"></code>
+     <display value="Movat pentachrome stain"></display>
+     <definition value="Stain, Movat pentachrome"></definition>
+    </concept>
+    <concept>
+     <code value="0211"></code>
+     <display value="Mucicarmine stain"></display>
+     <definition value="Stain, Mucicarmine"></definition>
+    </concept>
+    <concept>
+     <code value="0212"></code>
+     <display value="Neutral red stain"></display>
+     <definition value="Stain, Neutral red"></definition>
+    </concept>
+    <concept>
+     <code value="0213"></code>
+     <display value="Night blue stain"></display>
+     <definition value="Stain, Night blue"></definition>
+    </concept>
+    <concept>
+     <code value="0214"></code>
+     <display value="Non-specific esterase stain"></display>
+     <definition value="Stain, Non-specific esterase"></definition>
+    </concept>
+    <concept>
+     <code value="0215"></code>
+     <display value="Oil red-O stain"></display>
+     <definition value="Stain, Oil red-O"></definition>
+    </concept>
+    <concept>
+     <code value="0216"></code>
+     <display value="Orcein stain"></display>
+     <definition value="Stain, Orcein"></definition>
+    </concept>
+    <concept>
+     <code value="0217"></code>
+     <display value="Perls' stain"></display>
+     <definition value="Stain, Perls'"></definition>
+    </concept>
+    <concept>
+     <code value="0218"></code>
+     <display value="Phosphotungstic acid-hematoxylin stain"></display>
+     <definition value="Stain, Phosphotungstic acid-hematoxylin"></definition>
+    </concept>
+    <concept>
+     <code value="0219"></code>
+     <display value="Potassium ferrocyanide stain"></display>
+     <definition value="Stain, Potassium ferrocyanide"></definition>
+    </concept>
+    <concept>
+     <code value="0220"></code>
+     <display value="Prussian blue stain"></display>
+     <definition value="Stain, Prussian blue"></definition>
+    </concept>
+    <concept>
+     <code value="0221"></code>
+     <display value="Putchler modified Bennhold stain"></display>
+     <definition value="Stain, Putchler modified Bennhold"></definition>
+    </concept>
+    <concept>
+     <code value="0222"></code>
+     <display value="Quinacrine fluorescent stain"></display>
+     <definition value="Stain, Quinacrine fluorescent"></definition>
+    </concept>
+    <concept>
+     <code value="0223"></code>
+     <display value="Reticulin stain"></display>
+     <definition value="Stain, Reticulin"></definition>
+    </concept>
+    <concept>
+     <code value="0224"></code>
+     <display value="Rhodamine stain"></display>
+     <definition value="Stain, Rhodamine"></definition>
+    </concept>
+    <concept>
+     <code value="0225"></code>
+     <display value="Safranin stain"></display>
+     <definition value="Stain, Safranin"></definition>
+    </concept>
+    <concept>
+     <code value="0226"></code>
+     <display value="Schmorl stain"></display>
+     <definition value="Stain, Schmorl"></definition>
+    </concept>
+    <concept>
+     <code value="0227"></code>
+     <display value="Seiver-Munger stain"></display>
+     <definition value="Stain, Seiver-Munger"></definition>
+    </concept>
+    <concept>
+     <code value="0228"></code>
+     <display value="Silver stain"></display>
+     <definition value="Stain, Silver"></definition>
+    </concept>
+    <concept>
+     <code value="0229"></code>
+     <display value="Specific esterase stain"></display>
+     <definition value="Stain, Specific esterase"></definition>
+    </concept>
+    <concept>
+     <code value="0230"></code>
+     <display value="Steiner silver stain"></display>
+     <definition value="Stain, Steiner silver"></definition>
+    </concept>
+    <concept>
+     <code value="0231"></code>
+     <display value="Sudan III stain"></display>
+     <definition value="Stain, Sudan III"></definition>
+    </concept>
+    <concept>
+     <code value="0232"></code>
+     <display value="Sudan IVI stain"></display>
+     <definition value="Stain, Sudan IVI"></definition>
+    </concept>
+    <concept>
+     <code value="0233"></code>
+     <display value="Sulfated alcian blue stain"></display>
+     <definition value="Stain, Sulfated alcian blue"></definition>
+    </concept>
+    <concept>
+     <code value="0234"></code>
+     <display value="Supravital stain"></display>
+     <definition value="Stain, Supravital"></definition>
+    </concept>
+    <concept>
+     <code value="0235"></code>
+     <display value="Thioflavine-S stain"></display>
+     <definition value="Stain, Thioflavine-S"></definition>
+    </concept>
+    <concept>
+     <code value="0236"></code>
+     <display value="Three micron Giemsa stain"></display>
+     <definition value="Stain, Three micron Giemsa"></definition>
+    </concept>
+    <concept>
+     <code value="0237"></code>
+     <display value="Vassar-Culling stain"></display>
+     <definition value="Stain, Vassar-Culling"></definition>
+    </concept>
+    <concept>
+     <code value="0238"></code>
+     <display value="Vital Stain"></display>
+     <definition value="Stain, Vital"></definition>
+    </concept>
+    <concept>
+     <code value="0239"></code>
+     <display value="von Kossa stain"></display>
+     <definition value="Stain, von Kossa"></definition>
+    </concept>
+    <concept>
+     <code value="0243"></code>
+     <display value="Minimum bactericidal concentration test, macrodilution"></display>
+     <definition value="Susceptibility, Minimum bactericidal concentration, macrodilution"></definition>
+    </concept>
+    <concept>
+     <code value="0244"></code>
+     <display value="Minimum bactericidal concentration test, microdilution"></display>
+     <definition value="Susceptibility, Minimum bactericidal concentration, microdilution"></definition>
+    </concept>
+    <concept>
+     <code value="0247"></code>
+     <display value="Turbidometric"></display>
+     <definition value="Turbidometric"></definition>
+    </concept>
+    <concept>
+     <code value="0248"></code>
+     <display value="Refractometric"></display>
+     <definition value="Turbidometric, Refractometric"></definition>
+    </concept>
+    <concept>
+     <code value="0249"></code>
+     <display value="Thin layer chromatography (TLC)"></display>
+     <definition value="Chromatography, Thin Layer"></definition>
+    </concept>
+    <concept>
+     <code value="0250"></code>
+     <display value="EMIT"></display>
+     <definition value="Immunoassay, enzyme-multiplied technique (EMIT)"></definition>
+    </concept>
+    <concept>
+     <code value="0251"></code>
+     <display value="Flow cytometry (FC)"></display>
+     <definition value="Flow Cytometry"></definition>
+    </concept>
+    <concept>
+     <code value="0252"></code>
+     <display value="Radial immunodiffusion (RID)"></display>
+     <definition value="Radial Immunodiffusion"></definition>
+    </concept>
+    <concept>
+     <code value="0253"></code>
+     <display value="Fluorescence polarization immunoassay (FPIA)"></display>
+     <definition value="Immunoassay, Fluorescence Polarization"></definition>
+    </concept>
+    <concept>
+     <code value="0254"></code>
+     <display value="Immunofixation electrophoresis (IFE)"></display>
+     <definition value="Electrophoresis, Immunofixation"></definition>
+    </concept>
+    <concept>
+     <code value="0255"></code>
+     <display value="Equilibrium dialysis"></display>
+     <definition value="Dialysis, Direct Equilibrium"></definition>
+    </concept>
+    <concept>
+     <code value="0256"></code>
+     <display value="Kleihauer-Betke acid elution"></display>
+     <definition value="Acid Elution, Kleihauer-Betke Method"></definition>
+    </concept>
+    <concept>
+     <code value="0257"></code>
+     <display value="Anti-complement immunofluorescence (ACIF)"></display>
+     <definition value="Immunofluorescence, Anti-Complement"></definition>
+    </concept>
+    <concept>
+     <code value="0258"></code>
+     <display value="GC/MS"></display>
+     <definition value="Gas Chromatography/Mass Spectroscopy"></definition>
+    </concept>
+    <concept>
+     <code value="0259"></code>
+     <display value="Nephelometry"></display>
+     <definition value="Light Scatter, Nephelometry"></definition>
+    </concept>
+    <concept>
+     <code value="0260"></code>
+     <display value="IgE immunoassay antibody"></display>
+     <definition value="Immunoassay, IgE Antibody Test"></definition>
+    </concept>
+    <concept>
+     <code value="0261"></code>
+     <display value="Lymphocyte Microcytotoxicity Assay"></display>
+     <definition value="Lymphocyte Microcytotoxicity Assay"></definition>
+    </concept>
+    <concept>
+     <code value="0262"></code>
+     <display value="Spectrophotometry"></display>
+     <definition value="Spectrophotometry"></definition>
+    </concept>
+    <concept>
+     <code value="0263"></code>
+     <display value="Atomic absorption spectrophotometry (AAS)"></display>
+     <definition value="Spectrophotometry, Atomic Absorption"></definition>
+    </concept>
+    <concept>
+     <code value="0264"></code>
+     <display value="Ion selective electrode (ISE)"></display>
+     <definition value="Electrochemical, Ion Selective Electrode"></definition>
+    </concept>
+    <concept>
+     <code value="0265"></code>
+     <display value="Gas chromatography (GC)"></display>
+     <definition value="Chromatography, Gas"></definition>
+    </concept>
+    <concept>
+     <code value="0266"></code>
+     <display value="Isoelectric focusing (IEF)"></display>
+     <definition value="Isoelectric Focusing"></definition>
+    </concept>
+    <concept>
+     <code value="0267"></code>
+     <display value="Immunochemiluminescence"></display>
+     <definition value="Immunoassay, Chemiluminescent"></definition>
+    </concept>
+    <concept>
+     <code value="0268"></code>
+     <display value="Microparticle enzyme immunoassay (MEIA)"></display>
+     <definition value="Immunoassay, Microparticle Enzyme"></definition>
+    </concept>
+    <concept>
+     <code value="0269"></code>
+     <display value="ICP/MS"></display>
+     <definition value="Inductively-Coupled Plasma/Mass Spectrometry"></definition>
+    </concept>
+    <concept>
+     <code value="0270"></code>
+     <display value="Immunoradiometric assay (IRMA)"></display>
+     <definition value="Immunoassay, Immunoradiometric Assay"></definition>
+    </concept>
+    <concept>
+     <code value="0271"></code>
+     <display value="Photo optical clot detection"></display>
+     <definition value="Coagulation, Photo Optical Clot Detection"></definition>
+    </concept>
+    <concept>
+     <code value="0280"></code>
+     <display value="Susceptibility Testing"></display>
+     <definition value="Test methods designed to determine a microorganismaTMs susceptibility to being killed by an antibiotic."></definition>
+     <concept>
+      <code value="0240"></code>
+      <display value="Antibiotic sensitivity, disk"></display>
+      <definition value="Susceptibility, Antibiotic sensitivity, disk"></definition>
+     </concept>
+     <concept>
+      <code value="0241"></code>
+      <display value="BACTEC susceptibility test"></display>
+      <definition value="Susceptibility, BACTEC susceptibility test"></definition>
+     </concept>
+     <concept>
+      <code value="0242"></code>
+      <display value="Disk dilution"></display>
+      <definition value="Susceptibility, Disk dilution"></definition>
+     </concept>
+     <concept>
+      <code value="0272"></code>
+      <display value="Minimum Inhibitory Concentration"></display>
+      <definition value="Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited."></definition>
+      <concept>
+       <code value="0245"></code>
+       <display value="Minimum Inhibitory Concentration, macrodilution"></display>
+       <definition value="Susceptibility, Minimum Inhibitory concentration, macrodilution"></definition>
+      </concept>
+      <concept>
+       <code value="0246"></code>
+       <display value="Minimum Inhibitory Concentration, microdilution"></display>
+       <definition value="Susceptibility, Minimum Inhibitory concentration, microdilution"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="0273"></code>
+      <display value="Viral Genotype Susceptibility"></display>
+      <definition value="Viral Genotype Susceptibility"></definition>
+     </concept>
+     <concept>
+      <code value="0274"></code>
+      <display value="Viral Phenotype Susceptibility"></display>
+      <definition value="Viral Phenotype Susceptibility"></definition>
+     </concept>
+     <concept>
+      <code value="0275"></code>
+      <display value="Gradient Strip"></display>
+      <definition value="Gradient Strip"></definition>
+     </concept>
+     <concept>
+      <code value="0275a"></code>
+      <display value="Minimum Lethal Concentration (MLC)"></display>
+      <definition value="Minimum Lethal Concentration (MLC)"></definition>
+     </concept>
+     <concept>
+      <code value="0276"></code>
+      <display value="Slow Mycobacteria Susceptibility"></display>
+      <definition value="Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited."></definition>
+     </concept>
+     <concept>
+      <code value="0277"></code>
+      <display value="Serum bactericidal titer"></display>
+      <definition value="Serum bactericidal titer"></definition>
+     </concept>
+     <concept>
+      <code value="0278"></code>
+      <display value="Agar screen"></display>
+      <definition value="Agar screen"></definition>
+     </concept>
+     <concept>
+      <code value="0279"></code>
+      <display value="Disk induction"></display>
+      <definition value="Disk induction"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="0127"></code>
+     <display value="Nucleic acid probe"></display>
+     <definition value="Molecular, Nucleic acid probe"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationValue"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ObservationValue"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1063"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ObservationValue"></name>
+    <title value="v3 Code System ObservationValue"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationValue"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="_ActCoverageAssessmentObservationValue"></code>
+     <display value="ActCoverageAssessmentObservationValue"></display>
+     <definition value="Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_ActFinancialStatusObservationValue"></code>
+      <display value="ActFinancialStatusObservationValue"></display>
+      <definition value="Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ASSET"></code>
+       <display value="asset"></display>
+       <definition value="Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program."></definition>
+       <concept>
+        <code value="ANNUITY"></code>
+        <display value="annuity"></display>
+        <definition value="Indicator of annuity ownership or status as beneficiary."></definition>
+       </concept>
+       <concept>
+        <code value="PROP"></code>
+        <display value="real property"></display>
+        <definition value="Indicator of real property ownership, e.g., deed or real estate contract."></definition>
+       </concept>
+       <concept>
+        <code value="RETACCT"></code>
+        <display value="retirement investment account"></display>
+        <definition value="Indicator of retirement investment account ownership."></definition>
+       </concept>
+       <concept>
+        <code value="TRUST"></code>
+        <display value="trust"></display>
+        <definition value="Indicator of status as trust beneficiary."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="INCOME"></code>
+       <display value="income"></display>
+       <definition value="Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid."></definition>
+       <concept>
+        <code value="CHILD"></code>
+        <display value="child support"></display>
+        <definition value="Indicator of child support payments received or provided."></definition>
+       </concept>
+       <concept>
+        <code value="DISABL"></code>
+        <display value="disability pay"></display>
+        <definition value="Indicator of disability income replacement payment."></definition>
+       </concept>
+       <concept>
+        <code value="INVEST"></code>
+        <display value="investment income"></display>
+        <definition value="Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check."></definition>
+       </concept>
+       <concept>
+        <code value="PAY"></code>
+        <display value="paid employment"></display>
+        <definition value="Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub."></definition>
+       </concept>
+       <concept>
+        <code value="RETIRE"></code>
+        <display value="retirement pay"></display>
+        <definition value="Indicator of retirement payment, e.g., pension check."></definition>
+       </concept>
+       <concept>
+        <code value="SPOUSAL"></code>
+        <display value="spousal or partner support"></display>
+        <definition value="Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement."></definition>
+       </concept>
+       <concept>
+        <code value="SUPPLE"></code>
+        <display value="income supplement"></display>
+        <definition value="Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant."></definition>
+       </concept>
+       <concept>
+        <code value="TAX"></code>
+        <display value="tax obligation"></display>
+        <definition value="Indicator of tax obligation or payment, e.g., statement of taxable income."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="LIVEXP"></code>
+       <display value="living expense"></display>
+       <definition value="Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program."></definition>
+       <concept>
+        <code value="CLOTH"></code>
+        <display value="clothing expense"></display>
+        <definition value="Indicator of clothing expenses."></definition>
+       </concept>
+       <concept>
+        <code value="FOOD"></code>
+        <display value="food expense"></display>
+        <definition value="Indicator of transportation expenses."></definition>
+       </concept>
+       <concept>
+        <code value="HEALTH"></code>
+        <display value="health expense"></display>
+        <definition value="Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums."></definition>
+       </concept>
+       <concept>
+        <code value="HOUSE"></code>
+        <display value="household expense"></display>
+        <definition value="Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs."></definition>
+       </concept>
+       <concept>
+        <code value="LEGAL"></code>
+        <display value="legal expense"></display>
+        <definition value="Indicator of legal expenses."></definition>
+       </concept>
+       <concept>
+        <code value="MORTG"></code>
+        <display value="mortgage"></display>
+        <definition value="Indicator of mortgage amount, interest, and payments."></definition>
+       </concept>
+       <concept>
+        <code value="RENT"></code>
+        <display value="rent"></display>
+        <definition value="Indicator of rental or lease payments."></definition>
+       </concept>
+       <concept>
+        <code value="SUNDRY"></code>
+        <display value="sundry expense"></display>
+        <definition value="Indicator of transportation expenses."></definition>
+       </concept>
+       <concept>
+        <code value="TRANS"></code>
+        <display value="transportation expense"></display>
+        <definition value="Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs."></definition>
+       </concept>
+       <concept>
+        <code value="UTIL"></code>
+        <display value="utility expense"></display>
+        <definition value="Indicator of transportation expenses."></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="ELSTAT"></code>
+      <display value="eligibility indicator"></display>
+      <definition value="Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate."></definition>
+      <concept>
+       <code value="ADOPT"></code>
+       <display value="adoption document"></display>
+       <definition value="Indicator of adoption."></definition>
+      </concept>
+      <concept>
+       <code value="BTHCERT"></code>
+       <display value="birth certificate"></display>
+       <definition value="Indicator of birth."></definition>
+      </concept>
+      <concept>
+       <code value="CCOC"></code>
+       <display value="creditable coverage document"></display>
+       <definition value="Indicator of creditable coverage."></definition>
+      </concept>
+      <concept>
+       <code value="DRLIC"></code>
+       <display value="driver license"></display>
+       <definition value="Indicator of driving status."></definition>
+      </concept>
+      <concept>
+       <code value="FOSTER"></code>
+       <display value="foster child document"></display>
+       <definition value="Indicator of foster child status."></definition>
+      </concept>
+      <concept>
+       <code value="MEMBER"></code>
+       <display value="program or policy member"></display>
+       <definition value="Indicator of status as covered member under a policy or program, e.g., member id card or coverage document."></definition>
+      </concept>
+      <concept>
+       <code value="MIL"></code>
+       <display value="military identification"></display>
+       <definition value="Indicator of military status."></definition>
+      </concept>
+      <concept>
+       <code value="MRGCERT"></code>
+       <display value="marriage certificate"></display>
+       <definition value="Indicator of marriage status."></definition>
+      </concept>
+      <concept>
+       <code value="PASSPORT"></code>
+       <display value="passport"></display>
+       <definition value="Indicator of citizenship."></definition>
+      </concept>
+      <concept>
+       <code value="STUDENRL"></code>
+       <display value="student enrollment"></display>
+       <definition value="Indicator of student status."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="HLSTAT"></code>
+      <display value="health status"></display>
+      <definition value="Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues."></definition>
+      <concept>
+       <code value="DISABLE"></code>
+       <display value="disabled"></display>
+       <definition value="Indication of disability."></definition>
+      </concept>
+      <concept>
+       <code value="DRUG"></code>
+       <display value="drug use"></display>
+       <definition value="Indication of drug use."></definition>
+      </concept>
+      <concept>
+       <code value="IVDRG"></code>
+       <display value="IV drug use"></display>
+       <definition value="Indication of IV drug use ."></definition>
+      </concept>
+      <concept>
+       <code value="PGNT"></code>
+       <display value="pregnant"></display>
+       <definition value="Non-clinical report of pregnancy."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="LIVDEP"></code>
+      <display value="living dependency"></display>
+      <definition value="Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living."></definition>
+      <concept>
+       <code value="RELDEP"></code>
+       <display value="relative dependent"></display>
+       <definition value="Continued living in private residence requires functional and health care assistance from one or more relatives."></definition>
+      </concept>
+      <concept>
+       <code value="SPSDEP"></code>
+       <display value="spouse dependent"></display>
+       <definition value="Continued living in private residence requires functional and health care assistance from spouse or life partner."></definition>
+      </concept>
+      <concept>
+       <code value="URELDEP"></code>
+       <display value="unrelated person dependent"></display>
+       <definition value="Continued living in private residence requires functional and health care assistance from one or more unrelated persons."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="LIVSIT"></code>
+      <display value="living situation"></display>
+      <definition value="Code specifying observations related to living situation for a person in a private residence."></definition>
+      <concept>
+       <code value="ALONE"></code>
+       <display value="alone"></display>
+       <definition value="Living alone.  Maps to PD1-2   Living arrangement   (IS)   00742 [A]"></definition>
+      </concept>
+      <concept>
+       <code value="DEPCHD"></code>
+       <display value="dependent children"></display>
+       <definition value="Living with one or more dependent children requiring moderate supervision."></definition>
+      </concept>
+      <concept>
+       <code value="DEPSPS"></code>
+       <display value="dependent spouse"></display>
+       <definition value="Living with disabled spouse requiring functional and health care assistance"></definition>
+      </concept>
+      <concept>
+       <code value="DEPYGCHD"></code>
+       <display value="dependent young children"></display>
+       <definition value="Living with one or more dependent children requiring intensive supervision"></definition>
+      </concept>
+      <concept>
+       <code value="FAM"></code>
+       <display value="live with family"></display>
+       <definition value="Living with family. Maps to PD1-2   Living arrangement   (IS)   00742 [F]"></definition>
+      </concept>
+      <concept>
+       <code value="RELAT"></code>
+       <display value="relative"></display>
+       <definition value="Living with one or more relatives. Maps to PD1-2   Living arrangement   (IS)   00742 [R]"></definition>
+      </concept>
+      <concept>
+       <code value="SPS"></code>
+       <display value="spouse only"></display>
+       <definition value="Living only with spouse or life partner. Maps to PD1-2   Living arrangement   (IS)   00742 [S]"></definition>
+      </concept>
+      <concept>
+       <code value="UNREL"></code>
+       <display value="unrelated person"></display>
+       <definition value="Living with one or more unrelated persons."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SOECSTAT"></code>
+      <display value="socio economic status"></display>
+      <definition value="Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program."></definition>
+      <concept>
+       <code value="ABUSE"></code>
+       <display value="abuse victim"></display>
+       <definition value="Indication of abuse victim."></definition>
+      </concept>
+      <concept>
+       <code value="HMLESS"></code>
+       <display value="homeless"></display>
+       <definition value="Indication of status as homeless."></definition>
+      </concept>
+      <concept>
+       <code value="ILGIM"></code>
+       <display value="illegal immigrant"></display>
+       <definition value="Indication of status as illegal immigrant."></definition>
+      </concept>
+      <concept>
+       <code value="INCAR"></code>
+       <display value="incarcerated"></display>
+       <definition value="Indication of status as incarcerated."></definition>
+      </concept>
+      <concept>
+       <code value="PROB"></code>
+       <display value="probation"></display>
+       <definition value="Indication of probation status."></definition>
+      </concept>
+      <concept>
+       <code value="REFUG"></code>
+       <display value="refugee"></display>
+       <definition value="Indication of refugee status."></definition>
+      </concept>
+      <concept>
+       <code value="UNEMPL"></code>
+       <display value="unemployed"></display>
+       <definition value="Indication of unemployed status."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_AllergyTestValue"></code>
+     <display value="AllergyTestValue"></display>
+     <definition value="Indicates the result of a particular allergy test.  E.g. Negative, Mild, Moderate, Severe"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="A0"></code>
+      <display value="no reaction"></display>
+      <definition value="Description:Patient exhibits no reaction to the challenge agent."></definition>
+     </concept>
+     <concept>
+      <code value="A1"></code>
+      <display value="minimal reaction"></display>
+      <definition value="Description:Patient exhibits a minimal reaction to the challenge agent."></definition>
+     </concept>
+     <concept>
+      <code value="A2"></code>
+      <display value="mild reaction"></display>
+      <definition value="Description:Patient exhibits a mild reaction to the challenge agent."></definition>
+     </concept>
+     <concept>
+      <code value="A3"></code>
+      <display value="moderate reaction"></display>
+      <definition value="Description:Patient exhibits moderate reaction to the challenge agent."></definition>
+     </concept>
+     <concept>
+      <code value="A4"></code>
+      <display value="severe reaction"></display>
+      <definition value="Description:Patient exhibits a severe reaction to the challenge agent."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CompositeMeasureScoring"></code>
+     <display value="CompositeMeasureScoring"></display>
+     <definition value="Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ALLORNONESCR"></code>
+      <display value="All-or-nothing Scoring"></display>
+      <definition value="Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator."></definition>
+     </concept>
+     <concept>
+      <code value="LINEARSCR"></code>
+      <display value="Linear Scoring"></display>
+      <definition value="Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure."></definition>
+     </concept>
+     <concept>
+      <code value="OPPORSCR"></code>
+      <display value="Opportunity Scoring"></display>
+      <definition value="Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score."></definition>
+     </concept>
+     <concept>
+      <code value="WEIGHTSCR"></code>
+      <display value="Weighted Scoring"></display>
+      <definition value="Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CoverageLimitObservationValue"></code>
+     <display value="CoverageLimitObservationValue"></display>
+     <definition value="Description:Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_CoverageLevelObservationValue"></code>
+      <display value="CoverageLevelObservationValue"></display>
+      <definition value="Description:Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ADC"></code>
+       <display value="adult child"></display>
+       <definition value="Description:Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent."></definition>
+      </concept>
+      <concept>
+       <code value="CHD"></code>
+       <display value="child"></display>
+       <definition value="Description:Dependent biological, adopted, foster child as specified by coverage policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="DEP"></code>
+       <display value="dependent"></display>
+       <definition value="Description:Person requiring functional and/or financial assistance from another person as specified by coverage policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="DP"></code>
+       <display value="domestic partner"></display>
+       <definition value="Description:Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="ECH"></code>
+       <display value="employee"></display>
+       <definition value="Description:An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="FLY"></code>
+       <display value="family coverage"></display>
+       <definition value="Description:As specified by coverage policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="IND"></code>
+       <display value="individual"></display>
+       <definition value="Description:Person as specified by coverage policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="SSP"></code>
+       <display value="same sex partner"></display>
+       <definition value="Description:A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades"></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CriticalityObservationValue"></code>
+     <display value="CriticalityObservationValue"></display>
+     <definition value="A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CRITH"></code>
+      <display value="high criticality"></display>
+      <definition value="Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure."></definition>
+     </concept>
+     <concept>
+      <code value="CRITL"></code>
+      <display value="low criticality"></display>
+      <definition value="Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure."></definition>
+     </concept>
+     <concept>
+      <code value="CRITU"></code>
+      <display value="unable to assess criticality"></display>
+      <definition value="Unable to assess the worst case result of a future exposure."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_EmploymentStatus"></code>
+     <display value="_EmploymentStatus"></display>
+     <definition value="Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="Employed"></code>
+      <display value="Employed"></display>
+      <definition value="Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs."></definition>
+     </concept>
+     <concept>
+      <code value="NotInLaborForce"></code>
+      <display value="Not In Labor Force"></display>
+      <definition value="Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one."></definition>
+     </concept>
+     <concept>
+      <code value="Unemployed"></code>
+      <display value="Unemployed"></display>
+      <definition value="Persons who currently have no employment, but are available for work and have made specific efforts to find employment."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_GeneticObservationValue"></code>
+     <display value="GeneticObservationValue"></display>
+     <definition value="Description: The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="Homozygote"></code>
+      <display value="HOMO"></display>
+      <definition value="Description: An individual having different alleles at one or more loci regarding a specific character"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_MeasurementImprovementNotation"></code>
+     <display value="Measurement Improvement Notation"></display>
+     <definition value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="DecrIsImp"></code>
+      <display value="Decreased score indicates improvement"></display>
+      <definition value="Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)"></definition>
+     </concept>
+     <concept>
+      <code value="IncrIsImp"></code>
+      <display value="Increased score indicates improvement"></display>
+      <definition value="Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationMeasureScoring"></code>
+     <display value="ObservationMeasureScoring"></display>
+     <definition value="Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="COHORT"></code>
+      <display value="cohort measure scoring"></display>
+      <definition value="A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration)."></definition>
+     </concept>
+     <concept>
+      <code value="CONTVAR"></code>
+      <display value="continuous variable measure scoring"></display>
+      <definition value="A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics)."></definition>
+     </concept>
+     <concept>
+      <code value="PROPOR"></code>
+      <display value="proportion measure scoring"></display>
+      <definition value="A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year)."></definition>
+     </concept>
+     <concept>
+      <code value="RATIO"></code>
+      <display value="ratio measure scoring"></display>
+      <definition value="A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days)."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationMeasureType"></code>
+     <display value="ObservationMeasureType"></display>
+     <definition value="Observation values used to indicate what kind of health quality measure is used."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="COMPOSITE"></code>
+      <display value="composite measure type"></display>
+      <definition value="A measure that is composed from one or more other measures and indicates an overall summary of those measures."></definition>
+     </concept>
+     <concept>
+      <code value="EFFICIENCY"></code>
+      <display value="efficiency measure type"></display>
+      <definition value="A measure related to the efficiency of medical treatment."></definition>
+     </concept>
+     <concept>
+      <code value="EXPERIENCE"></code>
+      <display value="experience measure type"></display>
+      <definition value="A measure related to the level of patient engagement or patient experience of care."></definition>
+     </concept>
+     <concept>
+      <code value="OUTCOME"></code>
+      <display value="outcome measure type"></display>
+      <definition value="A measure that indicates the result of the performance (or non-performance) of a function or process."></definition>
+      <concept>
+       <code value="INTERM-OM"></code>
+       <display value="intermediate clinical outcome measure"></display>
+       <definition value="A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome."></definition>
+      </concept>
+      <concept>
+       <code value="PRO-PM"></code>
+       <display value="intermediate clinical outcome measure"></display>
+       <definition value="A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="PROCESS"></code>
+      <display value="process measure type"></display>
+      <definition value="A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome."></definition>
+      <concept>
+       <code value="APPROPRIATE"></code>
+       <display value="appropriate use process measure"></display>
+       <definition value="A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="RESOURCE"></code>
+      <display value="resource use measure type"></display>
+      <definition value="A measure related to the extent of use of clinical resources or cost of care."></definition>
+     </concept>
+     <concept>
+      <code value="STRUCTURE"></code>
+      <display value="structure measure type"></display>
+      <definition value="A measure related to the structure of patient care."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ObservationPopulationInclusion"></code>
+     <display value="ObservationPopulationInclusion"></display>
+     <definition value="Observation values used to assert various populations that a subject falls into."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="deprecated"></valueCode>
+     </property>
+     <property>
+      <code value="deprecationDate"></code>
+      <valueDateTime value="2013-07-26"></valueDateTime>
+     </property>
+     <concept>
+      <code value="DENEX"></code>
+      <display value="denominator exclusions"></display>
+      <definition value="Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="DENEXCEP"></code>
+      <display value="denominator exceptions"></display>
+      <definition value="Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures.  Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:
+
+        
+         Medical reasons
+         Patient reasons
+         System reasons"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="DENOM"></code>
+      <display value="denominator"></display>
+      <definition value="It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="IP"></code>
+      <display value="initial population"></display>
+      <definition value="The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+      <concept>
+       <code value="IPP"></code>
+       <display value="initial patient population"></display>
+       <definition value="The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="deprecated"></valueCode>
+       </property>
+       <property>
+        <code value="deprecationDate"></code>
+        <valueDateTime value="2013-07-26"></valueDateTime>
+       </property>
+      </concept>
+     </concept>
+     <concept>
+      <code value="MSRPOPL"></code>
+      <display value="measure population"></display>
+      <definition value="Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. 
+(e.g., all patients seen in the Emergency Department during the measurement period)."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="NUMER"></code>
+      <display value="numerator"></display>
+      <definition value="Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period)."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="NUMEX"></code>
+      <display value="numerator exclusions"></display>
+      <definition value="Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)"></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2013-07-26"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PartialCompletionScale"></code>
+     <display value="PartialCompletionScale"></display>
+     <definition value="PartialCompletionScale"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="G"></code>
+      <display value="Great extent"></display>
+      <definition value="Value for Act.partialCompletionCode attribute that implies 81-99% completion"></definition>
+     </concept>
+     <concept>
+      <code value="LE"></code>
+      <display value="Large extent"></display>
+      <definition value="Value for Act.partialCompletionCode attribute that implies 61-80% completion"></definition>
+     </concept>
+     <concept>
+      <code value="ME"></code>
+      <display value="Medium extent"></display>
+      <definition value="Value for Act.partialCompletionCode attribute that implies 41-60% completion"></definition>
+     </concept>
+     <concept>
+      <code value="MI"></code>
+      <display value="Minimal extent"></display>
+      <definition value="Value for Act.partialCompletionCode attribute that implies 1-20% completion"></definition>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="None"></display>
+      <definition value="Value for Act.partialCompletionCode attribute that implies 0% completion"></definition>
+     </concept>
+     <concept>
+      <code value="S"></code>
+      <display value="Some extent"></display>
+      <definition value="Value for Act.partialCompletionCode attribute that implies 21-40% completion"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SecurityObservationValue"></code>
+     <display value="SecurityObservationValue"></display>
+     <definition value="Observation values used to indicate security observation metadata."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_SECINTOBV"></code>
+      <display value="security integrity"></display>
+      <definition value="Abstract security observation values used to indicate security integrity metadata.
+
+        
+         Examples: Codes conveying integrity status, integrity confidence, and provenance."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_SECALTINTOBV"></code>
+       <display value="alteration integrity"></display>
+       <definition value="Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)"></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="ABSTRED"></code>
+        <display value="abstracted"></display>
+        <definition value="Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN."></definition>
+       </concept>
+       <concept>
+        <code value="AGGRED"></code>
+        <display value="aggregated"></display>
+        <definition value="Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary."></definition>
+       </concept>
+       <concept>
+        <code value="ANONYED"></code>
+        <display value="anonymized"></display>
+        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject.  No key to relink the data is retained."></definition>
+       </concept>
+       <concept>
+        <code value="MAPPED"></code>
+        <display value="mapped"></display>
+        <definition value="Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.
+
+        
+         Usage Note: &quot;MAP&quot; code does not indicate the semantic fidelity of the transformed content.
+
+        To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).
+
+        Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation."></definition>
+       </concept>
+       <concept>
+        <code value="MASKED"></code>
+        <display value="masked"></display>
+        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users.  An authorized user may be provided a key to decrypt per license or &quot;shared secret&quot;.
+
+        
+         Usage Note: &quot;MASKED&quot; may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided."></definition>
+       </concept>
+       <concept>
+        <code value="PSEUDED"></code>
+        <display value="pseudonymized"></display>
+        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject.  Custodian may retain a key to relink data necessary to reidentify the information subject.
+
+        
+         Rationale: Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management.  Based on ISO/TS 25237:2008 Health informatics—Pseudonymization"></definition>
+       </concept>
+       <concept>
+        <code value="REDACTED"></code>
+        <display value="redacted"></display>
+        <definition value="Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.
+
+        
+         Usage Note: &quot;REDACTED&quot; may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received."></definition>
+       </concept>
+       <concept>
+        <code value="SUBSETTED"></code>
+        <display value="subsetted"></display>
+        <definition value="Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update
+
+        
+         Usage Note: This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use."></definition>
+       </concept>
+       <concept>
+        <code value="SYNTAC"></code>
+        <display value="syntactic transform"></display>
+        <definition value="Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.  
+
+        
+         Usage Note: &quot;SYNTAC&quot; code does not indicate the syntactical correctness of the syntactically transformed IT resource."></definition>
+       </concept>
+       <concept>
+        <code value="TRSLT"></code>
+        <display value="translated"></display>
+        <definition value="Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.  
+
+        
+         Usage Note: &quot;TRSLT&quot; does not indicate the fidelity of the translation or the languages translated.
+
+        The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.
+
+        To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)"></definition>
+       </concept>
+       <concept>
+        <code value="VERSIONED"></code>
+        <display value="versioned"></display>
+        <definition value="Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability)  which indicates that the resource only retains versions of an IT resource  for access and use per applicable policy
+
+        
+         Usage Note: When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_SECDATINTOBV"></code>
+       <display value="data integrity"></display>
+       <definition value="Abstract security observation values used to indicate data integrity metadata.
+
+        
+         Examples: Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="CRYTOHASH"></code>
+        <display value="cryptographic hash function"></display>
+        <definition value="Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.
+
+        
+         Rationale: This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit.  The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.
+
+        
+         Examples: 
+        
+
+        
+         SHA-1
+         SHA-2 (Secure Hash Algorithm)"></definition>
+       </concept>
+       <concept>
+        <code value="DIGSIG"></code>
+        <display value="digital signature"></display>
+        <definition value="Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.  
+
+        
+         Rationale: This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature:  Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_SECINTCONOBV"></code>
+       <display value="integrity confidence"></display>
+       <definition value="Abstract security observation value used to indicate integrity confidence metadata.
+
+        
+         Examples: Codes conveying the level of reliability and trustworthiness of an IT resource."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="HRELIABLE"></code>
+        <display value="highly reliable"></display>
+        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high."></definition>
+       </concept>
+       <concept>
+        <code value="RELIABLE"></code>
+        <display value="reliable"></display>
+        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate."></definition>
+       </concept>
+       <concept>
+        <code value="UNCERTREL"></code>
+        <display value="uncertain reliability"></display>
+        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain."></definition>
+       </concept>
+       <concept>
+        <code value="UNRELIABLE"></code>
+        <display value="unreliable"></display>
+        <definition value="Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_SECINTPRVOBV"></code>
+       <display value="provenance"></display>
+       <definition value="Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).
+
+        
+         Examples: Codes conveying the provenance metadata about the entity reporting an IT resource."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="_SECINTPRVABOBV"></code>
+        <display value="provenance asserted by"></display>
+        <definition value="Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).
+
+        
+         Examples: Codes conveying the provenance metadata about the entity asserting the resource."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="CLINAST"></code>
+         <display value="clinician asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician."></definition>
+        </concept>
+        <concept>
+         <code value="DEVAST"></code>
+         <display value="device asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device."></definition>
+        </concept>
+        <concept>
+         <code value="HCPAST"></code>
+         <display value="healthcare professional asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional."></definition>
+        </concept>
+        <concept>
+         <code value="PACQAST"></code>
+         <display value="patient acquaintance asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance."></definition>
+        </concept>
+        <concept>
+         <code value="PATAST"></code>
+         <display value="patient asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient."></definition>
+        </concept>
+        <concept>
+         <code value="PAYAST"></code>
+         <display value="payer asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer."></definition>
+        </concept>
+        <concept>
+         <code value="PROAST"></code>
+         <display value="professional asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional."></definition>
+        </concept>
+        <concept>
+         <code value="SDMAST"></code>
+         <display value="substitute decision maker asserted"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="_SECINTPRVRBOBV"></code>
+        <display value="provenance reported by"></display>
+        <definition value="Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).
+
+        
+         Examples: Codes conveying the provenance metadata about the entity reporting an IT resource."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="CLINRPT"></code>
+         <display value="clinician reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician."></definition>
+        </concept>
+        <concept>
+         <code value="DEVRPT"></code>
+         <display value="device reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device."></definition>
+        </concept>
+        <concept>
+         <code value="HCPRPT"></code>
+         <display value="healthcare professional reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional."></definition>
+        </concept>
+        <concept>
+         <code value="PACQRPT"></code>
+         <display value="patient acquaintance reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance."></definition>
+        </concept>
+        <concept>
+         <code value="PATRPT"></code>
+         <display value="patient reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient."></definition>
+        </concept>
+        <concept>
+         <code value="PAYRPT"></code>
+         <display value="payer reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer."></definition>
+        </concept>
+        <concept>
+         <code value="PRORPT"></code>
+         <display value="professional reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional."></definition>
+        </concept>
+        <concept>
+         <code value="SDMRPT"></code>
+         <display value="substitute decision maker reported"></display>
+         <definition value="Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker."></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="SECTRSTOBV"></code>
+      <display value="security trust observation"></display>
+      <definition value="Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability)."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="TRSTACCRDOBV"></code>
+       <display value="trust accreditation observation"></display>
+       <definition value="Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework."></definition>
+      </concept>
+      <concept>
+       <code value="TRSTAGREOBV"></code>
+       <display value="trust agreement observation"></display>
+       <definition value="Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
+[ISO IEC 10181-1]"></definition>
+      </concept>
+      <concept>
+       <code value="TRSTCERTOBV"></code>
+       <display value="trust certificate observation"></display>
+       <definition value="Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]
+
+        For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements.  A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range.  Another example is Cross Certification with Federal Bridge."></definition>
+      </concept>
+      <concept>
+       <code value="TRSTLOAOBV"></code>
+       <display value="trust assurance observation"></display>
+       <definition value="Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="LOAAN"></code>
+        <display value="authentication level of assurance value"></display>
+        <definition value="The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2]
+
+        For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOAAN1"></code>
+         <display value="low authentication level of assurance"></display>
+         <definition value="Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
+
+        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] 
+
+        Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers.  Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAN2"></code>
+         <display value="basic authentication level of assurance"></display>
+         <definition value="Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
+
+        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]
+
+        Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token.  Eavesdropper, replay, and online guessing attacks are prevented.  
+Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAN3"></code>
+         <display value="medium authentication level of assurance"></display>
+         <definition value="Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
+
+        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] 
+
+        Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity.  Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:
+
+        
+         &quot;soft&quot; cryptographic token, which has the key stored on a general-purpose computer, 
+         &quot;hard&quot; cryptographic token, which has the key stored on a special hardware device, and 
+         &quot;one-time password&quot; device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.
+        
+        Authentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations.  Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol.    [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAN4"></code>
+         <display value="high authentication level of assurance"></display>
+         <definition value="Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] 
+
+        The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]
+
+        High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hard� cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.
+
+        Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOAAP"></code>
+        <display value="authentication process level of assurance value"></display>
+        <definition value="The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOAAP1"></code>
+         <display value="low authentication process level of assurance"></display>
+         <definition value="Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
+
+        Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAP2"></code>
+         <display value="basic authentication process level of assurance"></display>
+         <definition value="Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
+
+        Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP).  Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAP3"></code>
+         <display value="medium authentication process level of assurance"></display>
+         <definition value="Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
+
+        Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication.  Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).
+
+        Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier."></definition>
+        </concept>
+        <concept>
+         <code value="LOAAP4"></code>
+         <display value="high authentication process level of assurance"></display>
+         <definition value="Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
+
+        High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process.  Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process.   [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOAAS"></code>
+        <display value="assertion level of assurance value"></display>
+        <definition value="The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOAAS1"></code>
+         <display value="low assertion level of assurance"></display>
+         <definition value="Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
+
+        Assertions and assertion references require protection from modification and reuse attacks.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAS2"></code>
+         <display value="basic assertion level of assurance"></display>
+         <definition value="Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
+
+        Assertions are resistant to disclosure, redirection, capture and substitution attacks.  Approved cryptographic techniques are required for all assertion protocols.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAS3"></code>
+         <display value="medium assertion level of assurance"></display>
+         <definition value="Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
+
+        Assertions are protected against repudiation by the verifier.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAAS4"></code>
+         <display value="high assertion level of assurance"></display>
+         <definition value="Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
+
+        Strongly resistant to man-in-the-middle attacks. &quot;Bearer&quot; assertions are not used.  &quot;Holder-of-key&quot; assertions may be used. RP maintains records of the assertions.  [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOACM"></code>
+        <display value="token and credential management level of assurance value)"></display>
+        <definition value="Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOACM1"></code>
+         <display value="low token and credential management level of assurance"></display>
+         <definition value="Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOACM2"></code>
+         <display value="basic token and credential management level of assurance"></display>
+         <definition value="Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity.  Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include:  Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and  token is at least weakly resistant to man-in-the middle attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOACM3"></code>
+         <display value="medium token and credential management level of assurance"></display>
+         <definition value="Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity.  High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics  include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOACM4"></code>
+         <display value="high token and credential management level of assurance"></display>
+         <definition value="Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity.  Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOAID"></code>
+        <display value="identity proofing level of assurance"></display>
+        <definition value="Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOAID1"></code>
+         <display value="low identity proofing level of assurance"></display>
+         <definition value="Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires that a continuity of identity be maintained but does not require identity proofing. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAID2"></code>
+         <display value="basic identity proofing level of assurance"></display>
+         <definition value="Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAID3"></code>
+         <display value="medium identity proofing level of assurance"></display>
+         <definition value="Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOAID4"></code>
+         <display value="high identity proofing level of assurance"></display>
+         <definition value="Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be.  Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOANR"></code>
+        <display value="non-repudiation level of assurance value"></display>
+        <definition value="Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOANR1"></code>
+         <display value="low non-repudiation level of assurance"></display>
+         <definition value="Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
+        </concept>
+        <concept>
+         <code value="LOANR2"></code>
+         <display value="basic non-repudiation level of assurance"></display>
+         <definition value="Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
+        </concept>
+        <concept>
+         <code value="LOANR3"></code>
+         <display value="medium non-repudiation level of assurance"></display>
+         <definition value="Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
+        </concept>
+        <concept>
+         <code value="LOANR4"></code>
+         <display value="high non-repudiation level of assurance"></display>
+         <definition value="Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOARA"></code>
+        <display value="remote access level of assurance value"></display>
+        <definition value="Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOARA1"></code>
+         <display value="low remote access level of assurance"></display>
+         <definition value="Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
+        </concept>
+        <concept>
+         <code value="LOARA2"></code>
+         <display value="basic remote access level of assurance"></display>
+         <definition value="Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
+        </concept>
+        <concept>
+         <code value="LOARA3"></code>
+         <display value="medium remote access level of assurance"></display>
+         <definition value="Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]"></definition>
+        </concept>
+        <concept>
+         <code value="LOARA4"></code>
+         <display value="high remote access level of assurance"></display>
+         <definition value="Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="LOATK"></code>
+        <display value="token level of assurance value"></display>
+        <definition value="Indicator of the digital quality or reliability of single and multi-token authentication. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="LOATK1"></code>
+         <display value="low token level of assurance"></display>
+         <definition value="Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOATK2"></code>
+         <display value="basic token level of assurance"></display>
+         <definition value="Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOATK3"></code>
+         <display value="medium token level of assurance"></display>
+         <definition value="Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+        <concept>
+         <code value="LOATK4"></code>
+         <display value="high token level of assurance"></display>
+         <definition value="Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card.  [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="TRSTMECOBV"></code>
+       <display value="none supplied 6"></display>
+       <definition value="Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SeverityObservation"></code>
+     <display value="SeverityObservation"></display>
+     <definition value="Potential values for observations of severity."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="H"></code>
+      <display value="High"></display>
+      <definition value="Indicates the condition may be life-threatening or has the potential to cause permanent injury."></definition>
+     </concept>
+     <concept>
+      <code value="L"></code>
+      <display value="Low"></display>
+      <definition value="Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject."></definition>
+     </concept>
+     <concept>
+      <code value="M"></code>
+      <display value="Moderate"></display>
+      <definition value="Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SubjectBodyPosition"></code>
+     <display value="_SubjectBodyPosition"></display>
+     <definition value="Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc.  ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="LLD"></code>
+      <display value="left lateral decubitus"></display>
+      <definition value="Lying on the left side."></definition>
+     </concept>
+     <concept>
+      <code value="PRN"></code>
+      <display value="prone"></display>
+      <definition value="Lying with the front or ventral surface downward; lying face down."></definition>
+     </concept>
+     <concept>
+      <code value="RLD"></code>
+      <display value="right lateral decubitus"></display>
+      <definition value="Lying on the right side."></definition>
+     </concept>
+     <concept>
+      <code value="SFWL"></code>
+      <display value="Semi-Fowler's"></display>
+      <definition value="A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees."></definition>
+     </concept>
+     <concept>
+      <code value="SIT"></code>
+      <display value="sitting"></display>
+      <definition value="Resting the body on the buttocks, typically with upper torso erect or semi erect."></definition>
+     </concept>
+     <concept>
+      <code value="STN"></code>
+      <display value="standing"></display>
+      <definition value="To be stationary, upright, vertical, on one's legs."></definition>
+     </concept>
+     <concept>
+      <code value="SUP"></code>
+      <display value="supine"></display>
+      <definition value="supine"></definition>
+      <concept>
+       <code value="RTRD"></code>
+       <display value="reverse trendelenburg"></display>
+       <definition value="Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered."></definition>
+      </concept>
+      <concept>
+       <code value="TRD"></code>
+       <display value="trendelenburg"></display>
+       <definition value="Lying on the back, on an inclined plane, typically about 30-45 degrees, with  head lowered and feet raised."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_VerificationOutcomeValue"></code>
+     <display value="verification outcome"></display>
+     <definition value="Values for observations of verification act results
+
+        
+         Examples: Verified, not verified, verified with warning."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ACT"></code>
+      <display value="active coverage"></display>
+      <definition value="Definition: Coverage is in effect for healthcare service(s) and/or product(s)."></definition>
+     </concept>
+     <concept>
+      <code value="ACTPEND"></code>
+      <display value="active - pending investigation"></display>
+      <definition value="Definition: Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation"></definition>
+     </concept>
+     <concept>
+      <code value="ELG"></code>
+      <display value="eligible"></display>
+      <definition value="Definition: Coverage is in effect for healthcare service(s) and/or product(s)."></definition>
+     </concept>
+     <concept>
+      <code value="INACT"></code>
+      <display value="inactive"></display>
+      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s)."></definition>
+     </concept>
+     <concept>
+      <code value="INPNDINV"></code>
+      <display value="inactive - pending investigation"></display>
+      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation."></definition>
+     </concept>
+     <concept>
+      <code value="INPNDUPD"></code>
+      <display value="inactive - pending eligibility update"></display>
+      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update."></definition>
+     </concept>
+     <concept>
+      <code value="NELG"></code>
+      <display value="not eligible"></display>
+      <definition value="Definition: Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_WorkSchedule"></code>
+     <display value="_WorkSchedule"></display>
+     <definition value="Concepts that describe an individual's typical arrangement of working hours for an occupation."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="DS"></code>
+      <display value="daytime shift"></display>
+      <definition value="A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis."></definition>
+     </concept>
+     <concept>
+      <code value="EMS"></code>
+      <display value="early morning shift"></display>
+      <definition value="Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)"></definition>
+     </concept>
+     <concept>
+      <code value="ES"></code>
+      <display value="evening shift"></display>
+      <definition value="A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis."></definition>
+     </concept>
+     <concept>
+      <code value="NS"></code>
+      <display value="night shift"></display>
+      <definition value="Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis."></definition>
+     </concept>
+     <concept>
+      <code value="RSWN"></code>
+      <display value="rotating shift with nights"></display>
+      <definition value="Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts."></definition>
+     </concept>
+     <concept>
+      <code value="RSWON"></code>
+      <display value="rotating shift without nights"></display>
+      <definition value="Scheduled for work days/times that change periodically between days, but does not include night or evening work."></definition>
+     </concept>
+     <concept>
+      <code value="SS"></code>
+      <display value="split shift"></display>
+      <definition value="Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)"></definition>
+     </concept>
+     <concept>
+      <code value="VLS"></code>
+      <display value="very long shift"></display>
+      <definition value="Shifts of 17 or more hours."></definition>
+     </concept>
+     <concept>
+      <code value="VS"></code>
+      <display value="variable shift"></display>
+      <definition value="Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_AnnotationValue"></code>
+     <display value="AnnotationValue"></display>
+     <definition value="AnnotationValue"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="_CommonClinicalObservationValue"></code>
+     <display value="common clinical observation"></display>
+     <definition value="Description:Used in a patient care message to value simple clinical (non-lab) observations."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="_IndividualCaseSafetyReportValueDomains"></code>
+     <display value="Individual Case Safety Report Value Domains"></display>
+     <definition value="This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="_IndicationValue"></code>
+     <display value="IndicationValue"></display>
+     <definition value="Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-orderableDrugForm"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-orderableDrugForm"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.85"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.orderableDrugForm"></name>
+    <title value="v3 Code System orderableDrugForm"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  OpenIssue:
+Missing description."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-orderableDrugForm"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_AdministrableDrugForm"></code>
+     <display value="AdministrableDrugForm"></display>
+     <definition value="AdministrableDrugForm"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="APPFUL"></code>
+      <display value="Applicatorful"></display>
+      <definition value="Applicatorful"></definition>
+     </concept>
+     <concept>
+      <code value="DROP"></code>
+      <display value="Drops"></display>
+      <definition value="Drops"></definition>
+      <concept>
+       <code value="NDROP"></code>
+       <display value="Nasal Drops"></display>
+       <definition value="Nasal Drops"></definition>
+      </concept>
+      <concept>
+       <code value="OPDROP"></code>
+       <display value="Ophthalmic Drops"></display>
+       <definition value="Ophthalmic Drops"></definition>
+      </concept>
+      <concept>
+       <code value="ORDROP"></code>
+       <display value="Oral Drops"></display>
+       <definition value="Oral Drops"></definition>
+      </concept>
+      <concept>
+       <code value="OTDROP"></code>
+       <display value="Otic Drops"></display>
+       <definition value="Otic Drops"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="PUFF"></code>
+      <display value="Puff"></display>
+      <definition value="Puff"></definition>
+     </concept>
+     <concept>
+      <code value="SCOOP"></code>
+      <display value="Scoops"></display>
+      <definition value="Scoops"></definition>
+     </concept>
+     <concept>
+      <code value="SPRY"></code>
+      <display value="Sprays"></display>
+      <definition value="Sprays"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_DispensableDrugForm"></code>
+     <display value="DispensableDrugForm"></display>
+     <definition value="DispensableDrugForm"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_GasDrugForm"></code>
+      <display value="GasDrugForm"></display>
+      <definition value="Any elastic aeriform fluid in which the molecules are separated from one another and have free paths."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="GASINHL"></code>
+       <display value="Gas for Inhalation"></display>
+       <definition value="Gas for Inhalation"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_GasLiquidMixture"></code>
+      <display value="GasLiquidMixture"></display>
+      <definition value="GasLiquidMixture"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="AER"></code>
+       <display value="Aerosol"></display>
+       <definition value="Aerosol"></definition>
+       <concept>
+        <code value="BAINHL"></code>
+        <display value="Breath Activated Inhaler"></display>
+        <definition value="Breath Activated Inhaler"></definition>
+       </concept>
+       <concept>
+        <code value="INHLSOL"></code>
+        <display value="Inhalant Solution"></display>
+        <definition value="Inhalant Solution"></definition>
+       </concept>
+       <concept>
+        <code value="MDINHL"></code>
+        <display value="Metered Dose Inhaler"></display>
+        <definition value="Metered Dose Inhaler"></definition>
+       </concept>
+       <concept>
+        <code value="NASSPRY"></code>
+        <display value="Nasal Spray"></display>
+        <definition value="Nasal Spray"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="DERMSPRY"></code>
+       <display value="Dermal Spray"></display>
+       <definition value="Dermal Spray"></definition>
+      </concept>
+      <concept>
+       <code value="FOAM"></code>
+       <display value="Foam"></display>
+       <definition value="Foam"></definition>
+       <concept>
+        <code value="FOAMAPL"></code>
+        <display value="Foam with Applicator"></display>
+        <definition value="Foam with Applicator"></definition>
+       </concept>
+       <concept>
+        <code value="RECFORM"></code>
+        <display value="Rectal foam"></display>
+        <definition value="Rectal foam"></definition>
+       </concept>
+       <concept>
+        <code value="VAGFOAM"></code>
+        <display value="Vaginal foam"></display>
+        <definition value="Vaginal foam"></definition>
+        <concept>
+         <code value="VAGFOAMAPL"></code>
+         <display value="Vaginal foam with applicator"></display>
+         <definition value="Vaginal foam with applicator"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="RECSPRY"></code>
+       <display value="Rectal Spray"></display>
+       <definition value="Rectal Spray"></definition>
+      </concept>
+      <concept>
+       <code value="VAGSPRY"></code>
+       <display value="Vaginal Spray"></display>
+       <definition value="Vaginal Spray"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_GasSolidSpray"></code>
+      <display value="GasSolidSpray"></display>
+      <definition value="GasSolidSpray"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="INHL"></code>
+       <display value="Inhalant"></display>
+       <definition value="Inhalant"></definition>
+       <concept>
+        <code value="BAINHLPWD"></code>
+        <display value="Breath Activated Powder Inhaler"></display>
+        <definition value="Breath Activated Powder Inhaler"></definition>
+       </concept>
+       <concept>
+        <code value="INHLPWD"></code>
+        <display value="Inhalant Powder"></display>
+        <definition value="Inhalant Powder"></definition>
+       </concept>
+       <concept>
+        <code value="MDINHLPWD"></code>
+        <display value="Metered Dose Powder Inhaler"></display>
+        <definition value="Metered Dose Powder Inhaler"></definition>
+       </concept>
+       <concept>
+        <code value="NASINHL"></code>
+        <display value="Nasal Inhalant"></display>
+        <definition value="Nasal Inhalant"></definition>
+       </concept>
+       <concept>
+        <code value="ORINHL"></code>
+        <display value="Oral Inhalant"></display>
+        <definition value="Oral Inhalant"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PWDSPRY"></code>
+       <display value="Powder Spray"></display>
+       <definition value="Powder Spray"></definition>
+      </concept>
+      <concept>
+       <code value="SPRYADAPT"></code>
+       <display value="Spray with Adaptor"></display>
+       <definition value="Spray with Adaptor"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_Liquid"></code>
+      <display value="Liquid"></display>
+      <definition value="A state of substance that is an intermediate one entered into as matter goes from solid to gas; liquids are also intermediate in that they have neither the orderliness of a crystal nor the randomness of a gas. (Note: This term should not be used to describe solutions, only pure chemicals in their liquid state.)"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="LIQCLN"></code>
+       <display value="Liquid Cleanser"></display>
+       <definition value="Liquid Cleanser"></definition>
+       <concept>
+        <code value="LIQSOAP"></code>
+        <display value="Medicated Liquid Soap"></display>
+        <definition value="Medicated Liquid Soap"></definition>
+       </concept>
+       <concept>
+        <code value="SHMP"></code>
+        <display value="Shampoo"></display>
+        <definition value="A liquid soap or detergent used to clean the hair and scalp and is often used as a vehicle for dermatologic agents."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="OIL"></code>
+       <display value="Oil"></display>
+       <definition value="An unctuous, combustible substance which is liquid, or easily liquefiable, on warming, and is soluble in ether but insoluble in water. Such substances, depending on their origin, are classified as animal, mineral, or vegetable oils."></definition>
+       <concept>
+        <code value="TOPOIL"></code>
+        <display value="Topical Oil"></display>
+        <definition value="Topical Oil"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SOL"></code>
+       <display value="Solution"></display>
+       <definition value="A liquid preparation that contains one or more chemical substances dissolved, i.e., molecularly dispersed, in a suitable solvent or mixture of mutually miscible solvents."></definition>
+       <property>
+        <code value="child"></code>
+        <valueCode value="DROP"></valueCode>
+       </property>
+       <concept>
+        <code value="IPSOL"></code>
+        <display value="Intraperitoneal Solution"></display>
+        <definition value="Intraperitoneal Solution"></definition>
+       </concept>
+       <concept>
+        <code value="IRSOL"></code>
+        <display value="Irrigation Solution"></display>
+        <definition value="A sterile solution intended to bathe or flush open wounds or body cavities; they're used topically, never parenterally."></definition>
+        <concept>
+         <code value="DOUCHE"></code>
+         <display value="Douche"></display>
+         <definition value="A liquid preparation, intended for the irrigative cleansing of the vagina, that is prepared from powders, liquid solutions, or liquid concentrates and contains one or more chemical substances dissolved in a suitable solvent or mutually miscible solvents."></definition>
+        </concept>
+        <concept>
+         <code value="ENEMA"></code>
+         <display value="Enema"></display>
+         <definition value="A rectal preparation for therapeutic, diagnostic, or nutritive purposes."></definition>
+        </concept>
+        <concept>
+         <code value="OPIRSOL"></code>
+         <display value="Ophthalmic Irrigation Solution"></display>
+         <definition value="Ophthalmic Irrigation Solution"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="IVSOL"></code>
+        <display value="Intravenous Solution"></display>
+        <definition value="Intravenous Solution"></definition>
+       </concept>
+       <concept>
+        <code value="ORALSOL"></code>
+        <display value="Oral Solution"></display>
+        <definition value="Oral Solution"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="ORDROP"></valueCode>
+        </property>
+        <concept>
+         <code value="ELIXIR"></code>
+         <display value="Elixir"></display>
+         <definition value="A clear, pleasantly flavored, sweetened hydroalcoholic liquid containing dissolved medicinal agents; it is intended for oral use."></definition>
+        </concept>
+        <concept>
+         <code value="RINSE"></code>
+         <display value="Mouthwash/Rinse"></display>
+         <definition value="An aqueous solution which is most often used for its deodorant, refreshing, or antiseptic effect."></definition>
+        </concept>
+        <concept>
+         <code value="SYRUP"></code>
+         <display value="Syrup"></display>
+         <definition value="An oral solution containing high concentrations of sucrose or other sugars; the term has also been used to include any other liquid dosage form prepared in a sweet and viscid vehicle, including oral suspensions."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="RECSOL"></code>
+        <display value="Rectal Solution"></display>
+        <definition value="Rectal Solution"></definition>
+       </concept>
+       <concept>
+        <code value="TOPSOL"></code>
+        <display value="Topical Solution"></display>
+        <definition value="Topical Solution"></definition>
+        <concept>
+         <code value="LIN"></code>
+         <display value="Liniment"></display>
+         <definition value="A solution or mixture of various substances in oil, alcoholic solutions of soap, or emulsions intended for external application."></definition>
+        </concept>
+        <concept>
+         <code value="MUCTOPSOL"></code>
+         <display value="Mucous Membrane Topical Solution"></display>
+         <definition value="Mucous Membrane Topical Solution"></definition>
+        </concept>
+        <concept>
+         <code value="TINC"></code>
+         <display value="Tincture"></display>
+         <definition value="Tincture"></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_LiquidLiquidEmulsion"></code>
+      <display value="LiquidLiquidEmulsion"></display>
+      <definition value="A two-phase system in which one liquid is dispersed throughout another liquid in the form of small droplets."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="CRM"></code>
+       <display value="Cream"></display>
+       <definition value="A semisolid dosage form containing one or more drug substances dissolved or dispersed in a suitable base; more recently, the term has been restricted to products consisting of oil-in-water emulsions or aqueous microcrystalline dispersions of long chain fatty acids or alcohols that are water washable and more cosmetically and aesthetically acceptable."></definition>
+       <concept>
+        <code value="NASCRM"></code>
+        <display value="Nasal Cream"></display>
+        <definition value="Nasal Cream"></definition>
+       </concept>
+       <concept>
+        <code value="OPCRM"></code>
+        <display value="Ophthalmic Cream"></display>
+        <definition value="Ophthalmic Cream"></definition>
+       </concept>
+       <concept>
+        <code value="ORCRM"></code>
+        <display value="Oral Cream"></display>
+        <definition value="Oral Cream"></definition>
+       </concept>
+       <concept>
+        <code value="OTCRM"></code>
+        <display value="Otic Cream"></display>
+        <definition value="Otic Cream"></definition>
+       </concept>
+       <concept>
+        <code value="RECCRM"></code>
+        <display value="Rectal Cream"></display>
+        <definition value="Rectal Cream"></definition>
+       </concept>
+       <concept>
+        <code value="TOPCRM"></code>
+        <display value="Topical Cream"></display>
+        <definition value="Topical Cream"></definition>
+       </concept>
+       <concept>
+        <code value="VAGCRM"></code>
+        <display value="Vaginal Cream"></display>
+        <definition value="Vaginal Cream"></definition>
+        <concept>
+         <code value="VAGCRMAPL"></code>
+         <display value="Vaginal Cream with Applicator"></display>
+         <definition value="Vaginal Cream with Applicator"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="LTN"></code>
+       <display value="Lotion"></display>
+       <definition value="The term &quot;lotion&quot; has been used to categorize many topical suspensions, solutions and emulsions intended for application to the skin."></definition>
+       <concept>
+        <code value="TOPLTN"></code>
+        <display value="Topical Lotion"></display>
+        <definition value="Topical Lotion"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="OINT"></code>
+       <display value="Ointment"></display>
+       <definition value="A semisolid preparation intended for external application to the skin or mucous membranes."></definition>
+       <concept>
+        <code value="NASOINT"></code>
+        <display value="Nasal Ointment"></display>
+        <definition value="Nasal Ointment"></definition>
+       </concept>
+       <concept>
+        <code value="OINTAPL"></code>
+        <display value="Ointment with Applicator"></display>
+        <definition value="Ointment with Applicator"></definition>
+       </concept>
+       <concept>
+        <code value="OPOINT"></code>
+        <display value="Ophthalmic Ointment"></display>
+        <definition value="Ophthalmic Ointment"></definition>
+       </concept>
+       <concept>
+        <code value="OTOINT"></code>
+        <display value="Otic Ointment"></display>
+        <definition value="Otic Ointment"></definition>
+       </concept>
+       <concept>
+        <code value="RECOINT"></code>
+        <display value="Rectal Ointment"></display>
+        <definition value="Rectal Ointment"></definition>
+       </concept>
+       <concept>
+        <code value="TOPOINT"></code>
+        <display value="Topical Ointment"></display>
+        <definition value="Topical Ointment"></definition>
+       </concept>
+       <concept>
+        <code value="VAGOINT"></code>
+        <display value="Vaginal Ointment"></display>
+        <definition value="Vaginal Ointment"></definition>
+        <concept>
+         <code value="VAGOINTAPL"></code>
+         <display value="Vaginal Ointment with Applicator"></display>
+         <definition value="Vaginal Ointment with Applicator"></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_LiquidSolidSuspension"></code>
+      <display value="LiquidSolidSuspension"></display>
+      <definition value="A liquid preparation which consists of solid particles dispersed throughout a liquid phase in which the particles are not soluble."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="GEL"></code>
+       <display value="Gel"></display>
+       <definition value="A semisolid system consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid."></definition>
+       <concept>
+        <code value="GELAPL"></code>
+        <display value="Gel with Applicator"></display>
+        <definition value="Gel with Applicator"></definition>
+       </concept>
+       <concept>
+        <code value="NASGEL"></code>
+        <display value="Nasal Gel"></display>
+        <definition value="Nasal Gel"></definition>
+       </concept>
+       <concept>
+        <code value="OPGEL"></code>
+        <display value="Ophthalmic Gel"></display>
+        <definition value="Ophthalmic Gel"></definition>
+       </concept>
+       <concept>
+        <code value="OTGEL"></code>
+        <display value="Otic Gel"></display>
+        <definition value="Otic Gel"></definition>
+       </concept>
+       <concept>
+        <code value="TOPGEL"></code>
+        <display value="Topical Gel"></display>
+        <definition value="Topical Gel"></definition>
+       </concept>
+       <concept>
+        <code value="URETHGEL"></code>
+        <display value="Urethral Gel"></display>
+        <definition value="Urethral Gel"></definition>
+       </concept>
+       <concept>
+        <code value="VAGGEL"></code>
+        <display value="Vaginal Gel"></display>
+        <definition value="Vaginal Gel"></definition>
+        <concept>
+         <code value="VGELAPL"></code>
+         <display value="Vaginal Gel with Applicator"></display>
+         <definition value="Vaginal Gel with Applicator"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PASTE"></code>
+       <display value="Paste"></display>
+       <definition value="A semisolid dosage form that contains one or more drug substances intended for topical application."></definition>
+       <concept>
+        <code value="PUD"></code>
+        <display value="Pudding"></display>
+        <definition value="Pudding"></definition>
+       </concept>
+       <concept>
+        <code value="TPASTE"></code>
+        <display value="Toothpaste"></display>
+        <definition value="A paste formulation intended to clean and/or polish the teeth, and which may contain certain additional agents."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SUSP"></code>
+       <display value="Suspension"></display>
+       <definition value="Suspension"></definition>
+       <concept>
+        <code value="ITSUSP"></code>
+        <display value="Intrathecal Suspension"></display>
+        <definition value="Intrathecal Suspension"></definition>
+       </concept>
+       <concept>
+        <code value="OPSUSP"></code>
+        <display value="Ophthalmic Suspension"></display>
+        <definition value="Ophthalmic Suspension"></definition>
+       </concept>
+       <concept>
+        <code value="ORSUSP"></code>
+        <display value="Oral Suspension"></display>
+        <definition value="Oral Suspension"></definition>
+        <concept>
+         <code value="ERSUSP"></code>
+         <display value="Extended-Release Suspension"></display>
+         <definition value="Extended-Release Suspension"></definition>
+         <concept>
+          <code value="ERSUSP12"></code>
+          <display value="12 Hour Extended-Release Suspension"></display>
+          <definition value="12 Hour Extended-Release Suspension"></definition>
+         </concept>
+         <concept>
+          <code value="ERSUSP24"></code>
+          <display value="24 Hour Extended Release Suspension"></display>
+          <definition value="24 Hour Extended Release Suspension"></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="OTSUSP"></code>
+        <display value="Otic Suspension"></display>
+        <definition value="Otic Suspension"></definition>
+       </concept>
+       <concept>
+        <code value="RECSUSP"></code>
+        <display value="Rectal Suspension"></display>
+        <definition value="Rectal Suspension"></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_SolidDrugForm"></code>
+      <display value="SolidDrugForm"></display>
+      <definition value="SolidDrugForm"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="BAR"></code>
+       <display value="Bar"></display>
+       <definition value="Bar"></definition>
+       <concept>
+        <code value="BARSOAP"></code>
+        <display value="Bar Soap"></display>
+        <definition value="Bar Soap"></definition>
+        <concept>
+         <code value="MEDBAR"></code>
+         <display value="Medicated Bar Soap"></display>
+         <definition value="Medicated Bar Soap"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="CHEWBAR"></code>
+        <display value="Chewable Bar"></display>
+        <definition value="A solid dosage form usually in the form of a rectangle that is meant to be chewed."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="BEAD"></code>
+       <display value="Beads"></display>
+       <definition value="A solid dosage form in the shape of a small ball."></definition>
+      </concept>
+      <concept>
+       <code value="CAKE"></code>
+       <display value="Cake"></display>
+       <definition value="Cake"></definition>
+      </concept>
+      <concept>
+       <code value="CEMENT"></code>
+       <display value="Cement"></display>
+       <definition value="A substance that serves to produce solid union between two surfaces."></definition>
+      </concept>
+      <concept>
+       <code value="CRYS"></code>
+       <display value="Crystals"></display>
+       <definition value="A naturally produced angular solid of definite form in which the ultimate units from which it is built up are systematically arranged; they are usually evenly spaced on a regular space lattice."></definition>
+      </concept>
+      <concept>
+       <code value="DISK"></code>
+       <display value="Disk"></display>
+       <definition value="A circular plate-like organ or structure."></definition>
+      </concept>
+      <concept>
+       <code value="FLAKE"></code>
+       <display value="Flakes"></display>
+       <definition value="Flakes"></definition>
+      </concept>
+      <concept>
+       <code value="GRAN"></code>
+       <display value="Granules"></display>
+       <definition value="A small particle or grain."></definition>
+      </concept>
+      <concept>
+       <code value="GUM"></code>
+       <display value="ChewingGum"></display>
+       <definition value="A sweetened and flavored insoluble plastic material of various shapes which when chewed, releases a drug substance into the oral cavity."></definition>
+      </concept>
+      <concept>
+       <code value="PAD"></code>
+       <display value="Pad"></display>
+       <definition value="Pad"></definition>
+       <concept>
+        <code value="MEDPAD"></code>
+        <display value="Medicated Pad"></display>
+        <definition value="Medicated Pad"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PATCH"></code>
+       <display value="Patch"></display>
+       <definition value="A drug delivery system that contains an adhesived backing and that permits its ingredients to diffuse from some portion of it (e.g., the backing itself, a reservoir, the adhesive, or some other component) into the body from the external site where it is applied."></definition>
+       <concept>
+        <code value="TPATCH"></code>
+        <display value="Transdermal Patch"></display>
+        <definition value="Transdermal Patch"></definition>
+        <concept>
+         <code value="TPATH16"></code>
+         <display value="16 Hour Transdermal Patch"></display>
+         <definition value="16 Hour Transdermal Patch"></definition>
+        </concept>
+        <concept>
+         <code value="TPATH24"></code>
+         <display value="24 Hour Transdermal Patch"></display>
+         <definition value="24 Hour Transdermal Patch"></definition>
+        </concept>
+        <concept>
+         <code value="TPATH2WK"></code>
+         <display value="Biweekly Transdermal Patch"></display>
+         <definition value="Biweekly Transdermal Patch"></definition>
+        </concept>
+        <concept>
+         <code value="TPATH72"></code>
+         <display value="72 Hour Transdermal Patch"></display>
+         <definition value="72 Hour Transdermal Patch"></definition>
+        </concept>
+        <concept>
+         <code value="TPATHWK"></code>
+         <display value="Weekly Transdermal Patch"></display>
+         <definition value="Weekly Transdermal Patch"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PELLET"></code>
+       <display value="Pellet"></display>
+       <definition value="A small sterile solid mass consisting of a highly purified drug (with or without excipients) made by the formation of granules, or by compression and molding."></definition>
+      </concept>
+      <concept>
+       <code value="PILL"></code>
+       <display value="Pill"></display>
+       <definition value="A small, round solid dosage form containing a medicinal agent intended for oral administration."></definition>
+       <concept>
+        <code value="CAP"></code>
+        <display value="Capsule"></display>
+        <definition value="A solid dosage form in which the drug is enclosed within either a hard or soft soluble container or &quot;shell&quot; made from a suitable form of gelatin."></definition>
+        <concept>
+         <code value="ORCAP"></code>
+         <display value="Oral Capsule"></display>
+         <definition value="Oral Capsule"></definition>
+         <concept>
+          <code value="ENTCAP"></code>
+          <display value="Enteric Coated Capsule"></display>
+          <definition value="Enteric Coated Capsule"></definition>
+          <concept>
+           <code value="ERENTCAP"></code>
+           <display value="Extended Release Enteric Coated Capsule"></display>
+           <definition value="Extended Release Enteric Coated Capsule"></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="ERCAP"></code>
+          <display value="Extended Release Capsule"></display>
+          <definition value="A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) in such a manner to allow a reduction in dosing frequency as compared to that drug (or drugs) presented as a conventional dosage form."></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="ERENTCAP"></valueCode>
+          </property>
+          <concept>
+           <code value="ERCAP12"></code>
+           <display value="12 Hour Extended Release Capsule"></display>
+           <definition value="12 Hour Extended Release Capsule"></definition>
+          </concept>
+          <concept>
+           <code value="ERCAP24"></code>
+           <display value="24 Hour Extended Release Capsule"></display>
+           <definition value="24 Hour Extended Release Capsule"></definition>
+          </concept>
+          <concept>
+           <code value="ERECCAP"></code>
+           <display value="Extended Release Enteric Coated Capsule"></display>
+           <definition value="Rationale: Duplicate of code ERENTCAP. Use code ERENTCAP instead."></definition>
+           <property>
+            <code value="status"></code>
+            <valueCode value="retired"></valueCode>
+           </property>
+          </concept>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="TAB"></code>
+        <display value="Tablet"></display>
+        <definition value="A solid dosage form containing medicinal substances with or without suitable diluents."></definition>
+        <concept>
+         <code value="ORTAB"></code>
+         <display value="Oral Tablet"></display>
+         <definition value="Oral Tablet"></definition>
+         <concept>
+          <code value="BUCTAB"></code>
+          <display value="Buccal Tablet"></display>
+          <definition value="Buccal Tablet"></definition>
+          <concept>
+           <code value="SRBUCTAB"></code>
+           <display value="Sustained Release Buccal Tablet"></display>
+           <definition value="Sustained Release Buccal Tablet"></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="CAPLET"></code>
+          <display value="Caplet"></display>
+          <definition value="Caplet"></definition>
+         </concept>
+         <concept>
+          <code value="CHEWTAB"></code>
+          <display value="Chewable Tablet"></display>
+          <definition value="A solid dosage form containing medicinal substances with or without suitable diluents that is intended to be chewed, producing a pleasant tasting residue in the oral cavity that is easily swallowed and does not leave a bitter or unpleasant after-taste."></definition>
+         </concept>
+         <concept>
+          <code value="CPTAB"></code>
+          <display value="Coated Particles Tablet"></display>
+          <definition value="Coated Particles Tablet"></definition>
+         </concept>
+         <concept>
+          <code value="DISINTAB"></code>
+          <display value="Disintegrating Tablet"></display>
+          <definition value="A solid dosage form containing medicinal substances which disintegrates rapidly, usually within a matter of seconds, when placed upon the tongue."></definition>
+         </concept>
+         <concept>
+          <code value="DRTAB"></code>
+          <display value="Delayed Release Tablet"></display>
+          <definition value="Delayed Release Tablet"></definition>
+         </concept>
+         <concept>
+          <code value="ECTAB"></code>
+          <display value="Enteric Coated Tablet"></display>
+          <definition value="Enteric Coated Tablet"></definition>
+          <concept>
+           <code value="ERECTAB"></code>
+           <display value="Extended Release Enteric Coated Tablet"></display>
+           <definition value="Extended Release Enteric Coated Tablet"></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="ERTAB"></code>
+          <display value="Extended Release Tablet"></display>
+          <definition value="A solid dosage form containing a drug which allows at least a reduction in dosing frequency as compared to that drug presented in conventional dosage form."></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="ERECTAB"></valueCode>
+          </property>
+          <concept>
+           <code value="ERTAB12"></code>
+           <display value="12 Hour Extended Release Tablet"></display>
+           <definition value="12 Hour Extended Release Tablet"></definition>
+          </concept>
+          <concept>
+           <code value="ERTAB24"></code>
+           <display value="24 Hour Extended Release Tablet"></display>
+           <definition value="24 Hour Extended Release Tablet"></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="ORTROCHE"></code>
+          <display value="Lozenge/Oral Troche"></display>
+          <definition value="A solid preparation containing one or more medicaments, usually in a flavored, sweetened base which is intended to dissolve or disintegrate slowly in the mouth."></definition>
+         </concept>
+         <concept>
+          <code value="SLTAB"></code>
+          <display value="Sublingual Tablet"></display>
+          <definition value="Sublingual Tablet"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="VAGTAB"></code>
+         <display value="Vaginal Tablet"></display>
+         <definition value="Vaginal Tablet"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="POWD"></code>
+       <display value="Powder"></display>
+       <definition value="An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use."></definition>
+       <concept>
+        <code value="TOPPWD"></code>
+        <display value="Topical Powder"></display>
+        <definition value="Topical Powder"></definition>
+        <concept>
+         <code value="RECPWD"></code>
+         <display value="Rectal Powder"></display>
+         <definition value="Rectal Powder"></definition>
+        </concept>
+        <concept>
+         <code value="VAGPWD"></code>
+         <display value="Vaginal Powder"></display>
+         <definition value="Vaginal Powder"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SUPP"></code>
+       <display value="Suppository"></display>
+       <definition value="A solid body of various weights and shapes, adapted for introduction into the rectal, vaginal, or urethral orifice of the human body; they usually melt, soften, or dissolve at body temperature."></definition>
+       <concept>
+        <code value="RECSUPP"></code>
+        <display value="Rectal Suppository"></display>
+        <definition value="Rectal Suppository"></definition>
+       </concept>
+       <concept>
+        <code value="URETHSUPP"></code>
+        <display value="Urethral suppository"></display>
+        <definition value="Urethral suppository"></definition>
+       </concept>
+       <concept>
+        <code value="VAGSUPP"></code>
+        <display value="Vaginal Suppository"></display>
+        <definition value="Vaginal Suppository"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SWAB"></code>
+       <display value="Swab"></display>
+       <definition value="A wad of absorbent material usually wound around one end of a small stick and used for applying medication or for removing material from an area."></definition>
+       <concept>
+        <code value="MEDSWAB"></code>
+        <display value="Medicated swab"></display>
+        <definition value="Medicated swab"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="WAFER"></code>
+       <display value="Wafer"></display>
+       <definition value="A thin slice of material containing a medicinal agent."></definition>
+      </concept>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationFunction"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationFunction"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.88"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationFunction"></name>
+    <title value="v3 Code System ParticipationFunction"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationFunction"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_AuthorizedParticipationFunction"></code>
+     <display value="AuthorizedParticipationFunction"></display>
+     <definition value="This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_AuthorizedReceiverParticipationFunction"></code>
+      <display value="AuthorizedReceiverParticipationFunction"></display>
+      <definition value="This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="AUCG"></code>
+       <display value="caregiver information receiver"></display>
+       <definition value="Description:Caregiver authorized to receive patient health information."></definition>
+      </concept>
+      <concept>
+       <code value="AULR"></code>
+       <display value="legitimate relationship information receiver"></display>
+       <definition value="Description:Provider with legitimate relationship authorized to receive patient health information."></definition>
+      </concept>
+      <concept>
+       <code value="AUTM"></code>
+       <display value="care team information receiver"></display>
+       <definition value="Description:Member of care team authorized to receive patient health information."></definition>
+      </concept>
+      <concept>
+       <code value="AUWA"></code>
+       <display value="work area information receiver"></display>
+       <definition value="Description:Entities within specified work area authorized to receive patient health information."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_ConsenterParticipationFunction"></code>
+      <display value="ConsenterParticipationFunction"></display>
+      <definition value="This code is used to specify the exact function an actor is authorized to have in authoring a consent directive."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="GRDCON"></code>
+       <display value="legal guardian consent author"></display>
+       <definition value="Description:Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent."></definition>
+      </concept>
+      <concept>
+       <code value="POACON"></code>
+       <display value="healthcare power of attorney consent author"></display>
+       <definition value="Description:Person authorized with healthcare power of attorney to author a  consent directive for the subject of consent."></definition>
+      </concept>
+      <concept>
+       <code value="PRCON"></code>
+       <display value="personal representative consent author"></display>
+       <definition value="Description:Personal representative of the subject of consent authorized to author a consent directive for the subject of consent."></definition>
+      </concept>
+      <concept>
+       <code value="PROMSK"></code>
+       <display value="authorized provider masking author"></display>
+       <definition value="Definition:Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information."></definition>
+      </concept>
+      <concept>
+       <code value="SUBCON"></code>
+       <display value="subject of consent author"></display>
+       <definition value="Description:Subject of consent authorized to author a consent directive."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_OverriderParticipationFunction"></code>
+      <display value="OverriderParticipationFunction"></display>
+      <definition value="This code is used to specify the exact function an actor is authorized to have in authoring a consent override."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="AUCOV"></code>
+       <display value="consent overrider"></display>
+       <definition value="Description:Entity authorized to override a consent directive."></definition>
+      </concept>
+      <concept>
+       <code value="AUEMROV"></code>
+       <display value="emergency overrider"></display>
+       <definition value="Description:Entity  authorized to override a consent directive or privacy policy in an emergency."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CoverageParticipationFunction"></code>
+     <display value="CoverageParticipationFunction"></display>
+     <definition value="Definition: Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_PayorParticipationFunction"></code>
+      <display value="PayorParticipationFunction"></display>
+      <definition value="Definition: Set of codes indicating the manner in which payors participate in a policy or program.&lt;/"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="CLMADJ"></code>
+       <display value="claims adjudication"></display>
+       <definition value="Definition: Manages all operations required to adjudicate fee for service claims or managed care encounter reports."></definition>
+      </concept>
+      <concept>
+       <code value="ENROLL"></code>
+       <display value="enrollment broker"></display>
+       <definition value="Definition: Managing the enrollment of covered parties."></definition>
+      </concept>
+      <concept>
+       <code value="FFSMGT"></code>
+       <display value="ffs management"></display>
+       <definition value="Definition: Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review."></definition>
+      </concept>
+      <concept>
+       <code value="MCMGT"></code>
+       <display value="managed care management"></display>
+       <definition value="Definition: Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review."></definition>
+      </concept>
+      <concept>
+       <code value="PROVMGT"></code>
+       <display value="provider management"></display>
+       <definition value="Definition: Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy."></definition>
+      </concept>
+      <concept>
+       <code value="UMGT"></code>
+       <display value="utilization management"></display>
+       <definition value="Definition: Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity.  May include management of authorizations for services and referrals."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_SponsorParticipationFunction"></code>
+      <display value="SponsorParticipationFunction"></display>
+      <definition value="Definition: Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="FULINRD"></code>
+       <display value="fully insured"></display>
+       <definition value="Definition: Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="SELFINRD"></code>
+       <display value="self insured"></display>
+       <definition value="Definition: Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_UnderwriterParticipationFunction"></code>
+      <display value="UnderwriterParticipationFunction"></display>
+      <definition value="Definition: Set of codes indicating the manner in which underwriters participate in a policy or program."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="PAYORCNTR"></code>
+       <display value="payor contracting"></display>
+       <definition value="Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage.  Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management.  Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions.  The underwriter may act as the payor in some, but not all of the regions in which coverage is provided."></definition>
+      </concept>
+      <concept>
+       <code value="REINS"></code>
+       <display value="reinsures"></display>
+       <definition value="Definition: Underwriting reinsurance for another underwriter for the policy or program."></definition>
+      </concept>
+      <concept>
+       <code value="RETROCES"></code>
+       <display value="retrocessionaires"></display>
+       <definition value="Definition: Underwriting reinsurance for another reinsurer."></definition>
+      </concept>
+      <concept>
+       <code value="SUBCTRT"></code>
+       <display value="subcontracting risk"></display>
+       <definition value="Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region ."></definition>
+      </concept>
+      <concept>
+       <code value="UNDERWRTNG"></code>
+       <display value="underwriting"></display>
+       <definition value="Definition: Provision of underwriting analysis for another underwriter without assumption of risk."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="ADMPHYS"></code>
+     <display value="admitting physician"></display>
+     <definition value="A physician who admitted a patient to a hospital or other care unit that is the context of this service."></definition>
+    </concept>
+    <concept>
+     <code value="ANEST"></code>
+     <display value="anesthesist"></display>
+     <definition value="In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself.  To clarify responsibilities anesthesia should always be represented as a separate service related to the surgery."></definition>
+    </concept>
+    <concept>
+     <code value="ANRS"></code>
+     <display value="anesthesia nurse"></display>
+     <definition value="In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods."></definition>
+    </concept>
+    <concept>
+     <code value="ASSEMBLER"></code>
+     <display value="assembly software"></display>
+     <definition value="A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact.
+         UsageConstraint: ASSEMBLER ParticipationFunction should be used with DEV (device) ParticipationType."></definition>
+    </concept>
+    <concept>
+     <code value="ATTPHYS"></code>
+     <display value="attending physician"></display>
+     <definition value="A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service."></definition>
+    </concept>
+    <concept>
+     <code value="COMPOSER"></code>
+     <display value="composer software"></display>
+     <definition value="A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact.
+         UsageConstraint: COMPOSER ParticipationFunction should be used with DEV (device) ParticipationType.
+
+        
+         Usage Note: This code will enable implementers to more specifically represent the manner in which a Device participated in and facilitated the generation of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised of the Author's newly entered content, and may include the pre-existing content selected by the Author, for the purpose of establishing the provenance and accountability for these acts."></definition>
+    </concept>
+    <concept>
+     <code value="DISPHYS"></code>
+     <display value="discharging physician"></display>
+     <definition value="A physician who discharged a patient from a hospital or other care unit that is the context of this service."></definition>
+    </concept>
+    <concept>
+     <code value="FASST"></code>
+     <display value="first assistant surgeon"></display>
+     <definition value="In a typical surgery setting the assistant facing the primary surgeon.  The first assistant performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering, ligatures, sutures)."></definition>
+    </concept>
+    <concept>
+     <code value="MDWF"></code>
+     <display value="midwife"></display>
+     <definition value="A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging from a mere optional assistant to a full required participant, responsible for (normal) births and pre- and post-natal care for both mother and baby."></definition>
+    </concept>
+    <concept>
+     <code value="NASST"></code>
+     <display value="nurse assistant"></display>
+     <definition value="In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="PCP"></code>
+     <display value="primary care physician"></display>
+     <definition value="The healthcare provider that holds primary responsibility for the overall care of a patient."></definition>
+    </concept>
+    <concept>
+     <code value="PRISURG"></code>
+     <display value="primary surgeon"></display>
+     <definition value="In a typical surgery setting the primary performing surgeon."></definition>
+    </concept>
+    <concept>
+     <code value="REVIEWER"></code>
+     <display value="reviewer"></display>
+     <definition value="A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy.
+
+        
+         UsageConstraint: UsageConstraint:  Specifies the exact function that an actor is authorized to have as a verifier of an Act.  Connotes that a specialized verifier asserts compliance for veracity of the review per jurisdictional or organizational policy.  E.g., The Provider who takes responsibility for authenticity of a record submitted to a payer.
+
+        REVIEW ParticipationFunction should be used with VFR (verifier)"></definition>
+    </concept>
+    <concept>
+     <code value="RNDPHYS"></code>
+     <display value="rounding physician"></display>
+     <definition value="A physician who made rounds on a patient in a hospital or other care center."></definition>
+    </concept>
+    <concept>
+     <code value="SASST"></code>
+     <display value="second assistant surgeon"></display>
+     <definition value="In a typical surgery setting the assistant who primarily holds the hooks."></definition>
+    </concept>
+    <concept>
+     <code value="SNRS"></code>
+     <display value="scrub nurse"></display>
+     <definition value="In a typical surgery setting the nurse in charge of the instrumentation."></definition>
+    </concept>
+    <concept>
+     <code value="TASST"></code>
+     <display value="third assistant"></display>
+     <definition value="In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1064"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationMode"></name>
+    <title value="v3 Code System ParticipationMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes specifying the modality by which the Entity playing the Role is participating in the Act.  Examples:
+Physically present, over the telephone, written communication.  Rationale:
+Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically.  Open Issue:
+There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="ELECTRONIC"></code>
+     <display value="electronic data"></display>
+     <definition value="Participation by non-human-languaged based electronic signal"></definition>
+    </concept>
+    <concept>
+     <code value="PHYSICAL"></code>
+     <display value="physical presence"></display>
+     <definition value="Participation by direct action where subject and actor are in the same location. (The participation involves more than communication.)"></definition>
+    </concept>
+    <concept>
+     <code value="REMOTE"></code>
+     <display value="remote presence"></display>
+     <definition value="Participation by direct action where subject and actor are in separate locations, and the actions of the actor are transmitted by electronic or mechanical means. (The participation involves more than communication.)"></definition>
+    </concept>
+    <concept>
+     <code value="VERBAL"></code>
+     <display value="verbal"></display>
+     <definition value="Participation by voice communication"></definition>
+     <concept>
+      <code value="DICTATE"></code>
+      <display value="dictated"></display>
+      <definition value="Participation by pre-recorded voice.  Communication is limited to one direction (from the recorder to recipient)."></definition>
+     </concept>
+     <concept>
+      <code value="FACE"></code>
+      <display value="face-to-face"></display>
+      <definition value="Participation by voice communication where parties speak to each other directly."></definition>
+     </concept>
+     <concept>
+      <code value="PHONE"></code>
+      <display value="telephone"></display>
+      <definition value="Participation by voice communication where the voices of the communicating parties are transported over an electronic medium"></definition>
+     </concept>
+     <concept>
+      <code value="VIDEOCONF"></code>
+      <display value="videoconferencing"></display>
+      <definition value="Participation by voice and visual communication where the voices and images of the communicating parties are transported over an electronic medium"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="WRITTEN"></code>
+     <display value="written"></display>
+     <definition value="Participation by human language recorded on a physical material"></definition>
+     <concept>
+      <code value="FAXWRIT"></code>
+      <display value="telefax"></display>
+      <definition value="Participation by text or diagrams printed on paper that have been transmitted over a fax device"></definition>
+     </concept>
+     <concept>
+      <code value="HANDWRIT"></code>
+      <display value="handwritten"></display>
+      <definition value="Participation by text or diagrams printed on paper or other recording medium"></definition>
+     </concept>
+     <concept>
+      <code value="MAILWRIT"></code>
+      <display value="mail"></display>
+      <definition value="Participation by text or diagrams printed on paper transmitted physically (e.g. by courier service, postal service)."></definition>
+     </concept>
+     <concept>
+      <code value="ONLINEWRIT"></code>
+      <display value="online written"></display>
+      <definition value="Participation by text or diagrams submitted by computer network, e.g. online survey."></definition>
+      <concept>
+       <code value="EMAILWRIT"></code>
+       <display value="email"></display>
+       <definition value="Participation by text or diagrams transmitted over an electronic mail system."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="TYPEWRIT"></code>
+      <display value="typewritten"></display>
+      <definition value="Participation by text or diagrams printed on paper or other recording medium where the recording was performed using a typewriter, typesetter, computer or similar mechanism."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationSignature"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationSignature"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.89"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationSignature"></name>
+    <title value="v3 Code System ParticipationSignature"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.  Examples:
+A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationSignature"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="I"></code>
+     <display value="intended"></display>
+     <definition value="The particpant intends to provide a signature."></definition>
+    </concept>
+    <concept>
+     <code value="S"></code>
+     <display value="signed"></display>
+     <definition value="Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText."></definition>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="required"></display>
+     <definition value="A signature for the service is required of this actor."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ParticipationType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.90"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ParticipationType"></name>
+    <title value="v3 Code System ParticipationType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="PART"></code>
+     <display value="Participation"></display>
+     <definition value="Indicates that the target of the participation is involved in some manner in the act, but does not qualify how."></definition>
+     <concept>
+      <code value="_ParticipationAncillary"></code>
+      <display value="ParticipationAncillary"></display>
+      <definition value="Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ADM"></code>
+       <display value="admitter"></display>
+       <definition value="The practitioner who is responsible for admitting a patient to a patient encounter."></definition>
+      </concept>
+      <concept>
+       <code value="ATND"></code>
+       <display value="attender"></display>
+       <definition value="The practitioner that has responsibility for overseeing a patient's care during a patient encounter."></definition>
+      </concept>
+      <concept>
+       <code value="CALLBCK"></code>
+       <display value="callback contact"></display>
+       <definition value="A person or organization who should be contacted for follow-up questions about the act in place of the author."></definition>
+      </concept>
+      <concept>
+       <code value="CON"></code>
+       <display value="consultant"></display>
+       <definition value="An advisor participating in the service by performing evaluations and making recommendations."></definition>
+      </concept>
+      <concept>
+       <code value="DIS"></code>
+       <display value="discharger"></display>
+       <definition value="The practitioner who is responsible for the discharge of a patient from a patient encounter."></definition>
+      </concept>
+      <concept>
+       <code value="ESC"></code>
+       <display value="escort"></display>
+       <definition value="Only with Transportation services.  A person who escorts the patient."></definition>
+      </concept>
+      <concept>
+       <code value="REF"></code>
+       <display value="referrer"></display>
+       <definition value="A person having referred the subject of the service to the performer (referring physician).  Typically, a referring physician will receive a report."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_ParticipationInformationGenerator"></code>
+      <display value="ParticipationInformationGenerator"></display>
+      <definition value="Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness)."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="AUT"></code>
+       <display value="author (originator)"></display>
+       <definition value="Definition: A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.
+
+        
+         Example: the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship. 
+
+        Examples of such policies might include:
+
+        
+         
+          The author and anyone they explicitly delegate may update the report;
+
+         
+         
+          All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic;
+
+         
+        
+        A party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party."></definition>
+      </concept>
+      <concept>
+       <code value="INF"></code>
+       <display value="informant"></display>
+       <definition value="A source of reported information (e.g., a next of kin who answers questions about the patient's history).  For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject."></definition>
+      </concept>
+      <concept>
+       <code value="TRANS"></code>
+       <display value="Transcriber"></display>
+       <definition value="An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form."></definition>
+       <concept>
+        <code value="ENT"></code>
+        <display value="data entry person"></display>
+        <definition value="A person entering the data into the originating system.  The data entry person is collected optionally for internal quality control purposes.  This includes the transcriptionist for dictated text."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="WIT"></code>
+       <display value="witness"></display>
+       <definition value="Only with service events.  A person witnessing the action happening without doing anything.  A witness is not necessarily aware, much less approves of anything stated in the service event.  Example for a witness is students watching an operation or an advanced directive witness."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="CST"></code>
+      <display value="custodian"></display>
+      <definition value="An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.)."></definition>
+     </concept>
+     <concept>
+      <code value="DIR"></code>
+      <display value="direct target"></display>
+      <definition value="Target participant  that is substantially present in the act  and which is directly involved in the action (includes consumed material, devices, etc.)."></definition>
+      <concept>
+       <code value="ALY"></code>
+       <display value="analyte"></display>
+       <definition value="The target of an Observation action. Links an observation to a Role whose player is the substance or most specific component entity (material, micro-organism, etc.) being measured within the subject.
+
+        
+         Examples: A &quot;plasma porcelain substance concentration&quot; has analyte a Role with player substance Entity &quot;porcelain&quot;.
+
+        
+         UsageNotes: The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for &quot;plasma porcelain&quot; the scoper could be &quot;Plasma&quot;."></definition>
+      </concept>
+      <concept>
+       <code value="BBY"></code>
+       <display value="baby"></display>
+       <definition value="In an obstetric service, the baby."></definition>
+      </concept>
+      <concept>
+       <code value="CAT"></code>
+       <display value="catalyst"></display>
+       <definition value="The catalyst of a chemical reaction, such as an enzyme or a platinum surface. In biochemical reactions, connects the enzyme with the molecular interaction"></definition>
+      </concept>
+      <concept>
+       <code value="CSM"></code>
+       <display value="consumable"></display>
+       <definition value="Participant material that is taken up, diminished, altered, or disappears in the act."></definition>
+       <concept>
+        <code value="TPA"></code>
+        <display value="therapeutic agent"></display>
+        <definition value="Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject.  In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product.  Thus, consumable or product must be specified in accordance with the kind of service."></definition>
+        <property>
+         <code value="status"></code>
+         <valueCode value="retired"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="DEV"></code>
+       <display value="device"></display>
+       <definition value="Participant used in performing the act without being substantially affected by the act (i.e. durable or inert with respect to that particular service).
+
+        
+         Examples: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc."></definition>
+       <concept>
+        <code value="NRD"></code>
+        <display value="non-reuseable device"></display>
+        <definition value="A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc.  Such material may need to be restocked after he service."></definition>
+       </concept>
+       <concept>
+        <code value="RDV"></code>
+        <display value="reusable device"></display>
+        <definition value="A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope.  The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="DON"></code>
+       <display value="donor"></display>
+       <definition value="In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service.  However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation.  The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service."></definition>
+      </concept>
+      <concept>
+       <code value="EXPAGNT"></code>
+       <display value="ExposureAgent"></display>
+       <definition value="Description: The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure.  For example in communicable diseases, the associated playing entity is the disease causing pathogen."></definition>
+      </concept>
+      <concept>
+       <code value="EXPART"></code>
+       <display value="ExposureParticipation"></display>
+       <definition value="Description:Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure.  If the participant is known to be the contact of an exposure then the SBJ participation type should be used.  If the participant is known to be the source then the EXSRC participation type should be used."></definition>
+       <concept>
+        <code value="EXPTRGT"></code>
+        <display value="ExposureTarget"></display>
+        <definition value="Description: The entity playing the associated role is the target (contact) of exposure."></definition>
+       </concept>
+       <concept>
+        <code value="EXSRC"></code>
+        <display value="ExposureSource"></display>
+        <definition value="Description:The entity playing the associated role is the source of exposure."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PRD"></code>
+       <display value="product"></display>
+       <definition value="Participant material that is brought forth (produced) in the act (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It does not matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock)."></definition>
+      </concept>
+      <concept>
+       <code value="SBJ"></code>
+       <display value="subject"></display>
+       <definition value="The principle target on which the action happens.
+
+        
+         Examples: The patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). 
+
+        
+         UsageNotes: Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action."></definition>
+       <concept>
+        <code value="SPC"></code>
+        <display value="specimen"></display>
+        <definition value="The subject of non-clinical (e.g. laboratory) observation services is a specimen."></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="IND"></code>
+      <display value="indirect target"></display>
+      <definition value="Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act."></definition>
+      <concept>
+       <code value="BEN"></code>
+       <display value="beneficiary"></display>
+       <definition value="Target on behalf of whom the service happens, but that is not necessarily present in the service.  Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions.  This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.
+
+        Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause.  Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service."></definition>
+      </concept>
+      <concept>
+       <code value="CAGNT"></code>
+       <display value="causative agent"></display>
+       <definition value="Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition.
+
+        Constraint:  The use of this participation is limited to observations."></definition>
+      </concept>
+      <concept>
+       <code value="COV"></code>
+       <display value="coverage target"></display>
+       <definition value="The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage."></definition>
+      </concept>
+      <concept>
+       <code value="GUAR"></code>
+       <display value="guarantor party"></display>
+       <definition value="The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account
+
+        
+         Example:The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed."></definition>
+      </concept>
+      <concept>
+       <code value="HLD"></code>
+       <display value="holder"></display>
+       <definition value="Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author."></definition>
+      </concept>
+      <concept>
+       <code value="RCT"></code>
+       <display value="record target"></display>
+       <definition value="The record target indicates whose medical record holds the documentation of this act.  This is especially important when the subject of a service is not the patient himself."></definition>
+      </concept>
+      <concept>
+       <code value="RCV"></code>
+       <display value="receiver"></display>
+       <definition value="The person (or organization) who receives the product of an Act."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="IRCP"></code>
+      <display value="information recipient"></display>
+      <definition value="A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood.&quot; Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used."></definition>
+      <concept>
+       <code value="NOT"></code>
+       <display value="ugent notification contact"></display>
+       <definition value="An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill)."></definition>
+      </concept>
+      <concept>
+       <code value="PRCP"></code>
+       <display value="primary information recipient"></display>
+       <definition value="Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary."></definition>
+      </concept>
+      <concept>
+       <code value="REFB"></code>
+       <display value="Referred By"></display>
+       <definition value="A participant (e.g. provider) who has referred the subject of an act (e.g. patient).
+
+        Typically, a referred by participant will provide a report (e.g. referral)."></definition>
+      </concept>
+      <concept>
+       <code value="REFT"></code>
+       <display value="Referred to"></display>
+       <definition value="The person who receives the patient"></definition>
+      </concept>
+      <concept>
+       <code value="TRC"></code>
+       <display value="tracker"></display>
+       <definition value="A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist)."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="LOC"></code>
+      <display value="location"></display>
+      <definition value="The facility where the service is done.  May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)"></definition>
+      <concept>
+       <code value="DST"></code>
+       <display value="destination"></display>
+       <definition value="The destination for services.  May be a static building (or room therein) or a movable facility (e.g., ship)."></definition>
+      </concept>
+      <concept>
+       <code value="ELOC"></code>
+       <display value="entry location"></display>
+       <definition value="A location where data about an Act was entered."></definition>
+      </concept>
+      <concept>
+       <code value="ORG"></code>
+       <display value="origin"></display>
+       <definition value="The location of origin for services.  May be a static building (or room therein) or a movable facility (e.g., ship)."></definition>
+      </concept>
+      <concept>
+       <code value="RML"></code>
+       <display value="remote"></display>
+       <definition value="Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation).  The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered &quot;remote.&quot;"></definition>
+      </concept>
+      <concept>
+       <code value="VIA"></code>
+       <display value="via"></display>
+       <definition value="For services, an intermediate location that specifies a path between origin an destination."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="PRF"></code>
+      <display value="performer"></display>
+      <definition value="Definition: A person, non-person living subject, organization or device that who actually and principally carries out the action. Device should only be assigned as a performer in circumstances where the device is performing independent of human intervention.  Need not be the principal responsible actor.
+
+        
+         Exampe: A surgery resident operating under supervision of attending surgeon, a search and rescue dog locating survivors, an electronic laboratory analyzer or the laboratory discipline requested to perform a laboratory test. The performer may also be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.
+
+        
+         Note: that existing HL7 designs assign an organization as the playing entity of the Role that is the performer.  These designs should be revised in subsequent releases to make this the scooping entity for the role involved."></definition>
+      <concept>
+       <code value="DIST"></code>
+       <display value="distributor"></display>
+       <definition value="Distributes material used in or generated during the act."></definition>
+      </concept>
+      <concept>
+       <code value="PPRF"></code>
+       <display value="primary performer"></display>
+       <definition value="The principal or primary performer of the act."></definition>
+      </concept>
+      <concept>
+       <code value="SPRF"></code>
+       <display value="secondary performer"></display>
+       <definition value="A person assisting in an act through his substantial presence and involvement   This includes: assistants, technicians, associates, or whatever the job titles may be."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="RESP"></code>
+      <display value="responsible party"></display>
+      <definition value="The person or organization that has primary responsibility for the act.  The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact.  This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature.
+
+        
+         Example: A person who is the head of a biochemical laboratory; a sponsor for a policy or government program."></definition>
+     </concept>
+     <concept>
+      <code value="VRF"></code>
+      <display value="verifier"></display>
+      <definition value="A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability."></definition>
+      <concept>
+       <code value="AUTHEN"></code>
+       <display value="authenticator"></display>
+       <definition value="A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication."></definition>
+      </concept>
+      <concept>
+       <code value="LA"></code>
+       <display value="legal authenticator"></display>
+       <definition value="A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication."></definition>
+      </concept>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-PatientImportance"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-PatientImportance"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-PatientImportance"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1075"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.PatientImportance"></name>
+    <title value="v3 Code System PatientImportance"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Patient VIP code"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-PatientImportance"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="BM"></code>
+     <display value="Board Member"></display>
+     <definition value="Board member of health care organization"></definition>
+    </concept>
+    <concept>
+     <code value="DFM"></code>
+     <display value="Physician Family Member"></display>
+     <definition value="Family member of staff physician"></definition>
+    </concept>
+    <concept>
+     <code value="DR"></code>
+     <display value="Staff Physician"></display>
+     <definition value="Member of the health care organization physician staff"></definition>
+    </concept>
+    <concept>
+     <code value="FD"></code>
+     <display value="Financial Donor"></display>
+     <definition value="Financial donor to the health care organization"></definition>
+    </concept>
+    <concept>
+     <code value="FOR"></code>
+     <display value="Foreign Dignitary"></display>
+     <definition value="Foreign citizen dignitary of interest to the health care organization"></definition>
+    </concept>
+    <concept>
+     <code value="GOVT"></code>
+     <display value="Government Dignitary"></display>
+     <definition value="Government dignitary of interest to the organization"></definition>
+    </concept>
+    <concept>
+     <code value="SFM"></code>
+     <display value="Staff Family Member"></display>
+     <definition value="Family member of staff member"></definition>
+    </concept>
+    <concept>
+     <code value="STF"></code>
+     <display value="Staff Member"></display>
+     <definition value="Staff member of the health care organization"></definition>
+    </concept>
+    <concept>
+     <code value="VIP"></code>
+     <display value="Very Important Person"></display>
+     <definition value="Very important person of interest to the health care organization"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-PaymentTerms"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-PaymentTerms"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-PaymentTerms"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.91"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.PaymentTerms"></name>
+    <title value="v3 Code System PaymentTerms"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-PaymentTerms"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="COD"></code>
+     <display value="Cash on Delivery"></display>
+     <definition value="Payment in full for products and/or services is required as soon as the service is performed or goods delivered."></definition>
+    </concept>
+    <concept>
+     <code value="N30"></code>
+     <display value="Net 30 days"></display>
+     <definition value="Payment in full for products and/or services is required 30 days from the time the service is performed or goods delivered."></definition>
+    </concept>
+    <concept>
+     <code value="N60"></code>
+     <display value="Net 60 days"></display>
+     <definition value="Payment in full for products and/or services is required 60 days from the time the service is performed or goods delivered."></definition>
+    </concept>
+    <concept>
+     <code value="N90"></code>
+     <display value="Net 90 days"></display>
+     <definition value="Payment in full for products and/or services is required 90 days from the time the service is performed or goods delivered."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-PersonDisabilityType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-PersonDisabilityType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-PersonDisabilityType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.93"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.PersonDisabilityType"></name>
+    <title value="v3 Code System PersonDisabilityType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code identifying a person's disability."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-PersonDisabilityType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Vision impaired"></display>
+     <definition value="Vision impaired"></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Hearing impaired"></display>
+     <definition value="Hearing impaired"></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Speech impaired"></display>
+     <definition value="Speech impaired"></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Mentally impaired"></display>
+     <definition value="Mentally impaired"></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Mobility impaired"></display>
+     <definition value="Mobility impaired"></definition>
+     <concept>
+      <code value="CB"></code>
+      <display value="Requires crib"></display>
+      <definition value="A crib is required to move the person"></definition>
+     </concept>
+     <concept>
+      <code value="CR"></code>
+      <display value="Requires crutches"></display>
+      <definition value="Person requires crutches to ambulate"></definition>
+     </concept>
+     <concept>
+      <code value="G"></code>
+      <display value="Requires gurney"></display>
+      <definition value="A gurney is required to move the person"></definition>
+     </concept>
+     <concept>
+      <code value="WC"></code>
+      <display value="Requires wheelchair"></display>
+      <definition value="Person requires a wheelchair to be ambulatory"></definition>
+     </concept>
+     <concept>
+      <code value="WK"></code>
+      <display value="Requires walker"></display>
+      <definition value="Person requires a walker to ambulate"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ProbabilityDistributionType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ProbabilityDistributionType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ProbabilityDistributionType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1020"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ProbabilityDistributionType"></name>
+    <title value="v3 Code System ProbabilityDistributionType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProbabilityDistributionType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="beta"></display>
+     <definition value="The beta-distribution is used for data that is bounded on both sides and may or may not be skewed (e.g., occurs when probabilities are estimated.)  Two parameters a and b  are available to adjust the curve.  The mean m and variance s2 relate as follows: m = a/ (a + b) and s2 = ab/((a + b)2 (a + b + 1))."></definition>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="exponential"></display>
+     <definition value="Used for data that describes extinction.  The exponential distribution is a special form of g-distribution where a = 1, hence, the relationship to mean m and variance s2 are m = b and s2 = b2."></definition>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="F"></display>
+     <definition value="Used to describe the quotient of two c2 random variables.  The F-distribution has two parameters n1 and n2, which are the numbers of degrees of freedom of the numerator and denominator variable respectively. The relationship to mean m  and variance s2 are: m = n2 / (n2 - 2) and s2 = (2 n2 (n2 + n1 - 2)) / (n1 (n2 - 2)2 (n2 - 4))."></definition>
+    </concept>
+    <concept>
+     <code value="G"></code>
+     <display value="(gamma)"></display>
+     <definition value="The gamma-distribution used for data that is skewed and bounded to the right, i.e. where the maximum of the distribution curve is located near the origin.  The g-distribution has a two parameters a and b.  The relationship to mean m and variance s2 is m = a b and s2 = a b2."></definition>
+    </concept>
+    <concept>
+     <code value="LN"></code>
+     <display value="log-normal"></display>
+     <definition value="The logarithmic normal distribution is used to transform skewed random variable X into a normally distributed random variable U = log X. The log-normal distribution can be specified with the properties mean m and standard deviation s.  Note however that mean m and standard deviation s are the parameters of the raw value distribution, not the transformed parameters of the lognormal distribution that are conventionally referred to by the same letters.  Those log-normal parameters mlog and slog relate to the mean m and standard deviation s of the data value through slog2 = log (s2/m2 + 1) and mlog = log m - slog2/2."></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="normal (Gaussian)"></display>
+     <definition value="This is the well-known bell-shaped normal distribution.  Because of the central limit theorem, the normal distribution is the distribution of choice for an unbounded random variable that is an outcome of a combination of many stochastic processes.  Even for values bounded on a single side (i.e. greater than 0) the normal distribution may be accurate enough if the mean is &quot;far away&quot; from the bound of the scale measured in terms of standard deviations."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="T"></display>
+     <definition value="Used to describe the quotient of a normal random variable and the square root of a c2 random variable.  The t-distribution has one parameter n, the number of degrees of freedom. The relationship to mean m  and variance s2 are: m = 0 and s2 = n / (n - 2)"></definition>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="uniform"></display>
+     <definition value="The uniform distribution assigns a constant probability over the entire interval of possible outcomes, while all outcomes outside this interval are assumed to have zero probability.  The width of this interval is 2s sqrt(3).  Thus, the uniform distribution assigns the probability densities f(x) = sqrt(2 s sqrt(3))  to values m - s sqrt(3) &gt;= x &lt;= m + s sqrt(3) and f(x) = 0 otherwise."></definition>
+    </concept>
+    <concept>
+     <code value="X2"></code>
+     <display value="chi square"></display>
+     <definition value="Used to describe the sum of squares of random variables which occurs when a variance is estimated (rather than presumed) from the sample.  The only parameter of the c2-distribution is n, so called the number of degrees of freedom (which is the number of independent parts in the sum).  The c2-distribution is a special type of g-distribution with parameter a = n /2 and b  = 2.  Hence, m = n and s2 = 2 n."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ProcessingID"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ProcessingID"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ProcessingID"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.100"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ProcessingID"></name>
+    <title value="v3 Code System ProcessingID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes used to specify whether a message is part of a production, training, or debugging system."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProcessingID"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="Debugging"></display>
+     <definition value="Identifies debugging type of processing."></definition>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="Production"></display>
+     <definition value="Identifies production type of processing."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Training"></display>
+     <definition value="Identifies training type of processing."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ProcessingMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ProcessingMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ProcessingMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.101"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ProcessingMode"></name>
+    <title value="v3 Code System ProcessingMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProcessingMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="A"></code>
+     <display value="Archive"></display>
+     <definition value="Identifies archive mode of processing."></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Initial load"></display>
+     <definition value="Identifies initial load mode of processing."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Restore from archive"></display>
+     <definition value="Identifies restore mode of processing."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Current processing"></display>
+     <definition value="Identifies on-line mode of processing."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryParameterValue"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryParameterValue"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryParameterValue"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1096"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryParameterValue"></name>
+    <title value="v3 Code System QueryParameterValue"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" The domain of coded values used as parameters within QueryByParameter queries."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryParameterValue"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_DispenseQueryFilterCode"></code>
+     <display value="dispense query filter code"></display>
+     <definition value="Description:Filter codes used to manage volume of dispenses returned by  a parameter-based queries."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ALLDISP"></code>
+      <display value="all dispenses"></display>
+      <definition value="Description:Returns all dispenses to date for a prescription."></definition>
+     </concept>
+     <concept>
+      <code value="LASTDISP"></code>
+      <display value="last dispense"></display>
+      <definition value="Description:Returns the most recent dispense for a prescription."></definition>
+     </concept>
+     <concept>
+      <code value="NODISP"></code>
+      <display value="no dispense"></display>
+      <definition value="Description:Returns no dispense for a prescription."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_OrderFilterCode"></code>
+     <display value="_OrderFilterCode"></display>
+     <definition value="Filter codes used to manage types of orders being returned by a parameter-based query."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="AO"></code>
+      <display value="all orders"></display>
+      <definition value="Return all orders."></definition>
+     </concept>
+     <concept>
+      <code value="ONR"></code>
+      <display value="orders without results"></display>
+      <definition value="Return only those orders that do not have results."></definition>
+     </concept>
+     <concept>
+      <code value="OWR"></code>
+      <display value="orders with results"></display>
+      <definition value="Return only those orders that have results."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PrescriptionDispenseFilterCode"></code>
+     <display value="Prescription Dispense Filter Code"></display>
+     <definition value="A &quot;helper&quot; vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="C"></code>
+      <display value="Completely dispensed"></display>
+      <definition value="Filter to only include SubstanceAdministration orders which have no remaining quantity authorized to be dispensed."></definition>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="Never Dispensed"></display>
+      <definition value="Filter to only include SubstanceAdministration orders which have no fulfilling supply events performed."></definition>
+     </concept>
+     <concept>
+      <code value="R"></code>
+      <display value="Dispensed with remaining fills"></display>
+      <definition value="Filter to only include SubstanceAdministration orders which have had at least one fulfilling supply event, but which still have outstanding quantity remaining to be authorized."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_QueryParameterValue"></code>
+     <display value="QueryParameterValue"></display>
+     <definition value="Description:Indicates how result sets should be filtered based on whether they have associated issues."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ISSFA"></code>
+      <display value="all"></display>
+      <definition value="Description:Result set should not be filtered based on the presence of issues."></definition>
+     </concept>
+     <concept>
+      <code value="ISSFI"></code>
+      <display value="with issues"></display>
+      <definition value="Description:Result set should be filtered to only include records with associated issues."></definition>
+     </concept>
+     <concept>
+      <code value="ISSFU"></code>
+      <display value="with unmanaged issues"></display>
+      <definition value="Description:Result set should be filtered to only include records with associated unmanaged issues."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryPriority"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryPriority"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryPriority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.102"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryPriority"></name>
+    <title value="v3 Code System QueryPriority"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryPriority"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="Deferred"></display>
+     <definition value="Query response is deferred."></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Immediate"></display>
+     <definition value="Query response is immediate."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryRequestLimit"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryRequestLimit"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryRequestLimit"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1112"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryRequestLimit"></name>
+    <title value="v3 Code System QueryRequestLimit"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Definition:
+Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryRequestLimit"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_QueryRequestLimit"></code>
+     <display value="QueryRequestLimit"></display>
+     <definition value="Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="RD"></code>
+      <display value="record"></display>
+      <definition value="Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryResponse"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryResponse"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryResponse"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1067"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryResponse"></name>
+    <title value="v3 Code System QueryResponse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryResponse"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AE"></code>
+     <display value="ApplicationError"></display>
+     <definition value="Query Error.  Application Error."></definition>
+    </concept>
+    <concept>
+     <code value="NF"></code>
+     <display value="No data found"></display>
+     <definition value="No errors, but no data was found matching the query request specification."></definition>
+    </concept>
+    <concept>
+     <code value="OK"></code>
+     <display value="Data found"></display>
+     <definition value="Query reponse data found for 1 or more result sets matching the query request specification."></definition>
+    </concept>
+    <concept>
+     <code value="QE"></code>
+     <display value="QueryParameterError"></display>
+     <definition value="QueryError. Problem with input ParmetersError"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryStatusCode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-QueryStatusCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryStatusCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.103"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.QueryStatusCode"></name>
+    <title value="v3 Code System QueryStatusCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A code specifying the state of the Query."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryStatusCode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="aborted"></code>
+     <display value="aborted"></display>
+     <definition value="Query status aborted"></definition>
+    </concept>
+    <concept>
+     <code value="deliveredResponse"></code>
+     <display value="deliveredResponse"></display>
+     <definition value="Query Status delivered response"></definition>
+    </concept>
+    <concept>
+     <code value="executing"></code>
+     <display value="executing"></display>
+     <definition value="Query Status executing"></definition>
+    </concept>
+    <concept>
+     <code value="new"></code>
+     <display value="new"></display>
+     <definition value="Query Status new"></definition>
+    </concept>
+    <concept>
+     <code value="waitContinuedQueryResponse"></code>
+     <display value="waitContinuedQueryResponse"></display>
+     <definition value="Query Status wait continued"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Race"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-Race"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Race"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.104"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.Race"></name>
+    <title value="v3 Code System Race"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations.  The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification.  Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from &quot;the original peoples&quot; of a specified region or nation.  The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White.  The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Race"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="1002-5"></code>
+     <display value="American Indian or Alaska Native"></display>
+     <definition value="American Indian or Alaska Native"></definition>
+     <concept>
+      <code value="1004-1"></code>
+      <display value="American Indian"></display>
+      <definition value="American Indian"></definition>
+      <concept>
+       <code value="1006-6"></code>
+       <display value="Abenaki"></display>
+       <definition value="Abenaki"></definition>
+      </concept>
+      <concept>
+       <code value="1008-2"></code>
+       <display value="Algonquian"></display>
+       <definition value="Algonquian"></definition>
+      </concept>
+      <concept>
+       <code value="1010-8"></code>
+       <display value="Apache"></display>
+       <definition value="Apache"></definition>
+       <concept>
+        <code value="1011-6"></code>
+        <display value="Chiricahua"></display>
+        <definition value="Chiricahua"></definition>
+       </concept>
+       <concept>
+        <code value="1012-4"></code>
+        <display value="Fort Sill Apache"></display>
+        <definition value="Fort Sill Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1013-2"></code>
+        <display value="Jicarilla Apache"></display>
+        <definition value="Jicarilla Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1014-0"></code>
+        <display value="Lipan Apache"></display>
+        <definition value="Lipan Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1015-7"></code>
+        <display value="Mescalero Apache"></display>
+        <definition value="Mescalero Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1016-5"></code>
+        <display value="Oklahoma Apache"></display>
+        <definition value="Oklahoma Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1017-3"></code>
+        <display value="Payson Apache"></display>
+        <definition value="Payson Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1018-1"></code>
+        <display value="San Carlos Apache"></display>
+        <definition value="San Carlos Apache"></definition>
+       </concept>
+       <concept>
+        <code value="1019-9"></code>
+        <display value="White Mountain Apache"></display>
+        <definition value="White Mountain Apache"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1021-5"></code>
+       <display value="Arapaho"></display>
+       <definition value="Arapaho"></definition>
+       <concept>
+        <code value="1022-3"></code>
+        <display value="Northern Arapaho"></display>
+        <definition value="Northern Arapaho"></definition>
+       </concept>
+       <concept>
+        <code value="1023-1"></code>
+        <display value="Southern Arapaho"></display>
+        <definition value="Southern Arapaho"></definition>
+       </concept>
+       <concept>
+        <code value="1024-9"></code>
+        <display value="Wind River Arapaho"></display>
+        <definition value="Wind River Arapaho"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1026-4"></code>
+       <display value="Arikara"></display>
+       <definition value="Arikara"></definition>
+      </concept>
+      <concept>
+       <code value="1028-0"></code>
+       <display value="Assiniboine"></display>
+       <definition value="Assiniboine"></definition>
+      </concept>
+      <concept>
+       <code value="1030-6"></code>
+       <display value="Assiniboine Sioux"></display>
+       <definition value="Assiniboine Sioux"></definition>
+       <concept>
+        <code value="1031-4"></code>
+        <display value="Fort Peck Assiniboine Sioux"></display>
+        <definition value="Fort Peck Assiniboine Sioux"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1033-0"></code>
+       <display value="Bannock"></display>
+       <definition value="Bannock"></definition>
+      </concept>
+      <concept>
+       <code value="1035-5"></code>
+       <display value="Blackfeet"></display>
+       <definition value="Blackfeet"></definition>
+      </concept>
+      <concept>
+       <code value="1037-1"></code>
+       <display value="Brotherton"></display>
+       <definition value="Brotherton"></definition>
+      </concept>
+      <concept>
+       <code value="1039-7"></code>
+       <display value="Burt Lake Band"></display>
+       <definition value="Burt Lake Band"></definition>
+      </concept>
+      <concept>
+       <code value="1041-3"></code>
+       <display value="Caddo"></display>
+       <definition value="Caddo"></definition>
+       <concept>
+        <code value="1042-1"></code>
+        <display value="Oklahoma Cado"></display>
+        <definition value="Oklahoma Cado"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1044-7"></code>
+       <display value="Cahuilla"></display>
+       <definition value="Cahuilla"></definition>
+       <concept>
+        <code value="1045-4"></code>
+        <display value="Agua Caliente Cahuilla"></display>
+        <definition value="Agua Caliente Cahuilla"></definition>
+       </concept>
+       <concept>
+        <code value="1046-2"></code>
+        <display value="Augustine"></display>
+        <definition value="Augustine"></definition>
+       </concept>
+       <concept>
+        <code value="1047-0"></code>
+        <display value="Cabazon"></display>
+        <definition value="Cabazon"></definition>
+       </concept>
+       <concept>
+        <code value="1048-8"></code>
+        <display value="Los Coyotes"></display>
+        <definition value="Los Coyotes"></definition>
+       </concept>
+       <concept>
+        <code value="1049-6"></code>
+        <display value="Morongo"></display>
+        <definition value="Morongo"></definition>
+       </concept>
+       <concept>
+        <code value="1050-4"></code>
+        <display value="Santa Rosa Cahuilla"></display>
+        <definition value="Santa Rosa Cahuilla"></definition>
+       </concept>
+       <concept>
+        <code value="1051-2"></code>
+        <display value="Torres-Martinez"></display>
+        <definition value="Torres-Martinez"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1053-8"></code>
+       <display value="California Tribes"></display>
+       <definition value="California Tribes"></definition>
+       <concept>
+        <code value="1054-6"></code>
+        <display value="Cahto"></display>
+        <definition value="Cahto"></definition>
+       </concept>
+       <concept>
+        <code value="1055-3"></code>
+        <display value="Chimariko"></display>
+        <definition value="Chimariko"></definition>
+       </concept>
+       <concept>
+        <code value="1056-1"></code>
+        <display value="Coast Miwok"></display>
+        <definition value="Coast Miwok"></definition>
+       </concept>
+       <concept>
+        <code value="1057-9"></code>
+        <display value="Digger"></display>
+        <definition value="Digger"></definition>
+       </concept>
+       <concept>
+        <code value="1058-7"></code>
+        <display value="Kawaiisu"></display>
+        <definition value="Kawaiisu"></definition>
+       </concept>
+       <concept>
+        <code value="1059-5"></code>
+        <display value="Kern River"></display>
+        <definition value="Kern River"></definition>
+       </concept>
+       <concept>
+        <code value="1060-3"></code>
+        <display value="Mattole"></display>
+        <definition value="Mattole"></definition>
+       </concept>
+       <concept>
+        <code value="1061-1"></code>
+        <display value="Red Wood"></display>
+        <definition value="Red Wood"></definition>
+       </concept>
+       <concept>
+        <code value="1062-9"></code>
+        <display value="Santa Rosa"></display>
+        <definition value="Santa Rosa"></definition>
+       </concept>
+       <concept>
+        <code value="1063-7"></code>
+        <display value="Takelma"></display>
+        <definition value="Takelma"></definition>
+       </concept>
+       <concept>
+        <code value="1064-5"></code>
+        <display value="Wappo"></display>
+        <definition value="Wappo"></definition>
+       </concept>
+       <concept>
+        <code value="1065-2"></code>
+        <display value="Yana"></display>
+        <definition value="Yana"></definition>
+       </concept>
+       <concept>
+        <code value="1066-0"></code>
+        <display value="Yuki"></display>
+        <definition value="Yuki"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1068-6"></code>
+       <display value="Canadian and Latin American Indian"></display>
+       <definition value="Canadian and Latin American Indian"></definition>
+       <concept>
+        <code value="1069-4"></code>
+        <display value="Canadian Indian"></display>
+        <definition value="Canadian Indian"></definition>
+       </concept>
+       <concept>
+        <code value="1070-2"></code>
+        <display value="Central American Indian"></display>
+        <definition value="Central American Indian"></definition>
+       </concept>
+       <concept>
+        <code value="1071-0"></code>
+        <display value="French American Indian"></display>
+        <definition value="French American Indian"></definition>
+       </concept>
+       <concept>
+        <code value="1072-8"></code>
+        <display value="Mexican American Indian"></display>
+        <definition value="Mexican American Indian"></definition>
+       </concept>
+       <concept>
+        <code value="1073-6"></code>
+        <display value="South American Indian"></display>
+        <definition value="South American Indian"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1074-4"></code>
+       <display value="Spanish American Indian"></display>
+       <definition value="Spanish American Indian"></definition>
+      </concept>
+      <concept>
+       <code value="1076-9"></code>
+       <display value="Catawba"></display>
+       <definition value="Catawba"></definition>
+       <concept>
+        <code value="1741-8"></code>
+        <display value="Alatna"></display>
+        <definition value="Alatna"></definition>
+       </concept>
+       <concept>
+        <code value="1742-6"></code>
+        <display value="Alexander"></display>
+        <definition value="Alexander"></definition>
+       </concept>
+       <concept>
+        <code value="1743-4"></code>
+        <display value="Allakaket"></display>
+        <definition value="Allakaket"></definition>
+       </concept>
+       <concept>
+        <code value="1744-2"></code>
+        <display value="Alanvik"></display>
+        <definition value="Alanvik"></definition>
+       </concept>
+       <concept>
+        <code value="1745-9"></code>
+        <display value="Anvik"></display>
+        <definition value="Anvik"></definition>
+       </concept>
+       <concept>
+        <code value="1746-7"></code>
+        <display value="Arctic"></display>
+        <definition value="Arctic"></definition>
+       </concept>
+       <concept>
+        <code value="1747-5"></code>
+        <display value="Beaver"></display>
+        <definition value="Beaver"></definition>
+       </concept>
+       <concept>
+        <code value="1748-3"></code>
+        <display value="Birch Creek"></display>
+        <definition value="Birch Creek"></definition>
+       </concept>
+       <concept>
+        <code value="1749-1"></code>
+        <display value="Cantwell"></display>
+        <definition value="Cantwell"></definition>
+       </concept>
+       <concept>
+        <code value="1750-9"></code>
+        <display value="Chalkyitsik"></display>
+        <definition value="Chalkyitsik"></definition>
+       </concept>
+       <concept>
+        <code value="1751-7"></code>
+        <display value="Chickaloon"></display>
+        <definition value="Chickaloon"></definition>
+       </concept>
+       <concept>
+        <code value="1752-5"></code>
+        <display value="Chistochina"></display>
+        <definition value="Chistochina"></definition>
+       </concept>
+       <concept>
+        <code value="1753-3"></code>
+        <display value="Chitina"></display>
+        <definition value="Chitina"></definition>
+       </concept>
+       <concept>
+        <code value="1754-1"></code>
+        <display value="Circle"></display>
+        <definition value="Circle"></definition>
+       </concept>
+       <concept>
+        <code value="1755-8"></code>
+        <display value="Cook Inlet"></display>
+        <definition value="Cook Inlet"></definition>
+       </concept>
+       <concept>
+        <code value="1756-6"></code>
+        <display value="Copper Center"></display>
+        <definition value="Copper Center"></definition>
+       </concept>
+       <concept>
+        <code value="1757-4"></code>
+        <display value="Copper River"></display>
+        <definition value="Copper River"></definition>
+       </concept>
+       <concept>
+        <code value="1758-2"></code>
+        <display value="Dot Lake"></display>
+        <definition value="Dot Lake"></definition>
+       </concept>
+       <concept>
+        <code value="1759-0"></code>
+        <display value="Doyon"></display>
+        <definition value="Doyon"></definition>
+       </concept>
+       <concept>
+        <code value="1760-8"></code>
+        <display value="Eagle"></display>
+        <definition value="Eagle"></definition>
+       </concept>
+       <concept>
+        <code value="1761-6"></code>
+        <display value="Eklutna"></display>
+        <definition value="Eklutna"></definition>
+       </concept>
+       <concept>
+        <code value="1762-4"></code>
+        <display value="Evansville"></display>
+        <definition value="Evansville"></definition>
+       </concept>
+       <concept>
+        <code value="1763-2"></code>
+        <display value="Fort Yukon"></display>
+        <definition value="Fort Yukon"></definition>
+       </concept>
+       <concept>
+        <code value="1764-0"></code>
+        <display value="Gakona"></display>
+        <definition value="Gakona"></definition>
+       </concept>
+       <concept>
+        <code value="1765-7"></code>
+        <display value="Galena"></display>
+        <definition value="Galena"></definition>
+       </concept>
+       <concept>
+        <code value="1766-5"></code>
+        <display value="Grayling"></display>
+        <definition value="Grayling"></definition>
+       </concept>
+       <concept>
+        <code value="1767-3"></code>
+        <display value="Gulkana"></display>
+        <definition value="Gulkana"></definition>
+       </concept>
+       <concept>
+        <code value="1768-1"></code>
+        <display value="Healy Lake"></display>
+        <definition value="Healy Lake"></definition>
+       </concept>
+       <concept>
+        <code value="1769-9"></code>
+        <display value="Holy Cross"></display>
+        <definition value="Holy Cross"></definition>
+       </concept>
+       <concept>
+        <code value="1770-7"></code>
+        <display value="Hughes"></display>
+        <definition value="Hughes"></definition>
+       </concept>
+       <concept>
+        <code value="1771-5"></code>
+        <display value="Huslia"></display>
+        <definition value="Huslia"></definition>
+       </concept>
+       <concept>
+        <code value="1772-3"></code>
+        <display value="Iliamna"></display>
+        <definition value="Iliamna"></definition>
+       </concept>
+       <concept>
+        <code value="1773-1"></code>
+        <display value="Kaltag"></display>
+        <definition value="Kaltag"></definition>
+       </concept>
+       <concept>
+        <code value="1774-9"></code>
+        <display value="Kluti Kaah"></display>
+        <definition value="Kluti Kaah"></definition>
+       </concept>
+       <concept>
+        <code value="1775-6"></code>
+        <display value="Knik"></display>
+        <definition value="Knik"></definition>
+       </concept>
+       <concept>
+        <code value="1776-4"></code>
+        <display value="Koyukuk"></display>
+        <definition value="Koyukuk"></definition>
+       </concept>
+       <concept>
+        <code value="1777-2"></code>
+        <display value="Lake Minchumina"></display>
+        <definition value="Lake Minchumina"></definition>
+       </concept>
+       <concept>
+        <code value="1778-0"></code>
+        <display value="Lime"></display>
+        <definition value="Lime"></definition>
+       </concept>
+       <concept>
+        <code value="1779-8"></code>
+        <display value="Mcgrath"></display>
+        <definition value="Mcgrath"></definition>
+       </concept>
+       <concept>
+        <code value="1780-6"></code>
+        <display value="Manley Hot Springs"></display>
+        <definition value="Manley Hot Springs"></definition>
+       </concept>
+       <concept>
+        <code value="1781-4"></code>
+        <display value="Mentasta Lake"></display>
+        <definition value="Mentasta Lake"></definition>
+       </concept>
+       <concept>
+        <code value="1782-2"></code>
+        <display value="Minto"></display>
+        <definition value="Minto"></definition>
+       </concept>
+       <concept>
+        <code value="1783-0"></code>
+        <display value="Nenana"></display>
+        <definition value="Nenana"></definition>
+       </concept>
+       <concept>
+        <code value="1784-8"></code>
+        <display value="Nikolai"></display>
+        <definition value="Nikolai"></definition>
+       </concept>
+       <concept>
+        <code value="1785-5"></code>
+        <display value="Ninilchik"></display>
+        <definition value="Ninilchik"></definition>
+       </concept>
+       <concept>
+        <code value="1786-3"></code>
+        <display value="Nondalton"></display>
+        <definition value="Nondalton"></definition>
+       </concept>
+       <concept>
+        <code value="1787-1"></code>
+        <display value="Northway"></display>
+        <definition value="Northway"></definition>
+       </concept>
+       <concept>
+        <code value="1788-9"></code>
+        <display value="Nulato"></display>
+        <definition value="Nulato"></definition>
+       </concept>
+       <concept>
+        <code value="1789-7"></code>
+        <display value="Pedro Bay"></display>
+        <definition value="Pedro Bay"></definition>
+       </concept>
+       <concept>
+        <code value="1790-5"></code>
+        <display value="Rampart"></display>
+        <definition value="Rampart"></definition>
+       </concept>
+       <concept>
+        <code value="1791-3"></code>
+        <display value="Ruby"></display>
+        <definition value="Ruby"></definition>
+       </concept>
+       <concept>
+        <code value="1792-1"></code>
+        <display value="Salamatof"></display>
+        <definition value="Salamatof"></definition>
+       </concept>
+       <concept>
+        <code value="1793-9"></code>
+        <display value="Seldovia"></display>
+        <definition value="Seldovia"></definition>
+       </concept>
+       <concept>
+        <code value="1794-7"></code>
+        <display value="Slana"></display>
+        <definition value="Slana"></definition>
+       </concept>
+       <concept>
+        <code value="1795-4"></code>
+        <display value="Shageluk"></display>
+        <definition value="Shageluk"></definition>
+       </concept>
+       <concept>
+        <code value="1796-2"></code>
+        <display value="Stevens"></display>
+        <definition value="Stevens"></definition>
+       </concept>
+       <concept>
+        <code value="1797-0"></code>
+        <display value="Stony River"></display>
+        <definition value="Stony River"></definition>
+       </concept>
+       <concept>
+        <code value="1798-8"></code>
+        <display value="Takotna"></display>
+        <definition value="Takotna"></definition>
+       </concept>
+       <concept>
+        <code value="1799-6"></code>
+        <display value="Tanacross"></display>
+        <definition value="Tanacross"></definition>
+       </concept>
+       <concept>
+        <code value="1800-2"></code>
+        <display value="Tanaina"></display>
+        <definition value="Tanaina"></definition>
+       </concept>
+       <concept>
+        <code value="1801-0"></code>
+        <display value="Tanana"></display>
+        <definition value="Tanana"></definition>
+       </concept>
+       <concept>
+        <code value="1802-8"></code>
+        <display value="Tanana Chiefs"></display>
+        <definition value="Tanana Chiefs"></definition>
+       </concept>
+       <concept>
+        <code value="1803-6"></code>
+        <display value="Tazlina"></display>
+        <definition value="Tazlina"></definition>
+       </concept>
+       <concept>
+        <code value="1804-4"></code>
+        <display value="Telida"></display>
+        <definition value="Telida"></definition>
+       </concept>
+       <concept>
+        <code value="1805-1"></code>
+        <display value="Tetlin"></display>
+        <definition value="Tetlin"></definition>
+       </concept>
+       <concept>
+        <code value="1806-9"></code>
+        <display value="Tok"></display>
+        <definition value="Tok"></definition>
+       </concept>
+       <concept>
+        <code value="1807-7"></code>
+        <display value="Tyonek"></display>
+        <definition value="Tyonek"></definition>
+       </concept>
+       <concept>
+        <code value="1808-5"></code>
+        <display value="Venetie"></display>
+        <definition value="Venetie"></definition>
+       </concept>
+       <concept>
+        <code value="1809-3"></code>
+        <display value="Wiseman"></display>
+        <definition value="Wiseman"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1078-5"></code>
+       <display value="Cayuse"></display>
+       <definition value="Cayuse"></definition>
+      </concept>
+      <concept>
+       <code value="1080-1"></code>
+       <display value="Chehalis"></display>
+       <definition value="Chehalis"></definition>
+      </concept>
+      <concept>
+       <code value="1082-7"></code>
+       <display value="Chemakuan"></display>
+       <definition value="Chemakuan"></definition>
+       <concept>
+        <code value="1083-5"></code>
+        <display value="Hoh"></display>
+        <definition value="Hoh"></definition>
+       </concept>
+       <concept>
+        <code value="1084-3"></code>
+        <display value="Quileute"></display>
+        <definition value="Quileute"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1086-8"></code>
+       <display value="Chemehuevi"></display>
+       <definition value="Chemehuevi"></definition>
+      </concept>
+      <concept>
+       <code value="1088-4"></code>
+       <display value="Cherokee"></display>
+       <definition value="Cherokee"></definition>
+       <concept>
+        <code value="1089-2"></code>
+        <display value="Cherokee Alabama"></display>
+        <definition value="Cherokee Alabama"></definition>
+       </concept>
+       <concept>
+        <code value="1090-0"></code>
+        <display value="Cherokees of Northeast Alabama"></display>
+        <definition value="Cherokees of Northeast Alabama"></definition>
+       </concept>
+       <concept>
+        <code value="1091-8"></code>
+        <display value="Cherokees of Southeast Alabama"></display>
+        <definition value="Cherokees of Southeast Alabama"></definition>
+       </concept>
+       <concept>
+        <code value="1092-6"></code>
+        <display value="Eastern Cherokee"></display>
+        <definition value="Eastern Cherokee"></definition>
+       </concept>
+       <concept>
+        <code value="1093-4"></code>
+        <display value="Echota Cherokee"></display>
+        <definition value="Echota Cherokee"></definition>
+       </concept>
+       <concept>
+        <code value="1094-2"></code>
+        <display value="Etowah Cherokee"></display>
+        <definition value="Etowah Cherokee"></definition>
+       </concept>
+       <concept>
+        <code value="1095-9"></code>
+        <display value="Northern Cherokee"></display>
+        <definition value="Northern Cherokee"></definition>
+       </concept>
+       <concept>
+        <code value="1096-7"></code>
+        <display value="Tuscola"></display>
+        <definition value="Tuscola"></definition>
+       </concept>
+       <concept>
+        <code value="1097-5"></code>
+        <display value="United Keetowah Band of Cherokee"></display>
+        <definition value="United Keetowah Band of Cherokee"></definition>
+       </concept>
+       <concept>
+        <code value="1098-3"></code>
+        <display value="Western Cherokee"></display>
+        <definition value="Western Cherokee"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1100-7"></code>
+       <display value="Cherokee Shawnee"></display>
+       <definition value="Cherokee Shawnee"></definition>
+      </concept>
+      <concept>
+       <code value="1102-3"></code>
+       <display value="Cheyenne"></display>
+       <definition value="Cheyenne"></definition>
+       <concept>
+        <code value="1103-1"></code>
+        <display value="Northern Cheyenne"></display>
+        <definition value="Northern Cheyenne"></definition>
+       </concept>
+       <concept>
+        <code value="1104-9"></code>
+        <display value="Southern Cheyenne"></display>
+        <definition value="Southern Cheyenne"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1106-4"></code>
+       <display value="Cheyenne-Arapaho"></display>
+       <definition value="Cheyenne-Arapaho"></definition>
+      </concept>
+      <concept>
+       <code value="1108-0"></code>
+       <display value="Chickahominy"></display>
+       <definition value="Chickahominy"></definition>
+       <concept>
+        <code value="1109-8"></code>
+        <display value="Eastern Chickahominy"></display>
+        <definition value="Eastern Chickahominy"></definition>
+       </concept>
+       <concept>
+        <code value="1110-6"></code>
+        <display value="Western Chickahominy"></display>
+        <definition value="Western Chickahominy"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1112-2"></code>
+       <display value="Chickasaw"></display>
+       <definition value="Chickasaw"></definition>
+      </concept>
+      <concept>
+       <code value="1114-8"></code>
+       <display value="Chinook"></display>
+       <definition value="Chinook"></definition>
+       <concept>
+        <code value="1115-5"></code>
+        <display value="Clatsop"></display>
+        <definition value="Clatsop"></definition>
+       </concept>
+       <concept>
+        <code value="1116-3"></code>
+        <display value="Columbia River Chinook"></display>
+        <definition value="Columbia River Chinook"></definition>
+       </concept>
+       <concept>
+        <code value="1117-1"></code>
+        <display value="Kathlamet"></display>
+        <definition value="Kathlamet"></definition>
+       </concept>
+       <concept>
+        <code value="1118-9"></code>
+        <display value="Upper Chinook"></display>
+        <definition value="Upper Chinook"></definition>
+       </concept>
+       <concept>
+        <code value="1119-7"></code>
+        <display value="Wakiakum Chinook"></display>
+        <definition value="Wakiakum Chinook"></definition>
+       </concept>
+       <concept>
+        <code value="1120-5"></code>
+        <display value="Willapa Chinook"></display>
+        <definition value="Willapa Chinook"></definition>
+       </concept>
+       <concept>
+        <code value="1121-3"></code>
+        <display value="Wishram"></display>
+        <definition value="Wishram"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1123-9"></code>
+       <display value="Chippewa"></display>
+       <definition value="Chippewa"></definition>
+       <concept>
+        <code value="1124-7"></code>
+        <display value="Bad River"></display>
+        <definition value="Bad River"></definition>
+       </concept>
+       <concept>
+        <code value="1125-4"></code>
+        <display value="Bay Mills Chippewa"></display>
+        <definition value="Bay Mills Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1126-2"></code>
+        <display value="Bois Forte"></display>
+        <definition value="Bois Forte"></definition>
+       </concept>
+       <concept>
+        <code value="1127-0"></code>
+        <display value="Burt Lake Chippewa"></display>
+        <definition value="Burt Lake Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1128-8"></code>
+        <display value="Fond du Lac"></display>
+        <definition value="Fond du Lac"></definition>
+       </concept>
+       <concept>
+        <code value="1129-6"></code>
+        <display value="Grand Portage"></display>
+        <definition value="Grand Portage"></definition>
+       </concept>
+       <concept>
+        <code value="1130-4"></code>
+        <display value="Grand Traverse Band of Ottawa-Chippewa"></display>
+        <definition value="Grand Traverse Band of Ottawa-Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1131-2"></code>
+        <display value="Keweenaw"></display>
+        <definition value="Keweenaw"></definition>
+       </concept>
+       <concept>
+        <code value="1132-0"></code>
+        <display value="Lac Courte Oreilles"></display>
+        <definition value="Lac Courte Oreilles"></definition>
+       </concept>
+       <concept>
+        <code value="1133-8"></code>
+        <display value="Lac du Flambeau"></display>
+        <definition value="Lac du Flambeau"></definition>
+       </concept>
+       <concept>
+        <code value="1134-6"></code>
+        <display value="Lac Vieux Desert Chippewa"></display>
+        <definition value="Lac Vieux Desert Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1135-3"></code>
+        <display value="Lake Superior"></display>
+        <definition value="Lake Superior"></definition>
+       </concept>
+       <concept>
+        <code value="1136-1"></code>
+        <display value="Leech Lake"></display>
+        <definition value="Leech Lake"></definition>
+       </concept>
+       <concept>
+        <code value="1137-9"></code>
+        <display value="Little Shell Chippewa"></display>
+        <definition value="Little Shell Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1138-7"></code>
+        <display value="Mille Lacs"></display>
+        <definition value="Mille Lacs"></definition>
+       </concept>
+       <concept>
+        <code value="1139-5"></code>
+        <display value="Minnesota Chippewa"></display>
+        <definition value="Minnesota Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1140-3"></code>
+        <display value="Ontonagon"></display>
+        <definition value="Ontonagon"></definition>
+       </concept>
+       <concept>
+        <code value="1141-1"></code>
+        <display value="Red Cliff Chippewa"></display>
+        <definition value="Red Cliff Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1142-9"></code>
+        <display value="Red Lake Chippewa"></display>
+        <definition value="Red Lake Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1143-7"></code>
+        <display value="Saginaw Chippewa"></display>
+        <definition value="Saginaw Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1144-5"></code>
+        <display value="St. Croix Chippewa"></display>
+        <definition value="St. Croix Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1145-2"></code>
+        <display value="Sault Ste. Marie Chippewa"></display>
+        <definition value="Sault Ste. Marie Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1146-0"></code>
+        <display value="Sokoagon Chippewa"></display>
+        <definition value="Sokoagon Chippewa"></definition>
+       </concept>
+       <concept>
+        <code value="1147-8"></code>
+        <display value="Turtle Mountain"></display>
+        <definition value="Turtle Mountain"></definition>
+       </concept>
+       <concept>
+        <code value="1148-6"></code>
+        <display value="White Earth"></display>
+        <definition value="White Earth"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1150-2"></code>
+       <display value="Chippewa Cree"></display>
+       <definition value="Chippewa Cree"></definition>
+       <concept>
+        <code value="1151-0"></code>
+        <display value="Rocky Boy's Chippewa Cree"></display>
+        <definition value="Rocky Boy's Chippewa Cree"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1153-6"></code>
+       <display value="Chitimacha"></display>
+       <definition value="Chitimacha"></definition>
+      </concept>
+      <concept>
+       <code value="1155-1"></code>
+       <display value="Choctaw"></display>
+       <definition value="Choctaw"></definition>
+       <concept>
+        <code value="1156-9"></code>
+        <display value="Clifton Choctaw"></display>
+        <definition value="Clifton Choctaw"></definition>
+       </concept>
+       <concept>
+        <code value="1157-7"></code>
+        <display value="Jena Choctaw"></display>
+        <definition value="Jena Choctaw"></definition>
+       </concept>
+       <concept>
+        <code value="1158-5"></code>
+        <display value="Mississippi Choctaw"></display>
+        <definition value="Mississippi Choctaw"></definition>
+       </concept>
+       <concept>
+        <code value="1159-3"></code>
+        <display value="Mowa Band of Choctaw"></display>
+        <definition value="Mowa Band of Choctaw"></definition>
+       </concept>
+       <concept>
+        <code value="1160-1"></code>
+        <display value="Oklahoma Choctaw"></display>
+        <definition value="Oklahoma Choctaw"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1162-7"></code>
+       <display value="Chumash"></display>
+       <definition value="Chumash"></definition>
+       <concept>
+        <code value="1163-5"></code>
+        <display value="Santa Ynez"></display>
+        <definition value="Santa Ynez"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1165-0"></code>
+       <display value="Clear Lake"></display>
+       <definition value="Clear Lake"></definition>
+      </concept>
+      <concept>
+       <code value="1167-6"></code>
+       <display value="Coeur D'Alene"></display>
+       <definition value="Coeur D'Alene"></definition>
+      </concept>
+      <concept>
+       <code value="1169-2"></code>
+       <display value="Coharie"></display>
+       <definition value="Coharie"></definition>
+      </concept>
+      <concept>
+       <code value="1171-8"></code>
+       <display value="Colorado River"></display>
+       <definition value="Colorado River"></definition>
+      </concept>
+      <concept>
+       <code value="1173-4"></code>
+       <display value="Colville"></display>
+       <definition value="Colville"></definition>
+      </concept>
+      <concept>
+       <code value="1175-9"></code>
+       <display value="Comanche"></display>
+       <definition value="Comanche"></definition>
+       <concept>
+        <code value="1176-7"></code>
+        <display value="Oklahoma Comanche"></display>
+        <definition value="Oklahoma Comanche"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1178-3"></code>
+       <display value="Coos, Lower Umpqua, Siuslaw"></display>
+       <definition value="Coos, Lower Umpqua, Siuslaw"></definition>
+      </concept>
+      <concept>
+       <code value="1180-9"></code>
+       <display value="Coos"></display>
+       <definition value="Coos"></definition>
+      </concept>
+      <concept>
+       <code value="1182-5"></code>
+       <display value="Coquilles"></display>
+       <definition value="Coquilles"></definition>
+      </concept>
+      <concept>
+       <code value="1184-1"></code>
+       <display value="Costanoan"></display>
+       <definition value="Costanoan"></definition>
+      </concept>
+      <concept>
+       <code value="1186-6"></code>
+       <display value="Coushatta"></display>
+       <definition value="Coushatta"></definition>
+       <concept>
+        <code value="1187-4"></code>
+        <display value="Alabama Coushatta"></display>
+        <definition value="Alabama Coushatta"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1189-0"></code>
+       <display value="Cowlitz"></display>
+       <definition value="Cowlitz"></definition>
+      </concept>
+      <concept>
+       <code value="1191-6"></code>
+       <display value="Cree"></display>
+       <definition value="Cree"></definition>
+      </concept>
+      <concept>
+       <code value="1193-2"></code>
+       <display value="Creek"></display>
+       <definition value="Creek"></definition>
+       <concept>
+        <code value="1194-0"></code>
+        <display value="Alabama Creek"></display>
+        <definition value="Alabama Creek"></definition>
+       </concept>
+       <concept>
+        <code value="1195-7"></code>
+        <display value="Alabama Quassarte"></display>
+        <definition value="Alabama Quassarte"></definition>
+       </concept>
+       <concept>
+        <code value="1196-5"></code>
+        <display value="Eastern Creek"></display>
+        <definition value="Eastern Creek"></definition>
+       </concept>
+       <concept>
+        <code value="1197-3"></code>
+        <display value="Eastern Muscogee"></display>
+        <definition value="Eastern Muscogee"></definition>
+       </concept>
+       <concept>
+        <code value="1198-1"></code>
+        <display value="Kialegee"></display>
+        <definition value="Kialegee"></definition>
+       </concept>
+       <concept>
+        <code value="1199-9"></code>
+        <display value="Lower Muscogee"></display>
+        <definition value="Lower Muscogee"></definition>
+       </concept>
+       <concept>
+        <code value="1200-5"></code>
+        <display value="Machis Lower Creek Indian"></display>
+        <definition value="Machis Lower Creek Indian"></definition>
+       </concept>
+       <concept>
+        <code value="1201-3"></code>
+        <display value="Poarch Band"></display>
+        <definition value="Poarch Band"></definition>
+       </concept>
+       <concept>
+        <code value="1202-1"></code>
+        <display value="Principal Creek Indian Nation"></display>
+        <definition value="Principal Creek Indian Nation"></definition>
+       </concept>
+       <concept>
+        <code value="1203-9"></code>
+        <display value="Star Clan of Muscogee Creeks"></display>
+        <definition value="Star Clan of Muscogee Creeks"></definition>
+       </concept>
+       <concept>
+        <code value="1204-7"></code>
+        <display value="Thlopthlocco"></display>
+        <definition value="Thlopthlocco"></definition>
+       </concept>
+       <concept>
+        <code value="1205-4"></code>
+        <display value="Tuckabachee"></display>
+        <definition value="Tuckabachee"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1207-0"></code>
+       <display value="Croatan"></display>
+       <definition value="Croatan"></definition>
+      </concept>
+      <concept>
+       <code value="1209-6"></code>
+       <display value="Crow"></display>
+       <definition value="Crow"></definition>
+      </concept>
+      <concept>
+       <code value="1211-2"></code>
+       <display value="Cupeno"></display>
+       <definition value="Cupeno"></definition>
+       <concept>
+        <code value="1212-0"></code>
+        <display value="Agua Caliente"></display>
+        <definition value="Agua Caliente"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1214-6"></code>
+       <display value="Delaware"></display>
+       <definition value="Delaware"></definition>
+       <concept>
+        <code value="1215-3"></code>
+        <display value="Eastern Delaware"></display>
+        <definition value="Eastern Delaware"></definition>
+       </concept>
+       <concept>
+        <code value="1216-1"></code>
+        <display value="Lenni-Lenape"></display>
+        <definition value="Lenni-Lenape"></definition>
+       </concept>
+       <concept>
+        <code value="1217-9"></code>
+        <display value="Munsee"></display>
+        <definition value="Munsee"></definition>
+       </concept>
+       <concept>
+        <code value="1218-7"></code>
+        <display value="Oklahoma Delaware"></display>
+        <definition value="Oklahoma Delaware"></definition>
+       </concept>
+       <concept>
+        <code value="1219-5"></code>
+        <display value="Rampough Mountain"></display>
+        <definition value="Rampough Mountain"></definition>
+       </concept>
+       <concept>
+        <code value="1220-3"></code>
+        <display value="Sand Hill"></display>
+        <definition value="Sand Hill"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1222-9"></code>
+       <display value="Diegueno"></display>
+       <definition value="Diegueno"></definition>
+       <concept>
+        <code value="1223-7"></code>
+        <display value="Campo"></display>
+        <definition value="Campo"></definition>
+       </concept>
+       <concept>
+        <code value="1224-5"></code>
+        <display value="Capitan Grande"></display>
+        <definition value="Capitan Grande"></definition>
+       </concept>
+       <concept>
+        <code value="1225-2"></code>
+        <display value="Cuyapaipe"></display>
+        <definition value="Cuyapaipe"></definition>
+       </concept>
+       <concept>
+        <code value="1226-0"></code>
+        <display value="La Posta"></display>
+        <definition value="La Posta"></definition>
+       </concept>
+       <concept>
+        <code value="1227-8"></code>
+        <display value="Manzanita"></display>
+        <definition value="Manzanita"></definition>
+       </concept>
+       <concept>
+        <code value="1228-6"></code>
+        <display value="Mesa Grande"></display>
+        <definition value="Mesa Grande"></definition>
+       </concept>
+       <concept>
+        <code value="1229-4"></code>
+        <display value="San Pasqual"></display>
+        <definition value="San Pasqual"></definition>
+       </concept>
+       <concept>
+        <code value="1230-2"></code>
+        <display value="Santa Ysabel"></display>
+        <definition value="Santa Ysabel"></definition>
+       </concept>
+       <concept>
+        <code value="1231-0"></code>
+        <display value="Sycuan"></display>
+        <definition value="Sycuan"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1233-6"></code>
+       <display value="Eastern Tribes"></display>
+       <definition value="Eastern Tribes"></definition>
+       <concept>
+        <code value="1234-4"></code>
+        <display value="Attacapa"></display>
+        <definition value="Attacapa"></definition>
+       </concept>
+       <concept>
+        <code value="1235-1"></code>
+        <display value="Biloxi"></display>
+        <definition value="Biloxi"></definition>
+       </concept>
+       <concept>
+        <code value="1236-9"></code>
+        <display value="Georgetown"></display>
+        <definition value="Georgetown"></definition>
+       </concept>
+       <concept>
+        <code value="1237-7"></code>
+        <display value="Moor"></display>
+        <definition value="Moor"></definition>
+       </concept>
+       <concept>
+        <code value="1238-5"></code>
+        <display value="Nansemond"></display>
+        <definition value="Nansemond"></definition>
+       </concept>
+       <concept>
+        <code value="1239-3"></code>
+        <display value="Natchez"></display>
+        <definition value="Natchez"></definition>
+       </concept>
+       <concept>
+        <code value="1240-1"></code>
+        <display value="Nausu Waiwash"></display>
+        <definition value="Nausu Waiwash"></definition>
+       </concept>
+       <concept>
+        <code value="1241-9"></code>
+        <display value="Nipmuc"></display>
+        <definition value="Nipmuc"></definition>
+       </concept>
+       <concept>
+        <code value="1242-7"></code>
+        <display value="Paugussett"></display>
+        <definition value="Paugussett"></definition>
+       </concept>
+       <concept>
+        <code value="1243-5"></code>
+        <display value="Pocomoke Acohonock"></display>
+        <definition value="Pocomoke Acohonock"></definition>
+       </concept>
+       <concept>
+        <code value="1244-3"></code>
+        <display value="Southeastern Indians"></display>
+        <definition value="Southeastern Indians"></definition>
+       </concept>
+       <concept>
+        <code value="1245-0"></code>
+        <display value="Susquehanock"></display>
+        <definition value="Susquehanock"></definition>
+       </concept>
+       <concept>
+        <code value="1246-8"></code>
+        <display value="Tunica Biloxi"></display>
+        <definition value="Tunica Biloxi"></definition>
+       </concept>
+       <concept>
+        <code value="1247-6"></code>
+        <display value="Waccamaw-Siousan"></display>
+        <definition value="Waccamaw-Siousan"></definition>
+       </concept>
+       <concept>
+        <code value="1248-4"></code>
+        <display value="Wicomico"></display>
+        <definition value="Wicomico"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1250-0"></code>
+       <display value="Esselen"></display>
+       <definition value="Esselen"></definition>
+      </concept>
+      <concept>
+       <code value="1252-6"></code>
+       <display value="Fort Belknap"></display>
+       <definition value="Fort Belknap"></definition>
+      </concept>
+      <concept>
+       <code value="1254-2"></code>
+       <display value="Fort Berthold"></display>
+       <definition value="Fort Berthold"></definition>
+      </concept>
+      <concept>
+       <code value="1256-7"></code>
+       <display value="Fort Mcdowell"></display>
+       <definition value="Fort Mcdowell"></definition>
+      </concept>
+      <concept>
+       <code value="1258-3"></code>
+       <display value="Fort Hall"></display>
+       <definition value="Fort Hall"></definition>
+      </concept>
+      <concept>
+       <code value="1260-9"></code>
+       <display value="Gabrieleno"></display>
+       <definition value="Gabrieleno"></definition>
+      </concept>
+      <concept>
+       <code value="1262-5"></code>
+       <display value="Grand Ronde"></display>
+       <definition value="Grand Ronde"></definition>
+      </concept>
+      <concept>
+       <code value="1264-1"></code>
+       <display value="Gros Ventres"></display>
+       <definition value="Gros Ventres"></definition>
+       <concept>
+        <code value="1265-8"></code>
+        <display value="Atsina"></display>
+        <definition value="Atsina"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1267-4"></code>
+       <display value="Haliwa"></display>
+       <definition value="Haliwa"></definition>
+      </concept>
+      <concept>
+       <code value="1269-0"></code>
+       <display value="Hidatsa"></display>
+       <definition value="Hidatsa"></definition>
+      </concept>
+      <concept>
+       <code value="1271-6"></code>
+       <display value="Hoopa"></display>
+       <definition value="Hoopa"></definition>
+       <concept>
+        <code value="1272-4"></code>
+        <display value="Trinity"></display>
+        <definition value="Trinity"></definition>
+       </concept>
+       <concept>
+        <code value="1273-2"></code>
+        <display value="Whilkut"></display>
+        <definition value="Whilkut"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1275-7"></code>
+       <display value="Hoopa Extension"></display>
+       <definition value="Hoopa Extension"></definition>
+      </concept>
+      <concept>
+       <code value="1277-3"></code>
+       <display value="Houma"></display>
+       <definition value="Houma"></definition>
+      </concept>
+      <concept>
+       <code value="1279-9"></code>
+       <display value="Inaja-Cosmit"></display>
+       <definition value="Inaja-Cosmit"></definition>
+      </concept>
+      <concept>
+       <code value="1281-5"></code>
+       <display value="Iowa"></display>
+       <definition value="Iowa"></definition>
+       <concept>
+        <code value="1282-3"></code>
+        <display value="Iowa of Kansas-Nebraska"></display>
+        <definition value="Iowa of Kansas-Nebraska"></definition>
+       </concept>
+       <concept>
+        <code value="1283-1"></code>
+        <display value="Iowa of Oklahoma"></display>
+        <definition value="Iowa of Oklahoma"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1285-6"></code>
+       <display value="Iroquois"></display>
+       <definition value="Iroquois"></definition>
+       <concept>
+        <code value="1286-4"></code>
+        <display value="Cayuga"></display>
+        <definition value="Cayuga"></definition>
+       </concept>
+       <concept>
+        <code value="1287-2"></code>
+        <display value="Mohawk"></display>
+        <definition value="Mohawk"></definition>
+       </concept>
+       <concept>
+        <code value="1288-0"></code>
+        <display value="Oneida"></display>
+        <definition value="Oneida"></definition>
+       </concept>
+       <concept>
+        <code value="1289-8"></code>
+        <display value="Onondaga"></display>
+        <definition value="Onondaga"></definition>
+       </concept>
+       <concept>
+        <code value="1290-6"></code>
+        <display value="Seneca"></display>
+        <definition value="Seneca"></definition>
+       </concept>
+       <concept>
+        <code value="1291-4"></code>
+        <display value="Seneca Nation"></display>
+        <definition value="Seneca Nation"></definition>
+       </concept>
+       <concept>
+        <code value="1292-2"></code>
+        <display value="Seneca-Cayuga"></display>
+        <definition value="Seneca-Cayuga"></definition>
+       </concept>
+       <concept>
+        <code value="1293-0"></code>
+        <display value="Tonawanda Seneca"></display>
+        <definition value="Tonawanda Seneca"></definition>
+       </concept>
+       <concept>
+        <code value="1294-8"></code>
+        <display value="Tuscarora"></display>
+        <definition value="Tuscarora"></definition>
+       </concept>
+       <concept>
+        <code value="1295-5"></code>
+        <display value="Wyandotte"></display>
+        <definition value="Wyandotte"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1297-1"></code>
+       <display value="Juaneno"></display>
+       <definition value="Juaneno"></definition>
+      </concept>
+      <concept>
+       <code value="1299-7"></code>
+       <display value="Kalispel"></display>
+       <definition value="Kalispel"></definition>
+      </concept>
+      <concept>
+       <code value="1301-1"></code>
+       <display value="Karuk"></display>
+       <definition value="Karuk"></definition>
+      </concept>
+      <concept>
+       <code value="1303-7"></code>
+       <display value="Kaw"></display>
+       <definition value="Kaw"></definition>
+      </concept>
+      <concept>
+       <code value="1305-2"></code>
+       <display value="Kickapoo"></display>
+       <definition value="Kickapoo"></definition>
+       <concept>
+        <code value="1306-0"></code>
+        <display value="Oklahoma Kickapoo"></display>
+        <definition value="Oklahoma Kickapoo"></definition>
+       </concept>
+       <concept>
+        <code value="1307-8"></code>
+        <display value="Texas Kickapoo"></display>
+        <definition value="Texas Kickapoo"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1309-4"></code>
+       <display value="Kiowa"></display>
+       <definition value="Kiowa"></definition>
+       <concept>
+        <code value="1310-2"></code>
+        <display value="Oklahoma Kiowa"></display>
+        <definition value="Oklahoma Kiowa"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1312-8"></code>
+       <display value="Klallam"></display>
+       <definition value="Klallam"></definition>
+       <concept>
+        <code value="1313-6"></code>
+        <display value="Jamestown"></display>
+        <definition value="Jamestown"></definition>
+       </concept>
+       <concept>
+        <code value="1314-4"></code>
+        <display value="Lower Elwha"></display>
+        <definition value="Lower Elwha"></definition>
+       </concept>
+       <concept>
+        <code value="1315-1"></code>
+        <display value="Port Gamble Klallam"></display>
+        <definition value="Port Gamble Klallam"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1317-7"></code>
+       <display value="Klamath"></display>
+       <definition value="Klamath"></definition>
+      </concept>
+      <concept>
+       <code value="1319-3"></code>
+       <display value="Konkow"></display>
+       <definition value="Konkow"></definition>
+      </concept>
+      <concept>
+       <code value="1321-9"></code>
+       <display value="Kootenai"></display>
+       <definition value="Kootenai"></definition>
+      </concept>
+      <concept>
+       <code value="1323-5"></code>
+       <display value="Lassik"></display>
+       <definition value="Lassik"></definition>
+      </concept>
+      <concept>
+       <code value="1325-0"></code>
+       <display value="Long Island"></display>
+       <definition value="Long Island"></definition>
+       <concept>
+        <code value="1326-8"></code>
+        <display value="Matinecock"></display>
+        <definition value="Matinecock"></definition>
+       </concept>
+       <concept>
+        <code value="1327-6"></code>
+        <display value="Montauk"></display>
+        <definition value="Montauk"></definition>
+       </concept>
+       <concept>
+        <code value="1328-4"></code>
+        <display value="Poospatuck"></display>
+        <definition value="Poospatuck"></definition>
+       </concept>
+       <concept>
+        <code value="1329-2"></code>
+        <display value="Setauket"></display>
+        <definition value="Setauket"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1331-8"></code>
+       <display value="Luiseno"></display>
+       <definition value="Luiseno"></definition>
+       <concept>
+        <code value="1332-6"></code>
+        <display value="La Jolla"></display>
+        <definition value="La Jolla"></definition>
+       </concept>
+       <concept>
+        <code value="1333-4"></code>
+        <display value="Pala"></display>
+        <definition value="Pala"></definition>
+       </concept>
+       <concept>
+        <code value="1334-2"></code>
+        <display value="Pauma"></display>
+        <definition value="Pauma"></definition>
+       </concept>
+       <concept>
+        <code value="1335-9"></code>
+        <display value="Pechanga"></display>
+        <definition value="Pechanga"></definition>
+       </concept>
+       <concept>
+        <code value="1336-7"></code>
+        <display value="Soboba"></display>
+        <definition value="Soboba"></definition>
+       </concept>
+       <concept>
+        <code value="1337-5"></code>
+        <display value="Twenty-Nine Palms"></display>
+        <definition value="Twenty-Nine Palms"></definition>
+       </concept>
+       <concept>
+        <code value="1338-3"></code>
+        <display value="Temecula"></display>
+        <definition value="Temecula"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1340-9"></code>
+       <display value="Lumbee"></display>
+       <definition value="Lumbee"></definition>
+      </concept>
+      <concept>
+       <code value="1342-5"></code>
+       <display value="Lummi"></display>
+       <definition value="Lummi"></definition>
+      </concept>
+      <concept>
+       <code value="1344-1"></code>
+       <display value="Maidu"></display>
+       <definition value="Maidu"></definition>
+       <concept>
+        <code value="1345-8"></code>
+        <display value="Mountain Maidu"></display>
+        <definition value="Mountain Maidu"></definition>
+       </concept>
+       <concept>
+        <code value="1346-6"></code>
+        <display value="Nishinam"></display>
+        <definition value="Nishinam"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1348-2"></code>
+       <display value="Makah"></display>
+       <definition value="Makah"></definition>
+      </concept>
+      <concept>
+       <code value="1350-8"></code>
+       <display value="Maliseet"></display>
+       <definition value="Maliseet"></definition>
+      </concept>
+      <concept>
+       <code value="1352-4"></code>
+       <display value="Mandan"></display>
+       <definition value="Mandan"></definition>
+      </concept>
+      <concept>
+       <code value="1354-0"></code>
+       <display value="Mattaponi"></display>
+       <definition value="Mattaponi"></definition>
+      </concept>
+      <concept>
+       <code value="1356-5"></code>
+       <display value="Menominee"></display>
+       <definition value="Menominee"></definition>
+      </concept>
+      <concept>
+       <code value="1358-1"></code>
+       <display value="Miami"></display>
+       <definition value="Miami"></definition>
+       <concept>
+        <code value="1359-9"></code>
+        <display value="Illinois Miami"></display>
+        <definition value="Illinois Miami"></definition>
+       </concept>
+       <concept>
+        <code value="1360-7"></code>
+        <display value="Indiana Miami"></display>
+        <definition value="Indiana Miami"></definition>
+       </concept>
+       <concept>
+        <code value="1361-5"></code>
+        <display value="Oklahoma Miami"></display>
+        <definition value="Oklahoma Miami"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1363-1"></code>
+       <display value="Miccosukee"></display>
+       <definition value="Miccosukee"></definition>
+      </concept>
+      <concept>
+       <code value="1365-6"></code>
+       <display value="Micmac"></display>
+       <definition value="Micmac"></definition>
+       <concept>
+        <code value="1366-4"></code>
+        <display value="Aroostook"></display>
+        <definition value="Aroostook"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1368-0"></code>
+       <display value="Mission Indians"></display>
+       <definition value="Mission Indians"></definition>
+      </concept>
+      <concept>
+       <code value="1370-6"></code>
+       <display value="Miwok"></display>
+       <definition value="Miwok"></definition>
+      </concept>
+      <concept>
+       <code value="1372-2"></code>
+       <display value="Modoc"></display>
+       <definition value="Modoc"></definition>
+      </concept>
+      <concept>
+       <code value="1374-8"></code>
+       <display value="Mohegan"></display>
+       <definition value="Mohegan"></definition>
+      </concept>
+      <concept>
+       <code value="1376-3"></code>
+       <display value="Mono"></display>
+       <definition value="Mono"></definition>
+      </concept>
+      <concept>
+       <code value="1378-9"></code>
+       <display value="Nanticoke"></display>
+       <definition value="Nanticoke"></definition>
+      </concept>
+      <concept>
+       <code value="1380-5"></code>
+       <display value="Narragansett"></display>
+       <definition value="Narragansett"></definition>
+      </concept>
+      <concept>
+       <code value="1382-1"></code>
+       <display value="Navajo"></display>
+       <definition value="Navajo"></definition>
+       <concept>
+        <code value="1383-9"></code>
+        <display value="Alamo Navajo"></display>
+        <definition value="Alamo Navajo"></definition>
+       </concept>
+       <concept>
+        <code value="1384-7"></code>
+        <display value="Canoncito Navajo"></display>
+        <definition value="Canoncito Navajo"></definition>
+       </concept>
+       <concept>
+        <code value="1385-4"></code>
+        <display value="Ramah Navajo"></display>
+        <definition value="Ramah Navajo"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1387-0"></code>
+       <display value="Nez Perce"></display>
+       <definition value="Nez Perce"></definition>
+      </concept>
+      <concept>
+       <code value="1389-6"></code>
+       <display value="Nomalaki"></display>
+       <definition value="Nomalaki"></definition>
+      </concept>
+      <concept>
+       <code value="1391-2"></code>
+       <display value="Northwest Tribes"></display>
+       <definition value="Northwest Tribes"></definition>
+       <concept>
+        <code value="1392-0"></code>
+        <display value="Alsea"></display>
+        <definition value="Alsea"></definition>
+       </concept>
+       <concept>
+        <code value="1393-8"></code>
+        <display value="Celilo"></display>
+        <definition value="Celilo"></definition>
+       </concept>
+       <concept>
+        <code value="1394-6"></code>
+        <display value="Columbia"></display>
+        <definition value="Columbia"></definition>
+       </concept>
+       <concept>
+        <code value="1395-3"></code>
+        <display value="Kalapuya"></display>
+        <definition value="Kalapuya"></definition>
+       </concept>
+       <concept>
+        <code value="1396-1"></code>
+        <display value="Molala"></display>
+        <definition value="Molala"></definition>
+       </concept>
+       <concept>
+        <code value="1397-9"></code>
+        <display value="Talakamish"></display>
+        <definition value="Talakamish"></definition>
+       </concept>
+       <concept>
+        <code value="1398-7"></code>
+        <display value="Tenino"></display>
+        <definition value="Tenino"></definition>
+       </concept>
+       <concept>
+        <code value="1399-5"></code>
+        <display value="Tillamook"></display>
+        <definition value="Tillamook"></definition>
+       </concept>
+       <concept>
+        <code value="1400-1"></code>
+        <display value="Wenatchee"></display>
+        <definition value="Wenatchee"></definition>
+       </concept>
+       <concept>
+        <code value="1401-9"></code>
+        <display value="Yahooskin"></display>
+        <definition value="Yahooskin"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1403-5"></code>
+       <display value="Omaha"></display>
+       <definition value="Omaha"></definition>
+      </concept>
+      <concept>
+       <code value="1405-0"></code>
+       <display value="Oregon Athabaskan"></display>
+       <definition value="Oregon Athabaskan"></definition>
+      </concept>
+      <concept>
+       <code value="1407-6"></code>
+       <display value="Osage"></display>
+       <definition value="Osage"></definition>
+      </concept>
+      <concept>
+       <code value="1409-2"></code>
+       <display value="Otoe-Missouria"></display>
+       <definition value="Otoe-Missouria"></definition>
+      </concept>
+      <concept>
+       <code value="1411-8"></code>
+       <display value="Ottawa"></display>
+       <definition value="Ottawa"></definition>
+       <concept>
+        <code value="1412-6"></code>
+        <display value="Burt Lake Ottawa"></display>
+        <definition value="Burt Lake Ottawa"></definition>
+       </concept>
+       <concept>
+        <code value="1413-4"></code>
+        <display value="Michigan Ottawa"></display>
+        <definition value="Michigan Ottawa"></definition>
+       </concept>
+       <concept>
+        <code value="1414-2"></code>
+        <display value="Oklahoma Ottawa"></display>
+        <definition value="Oklahoma Ottawa"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1416-7"></code>
+       <display value="Paiute"></display>
+       <definition value="Paiute"></definition>
+       <concept>
+        <code value="1417-5"></code>
+        <display value="Bishop"></display>
+        <definition value="Bishop"></definition>
+       </concept>
+       <concept>
+        <code value="1418-3"></code>
+        <display value="Bridgeport"></display>
+        <definition value="Bridgeport"></definition>
+       </concept>
+       <concept>
+        <code value="1419-1"></code>
+        <display value="Burns Paiute"></display>
+        <definition value="Burns Paiute"></definition>
+       </concept>
+       <concept>
+        <code value="1420-9"></code>
+        <display value="Cedarville"></display>
+        <definition value="Cedarville"></definition>
+       </concept>
+       <concept>
+        <code value="1421-7"></code>
+        <display value="Fort Bidwell"></display>
+        <definition value="Fort Bidwell"></definition>
+       </concept>
+       <concept>
+        <code value="1422-5"></code>
+        <display value="Fort Independence"></display>
+        <definition value="Fort Independence"></definition>
+       </concept>
+       <concept>
+        <code value="1423-3"></code>
+        <display value="Kaibab"></display>
+        <definition value="Kaibab"></definition>
+       </concept>
+       <concept>
+        <code value="1424-1"></code>
+        <display value="Las Vegas"></display>
+        <definition value="Las Vegas"></definition>
+       </concept>
+       <concept>
+        <code value="1425-8"></code>
+        <display value="Lone Pine"></display>
+        <definition value="Lone Pine"></definition>
+       </concept>
+       <concept>
+        <code value="1426-6"></code>
+        <display value="Lovelock"></display>
+        <definition value="Lovelock"></definition>
+       </concept>
+       <concept>
+        <code value="1427-4"></code>
+        <display value="Malheur Paiute"></display>
+        <definition value="Malheur Paiute"></definition>
+       </concept>
+       <concept>
+        <code value="1428-2"></code>
+        <display value="Moapa"></display>
+        <definition value="Moapa"></definition>
+       </concept>
+       <concept>
+        <code value="1429-0"></code>
+        <display value="Northern Paiute"></display>
+        <definition value="Northern Paiute"></definition>
+       </concept>
+       <concept>
+        <code value="1430-8"></code>
+        <display value="Owens Valley"></display>
+        <definition value="Owens Valley"></definition>
+       </concept>
+       <concept>
+        <code value="1431-6"></code>
+        <display value="Pyramid Lake"></display>
+        <definition value="Pyramid Lake"></definition>
+       </concept>
+       <concept>
+        <code value="1432-4"></code>
+        <display value="San Juan Southern Paiute"></display>
+        <definition value="San Juan Southern Paiute"></definition>
+       </concept>
+       <concept>
+        <code value="1433-2"></code>
+        <display value="Southern Paiute"></display>
+        <definition value="Southern Paiute"></definition>
+       </concept>
+       <concept>
+        <code value="1434-0"></code>
+        <display value="Summit Lake"></display>
+        <definition value="Summit Lake"></definition>
+       </concept>
+       <concept>
+        <code value="1435-7"></code>
+        <display value="Utu Utu Gwaitu Paiute"></display>
+        <definition value="Utu Utu Gwaitu Paiute"></definition>
+       </concept>
+       <concept>
+        <code value="1436-5"></code>
+        <display value="Walker River"></display>
+        <definition value="Walker River"></definition>
+       </concept>
+       <concept>
+        <code value="1437-3"></code>
+        <display value="Yerington Paiute"></display>
+        <definition value="Yerington Paiute"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1439-9"></code>
+       <display value="Pamunkey"></display>
+       <definition value="Pamunkey"></definition>
+      </concept>
+      <concept>
+       <code value="1441-5"></code>
+       <display value="Passamaquoddy"></display>
+       <definition value="Passamaquoddy"></definition>
+       <concept>
+        <code value="1442-3"></code>
+        <display value="Indian Township"></display>
+        <definition value="Indian Township"></definition>
+       </concept>
+       <concept>
+        <code value="1443-1"></code>
+        <display value="Pleasant Point Passamaquoddy"></display>
+        <definition value="Pleasant Point Passamaquoddy"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1445-6"></code>
+       <display value="Pawnee"></display>
+       <definition value="Pawnee"></definition>
+       <concept>
+        <code value="1446-4"></code>
+        <display value="Oklahoma Pawnee"></display>
+        <definition value="Oklahoma Pawnee"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1448-0"></code>
+       <display value="Penobscot"></display>
+       <definition value="Penobscot"></definition>
+      </concept>
+      <concept>
+       <code value="1450-6"></code>
+       <display value="Peoria"></display>
+       <definition value="Peoria"></definition>
+       <concept>
+        <code value="1451-4"></code>
+        <display value="Oklahoma Peoria"></display>
+        <definition value="Oklahoma Peoria"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1453-0"></code>
+       <display value="Pequot"></display>
+       <definition value="Pequot"></definition>
+       <concept>
+        <code value="1454-8"></code>
+        <display value="Marshantucket Pequot"></display>
+        <definition value="Marshantucket Pequot"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1456-3"></code>
+       <display value="Pima"></display>
+       <definition value="Pima"></definition>
+       <concept>
+        <code value="1457-1"></code>
+        <display value="Gila River Pima-Maricopa"></display>
+        <definition value="Gila River Pima-Maricopa"></definition>
+       </concept>
+       <concept>
+        <code value="1458-9"></code>
+        <display value="Salt River Pima-Maricopa"></display>
+        <definition value="Salt River Pima-Maricopa"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1460-5"></code>
+       <display value="Piscataway"></display>
+       <definition value="Piscataway"></definition>
+      </concept>
+      <concept>
+       <code value="1462-1"></code>
+       <display value="Pit River"></display>
+       <definition value="Pit River"></definition>
+      </concept>
+      <concept>
+       <code value="1464-7"></code>
+       <display value="Pomo"></display>
+       <definition value="Pomo"></definition>
+       <concept>
+        <code value="1465-4"></code>
+        <display value="Central Pomo"></display>
+        <definition value="Central Pomo"></definition>
+       </concept>
+       <concept>
+        <code value="1466-2"></code>
+        <display value="Dry Creek"></display>
+        <definition value="Dry Creek"></definition>
+       </concept>
+       <concept>
+        <code value="1467-0"></code>
+        <display value="Eastern Pomo"></display>
+        <definition value="Eastern Pomo"></definition>
+       </concept>
+       <concept>
+        <code value="1468-8"></code>
+        <display value="Kashia"></display>
+        <definition value="Kashia"></definition>
+       </concept>
+       <concept>
+        <code value="1469-6"></code>
+        <display value="Northern Pomo"></display>
+        <definition value="Northern Pomo"></definition>
+       </concept>
+       <concept>
+        <code value="1470-4"></code>
+        <display value="Scotts Valley"></display>
+        <definition value="Scotts Valley"></definition>
+       </concept>
+       <concept>
+        <code value="1471-2"></code>
+        <display value="Stonyford"></display>
+        <definition value="Stonyford"></definition>
+       </concept>
+       <concept>
+        <code value="1472-0"></code>
+        <display value="Sulphur Bank"></display>
+        <definition value="Sulphur Bank"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1474-6"></code>
+       <display value="Ponca"></display>
+       <definition value="Ponca"></definition>
+       <concept>
+        <code value="1475-3"></code>
+        <display value="Nebraska Ponca"></display>
+        <definition value="Nebraska Ponca"></definition>
+       </concept>
+       <concept>
+        <code value="1476-1"></code>
+        <display value="Oklahoma Ponca"></display>
+        <definition value="Oklahoma Ponca"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1478-7"></code>
+       <display value="Potawatomi"></display>
+       <definition value="Potawatomi"></definition>
+       <concept>
+        <code value="1479-5"></code>
+        <display value="Citizen Band Potawatomi"></display>
+        <definition value="Citizen Band Potawatomi"></definition>
+       </concept>
+       <concept>
+        <code value="1480-3"></code>
+        <display value="Forest County"></display>
+        <definition value="Forest County"></definition>
+       </concept>
+       <concept>
+        <code value="1481-1"></code>
+        <display value="Hannahville"></display>
+        <definition value="Hannahville"></definition>
+       </concept>
+       <concept>
+        <code value="1482-9"></code>
+        <display value="Huron Potawatomi"></display>
+        <definition value="Huron Potawatomi"></definition>
+       </concept>
+       <concept>
+        <code value="1483-7"></code>
+        <display value="Pokagon Potawatomi"></display>
+        <definition value="Pokagon Potawatomi"></definition>
+       </concept>
+       <concept>
+        <code value="1484-5"></code>
+        <display value="Prairie Band"></display>
+        <definition value="Prairie Band"></definition>
+       </concept>
+       <concept>
+        <code value="1485-2"></code>
+        <display value="Wisconsin Potawatomi"></display>
+        <definition value="Wisconsin Potawatomi"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1487-8"></code>
+       <display value="Powhatan"></display>
+       <definition value="Powhatan"></definition>
+      </concept>
+      <concept>
+       <code value="1489-4"></code>
+       <display value="Pueblo"></display>
+       <definition value="Pueblo"></definition>
+       <concept>
+        <code value="1490-2"></code>
+        <display value="Acoma"></display>
+        <definition value="Acoma"></definition>
+       </concept>
+       <concept>
+        <code value="1491-0"></code>
+        <display value="Arizona Tewa"></display>
+        <definition value="Arizona Tewa"></definition>
+       </concept>
+       <concept>
+        <code value="1492-8"></code>
+        <display value="Cochiti"></display>
+        <definition value="Cochiti"></definition>
+       </concept>
+       <concept>
+        <code value="1493-6"></code>
+        <display value="Hopi"></display>
+        <definition value="Hopi"></definition>
+       </concept>
+       <concept>
+        <code value="1494-4"></code>
+        <display value="Isleta"></display>
+        <definition value="Isleta"></definition>
+       </concept>
+       <concept>
+        <code value="1495-1"></code>
+        <display value="Jemez"></display>
+        <definition value="Jemez"></definition>
+       </concept>
+       <concept>
+        <code value="1496-9"></code>
+        <display value="Keres"></display>
+        <definition value="Keres"></definition>
+       </concept>
+       <concept>
+        <code value="1497-7"></code>
+        <display value="Laguna"></display>
+        <definition value="Laguna"></definition>
+       </concept>
+       <concept>
+        <code value="1498-5"></code>
+        <display value="Nambe"></display>
+        <definition value="Nambe"></definition>
+       </concept>
+       <concept>
+        <code value="1499-3"></code>
+        <display value="Picuris"></display>
+        <definition value="Picuris"></definition>
+       </concept>
+       <concept>
+        <code value="1500-8"></code>
+        <display value="Piro"></display>
+        <definition value="Piro"></definition>
+       </concept>
+       <concept>
+        <code value="1501-6"></code>
+        <display value="Pojoaque"></display>
+        <definition value="Pojoaque"></definition>
+       </concept>
+       <concept>
+        <code value="1502-4"></code>
+        <display value="San Felipe"></display>
+        <definition value="San Felipe"></definition>
+       </concept>
+       <concept>
+        <code value="1503-2"></code>
+        <display value="San Ildefonso"></display>
+        <definition value="San Ildefonso"></definition>
+       </concept>
+       <concept>
+        <code value="1504-0"></code>
+        <display value="San Juan Pueblo"></display>
+        <definition value="San Juan Pueblo"></definition>
+       </concept>
+       <concept>
+        <code value="1505-7"></code>
+        <display value="San Juan De"></display>
+        <definition value="San Juan De"></definition>
+       </concept>
+       <concept>
+        <code value="1506-5"></code>
+        <display value="San Juan"></display>
+        <definition value="San Juan"></definition>
+       </concept>
+       <concept>
+        <code value="1507-3"></code>
+        <display value="Sandia"></display>
+        <definition value="Sandia"></definition>
+       </concept>
+       <concept>
+        <code value="1508-1"></code>
+        <display value="Santa Ana"></display>
+        <definition value="Santa Ana"></definition>
+       </concept>
+       <concept>
+        <code value="1509-9"></code>
+        <display value="Santa Clara"></display>
+        <definition value="Santa Clara"></definition>
+       </concept>
+       <concept>
+        <code value="1510-7"></code>
+        <display value="Santo Domingo"></display>
+        <definition value="Santo Domingo"></definition>
+       </concept>
+       <concept>
+        <code value="1511-5"></code>
+        <display value="Taos"></display>
+        <definition value="Taos"></definition>
+       </concept>
+       <concept>
+        <code value="1512-3"></code>
+        <display value="Tesuque"></display>
+        <definition value="Tesuque"></definition>
+       </concept>
+       <concept>
+        <code value="1513-1"></code>
+        <display value="Tewa"></display>
+        <definition value="Tewa"></definition>
+       </concept>
+       <concept>
+        <code value="1514-9"></code>
+        <display value="Tigua"></display>
+        <definition value="Tigua"></definition>
+       </concept>
+       <concept>
+        <code value="1515-6"></code>
+        <display value="Zia"></display>
+        <definition value="Zia"></definition>
+       </concept>
+       <concept>
+        <code value="1516-4"></code>
+        <display value="Zuni"></display>
+        <definition value="Zuni"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1518-0"></code>
+       <display value="Puget Sound Salish"></display>
+       <definition value="Puget Sound Salish"></definition>
+       <concept>
+        <code value="1519-8"></code>
+        <display value="Duwamish"></display>
+        <definition value="Duwamish"></definition>
+       </concept>
+       <concept>
+        <code value="1520-6"></code>
+        <display value="Kikiallus"></display>
+        <definition value="Kikiallus"></definition>
+       </concept>
+       <concept>
+        <code value="1521-4"></code>
+        <display value="Lower Skagit"></display>
+        <definition value="Lower Skagit"></definition>
+       </concept>
+       <concept>
+        <code value="1522-2"></code>
+        <display value="Muckleshoot"></display>
+        <definition value="Muckleshoot"></definition>
+       </concept>
+       <concept>
+        <code value="1523-0"></code>
+        <display value="Nisqually"></display>
+        <definition value="Nisqually"></definition>
+       </concept>
+       <concept>
+        <code value="1524-8"></code>
+        <display value="Nooksack"></display>
+        <definition value="Nooksack"></definition>
+       </concept>
+       <concept>
+        <code value="1525-5"></code>
+        <display value="Port Madison"></display>
+        <definition value="Port Madison"></definition>
+       </concept>
+       <concept>
+        <code value="1526-3"></code>
+        <display value="Puyallup"></display>
+        <definition value="Puyallup"></definition>
+       </concept>
+       <concept>
+        <code value="1527-1"></code>
+        <display value="Samish"></display>
+        <definition value="Samish"></definition>
+       </concept>
+       <concept>
+        <code value="1528-9"></code>
+        <display value="Sauk-Suiattle"></display>
+        <definition value="Sauk-Suiattle"></definition>
+       </concept>
+       <concept>
+        <code value="1529-7"></code>
+        <display value="Skokomish"></display>
+        <definition value="Skokomish"></definition>
+       </concept>
+       <concept>
+        <code value="1530-5"></code>
+        <display value="Skykomish"></display>
+        <definition value="Skykomish"></definition>
+       </concept>
+       <concept>
+        <code value="1531-3"></code>
+        <display value="Snohomish"></display>
+        <definition value="Snohomish"></definition>
+       </concept>
+       <concept>
+        <code value="1532-1"></code>
+        <display value="Snoqualmie"></display>
+        <definition value="Snoqualmie"></definition>
+       </concept>
+       <concept>
+        <code value="1533-9"></code>
+        <display value="Squaxin Island"></display>
+        <definition value="Squaxin Island"></definition>
+       </concept>
+       <concept>
+        <code value="1534-7"></code>
+        <display value="Steilacoom"></display>
+        <definition value="Steilacoom"></definition>
+       </concept>
+       <concept>
+        <code value="1535-4"></code>
+        <display value="Stillaguamish"></display>
+        <definition value="Stillaguamish"></definition>
+       </concept>
+       <concept>
+        <code value="1536-2"></code>
+        <display value="Suquamish"></display>
+        <definition value="Suquamish"></definition>
+       </concept>
+       <concept>
+        <code value="1537-0"></code>
+        <display value="Swinomish"></display>
+        <definition value="Swinomish"></definition>
+       </concept>
+       <concept>
+        <code value="1538-8"></code>
+        <display value="Tulalip"></display>
+        <definition value="Tulalip"></definition>
+       </concept>
+       <concept>
+        <code value="1539-6"></code>
+        <display value="Upper Skagit"></display>
+        <definition value="Upper Skagit"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1541-2"></code>
+       <display value="Quapaw"></display>
+       <definition value="Quapaw"></definition>
+      </concept>
+      <concept>
+       <code value="1543-8"></code>
+       <display value="Quinault"></display>
+       <definition value="Quinault"></definition>
+      </concept>
+      <concept>
+       <code value="1545-3"></code>
+       <display value="Rappahannock"></display>
+       <definition value="Rappahannock"></definition>
+      </concept>
+      <concept>
+       <code value="1547-9"></code>
+       <display value="Reno-Sparks"></display>
+       <definition value="Reno-Sparks"></definition>
+      </concept>
+      <concept>
+       <code value="1549-5"></code>
+       <display value="Round Valley"></display>
+       <definition value="Round Valley"></definition>
+      </concept>
+      <concept>
+       <code value="1551-1"></code>
+       <display value="Sac and Fox"></display>
+       <definition value="Sac and Fox"></definition>
+       <concept>
+        <code value="1552-9"></code>
+        <display value="Iowa Sac and Fox"></display>
+        <definition value="Iowa Sac and Fox"></definition>
+       </concept>
+       <concept>
+        <code value="1553-7"></code>
+        <display value="Missouri Sac and Fox"></display>
+        <definition value="Missouri Sac and Fox"></definition>
+       </concept>
+       <concept>
+        <code value="1554-5"></code>
+        <display value="Oklahoma Sac and Fox"></display>
+        <definition value="Oklahoma Sac and Fox"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1556-0"></code>
+       <display value="Salinan"></display>
+       <definition value="Salinan"></definition>
+      </concept>
+      <concept>
+       <code value="1558-6"></code>
+       <display value="Salish"></display>
+       <definition value="Salish"></definition>
+      </concept>
+      <concept>
+       <code value="1560-2"></code>
+       <display value="Salish and Kootenai"></display>
+       <definition value="Salish and Kootenai"></definition>
+      </concept>
+      <concept>
+       <code value="1562-8"></code>
+       <display value="Schaghticoke"></display>
+       <definition value="Schaghticoke"></definition>
+      </concept>
+      <concept>
+       <code value="1564-4"></code>
+       <display value="Scott Valley"></display>
+       <definition value="Scott Valley"></definition>
+      </concept>
+      <concept>
+       <code value="1566-9"></code>
+       <display value="Seminole"></display>
+       <definition value="Seminole"></definition>
+       <concept>
+        <code value="1567-7"></code>
+        <display value="Big Cypress"></display>
+        <definition value="Big Cypress"></definition>
+       </concept>
+       <concept>
+        <code value="1568-5"></code>
+        <display value="Brighton"></display>
+        <definition value="Brighton"></definition>
+       </concept>
+       <concept>
+        <code value="1569-3"></code>
+        <display value="Florida Seminole"></display>
+        <definition value="Florida Seminole"></definition>
+       </concept>
+       <concept>
+        <code value="1570-1"></code>
+        <display value="Hollywood Seminole"></display>
+        <definition value="Hollywood Seminole"></definition>
+       </concept>
+       <concept>
+        <code value="1571-9"></code>
+        <display value="Oklahoma Seminole"></display>
+        <definition value="Oklahoma Seminole"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1573-5"></code>
+       <display value="Serrano"></display>
+       <definition value="Serrano"></definition>
+       <concept>
+        <code value="1574-3"></code>
+        <display value="San Manual"></display>
+        <definition value="San Manual"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1576-8"></code>
+       <display value="Shasta"></display>
+       <definition value="Shasta"></definition>
+      </concept>
+      <concept>
+       <code value="1578-4"></code>
+       <display value="Shawnee"></display>
+       <definition value="Shawnee"></definition>
+       <concept>
+        <code value="1579-2"></code>
+        <display value="Absentee Shawnee"></display>
+        <definition value="Absentee Shawnee"></definition>
+       </concept>
+       <concept>
+        <code value="1580-0"></code>
+        <display value="Eastern Shawnee"></display>
+        <definition value="Eastern Shawnee"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1582-6"></code>
+       <display value="Shinnecock"></display>
+       <definition value="Shinnecock"></definition>
+      </concept>
+      <concept>
+       <code value="1584-2"></code>
+       <display value="Shoalwater Bay"></display>
+       <definition value="Shoalwater Bay"></definition>
+      </concept>
+      <concept>
+       <code value="1586-7"></code>
+       <display value="Shoshone"></display>
+       <definition value="Shoshone"></definition>
+       <concept>
+        <code value="1587-5"></code>
+        <display value="Battle Mountain"></display>
+        <definition value="Battle Mountain"></definition>
+       </concept>
+       <concept>
+        <code value="1588-3"></code>
+        <display value="Duckwater"></display>
+        <definition value="Duckwater"></definition>
+       </concept>
+       <concept>
+        <code value="1589-1"></code>
+        <display value="Elko"></display>
+        <definition value="Elko"></definition>
+       </concept>
+       <concept>
+        <code value="1590-9"></code>
+        <display value="Ely"></display>
+        <definition value="Ely"></definition>
+       </concept>
+       <concept>
+        <code value="1591-7"></code>
+        <display value="Goshute"></display>
+        <definition value="Goshute"></definition>
+       </concept>
+       <concept>
+        <code value="1592-5"></code>
+        <display value="Panamint"></display>
+        <definition value="Panamint"></definition>
+       </concept>
+       <concept>
+        <code value="1593-3"></code>
+        <display value="Ruby Valley"></display>
+        <definition value="Ruby Valley"></definition>
+       </concept>
+       <concept>
+        <code value="1594-1"></code>
+        <display value="Skull Valley"></display>
+        <definition value="Skull Valley"></definition>
+       </concept>
+       <concept>
+        <code value="1595-8"></code>
+        <display value="South Fork Shoshone"></display>
+        <definition value="South Fork Shoshone"></definition>
+       </concept>
+       <concept>
+        <code value="1596-6"></code>
+        <display value="Te-Moak Western Shoshone"></display>
+        <definition value="Te-Moak Western Shoshone"></definition>
+       </concept>
+       <concept>
+        <code value="1597-4"></code>
+        <display value="Timbi-Sha Shoshone"></display>
+        <definition value="Timbi-Sha Shoshone"></definition>
+       </concept>
+       <concept>
+        <code value="1598-2"></code>
+        <display value="Washakie"></display>
+        <definition value="Washakie"></definition>
+       </concept>
+       <concept>
+        <code value="1599-0"></code>
+        <display value="Wind River Shoshone"></display>
+        <definition value="Wind River Shoshone"></definition>
+       </concept>
+       <concept>
+        <code value="1600-6"></code>
+        <display value="Yomba"></display>
+        <definition value="Yomba"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1602-2"></code>
+       <display value="Shoshone Paiute"></display>
+       <definition value="Shoshone Paiute"></definition>
+       <concept>
+        <code value="1603-0"></code>
+        <display value="Duck Valley"></display>
+        <definition value="Duck Valley"></definition>
+       </concept>
+       <concept>
+        <code value="1604-8"></code>
+        <display value="Fallon"></display>
+        <definition value="Fallon"></definition>
+       </concept>
+       <concept>
+        <code value="1605-5"></code>
+        <display value="Fort McDermitt"></display>
+        <definition value="Fort McDermitt"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1607-1"></code>
+       <display value="Siletz"></display>
+       <definition value="Siletz"></definition>
+      </concept>
+      <concept>
+       <code value="1609-7"></code>
+       <display value="Sioux"></display>
+       <definition value="Sioux"></definition>
+       <concept>
+        <code value="1610-5"></code>
+        <display value="Blackfoot Sioux"></display>
+        <definition value="Blackfoot Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1611-3"></code>
+        <display value="Brule Sioux"></display>
+        <definition value="Brule Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1612-1"></code>
+        <display value="Cheyenne River Sioux"></display>
+        <definition value="Cheyenne River Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1613-9"></code>
+        <display value="Crow Creek Sioux"></display>
+        <definition value="Crow Creek Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1614-7"></code>
+        <display value="Dakota Sioux"></display>
+        <definition value="Dakota Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1615-4"></code>
+        <display value="Flandreau Santee"></display>
+        <definition value="Flandreau Santee"></definition>
+       </concept>
+       <concept>
+        <code value="1616-2"></code>
+        <display value="Fort Peck"></display>
+        <definition value="Fort Peck"></definition>
+       </concept>
+       <concept>
+        <code value="1617-0"></code>
+        <display value="Lake Traverse Sioux"></display>
+        <definition value="Lake Traverse Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1618-8"></code>
+        <display value="Lower Brule Sioux"></display>
+        <definition value="Lower Brule Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1619-6"></code>
+        <display value="Lower Sioux"></display>
+        <definition value="Lower Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1620-4"></code>
+        <display value="Mdewakanton Sioux"></display>
+        <definition value="Mdewakanton Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1621-2"></code>
+        <display value="Miniconjou"></display>
+        <definition value="Miniconjou"></definition>
+       </concept>
+       <concept>
+        <code value="1622-0"></code>
+        <display value="Oglala Sioux"></display>
+        <definition value="Oglala Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1623-8"></code>
+        <display value="Pine Ridge Sioux"></display>
+        <definition value="Pine Ridge Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1624-6"></code>
+        <display value="Pipestone Sioux"></display>
+        <definition value="Pipestone Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1625-3"></code>
+        <display value="Prairie Island Sioux"></display>
+        <definition value="Prairie Island Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1626-1"></code>
+        <display value="Prior Lake Sioux"></display>
+        <definition value="Prior Lake Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1627-9"></code>
+        <display value="Rosebud Sioux"></display>
+        <definition value="Rosebud Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1628-7"></code>
+        <display value="Sans Arc Sioux"></display>
+        <definition value="Sans Arc Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1629-5"></code>
+        <display value="Santee Sioux"></display>
+        <definition value="Santee Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1630-3"></code>
+        <display value="Sisseton-Wahpeton"></display>
+        <definition value="Sisseton-Wahpeton"></definition>
+       </concept>
+       <concept>
+        <code value="1631-1"></code>
+        <display value="Sisseton Sioux"></display>
+        <definition value="Sisseton Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1632-9"></code>
+        <display value="Spirit Lake Sioux"></display>
+        <definition value="Spirit Lake Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1633-7"></code>
+        <display value="Standing Rock Sioux"></display>
+        <definition value="Standing Rock Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1634-5"></code>
+        <display value="Teton Sioux"></display>
+        <definition value="Teton Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1635-2"></code>
+        <display value="Two Kettle Sioux"></display>
+        <definition value="Two Kettle Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1636-0"></code>
+        <display value="Upper Sioux"></display>
+        <definition value="Upper Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1637-8"></code>
+        <display value="Wahpekute Sioux"></display>
+        <definition value="Wahpekute Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1638-6"></code>
+        <display value="Wahpeton Sioux"></display>
+        <definition value="Wahpeton Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1639-4"></code>
+        <display value="Wazhaza Sioux"></display>
+        <definition value="Wazhaza Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1640-2"></code>
+        <display value="Yankton Sioux"></display>
+        <definition value="Yankton Sioux"></definition>
+       </concept>
+       <concept>
+        <code value="1641-0"></code>
+        <display value="Yanktonai Sioux"></display>
+        <definition value="Yanktonai Sioux"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1643-6"></code>
+       <display value="Siuslaw"></display>
+       <definition value="Siuslaw"></definition>
+      </concept>
+      <concept>
+       <code value="1645-1"></code>
+       <display value="Spokane"></display>
+       <definition value="Spokane"></definition>
+      </concept>
+      <concept>
+       <code value="1647-7"></code>
+       <display value="Stewart"></display>
+       <definition value="Stewart"></definition>
+      </concept>
+      <concept>
+       <code value="1649-3"></code>
+       <display value="Stockbridge"></display>
+       <definition value="Stockbridge"></definition>
+      </concept>
+      <concept>
+       <code value="1651-9"></code>
+       <display value="Susanville"></display>
+       <definition value="Susanville"></definition>
+      </concept>
+      <concept>
+       <code value="1653-5"></code>
+       <display value="Tohono O'Odham"></display>
+       <definition value="Tohono O'Odham"></definition>
+       <concept>
+        <code value="1654-3"></code>
+        <display value="Ak-Chin"></display>
+        <definition value="Ak-Chin"></definition>
+       </concept>
+       <concept>
+        <code value="1655-0"></code>
+        <display value="Gila Bend"></display>
+        <definition value="Gila Bend"></definition>
+       </concept>
+       <concept>
+        <code value="1656-8"></code>
+        <display value="San Xavier"></display>
+        <definition value="San Xavier"></definition>
+       </concept>
+       <concept>
+        <code value="1657-6"></code>
+        <display value="Sells"></display>
+        <definition value="Sells"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1659-2"></code>
+       <display value="Tolowa"></display>
+       <definition value="Tolowa"></definition>
+      </concept>
+      <concept>
+       <code value="1661-8"></code>
+       <display value="Tonkawa"></display>
+       <definition value="Tonkawa"></definition>
+      </concept>
+      <concept>
+       <code value="1663-4"></code>
+       <display value="Tygh"></display>
+       <definition value="Tygh"></definition>
+      </concept>
+      <concept>
+       <code value="1665-9"></code>
+       <display value="Umatilla"></display>
+       <definition value="Umatilla"></definition>
+      </concept>
+      <concept>
+       <code value="1667-5"></code>
+       <display value="Umpqua"></display>
+       <definition value="Umpqua"></definition>
+       <concept>
+        <code value="1668-3"></code>
+        <display value="Cow Creek Umpqua"></display>
+        <definition value="Cow Creek Umpqua"></definition>
+       </concept>
+      </concept>
+      <concept>
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+       <display value="Ute"></display>
+       <definition value="Ute"></definition>
+       <concept>
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+        <display value="Allen Canyon"></display>
+        <definition value="Allen Canyon"></definition>
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+       <concept>
+        <code value="1672-5"></code>
+        <display value="Uintah Ute"></display>
+        <definition value="Uintah Ute"></definition>
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+       <concept>
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+        <display value="Ute Mountain Ute"></display>
+        <definition value="Ute Mountain Ute"></definition>
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+      </concept>
+      <concept>
+       <code value="1675-8"></code>
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+       <definition value="Wailaki"></definition>
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+       <definition value="Wampanoag"></definition>
+       <concept>
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+        <display value="Gay Head Wampanoag"></display>
+        <definition value="Gay Head Wampanoag"></definition>
+       </concept>
+       <concept>
+        <code value="1681-6"></code>
+        <display value="Mashpee Wampanoag"></display>
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+       <display value="Warm Springs"></display>
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+      <concept>
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+       <definition value="Wascopum"></definition>
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+       <display value="Washoe"></display>
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+        <definition value="Carson"></definition>
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+         <definition value="Tlingit-Haida"></definition>
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+        <concept>
+         <code value="1909-1"></code>
+         <display value="Chevak"></display>
+         <definition value="Chevak"></definition>
+        </concept>
+        <concept>
+         <code value="1910-9"></code>
+         <display value="Chuathbaluk"></display>
+         <definition value="Chuathbaluk"></definition>
+        </concept>
+        <concept>
+         <code value="1911-7"></code>
+         <display value="Clark's Point"></display>
+         <definition value="Clark's Point"></definition>
+        </concept>
+        <concept>
+         <code value="1912-5"></code>
+         <display value="Crooked Creek"></display>
+         <definition value="Crooked Creek"></definition>
+        </concept>
+        <concept>
+         <code value="1913-3"></code>
+         <display value="Dillingham"></display>
+         <definition value="Dillingham"></definition>
+        </concept>
+        <concept>
+         <code value="1914-1"></code>
+         <display value="Eek"></display>
+         <definition value="Eek"></definition>
+        </concept>
+        <concept>
+         <code value="1915-8"></code>
+         <display value="Ekuk"></display>
+         <definition value="Ekuk"></definition>
+        </concept>
+        <concept>
+         <code value="1916-6"></code>
+         <display value="Ekwok"></display>
+         <definition value="Ekwok"></definition>
+        </concept>
+        <concept>
+         <code value="1917-4"></code>
+         <display value="Emmonak"></display>
+         <definition value="Emmonak"></definition>
+        </concept>
+        <concept>
+         <code value="1918-2"></code>
+         <display value="Goodnews Bay"></display>
+         <definition value="Goodnews Bay"></definition>
+        </concept>
+        <concept>
+         <code value="1919-0"></code>
+         <display value="Hooper Bay"></display>
+         <definition value="Hooper Bay"></definition>
+        </concept>
+        <concept>
+         <code value="1920-8"></code>
+         <display value="Iqurmuit (Russian Mission)"></display>
+         <definition value="Iqurmuit (Russian Mission)"></definition>
+        </concept>
+        <concept>
+         <code value="1921-6"></code>
+         <display value="Kalskag"></display>
+         <definition value="Kalskag"></definition>
+        </concept>
+        <concept>
+         <code value="1922-4"></code>
+         <display value="Kasigluk"></display>
+         <definition value="Kasigluk"></definition>
+        </concept>
+        <concept>
+         <code value="1923-2"></code>
+         <display value="Kipnuk"></display>
+         <definition value="Kipnuk"></definition>
+        </concept>
+        <concept>
+         <code value="1924-0"></code>
+         <display value="Koliganek"></display>
+         <definition value="Koliganek"></definition>
+        </concept>
+        <concept>
+         <code value="1925-7"></code>
+         <display value="Kongiganak"></display>
+         <definition value="Kongiganak"></definition>
+        </concept>
+        <concept>
+         <code value="1926-5"></code>
+         <display value="Kotlik"></display>
+         <definition value="Kotlik"></definition>
+        </concept>
+        <concept>
+         <code value="1927-3"></code>
+         <display value="Kwethluk"></display>
+         <definition value="Kwethluk"></definition>
+        </concept>
+        <concept>
+         <code value="1928-1"></code>
+         <display value="Kwigillingok"></display>
+         <definition value="Kwigillingok"></definition>
+        </concept>
+        <concept>
+         <code value="1929-9"></code>
+         <display value="Levelock"></display>
+         <definition value="Levelock"></definition>
+        </concept>
+        <concept>
+         <code value="1930-7"></code>
+         <display value="Lower Kalskag"></display>
+         <definition value="Lower Kalskag"></definition>
+        </concept>
+        <concept>
+         <code value="1931-5"></code>
+         <display value="Manokotak"></display>
+         <definition value="Manokotak"></definition>
+        </concept>
+        <concept>
+         <code value="1932-3"></code>
+         <display value="Marshall"></display>
+         <definition value="Marshall"></definition>
+        </concept>
+        <concept>
+         <code value="1933-1"></code>
+         <display value="Mekoryuk"></display>
+         <definition value="Mekoryuk"></definition>
+        </concept>
+        <concept>
+         <code value="1934-9"></code>
+         <display value="Mountain Village"></display>
+         <definition value="Mountain Village"></definition>
+        </concept>
+        <concept>
+         <code value="1935-6"></code>
+         <display value="Naknek"></display>
+         <definition value="Naknek"></definition>
+        </concept>
+        <concept>
+         <code value="1936-4"></code>
+         <display value="Napaumute"></display>
+         <definition value="Napaumute"></definition>
+        </concept>
+        <concept>
+         <code value="1937-2"></code>
+         <display value="Napakiak"></display>
+         <definition value="Napakiak"></definition>
+        </concept>
+        <concept>
+         <code value="1938-0"></code>
+         <display value="Napaskiak"></display>
+         <definition value="Napaskiak"></definition>
+        </concept>
+        <concept>
+         <code value="1939-8"></code>
+         <display value="Newhalen"></display>
+         <definition value="Newhalen"></definition>
+        </concept>
+        <concept>
+         <code value="1940-6"></code>
+         <display value="New Stuyahok"></display>
+         <definition value="New Stuyahok"></definition>
+        </concept>
+        <concept>
+         <code value="1941-4"></code>
+         <display value="Newtok"></display>
+         <definition value="Newtok"></definition>
+        </concept>
+        <concept>
+         <code value="1942-2"></code>
+         <display value="Nightmute"></display>
+         <definition value="Nightmute"></definition>
+        </concept>
+        <concept>
+         <code value="1943-0"></code>
+         <display value="Nunapitchukv"></display>
+         <definition value="Nunapitchukv"></definition>
+        </concept>
+        <concept>
+         <code value="1944-8"></code>
+         <display value="Oscarville"></display>
+         <definition value="Oscarville"></definition>
+        </concept>
+        <concept>
+         <code value="1945-5"></code>
+         <display value="Pilot Station"></display>
+         <definition value="Pilot Station"></definition>
+        </concept>
+        <concept>
+         <code value="1946-3"></code>
+         <display value="Pitkas Point"></display>
+         <definition value="Pitkas Point"></definition>
+        </concept>
+        <concept>
+         <code value="1947-1"></code>
+         <display value="Platinum"></display>
+         <definition value="Platinum"></definition>
+        </concept>
+        <concept>
+         <code value="1948-9"></code>
+         <display value="Portage Creek"></display>
+         <definition value="Portage Creek"></definition>
+        </concept>
+        <concept>
+         <code value="1949-7"></code>
+         <display value="Quinhagak"></display>
+         <definition value="Quinhagak"></definition>
+        </concept>
+        <concept>
+         <code value="1950-5"></code>
+         <display value="Red Devil"></display>
+         <definition value="Red Devil"></definition>
+        </concept>
+        <concept>
+         <code value="1951-3"></code>
+         <display value="St. Michael"></display>
+         <definition value="St. Michael"></definition>
+        </concept>
+        <concept>
+         <code value="1952-1"></code>
+         <display value="Scammon Bay"></display>
+         <definition value="Scammon Bay"></definition>
+        </concept>
+        <concept>
+         <code value="1953-9"></code>
+         <display value="Sheldon's Point"></display>
+         <definition value="Sheldon's Point"></definition>
+        </concept>
+        <concept>
+         <code value="1954-7"></code>
+         <display value="Sleetmute"></display>
+         <definition value="Sleetmute"></definition>
+        </concept>
+        <concept>
+         <code value="1955-4"></code>
+         <display value="Stebbins"></display>
+         <definition value="Stebbins"></definition>
+        </concept>
+        <concept>
+         <code value="1956-2"></code>
+         <display value="Togiak"></display>
+         <definition value="Togiak"></definition>
+        </concept>
+        <concept>
+         <code value="1957-0"></code>
+         <display value="Toksook"></display>
+         <definition value="Toksook"></definition>
+        </concept>
+        <concept>
+         <code value="1958-8"></code>
+         <display value="Tulukskak"></display>
+         <definition value="Tulukskak"></definition>
+        </concept>
+        <concept>
+         <code value="1959-6"></code>
+         <display value="Tuntutuliak"></display>
+         <definition value="Tuntutuliak"></definition>
+        </concept>
+        <concept>
+         <code value="1960-4"></code>
+         <display value="Tununak"></display>
+         <definition value="Tununak"></definition>
+        </concept>
+        <concept>
+         <code value="1961-2"></code>
+         <display value="Twin Hills"></display>
+         <definition value="Twin Hills"></definition>
+        </concept>
+        <concept>
+         <code value="1962-0"></code>
+         <display value="Georgetown"></display>
+         <definition value="Georgetown"></definition>
+        </concept>
+        <concept>
+         <code value="1963-8"></code>
+         <display value="St. Mary's"></display>
+         <definition value="St. Mary's"></definition>
+        </concept>
+        <concept>
+         <code value="1964-6"></code>
+         <display value="Umkumiate"></display>
+         <definition value="Umkumiate"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="1966-1"></code>
+       <display value="Aleut"></display>
+       <definition value="Aleut"></definition>
+       <concept>
+        <code value="1968-7"></code>
+        <display value="Alutiiq Aleut"></display>
+        <definition value="Alutiiq Aleut"></definition>
+        <concept>
+         <code value="1969-5"></code>
+         <display value="Tatitlek"></display>
+         <definition value="Tatitlek"></definition>
+        </concept>
+        <concept>
+         <code value="1970-3"></code>
+         <display value="Ugashik"></display>
+         <definition value="Ugashik"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="1972-9"></code>
+        <display value="Bristol Bay Aleut"></display>
+        <definition value="Bristol Bay Aleut"></definition>
+        <concept>
+         <code value="1973-7"></code>
+         <display value="Chignik"></display>
+         <definition value="Chignik"></definition>
+        </concept>
+        <concept>
+         <code value="1974-5"></code>
+         <display value="Chignik Lake"></display>
+         <definition value="Chignik Lake"></definition>
+        </concept>
+        <concept>
+         <code value="1975-2"></code>
+         <display value="Egegik"></display>
+         <definition value="Egegik"></definition>
+        </concept>
+        <concept>
+         <code value="1976-0"></code>
+         <display value="Igiugig"></display>
+         <definition value="Igiugig"></definition>
+        </concept>
+        <concept>
+         <code value="1977-8"></code>
+         <display value="Ivanof Bay"></display>
+         <definition value="Ivanof Bay"></definition>
+        </concept>
+        <concept>
+         <code value="1978-6"></code>
+         <display value="King Salmon"></display>
+         <definition value="King Salmon"></definition>
+        </concept>
+        <concept>
+         <code value="1979-4"></code>
+         <display value="Kokhanok"></display>
+         <definition value="Kokhanok"></definition>
+        </concept>
+        <concept>
+         <code value="1980-2"></code>
+         <display value="Perryville"></display>
+         <definition value="Perryville"></definition>
+        </concept>
+        <concept>
+         <code value="1981-0"></code>
+         <display value="Pilot Point"></display>
+         <definition value="Pilot Point"></definition>
+        </concept>
+        <concept>
+         <code value="1982-8"></code>
+         <display value="Port Heiden"></display>
+         <definition value="Port Heiden"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="1984-4"></code>
+        <display value="Chugach Aleut"></display>
+        <definition value="Chugach Aleut"></definition>
+        <concept>
+         <code value="1985-1"></code>
+         <display value="Chenega"></display>
+         <definition value="Chenega"></definition>
+        </concept>
+        <concept>
+         <code value="1986-9"></code>
+         <display value="Chugach Corporation"></display>
+         <definition value="Chugach Corporation"></definition>
+        </concept>
+        <concept>
+         <code value="1987-7"></code>
+         <display value="English Bay"></display>
+         <definition value="English Bay"></definition>
+        </concept>
+        <concept>
+         <code value="1988-5"></code>
+         <display value="Port Graham"></display>
+         <definition value="Port Graham"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="1990-1"></code>
+        <display value="Eyak"></display>
+        <definition value="Eyak"></definition>
+       </concept>
+       <concept>
+        <code value="1992-7"></code>
+        <display value="Koniag Aleut"></display>
+        <definition value="Koniag Aleut"></definition>
+        <concept>
+         <code value="1993-5"></code>
+         <display value="Akhiok"></display>
+         <definition value="Akhiok"></definition>
+        </concept>
+        <concept>
+         <code value="1994-3"></code>
+         <display value="Agdaagux"></display>
+         <definition value="Agdaagux"></definition>
+        </concept>
+        <concept>
+         <code value="1995-0"></code>
+         <display value="Karluk"></display>
+         <definition value="Karluk"></definition>
+        </concept>
+        <concept>
+         <code value="1996-8"></code>
+         <display value="Kodiak"></display>
+         <definition value="Kodiak"></definition>
+        </concept>
+        <concept>
+         <code value="1997-6"></code>
+         <display value="Larsen Bay"></display>
+         <definition value="Larsen Bay"></definition>
+        </concept>
+        <concept>
+         <code value="1998-4"></code>
+         <display value="Old Harbor"></display>
+         <definition value="Old Harbor"></definition>
+        </concept>
+        <concept>
+         <code value="1999-2"></code>
+         <display value="Ouzinkie"></display>
+         <definition value="Ouzinkie"></definition>
+        </concept>
+        <concept>
+         <code value="2000-8"></code>
+         <display value="Port Lions"></display>
+         <definition value="Port Lions"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="2002-4"></code>
+        <display value="Sugpiaq"></display>
+        <definition value="Sugpiaq"></definition>
+       </concept>
+       <concept>
+        <code value="2004-0"></code>
+        <display value="Suqpigaq"></display>
+        <definition value="Suqpigaq"></definition>
+       </concept>
+       <concept>
+        <code value="2006-5"></code>
+        <display value="Unangan Aleut"></display>
+        <definition value="Unangan Aleut"></definition>
+        <concept>
+         <code value="2007-3"></code>
+         <display value="Akutan"></display>
+         <definition value="Akutan"></definition>
+        </concept>
+        <concept>
+         <code value="2008-1"></code>
+         <display value="Aleut Corporation"></display>
+         <definition value="Aleut Corporation"></definition>
+        </concept>
+        <concept>
+         <code value="2009-9"></code>
+         <display value="Aleutian"></display>
+         <definition value="Aleutian"></definition>
+        </concept>
+        <concept>
+         <code value="2010-7"></code>
+         <display value="Aleutian Islander"></display>
+         <definition value="Aleutian Islander"></definition>
+        </concept>
+        <concept>
+         <code value="2011-5"></code>
+         <display value="Atka"></display>
+         <definition value="Atka"></definition>
+        </concept>
+        <concept>
+         <code value="2012-3"></code>
+         <display value="Belkofski"></display>
+         <definition value="Belkofski"></definition>
+        </concept>
+        <concept>
+         <code value="2013-1"></code>
+         <display value="Chignik Lagoon"></display>
+         <definition value="Chignik Lagoon"></definition>
+        </concept>
+        <concept>
+         <code value="2014-9"></code>
+         <display value="King Cove"></display>
+         <definition value="King Cove"></definition>
+        </concept>
+        <concept>
+         <code value="2015-6"></code>
+         <display value="False Pass"></display>
+         <definition value="False Pass"></definition>
+        </concept>
+        <concept>
+         <code value="2016-4"></code>
+         <display value="Nelson Lagoon"></display>
+         <definition value="Nelson Lagoon"></definition>
+        </concept>
+        <concept>
+         <code value="2017-2"></code>
+         <display value="Nikolski"></display>
+         <definition value="Nikolski"></definition>
+        </concept>
+        <concept>
+         <code value="2018-0"></code>
+         <display value="Pauloff Harbor"></display>
+         <definition value="Pauloff Harbor"></definition>
+        </concept>
+        <concept>
+         <code value="2019-8"></code>
+         <display value="Qagan Toyagungin"></display>
+         <definition value="Qagan Toyagungin"></definition>
+        </concept>
+        <concept>
+         <code value="2020-6"></code>
+         <display value="Qawalangin"></display>
+         <definition value="Qawalangin"></definition>
+        </concept>
+        <concept>
+         <code value="2021-4"></code>
+         <display value="St. George"></display>
+         <definition value="St. George"></definition>
+        </concept>
+        <concept>
+         <code value="2022-2"></code>
+         <display value="St. Paul"></display>
+         <definition value="St. Paul"></definition>
+        </concept>
+        <concept>
+         <code value="2023-0"></code>
+         <display value="Sand Point"></display>
+         <definition value="Sand Point"></definition>
+        </concept>
+        <concept>
+         <code value="2024-8"></code>
+         <display value="South Naknek"></display>
+         <definition value="South Naknek"></definition>
+        </concept>
+        <concept>
+         <code value="2025-5"></code>
+         <display value="Unalaska"></display>
+         <definition value="Unalaska"></definition>
+        </concept>
+        <concept>
+         <code value="2026-3"></code>
+         <display value="Unga"></display>
+         <definition value="Unga"></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="2028-9"></code>
+     <display value="Asian"></display>
+     <definition value="Asian"></definition>
+     <concept>
+      <code value="2029-7"></code>
+      <display value="Asian Indian"></display>
+      <definition value="Asian Indian"></definition>
+     </concept>
+     <concept>
+      <code value="2030-5"></code>
+      <display value="Bangladeshi"></display>
+      <definition value="Bangladeshi"></definition>
+     </concept>
+     <concept>
+      <code value="2031-3"></code>
+      <display value="Bhutanese"></display>
+      <definition value="Bhutanese"></definition>
+     </concept>
+     <concept>
+      <code value="2032-1"></code>
+      <display value="Burmese"></display>
+      <definition value="Burmese"></definition>
+     </concept>
+     <concept>
+      <code value="2033-9"></code>
+      <display value="Cambodian"></display>
+      <definition value="Cambodian"></definition>
+     </concept>
+     <concept>
+      <code value="2034-7"></code>
+      <display value="Chinese"></display>
+      <definition value="Chinese"></definition>
+     </concept>
+     <concept>
+      <code value="2035-4"></code>
+      <display value="Taiwanese"></display>
+      <definition value="Taiwanese"></definition>
+     </concept>
+     <concept>
+      <code value="2036-2"></code>
+      <display value="Filipino"></display>
+      <definition value="Filipino"></definition>
+     </concept>
+     <concept>
+      <code value="2037-0"></code>
+      <display value="Hmong"></display>
+      <definition value="Hmong"></definition>
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+     <concept>
+      <code value="2038-8"></code>
+      <display value="Indonesian"></display>
+      <definition value="Indonesian"></definition>
+     </concept>
+     <concept>
+      <code value="2039-6"></code>
+      <display value="Japanese"></display>
+      <definition value="Japanese"></definition>
+     </concept>
+     <concept>
+      <code value="2040-4"></code>
+      <display value="Korean"></display>
+      <definition value="Korean"></definition>
+     </concept>
+     <concept>
+      <code value="2041-2"></code>
+      <display value="Laotian"></display>
+      <definition value="Laotian"></definition>
+     </concept>
+     <concept>
+      <code value="2042-0"></code>
+      <display value="Malaysian"></display>
+      <definition value="Malaysian"></definition>
+     </concept>
+     <concept>
+      <code value="2043-8"></code>
+      <display value="Okinawan"></display>
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+     </concept>
+     <concept>
+      <code value="2044-6"></code>
+      <display value="Pakistani"></display>
+      <definition value="Pakistani"></definition>
+     </concept>
+     <concept>
+      <code value="2045-3"></code>
+      <display value="Sri Lankan"></display>
+      <definition value="Sri Lankan"></definition>
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+     <concept>
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+      <display value="Thai"></display>
+      <definition value="Thai"></definition>
+     </concept>
+     <concept>
+      <code value="2047-9"></code>
+      <display value="Vietnamese"></display>
+      <definition value="Vietnamese"></definition>
+     </concept>
+     <concept>
+      <code value="2048-7"></code>
+      <display value="Iwo Jiman"></display>
+      <definition value="Iwo Jiman"></definition>
+     </concept>
+     <concept>
+      <code value="2049-5"></code>
+      <display value="Maldivian"></display>
+      <definition value="Maldivian"></definition>
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+     <concept>
+      <code value="2050-3"></code>
+      <display value="Nepalese"></display>
+      <definition value="Nepalese"></definition>
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+     <concept>
+      <code value="2051-1"></code>
+      <display value="Singaporean"></display>
+      <definition value="Singaporean"></definition>
+     </concept>
+     <concept>
+      <code value="2052-9"></code>
+      <display value="Madagascar"></display>
+      <definition value="Madagascar"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="2054-5"></code>
+     <display value="Black or African American"></display>
+     <definition value="Black or African American"></definition>
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+      <code value="2056-0"></code>
+      <display value="Black"></display>
+      <definition value="Black"></definition>
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+     <concept>
+      <code value="2058-6"></code>
+      <display value="African American"></display>
+      <definition value="African American"></definition>
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+     <concept>
+      <code value="2060-2"></code>
+      <display value="African"></display>
+      <definition value="African"></definition>
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+       <code value="2061-0"></code>
+       <display value="Botswanan"></display>
+       <definition value="Botswanan"></definition>
+      </concept>
+      <concept>
+       <code value="2062-8"></code>
+       <display value="Ethiopian"></display>
+       <definition value="Ethiopian"></definition>
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+      <concept>
+       <code value="2063-6"></code>
+       <display value="Liberian"></display>
+       <definition value="Liberian"></definition>
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+      <concept>
+       <code value="2064-4"></code>
+       <display value="Namibian"></display>
+       <definition value="Namibian"></definition>
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+      <concept>
+       <code value="2065-1"></code>
+       <display value="Nigerian"></display>
+       <definition value="Nigerian"></definition>
+      </concept>
+      <concept>
+       <code value="2066-9"></code>
+       <display value="Zairean"></display>
+       <definition value="Zairean"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2067-7"></code>
+      <display value="Bahamian"></display>
+      <definition value="Bahamian"></definition>
+     </concept>
+     <concept>
+      <code value="2068-5"></code>
+      <display value="Barbadian"></display>
+      <definition value="Barbadian"></definition>
+     </concept>
+     <concept>
+      <code value="2069-3"></code>
+      <display value="Dominican"></display>
+      <definition value="Dominican"></definition>
+     </concept>
+     <concept>
+      <code value="2070-1"></code>
+      <display value="Dominica Islander"></display>
+      <definition value="Dominica Islander"></definition>
+     </concept>
+     <concept>
+      <code value="2071-9"></code>
+      <display value="Haitian"></display>
+      <definition value="Haitian"></definition>
+     </concept>
+     <concept>
+      <code value="2072-7"></code>
+      <display value="Jamaican"></display>
+      <definition value="Jamaican"></definition>
+     </concept>
+     <concept>
+      <code value="2073-5"></code>
+      <display value="Tobagoan"></display>
+      <definition value="Tobagoan"></definition>
+     </concept>
+     <concept>
+      <code value="2074-3"></code>
+      <display value="Trinidadian"></display>
+      <definition value="Trinidadian"></definition>
+     </concept>
+     <concept>
+      <code value="2075-0"></code>
+      <display value="West Indian"></display>
+      <definition value="West Indian"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="2076-8"></code>
+     <display value="Native Hawaiian or Other Pacific Islander"></display>
+     <definition value="Native Hawaiian or Other Pacific Islander"></definition>
+     <concept>
+      <code value="2078-4"></code>
+      <display value="Polynesian"></display>
+      <definition value="Polynesian"></definition>
+      <concept>
+       <code value="2079-2"></code>
+       <display value="Native Hawaiian"></display>
+       <definition value="Native Hawaiian"></definition>
+      </concept>
+      <concept>
+       <code value="2080-0"></code>
+       <display value="Samoan"></display>
+       <definition value="Samoan"></definition>
+      </concept>
+      <concept>
+       <code value="2081-8"></code>
+       <display value="Tahitian"></display>
+       <definition value="Tahitian"></definition>
+      </concept>
+      <concept>
+       <code value="2082-6"></code>
+       <display value="Tongan"></display>
+       <definition value="Tongan"></definition>
+      </concept>
+      <concept>
+       <code value="2083-4"></code>
+       <display value="Tokelauan"></display>
+       <definition value="Tokelauan"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2085-9"></code>
+      <display value="Micronesian"></display>
+      <definition value="Micronesian"></definition>
+      <concept>
+       <code value="2086-7"></code>
+       <display value="Guamanian or Chamorro"></display>
+       <definition value="Guamanian or Chamorro"></definition>
+      </concept>
+      <concept>
+       <code value="2087-5"></code>
+       <display value="Guamanian"></display>
+       <definition value="Guamanian"></definition>
+      </concept>
+      <concept>
+       <code value="2088-3"></code>
+       <display value="Chamorro"></display>
+       <definition value="Chamorro"></definition>
+      </concept>
+      <concept>
+       <code value="2089-1"></code>
+       <display value="Mariana Islander"></display>
+       <definition value="Mariana Islander"></definition>
+      </concept>
+      <concept>
+       <code value="2090-9"></code>
+       <display value="Marshallese"></display>
+       <definition value="Marshallese"></definition>
+      </concept>
+      <concept>
+       <code value="2091-7"></code>
+       <display value="Palauan"></display>
+       <definition value="Palauan"></definition>
+      </concept>
+      <concept>
+       <code value="2092-5"></code>
+       <display value="Carolinian"></display>
+       <definition value="Carolinian"></definition>
+      </concept>
+      <concept>
+       <code value="2093-3"></code>
+       <display value="Kosraean"></display>
+       <definition value="Kosraean"></definition>
+      </concept>
+      <concept>
+       <code value="2094-1"></code>
+       <display value="Pohnpeian"></display>
+       <definition value="Pohnpeian"></definition>
+      </concept>
+      <concept>
+       <code value="2095-8"></code>
+       <display value="Saipanese"></display>
+       <definition value="Saipanese"></definition>
+      </concept>
+      <concept>
+       <code value="2096-6"></code>
+       <display value="Kiribati"></display>
+       <definition value="Kiribati"></definition>
+      </concept>
+      <concept>
+       <code value="2097-4"></code>
+       <display value="Chuukese"></display>
+       <definition value="Chuukese"></definition>
+      </concept>
+      <concept>
+       <code value="2098-2"></code>
+       <display value="Yapese"></display>
+       <definition value="Yapese"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2100-6"></code>
+      <display value="Melanesian"></display>
+      <definition value="Melanesian"></definition>
+      <concept>
+       <code value="2101-4"></code>
+       <display value="Fijian"></display>
+       <definition value="Fijian"></definition>
+      </concept>
+      <concept>
+       <code value="2102-2"></code>
+       <display value="Papua New Guinean"></display>
+       <definition value="Papua New Guinean"></definition>
+      </concept>
+      <concept>
+       <code value="2103-0"></code>
+       <display value="Solomon Islander"></display>
+       <definition value="Solomon Islander"></definition>
+      </concept>
+      <concept>
+       <code value="2104-8"></code>
+       <display value="New Hebrides"></display>
+       <definition value="New Hebrides"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2500-7"></code>
+      <display value="Other Pacific Islander"></display>
+      <definition value="Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="2106-3"></code>
+     <display value="White"></display>
+     <definition value="White"></definition>
+     <concept>
+      <code value="2108-9"></code>
+      <display value="European"></display>
+      <definition value="European"></definition>
+      <concept>
+       <code value="2109-7"></code>
+       <display value="Armenian"></display>
+       <definition value="Armenian"></definition>
+      </concept>
+      <concept>
+       <code value="2110-5"></code>
+       <display value="English"></display>
+       <definition value="English"></definition>
+      </concept>
+      <concept>
+       <code value="2111-3"></code>
+       <display value="French"></display>
+       <definition value="French"></definition>
+      </concept>
+      <concept>
+       <code value="2112-1"></code>
+       <display value="German"></display>
+       <definition value="German"></definition>
+      </concept>
+      <concept>
+       <code value="2113-9"></code>
+       <display value="Irish"></display>
+       <definition value="Irish"></definition>
+      </concept>
+      <concept>
+       <code value="2114-7"></code>
+       <display value="Italian"></display>
+       <definition value="Italian"></definition>
+      </concept>
+      <concept>
+       <code value="2115-4"></code>
+       <display value="Polish"></display>
+       <definition value="Polish"></definition>
+      </concept>
+      <concept>
+       <code value="2116-2"></code>
+       <display value="Scottish"></display>
+       <definition value="Scottish"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2118-8"></code>
+      <display value="Middle Eastern or North African"></display>
+      <definition value="Middle Eastern or North African"></definition>
+      <concept>
+       <code value="2119-6"></code>
+       <display value="Assyrian"></display>
+       <definition value="Assyrian"></definition>
+      </concept>
+      <concept>
+       <code value="2120-4"></code>
+       <display value="Egyptian"></display>
+       <definition value="Egyptian"></definition>
+      </concept>
+      <concept>
+       <code value="2121-2"></code>
+       <display value="Iranian"></display>
+       <definition value="Iranian"></definition>
+      </concept>
+      <concept>
+       <code value="2122-0"></code>
+       <display value="Iraqi"></display>
+       <definition value="Iraqi"></definition>
+      </concept>
+      <concept>
+       <code value="2123-8"></code>
+       <display value="Lebanese"></display>
+       <definition value="Lebanese"></definition>
+      </concept>
+      <concept>
+       <code value="2124-6"></code>
+       <display value="Palestinian"></display>
+       <definition value="Palestinian"></definition>
+      </concept>
+      <concept>
+       <code value="2125-3"></code>
+       <display value="Syrian"></display>
+       <definition value="Syrian"></definition>
+      </concept>
+      <concept>
+       <code value="2126-1"></code>
+       <display value="Afghanistani"></display>
+       <definition value="Afghanistani"></definition>
+      </concept>
+      <concept>
+       <code value="2127-9"></code>
+       <display value="Israeili"></display>
+       <definition value="Israeili"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="2129-5"></code>
+      <display value="Arab"></display>
+      <definition value="Arab"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="2131-1"></code>
+     <display value="Other Race"></display>
+     <definition value="Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RelationalOperator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RelationalOperator"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RelationalOperator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.105"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RelationalOperator"></name>
+    <title value="v3 Code System RelationalOperator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RelationalOperator"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="CT"></code>
+     <display value="Contains"></display>
+     <definition value="Specified set of things includes value being evaluated."></definition>
+    </concept>
+    <concept>
+     <code value="EQ"></code>
+     <display value="Equal"></display>
+     <definition value="Equal condition applied to comparisons."></definition>
+    </concept>
+    <concept>
+     <code value="GE"></code>
+     <display value="Greater than or equal"></display>
+     <definition value="Greater than or equal condition applied to comparisons."></definition>
+    </concept>
+    <concept>
+     <code value="GN"></code>
+     <display value="Generic"></display>
+     <definition value="A generic comparison selects a record for inclusion in the response if the beginning of the designated element value matches the select string."></definition>
+    </concept>
+    <concept>
+     <code value="GT"></code>
+     <display value="Greater than"></display>
+     <definition value="Greater than condition applied to comparisons."></definition>
+    </concept>
+    <concept>
+     <code value="LE"></code>
+     <display value="Less than or equal"></display>
+     <definition value="Less than or equal condition applied to comparisons."></definition>
+    </concept>
+    <concept>
+     <code value="LT"></code>
+     <display value="Less than"></display>
+     <definition value="Less than condition applied to comparisons."></definition>
+    </concept>
+    <concept>
+     <code value="NE"></code>
+     <display value="Not Equal"></display>
+     <definition value="Not equal condition applied to comparisons."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RelationshipConjunction"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RelationshipConjunction"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RelationshipConjunction"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.106"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RelationshipConjunction"></name>
+    <title value="v3 Code System RelationshipConjunction"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="AND"></code>
+     <display value="and"></display>
+     <definition value="This condition must be true."></definition>
+    </concept>
+    <concept>
+     <code value="OR"></code>
+     <display value="or"></display>
+     <definition value="At least one of the condition among all OR conditions must be true."></definition>
+    </concept>
+    <concept>
+     <code value="XOR"></code>
+     <display value="exclusive or"></display>
+     <definition value="One and only one of the XOR conditions must be true."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ReligiousAffiliation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ReligiousAffiliation"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1076"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ReligiousAffiliation"></name>
+    <title value="v3 Code System ReligiousAffiliation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Assigment of spiritual faith affiliation"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="1001"></code>
+     <display value="Adventist"></display>
+     <definition value="Adventist"></definition>
+    </concept>
+    <concept>
+     <code value="1002"></code>
+     <display value="African Religions"></display>
+     <definition value="African Religions"></definition>
+    </concept>
+    <concept>
+     <code value="1003"></code>
+     <display value="Afro-Caribbean Religions"></display>
+     <definition value="Afro-Caribbean Religions"></definition>
+    </concept>
+    <concept>
+     <code value="1004"></code>
+     <display value="Agnosticism"></display>
+     <definition value="Agnosticism"></definition>
+    </concept>
+    <concept>
+     <code value="1005"></code>
+     <display value="Anglican"></display>
+     <definition value="Anglican"></definition>
+    </concept>
+    <concept>
+     <code value="1006"></code>
+     <display value="Animism"></display>
+     <definition value="Animism"></definition>
+    </concept>
+    <concept>
+     <code value="1007"></code>
+     <display value="Atheism"></display>
+     <definition value="Atheism"></definition>
+    </concept>
+    <concept>
+     <code value="1008"></code>
+     <display value="Babi &amp; Baha'I faiths"></display>
+     <definition value="Babi &amp; Baha'I faiths"></definition>
+    </concept>
+    <concept>
+     <code value="1009"></code>
+     <display value="Baptist"></display>
+     <definition value="Baptist"></definition>
+    </concept>
+    <concept>
+     <code value="1010"></code>
+     <display value="Bon"></display>
+     <definition value="Bon"></definition>
+    </concept>
+    <concept>
+     <code value="1011"></code>
+     <display value="Cao Dai"></display>
+     <definition value="Cao Dai"></definition>
+    </concept>
+    <concept>
+     <code value="1012"></code>
+     <display value="Celticism"></display>
+     <definition value="Celticism"></definition>
+    </concept>
+    <concept>
+     <code value="1013"></code>
+     <display value="Christian (non-Catholic, non-specific)"></display>
+     <definition value="Christian (non-Catholic, non-specific)"></definition>
+    </concept>
+    <concept>
+     <code value="1014"></code>
+     <display value="Confucianism"></display>
+     <definition value="Confucianism"></definition>
+    </concept>
+    <concept>
+     <code value="1015"></code>
+     <display value="Cyberculture Religions"></display>
+     <definition value="Cyberculture Religions"></definition>
+    </concept>
+    <concept>
+     <code value="1016"></code>
+     <display value="Divination"></display>
+     <definition value="Divination"></definition>
+    </concept>
+    <concept>
+     <code value="1017"></code>
+     <display value="Fourth Way"></display>
+     <definition value="Fourth Way"></definition>
+    </concept>
+    <concept>
+     <code value="1018"></code>
+     <display value="Free Daism"></display>
+     <definition value="Free Daism"></definition>
+    </concept>
+    <concept>
+     <code value="1019"></code>
+     <display value="Gnosis"></display>
+     <definition value="Gnosis"></definition>
+    </concept>
+    <concept>
+     <code value="1020"></code>
+     <display value="Hinduism"></display>
+     <definition value="Hinduism"></definition>
+    </concept>
+    <concept>
+     <code value="1021"></code>
+     <display value="Humanism"></display>
+     <definition value="Humanism"></definition>
+    </concept>
+    <concept>
+     <code value="1022"></code>
+     <display value="Independent"></display>
+     <definition value="Independent"></definition>
+    </concept>
+    <concept>
+     <code value="1023"></code>
+     <display value="Islam"></display>
+     <definition value="Islam"></definition>
+    </concept>
+    <concept>
+     <code value="1024"></code>
+     <display value="Jainism"></display>
+     <definition value="Jainism"></definition>
+    </concept>
+    <concept>
+     <code value="1025"></code>
+     <display value="Jehovah's Witnesses"></display>
+     <definition value="Jehovah's Witnesses"></definition>
+    </concept>
+    <concept>
+     <code value="1026"></code>
+     <display value="Judaism"></display>
+     <definition value="Judaism"></definition>
+    </concept>
+    <concept>
+     <code value="1027"></code>
+     <display value="Latter Day Saints"></display>
+     <definition value="Latter Day Saints"></definition>
+    </concept>
+    <concept>
+     <code value="1028"></code>
+     <display value="Lutheran"></display>
+     <definition value="Lutheran"></definition>
+    </concept>
+    <concept>
+     <code value="1029"></code>
+     <display value="Mahayana"></display>
+     <definition value="Mahayana"></definition>
+    </concept>
+    <concept>
+     <code value="1030"></code>
+     <display value="Meditation"></display>
+     <definition value="Meditation"></definition>
+    </concept>
+    <concept>
+     <code value="1031"></code>
+     <display value="Messianic Judaism"></display>
+     <definition value="Messianic Judaism"></definition>
+    </concept>
+    <concept>
+     <code value="1032"></code>
+     <display value="Mitraism"></display>
+     <definition value="Mitraism"></definition>
+    </concept>
+    <concept>
+     <code value="1033"></code>
+     <display value="New Age"></display>
+     <definition value="New Age"></definition>
+    </concept>
+    <concept>
+     <code value="1034"></code>
+     <display value="non-Roman Catholic"></display>
+     <definition value="non-Roman Catholic"></definition>
+    </concept>
+    <concept>
+     <code value="1035"></code>
+     <display value="Occult"></display>
+     <definition value="Occult"></definition>
+    </concept>
+    <concept>
+     <code value="1036"></code>
+     <display value="Orthodox"></display>
+     <definition value="Orthodox"></definition>
+    </concept>
+    <concept>
+     <code value="1037"></code>
+     <display value="Paganism"></display>
+     <definition value="Paganism"></definition>
+    </concept>
+    <concept>
+     <code value="1038"></code>
+     <display value="Pentecostal"></display>
+     <definition value="Pentecostal"></definition>
+    </concept>
+    <concept>
+     <code value="1039"></code>
+     <display value="Process, The"></display>
+     <definition value="Process, The"></definition>
+    </concept>
+    <concept>
+     <code value="1040"></code>
+     <display value="Reformed/Presbyterian"></display>
+     <definition value="Reformed/Presbyterian"></definition>
+    </concept>
+    <concept>
+     <code value="1041"></code>
+     <display value="Roman Catholic Church"></display>
+     <definition value="Roman Catholic Church"></definition>
+    </concept>
+    <concept>
+     <code value="1042"></code>
+     <display value="Satanism"></display>
+     <definition value="Satanism"></definition>
+    </concept>
+    <concept>
+     <code value="1043"></code>
+     <display value="Scientology"></display>
+     <definition value="Scientology"></definition>
+    </concept>
+    <concept>
+     <code value="1044"></code>
+     <display value="Shamanism"></display>
+     <definition value="Shamanism"></definition>
+    </concept>
+    <concept>
+     <code value="1045"></code>
+     <display value="Shiite (Islam)"></display>
+     <definition value="Shiite (Islam)"></definition>
+    </concept>
+    <concept>
+     <code value="1046"></code>
+     <display value="Shinto"></display>
+     <definition value="Shinto"></definition>
+    </concept>
+    <concept>
+     <code value="1047"></code>
+     <display value="Sikism"></display>
+     <definition value="Sikism"></definition>
+    </concept>
+    <concept>
+     <code value="1048"></code>
+     <display value="Spiritualism"></display>
+     <definition value="Spiritualism"></definition>
+    </concept>
+    <concept>
+     <code value="1049"></code>
+     <display value="Sunni (Islam)"></display>
+     <definition value="Sunni (Islam)"></definition>
+    </concept>
+    <concept>
+     <code value="1050"></code>
+     <display value="Taoism"></display>
+     <definition value="Taoism"></definition>
+    </concept>
+    <concept>
+     <code value="1051"></code>
+     <display value="Theravada"></display>
+     <definition value="Theravada"></definition>
+    </concept>
+    <concept>
+     <code value="1052"></code>
+     <display value="Unitarian-Universalism"></display>
+     <definition value="Unitarian-Universalism"></definition>
+    </concept>
+    <concept>
+     <code value="1053"></code>
+     <display value="Universal Life Church"></display>
+     <definition value="Universal Life Church"></definition>
+    </concept>
+    <concept>
+     <code value="1054"></code>
+     <display value="Vajrayana (Tibetan)"></display>
+     <definition value="Vajrayana (Tibetan)"></definition>
+    </concept>
+    <concept>
+     <code value="1055"></code>
+     <display value="Veda"></display>
+     <definition value="Veda"></definition>
+    </concept>
+    <concept>
+     <code value="1056"></code>
+     <display value="Voodoo"></display>
+     <definition value="Voodoo"></definition>
+    </concept>
+    <concept>
+     <code value="1057"></code>
+     <display value="Wicca"></display>
+     <definition value="Wicca"></definition>
+    </concept>
+    <concept>
+     <code value="1058"></code>
+     <display value="Yaohushua"></display>
+     <definition value="Yaohushua"></definition>
+    </concept>
+    <concept>
+     <code value="1059"></code>
+     <display value="Zen Buddhism"></display>
+     <definition value="Zen Buddhism"></definition>
+    </concept>
+    <concept>
+     <code value="1060"></code>
+     <display value="Zoroastrianism"></display>
+     <definition value="Zoroastrianism"></definition>
+    </concept>
+    <concept>
+     <code value="1061"></code>
+     <display value="Assembly of God"></display>
+     <definition value="Assembly of God"></definition>
+    </concept>
+    <concept>
+     <code value="1062"></code>
+     <display value="Brethren"></display>
+     <definition value="Brethren"></definition>
+    </concept>
+    <concept>
+     <code value="1063"></code>
+     <display value="Christian Scientist"></display>
+     <definition value="Christian Scientist"></definition>
+    </concept>
+    <concept>
+     <code value="1064"></code>
+     <display value="Church of Christ"></display>
+     <definition value="Church of Christ"></definition>
+    </concept>
+    <concept>
+     <code value="1065"></code>
+     <display value="Church of God"></display>
+     <definition value="Church of God"></definition>
+    </concept>
+    <concept>
+     <code value="1066"></code>
+     <display value="Congregational"></display>
+     <definition value="Congregational"></definition>
+    </concept>
+    <concept>
+     <code value="1067"></code>
+     <display value="Disciples of Christ"></display>
+     <definition value="Disciples of Christ"></definition>
+    </concept>
+    <concept>
+     <code value="1068"></code>
+     <display value="Eastern Orthodox"></display>
+     <definition value="Eastern Orthodox"></definition>
+    </concept>
+    <concept>
+     <code value="1069"></code>
+     <display value="Episcopalian"></display>
+     <definition value="Episcopalian"></definition>
+    </concept>
+    <concept>
+     <code value="1070"></code>
+     <display value="Evangelical Covenant"></display>
+     <definition value="Evangelical Covenant"></definition>
+    </concept>
+    <concept>
+     <code value="1071"></code>
+     <display value="Friends"></display>
+     <definition value="Friends"></definition>
+    </concept>
+    <concept>
+     <code value="1072"></code>
+     <display value="Full Gospel"></display>
+     <definition value="Full Gospel"></definition>
+    </concept>
+    <concept>
+     <code value="1073"></code>
+     <display value="Methodist"></display>
+     <definition value="Methodist"></definition>
+    </concept>
+    <concept>
+     <code value="1074"></code>
+     <display value="Native American"></display>
+     <definition value="Native American"></definition>
+    </concept>
+    <concept>
+     <code value="1075"></code>
+     <display value="Nazarene"></display>
+     <definition value="Nazarene"></definition>
+    </concept>
+    <concept>
+     <code value="1076"></code>
+     <display value="Presbyterian"></display>
+     <definition value="Presbyterian"></definition>
+    </concept>
+    <concept>
+     <code value="1077"></code>
+     <display value="Protestant"></display>
+     <definition value="Protestant"></definition>
+    </concept>
+    <concept>
+     <code value="1078"></code>
+     <display value="Protestant, No Denomination"></display>
+     <definition value="Protestant, No Denomination"></definition>
+    </concept>
+    <concept>
+     <code value="1079"></code>
+     <display value="Reformed"></display>
+     <definition value="Reformed"></definition>
+    </concept>
+    <concept>
+     <code value="1080"></code>
+     <display value="Salvation Army"></display>
+     <definition value="Salvation Army"></definition>
+    </concept>
+    <concept>
+     <code value="1081"></code>
+     <display value="Unitarian Universalist"></display>
+     <definition value="Unitarian Universalist"></definition>
+    </concept>
+    <concept>
+     <code value="1082"></code>
+     <display value="United Church of Christ"></display>
+     <definition value="United Church of Christ"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ResponseLevel"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ResponseLevel"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ResponseLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.108"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ResponseLevel"></name>
+    <title value="v3 Code System ResponseLevel"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ResponseLevel"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="completion"></display>
+     <definition value="Respond with exceptions and a notification of completion"></definition>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="detail"></display>
+     <definition value="Respond with exceptions, completion, modifications and include more detail information (if applicable)"></definition>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="exception"></display>
+     <definition value="Respond with exceptions only"></definition>
+    </concept>
+    <concept>
+     <code value="F"></code>
+     <display value="confirmation"></display>
+     <definition value="Respond with exceptions, completion, and modification with detail (as above), and send positive confirmations even if no modifications are being made."></definition>
+    </concept>
+    <concept>
+     <code value="N"></code>
+     <display value="message-control"></display>
+     <definition value="Respond only with message level acknowledgements, i.e., only notify acceptance or rejection of the message, do not include any application-level detail"></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="modification"></display>
+     <definition value="Respond with exceptions, completions and modifications or revisions done before completion"></definition>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="none"></display>
+     <definition value="Do not send any kind of response"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ResponseModality"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ResponseModality"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ResponseModality"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.109"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ResponseModality"></name>
+    <title value="v3 Code System ResponseModality"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Defines the timing and grouping of the response instances.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ResponseModality"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="B"></code>
+     <display value="Batch"></display>
+     <definition value="Query response to be sent as an HL7 Batch."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Real Time"></display>
+     <definition value="Query response to occur in real time."></definition>
+    </concept>
+    <concept>
+     <code value="T"></code>
+     <display value="Bolus"></display>
+     <definition value="Query response to sent as a series of responses at the same time without the use of batch formatting."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ResponseMode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-ResponseMode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-ResponseMode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1126"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.ResponseMode"></name>
+    <title value="v3 Code System ResponseMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ResponseMode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="D"></code>
+     <display value="deferred"></display>
+     <definition value="The receiver may respond in a non-immediate manner. Note: this will be the default value."></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="immediate"></display>
+     <definition value="The receiver is required to assume that the sender is blocking and behave appropriately by sending an immediate response."></definition>
+    </concept>
+    <concept>
+     <code value="Q"></code>
+     <display value="queue"></display>
+     <definition value="The receiver shall keep any application responses in a queue until such time as the queue is polled."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleClass"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleClass"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.110"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleClass"></name>
+    <title value="v3 Code System RoleClass"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes for the Role class hierarchy.  The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role.  Roles names are derived from the name of the playing entity in that role. The role hierarchy stems from three core concepts, or abstract domains:    RoleClassOntological
+is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity.   RoleClassPartitive
+collects roles in which the playing entity is in some sense a &quot;part&quot; of the scoping entity.   RoleClassAssociative
+collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between:    RoleClassPassive
+which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity.   RoleClassMutualRelationship
+which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may bede facto
+behavior.  Thus, this sub-domain is further divided into:    RoleClassRelationshipFormal
+in which the relationship is formally defined, frequently by a contract or agreement.   Personal relationship
+which inks two people in a personal relationship. The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the  &quot;Personal relationship&quot; which is a leaf concept.  OpenIssue:
+Description copied from Concept Domain of same name.  Must be verified."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleClass"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <concept>
+     <code value="ROL"></code>
+     <display value="role"></display>
+     <definition value="Corresponds to the Role class"></definition>
+     <concept>
+      <code value="_RoleClassAssociative"></code>
+      <display value="RoleClassAssociative"></display>
+      <definition value="A general association between two entities that is neither partitive nor ontological."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_RoleClassMutualRelationship"></code>
+       <display value="RoleClassMutualRelationship"></display>
+       <definition value="A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may be de facto behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children)."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="_RoleClassRelationshipFormal"></code>
+        <display value="RoleClassRelationshipFormal"></display>
+        <definition value="A relationship between two entities that is formally recognized, frequently by a contract or similar agreement."></definition>
+        <property>
+         <code value="notSelectable"></code>
+         <valueBoolean value="true"></valueBoolean>
+        </property>
+        <concept>
+         <code value="AFFL"></code>
+         <display value="affiliate"></display>
+         <definition value="Player of the Affiliate role has a business/professional relationship with scoper.  Player and scoper may be persons or organization.  The Affiliate relationship does not imply membership in a group, nor does it exist for resource scheduling purposes.
+
+        
+         Example: A healthcare provider is affiliated with another provider as a business associate."></definition>
+        </concept>
+        <concept>
+         <code value="AGNT"></code>
+         <display value="agent"></display>
+         <definition value="An entity (player) that acts or is authorized to act on behalf of another entity (scoper)."></definition>
+         <concept>
+          <code value="ASSIGNED"></code>
+          <display value="assigned entity"></display>
+          <definition value="An agent role in which the agent is an Entity acting in the employ of an organization.  The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization."></definition>
+          <concept>
+           <code value="COMPAR"></code>
+           <display value="commissioning party"></display>
+           <definition value="An Entity that is authorized to issue or instantiate permissions, privileges, credentials or other formal/legal authorizations."></definition>
+          </concept>
+          <concept>
+           <code value="SGNOFF"></code>
+           <display value="signing authority or officer"></display>
+           <definition value="The role of a person (player) who is the officer or signature authority for of a scoping entity, usually an organization (scoper)."></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="CON"></code>
+          <display value="contact"></display>
+          <definition value="A person or an organization (player) which provides or receives information regarding another entity (scoper).  Examples; patient NOK and emergency contacts; guarantor contact; employer contact."></definition>
+          <concept>
+           <code value="ECON"></code>
+           <display value="emergency contact"></display>
+           <definition value="An entity to be contacted in the event of an emergency."></definition>
+          </concept>
+          <concept>
+           <code value="NOK"></code>
+           <display value="next of kin"></display>
+           <definition value="An individual designated for notification as the next of kin for a given entity."></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="GUARD"></code>
+          <display value="guardian"></display>
+          <definition value="Guardian of a ward"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="CIT"></code>
+         <display value="citizen"></display>
+         <definition value="Citizen of apolitical entity"></definition>
+        </concept>
+        <concept>
+         <code value="COVPTY"></code>
+         <display value="covered party"></display>
+         <definition value="A role class played by a person who receives benefit coverage under the terms of a particular insurance policy.  The underwriter of that policy is the scoping entity.  The covered party receives coverage because of some contractual or other relationship with the holder of that policy.
+
+        
+         Discussion:This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.
+
+        Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder.  Thus the notion of covered party is a role that is distinct from that of the policy holder."></definition>
+         <concept>
+          <code value="CLAIM"></code>
+          <display value="claimant"></display>
+          <definition value="Description: A role played by a party making a claim for coverage under a policy or program.  A claimant must be either a person or organization, or a group of persons or organizations.  A claimant is not a named insured or a program eligible.
+
+        
+         Discussion: With respect to liability insurance such as property and casualty insurance, a claimant must file a claim requesting indemnification for a loss that the claimant considers covered under the policy of a named insured.  The claims adjuster for the policy underwriter will review the claim to determine whether the loss meets the benefit coverage criteria under a policy, and base any indemnification or coverage payment on that review.  If a third party is liable in whole or part for the loss, the underwriter may pursue third party liability recovery.  A claimant may be involved in civil or criminal legal proceedings involving claims against a defendant party that is indemnified by an insurance policy or to protest the finding of a claims adjustor. With respect to life insurance, a beneficiary designated by a named insured becomes a claimant of the proceeds of coverage, as in the case of a life insurance policy.  However, a claimant for coverage under life insurance is not necessarily a designated beneficiary.
+
+        
+         Note: A claimant is not a named insured.  However, a named insured may make a claim under a policy, e.g., an insured driver may make a claim for an injury under his or her comprehensive automobile insurance policy.  Similarly, a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.
+
+        In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that either a named insured or an individual insured has filed a claim for a loss.  In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a &quot;claim&quot; under the program for benefits.  Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.
+
+        
+         Example: A claimant under automobile policy that is not the named insured."></definition>
+         </concept>
+         <concept>
+          <code value="NAMED"></code>
+          <display value="named insured"></display>
+          <definition value="Description: A role played by a party to an insurance policy to which the insurer agrees to indemnify for losses, provides benefits for, or renders services.  A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.
+
+        
+         Discussion: The coded concept NAMED should not be used where a more specific child concept in this Specializable value set applies.  In some cases, the named insured may not be the policy holder, e.g., where a policy holder purchases life insurance policy in which another party is the named insured and the policy holder is the beneficiary of the policy.
+
+        
+         Note: The party playing the role of a named insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a named insured may make a claim under a policy, e.g., e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy e.g., if injured in an automobile accident and there is no liable third party.  In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that a named insured has filed a claim for a loss.
+
+        
+         Example: The named insured under a comprehensive automobile, disability, or property and casualty policy that is the named insured and may or may not be the policy holder."></definition>
+          <concept>
+           <code value="DEPEN"></code>
+           <display value="dependent"></display>
+           <definition value="Description: A role played by a person covered under a policy or program based on an association with a subscriber, which is recognized by the policy holder.
+
+        
+         Note:  The party playing the role of a dependent is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a dependent may make a claim under a policy, e.g., a dependent under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party.  In the case of a dependent making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the dependent has filed a claim for services covered under the health insurance policy.
+
+        
+         Example: The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child.  The policy holder may be required by law to recognize certain associations or may have discretion about the associations.  For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents.  Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently abled or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriberaTMs legal standing in the relationship with the dependent."></definition>
+          </concept>
+          <concept>
+           <code value="INDIV"></code>
+           <display value="individual"></display>
+           <definition value="Description: A role played by a party covered under a policy as the policy holder.  An individual may be either a person or an organization.
+
+        
+         Note: The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party.  In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.
+
+        
+         Example: The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder."></definition>
+          </concept>
+          <concept>
+           <code value="SUBSCR"></code>
+           <display value="subscriber"></display>
+           <definition value="Description: A role played by a person covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage.
+
+        
+         Discussion: The policy holder holds the contract with the policy or program underwriter.  The subscriber holds a certificate of coverage under the contract.  In legal proceedings concerning the policy or program, the terms of the contract takes precedence over the terms of the certificate of coverage if there are any inconsistencies.
+
+        
+         Note: The party playing the role of a subscriber is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a subscriber may make a claim under a policy, e.g., a subscriber under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party.  In the case of a subscriber making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed a claim for services covered under the health insurance policy.
+
+        
+         Example: An employee or a member of an association."></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="PROG"></code>
+          <display value="program eligible"></display>
+          <definition value="Description: A role played by a party that meets the eligibility criteria for coverage under a program.  A program eligible may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.
+
+        
+         Discussion: A program as typically government administered coverage for parties determined eligible under the terms of the program.
+
+        
+         Note: The party playing a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.
+
+        In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a &quot;claim&quot; under the program for benefits.  Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.
+
+        
+         Example: A party meeting eligibility criteria related to health or financial status, e.g., in the U.S., persons meeting health, demographic, or financial criteria established by state and federal law are eligible for Medicaid."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="CRINV"></code>
+         <display value="clinical research investigator"></display>
+         <definition value="A role played by a provider, always a person, who has agency authority from a Clinical Research Sponsor to direct the conduct of a clinical research trial or study on behalf of the sponsor."></definition>
+        </concept>
+        <concept>
+         <code value="CRSPNSR"></code>
+         <display value="clinical research sponsor"></display>
+         <definition value="A role played by an entity, usually an organization, that is the sponsor of a clinical research trial or study.  The sponsor commissions the study, bears the expenses, is responsible for satisfying all legal requirements concerning subject safety and privacy, and is generally responsible for collection, storage and analysis of the data generated during the trial.  No scoper is necessary, as a clinical research sponsor undertakes the role on its own authority and declaration. Clinical research sponsors are usually educational or other research organizations, government agencies or biopharmaceutical companies."></definition>
+        </concept>
+        <concept>
+         <code value="EMP"></code>
+         <display value="employee"></display>
+         <definition value="A relationship between a person or organization and a person or organization formed for the purpose of exchanging work for compensation.  The purpose of the role is to identify the type of relationship the employee has to the employer, rather than the nature of the work actually performed.  (Contrast with AssignedEntity.)"></definition>
+         <concept>
+          <code value="MIL"></code>
+          <display value="military person"></display>
+          <definition value="A role played by a member of a military service. Scoper is the military service (e.g. Army, Navy, Air Force, etc.) or, more specifically, the unit (e.g. Company C, 3rd Battalion, 4th Division, etc.)"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="GUAR"></code>
+         <display value="guarantor"></display>
+         <definition value="A person or organization (player) that serves as a financial guarantor for another person or organization (scoper)."></definition>
+        </concept>
+        <concept>
+         <code value="INVSBJ"></code>
+         <display value="Investigation Subject"></display>
+         <definition value="An entity that is the subject of an investigation. This role is scoped by the party responsible for the investigation."></definition>
+         <concept>
+          <code value="CASEBJ"></code>
+          <display value="Case Subject"></display>
+          <definition value="A person, non-person living subject, or place that is the subject of an investigation related to a notifiable condition (health circumstance that is reportable within the applicable public health jurisdiction)"></definition>
+         </concept>
+         <concept>
+          <code value="RESBJ"></code>
+          <display value="research subject"></display>
+          <definition value="Definition:Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established.
+
+        
+         Examples: Screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the experimental portion of the design."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="LIC"></code>
+         <display value="licensed entity"></display>
+         <definition value="A relationship in which the scoper certifies the player ( e. g. a medical care giver, a medical device or a provider organization) to perform certain activities that fall under the jurisdiction of the scoper (e.g., a health authority licensing healthcare providers, a medical quality authority certifying healthcare professionals)."></definition>
+         <concept>
+          <code value="NOT"></code>
+          <display value="notary public"></display>
+          <definition value="notary public"></definition>
+         </concept>
+         <concept>
+          <code value="PROV"></code>
+          <display value="healthcare provider"></display>
+          <definition value="An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper)."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="PAT"></code>
+         <display value="patient"></display>
+         <definition value="A Role of a LivingSubject (player) as an actual or potential recipient of health care services from a healthcare provider organization (scoper).
+
+        
+         Usage Note: Communication about relationships between patients and specific healthcare practitioners (people) is not done via scoper.  Instead this is generally done using the CareProvision act.  This allows linkage between patient and a particular healthcare practitioner role and also allows description of the type of care involved in the relationship."></definition>
+        </concept>
+        <concept>
+         <code value="PAYEE"></code>
+         <display value="payee"></display>
+         <definition value="The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question."></definition>
+        </concept>
+        <concept>
+         <code value="PAYOR"></code>
+         <display value="invoice payor"></display>
+         <definition value="The role of an organization that undertakes to accept claims invoices, assess the coverage or payments due for those invoices and pay to the designated payees for those invoices.  This role may be either the underwriter or a third-party organization authorized by the underwriter.  The scoping entity is the organization that underwrites the claimed coverage."></definition>
+        </concept>
+        <concept>
+         <code value="POLHOLD"></code>
+         <display value="policy holder"></display>
+         <definition value="A role played by a person or organization that holds an insurance policy.  The underwriter of that policy is the scoping entity.
+
+        
+         Discussion:The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.
+
+        A particular policy may cover several individuals one of whom may be, but need not be, the policy holder.  Thus the notion of covered party is a role that is distinct from that of the policy holder."></definition>
+        </concept>
+        <concept>
+         <code value="QUAL"></code>
+         <display value="qualified entity"></display>
+         <definition value="An entity (player) that has been recognized as having certain training/experience or other characteristics that would make said entity an appropriate performer for a certain activity. The scoper is an organization that educates or qualifies entities."></definition>
+        </concept>
+        <concept>
+         <code value="SPNSR"></code>
+         <display value="coverage sponsor"></display>
+         <definition value="A role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law.  A sponsor can be an employer, union, government agency, or association.  Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan.  Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators.  Program sponsors designate services to be covered in accordance with statute.   Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become 
+
+        
+         
+          a policy holder of the plan;
+
+         
+         
+          where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or
+
+         
+         
+          where the sponsor is a government agency, who may become program eligibles under a program. 
+
+         
+        
+        The sponsor role may be further qualified by the SponsorRole.code.  Entities playing the sponsor role may also play the role of a Coverage Administrator.
+
+        
+         Example: An employer, union, government agency, or association."></definition>
+        </concept>
+        <concept>
+         <code value="STD"></code>
+         <display value="student"></display>
+         <definition value="A role played by an individual who is a student of a school, which is the scoping entity."></definition>
+        </concept>
+        <concept>
+         <code value="UNDWRT"></code>
+         <display value="underwriter"></display>
+         <definition value="A role played by a person or an organization.  It is the party that 
+
+        
+         
+          accepts fiscal responsibility for insurance plans and the policies created under those plans;
+
+         
+         
+          administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or
+
+         
+         
+          has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk.  If played by an organization, this role may be further specified by an appropriate RoleCode.
+
+         
+        
+        
+         Example:
+        
+
+        
+         
+          A health insurer; 
+
+         
+         
+          Medicaid Program;
+
+         
+         
+          Lloyd's of London"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="CAREGIVER"></code>
+        <display value="caregiver"></display>
+        <definition value="A person responsible for the primary care of a patient at home."></definition>
+       </concept>
+       <concept>
+        <code value="PRS"></code>
+        <display value="personal relationship"></display>
+        <definition value="Links two entities with classCode PSN (person) in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well."></definition>
+       </concept>
+       <concept>
+        <code value="SELF"></code>
+        <display value="self"></display>
+        <definition value="The &quot;same&quot; roleclass asserts an identity between playing and scoping entities: that they are in fact instances of the same entity and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.
+
+        
+         Usage:
+        
+
+        playing and scoping entities must have same classcode, but need not have identical attributes or values. 
+
+        
+         Example: 
+        
+
+        a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual."></definition>
+        <property>
+         <code value="status"></code>
+         <valueCode value="retired"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_RoleClassPassive"></code>
+       <display value="RoleClassPassive"></display>
+       <definition value="An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="ACCESS"></code>
+        <display value="access"></display>
+        <definition value="A role in which the playing entity (material) provides access to another entity. The principal use case is intravenous (or other bodily) access lines that preexist and need to be referred to for medication routing instructions."></definition>
+       </concept>
+       <concept>
+        <code value="ADJY"></code>
+        <display value="adjacency"></display>
+        <definition value="A physical association whereby two Entities are in some (even lose) spatial relationship with each other such that they touch each other in some way.
+
+        
+         Examples: the colon is connected (and therefore adjacent) to the jejunum; the colon is adjacent to the liver (even if not actually connected.)
+
+        
+         UsageConstraints: Adjacency is in principle a symmetrical connection, but scoper and player of the role should, where applicable, be assigned to have scoper be the larger, more central Entity and player the smaller, more distant, appendage."></definition>
+        <concept>
+         <code value="CONC"></code>
+         <display value="connection"></display>
+         <definition value="An adjacency of two Entities held together by a bond which attaches to each of the two entities. 
+
+        
+         Examples: biceps brachii muscle connected to the radius bone, port 3 on a network switch connected to port 5 on a patch panel.
+
+        
+         UsageConstraints: See Adjacency for the assignment of scoper (larger, more central) and player (smaller, more distant)."></definition>
+         <concept>
+          <code value="BOND"></code>
+          <display value="molecular bond"></display>
+          <definition value="A connection between two atoms of a molecule.
+
+        
+         Examples: double bond between first and second C in ethane, peptide bond between two amino-acid, disulfide bridge between two proteins, chelate and ion associations, even the much weaker van-der-Waals bonds can be considered molecular bonds.
+
+        
+         UsageConstraints: See connection and adjacency for the assignment of player and scoper."></definition>
+         </concept>
+         <concept>
+          <code value="CONY"></code>
+          <display value="continuity"></display>
+          <definition value="A connection between two regional parts.
+
+        
+         Examples:  the connection between ascending aorta and the aortic arc, connection between descending colon and sigmoid.
+
+        
+         UsageConstraints: See connection and adjacency for the assignment of player and scoper."></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="ADMM"></code>
+        <display value="Administerable Material"></display>
+        <definition value="A material (player) that can be administered to an Entity (scoper)."></definition>
+       </concept>
+       <concept>
+        <code value="BIRTHPL"></code>
+        <display value="birthplace"></display>
+        <definition value="Relates a place (playing Entity) as the location where a living subject (scoping Entity) was born."></definition>
+       </concept>
+       <concept>
+        <code value="DEATHPLC"></code>
+        <display value="place of death"></display>
+        <definition value="Definition: Relates a place (playing Entity) as the location where a living subject (scoping Entity) died."></definition>
+       </concept>
+       <concept>
+        <code value="DST"></code>
+        <display value="distributed material"></display>
+        <definition value="A material (player) distributed by a distributor (scoper) who functions between a manufacturer and a buyer or retailer."></definition>
+        <concept>
+         <code value="RET"></code>
+         <display value="retailed material"></display>
+         <definition value="Material (player) sold by a retailer (scoper), who also give advice to prospective buyers."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="EXLOC"></code>
+        <display value="event location"></display>
+        <definition value="A role played by a place at which the location of an event may be recorded."></definition>
+        <concept>
+         <code value="SDLOC"></code>
+         <display value="service delivery location"></display>
+         <definition value="A role played by a place at which services may be provided."></definition>
+         <concept>
+          <code value="DSDLOC"></code>
+          <display value="dedicated service delivery location"></display>
+          <definition value="A role of a place (player) that is intended to house the provision of services. Scoper is the Entity (typically Organization) that provides these services. This is not synonymous with &quot;ownership.&quot;"></definition>
+         </concept>
+         <concept>
+          <code value="ISDLOC"></code>
+          <display value="incidental service delivery location"></display>
+          <definition value="A role played by a place at which health care services may be provided without prior designation or authorization."></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="EXPR"></code>
+        <display value="exposed entity"></display>
+        <definition value="A role played by an entity that has been exposed to a person or animal suffering a contagious disease, or with a location from which a toxin has been distributed.  The player of the role is normally a person or animal, but it is possible that other entity types could become exposed.  The role is scoped by the source of the exposure, and it is quite possible for a person playing the role of exposed party to also become the scoper a role played by another person.  That is to say, once a person has become infected, it is possible, perhaps likely, for that person to infect others.
+
+        Management of exposures and tracking exposed parties is a key function within public health, and within most public health contexts - exposed parties are known as &quot;contacts.&quot;"></definition>
+       </concept>
+       <concept>
+        <code value="HLD"></code>
+        <display value="held entity"></display>
+        <definition value="Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner."></definition>
+       </concept>
+       <concept>
+        <code value="HLTHCHRT"></code>
+        <display value="health chart"></display>
+        <definition value="The role of a material (player) that is the physical health chart belonging to an organization (scoper)."></definition>
+       </concept>
+       <concept>
+        <code value="IDENT"></code>
+        <display value="identified entity"></display>
+        <definition value="A role in which the scoping entity designates an identifier for a playing entity."></definition>
+       </concept>
+       <concept>
+        <code value="MANU"></code>
+        <display value="manufactured product"></display>
+        <definition value="Scoped by the manufacturer"></definition>
+        <concept>
+         <code value="THER"></code>
+         <display value="therapeutic agent"></display>
+         <definition value="A manufactured material (player) that is used for its therapeutic properties.  The manufacturer is the scoper."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="MNT"></code>
+        <display value="maintained entity"></display>
+        <definition value="An entity (player) that is maintained by another entity (scoper).  This is typical role held by durable equipment. The scoper assumes responsibility for proper operation, quality, and safety."></definition>
+       </concept>
+       <concept>
+        <code value="OWN"></code>
+        <display value="owned entity"></display>
+        <definition value="An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own.  This entitles the scoper to make decisions about the disposition of that material."></definition>
+       </concept>
+       <concept>
+        <code value="RGPR"></code>
+        <display value="regulated product"></display>
+        <definition value="A product regulated by some governmentatl orgnization.  The role is played by Material and scoped by Organization.
+
+        Rationale: To support an entity clone used to identify the NDC number for a drug product."></definition>
+       </concept>
+       <concept>
+        <code value="TERR"></code>
+        <display value="territory of authority"></display>
+        <definition value="Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory &quot;Region 4 of Alberta&quot; (player) in matters of health."></definition>
+       </concept>
+       <concept>
+        <code value="USED"></code>
+        <display value="used entity"></display>
+        <definition value="Description:An entity (player) that is used by another entity (scoper)"></definition>
+       </concept>
+       <concept>
+        <code value="WRTE"></code>
+        <display value="warranted product"></display>
+        <definition value="A role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions."></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_RoleClassOntological"></code>
+      <display value="RoleClassOntological"></display>
+      <definition value="A relationship in which the scoping Entity defines or specifies what the playing Entity is.  Thus, the player's &quot;being&quot; (Greek: ontos) is specified."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="EQUIV"></code>
+       <display value="equivalent entity"></display>
+       <definition value="Description: Specifies the player Entity (the equivalent Entity) as an Entity that is considered to be equivalent to a reference Entity (scoper).  The equivalence is in principle a symmetric relationship, however, it is expected that the scoper is a reference entity which serves as reference entity for multiple different equivalent entities. 
+
+        
+         Examples: An innovator's medicine formulation is the reference for &quot;generics&quot;, i.e., formulations manufactured differently but having been proven to be biologically equivalent to the reference medicine. Another example is a reference ingredient that serves as basis for quantity specifications (basis of strength, e.g., metoprolol succinate specified in terms of metoprolol tartrate.)"></definition>
+       <concept>
+        <code value="SAME"></code>
+        <display value="same"></display>
+        <definition value="The &quot;same&quot; role asserts an identity between playing and scoping entities, i.e., that they are in fact two records of the same entity instance, and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.
+
+        
+         Usage:
+        
+
+        playing and scoping entities must have same classCode, but need not have identical attributes or values.
+
+        
+         Example: 
+        
+
+        a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual."></definition>
+       </concept>
+       <concept>
+        <code value="SUBY"></code>
+        <display value="subsumed by"></display>
+        <definition value="Relates a prevailing record of an Entity (scoper) with another record (player) that it subsumes.
+
+        
+         Examples: Show a correct new Person object (scoper) that subsumes one or more duplicate Person objects that had accidentally been created for the same physical person.
+
+        
+         Constraints: Both the player and scoper must have the same classCode."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="GEN"></code>
+       <display value="has generalization"></display>
+       <definition value="Relates a specialized material concept (player) to its generalization (scoper)."></definition>
+       <concept>
+        <code value="GRIC"></code>
+        <display value="has generic"></display>
+        <definition value="A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player)."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="INST"></code>
+       <display value="instance"></display>
+       <definition value="An individual piece of material (player) instantiating a class of material (scoper)."></definition>
+      </concept>
+      <concept>
+       <code value="SUBS"></code>
+       <display value="subsumer"></display>
+       <definition value="An entity that subsumes the identity of another.  Used in the context of merging documented entity instances. Both the player and scoper must have the same classCode.
+
+        The use of this code is deprecated in favor of the term SUBY which is its inverse and is more ontologically correct."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+       <property>
+        <code value="deprecationDate"></code>
+        <valueDateTime value="2011-12-01"></valueDateTime>
+       </property>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_RoleClassPartitive"></code>
+      <display value="RoleClassPartitive"></display>
+      <definition value="An association between two Entities where the playing Entity is considered in some way &quot;part&quot; of the scoping Entity, e.g., as a member, component, ingredient, or content. Being &quot;part&quot; in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="CONT"></code>
+       <display value="content"></display>
+       <definition value="Relates a material as the content (player) to a container (scoper).  Unlike ingredients, the content and a container remain separate (not mixed) and the content can be removed from the container.  A content is not part of an empty container."></definition>
+      </concept>
+      <concept>
+       <code value="EXPAGTCAR"></code>
+       <display value="exposure agent carrier"></display>
+       <definition value="An exposure agent carrier is an entity that is capable of conveying an exposure agent from one entity to another.  The scoper of the role must be the exposure agent (e.g., pathogen)."></definition>
+       <concept>
+        <code value="EXPVECTOR"></code>
+        <display value="exposure vector"></display>
+        <definition value="Description: A vector is a living subject that carries an exposure agent.  The vector does not cause the disease itself, but exposes targets to the exposure agent.  A mosquito carrying malaria is an example of a vector.  The scoper of the role must be the exposure agent (e.g., pathogen)."></definition>
+       </concept>
+       <concept>
+        <code value="FOMITE"></code>
+        <display value="fomite"></display>
+        <definition value="Description: A fomite is a non-living entity that is capable of conveying exposure agent from one entity to another.  A doorknob contaminated with a Norovirus is an example of a fomite.  Anyone touching the doorknob would be exposed to the virus.  The scoper of the role must be the exposure agent (e.g., pathogen)."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="INGR"></code>
+       <display value="ingredient"></display>
+       <definition value="Relates a component (player) to a mixture (scoper). E.g., Glucose and Water are ingredients of D5W, latex may be an ingredient in a tracheal tube."></definition>
+       <concept>
+        <code value="ACTI"></code>
+        <display value="active ingredient"></display>
+        <definition value="Definition: a therapeutically active ingredient (player) in a mixture (scoper), where the mixture is typically a manufactured pharmaceutical.  It is unknown if the quantity of such an ingredient is expressed precisely in terms of the playing ingredient substance, or, if it is specified in terms of a closely related substance (active moiety or reference substance)."></definition>
+        <concept>
+         <code value="ACTIB"></code>
+         <display value="active ingredient - basis of strength"></display>
+         <definition value="Description:  Active ingredient, where the ingredient substance (player) is itself the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies exactly the quantity of the player substance in the medicine formulation. 
+
+        
+         Examples: Lopressor 50 mg actually contains 50 mg of metoprolol succinate, even though the active moiety is metoprolol,  but also: Tenormin 50 mg contain 50 mg of atenolol, as free base, i.e., where the active ingredient atenolol is also the active moiety."></definition>
+        </concept>
+        <concept>
+         <code value="ACTIM"></code>
+         <display value="active ingredient - moiety is basis of strength"></display>
+         <definition value="Description: Active ingredient, where not the ingredient substance (player), but itaTMs active moiety is the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies the quantity of the player substance's active moiety in the medicine formulation.
+
+        
+         Examples: 1 mL of Betopic 5mg/mL eye drops contains 5.6 mg betaxolol hydrochloride equivalent to betaxolol base 5 mg."></definition>
+        </concept>
+        <concept>
+         <code value="ACTIR"></code>
+         <display value="active ingredient - reference substance is basis of strength"></display>
+         <definition value="Description: Active ingredient, where not the ingredient substance (player) but another reference substance with the same active moiety, is the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies the quantity of a reference substance, similar but different from the player substance's in the medicine formulation.
+
+        
+         Examples: Toprol-XL 50 mg contains 47.5 mg of metoprolol succinate equivalent to 50 mg of metoprolol tartrate."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="ADJV"></code>
+        <display value="adjuvant"></display>
+        <definition value="A component (player) added to enhance the action of an active ingredient (scoper) (in the manner of a catalyst) but which has no active effect in and of itself.  Such ingredients are significant in defining equivalence of products in a way that inactive ingredients are not."></definition>
+       </concept>
+       <concept>
+        <code value="ADTV"></code>
+        <display value="additive"></display>
+        <definition value="An ingredient (player)  that is added to a base (scoper), that amounts to a minor part of the overall mixture."></definition>
+       </concept>
+       <concept>
+        <code value="BASE"></code>
+        <display value="base"></display>
+        <definition value="A base ingredient (player) is what comprises the major part of a mixture (scoper). E.g., Water in most i.v. solutions, or Vaseline in salves. Among all ingredients of a material, there should be only one base. A base substance can, in turn, be a mixture."></definition>
+       </concept>
+       <concept>
+        <code value="CNTM"></code>
+        <display value="contaminant ingredient"></display>
+        <definition value="An ingredient whose presence is not intended but may not be reasonably avoided given the circumstances of the mixture's nature or origin."></definition>
+       </concept>
+       <concept>
+        <code value="IACT"></code>
+        <display value="inactive ingredient"></display>
+        <definition value="An ingredient which is not considered therapeutically active, e.g., colors, flavors, stabilizers, or preservatives, fillers, or structural components added to an active ingredient in order to facilitate administration of the active ingredient but without being considered therapeutically active. An inactive ingredient need not be biologically inert, e.g., might be active as an allergen or might have a pleasant taste, but is not an essential constituent delivering the therapeutic effect."></definition>
+        <concept>
+         <code value="COLR"></code>
+         <display value="color additive"></display>
+         <definition value="A substance (player) influencing the optical aspect of material (scoper)."></definition>
+        </concept>
+        <concept>
+         <code value="FLVR"></code>
+         <display value="flavor additive"></display>
+         <definition value="A substance (player) added to a mixture (scoper) to make it taste a certain way.  In food the use is obvious, in pharmaceuticals flavors can hide disgusting taste of the active ingredient (important in pediatric treatments)."></definition>
+        </concept>
+        <concept>
+         <code value="PRSV"></code>
+         <display value="preservative"></display>
+         <definition value="A substance (player) added to a mixture (scoper) to prevent microorganisms (fungi, bacteria) to spoil the mixture."></definition>
+        </concept>
+        <concept>
+         <code value="STBL"></code>
+         <display value="stabilizer"></display>
+         <definition value="A stabilizer (player) added to a mixture (scoper) in order to prevent the molecular disintegration of the main substance."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="MECH"></code>
+        <display value="mechanical ingredient"></display>
+        <definition value="An ingredient (player) of a medication (scoper) that is inseparable from the active ingredients, but has no intended chemical or pharmaceutical effect itself, but which may have some systemic effect on the patient.
+
+        An example is a collagen matrix used as a base for transplanting skin cells.  The collagen matrix can be left permanently in the graft site.  Because it is of bovine origin, the patient may exhibit allergies or may have cultural objections to its use."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="LOCE"></code>
+       <display value="located entity"></display>
+       <definition value="Relates an entity (player) to a location (scoper) at which it is present in some way. This presence may be limited in time."></definition>
+       <concept>
+        <code value="STOR"></code>
+        <display value="stored entity"></display>
+        <definition value="Relates an entity (player) (e.g. a device) to a location (scoper) at which it is normally found or stored when not used."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="MBR"></code>
+       <display value="member"></display>
+       <definition value="A role played by an entity that is a member of a group.  The group provides the scope for this role.
+
+        Among other uses, groups as used in insurance (groups of covered individuals) and in scheduling where resources may be grouped for scheduling and logistical purposes."></definition>
+      </concept>
+      <concept>
+       <code value="PART"></code>
+       <display value="part"></display>
+       <definition value="Definition:  an association between two Entities where the playing Entity (the part) is a component of the whole (scoper) in the sense of an integral structural component, that is distinct from other parts in the same whole, has a distinct function in the whole, and, as an effect, the full integrity of the whole depends (to some degree) on the presence of this part, even though the part may often be separable from the whole.
+
+        
+         Discussion: Part is defined in opposition to (a) ingredient (not separable), (b) content (not a functional component), and (c) member (not functionally distinct from other members)."></definition>
+       <concept>
+        <code value="ACTM"></code>
+        <display value="active moiety"></display>
+        <definition value="The molecule or ion that is responsible for the intended pharmacological action of the drug substance, excluding those appended or associated parts of the molecule that make the molecule an ester, salt (including a salt with hydrogen or coordination bonds), or other noncovalent derivative (such as a complex, chelate, or clathrate).
+
+        Examples: heparin-sodium and heparin-potassium have the same active moiety, heparin; the active moiety of morphine-hydrochloride is morphine."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SPEC"></code>
+       <display value="specimen"></display>
+       <definition value="A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen."></definition>
+       <concept>
+        <code value="ALQT"></code>
+        <display value="aliquot"></display>
+        <definition value="A portion (player) of an original or source specimen (scoper) used for testing or transportation."></definition>
+       </concept>
+       <concept>
+        <code value="ISLT"></code>
+        <display value="isolate"></display>
+        <definition value="A microorganism that has been isolated from other microorganisms or a source matrix."></definition>
+       </concept>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="CHILD"></code>
+     <display value="child"></display>
+     <definition value="The player of the role is a child of the scoping entity, in a generic sense."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="CRED"></code>
+     <display value="credentialed entity"></display>
+     <definition value="A role played by an entity that receives credentials from the scoping entity."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="NURPRAC"></code>
+     <display value="nurse practitioner"></display>
+     <definition value="nurse practitioner"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="NURS"></code>
+     <display value="nurse"></display>
+     <definition value="nurse"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="PA"></code>
+     <display value="physician assistant"></display>
+     <definition value="physician assistant"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="PHYS"></code>
+     <display value="physician"></display>
+     <definition value="physician"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleCode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleCode"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.111"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleCode"></name>
+    <title value="v3 Code System RoleCode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleCode"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <property>
+     <code value="status"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
+     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
+     <type value="code"></type>
+    </property>
+    <property>
+     <code value="deprecationDate"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
+     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
+     <type value="dateTime"></type>
+    </property>
+    <property>
+     <code value="child"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
+     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
+     <type value="code"></type>
+    </property>
+    <concept>
+     <code value="_AffiliationRoleType"></code>
+     <display value="AffiliationRoleType"></display>
+     <definition value="Concepts characterizing the type of association formed by player and scoper when there is a recognized Affiliate role by which the two parties are related.
+
+        
+         Examples: Business Partner, Business Associate, Colleague"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_AgentRoleType"></code>
+      <display value="AgentRoleType"></display>
+      <definition value="Parties that may or should contribute or have contributed to an Act."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="AMENDER"></code>
+       <display value="amender"></display>
+       <definition value="An entity which corrected, edited, or amended pre-existing information."></definition>
+      </concept>
+      <concept>
+       <code value="CLASSIFIER"></code>
+       <display value="classifier"></display>
+       <definition value="An individual authorized to assign an original classification to information, including compilations of unclassified information, based on a determination that the information requires protection against unauthorized disclosure. The individual marks the information with immutable, computable, and human readable security labels in accordance with applicable security labeling policies.  The labeling policies provide instructions on whether and if so how the security labels may be later reclassified [i.e., upgraded, downgraded, used in derivative classification, or declassified] in a manner that preserves the overridden original classification binding and provenance."></definition>
+      </concept>
+      <concept>
+       <code value="CONSENTER"></code>
+       <display value="consenter"></display>
+       <definition value="An entity or an entity's delegatee who is the grantee in an agreement such as a consent for services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy."></definition>
+      </concept>
+      <concept>
+       <code value="CONSWIT"></code>
+       <display value="consent witness"></display>
+       <definition value="An entity which has witnessed and attests to observing another entity being counseled about an agreement such as a consent for services, advanced directive, or a privacy consent directive."></definition>
+      </concept>
+      <concept>
+       <code value="COPART"></code>
+       <display value="co-participant"></display>
+       <definition value="An entity which participates in the generation of and attest to veracity of content, but is not an author or coauthor. For example a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report."></definition>
+      </concept>
+      <concept>
+       <code value="DECLASSIFIER"></code>
+       <display value="declassifier"></display>
+       <definition value="An individual which is authorized to declassify information based on a determination that the information no longer requires protection against unauthorized disclosure.  The individual marks the information being declassified using computable and human readable security labels indicating that this is copy of previously classified information is unclassified in accordance with applicable security labeling policies.  The labeling policies provide instructions on whether and if so how the security labels may be later reclassified [i.e., upgraded or used in derivative classification] in a manner that preserves the overridden original classification binding and provenance."></definition>
+      </concept>
+      <concept>
+       <code value="DELEGATEE"></code>
+       <display value="delegatee"></display>
+       <definition value="A party to whom some right or authority is granted by a delegator."></definition>
+      </concept>
+      <concept>
+       <code value="DELEGATOR"></code>
+       <display value="delegator"></display>
+       <definition value="A party that grants all or some portion its right or authority to another party."></definition>
+      </concept>
+      <concept>
+       <code value="DOWNGRDER"></code>
+       <display value="downgrader"></display>
+       <definition value="An individual authorized to lower the classification level of labeled content and provide rationale for doing so as directed by a classification guide."></definition>
+      </concept>
+      <concept>
+       <code value="DRIVCLASSIFIER"></code>
+       <display value="derivative classifier"></display>
+       <definition value="An individual who is only authorized to classify reproduced, extracted, or summarized classified information, or compile classified and unclassified information by applying classification markings derived from source material or as directed by a classification guide."></definition>
+      </concept>
+      <concept>
+       <code value="GRANTEE"></code>
+       <display value="grantee"></display>
+       <definition value="An entity which accepts certain rights or authority from a grantor."></definition>
+      </concept>
+      <concept>
+       <code value="GRANTOR"></code>
+       <display value="grantor"></display>
+       <definition value="An entity which agrees to confer certain rights or authority to a grantee."></definition>
+      </concept>
+      <concept>
+       <code value="INTPRTER"></code>
+       <display value="interpreter"></display>
+       <definition value="An entity which converts spoken or written language into the language of key participants in an event such as when a provider is obtaining a patient's consent to treatment or permission to disclose information."></definition>
+      </concept>
+      <concept>
+       <code value="REVIEWER"></code>
+       <display value="reviewer"></display>
+       <definition value="An entity authorized to filter information according to approved criteria."></definition>
+      </concept>
+      <concept>
+       <code value="VALIDATOR"></code>
+       <display value="validator"></display>
+       <definition value="An entity authorized to validate information for inclusion in a record."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_CoverageSponsorRoleType"></code>
+      <display value="CoverageSponsorRoleType"></display>
+      <definition value="Description:Codes that indicate a specific type of sponsor.  Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor.  NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="FULLINS"></code>
+       <display value="Fully insured coverage sponsor"></display>
+       <definition value="Description:An employer or organization that contracts with an underwriter to assumes the financial risk and administrative responsibility for coverage of health services for covered parties."></definition>
+      </concept>
+      <concept>
+       <code value="SELFINS"></code>
+       <display value="Self insured coverage sponsor"></display>
+       <definition value="Description:An employer or organization that assumes the financial risk and administrative responsibility for coverage of health services for covered parties."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_PayorRoleType"></code>
+      <display value="PayorRoleType"></display>
+      <definition value="Description:PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required.  The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.
+
+        
+         Examples:A Payor that is a TPA may administer a managed care plan without underwriting the risk."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ENROLBKR"></code>
+       <display value="Enrollment Broker"></display>
+       <definition value="Description:A payor that is responsible for functions related to the enrollment of covered parties."></definition>
+      </concept>
+      <concept>
+       <code value="TPA"></code>
+       <display value="Third party administrator"></display>
+       <definition value="Description:Third party administrator (TPA) is a payor organization that processes health care claims without carrying insurance risk. Third party administrators are prominent players in the managed care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other administrative activities.
+
+        Self-insured employers often contract with third party administrator to handle their insurance functions. Insurance companies oftentimes outsource the claims, utilization review or membership functions to a TPA. Sometimes TPAs only manage provider networks, only claims or only utilization review.
+
+        While some third-party administrators may operate as units of insurance companies, they are often independent. However, hospitals or provider organizations desiring to set up their own health plans will often outsource certain responsibilities to TPAs.  TPAs may perform one or several payor functions, specified by the PayorParticipationFunction value set, such as provider management, enrollment, utilization management, and fee for service claims adjudication management."></definition>
+      </concept>
+      <concept>
+       <code value="UMO"></code>
+       <display value="Utilization management organization"></display>
+       <definition value="Description:A payor that is responsible for review and case management of health services covered under a policy or program."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="RESPRSN"></code>
+      <display value="responsible party"></display>
+      <definition value="The role played by a party who has legal responsibility for another party."></definition>
+      <concept>
+       <code value="EXCEST"></code>
+       <display value="executor of estate"></display>
+       <definition value="The role played by a person acting as the estate executor for a deceased subscriber or policyholder who was the responsible party"></definition>
+      </concept>
+      <concept>
+       <code value="GUADLTM"></code>
+       <display value="guardian ad lidem"></display>
+       <definition value="The role played by a person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings."></definition>
+      </concept>
+      <concept>
+       <code value="GUARD"></code>
+       <display value="guardian"></display>
+       <definition value="The role played by a person or institution legally empowered with responsibility for the care of a ward."></definition>
+      </concept>
+      <concept>
+       <code value="POWATT"></code>
+       <display value="power of attorney"></display>
+       <definition value="A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts."></definition>
+       <concept>
+        <code value="DPOWATT"></code>
+        <display value="durable power of attorney"></display>
+        <definition value="A relationship between two people in which one person authorizes another, usually a family member or relative, to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned.  Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency."></definition>
+       </concept>
+       <concept>
+        <code value="HPOWATT"></code>
+        <display value="healthcare power of attorney"></display>
+        <definition value="A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that continues (by its terms) to be effective even though the grantor has become mentally incompetent after signing the document."></definition>
+       </concept>
+       <concept>
+        <code value="SPOWATT"></code>
+        <display value="special power of attorney"></display>
+        <definition value="A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned."></definition>
+       </concept>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_AssignedRoleType"></code>
+     <display value="AssignedRoleType"></display>
+     <definition value="AssignedRoleType"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_AssignedNonPersonLivingSubjectRoleType"></code>
+      <display value="AssignedNonPersonLivingSubjectRoleType"></display>
+      <definition value="Description:A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ASSIST"></code>
+       <display value="Assistive non-person living subject"></display>
+       <definition value="Description:Dogs trained to assist the ill or physically challenged."></definition>
+      </concept>
+      <concept>
+       <code value="BIOTH"></code>
+       <display value="Biotherapeutic non-person living subject"></display>
+       <definition value="Description:Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies."></definition>
+       <concept>
+        <code value="ANTIBIOT"></code>
+        <display value="Antibiotic"></display>
+        <definition value="Description:Non-person living subject used as antibiotic.
+
+        
+         Examples:Bacteriophage, is a virus that infects bacteria."></definition>
+       </concept>
+       <concept>
+        <code value="DEBR"></code>
+        <display value="Debridement"></display>
+        <definition value="Description:Maggots raised for biodebridement.
+
+        
+         Discussion: Maggot Debridement Therapy is the medical use of live maggots for cleaning non-healing wounds.
+
+        
+         Examples:Removal of burnt skin."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="CCO"></code>
+       <display value="Clinical Companion"></display>
+       <definition value="Description:Companion animals, such as dogs, cats, and rabbits, which may be provided to patients to improve general mood, decrease depression and loneliness, and distract from stress-inducing concerns to improve quality of life."></definition>
+      </concept>
+      <concept>
+       <code value="SEE"></code>
+       <display value="Seeing"></display>
+       <definition value="Description:Dogs trained to assist persons who are seeing impaired or blind."></definition>
+      </concept>
+      <concept>
+       <code value="SNIFF"></code>
+       <display value="Sniffing"></display>
+       <definition value="Description:Dogs trained or having the ability to detect imminent seizures or cancers in humans, probably as a result of volatile chemical (odors) given off by the malignancy of the host."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_CertifiedEntityType"></code>
+     <display value="CertifiedEntityType"></display>
+     <definition value="Defines types of certifications for all entities"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+    </concept>
+    <concept>
+     <code value="_CitizenRoleType"></code>
+     <display value="CitizenRoleType"></display>
+     <definition value="A role type used to qualify a person's legal status within a country or nation."></definition>
+     <concept>
+      <code value="CAS"></code>
+      <display value="asylum seeker"></display>
+      <definition value="A person who has fled his or her home country to find a safe place elsewhere."></definition>
+      <concept>
+       <code value="CASM"></code>
+       <display value="single minor asylum seeker"></display>
+       <definition value="A person who is someone of below legal age who has fled his or her home country, without his or her parents, to find a safe place elsewhere at time of categorization."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="CN"></code>
+      <display value="national"></display>
+      <definition value="A person who is legally recognized as a member of a nation or country, with associated rights and obligations."></definition>
+     </concept>
+     <concept>
+      <code value="CNRP"></code>
+      <display value="non-country member without residence permit"></display>
+      <definition value="A foreigner who is present in a country (which is foreign to him/her) unlawfully or without the country's authorization (may be called an illegal alien)."></definition>
+      <concept>
+       <code value="CNRPM"></code>
+       <display value="non-country member minor without residence permit"></display>
+       <definition value="A person who is below legal age present in a country, without his or her parents, (which is foreign to him/her) unlawfully or without the country's authorization."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="CPCA"></code>
+      <display value="permit card applicant"></display>
+      <definition value="A non-country member admitted to the territory of a nation or country as a non-resident for an explicit purpose."></definition>
+     </concept>
+     <concept>
+      <code value="CRP"></code>
+      <display value="non-country member with residence permit"></display>
+      <definition value="A foreigner who is a resident of the country but does not have citizenship."></definition>
+      <concept>
+       <code value="CRPM"></code>
+       <display value="non-country member minor with residence permit"></display>
+       <definition value="A person who is a resident below legal age of the country without his or her parents and does not have citizenship."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ContactRoleType"></code>
+     <display value="ContactRoleType"></display>
+     <definition value="Types of contact for Role code &quot;CON&quot;"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_AdministrativeContactRoleType"></code>
+      <display value="AdministrativeContactRoleType"></display>
+      <definition value="A contact role used for business and/or administrative purposes."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="BILL"></code>
+       <display value="Billing Contact"></display>
+       <definition value="A contact role used to identify a person within a Provider organization that can be contacted for billing purposes (e.g. about the content of the Invoice)."></definition>
+      </concept>
+      <concept>
+       <code value="ORG"></code>
+       <display value="organizational contact"></display>
+       <definition value="A contact for an organization for administrative purposes. Contact role specifies a person acting as a liason for the organization.
+
+        Example: HR Department representative."></definition>
+      </concept>
+      <concept>
+       <code value="PAYOR"></code>
+       <display value="Payor Contact"></display>
+       <definition value="A contact role used to identify a person within a Payor organization to whom this communication is addressed."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="ECON"></code>
+      <display value="emergency contact"></display>
+      <definition value="A contact designated for contact in emergent situations."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2008-12-19"></valueDateTime>
+      </property>
+     </concept>
+     <concept>
+      <code value="NOK"></code>
+      <display value="next of kin"></display>
+      <definition value="Played by an individual who is designated as the next of kin for another individual which scopes the role."></definition>
+      <property>
+       <code value="status"></code>
+       <valueCode value="deprecated"></valueCode>
+      </property>
+      <property>
+       <code value="deprecationDate"></code>
+       <valueDateTime value="2008-12-19"></valueDateTime>
+      </property>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_IdentifiedEntityType"></code>
+     <display value="IdentifiedEntityType"></display>
+     <definition value="Definition: A code representing the type of identifier that has been assigned to the identified entity (IDENT).
+
+        
+         Examples: Example values include Social Insurance Number, Product Catalog ID, Product Model Number."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_LocationIdentifiedEntityRoleCode"></code>
+      <display value="LocationIdentifiedEntityRoleCode"></display>
+      <definition value="Description:Describes types of identifiers other than the primary location registry identifier for a service delivery location.  Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ACHFID"></code>
+       <display value="accreditation location identifier"></display>
+       <definition value="Description:Identifier assigned to a  location by the organization responsible for accrediting the location."></definition>
+      </concept>
+      <concept>
+       <code value="JURID"></code>
+       <display value="jurisdiction location identifier"></display>
+       <definition value="Description:Identifier assigned to a location by a jurisdiction."></definition>
+      </concept>
+      <concept>
+       <code value="LOCHFID"></code>
+       <display value="local location identifier"></display>
+       <definition value="Description:Identifier assigned to a  location by a local party (which could be the facility itself or organization overseeing a group of facilities)."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_LivingSubjectProductionClass"></code>
+     <display value="LivingSubjectProductionClass"></display>
+     <definition value="Code indicating the primary use for which a living subject is bred or grown"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="BF"></code>
+      <display value="Beef"></display>
+      <definition value="Cattle used for meat production"></definition>
+     </concept>
+     <concept>
+      <code value="BL"></code>
+      <display value="Broiler"></display>
+      <definition value="Chickens raised for meat"></definition>
+     </concept>
+     <concept>
+      <code value="BR"></code>
+      <display value="Breeder"></display>
+      <definition value="Breeding/genetic stock"></definition>
+     </concept>
+     <concept>
+      <code value="CO"></code>
+      <display value="Companion"></display>
+      <definition value="Companion animals"></definition>
+     </concept>
+     <concept>
+      <code value="DA"></code>
+      <display value="Dairy"></display>
+      <definition value="Milk production"></definition>
+     </concept>
+     <concept>
+      <code value="DR"></code>
+      <display value="Draft"></display>
+      <definition value="Draft animals"></definition>
+     </concept>
+     <concept>
+      <code value="DU"></code>
+      <display value="Dual"></display>
+      <definition value="Dual purpose.  Defined purposes based on species and breed"></definition>
+     </concept>
+     <concept>
+      <code value="FI"></code>
+      <display value="Fiber"></display>
+      <definition value="Animals raised for their fur, hair or skins"></definition>
+     </concept>
+     <concept>
+      <code value="LY"></code>
+      <display value="Layer"></display>
+      <definition value="Chickens raised for egg production"></definition>
+     </concept>
+     <concept>
+      <code value="MT"></code>
+      <display value="Meat"></display>
+      <definition value="Animals raised for meat production"></definition>
+     </concept>
+     <concept>
+      <code value="MU"></code>
+      <display value="Multiplier"></display>
+      <definition value="Poultry flocks used for chick/poult production"></definition>
+     </concept>
+     <concept>
+      <code value="PL"></code>
+      <display value="Pleasure"></display>
+      <definition value="Animals rasied for recreation"></definition>
+     </concept>
+     <concept>
+      <code value="RC"></code>
+      <display value="Racing"></display>
+      <definition value="Animals raised for racing perfomance"></definition>
+     </concept>
+     <concept>
+      <code value="SH"></code>
+      <display value="Show"></display>
+      <definition value="Animals raised for shows"></definition>
+     </concept>
+     <concept>
+      <code value="VL"></code>
+      <display value="Veal"></display>
+      <definition value="Cattle raised for veal meat production.  Implicit is the husbandry method."></definition>
+     </concept>
+     <concept>
+      <code value="WL"></code>
+      <display value="Wool"></display>
+      <definition value="Sheep, goats and other mammals raised for their fiber"></definition>
+     </concept>
+     <concept>
+      <code value="WO"></code>
+      <display value="Working"></display>
+      <definition value="Animals used to perform work"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_MedicationGeneralizationRoleType"></code>
+     <display value="MedicationGeneralizationRoleType"></display>
+     <definition value="Identifies the specific hierarchical relationship between the playing and scoping medications. 
+
+        
+         Examples: Generic, Generic Formulation, Therapeutic Class, etc."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="DC"></code>
+      <display value="therapeutic class"></display>
+      <definition value="Description:A categorization of medicinal products by their therapeutic properties and/or main therapeutic use."></definition>
+     </concept>
+     <concept>
+      <code value="GD"></code>
+      <display value="generic drug"></display>
+      <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients independent of strength, and form.
+
+        The scoping entity identifies a unique combination of medicine ingredients; sometimes referred to as &quot;ingredient set&quot;."></definition>
+      <concept>
+       <code value="GDF"></code>
+       <display value="generic drug form"></display>
+       <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients and dose form, independent of strength of the ingredients. The scoping entity identifies a unique combination of medicine ingredients in a specific dose form."></definition>
+      </concept>
+      <concept>
+       <code value="GDS"></code>
+       <display value="generic drug strength"></display>
+       <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of is ingredients with their strength.  The scoping entity identifies a unique combination of medicine ingredients with their strength."></definition>
+      </concept>
+      <concept>
+       <code value="GDSF"></code>
+       <display value="generic drug strength form"></display>
+       <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="MGDSF"></code>
+      <display value="manufactured drug strength form"></display>
+      <definition value="Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_MemberRoleType"></code>
+     <display value="MemberRoleType"></display>
+     <definition value="Types of membership for Role code &quot;MBR&quot;"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="TRB"></code>
+      <display value="Tribal Member"></display>
+      <definition value="A person who is a member of a tribe."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PersonalRelationshipRoleType"></code>
+     <display value="PersonalRelationshipRoleType"></display>
+     <definition value="PersonalRelationshipRoleType"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="FAMMEMB"></code>
+      <display value="family member"></display>
+      <definition value="A relationship between two people characterizing their &quot;familial&quot; relationship"></definition>
+      <concept>
+       <code value="CHILD"></code>
+       <display value="child"></display>
+       <definition value="The player of the role is a child of the scoping entity."></definition>
+       <concept>
+        <code value="CHLDADOPT"></code>
+        <display value="adopted child"></display>
+        <definition value="The player of the role is a child taken into a family through legal means and raised by the scoping person (parent) as his or her own child."></definition>
+        <concept>
+         <code value="DAUADOPT"></code>
+         <display value="adopted daughter"></display>
+         <definition value="The player of the role is a female child taken into a family through legal means and raised by the scoping person (parent) as his or her own child."></definition>
+        </concept>
+        <concept>
+         <code value="SONADOPT"></code>
+         <display value="adopted son"></display>
+         <definition value="The player of the role is a male child taken into a family through legal means and raised by the scoping person (parent) as his or her own child."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="CHLDFOST"></code>
+        <display value="foster child"></display>
+        <definition value="The player of the role is a child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties."></definition>
+        <concept>
+         <code value="DAUFOST"></code>
+         <display value="foster daughter"></display>
+         <definition value="The player of the role is a female child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties."></definition>
+        </concept>
+        <concept>
+         <code value="SONFOST"></code>
+         <display value="foster son"></display>
+         <definition value="The player of the role is a male child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="DAUC"></code>
+        <display value="daughter"></display>
+        <definition value="Description: The player of the role is a female child (of any type) of scoping entity (parent)"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="DAUADOPT"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="DAUFOST"></valueCode>
+        </property>
+        <concept>
+         <code value="DAU"></code>
+         <display value="natural daughter"></display>
+         <definition value="The player of the role is a female offspring of the scoping entity (parent)."></definition>
+        </concept>
+        <concept>
+         <code value="STPDAU"></code>
+         <display value="stepdaughter"></display>
+         <definition value="The player of the role is a daughter of the scoping person's spouse by a previous union."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="NCHILD"></code>
+        <display value="natural child"></display>
+        <definition value="The player of the role is an offspring of the scoping entity as determined by birth."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="DAU"></valueCode>
+        </property>
+        <concept>
+         <code value="SON"></code>
+         <display value="natural son"></display>
+         <definition value="The player of the role is a male offspring of the scoping entity (parent)."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="SONC"></code>
+        <display value="son"></display>
+        <definition value="Description: The player of the role is a male child (of any type) of scoping entity (parent)"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SONADOPT"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SONFOST"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="SON"></valueCode>
+        </property>
+        <concept>
+         <code value="STPSON"></code>
+         <display value="stepson"></display>
+         <definition value="The player of the role is a son of the scoping person's spouse by a previous union."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="STPCHLD"></code>
+        <display value="step child"></display>
+        <definition value="The player of the role is a child of the scoping person's spouse by a previous union."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="STPDAU"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="STPSON"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="EXT"></code>
+       <display value="extended family member"></display>
+       <definition value="Description: A family member not having an immediate genetic or legal relationship e.g. Aunt, cousin, great grandparent, grandchild, grandparent, niece, nephew or uncle."></definition>
+       <concept>
+        <code value="AUNT"></code>
+        <display value="aunt"></display>
+        <definition value="The player of the role is a sister of the scoping person's mother or father."></definition>
+        <concept>
+         <code value="MAUNT"></code>
+         <display value="maternal aunt"></display>
+         <definition value="Description:The player of the role is a biological sister of the scoping person's biological mother."></definition>
+        </concept>
+        <concept>
+         <code value="PAUNT"></code>
+         <display value="paternal aunt"></display>
+         <definition value="Description:The player of the role is a biological sister of the scoping person's biological father."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="COUSN"></code>
+        <display value="cousin"></display>
+        <definition value="The player of the role is a relative of the scoping person descended from a common ancestor, such as a 	grandparent, by two or more steps in a diverging line."></definition>
+        <concept>
+         <code value="MCOUSN"></code>
+         <display value="maternal cousin"></display>
+         <definition value="Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's mother's side, such as a grandparent, by two or more steps in a diverging line."></definition>
+        </concept>
+        <concept>
+         <code value="PCOUSN"></code>
+         <display value="paternal cousin"></display>
+         <definition value="Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's father's side, such as a grandparent, by two or more steps in a diverging line."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="GGRPRN"></code>
+        <display value="great grandparent"></display>
+        <definition value="The player of the role is a parent of the scoping person's grandparent."></definition>
+        <concept>
+         <code value="GGRFTH"></code>
+         <display value="great grandfather"></display>
+         <definition value="The player of the role is the father of the scoping person's grandparent."></definition>
+         <concept>
+          <code value="MGGRFTH"></code>
+          <display value="maternal great-grandfather"></display>
+          <definition value="Description:The player of the role is the biological father of the scoping person's biological mother's parent."></definition>
+         </concept>
+         <concept>
+          <code value="PGGRFTH"></code>
+          <display value="paternal great-grandfather"></display>
+          <definition value="Description:The player of the role is the biological father of the scoping person's biological father's parent."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="GGRMTH"></code>
+         <display value="great grandmother"></display>
+         <definition value="The player of the role is the mother of the scoping person's grandparent."></definition>
+         <concept>
+          <code value="MGGRMTH"></code>
+          <display value="maternal great-grandmother"></display>
+          <definition value="Description:The player of the role is the biological mother of the scoping person's biological mother's parent."></definition>
+         </concept>
+         <concept>
+          <code value="PGGRMTH"></code>
+          <display value="paternal great-grandmother"></display>
+          <definition value="Description:The player of the role is the biological mother of the scoping person's biological father's parent."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="MGGRPRN"></code>
+         <display value="maternal great-grandparent"></display>
+         <definition value="Description:The player of the role is a biological parent of the scoping person's biological mother's parent."></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="MGGRFTH"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="MGGRMTH"></valueCode>
+         </property>
+        </concept>
+        <concept>
+         <code value="PGGRPRN"></code>
+         <display value="paternal great-grandparent"></display>
+         <definition value="Description:The player of the role is a biological parent of the scoping person's biological father's parent."></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PGGRFTH"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PGGRMTH"></valueCode>
+         </property>
+        </concept>
+       </concept>
+       <concept>
+        <code value="GRNDCHILD"></code>
+        <display value="grandchild"></display>
+        <definition value="The player of the role is a child of the scoping person's son or daughter."></definition>
+        <concept>
+         <code value="GRNDDAU"></code>
+         <display value="granddaughter"></display>
+         <definition value="The player of the role is a daughter of the scoping person's son or daughter."></definition>
+        </concept>
+        <concept>
+         <code value="GRNDSON"></code>
+         <display value="grandson"></display>
+         <definition value="The player of the role is a son of the scoping person's son or daughter."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="GRPRN"></code>
+        <display value="grandparent"></display>
+        <definition value="The player of the role is a parent of the scoping person's mother or father."></definition>
+        <concept>
+         <code value="GRFTH"></code>
+         <display value="grandfather"></display>
+         <definition value="The player of the role is the father of the scoping person's mother or father."></definition>
+         <concept>
+          <code value="MGRFTH"></code>
+          <display value="maternal grandfather"></display>
+          <definition value="Description:The player of the role is the biological father of the scoping person's biological mother."></definition>
+         </concept>
+         <concept>
+          <code value="PGRFTH"></code>
+          <display value="paternal grandfather"></display>
+          <definition value="Description:The player of the role is the biological father of the scoping person's biological father."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="GRMTH"></code>
+         <display value="grandmother"></display>
+         <definition value="The player of the role is the mother of the scoping person's mother or father."></definition>
+         <concept>
+          <code value="MGRMTH"></code>
+          <display value="maternal grandmother"></display>
+          <definition value="Description:The player of the role is the biological mother of the scoping person's biological mother."></definition>
+         </concept>
+         <concept>
+          <code value="PGRMTH"></code>
+          <display value="paternal grandmother"></display>
+          <definition value="Description:The player of the role is the biological mother of the scoping person's biological father."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="MGRPRN"></code>
+         <display value="maternal grandparent"></display>
+         <definition value="Description:The player of the role is the biological parent of the scoping person's biological mother."></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="MGRFTH"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="MGRMTH"></valueCode>
+         </property>
+        </concept>
+        <concept>
+         <code value="PGRPRN"></code>
+         <display value="paternal grandparent"></display>
+         <definition value="Description:The player of the role is the biological parent of the scoping person's biological father."></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PGRFTH"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PGRMTH"></valueCode>
+         </property>
+        </concept>
+       </concept>
+       <concept>
+        <code value="INLAW"></code>
+        <display value="inlaw"></display>
+        <definition value="A relationship between an individual and a member of their spousal partner's immediate family."></definition>
+        <concept>
+         <code value="CHLDINLAW"></code>
+         <display value="child-in-law"></display>
+         <definition value="The player of the role is the spouse of scoping person's child."></definition>
+         <concept>
+          <code value="DAUINLAW"></code>
+          <display value="daughter in-law"></display>
+          <definition value="The player of the role is the wife of scoping person's son."></definition>
+         </concept>
+         <concept>
+          <code value="SONINLAW"></code>
+          <display value="son in-law"></display>
+          <definition value="The player of the role is the husband of scoping person's daughter."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="PRNINLAW"></code>
+         <display value="parent in-law"></display>
+         <definition value="The player of the role is the parent of scoping person's husband or wife."></definition>
+         <concept>
+          <code value="FTHINLAW"></code>
+          <display value="father-in-law"></display>
+          <definition value="The player of the role is the father of the scoping person's husband or wife."></definition>
+         </concept>
+         <concept>
+          <code value="MTHINLAW"></code>
+          <display value="mother-in-law"></display>
+          <definition value="The player of the role is the mother of the scoping person's husband or wife."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="SIBINLAW"></code>
+         <display value="sibling in-law"></display>
+         <definition value="The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse."></definition>
+         <concept>
+          <code value="BROINLAW"></code>
+          <display value="brother-in-law"></display>
+          <definition value="The player of the role is: (1) a brother of the scoping person's spouse, or (2) the husband of the scoping person's sister, or (3) the husband of a sister of the scoping person's spouse."></definition>
+         </concept>
+         <concept>
+          <code value="SISINLAW"></code>
+          <display value="sister-in-law"></display>
+          <definition value="The player of the role is: (1) a sister of the scoping person's spouse, or (2) the wife of the scoping person's brother, or (3) the wife of a brother of the scoping person's spouse."></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="NIENEPH"></code>
+        <display value="niece/nephew"></display>
+        <definition value="The player of the role is a child of scoping person's brother or sister or of the brother or sister of the 	scoping person's spouse."></definition>
+        <concept>
+         <code value="NEPHEW"></code>
+         <display value="nephew"></display>
+         <definition value="The player of the role is a son of the scoping person's brother or sister or of the brother or sister of the 	scoping person's spouse."></definition>
+        </concept>
+        <concept>
+         <code value="NIECE"></code>
+         <display value="niece"></display>
+         <definition value="The player of the role is a daughter of the scoping person's brother or sister or of the brother or sister of the 	scoping person's spouse."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="UNCLE"></code>
+        <display value="uncle"></display>
+        <definition value="The player of the role is a brother of the scoping person's mother or father."></definition>
+        <concept>
+         <code value="MUNCLE"></code>
+         <display value="maternal uncle"></display>
+         <definition value="Description:The player of the role is a biological brother of the scoping person's biological mother."></definition>
+        </concept>
+        <concept>
+         <code value="PUNCLE"></code>
+         <display value="paternal uncle"></display>
+         <definition value="Description:The player of the role is a biological brother of the scoping person's biological father."></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PRN"></code>
+       <display value="parent"></display>
+       <definition value="The player of the role is one who begets, gives birth to, or nurtures and raises the scoping entity (child)."></definition>
+       <concept>
+        <code value="ADOPTP"></code>
+        <display value="adoptive parent"></display>
+        <definition value="The player of the role (parent) has taken the scoper (child) into their family through legal means and raises them as his or her own child."></definition>
+        <concept>
+         <code value="ADOPTF"></code>
+         <display value="adoptive father"></display>
+         <definition value="The player of the role (father) is a male who has taken the scoper (child) into their family through legal means and raises them as his own child."></definition>
+        </concept>
+        <concept>
+         <code value="ADOPTM"></code>
+         <display value="adoptive mother"></display>
+         <definition value="The player of the role (father) is a female who has taken the scoper (child) into their family through legal means and raises them as her own child."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="FTH"></code>
+        <display value="father"></display>
+        <definition value="The player of the role is a male who begets or raises or nurtures the scoping entity (child)."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="ADOPTF"></valueCode>
+        </property>
+        <concept>
+         <code value="FTHFOST"></code>
+         <display value="foster father"></display>
+         <definition value="The player of the role (parent) who is a male state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.
+
+        The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child."></definition>
+        </concept>
+        <concept>
+         <code value="NFTH"></code>
+         <display value="natural father"></display>
+         <definition value="The player of the role is a male who begets the scoping entity (child)."></definition>
+         <concept>
+          <code value="NFTHF"></code>
+          <display value="natural father of fetus"></display>
+          <definition value="Indicates the biologic male parent of a fetus."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="STPFTH"></code>
+         <display value="stepfather"></display>
+         <definition value="The player of the role is the husband of scoping person's mother and not the scoping person's natural father."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="MTH"></code>
+        <display value="mother"></display>
+        <definition value="The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child)."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="ADOPTM"></valueCode>
+        </property>
+        <concept>
+         <code value="GESTM"></code>
+         <display value="gestational mother"></display>
+         <definition value="The player is a female whose womb carries the fetus of the scoper.  Generally used when the gestational mother and natural mother are not the same."></definition>
+        </concept>
+        <concept>
+         <code value="MTHFOST"></code>
+         <display value="foster mother"></display>
+         <definition value="The player of the role (parent) who is a female state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.
+
+        The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child."></definition>
+        </concept>
+        <concept>
+         <code value="NMTH"></code>
+         <display value="natural mother"></display>
+         <definition value="The player of the role is a female who conceives or gives birth to the scoping entity (child)."></definition>
+         <concept>
+          <code value="NMTHF"></code>
+          <display value="natural mother of fetus"></display>
+          <definition value="The player is the biologic female parent of the scoping fetus."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="STPMTH"></code>
+         <display value="stepmother"></display>
+         <definition value="The player of the role is the wife of scoping person's father and not the scoping person's natural mother."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="NPRN"></code>
+        <display value="natural parent"></display>
+        <definition value="natural parent"></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="NFTH"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="NMTH"></valueCode>
+        </property>
+       </concept>
+       <concept>
+        <code value="PRNFOST"></code>
+        <display value="foster parent"></display>
+        <definition value="The player of the role (parent) who is a state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.
+
+        The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="FTHFOST"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="MTHFOST"></valueCode>
+        </property>
+       </concept>
+       <concept>
+        <code value="STPPRN"></code>
+        <display value="step parent"></display>
+        <definition value="The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="STPFTH"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="STPMTH"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SIB"></code>
+       <display value="sibling"></display>
+       <definition value="The player of the role shares one or both parents in common with the scoping entity."></definition>
+       <concept>
+        <code value="BRO"></code>
+        <display value="brother"></display>
+        <definition value="The player of the role is a male sharing one or both parents in common with the scoping entity."></definition>
+        <concept>
+         <code value="HBRO"></code>
+         <display value="half-brother"></display>
+         <definition value="The player of the role is a male related to the scoping entity by sharing only one biological parent."></definition>
+        </concept>
+        <concept>
+         <code value="NBRO"></code>
+         <display value="natural brother"></display>
+         <definition value="The player of the role is a male having the same biological parents as the scoping entity."></definition>
+         <concept>
+          <code value="TWINBRO"></code>
+          <display value="twin brother"></display>
+          <definition value="The scoper was carried in the same womb as the male player and shares common biological parents."></definition>
+          <concept>
+           <code value="FTWINBRO"></code>
+           <display value="fraternal twin brother"></display>
+           <definition value="The scoper was carried in the same womb as the male player and shares common biological parents but is the product of a distinct egg/sperm pair."></definition>
+          </concept>
+          <concept>
+           <code value="ITWINBRO"></code>
+           <display value="identical twin brother"></display>
+           <definition value="The male scoper is an offspring of the same egg-sperm pair as the male player."></definition>
+          </concept>
+         </concept>
+        </concept>
+        <concept>
+         <code value="STPBRO"></code>
+         <display value="stepbrother"></display>
+         <definition value="The player of the role is a son of the scoping person's stepparent."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="HSIB"></code>
+        <display value="half-sibling"></display>
+        <definition value="The player of the role is related to the scoping entity by sharing only one biological parent."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="HBRO"></valueCode>
+        </property>
+        <concept>
+         <code value="HSIS"></code>
+         <display value="half-sister"></display>
+         <definition value="The player of the role is a female related to the scoping entity by sharing only one biological parent."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="NSIB"></code>
+        <display value="natural sibling"></display>
+        <definition value="The player of the role has both biological parents in common with the scoping entity."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="NBRO"></valueCode>
+        </property>
+        <concept>
+         <code value="NSIS"></code>
+         <display value="natural sister"></display>
+         <definition value="The player of the role is a female having the same biological parents as the scoping entity."></definition>
+         <concept>
+          <code value="TWINSIS"></code>
+          <display value="twin sister"></display>
+          <definition value="The scoper was carried in the same womb as the female player and shares common biological parents."></definition>
+          <concept>
+           <code value="FTWINSIS"></code>
+           <display value="fraternal twin sister"></display>
+           <definition value="The scoper was carried in the same womb as the female player and shares common biological parents but is the product of a distinct egg/sperm pair."></definition>
+          </concept>
+          <concept>
+           <code value="ITWINSIS"></code>
+           <display value="identical twin sister"></display>
+           <definition value="The female scoper is an offspring of the same egg-sperm pair as the female player."></definition>
+          </concept>
+         </concept>
+        </concept>
+        <concept>
+         <code value="TWIN"></code>
+         <display value="twin"></display>
+         <definition value="The scoper and player were carried in the same womb and shared common biological parents."></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="TWINBRO"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="TWINSIS"></valueCode>
+         </property>
+         <concept>
+          <code value="FTWIN"></code>
+          <display value="fraternal twin"></display>
+          <definition value="The scoper and player were carried in the same womb and share common biological parents but are the product of distinct egg/sperm pairs."></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="FTWINBRO"></valueCode>
+          </property>
+          <property>
+           <code value="child"></code>
+           <valueCode value="FTWINSIS"></valueCode>
+          </property>
+         </concept>
+         <concept>
+          <code value="ITWIN"></code>
+          <display value="identical twin"></display>
+          <definition value="The scoper and player are offspring of the same egg-sperm pair."></definition>
+          <property>
+           <code value="child"></code>
+           <valueCode value="ITWINBRO"></valueCode>
+          </property>
+          <property>
+           <code value="child"></code>
+           <valueCode value="ITWINSIS"></valueCode>
+          </property>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="SIS"></code>
+        <display value="sister"></display>
+        <definition value="The player of the role is a female sharing one or both parents in common with the scoping entity."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="HSIS"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="NSIS"></valueCode>
+        </property>
+        <concept>
+         <code value="STPSIS"></code>
+         <display value="stepsister"></display>
+         <definition value="The player of the role is a daughter of the scoping person's stepparent."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="STPSIB"></code>
+        <display value="step sibling"></display>
+        <definition value="The player of the role is a child of the scoping person's stepparent."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="STPBRO"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="STPSIS"></valueCode>
+        </property>
+       </concept>
+      </concept>
+      <concept>
+       <code value="SIGOTHR"></code>
+       <display value="significant other"></display>
+       <definition value="A person who is important to one's well being; especially a spouse or one in a similar relationship.  (The player is the one who is important)"></definition>
+       <concept>
+        <code value="DOMPART"></code>
+        <display value="domestic partner"></display>
+        <definition value="The player of the role cohabits with the scoping person but is not the scoping person's spouse."></definition>
+       </concept>
+       <concept>
+        <code value="FMRSPS"></code>
+        <display value="former spouse"></display>
+        <definition value="Player of the role was previously joined to the scoping person in marriage and this marriage is now dissolved and inactive.
+
+        
+         Usage Note: This is significant to indicate as some jurisdictions have different legal requirements for former spouse to access the patient's record, from a general friend."></definition>
+       </concept>
+       <concept>
+        <code value="SPS"></code>
+        <display value="spouse"></display>
+        <definition value="The player of the role is a marriage partner of the scoping person."></definition>
+        <concept>
+         <code value="HUSB"></code>
+         <display value="husband"></display>
+         <definition value="The player of the role is a man joined to a woman (scoping person) in marriage."></definition>
+        </concept>
+        <concept>
+         <code value="WIFE"></code>
+         <display value="wife"></display>
+         <definition value="The player of the role is a woman joined to a man (scoping person) in marriage."></definition>
+        </concept>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="FRND"></code>
+      <display value="unrelated friend"></display>
+      <definition value="The player of the role is a person who is known, liked, and trusted by the scoping person."></definition>
+     </concept>
+     <concept>
+      <code value="NBOR"></code>
+      <display value="neighbor"></display>
+      <definition value="The player of the role lives near or next to the 	scoping person."></definition>
+     </concept>
+     <concept>
+      <code value="ONESELF"></code>
+      <display value="self"></display>
+      <definition value="The relationship that a person has with his or her self."></definition>
+     </concept>
+     <concept>
+      <code value="ROOM"></code>
+      <display value="Roommate"></display>
+      <definition value="One who shares living quarters with the subject."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_PolicyOrProgramCoverageRoleType"></code>
+     <display value="PolicyOrProgramCoverageRoleType"></display>
+     <definition value="Description: A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria.
+
+        Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law.  These criteria may be: 
+
+        
+         
+          The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage
+
+         
+         
+          May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent
+
+         
+         
+          May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits.
+
+         
+        
+        
+         Discussion:  The Abstract Value Set &quot;CoverageRoleType&quot;, which was developed for use in the Canadian realm &quot;pre-coordinate&quot; coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., &quot;handicapped dependent&quot;.   These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role.  For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead.
+
+        In summary, the coded concepts in the Abstract Value Set &quot;CoveredPartyRoleType&quot; can be &quot;post-coordinated&quot; with the &quot;RoleClassCoveredParty&quot; Abstract Value Set.  Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_CoverageRoleType"></code>
+      <display value="CoverageRoleType"></display>
+      <definition value="Role recognized through the issuance of insurance coverage to an identified covered party who has this relationship with the policy holder such as the policy holder themselves (self), spouse, child, etc"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="FAMDEP"></code>
+       <display value="family dependent"></display>
+       <definition value="The player of the role is dependent of the scoping entity."></definition>
+      </concept>
+      <concept>
+       <code value="HANDIC"></code>
+       <display value="handicapped dependent"></display>
+       <definition value="Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult."></definition>
+      </concept>
+      <concept>
+       <code value="INJ"></code>
+       <display value="injured plaintiff"></display>
+       <definition value="Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy."></definition>
+      </concept>
+      <concept>
+       <code value="SELF"></code>
+       <display value="self"></display>
+       <definition value="Covered party is the policy holder.  Also known as the subscriber."></definition>
+      </concept>
+      <concept>
+       <code value="SPON"></code>
+       <display value="sponsored dependent"></display>
+       <definition value="Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward."></definition>
+      </concept>
+      <concept>
+       <code value="STUD"></code>
+       <display value="student"></display>
+       <definition value="Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy."></definition>
+       <concept>
+        <code value="FSTUD"></code>
+        <display value="full-time student"></display>
+        <definition value="Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy."></definition>
+       </concept>
+       <concept>
+        <code value="PSTUD"></code>
+        <display value="part-time student"></display>
+        <definition value="Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="ADOPT"></code>
+       <display value="adopted child"></display>
+       <definition value="A child taken into one's family through legal means and raised as one's own child."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="GCHILD"></code>
+       <display value="grandchild"></display>
+       <definition value="A child of one's son or daughter."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="GPARNT"></code>
+       <display value="grandparent"></display>
+       <definition value="parent of a parent of the subject."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="NAT"></code>
+       <display value="natural child"></display>
+       <definition value="A child as determined by birth."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="NIENE"></code>
+       <display value="niece/nephew"></display>
+       <definition value="A child of one's brother or sister or of the brother or sister of one's spouse."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="PARNT"></code>
+       <display value="parent"></display>
+       <definition value="One that begets or brings forth offspring or a person who brings up and cares for for another (Webster's Collegiate Dictionary)"></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="SPSE"></code>
+       <display value="spouse"></display>
+       <definition value="A marriage partner; a husband or wife."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+      <concept>
+       <code value="STEP"></code>
+       <display value="step child"></display>
+       <definition value="A child receiving parental care and nurture from a person who is related to them through marriage to their parent."></definition>
+       <property>
+        <code value="status"></code>
+        <valueCode value="retired"></valueCode>
+       </property>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_CoveredPartyRoleType"></code>
+      <display value="covered party role type"></display>
+      <definition value="A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program.  Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.
+
+        
+         Example:An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent. 
+
+        
+         Discussion:  The Abstract Value Set &quot;CoverageRoleType&quot;, which was developed for use in the Canadian realm &quot;pre-coordinate&quot; coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., &quot;handicapped dependent&quot;.  Other codes in the Abstract Value Set CoveredPartyRoleType domain can be &quot;post-coordinated&quot; with the EligiblePartyRoleType codes to denote comparable concepts.  Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_ClaimantCoveredPartyRoleType"></code>
+       <display value="ClaimantCoveredPartyRoleType"></display>
+       <definition value="DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="CRIMEVIC"></code>
+        <display value="crime victim"></display>
+        <definition value="Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is &quot;program eligible&quot; and the person's status as a crime victim meets jurisdictional or program criteria."></definition>
+       </concept>
+       <concept>
+        <code value="INJWKR"></code>
+        <display value="injured worker"></display>
+        <definition value="Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.
+
+        
+         Discussion:  This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either &quot;program eligible&quot;, a &quot;named insured&quot;, and &quot;individual insured&quot;,  or &quot;dependent&quot;, and the person's status as differently abled or &quot;handicapped&quot; meets jurisdictional, policy, or program criteria."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_DependentCoveredPartyRoleType"></code>
+       <display value="DependentCoveredPartyRoleType"></display>
+       <definition value="Description: A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="COCBEN"></code>
+        <display value="continuity of coverage beneficiary"></display>
+        <definition value="Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage.  Criteria for qualifying for continuity of coverage may be set by law.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria."></definition>
+       </concept>
+       <concept>
+        <code value="DIFFABL"></code>
+        <display value="differently abled"></display>
+        <definition value="Description: A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot;, &quot;named insured&quot;, &quot;individual insured&quot;, or &quot;dependent&quot;, and the person's status as differently abled meets jurisdictional, policy, or program criteria."></definition>
+       </concept>
+       <concept>
+        <code value="WARD"></code>
+        <display value="ward"></display>
+        <definition value="Description: A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a &quot;claimant&quot;, &quot;program eligible&quot;, a &quot;named insured&quot;, an &quot;individual Insured&quot; or a &quot;dependent&quot;, and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_IndividualInsuredPartyRoleType"></code>
+       <display value="IndividualInsuredPartyRoleType"></display>
+       <definition value="A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="COCBEN"></valueCode>
+       </property>
+       <concept>
+        <code value="RETIREE"></code>
+        <display value="retiree"></display>
+        <definition value="Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a retiree meets jurisdictional or policy criteria."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_ProgramEligiblePartyRoleType"></code>
+       <display value="ProgramEligiblePartyRoleType"></display>
+       <definition value="Description:A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="CRIMEVIC"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="INJWKR"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="DIFFABL"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="WARD"></valueCode>
+       </property>
+       <concept>
+        <code value="INDIG"></code>
+        <display value="member of an indigenous people"></display>
+        <definition value="Description: A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is &quot;program eligible&quot; and the person's status as a member of an indigenous people meets jurisdictional or program criteria."></definition>
+       </concept>
+       <concept>
+        <code value="MIL"></code>
+        <display value="military"></display>
+        <definition value="Definition: A person playing the role of program eligible under a program based on military status.
+
+        
+         Discussion:  This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the person's status as a member of the military meets jurisdictional or program criteria"></definition>
+        <concept>
+         <code value="ACTMIL"></code>
+         <display value="active duty military"></display>
+         <definition value="Description: A person playing the role of program eligible under a program based on active military status.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the persons status as active duty military meets jurisdictional or program criteria."></definition>
+        </concept>
+        <concept>
+         <code value="RETMIL"></code>
+         <display value="retired military"></display>
+         <definition value="Description: A person playing the role of program eligible under a program based on retired military status.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the persons status as retired military meets jurisdictional or program criteria."></definition>
+        </concept>
+        <concept>
+         <code value="VET"></code>
+         <display value="veteran"></display>
+         <definition value="Description: A person playing the role of program eligible under a program based on status as a military veteran.
+
+        
+         Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either &quot;program eligible&quot; or &quot;subscriber&quot; and the persons status as a veteran meets jurisdictional or program criteria."></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_SubscriberCoveredPartyRoleType"></code>
+       <display value="SubscriberCoveredPartyRoleType"></display>
+       <definition value="Description: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="COCBEN"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="RETIREE"></valueCode>
+       </property>
+       <property>
+        <code value="child"></code>
+        <valueCode value="MIL"></valueCode>
+       </property>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ResearchSubjectRoleBasis"></code>
+     <display value="ResearchSubjectRoleBasis"></display>
+     <definition value="Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established.  Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ERL"></code>
+      <display value="enrollment"></display>
+      <definition value="Definition:The specific role being played by a research subject participating in the active treatment or primary data collection portion of a research study."></definition>
+     </concept>
+     <concept>
+      <code value="SCN"></code>
+      <display value="screening"></display>
+      <definition value="Definition:The specific role being played by a research subject participating in the pre-enrollment evaluation portion of  a research study."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ServiceDeliveryLocationRoleType"></code>
+     <display value="ServiceDeliveryLocationRoleType"></display>
+     <definition value="A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_DedicatedServiceDeliveryLocationRoleType"></code>
+      <display value="DedicatedServiceDeliveryLocationRoleType"></display>
+      <definition value="A role of a place that further classifies a setting that is intended to house the provision of services."></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="_DedicatedClinicalLocationRoleType"></code>
+       <display value="DedicatedClinicalLocationRoleType"></display>
+       <definition value="A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="DX"></code>
+        <display value="Diagnostics or therapeutics unit"></display>
+        <definition value="A practice setting where diagnostic procedures or therapeutic interventions are performed"></definition>
+        <concept>
+         <code value="CVDX"></code>
+         <display value="Cardiovascular diagnostics or therapeutics unit"></display>
+         <definition value="A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)"></definition>
+         <concept>
+          <code value="CATH"></code>
+          <display value="Cardiac catheterization lab"></display>
+          <definition value="Cardiac catheterization lab"></definition>
+         </concept>
+         <concept>
+          <code value="ECHO"></code>
+          <display value="Echocardiography lab"></display>
+          <definition value="Echocardiography lab"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="GIDX"></code>
+         <display value="Gastroenterology diagnostics or therapeutics lab"></display>
+         <definition value="A practice setting where GI procedures (such as endoscopies) are performed"></definition>
+         <concept>
+          <code value="ENDOS"></code>
+          <display value="Endoscopy lab"></display>
+          <definition value="(X12N 261QD0000N)"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="RADDX"></code>
+         <display value="Radiology diagnostics or therapeutics unit"></display>
+         <definition value="A practice setting where radiology services (diagnostic or therapeutic) are provided            (X12N 261QR0200N)"></definition>
+         <concept>
+          <code value="RADO"></code>
+          <display value="Radiation oncology unit"></display>
+          <definition value="(X12N 261QX0203N)"></definition>
+         </concept>
+         <concept>
+          <code value="RNEU"></code>
+          <display value="Neuroradiology unit"></display>
+          <definition value="Neuroradiology unit"></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="HOSP"></code>
+        <display value="Hospital"></display>
+        <definition value="An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured."></definition>
+        <concept>
+         <code value="CHR"></code>
+         <display value="Chronic Care Facility"></display>
+         <definition value="(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes"></definition>
+        </concept>
+        <concept>
+         <code value="GACH"></code>
+         <display value="Hospitals; General Acute Care Hospital"></display>
+         <definition value="(X12N 282N00000N)"></definition>
+        </concept>
+        <concept>
+         <code value="MHSP"></code>
+         <display value="Military Hospital"></display>
+         <definition value="A health care facility operated by the Department of Defense or other military operation."></definition>
+        </concept>
+        <concept>
+         <code value="PSYCHF"></code>
+         <display value="Psychatric Care Facility"></display>
+         <definition value="Healthcare facility that cares for patients with psychiatric illness(s)."></definition>
+        </concept>
+        <concept>
+         <code value="RH"></code>
+         <display value="Rehabilitation hospital"></display>
+         <definition value="(X12N 283X00000N)"></definition>
+         <concept>
+          <code value="RHAT"></code>
+          <display value="addiction treatment center"></display>
+          <definition value="Description: A location that plays the role of delivering services which may include life training and/or social support to people with addictions."></definition>
+         </concept>
+         <concept>
+          <code value="RHII"></code>
+          <display value="intellectual impairment center"></display>
+          <definition value="Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with intellectual and/or pervasive development disorders such as autism or severe behaviour disorder."></definition>
+         </concept>
+         <concept>
+          <code value="RHMAD"></code>
+          <display value="parents with adjustment difficulties center"></display>
+          <definition value="Description: A location that plays the role of delivering services which may social support services for adolescents who are pregnant or have child and are experiencing adaptation issues/difficulties in their current or eventual parenting role."></definition>
+         </concept>
+         <concept>
+          <code value="RHPI"></code>
+          <display value="physical impairment center"></display>
+          <definition value="Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with physical impairments."></definition>
+          <concept>
+           <code value="RHPIH"></code>
+           <display value="physical impairment - hearing center"></display>
+           <definition value="Description: A location that plays the role of delivering services for people with hearing impairments."></definition>
+          </concept>
+          <concept>
+           <code value="RHPIMS"></code>
+           <display value="physical impairment - motor skills center"></display>
+           <definition value="Description: A location that plays the role of delivering services for people with motor skill impairments."></definition>
+          </concept>
+          <concept>
+           <code value="RHPIVS"></code>
+           <display value="physical impairment - visual skills center"></display>
+           <definition value="Description: A location that plays the role of delivering services for people with visual skill impairments."></definition>
+          </concept>
+         </concept>
+         <concept>
+          <code value="RHYAD"></code>
+          <display value="youths with adjustment difficulties center"></display>
+          <definition value="Description: A location that plays the role of delivering services which may include life training and/or social support services for the adaption, rehabilitation and social integration of youths with adjustment difficulties."></definition>
+         </concept>
+        </concept>
+       </concept>
+       <concept>
+        <code value="HU"></code>
+        <display value="Hospital unit"></display>
+        <definition value="Hospital unit"></definition>
+        <concept>
+         <code value="BMTU"></code>
+         <display value="Bone marrow transplant unit"></display>
+         <definition value="Bone marrow transplant unit"></definition>
+        </concept>
+        <concept>
+         <code value="CCU"></code>
+         <display value="Coronary care unit"></display>
+         <definition value="Coronary care unit"></definition>
+        </concept>
+        <concept>
+         <code value="CHEST"></code>
+         <display value="Chest unit"></display>
+         <definition value="A specialty unit in hospital that focuses on chronic respirator patients and pulmonary failure"></definition>
+        </concept>
+        <concept>
+         <code value="EPIL"></code>
+         <display value="Epilepsy unit"></display>
+         <definition value="Epilepsy unit"></definition>
+        </concept>
+        <concept>
+         <code value="ER"></code>
+         <display value="Emergency room"></display>
+         <definition value="The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma."></definition>
+         <concept>
+          <code value="ETU"></code>
+          <display value="Emergency trauma unit"></display>
+          <definition value="Emergency trauma unit"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="HD"></code>
+         <display value="Hemodialysis unit"></display>
+         <definition value="Hemodialysis unit"></definition>
+        </concept>
+        <concept>
+         <code value="HLAB"></code>
+         <display value="hospital laboratory"></display>
+         <definition value="Description: A location that plays the role of delivering services which may include tests done based on clinical specimens to get health information about a patient as pertaining to the diagnosis, treatment and prevention of disease.  Hospital laboratories may be further divided into specialized units such as Anatomic Pathology, Microbiology, and Biochemistry."></definition>
+         <concept>
+          <code value="INLAB"></code>
+          <display value="inpatient laboratory"></display>
+          <definition value="Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for a hospital visit longer than one day."></definition>
+         </concept>
+         <concept>
+          <code value="OUTLAB"></code>
+          <display value="outpatient laboratory"></display>
+          <definition value="Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for same day visits."></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="HRAD"></code>
+         <display value="radiology unit"></display>
+         <definition value="Description: A location that plays the role of delivering services which may include the branch of medicine that uses ionizing and non-ionizing radiation to diagnose and treat diseases.  The radiology unit may be further divided into subspecialties such as Imaging, Cardiovascular, Thoracic, and Ultrasound."></definition>
+        </concept>
+        <concept>
+         <code value="HUSCS"></code>
+         <display value="specimen collection site"></display>
+         <definition value="Description: A location that plays the role of delivering services which may include collecting specimens and/or samples from patients for laboratory testing purposes, but does not perform any tests or analysis functions."></definition>
+        </concept>
+        <concept>
+         <code value="ICU"></code>
+         <display value="Intensive care unit"></display>
+         <definition value="Intensive care unit"></definition>
+         <concept>
+          <code value="PEDICU"></code>
+          <display value="Pediatric intensive care unit"></display>
+          <definition value="Pediatric intensive care unit"></definition>
+          <concept>
+           <code value="PEDNICU"></code>
+           <display value="Pediatric neonatal intensive care unit"></display>
+           <definition value="Pediatric neonatal intensive care unit"></definition>
+          </concept>
+         </concept>
+        </concept>
+        <concept>
+         <code value="INPHARM"></code>
+         <display value="inpatient pharmacy"></display>
+         <definition value="Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for visits longer than one day. The distinction between inpatient pharmacies and retail (or outpatient) pharmacies is that they are part of a patient's continuity of care while staying in the hospital."></definition>
+        </concept>
+        <concept>
+         <code value="MBL"></code>
+         <display value="medical laboratory"></display>
+         <definition value="Description: A location that plays the role of delivering services which include biochemistry, hematology, microbiology, immunochemistry, and toxicology."></definition>
+        </concept>
+        <concept>
+         <code value="NCCS"></code>
+         <display value="Neurology critical care and stroke unit"></display>
+         <definition value="Neurology critical care and stroke unit"></definition>
+        </concept>
+        <concept>
+         <code value="NS"></code>
+         <display value="Neurosurgery unit"></display>
+         <definition value="Neurosurgery unit"></definition>
+        </concept>
+        <concept>
+         <code value="OUTPHARM"></code>
+         <display value="outpatient pharmacy"></display>
+         <definition value="Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for outpatient visits and may also be used for discharge prescriptions."></definition>
+        </concept>
+        <concept>
+         <code value="PEDU"></code>
+         <display value="Pediatric unit"></display>
+         <definition value="Pediatric unit"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDICU"></valueCode>
+         </property>
+        </concept>
+        <concept>
+         <code value="PHU"></code>
+         <display value="Psychiatric hospital unit"></display>
+         <definition value="(X12N 273R00000N)"></definition>
+        </concept>
+        <concept>
+         <code value="RHU"></code>
+         <display value="Rehabilitation hospital unit"></display>
+         <definition value="Rehabilitation hospital unit"></definition>
+        </concept>
+        <concept>
+         <code value="SLEEP"></code>
+         <display value="Sleep disorders unit"></display>
+         <definition value="(X12N 261QA1200N)"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="NCCF"></code>
+        <display value="Nursing or custodial care facility"></display>
+        <definition value="Nursing or custodial care facility"></definition>
+        <concept>
+         <code value="SNF"></code>
+         <display value="Skilled nursing facility"></display>
+         <definition value="(X12N 314000000N)"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="OF"></code>
+        <display value="Outpatient facility"></display>
+        <definition value="Outpatient facility"></definition>
+        <concept>
+         <code value="ALL"></code>
+         <display value="Allergy clinic"></display>
+         <definition value="Allergy clinic"></definition>
+        </concept>
+        <concept>
+         <code value="AMPUT"></code>
+         <display value="Amputee clinic"></display>
+         <definition value="Amputee clinic"></definition>
+        </concept>
+        <concept>
+         <code value="BMTC"></code>
+         <display value="Bone marrow transplant clinic"></display>
+         <definition value="Bone marrow transplant clinic"></definition>
+        </concept>
+        <concept>
+         <code value="BREAST"></code>
+         <display value="Breast clinic"></display>
+         <definition value="Breast clinic"></definition>
+        </concept>
+        <concept>
+         <code value="CANC"></code>
+         <display value="Child and adolescent neurology clinic"></display>
+         <definition value="Child and adolescent neurology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="CAPC"></code>
+         <display value="Child and adolescent psychiatry clinic"></display>
+         <definition value="Child and adolescent psychiatry clinic"></definition>
+        </concept>
+        <concept>
+         <code value="CARD"></code>
+         <display value="Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities"></display>
+         <definition value="Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities"></definition>
+         <concept>
+          <code value="PEDCARD"></code>
+          <display value="Pediatric cardiology clinic"></display>
+          <definition value="Pediatric cardiology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="COAG"></code>
+         <display value="Coagulation clinic"></display>
+         <definition value="Coagulation clinic"></definition>
+        </concept>
+        <concept>
+         <code value="CRS"></code>
+         <display value="Colon and rectal surgery clinic"></display>
+         <definition value="Colon and rectal surgery clinic"></definition>
+        </concept>
+        <concept>
+         <code value="DERM"></code>
+         <display value="Dermatology clinic"></display>
+         <definition value="Dermatology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="ENDO"></code>
+         <display value="Endocrinology clinic"></display>
+         <definition value="Endocrinology clinic"></definition>
+         <concept>
+          <code value="PEDE"></code>
+          <display value="Pediatric endocrinology clinic"></display>
+          <definition value="Pediatric endocrinology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="ENT"></code>
+         <display value="Otorhinolaryngology clinic"></display>
+         <definition value="Otorhinolaryngology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="FMC"></code>
+         <display value="Family medicine clinic"></display>
+         <definition value="Family medicine clinic"></definition>
+        </concept>
+        <concept>
+         <code value="GI"></code>
+         <display value="Gastroenterology clinic"></display>
+         <definition value="Gastroenterology clinic"></definition>
+         <concept>
+          <code value="PEDGI"></code>
+          <display value="Pediatric gastroenterology clinic"></display>
+          <definition value="Pediatric gastroenterology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="GIM"></code>
+         <display value="General internal medicine clinic"></display>
+         <definition value="General internal medicine clinic"></definition>
+        </concept>
+        <concept>
+         <code value="GYN"></code>
+         <display value="Gynecology clinic"></display>
+         <definition value="Gynecology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="HEM"></code>
+         <display value="Hematology clinic"></display>
+         <definition value="Hematology clinic"></definition>
+         <concept>
+          <code value="PEDHEM"></code>
+          <display value="Pediatric hematology clinic"></display>
+          <definition value="Pediatric hematology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="HTN"></code>
+         <display value="Hypertension clinic"></display>
+         <definition value="Hypertension clinic"></definition>
+        </concept>
+        <concept>
+         <code value="IEC"></code>
+         <display value="Impairment evaluation center"></display>
+         <definition value="Focuses on assessing disability"></definition>
+        </concept>
+        <concept>
+         <code value="INFD"></code>
+         <display value="Infectious disease clinic"></display>
+         <definition value="Infectious disease clinic"></definition>
+         <concept>
+          <code value="PEDID"></code>
+          <display value="Pediatric infectious disease clinic"></display>
+          <definition value="Pediatric infectious disease clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="INV"></code>
+         <display value="Infertility clinic"></display>
+         <definition value="Infertility clinic"></definition>
+        </concept>
+        <concept>
+         <code value="LYMPH"></code>
+         <display value="Lympedema clinic"></display>
+         <definition value="Lympedema clinic"></definition>
+        </concept>
+        <concept>
+         <code value="MGEN"></code>
+         <display value="Medical genetics clinic"></display>
+         <definition value="Medical genetics clinic"></definition>
+        </concept>
+        <concept>
+         <code value="NEPH"></code>
+         <display value="Nephrology clinic"></display>
+         <definition value="Nephrology clinic"></definition>
+         <concept>
+          <code value="PEDNEPH"></code>
+          <display value="Pediatric nephrology clinic"></display>
+          <definition value="Pediatric nephrology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="NEUR"></code>
+         <display value="Neurology clinic"></display>
+         <definition value="Neurology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="OB"></code>
+         <display value="Obstetrics clinic"></display>
+         <definition value="Obstetrics clinic"></definition>
+        </concept>
+        <concept>
+         <code value="OMS"></code>
+         <display value="Oral and maxillofacial surgery clinic"></display>
+         <definition value="Oral and maxillofacial surgery clinic"></definition>
+        </concept>
+        <concept>
+         <code value="ONCL"></code>
+         <display value="Medical oncology clinic"></display>
+         <definition value="Medical oncology clinic"></definition>
+         <concept>
+          <code value="PEDHO"></code>
+          <display value="Pediatric oncology clinic"></display>
+          <definition value="Pediatric oncology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="OPH"></code>
+         <display value="Opthalmology clinic"></display>
+         <definition value="Opthalmology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="OPTC"></code>
+         <display value="optometry clinic"></display>
+         <definition value="Description: A location that plays the role of delivering services which may include examination, diagnosis, treatment, management, and prevention of diseases and disorders of the eye as well as prescribing and fitting appropriate corrective lenses (glasses or contact lenses) as needed.  Optometry clinics may also provide tests for visual field screening, measuring intra-ocular pressure and ophthalmoscopy, as and when required."></definition>
+        </concept>
+        <concept>
+         <code value="ORTHO"></code>
+         <display value="Orthopedics clinic"></display>
+         <definition value="Orthopedics clinic"></definition>
+         <concept>
+          <code value="HAND"></code>
+          <display value="Hand clinic"></display>
+          <definition value="Hand clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="PAINCL"></code>
+         <display value="Pain clinic"></display>
+         <definition value="(X12N 261QP3300N)"></definition>
+        </concept>
+        <concept>
+         <code value="PC"></code>
+         <display value="Primary care clinic"></display>
+         <definition value="(X12N 261QP2300N)"></definition>
+        </concept>
+        <concept>
+         <code value="PEDC"></code>
+         <display value="Pediatrics clinic"></display>
+         <definition value="Pediatrics clinic"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDCARD"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDE"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDGI"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDHEM"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDID"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDNEPH"></valueCode>
+         </property>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDHO"></valueCode>
+         </property>
+         <concept>
+          <code value="PEDRHEUM"></code>
+          <display value="Pediatric rheumatology clinic"></display>
+          <definition value="Pediatric rheumatology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="POD"></code>
+         <display value="Podiatry clinic"></display>
+         <definition value="(X12N 261QP1100N)"></definition>
+        </concept>
+        <concept>
+         <code value="PREV"></code>
+         <display value="Preventive medicine clinic"></display>
+         <definition value="Preventive medicine clinic"></definition>
+        </concept>
+        <concept>
+         <code value="PROCTO"></code>
+         <display value="Proctology clinic"></display>
+         <definition value="Proctology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="PROFF"></code>
+         <display value="Provider's Office"></display>
+         <definition value="Location where healthcare service was delivered, identified as the healthcare provider's practice office."></definition>
+        </concept>
+        <concept>
+         <code value="PROS"></code>
+         <display value="Prosthodontics clinic"></display>
+         <definition value="Prosthodontics clinic"></definition>
+        </concept>
+        <concept>
+         <code value="PSI"></code>
+         <display value="Psychology clinic"></display>
+         <definition value="Psychology clinic"></definition>
+        </concept>
+        <concept>
+         <code value="PSY"></code>
+         <display value="Psychiatry clinic"></display>
+         <definition value="Psychiatry clinic"></definition>
+        </concept>
+        <concept>
+         <code value="RHEUM"></code>
+         <display value="Rheumatology clinic"></display>
+         <definition value="Rheumatology clinic"></definition>
+         <property>
+          <code value="child"></code>
+          <valueCode value="PEDRHEUM"></valueCode>
+         </property>
+        </concept>
+        <concept>
+         <code value="SPMED"></code>
+         <display value="Sports medicine clinic"></display>
+         <definition value="Sports medicine clinic"></definition>
+        </concept>
+        <concept>
+         <code value="SU"></code>
+         <display value="Surgery clinic"></display>
+         <definition value="Surgery clinic"></definition>
+         <concept>
+          <code value="PLS"></code>
+          <display value="Plastic surgery clinic"></display>
+          <definition value="Plastic surgery clinic"></definition>
+         </concept>
+         <concept>
+          <code value="URO"></code>
+          <display value="Urology clinic"></display>
+          <definition value="Urology clinic"></definition>
+         </concept>
+        </concept>
+        <concept>
+         <code value="TR"></code>
+         <display value="Transplant clinic"></display>
+         <definition value="Transplant clinic"></definition>
+        </concept>
+        <concept>
+         <code value="TRAVEL"></code>
+         <display value="Travel and geographic medicine clinic"></display>
+         <definition value="Travel and geographic medicine clinic"></definition>
+        </concept>
+        <concept>
+         <code value="WND"></code>
+         <display value="Wound clinic"></display>
+         <definition value="Wound clinic"></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="RTF"></code>
+        <display value="Residential treatment facility"></display>
+        <definition value="Residential treatment facility"></definition>
+        <concept>
+         <code value="PRC"></code>
+         <display value="Pain rehabilitation center"></display>
+         <definition value="Pain rehabilitation center"></definition>
+        </concept>
+        <concept>
+         <code value="SURF"></code>
+         <display value="Substance use rehabilitation facility"></display>
+         <definition value="(X12N 324500000N)"></definition>
+        </concept>
+       </concept>
+      </concept>
+      <concept>
+       <code value="_DedicatedNonClinicalLocationRoleType"></code>
+       <display value="DedicatedNonClinicalLocationRoleType"></display>
+       <definition value="A role of a place that further classifies a setting that is intended to house the provision of non-clinical services."></definition>
+       <property>
+        <code value="notSelectable"></code>
+        <valueBoolean value="true"></valueBoolean>
+       </property>
+       <concept>
+        <code value="DADDR"></code>
+        <display value="Delivery Address"></display>
+        <definition value="Location address where medical supplies were transported to for use."></definition>
+       </concept>
+       <concept>
+        <code value="MOBL"></code>
+        <display value="Mobile Unit"></display>
+        <definition value="Location (mobile) where healthcare service was delivered."></definition>
+        <concept>
+         <code value="AMB"></code>
+         <display value="Ambulance"></display>
+         <definition value="Location (mobile) where healthcare service was delivered, identified specifically as an ambulance."></definition>
+        </concept>
+       </concept>
+       <concept>
+        <code value="PHARM"></code>
+        <display value="Pharmacy"></display>
+        <definition value="Location where healthcare service was delivered, identified as a pharmacy."></definition>
+        <property>
+         <code value="child"></code>
+         <valueCode value="INPHARM"></valueCode>
+        </property>
+        <property>
+         <code value="child"></code>
+         <valueCode value="OUTPHARM"></valueCode>
+        </property>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_IncidentalServiceDeliveryLocationRoleType"></code>
+      <display value="IncidentalServiceDeliveryLocationRoleType"></display>
+      <definition value="IncidentalServiceDeliveryLocationRoleType"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="ACC"></code>
+       <display value="accident site"></display>
+       <definition value="Location of an accident where healthcare service was delivered, such as a roadside."></definition>
+      </concept>
+      <concept>
+       <code value="COMM"></code>
+       <display value="Community Location"></display>
+       <definition value="Community location where healthcare is delivered."></definition>
+       <concept>
+        <code value="CSC"></code>
+        <display value="community service center"></display>
+        <definition value="Description: A location that plays the role of delivering services which may include providing front-line services to the population of a defined geographic area such as: healthcare services and social services, preventive or curative, rehabilitation or reintegration."></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="PTRES"></code>
+       <display value="Patient's Residence"></display>
+       <definition value="location where healthcare was delivered which is the residence of the Patient."></definition>
+      </concept>
+      <concept>
+       <code value="SCHOOL"></code>
+       <display value="school"></display>
+       <definition value="Location where healthcare service was delivered, identified as a school or educational facility."></definition>
+      </concept>
+      <concept>
+       <code value="UPC"></code>
+       <display value="underage protection center"></display>
+       <definition value="Description: A location that plays the role of delivering services which may include: social emergency services required for a young person as required under any jurisdictional youth laws, child placement, and family mediation in the defined geographical area the SDL is responsible for. It may provide expertise in a judiciary setting on child custody, adoption and biological history research."></definition>
+      </concept>
+      <concept>
+       <code value="WORK"></code>
+       <display value="work site"></display>
+       <definition value="Location where healthcare service was delivered, identified as a work place."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_SpecimenRoleType"></code>
+     <display value="SpecimenRoleType"></display>
+     <definition value="SpecimenRoleType"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="C"></code>
+      <display value="Calibrator"></display>
+      <definition value="A specimen used for initial calibration settings of an instrument"></definition>
+     </concept>
+     <concept>
+      <code value="G"></code>
+      <display value="Group"></display>
+      <definition value="A set of patient samples in which the individuals of the group may or may not be identified."></definition>
+     </concept>
+     <concept>
+      <code value="L"></code>
+      <display value="Pool"></display>
+      <definition value="Aliquots of individual specimens combined to form a single specimen representing all of the included individuals."></definition>
+     </concept>
+     <concept>
+      <code value="P"></code>
+      <display value="Patient"></display>
+      <definition value="A specimen that has been collected from a patient."></definition>
+     </concept>
+     <concept>
+      <code value="Q"></code>
+      <display value="Quality Control"></display>
+      <definition value="A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test."></definition>
+      <concept>
+       <code value="B"></code>
+       <display value="Blind"></display>
+       <definition value="Quality Control specimen submitted to the lab whose identity and composition is not known to the lab."></definition>
+      </concept>
+      <concept>
+       <code value="E"></code>
+       <display value="Electronic QC"></display>
+       <definition value="An electronically simulated QC specimen"></definition>
+      </concept>
+      <concept>
+       <code value="F"></code>
+       <display value="Filler Proficiency"></display>
+       <definition value="Specimen used for testing proficiency of an organization performing testing (how does this differ from O?)"></definition>
+      </concept>
+      <concept>
+       <code value="O"></code>
+       <display value="Operator Proficiency"></display>
+       <definition value="A specimen used for evaluation of operator proficiency (operator in what context?)"></definition>
+      </concept>
+      <concept>
+       <code value="V"></code>
+       <display value="Verifying"></display>
+       <definition value="A specimen used for periodic calibration checks of instruments"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="R"></code>
+      <display value="Replicate"></display>
+      <definition value="A portion of an original patent sample that is tested at the same time as the original sample"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="CLAIM"></code>
+     <display value="claimant"></display>
+     <definition value="A party that makes a claim for coverage under a policy."></definition>
+    </concept>
+    <concept>
+     <code value="communityLaboratory"></code>
+     <display value="Community Laboratory"></display>
+     <definition value="Community Laboratory"></definition>
+    </concept>
+    <concept>
+     <code value="GT"></code>
+     <display value="Guarantor"></display>
+     <definition value="An individual or organization that makes or gives a promise, assurance, pledge to pay or has paid the healthcare service provider."></definition>
+    </concept>
+    <concept>
+     <code value="homeHealth"></code>
+     <display value="Home Health"></display>
+     <definition value="Home Health"></definition>
+    </concept>
+    <concept>
+     <code value="laboratory"></code>
+     <display value="Laboratory"></display>
+     <definition value="Laboratory"></definition>
+    </concept>
+    <concept>
+     <code value="pathologist"></code>
+     <display value="Pathologist"></display>
+     <definition value="Pathologist"></definition>
+    </concept>
+    <concept>
+     <code value="PH"></code>
+     <display value="Policy Holder"></display>
+     <definition value="Policy holder for the insurance policy."></definition>
+    </concept>
+    <concept>
+     <code value="phlebotomist"></code>
+     <display value="Phlebotomist"></display>
+     <definition value="Phlebotomist"></definition>
+    </concept>
+    <concept>
+     <code value="PROG"></code>
+     <display value="program eligible"></display>
+     <definition value="A party that meets the eligibility criteria for coverage under a program."></definition>
+    </concept>
+    <concept>
+     <code value="PT"></code>
+     <display value="Patient"></display>
+     <definition value="The recipient for the service(s) and/or product(s) when they are not the covered party."></definition>
+    </concept>
+    <concept>
+     <code value="subject"></code>
+     <display value="Self"></display>
+     <definition value="Self"></definition>
+    </concept>
+    <concept>
+     <code value="thirdParty"></code>
+     <display value="Third Party"></display>
+     <definition value="Third Party"></definition>
+    </concept>
+    <concept>
+     <code value="DEP"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="DEPEN"></code>
+     <display value="dependent"></display>
+     <definition value="A party covered under a policy based on association with a subscriber."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="FM"></code>
+     <display value="Family Member"></display>
+     <definition value="A member of the covered party's family. This could be the spouse, a parent, a grand parent, a sibling, etc."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="INDIV"></code>
+     <display value="individual"></display>
+     <definition value="A party covered under a policy as the policyholder."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="NAMED"></code>
+     <display value="named insured"></display>
+     <definition value="A party to an insurance policy to whom the insurer agrees to indemnify for losses, provides benefits for, or renders services."></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="PSYCHCF"></code>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+    <concept>
+     <code value="SUBSCR"></code>
+     <display value="subscriber"></display>
+     <definition value="A party covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage"></definition>
+     <property>
+      <code value="status"></code>
+      <valueCode value="retired"></valueCode>
+     </property>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleLinkStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleLinkStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1137"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleLinkStatus"></name>
+    <title value="v3 Code System RoleLinkStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="  Description:
+Codes representing possible states of a RoleLink, as defined by the RoleLink class state machine."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleLinkStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="NORMAL"></code>
+     <display value="normal"></display>
+     <definition value="Description: The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of a RoleLink instance that was created in error."></definition>
+     <concept>
+      <code value="ACTIVE"></code>
+      <display value="active"></display>
+      <definition value="Description: The state indicates the RoleLink is in progress."></definition>
+     </concept>
+     <concept>
+      <code value="CANCELLED"></code>
+      <display value="cancelled"></display>
+      <definition value="Description: The terminal state resulting from abandoning the RoleLink prior to or after activation."></definition>
+     </concept>
+     <concept>
+      <code value="COMPLETED"></code>
+      <display value="completed"></display>
+      <definition value="Description: The terminal state representing the successful completion of the RoleLink."></definition>
+     </concept>
+     <concept>
+      <code value="PENDING"></code>
+      <display value="pending"></display>
+      <definition value="Description: The state indicates the RoleLink has not yet become active."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="NULLIFIED"></code>
+     <display value="nullified"></display>
+     <definition value="Description: The state representing the termination of a RoleLink instance that was created in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleLinkType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleLinkType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.107"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleLinkType"></name>
+    <title value="v3 Code System RoleLinkType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="**** MISSING DEFINITIONS ****"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleLinkType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="REL"></code>
+     <display value="related"></display>
+     <definition value="An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable.
+
+        Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.Examples:"></definition>
+     <concept>
+      <code value="BACKUP"></code>
+      <display value="is backup for"></display>
+      <definition value="This relationship indicates the source Role is available to the target Role as a backup. An entity in a backup role will be available as a substitute or replacement in the event that the entity assigned the role is unavailable. In medical roles where it is critical that the function be performed and there is a possibility that the individual assigned may be ill or otherwise indisposed, another individual is assigned to cover for the individual originally assigned the role. A backup may be required to be identified, but unless the backup is actually used, he/she would not assume the assigned entity role."></definition>
+     </concept>
+     <concept>
+      <code value="CONT"></code>
+      <display value="has contact"></display>
+      <definition value="This relationship indicates the target Role provides or receives information regarding the target role.  For example, AssignedEntity is a contact for a ServiceDeliveryLocation."></definition>
+     </concept>
+     <concept>
+      <code value="DIRAUTH"></code>
+      <display value="has direct authority over"></display>
+      <definition value="The source Role has direct authority over the target role in a chain of authority."></definition>
+     </concept>
+     <concept>
+      <code value="IDENT"></code>
+      <display value="Identification"></display>
+      <definition value="Description: The source role provides identification for the target role. The source role must be IDENT. The player entity of the source role is constrained to be the same as (i.e. the equivalent of, or equal to) the player of the target role if present. If the player is absent from the source role, then it is assumed to be the same as the player of the target role."></definition>
+     </concept>
+     <concept>
+      <code value="INDAUTH"></code>
+      <display value="has indirect authority over"></display>
+      <definition value="The source Role has indirect authority over the target role in a chain of authority."></definition>
+     </concept>
+     <concept>
+      <code value="PART"></code>
+      <display value="has part"></display>
+      <definition value="The target Role is part of the Source Role."></definition>
+     </concept>
+     <concept>
+      <code value="REPL"></code>
+      <display value="replaces"></display>
+      <definition value="This relationship indicates that the source Role replaces (or subsumes) the target Role.  Allows for new identifiers and/or new effective time for a registry entry or a certification, etc."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-RoleStatus"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1068"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.RoleStatus"></name>
+    <title value="v3 Code System RoleStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Codes representing the defined possible states of an Role, as defined by the Role class state machine."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleStatus"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="normal"></code>
+     <display value="normal"></display>
+     <definition value="The 'typical' state. Excludes &quot;nullified&quot; which represents the termination state of a Role instance that was created in error."></definition>
+     <concept>
+      <code value="active"></code>
+      <display value="active"></display>
+      <definition value="The state representing the fact that the Entity is currently active in the Role."></definition>
+     </concept>
+     <concept>
+      <code value="cancelled"></code>
+      <display value="cancelled"></display>
+      <definition value="The terminal state resulting from cancellation of the role prior to activation."></definition>
+     </concept>
+     <concept>
+      <code value="pending"></code>
+      <display value="pending"></display>
+      <definition value="The state representing that fact that the role has not yet become active."></definition>
+     </concept>
+     <concept>
+      <code value="suspended"></code>
+      <display value="suspended"></display>
+      <definition value="The state that represents a suspension of the Entity playing the Role. This state is arrived at from the &quot;active&quot; state."></definition>
+     </concept>
+     <concept>
+      <code value="terminated"></code>
+      <display value="terminated"></display>
+      <definition value="The state representing the successful termination of the Role."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="nullified"></code>
+     <display value="nullified"></display>
+     <definition value="The state representing the termination of a Role instance that was created in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RouteOfAdministration"></fullUrl>
   <resource>
@@ -47080,10 +55725,10 @@ In spite of the inability of tooling to process codes longer than 2 characters,
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Charset"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Sequencing"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Charset"></id>
+    <id value="v3-Sequencing"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -47093,14 +55738,14 @@ In spite of the inability of tooling to process codes longer than 2 characters,
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Charset"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-Sequencing"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.21"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.113"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.Charset"></name>
-    <title value="v3 Code System Charset"></title>
+    <name value="v3.Sequencing"></name>
+    <title value="v3 Code System Sequencing"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -47111,3046 +55756,34 @@ In spite of the inability of tooling to process codes longer than 2 characters,
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Internet Assigned Numbers Authority (IANA) Charset Types"></description>
+    <description value=" Specifies sequence of sort order."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Charset"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="EBCDIC"></code>
-     <display value="EBCDIC"></display>
-     <definition value="HL7 is indifferent to the use of this Charset."></definition>
-    </concept>
-    <concept>
-     <code value="ISO-10646-UCS-2"></code>
-     <display value="ISO-10646-UCS-2"></display>
-     <definition value="Deprecated for HL7 use."></definition>
-    </concept>
-    <concept>
-     <code value="ISO-10646-UCS-4"></code>
-     <display value="ISO-10646-UCS-4"></display>
-     <definition value="Deprecated for HL7 use."></definition>
-    </concept>
-    <concept>
-     <code value="ISO-8859-1"></code>
-     <display value="ISO-8859-1"></display>
-     <definition value="HL7 is indifferent to the use of this Charset."></definition>
-    </concept>
-    <concept>
-     <code value="ISO-8859-2"></code>
-     <display value="ISO-8859-2"></display>
-     <definition value="HL7 is indifferent to the use of this Charset."></definition>
-    </concept>
-    <concept>
-     <code value="ISO-8859-5"></code>
-     <display value="ISO-8859-5"></display>
-     <definition value="HL7 is indifferent to the use of this Charset."></definition>
-    </concept>
-    <concept>
-     <code value="JIS-2022-JP"></code>
-     <display value="JIS-2022-JP"></display>
-     <definition value="HL7 is indifferent to the use of this Charset."></definition>
-    </concept>
-    <concept>
-     <code value="US-ASCII"></code>
-     <display value="US-ASCII"></display>
-     <definition value="Required for HL7 use."></definition>
-    </concept>
-    <concept>
-     <code value="UTF-7"></code>
-     <display value="UTF-7"></display>
-     <definition value="HL7 is indifferent to the use of this Charset."></definition>
-    </concept>
-    <concept>
-     <code value="UTF-8"></code>
-     <display value="UTF-8"></display>
-     <definition value="Required for Unicode support."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1002"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipType"></name>
-    <title value="v3 Code System ActRelationshipType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" The source is an excerpt from the target."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="ART"></code>
-     <display value="act relationship type"></display>
-     <definition value="Description: A directed association between a source Act and a target Act.
-
-        
-         Usage Note: This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)"></definition>
-     <concept>
-      <code value="_ActClassTemporallyPertains"></code>
-      <display value="ActClassTemporallyPertains"></display>
-      <definition value="ActClassTemporallyPertains"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-     </concept>
-     <concept>
-      <code value="_ActRelationshipAccounting"></code>
-      <display value="ActRelationshipAccounting"></display>
-      <definition value="Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_ActRelationshipCostTracking"></code>
-       <display value="ActRelationshipCostTracking"></display>
-       <definition value="Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="CHRG"></code>
-        <display value="has charge"></display>
-        <definition value="A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source).  A clinical act may have a charge associated with the execution or delivery of the service.
-
-        The financial transaction will define the charge (bill) for delivery or performance of the service.
-
-        Charges and costs are distinct terms.  A charge defines what is charged or billed to another organization or entity within an organization.  The cost defines what it costs an organization to perform or deliver a service or product."></definition>
-       </concept>
-       <concept>
-        <code value="COST"></code>
-        <display value="has cost"></display>
-        <definition value="A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source).  A clinical act may have an inherit cost associated with the execution or delivery of the service.
-
-        The financial transaction will define the cost of delivery or performance of the service.
-
-        Charges and costs are distinct terms.  A charge defines what is charged or billed to another organization or entity within an organization.  The cost defines what it costs an organization to perform or deliver a service or product."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_ActRelationshipPosting"></code>
-       <display value="ActRelationshipPosting"></display>
-       <definition value="Expresses values for describing the relationship between a FinancialTransaction and an Account."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="CREDIT"></code>
-        <display value="has credit"></display>
-        <definition value="A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance."></definition>
-       </concept>
-       <concept>
-        <code value="DEBIT"></code>
-        <display value="has debit"></display>
-        <definition value="A debit relationship ties a financial transaction (target) to an account (source).  A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account.  An asset account debit will increase the account balance.  A non-asset account debit will decrease the account balance."></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_ActRelationshipConditional"></code>
-      <display value="ActRelationshipConditional"></display>
-      <definition value="Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="CIND"></code>
-       <display value="has contra-indication"></display>
-       <definition value="A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used."></definition>
-      </concept>
-      <concept>
-       <code value="PRCN"></code>
-       <display value="has pre-condition"></display>
-       <definition value="A requirement to be true before a service is performed. The target can be any service in criterion mood.  For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable."></definition>
-      </concept>
-      <concept>
-       <code value="RSON"></code>
-       <display value="has reason"></display>
-       <definition value="Description: The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action.  As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication.  Child concepts may be used to describe types of indication. 
-
-        
-         Discussion: In prior releases, the code &quot;SUGG&quot; (suggests) was expressed as &quot;an inversion of the reason link.&quot; That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship."></definition>
-       <concept>
-        <code value="BLOCK"></code>
-        <display value="blocks"></display>
-        <definition value="Definition: The source act is performed to block the effects of the target act.  This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring."></definition>
-       </concept>
-       <concept>
-        <code value="DIAG"></code>
-        <display value="diagnoses"></display>
-        <definition value="Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
-       </concept>
-       <concept>
-        <code value="IMM"></code>
-        <display value="immunization against"></display>
-        <definition value="Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)"></definition>
-        <concept>
-         <code value="ACTIMM"></code>
-         <display value="active immunization against"></display>
-         <definition value="Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)"></definition>
-        </concept>
-        <concept>
-         <code value="PASSIMM"></code>
-         <display value="passive immunization against"></display>
-         <definition value="Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease)."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="MITGT"></code>
-        <display value="mitigates"></display>
-        <definition value="The source act removes or lessens the occurrence or effect of the target act."></definition>
-        <concept>
-         <code value="RCVY"></code>
-         <display value="recovers"></display>
-         <definition value="Definition: The source act is performed to recover from the effects of the target act."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="PRYLX"></code>
-        <display value="prophylaxis of"></display>
-        <definition value="Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
-       </concept>
-       <concept>
-        <code value="TREAT"></code>
-        <display value="treats"></display>
-        <definition value="Description: The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
-        <concept>
-         <code value="ADJUNCT"></code>
-         <display value="adjunctive treatment"></display>
-         <definition value="Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.  It is not a requirement that the non-adjunctive treatment is explicitly specified."></definition>
-        </concept>
-        <concept>
-         <code value="MTREAT"></code>
-         <display value="maintenance treatment"></display>
-         <definition value="Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature."></definition>
-        </concept>
-        <concept>
-         <code value="PALLTREAT"></code>
-         <display value="palliates"></display>
-         <definition value="Description: The source act is intended to provide palliation for the effects of the target act."></definition>
-        </concept>
-        <concept>
-         <code value="SYMP"></code>
-         <display value="symptomatic relief"></display>
-         <definition value="Description: The source act is intented to provide symptomatic relief for the effects of the target act."></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="TRIG"></code>
-       <display value="has trigger"></display>
-       <definition value="A pre-condition that if true should result in the source Act being executed.  The target is in typically in criterion mood.  When reported after the fact (i.e. the criterion has been met) it may be in Event mood.  A delay between the trigger and the triggered action can be specified.
-
-        
-         Discussion: This includes the concept of a  required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_ActRelationshipTemporallyPertains"></code>
-      <display value="ActRelationshipTemporallyPertains"></display>
-      <definition value="Abstract collector for ActRelationhsip types that relate two acts by their timing."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_ActRelationshipTemporallyPertainsApproximates"></code>
-       <display value="ActRelationshipTemporallyPertainsApproximates"></display>
-       <definition value="Abstract collector for ActRelationship types that relate two acts by their approximate timing."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="ENE"></code>
-        <display value="ends near end"></display>
-        <definition value="A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval.
-
-        
-         Usage Note: Inverse code is ENS"></definition>
-        <concept>
-         <code value="ECW"></code>
-         <display value="ends concurrent with"></display>
-         <definition value="A relationship in which the source act's effective time ends with the end of the target act's effective time.
-
-        
-         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
-         <concept>
-          <code value="CONCURRENT"></code>
-          <display value="concurrent with"></display>
-          <definition value="A relationship in which the source act's effective time is the same as the target act's effective time.
-
-        
-         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
-         </concept>
-         <concept>
-          <code value="SBSECWE"></code>
-          <display value="starts before start of, ends with"></display>
-          <definition value="The source Act starts before the start of the target Act, and ends with the target Act.
-
-        
-         UsageNote: Inverse code is SASECWE"></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="ENS"></code>
-        <display value="ends near start"></display>
-        <definition value="A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval.
-
-        
-         Usage Note: Inverse code is ENE"></definition>
-        <concept>
-         <code value="ECWS"></code>
-         <display value="ends concurrent with start of"></display>
-         <definition value="The source Act ends when the target act starts (i.e. if we say &quot;ActOne ECWS ActTwo&quot;, it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target).
-
-        
-         UsageNote: Inverse code is SCWE"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="SNE"></code>
-        <display value="starts near end"></display>
-        <definition value="A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval.
-
-        
-         Usage Note: Inverse code is SNS"></definition>
-        <concept>
-         <code value="SCWE"></code>
-         <display value="starts concurrent with end of"></display>
-         <definition value="The source Act starts when the target act ends (i.e. if we say &quot;ActOne SCWE ActTwo&quot;, it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target).
-
-        
-         UsageNote: Inverse code is SBSECWS"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="SNS"></code>
-        <display value="starts near start"></display>
-        <definition value="A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval.
-
-        
-         Usage Note: Inverse code is SNE"></definition>
-        <concept>
-         <code value="SCW"></code>
-         <display value="starts concurrent with"></display>
-         <definition value="A relationship in which the source act's effective time starts with the start of the target act's effective time.
-
-        
-         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="CONCURRENT"></valueCode>
-         </property>
-         <concept>
-          <code value="SCWSEBE"></code>
-          <display value="starts with. ends before end of"></display>
-          <definition value="The source Act starts with.the target Act and ends before the end of the target Act.
-
-        
-         UsageNote: Inverse code is SCWSEAE"></definition>
-         </concept>
-         <concept>
-          <code value="SCWSEAE"></code>
-          <display value="starts with, ends after end of"></display>
-          <definition value="The source Act starts with the target Act, and ends after the end of the target Act."></definition>
-         </concept>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="EAS"></code>
-       <display value="ends after start of"></display>
-       <definition value="A relationship in which the source act ends after the target act starts.
-
-        
-         UsageNote: Inverse code is SBE"></definition>
-       <concept>
-        <code value="EAE"></code>
-        <display value="ends after end of"></display>
-        <definition value="A relationship in which the source act ends after the target act ends.
-
-        
-         UsageNote: Inverse code is EBE"></definition>
-        <concept>
-         <code value="SASEAE"></code>
-         <display value="starts after start of, ends after end of"></display>
-         <definition value="The source Act starts after start of the target Act and ends after end of the target Act.
-
-        
-         UsageNote: Inverse code is SBSEBE"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SASSBEEAS"></valueCode>
-         </property>
-         <concept>
-          <code value="SBEEAE"></code>
-          <display value="contains end of"></display>
-          <definition value="The source Act contains the end of the target Act.
-
-        
-         UsageNote: Inverse code is EDU"></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="SCWSEAE"></valueCode>
-          </property>
-          <concept>
-           <code value="SASSBEEAS"></code>
-           <display value="start after start of, contains end of"></display>
-           <definition value="The source Act start after the start of the target Act, and contains the end of the target Act.
-
-        
-         UsageNote: Inverse code is SBSEASEBE"></definition>
-          </concept>
-          <concept>
-           <code value="SBSEAE"></code>
-           <display value="contains time of"></display>
-           <definition value="The source Act contains the time of the target Act.
-
-        
-         UsageNote: Inverse code is DURING"></definition>
-          </concept>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="SAS"></code>
-        <display value="starts after start of"></display>
-        <definition value="The source Act starts after the start of the target Act (i.e. if we say &quot;ActOne SAS ActTwo&quot;, it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target).
-
-        
-         UsageNote: Inverse code is SBS"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SASEAE"></valueCode>
-        </property>
-        <concept>
-         <code value="SAE"></code>
-         <display value="starts after end of"></display>
-         <definition value="A relationship in which the source act starts after the target act ends.
-
-        
-         UsageNote: Inverse code is EBS"></definition>
-        </concept>
-        <concept>
-         <code value="DURING"></code>
-         <display value="occurs during"></display>
-         <definition value="A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times)
-
-        
-         UsageNote: Inverse code is SBSEAE"></definition>
-        </concept>
-        <concept>
-         <code value="SASECWE"></code>
-         <display value="starts after start of, ends with"></display>
-         <definition value="The source Act starts after start of the target Act, and ends with the target Act.
-
-        
-         UsageNote: Inverse code is SBSECWE"></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="EASORECWS"></code>
-       <display value="ends after or concurrent with start of"></display>
-       <definition value="A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time.
-
-        
-         Usage Note: Inverse code is EBSORECWS"></definition>
-       <property>
-        <code value="child"></code>
-        <valueCode value="EAS"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="ECWS"></valueCode>
-       </property>
-       <concept>
-        <code value="EAEORECW"></code>
-        <display value="ends after or concurrent with end of"></display>
-        <definition value="A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time.
-
-        
-         Usage Note: Inverse code is EBEORECW"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="EAE"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="ECW"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="INDEPENDENT"></code>
-       <display value="independent of time of"></display>
-       <definition value="The source Act is independent of the time of the target Act.
-
-        
-         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
-      </concept>
-      <concept>
-       <code value="SAEORSCWE"></code>
-       <display value="starts after or concurrent with end of"></display>
-       <definition value="A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time.
-
-        
-         Usage Note: Inverse code is SBEORSCWE"></definition>
-       <property>
-        <code value="child"></code>
-        <valueCode value="SCWE"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="SAE"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="SASORSCW"></code>
-       <display value="starts after or concurrent with start of"></display>
-       <definition value="A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time.
-
-        
-         Usage Note: Inverse code is SBSORSCW"></definition>
-       <property>
-        <code value="child"></code>
-        <valueCode value="SAS"></valueCode>
-       </property>
-       <property>
-        <code value="child"></code>
-        <valueCode value="SCW"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="SBEORSCWE"></code>
-       <display value="starts before or concurrent with end of"></display>
-       <definition value="A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time.
-
-        
-         Usage Note: Inverse code is SAEORSCWE"></definition>
-       <concept>
-        <code value="OVERLAP"></code>
-        <display value="overlaps with"></display>
-        <definition value="A relationship in which the source act's effective time overlaps the target act's effective time in any way.
-
-        
-         UsageNote: This code is reflexive.  Therefore its inverse code is itself."></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="ECW"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SBEEAE"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SCW"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SCWE"></valueCode>
-        </property>
-        <concept>
-         <code value="EDU"></code>
-         <display value="ends during"></display>
-         <definition value="A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times)
-
-        
-         UsageNote: Inverse code is SBEEAE"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SCWSEBE"></valueCode>
-         </property>
-         <concept>
-          <code value="SBSEASEBE"></code>
-          <display value="contains start of, ends before end of"></display>
-          <definition value="The source Act contains the start of the target Act,  and ends before the end of the target Act.
-
-        
-         UsageNote: Inverse code is SASSBEEAS"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="SBSEAS"></code>
-         <display value="contains start of"></display>
-         <definition value="The source Act contains the start of the target Act.
-
-        
-         UsageNote: Inverse code is SDU"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SBSECWE"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SBSEASEBE"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SBSEAE"></valueCode>
-         </property>
-        </concept>
-        <concept>
-         <code value="SDU"></code>
-         <display value="starts during"></display>
-         <definition value="A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times)
-
-        
-         UsageNote: Inverse code is SBSEAS"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SASSBEEAS"></valueCode>
-         </property>
-        </concept>
-       </concept>
-       <concept>
-        <code value="SBE"></code>
-        <display value="starts before end of"></display>
-        <definition value="The source Act starts before the end of the target Act (i.e. if we say &quot;ActOne SBE ActTwo&quot;, it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).
-
-        
-         UsageNote: Inverse code is EAS"></definition>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SBSEASEBE"></valueCode>
-        </property>
-        <property>
-         <code value="child"></code>
-         <valueCode value="SCWSEBE"></valueCode>
-        </property>
-        <concept>
-         <code value="EBE"></code>
-         <display value="ends before end of"></display>
-         <definition value="The source Act ends before the end of the target Act (i.e. if we say &quot;ActOne EBE ActTwo&quot;, it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).
-
-        
-         UsageNote: Inverse code is EAE"></definition>
-         <concept>
-          <code value="SBSEBE"></code>
-          <display value="starts before start of, ends before end of"></display>
-          <definition value="The source Act starts before the start of the target Act, and ends before the end of the target Act.
-
-        
-         UsageNote: Inverse code is SASEAE"></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="SBSEASEBE"></valueCode>
-          </property>
-          <concept>
-           <code value="EBSORECWS"></code>
-           <display value="ends before or concurrent with start of"></display>
-           <definition value="A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time.
-
-        
-         Usage Note: Inverse code is EASORECWS"></definition>
-           <property>
-            <code value="child"></code>
-            <valueCode value="ECWS"></valueCode>
-           </property>
-           <concept>
-            <code value="EBS"></code>
-            <display value="ends before start of"></display>
-            <definition value="A relationship in which the source act ends before the target act starts.
-
-        
-         UsageNote: Inverse code is SAE"></definition>
-           </concept>
-          </concept>
-         </concept>
-        </concept>
-        <concept>
-         <code value="EBEORECW"></code>
-         <display value="ends before or concurrent with end of"></display>
-         <definition value="A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time.
-
-        
-         Usage Note: Inverse code is EAEORECW"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="ECW"></valueCode>
-         </property>
-         <property>
-          <code value="child"></code>
-          <valueCode value="EBE"></valueCode>
-         </property>
-        </concept>
-        <concept>
-         <code value="SBSORSCW"></code>
-         <display value="starts before or concurrent with start of"></display>
-         <definition value="A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time.
-
-        
-         Usage Note: Inverse code is SASORSCW"></definition>
-         <property>
-          <code value="child"></code>
-          <valueCode value="SCW"></valueCode>
-         </property>
-         <concept>
-          <code value="SBS"></code>
-          <display value="starts before start of"></display>
-          <definition value="A relationship in which the source act begins before the target act begins.
-
-        
-         UsageNote: Inverse code is SAS"></definition>
-          <property>
-           <code value="child"></code>
-           <valueCode value="SBSEBE"></valueCode>
-          </property>
-          <property>
-           <code value="child"></code>
-           <valueCode value="SBSEAS"></valueCode>
-          </property>
-         </concept>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="AUTH"></code>
-      <display value="authorized by"></display>
-      <definition value="A relationship in which the target act authorizes or certifies the source act."></definition>
-     </concept>
-     <concept>
-      <code value="CAUS"></code>
-      <display value="is etiology for"></display>
-      <definition value="Description: An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act.
-
-        
-         Examples:
-        
-
-        
-         a growth of Staphylococcus aureus may be considered the cause of an abscess
-         contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced
-         lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the  bed-sides had not been put up which caused the night patient to fall out of bed"></definition>
-     </concept>
-     <concept>
-      <code value="COMP"></code>
-      <display value="has component"></display>
-      <definition value="The target act is a component of the source act, with no semantics regarding composition or aggregation implied."></definition>
-      <concept>
-       <code value="CTRLV"></code>
-       <display value="has control variable"></display>
-       <definition value="A relationship from an Act to a Control Variable.  For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting  the device's settings that influenced the observation."></definition>
-      </concept>
-      <concept>
-       <code value="MBR"></code>
-       <display value="has member"></display>
-       <definition value="The target Acts are aggregated by the source Act.  Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source.
-
-        
-         UsageNotes: This explicitly represents the conventional notion of aggregation.  The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts).
-
-        It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST"></definition>
-       <concept>
-        <code value="STEP"></code>
-        <display value="has step"></display>
-        <definition value="A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.
-
-        
-         UsageNotes: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via  ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.
-
-        
-         OpenIssue: Need Additional guidelines on when each approach should be used."></definition>
-        <concept>
-         <code value="ARR"></code>
-         <display value="arrival"></display>
-         <definition value="The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act."></definition>
-        </concept>
-        <concept>
-         <code value="DEP"></code>
-         <display value="departure"></display>
-         <definition value="The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act."></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PART"></code>
-       <display value="has part"></display>
-       <definition value="The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act.
-
-        
-         UsageNote: In UML 1.1, this is a &quot;composition&quot; defined as: 
-         &quot;A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive.&quot;"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="COVBY"></code>
-      <display value="covered by"></display>
-      <definition value="A relationship in which the source act is covered by or is under the authority of a target act.  A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy."></definition>
-     </concept>
-     <concept>
-      <code value="DRIV"></code>
-      <display value="is derived from"></display>
-      <definition value="Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts."></definition>
-     </concept>
-     <concept>
-      <code value="ELNK"></code>
-      <display value="episodeLink"></display>
-      <definition value="Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter."></definition>
-     </concept>
-     <concept>
-      <code value="EVID"></code>
-      <display value="provides evidence for"></display>
-      <definition value="Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc.
-
-        
-         Rationale: Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies."></definition>
-     </concept>
-     <concept>
-      <code value="EXACBY"></code>
-      <display value="exacerbated by"></display>
-      <definition value="Description:The source act is aggravated by the target act. (Example &quot;chest pain&quot; EXACBY &quot;exercise&quot;)"></definition>
-     </concept>
-     <concept>
-      <code value="EXPL"></code>
-      <display value="has explanation"></display>
-      <definition value="This is the inversion of support.  Used to indicate that a given observation is explained by another observation or condition."></definition>
-     </concept>
-     <concept>
-      <code value="INTF"></code>
-      <display value="interfered by"></display>
-      <definition value="the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act.
-
-        
-         UsageNote: This provides the semantics to document barriers to care"></definition>
-     </concept>
-     <concept>
-      <code value="ITEMSLOC"></code>
-      <display value="items located"></display>
-      <definition value="Items located"></definition>
-     </concept>
-     <concept>
-      <code value="LIMIT"></code>
-      <display value="limited by"></display>
-      <definition value="A relationship that limits or restricts the source act by the elements of the target act.  For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood."></definition>
-     </concept>
-     <concept>
-      <code value="META"></code>
-      <display value="has metadata"></display>
-      <definition value="Definition: Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act.
-
-        
-         Constraint:  Source act must have either a mood code that is not &quot;EVN&quot; (event) or its &quot;isCriterion&quot; attribute must set to &quot;true&quot;.  Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to &quot;true&quot;."></definition>
-     </concept>
-     <concept>
-      <code value="MFST"></code>
-      <display value="is manifestation of"></display>
-      <definition value="An assertion that a new observation may be the manifestation of another existing observation or action.  This assumption is attributed to the same actor who asserts the manifestation.  This is stronger and more specific than an inverted support link.  For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia.  This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition.  The target (cause) may be any service, while the source (manifestation) must be an observation."></definition>
-     </concept>
-     <concept>
-      <code value="NAME"></code>
-      <display value="assigns name"></display>
-      <definition value="Used to assign a &quot;name&quot; to a condition thread. Source is a condition node, target can be any service."></definition>
-     </concept>
-     <concept>
-      <code value="OUTC"></code>
-      <display value="has outcome"></display>
-      <definition value="An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called &quot;post-conditional&quot;.) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used.  An outcome link is often inverted to describe an outcome assessment."></definition>
-      <concept>
-       <code value="_ActRelationsipObjective"></code>
-       <display value="Act Relationsip Objective"></display>
-       <definition value="The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="OBJC"></code>
-        <display value="has continuing objective"></display>
-        <definition value="A desired state that a service action aims to maintain.  E.g., keep systolic blood pressure between 90 and 110 mm Hg.  Source is an intervention service.  Target must be an observation in criterion mood."></definition>
-       </concept>
-       <concept>
-        <code value="OBJF"></code>
-        <display value="has final objective"></display>
-        <definition value="A desired outcome that a service action aims to meet finally.  Source is any service (typically an intervention).  Target must be an observation in criterion mood."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="GOAL"></code>
-       <display value="has goal"></display>
-       <definition value="A goal that one defines given a patient's health condition.  Subsequently planned actions aim to meet that goal.  Source is an observation or condition node, target must be an observation in goal mood."></definition>
-      </concept>
-      <concept>
-       <code value="RISK"></code>
-       <display value="has risk"></display>
-       <definition value="A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="PERT"></code>
-      <display value="has pertinent information"></display>
-      <definition value="This is a very unspecific relationship from one item of clinical information to another.  It does not judge about the role the pertinent information plays."></definition>
-     </concept>
-     <concept>
-      <code value="PREV"></code>
-      <display value="has previous instance"></display>
-      <definition value="A relationship in which the target act is a predecessor instance to the source act.  Generally each of these instances is similar, but no identical.  In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services."></definition>
-     </concept>
-     <concept>
-      <code value="REFR"></code>
-      <display value="refers to"></display>
-      <definition value="A relationship in which the target act is referred to by the source act.  This permits a simple reference relationship that distinguishes between the referent and the referee."></definition>
-      <concept>
-       <code value="USE"></code>
-       <display value="uses"></display>
-       <definition value="Indicates that the source act makes use of (or will make use of) the information content of the target act.
-
-        
-         UsageNotes: A usage relationship only makes sense if the target act is authored and occurs independently of the source act.  Otherwise a simpler relationship such as COMP would be appropriate.
-
-        
-         Rationale: There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications.  This is stronger than the assertion of &quot;references&quot;.  References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="REFV"></code>
-      <display value="has reference values"></display>
-      <definition value="Reference ranges are essentially descriptors of a class of result values assumed to be &quot;normal&quot;, &quot;abnormal&quot;, or &quot;critical.&quot;  Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood.  This link type can act as a trigger in case of alarms being triggered by critical results."></definition>
-     </concept>
-     <concept>
-      <code value="RELVBY"></code>
-      <display value="relieved by"></display>
-      <definition value="Description:The source act is wholly or partially alleviated by the target act. (Example &quot;chest pain&quot; RELVBY &quot;sublingual nitroglycerin administration&quot;)"></definition>
-     </concept>
-     <concept>
-      <code value="SEQL"></code>
-      <display value="is sequel"></display>
-      <definition value="An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation."></definition>
-      <concept>
-       <code value="APND"></code>
-       <display value="is appendage"></display>
-       <definition value="An addendum (source) to an existing service object (target), containing supplemental information.  The addendum is itself an original service object linked to the supplemented service object.  The supplemented service object remains in place and its content and status are unaltered."></definition>
-      </concept>
-      <concept>
-       <code value="BSLN"></code>
-       <display value="has baseline"></display>
-       <definition value="Indicates that the target observation(s) provide an initial reference for the source observation or observation group.
-
-        
-         UsageConstraints: Both source and target must be Observations or specializations thereof."></definition>
-      </concept>
-      <concept>
-       <code value="COMPLY"></code>
-       <display value="complies with"></display>
-       <definition value="Description:The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act.
-
-        Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy."></definition>
-      </concept>
-      <concept>
-       <code value="DOC"></code>
-       <display value="documents"></display>
-       <definition value="The source act documents the target act."></definition>
-      </concept>
-      <concept>
-       <code value="FLFS"></code>
-       <display value="fulfills"></display>
-       <definition value="The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act."></definition>
-       <concept>
-        <code value="OCCR"></code>
-        <display value="occurrence"></display>
-        <definition value="The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the &quot;completion track&quot; but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa)."></definition>
-       </concept>
-       <concept>
-        <code value="OREF"></code>
-        <display value="references order"></display>
-        <definition value="Relates either an appointment request or an appointment to the order for the service being scheduled."></definition>
-       </concept>
-       <concept>
-        <code value="SCH"></code>
-        <display value="schedules request"></display>
-        <definition value="Associates a specific time (and associated resources) with a scheduling request or other intent."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="GEN"></code>
-       <display value="has generalization"></display>
-       <definition value="The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic)."></definition>
-      </concept>
-      <concept>
-       <code value="GEVL"></code>
-       <display value="evaluates (goal)"></display>
-       <definition value="A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a &quot;goal distance&quot; (e.g., goal to observation) can be &quot;calculated&quot; and need not be sent explicitly."></definition>
-      </concept>
-      <concept>
-       <code value="INST"></code>
-       <display value="instantiates (master)"></display>
-       <definition value="Used to capture the link between a potential service (&quot;master&quot; or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults."></definition>
-      </concept>
-      <concept>
-       <code value="MOD"></code>
-       <display value="modifies"></display>
-       <definition value="Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target).
-
-        
-         Usage:The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead.
-
-        Name from source to target = &quot;modifiesPrior&quot;
-
-        Name from target to source = &quot;modifiesByNew&quot;"></definition>
-      </concept>
-      <concept>
-       <code value="MTCH"></code>
-       <display value="matches (trigger)"></display>
-       <definition value="A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood.  For example if the trigger is &quot;observation of pain&quot; and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger."></definition>
-      </concept>
-      <concept>
-       <code value="OPTN"></code>
-       <display value="has option"></display>
-       <definition value="A relationship between a source Act that provides more detailed properties to the target Act.
-
-        The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements.
-
-        The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements.
-
-        Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options."></definition>
-      </concept>
-      <concept>
-       <code value="RCHAL"></code>
-       <display value="re-challenge"></display>
-       <definition value="Description:A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated."></definition>
-      </concept>
-      <concept>
-       <code value="REV"></code>
-       <display value="reverses"></display>
-       <definition value="A relationship between a source Act that seeks to reverse or undo the action of the prior target Act.
-
-        Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction.
-
-        Constraints: the &quot;completion track&quot; mood of the target Act must be equally or more &quot;actual&quot; than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT."></definition>
-      </concept>
-      <concept>
-       <code value="RPLC"></code>
-       <display value="replaces"></display>
-       <definition value="A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference.  The source and target must be of the same type."></definition>
-      </concept>
-      <concept>
-       <code value="SUCC"></code>
-       <display value="succeeds"></display>
-       <definition value="Definition:  A new act that carries forward the intention of the original act, but does not completely replace it.  The status of the predecessor act must be 'completed'.  The original act is the target act and the successor is the source act."></definition>
-      </concept>
-      <concept>
-       <code value="UPDT"></code>
-       <display value="updates (condition)"></display>
-       <definition value="A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread."></definition>
-      </concept>
-      <concept>
-       <code value="XCRPT"></code>
-       <display value="Excerpts"></display>
-       <definition value="The source is an excerpt from the target."></definition>
-       <concept>
-        <code value="VRXCRPT"></code>
-        <display value="Excerpt verbatim"></display>
-        <definition value="The source is a direct quote from the target."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="XFRM"></code>
-       <display value="transformation"></display>
-       <definition value="Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SPRT"></code>
-      <display value="has support"></display>
-      <definition value="Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service  (e.g., to indicate a status post)."></definition>
-      <concept>
-       <code value="SPRTBND"></code>
-       <display value="has bounded support"></display>
-       <definition value="A specialization of &quot;has support&quot; (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area.  For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the  &quot;ST elevation&quot; observation -- the ROI defines the true beginning and ending of the episode.  Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general &quot;has support&quot; relation is used.  Likewise, if a ROI on an image defines the true bounds of a &quot;1st degree burn&quot;, the relation &quot;has bounded support&quot; is used; but if the ROI only points to the approximate area of the burn, the general &quot;has support&quot; relation is used."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SUBJ"></code>
-      <display value="has subject"></display>
-      <definition value="Relates an Act to its subject Act that the first Act is primarily concerned with.
-
-        Examples
-
-        
-         
-          The first Act may be a ControlAct manipulating the subject Act 
-
-         
-         
-          The first act is a region of interest (ROI) that defines a region within the subject Act.
-
-         
-         
-          The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose.
-
-         
-        
-        Constraints
-
-        An Act may have multiple subject acts.
-
-        Rationale
-
-        The ActRelationshipType &quot;has subject&quot; is similar to the ParticipationType &quot;subject&quot;, Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship."></definition>
-      <concept>
-       <code value="QUALF"></code>
-       <display value="has qualifier"></display>
-       <definition value="The target observation qualifies (refines) the semantics of the source observation.
-
-        
-         UsageNote: This is not intended to replace concept refinement and qualification via vocabulary.  It is used when there are multiple components which together provide the complete understanding of the source Act."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SUMM"></code>
-      <display value="summarized by"></display>
-      <definition value="An act that contains summary values for a list or set of subordinate acts.  For example, a summary of transactions for a particular accounting period."></definition>
-     </concept>
-     <concept>
-      <code value="VALUE"></code>
-      <display value="has value"></display>
-      <definition value="Description:Indicates that the target Act represents the result of the source observation Act.
-
-        
-         FormalConstraint: Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified
-
-        
-         UsageNote: This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute.  For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation.
-
-        The valueNegationInd attribute on the source Act has the same semantics of &quot;negated finding&quot; when it applies to the target of a VALUE ActRelationship as it does to the value attribute.  On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding.  Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd.
-
-        
-         OpenIssue: The implications of negationInd on ActRelationship and the valueNegationind on Observation."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="CURE"></code>
-     <display value="curative indication"></display>
-     <definition value="curative indication"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="CURE.ADJ"></code>
-     <display value="adjunct curative indication"></display>
-     <definition value="adjunct curative indication"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="MTGT.ADJ"></code>
-     <display value="adjunct mitigation"></display>
-     <definition value="adjunct mitigation"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="RACT"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="SUGG"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LanguageAbilityMode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-LanguageAbilityMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.60"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.LanguageAbilityMode"></name>
-    <title value="v3 Code System LanguageAbilityMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A value representing the method of expression of the language.  Example:
-Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="ESGN"></code>
-     <display value="Expressed signed"></display>
-     <definition value="Expressed signed"></definition>
-    </concept>
-    <concept>
-     <code value="ESP"></code>
-     <display value="Expressed spoken"></display>
-     <definition value="Expressed spoken"></definition>
-    </concept>
-    <concept>
-     <code value="EWR"></code>
-     <display value="Expressed written"></display>
-     <definition value="Expressed written"></definition>
-    </concept>
-    <concept>
-     <code value="RSGN"></code>
-     <display value="Received signed"></display>
-     <definition value="Received signed"></definition>
-    </concept>
-    <concept>
-     <code value="RSP"></code>
-     <display value="Received spoken"></display>
-     <definition value="Received spoken"></definition>
-    </concept>
-    <concept>
-     <code value="RWR"></code>
-     <display value="Received written"></display>
-     <definition value="Received written"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNameUse"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNameUse"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.45"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNameUse"></name>
-    <title value="v3 Code System EntityNameUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUse"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_NameRepresentationUse"></code>
-     <display value="NameRepresentationUse"></display>
-     <definition value="Identifies the different representations of a name.  The representation may affect how the name is used.  (E.g. use of Ideographic for formal communications.)"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ABC"></code>
-      <display value="Alphabetic"></display>
-      <definition value="Alphabetic transcription of name (Japanese: romaji)"></definition>
-     </concept>
-     <concept>
-      <code value="IDE"></code>
-      <display value="Ideographic"></display>
-      <definition value="Ideographic representation of name (e.g., Japanese kanji, Chinese characters)"></definition>
-     </concept>
-     <concept>
-      <code value="SYL"></code>
-      <display value="Syllabic"></display>
-      <definition value="Syllabic transcription of name (e.g., Japanese kana, Korean hangul)"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="ASGN"></code>
-     <display value="assigned"></display>
-     <definition value="A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call &quot;alias&quot; may fit into this category."></definition>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="License"></display>
-     <definition value="As recorded on a license, record, certificate, etc. (only if different from legal name)"></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Indigenous/Tribal"></display>
-     <definition value="e.g. Chief Red Cloud"></definition>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Legal"></display>
-     <definition value="Known as/conventional/the one you use"></definition>
-     <concept>
-      <code value="OR"></code>
-      <display value="official registry"></display>
-      <definition value="Definition:The formal name as registered in an official (government) registry, but which name might not be commonly used. Particularly used in countries with a law system based on Napoleonic law."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="pseudonym"></display>
-     <definition value="A self asserted name that the person is using or has used."></definition>
-     <concept>
-      <code value="A"></code>
-      <display value="Artist/Stage"></display>
-      <definition value="Includes writer's pseudonym, stage name, etc"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Religious"></display>
-     <definition value="e.g. Sister Mary Francis, Brother John"></definition>
-    </concept>
-    <concept>
-     <code value="SRCH"></code>
-     <display value="search"></display>
-     <definition value="A name intended for use in searching or matching."></definition>
-     <concept>
-      <code value="PHON"></code>
-      <display value="phonetic"></display>
-      <definition value="A name spelled phonetically.
-
-        There are a variety of phonetic spelling algorithms. This code value does not distinguish between these.Discussion:"></definition>
-     </concept>
-     <concept>
-      <code value="SNDX"></code>
-      <display value="Soundex"></display>
-      <definition value="A name spelled according to the SoundEx algorithm."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DocumentCompletion"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-DocumentCompletion"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.33"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.DocumentCompletion"></name>
-    <title value="v3 Code System DocumentCompletion"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies the current completion state of a clinical document."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DocumentCompletion"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AU"></code>
-     <display value="authenticated"></display>
-     <definition value="A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy.  No explicit determination is made that the assigned individual has performed the authentication.  While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual."></definition>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="dictated"></display>
-     <definition value="A completion status in which information has been orally recorded but not yet transcribed."></definition>
-    </concept>
-    <concept>
-     <code value="DO"></code>
-     <display value="documented"></display>
-     <definition value="A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format.  Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text."></definition>
-    </concept>
-    <concept>
-     <code value="IN"></code>
-     <display value="incomplete"></display>
-     <definition value="A completion status in which information is known to be missing from a transcribed document."></definition>
-    </concept>
-    <concept>
-     <code value="IP"></code>
-     <display value="in progress"></display>
-     <definition value="A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed."></definition>
-    </concept>
-    <concept>
-     <code value="LA"></code>
-     <display value="legally authenticated"></display>
-     <definition value="A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression."></definition>
-    </concept>
-    <concept>
-     <code value="NU"></code>
-     <display value="nullified document"></display>
-     <definition value="A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available."></definition>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="pre-authenticated"></display>
-     <definition value="A completion status in which a document is transcribed but not authenticated."></definition>
-    </concept>
-    <concept>
-     <code value="UC"></code>
-     <display value="unsigned completed document"></display>
-     <definition value="A completion status where the document is complete and there is no expectation that the document will be signed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ProbabilityDistributionType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ProbabilityDistributionType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ProbabilityDistributionType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1020"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ProbabilityDistributionType"></name>
-    <title value="v3 Code System ProbabilityDistributionType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProbabilityDistributionType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="beta"></display>
-     <definition value="The beta-distribution is used for data that is bounded on both sides and may or may not be skewed (e.g., occurs when probabilities are estimated.)  Two parameters a and b  are available to adjust the curve.  The mean m and variance s2 relate as follows: m = a/ (a + b) and s2 = ab/((a + b)2 (a + b + 1))."></definition>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="exponential"></display>
-     <definition value="Used for data that describes extinction.  The exponential distribution is a special form of g-distribution where a = 1, hence, the relationship to mean m and variance s2 are m = b and s2 = b2."></definition>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="F"></display>
-     <definition value="Used to describe the quotient of two c2 random variables.  The F-distribution has two parameters n1 and n2, which are the numbers of degrees of freedom of the numerator and denominator variable respectively. The relationship to mean m  and variance s2 are: m = n2 / (n2 - 2) and s2 = (2 n2 (n2 + n1 - 2)) / (n1 (n2 - 2)2 (n2 - 4))."></definition>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="(gamma)"></display>
-     <definition value="The gamma-distribution used for data that is skewed and bounded to the right, i.e. where the maximum of the distribution curve is located near the origin.  The g-distribution has a two parameters a and b.  The relationship to mean m and variance s2 is m = a b and s2 = a b2."></definition>
-    </concept>
-    <concept>
-     <code value="LN"></code>
-     <display value="log-normal"></display>
-     <definition value="The logarithmic normal distribution is used to transform skewed random variable X into a normally distributed random variable U = log X. The log-normal distribution can be specified with the properties mean m and standard deviation s.  Note however that mean m and standard deviation s are the parameters of the raw value distribution, not the transformed parameters of the lognormal distribution that are conventionally referred to by the same letters.  Those log-normal parameters mlog and slog relate to the mean m and standard deviation s of the data value through slog2 = log (s2/m2 + 1) and mlog = log m - slog2/2."></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="normal (Gaussian)"></display>
-     <definition value="This is the well-known bell-shaped normal distribution.  Because of the central limit theorem, the normal distribution is the distribution of choice for an unbounded random variable that is an outcome of a combination of many stochastic processes.  Even for values bounded on a single side (i.e. greater than 0) the normal distribution may be accurate enough if the mean is &quot;far away&quot; from the bound of the scale measured in terms of standard deviations."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="T"></display>
-     <definition value="Used to describe the quotient of a normal random variable and the square root of a c2 random variable.  The t-distribution has one parameter n, the number of degrees of freedom. The relationship to mean m  and variance s2 are: m = 0 and s2 = n / (n - 2)"></definition>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="uniform"></display>
-     <definition value="The uniform distribution assigns a constant probability over the entire interval of possible outcomes, while all outcomes outside this interval are assumed to have zero probability.  The width of this interval is 2s sqrt(3).  Thus, the uniform distribution assigns the probability densities f(x) = sqrt(2 s sqrt(3))  to values m - s sqrt(3) &gt;= x &lt;= m + s sqrt(3) and f(x) = 0 otherwise."></definition>
-    </concept>
-    <concept>
-     <code value="X2"></code>
-     <display value="chi square"></display>
-     <definition value="Used to describe the sum of squares of random variables which occurs when a variance is estimated (rather than presumed) from the sample.  The only parameter of the c2-distribution is n, so called the number of degrees of freedom (which is the number of independent parts in the sum).  The c2-distribution is a special type of g-distribution with parameter a = n /2 and b  = 2.  Hence, m = n and s2 = 2 n."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-IdentifierScope"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-IdentifierScope"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-IdentifierScope"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1116"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.IdentifierScope"></name>
-    <title value="v3 Code System IdentifierScope"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-IdentifierScope"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="BUSN"></code>
-     <display value="Business Identifier"></display>
-     <definition value="Description: An identifier whose scope is defined by the business practices associated with the object. In contrast to the other scope identifiers, the scope of the use of the id is not necessarily restricted to a single object, but may be reused for other objects closely associated with the object due to business practice."></definition>
-    </concept>
-    <concept>
-     <code value="OBJ"></code>
-     <display value="Object Identifier"></display>
-     <definition value="Description: The identifier associated with a particular object. It remains consistent as the object undergoes state transitions."></definition>
-    </concept>
-    <concept>
-     <code value="VER"></code>
-     <display value="Version Identifier"></display>
-     <definition value="Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object. I.e. The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated).
-
-        
-         NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes."></definition>
-    </concept>
-    <concept>
-     <code value="VW"></code>
-     <display value="View Specific Identifier"></display>
-     <definition value="Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object.
-
-        
-         Example The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated).
-
-        
-         NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-PatientImportance"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-PatientImportance"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-PatientImportance"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1075"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.PatientImportance"></name>
-    <title value="v3 Code System PatientImportance"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Patient VIP code"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-PatientImportance"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="BM"></code>
-     <display value="Board Member"></display>
-     <definition value="Board member of health care organization"></definition>
-    </concept>
-    <concept>
-     <code value="DFM"></code>
-     <display value="Physician Family Member"></display>
-     <definition value="Family member of staff physician"></definition>
-    </concept>
-    <concept>
-     <code value="DR"></code>
-     <display value="Staff Physician"></display>
-     <definition value="Member of the health care organization physician staff"></definition>
-    </concept>
-    <concept>
-     <code value="FD"></code>
-     <display value="Financial Donor"></display>
-     <definition value="Financial donor to the health care organization"></definition>
-    </concept>
-    <concept>
-     <code value="FOR"></code>
-     <display value="Foreign Dignitary"></display>
-     <definition value="Foreign citizen dignitary of interest to the health care organization"></definition>
-    </concept>
-    <concept>
-     <code value="GOVT"></code>
-     <display value="Government Dignitary"></display>
-     <definition value="Government dignitary of interest to the organization"></definition>
-    </concept>
-    <concept>
-     <code value="SFM"></code>
-     <display value="Staff Family Member"></display>
-     <definition value="Family member of staff member"></definition>
-    </concept>
-    <concept>
-     <code value="STF"></code>
-     <display value="Staff Member"></display>
-     <definition value="Staff member of the health care organization"></definition>
-    </concept>
-    <concept>
-     <code value="VIP"></code>
-     <display value="Very Important Person"></display>
-     <definition value="Very important person of interest to the health care organization"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DataOperation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-DataOperation"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1123"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.DataOperation"></name>
-    <title value="v3 Code System DataOperation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DataOperation"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="OPERATE"></code>
-     <display value="operate"></display>
-     <definition value="Description:Act on an object or objects."></definition>
-     <concept>
-      <code value="CREATE"></code>
-      <display value="create"></display>
-      <definition value="Description:Fundamental operation in an Information System (IS) that results only in the act of bringing an object into existence. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-     </concept>
-     <concept>
-      <code value="DELETE"></code>
-      <display value="delete"></display>
-      <definition value="Description:Fundamental operation in an Information System (IS) that results only in the removal of information about an object from memory or storage. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
-     </concept>
-     <concept>
-      <code value="EXECUTE"></code>
-      <display value="execute"></display>
-      <definition value="Description:Fundamental operation in an IS that results only in initiating performance of a single or set of programs (i.e., software objects). Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
-     </concept>
-     <concept>
-      <code value="READ"></code>
-      <display value="read"></display>
-      <definition value="Description:Fundamental operation in an Information System (IS) that results only in the flow of information about an object to a subject. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
-     </concept>
-     <concept>
-      <code value="UPDATE"></code>
-      <display value="revise"></display>
-      <definition value="Definition:Fundamental operation in an Information System (IS) that results only in the revision or alteration of an object. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
-      <concept>
-       <code value="APPEND"></code>
-       <display value="append"></display>
-       <definition value="Description:Fundamental operation in an Information System (IS) that results only in the addition of information to an object already in existence. Note: The preceding definition is taken from the HL7 RBAC specification.  There is no restriction on how the operation is invoked, e.g., via a user interface."></definition>
-      </concept>
-      <concept>
-       <code value="MODIFYSTATUS"></code>
-       <display value="modify status"></display>
-       <definition value="Description:Change the status of an object representing an Act."></definition>
-       <concept>
-        <code value="ABORT"></code>
-        <display value="abort"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;aborted&quot;, i.e., terminated prior to the originally intended completion. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="ACTIVATE"></code>
-        <display value="activate"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;active&quot;, i.e., so it can be performed or is being performed, for the first time. (Contrast with REACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="CANCEL"></code>
-        <display value="cancel"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;cancelled&quot;, i.e., abandoned before activation. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="COMPLETE"></code>
-        <display value="complete"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;completed&quot;, i.e., terminated normally after all of its constituents have been performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="HOLD"></code>
-        <display value="hold"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;held&quot;, i.e., put aside an Act that is still in preparatory stages.  No action can occur until the Act is released. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="JUMP"></code>
-        <display value="jump"></display>
-        <definition value="Description:Change the status of an object representing an Act to a normal state. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="NULLIFY"></code>
-        <display value="nullify"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;nullified&quot;, i.e., treat as though it never existed. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="OBSOLETE"></code>
-        <display value="obsolete"></display>
-        <definition value="Description:Change the status of an object representing an Act to &quot;obsolete&quot; when it has been replaced by a new instance. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="REACTIVATE"></code>
-        <display value="reactivate"></display>
-        <definition value="Description:Change the status of a formerly active object representing an Act to &quot;active&quot;, i.e., so it can again be performed or is being performed. (Contrast with ACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="RELEASE"></code>
-        <display value="release"></display>
-        <definition value="Description:Change the status of an object representing an Act so it is no longer &quot;held&quot;, i.e., allow action to occur. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="RESUME"></code>
-        <display value="resume"></display>
-        <definition value="Description:Change the status of a suspended object representing an Act to &quot;active&quot;, i.e., so it can be performed or is being performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model."></definition>
-       </concept>
-       <concept>
-        <code value="SUSPEND"></code>
-        <display value="suspend"></display>
-        <definition value="Definition:Change the status of an object representing an Act to suspended, i.e., so it is temporarily not in service."></definition>
-       </concept>
-      </concept>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipCheckpoint"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipCheckpoint"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipCheckpoint"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.10"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipCheckpoint"></name>
-    <title value="v3 Code System ActRelationshipCheckpoint"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipCheckpoint"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="beginning"></display>
-     <definition value="Condition is tested every time before execution of the service (WHILE condition DO service)."></definition>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="end"></display>
-     <definition value="Condition is tested at the end of a repeated service execution.  The service is repeated only if the condition is true (DO service WHILE condition)."></definition>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="entry"></display>
-     <definition value="Condition is tested once before the service is executed (IF condition THEN service)."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="through"></display>
-     <definition value="Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop).  The service must be interruptible."></definition>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="exit"></display>
-     <definition value="Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ResponseMode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ResponseMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ResponseMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1126"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ResponseMode"></name>
-    <title value="v3 Code System ResponseMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ResponseMode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="D"></code>
-     <display value="deferred"></display>
-     <definition value="The receiver may respond in a non-immediate manner. Note: this will be the default value."></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="immediate"></display>
-     <definition value="The receiver is required to assume that the sender is blocking and behave appropriately by sending an immediate response."></definition>
-    </concept>
-    <concept>
-     <code value="Q"></code>
-     <display value="queue"></display>
-     <definition value="The receiver shall keep any application responses in a queue until such time as the queue is polled."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ObservationCategory"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ObservationCategory"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ObservationCategory"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.222"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ObservationCategory"></name>
-    <title value="v3 Code System ObservationCategory"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" High level observation categories for the general type of observation being made. URL: http://hl7-fhir.github.io/valueset-observation-category.html This is an inline code system http://hl7.org/fhir/observation-category."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationCategory"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="exam"></code>
-     <display value="Exam"></display>
-     <definition value="Observations generated by physical exam findings including direct observations made by a clinician and use of simple instruments and the result of simple maneuvers performed directly on the patient's body."></definition>
-    </concept>
-    <concept>
-     <code value="imaging"></code>
-     <display value="Imaging"></display>
-     <definition value="Observations generated by imaging. The scope includes observations, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine."></definition>
-    </concept>
-    <concept>
-     <code value="laboratory"></code>
-     <display value="Laboratory"></display>
-     <definition value="The results of observations generated by laboratories. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory."></definition>
-    </concept>
-    <concept>
-     <code value="procedure"></code>
-     <display value="Procedure"></display>
-     <definition value="Observations generated by other procedures. This category includes observations resulting from interventional and non-interventional procedures excluding lab and imaging (e.g. cardiology catheterization, endoscopy, electrodiagnostics, etc.). Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy."></definition>
-    </concept>
-    <concept>
-     <code value="social-history"></code>
-     <display value="Social History"></display>
-     <definition value="The Social History Observations define the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation."></definition>
-    </concept>
-    <concept>
-     <code value="survey"></code>
-     <display value="Survey"></display>
-     <definition value="Assessment tool/survey instrument observations (e.g. Apgar Scores, Montreal Cognitive Assessment (MoCA))"></definition>
-    </concept>
-    <concept>
-     <code value="therapy"></code>
-     <display value="Therapy"></display>
-     <definition value="Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)"></definition>
-    </concept>
-    <concept>
-     <code value="vital-signs"></code>
-     <display value="Vital Signs"></display>
-     <definition value="Clinical observations measure the body's basic functions such as such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse oximetry, temperature, and body surface area."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-NullFlavor"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-NullFlavor"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1008"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.NullFlavor"></name>
-    <title value="v3 Code System NullFlavor"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A collection of codes specifying why a valid value is not present."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-NullFlavor"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="child"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#child"></uri>
-     <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of parent/child relationships is defined by the hierarchyMeaning attribute"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="NI"></code>
-     <display value="NoInformation"></display>
-     <definition value="Description:The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value."></definition>
-     <concept>
-      <code value="INV"></code>
-      <display value="invalid"></display>
-      <definition value="Description:The value as represented in the instance is not a member of the set of permitted data values in the constrained value domain of a variable."></definition>
-      <concept>
-       <code value="DER"></code>
-       <display value="derived"></display>
-       <definition value="Description:An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expressionexpression ."></definition>
-      </concept>
-      <concept>
-       <code value="OTH"></code>
-       <display value="other"></display>
-       <definition value="Description:The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).
-
-        
-         Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors.  However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed.  For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.
-
-        With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE.  By definition, all local codes and original text are part of the value set if the coding strength is CWE."></definition>
-       <concept>
-        <code value="NINF"></code>
-        <display value="negative infinity"></display>
-        <definition value="Negative infinity of numbers."></definition>
-       </concept>
-       <concept>
-        <code value="PINF"></code>
-        <display value="positive infinity"></display>
-        <definition value="Positive infinity of numbers."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="UNC"></code>
-       <display value="un-encoded"></display>
-       <definition value="Description: The actual value has not yet been encoded within the approved value domain.
-
-        
-         Example: Original text or a local code has been specified but translation or encoding to the approved value set has not yet occurred due to limitations of the sending system.  Original text has been captured for a PQ, but not attempt has been made to split the value and unit or to encode the unit in UCUM.
-
-        
-         Usage Notes: If it is known that it is not possible to encode the concept, OTH should be used instead.  However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted.
-
-        Data type properties such as original text and translations may be present when this null flavor is included."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="MSK"></code>
-      <display value="masked"></display>
-      <definition value="There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.
-
-        Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided.  Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail."></definition>
-     </concept>
-     <concept>
-      <code value="NA"></code>
-      <display value="not applicable"></display>
-      <definition value="Known to have no proper value (e.g., last menstrual period for a male)."></definition>
-     </concept>
-     <concept>
-      <code value="UNK"></code>
-      <display value="unknown"></display>
-      <definition value="Description:A proper value is applicable, but not known.
-
-        
-         Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:
-
-        
-         Those properties themselves directly translate to a semantic of &quot;unknown&quot;.  (E.g. a local code sent as a translation that conveys 'unknown')
-         Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)"></definition>
-      <concept>
-       <code value="ASKU"></code>
-       <display value="asked but unknown"></display>
-       <definition value="Information was sought but not found (e.g., patient was asked but didn't know)"></definition>
-       <concept>
-        <code value="NAV"></code>
-        <display value="temporarily unavailable"></display>
-        <definition value="Information is not available at this time but it is expected that it will be available later."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="NASK"></code>
-       <display value="not asked"></display>
-       <definition value="This information has not been sought (e.g., patient was not asked)"></definition>
-      </concept>
-      <concept>
-       <code value="NAVU"></code>
-       <display value="Not available"></display>
-       <definition value="Information is not available at this time (with no expectation regarding whether it will or will not be available in the future)."></definition>
-       <property>
-        <code value="child"></code>
-        <valueCode value="NAV"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="QS"></code>
-       <display value="Sufficient Quantity"></display>
-       <definition value="Description:The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor would be used to express the quantity of water."></definition>
-      </concept>
-      <concept>
-       <code value="TRC"></code>
-       <display value="trace"></display>
-       <definition value="The content is greater than zero, but too small to be quantified."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="NP"></code>
-     <display value="not present"></display>
-     <definition value="Value is not present in a message.  This is only defined in messages, never in application data!  All values not present in the message must be replaced by the applicable default, or no-information (NI) as the default of all defaults."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-WorkClassificationODH"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-WorkClassificationODH"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1139"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.WorkClassificationODH"></name>
-    <title value="v3 Code System WorkClassificationODH"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="PWAF"></code>
-     <display value="Paid work, Armed Forces"></display>
-     <definition value="A situation in which an individual serves in a government-sponsored military force."></definition>
-    </concept>
-    <concept>
-     <code value="PWFG"></code>
-     <display value="Paid work, national government, not armed forces"></display>
-     <definition value="A situation in which an individual works for a national government organization, not including armed forces, and receives a paid salary or wage."></definition>
-    </concept>
-    <concept>
-     <code value="PWLG"></code>
-     <display value="Paid work, local government, not armed forces"></display>
-     <definition value="A situation in which an individual works for a government organization with jurisdiction below the level of state/provincial/territorial/tribal government (e.g., city, town, township), not armed forces, and receives a paid salary or wage."></definition>
-    </concept>
-    <concept>
-     <code value="PWNSE"></code>
-     <display value="Paid non-governmental work, not self-employed"></display>
-     <definition value="A situation in which an individual works for a business (not government) that they do not own and receives a paid salary or wage."></definition>
-    </concept>
-    <concept>
-     <code value="PWSE"></code>
-     <display value="Paid work, self-employed"></display>
-     <definition value="A situation in which an individual earns a salary or wage working for himself or herself instead of working for an employer."></definition>
-    </concept>
-    <concept>
-     <code value="PWSG"></code>
-     <display value="Paid work, state government, not armed forces"></display>
-     <definition value="A situation in which an individual works for a government organization with jurisdiction immediately below the level of national government (between national government and local government), not armed forces and receives a paid salary or wage.  Often called a state, provincial, territorial, or tribal government."></definition>
-    </concept>
-    <concept>
-     <code value="UWNSE"></code>
-     <display value="Unpaid non-governmental work, not self-employed"></display>
-     <definition value="A situation in which an individual works for a business (not government) that they do not own without receiving a paid salary or wage."></definition>
-    </concept>
-    <concept>
-     <code value="UWSE"></code>
-     <display value="Unpaid work, self-employed"></display>
-     <definition value="A situation in which an individual works for himself or herself without receiving a paid salary or wage."></definition>
-    </concept>
-    <concept>
-     <code value="VW"></code>
-     <display value="Voluntary work"></display>
-     <definition value="A situation in which an individual chooses to do something, especially for other people or for an organization, willingly and without being forced or compensated to do it.  This can include formal activity undertaken through public, private and voluntary organizations as well as informal community participation."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNameUseR2"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNameUseR2"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNameUseR2"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1120"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNameUseR2"></name>
-    <title value="v3 Code System EntityNameUseR2"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-A set of codes advising a system or user which name in a set of names to select for a given purpose."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNameUseR2"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="Assumed"></code>
-     <display value="Assumed"></display>
-     <definition value="Description:A name that a person has assumed or has been assumed to them."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="A"></code>
-      <display value="business name"></display>
-      <definition value="Description:A name used in a Professional or Business context .  Examples: Continuing to use a maiden name in a professional context, or using a stage performing name (some of these names are also pseudonyms)"></definition>
-     </concept>
-     <concept>
-      <code value="ANON"></code>
-      <display value="Anonymous"></display>
-      <definition value="Description:Anonymous assigned name (used to protect a persons identity for privacy reasons)"></definition>
-     </concept>
-     <concept>
-      <code value="I"></code>
-      <display value="Indigenous/Tribal"></display>
-      <definition value="Description:e.g .  Chief Red Cloud"></definition>
-     </concept>
-     <concept>
-      <code value="P"></code>
-      <display value="Other/Pseudonym/Alias"></display>
-      <definition value="Description:A non-official name by which the person is sometimes known.  (This may also be used to record informal names such as a nickname)"></definition>
-     </concept>
-     <concept>
-      <code value="R"></code>
-      <display value="religious"></display>
-      <definition value="Description:A name assumed as part of a religious vocation .  e.g .  Sister Mary Francis, Brother John"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="C"></code>
-     <display value="customary"></display>
-     <definition value="Description:Known as/conventional/the one you normally use"></definition>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="maiden name"></display>
-     <definition value="Description:A name used prior to marriage.Note that marriage naming customs vary greatly around the world.  This name use is for use by applications that collect and store maiden names.  Though the concept of maiden name is often gender specific, the use of this term is not gender specific.  The use of this term does not imply any particular history for a person's name, nor should the maiden name be determined algorithmically"></definition>
-    </concept>
-    <concept>
-     <code value="NameRepresentationUse"></code>
-     <display value="NameRepresentationUse"></display>
-     <definition value="Description:Identifies the different representations of a name .  The representation may affect how the name is used .  (E.g .  use of Ideographic for formal communications.)"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="ABC"></code>
-      <display value="alphabetic"></display>
-      <definition value="Description:Alphabetic transcription of name in latin alphabet (Japanese: romaji)"></definition>
-     </concept>
-     <concept>
-      <code value="IDE"></code>
-      <display value="ideographic"></display>
-      <definition value="Description:Ideographic representation of name (e.g., Japanese kanji, Chinese characters)"></definition>
-     </concept>
-     <concept>
-      <code value="SYL"></code>
-      <display value="syllabic"></display>
-      <definition value="Description:Syllabic transcription of name (e.g., Japanese kana, Korean hangul)"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="OLD"></code>
-     <display value="no longer in use"></display>
-     <definition value="Description:This name is no longer in use (note: Names may also carry valid time ranges .  This code is used to cover the situations where it is known that the name is no longer valid, but no particular time range for its use is known)"></definition>
-     <concept>
-      <code value="DN"></code>
-      <display value="do not use"></display>
-      <definition value="Description:This name should no longer be used when interacting with the person (i.e .  in addition to no longer being used, the name should not be even mentioned when interacting with the person)Note: applications are not required to compare names labeled &quot;Do Not Use&quot; and other names in order to eliminate name parts that are common between the other name and a name labeled &quot;Do Not Use&quot;."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="OR"></code>
-     <display value="official registry name"></display>
-     <definition value="Description:The formal name as registered in an official (government) registry, but which name might not be commonly used .  May correspond to the concept of legal name"></definition>
-    </concept>
-    <concept>
-     <code value="PHON"></code>
-     <display value="phonetic"></display>
-     <definition value="Description:The name as understood by the data enterer, i.e. a close approximation of a phonetic spelling of the name, not based on a phonetic algorithm."></definition>
-    </concept>
-    <concept>
-     <code value="SRCH"></code>
-     <display value="search"></display>
-     <definition value="Description:A name intended for use in searching or matching.  This is used when the name is incomplete and contains enough details for search matching, but not enough for other uses."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="temporary"></display>
-     <definition value="Description:A temporary name.  Note that a name valid time can provide more detailed information.  This may also be used for temporary names assigned at birth or in emergency situations."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ProcessingMode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ProcessingMode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ProcessingMode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.101"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ProcessingMode"></name>
-    <title value="v3 Code System ProcessingMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ProcessingMode"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Sequencing"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
      <code value="A"></code>
-     <display value="Archive"></display>
-     <definition value="Identifies archive mode of processing."></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Initial load"></display>
-     <definition value="Identifies initial load mode of processing."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Restore from archive"></display>
-     <definition value="Identifies restore mode of processing."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Current processing"></display>
-     <definition value="Identifies on-line mode of processing."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CodingRationale"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-CodingRationale"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-CodingRationale"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1074"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CodingRationale"></name>
-    <title value="v3 Code System CodingRationale"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies how to interpret the instance of the code, codeSystem value in a set of translations.  Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role.  When this code is NULL, it indicates that the translation is an undefined type.  When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CodingRationale"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="O"></code>
-     <display value="originally produced code"></display>
-     <definition value="Description: Originally produced code."></definition>
-    </concept>
-    <concept>
-     <code value="OR"></code>
-     <display value="original and required"></display>
-     <definition value="Originally produced code, required by the specification describing the use of the coded concept."></definition>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="post-coded"></display>
-     <definition value="Description: Post-coded from free text source&lt;/description&gt;"></definition>
-    </concept>
-    <concept>
-     <code value="PR"></code>
-     <display value="post-coded and required"></display>
-     <definition value="Post-coded from free text source, required by the specification describing the use of the coded concept."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="required"></display>
-     <definition value="Description: Required standard code for HL7."></definition>
-    </concept>
-    <concept>
-     <code value="HL7"></code>
-     <display value="HL7 Specified or Mandated"></display>
-     <definition value="HL7 Specified or Mandated"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="SH"></code>
-     <display value="Both HL7 mandated and the original code"></display>
-     <definition value="Both HL7 mandated and the original code (precoordination)"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="SRC"></code>
-     <display value="Source (or original) code"></display>
-     <definition value="Source (or original) code"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HL7StandardVersionCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-HL7StandardVersionCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-HL7StandardVersionCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1097"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.HL7StandardVersionCode"></name>
-    <title value="v3 Code System HL7StandardVersionCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This code system holds version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HL7StandardVersionCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="Ballot2008Jan"></code>
-     <display value="Ballot 2008 January"></display>
-     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2008."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2008May"></code>
-     <display value="Ballot 2008 May"></display>
-     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2008."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2008Sep"></code>
-     <display value="Ballot 2008 September"></display>
-     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2008."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2009Jan"></code>
-     <display value="Ballot 2009 January"></display>
-     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2009."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2009May"></code>
-     <display value="Ballot 2009 May"></display>
-     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2009."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2009Sep"></code>
-     <display value="Ballot 2009 September"></display>
-     <definition value="The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2009."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2010Jan"></code>
-     <display value="Ballot 2010 Jan"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2010."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2010May"></code>
-     <display value="Ballot 2010 May"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2010."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2010Sep"></code>
-     <display value="Ballot 2010 Sep"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2010."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2011Jan"></code>
-     <display value="Ballot 2011 Jan"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2011."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2011May"></code>
-     <display value="Ballot 2011 May"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2011."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2011Sep"></code>
-     <display value="Ballot 2011 Sep"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2011."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2012Jan"></code>
-     <display value="Ballot 2012 Jan"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2012."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2012May"></code>
-     <display value="Ballot 2012 May"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2012."></definition>
-    </concept>
-    <concept>
-     <code value="Ballot2012Sep"></code>
-     <display value="Ballot 2012 Sep"></display>
-     <definition value="Definition: The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2012."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2003-12"></code>
-     <display value="HL7 Version V3-2003-12"></display>
-     <definition value="The consistent set of messaging artefacts as published or contained in repositories in December of 2003, based on the latest version of any V3 models or artefacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) as available in December of 2003. Note: This versioncode does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2005N"></code>
-     <display value="2005 Normative Edition"></display>
-     <definition value="Description:The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2004, based on the latest version of any V3 models or artifacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) as published under the title of Normative Edition 2005. Note: This versioncode does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2006N"></code>
-     <display value="2006 Normative Edition"></display>
-     <definition value="Description:The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2005, based on the latest version of any V3 models or artifacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) as published under the title of Normative Edition 2006. Note: This versioncode does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2008N"></code>
-     <display value="2008 Normative Edition"></display>
-     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2007, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2008. Note: This version code does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2009N"></code>
-     <display value="2009 Normative Edition"></display>
-     <definition value="Description: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2008, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2009. Note: This version code does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2010N"></code>
-     <display value="2010 Normative Edition"></display>
-     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2009, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2010. Note: This version code does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2011N"></code>
-     <display value="2011 Normative Edition"></display>
-     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2010, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2011. Note: This version code does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2012N"></code>
-     <display value="2012 Normative Edition"></display>
-     <definition value="Definition: The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2011, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2012. Note: This version code does not cover the version of the XML ITS."></definition>
-    </concept>
-    <concept>
-     <code value="V3PR1"></code>
-     <display value="Version3 Pre-release #1"></display>
-     <definition value="Includes all material published as part of the ballot package released for vote in July-August 2003."></definition>
-    </concept>
-    <concept>
-     <code value="V3-2007N"></code>
-     <display value="2007 Normative Edition"></display>
-     <definition value="Description:The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2006, based on the latest version of any V3 models or artifacts (RIM, Datatypes, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2007. Note: This versioncode does not cover the version of the XML ITS."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.44"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartType"></name>
-    <title value="v3 Code System EntityNamePartType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="DEL"></code>
-     <display value="delimiter"></display>
-     <definition value="A delimiter has no meaning other than being literally printed in this name representation.  A delimiter has no implicit leading and trailing white space."></definition>
-    </concept>
-    <concept>
-     <code value="FAM"></code>
-     <display value="family"></display>
-     <definition value="Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father."></definition>
-    </concept>
-    <concept>
-     <code value="GIV"></code>
-     <display value="given"></display>
-     <definition value="Given name (don't call it &quot;first name&quot; since this given names do not always come first)"></definition>
-    </concept>
-    <concept>
-     <code value="PFX"></code>
-     <display value="prefix"></display>
-     <definition value="A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted."></definition>
-    </concept>
-    <concept>
-     <code value="SFX"></code>
-     <display value="suffix"></display>
-     <definition value="Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though). Suffices cannot be inverted."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-PersonDisabilityType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-PersonDisabilityType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-PersonDisabilityType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.93"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.PersonDisabilityType"></name>
-    <title value="v3 Code System PersonDisabilityType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code identifying a person's disability."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-PersonDisabilityType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Vision impaired"></display>
-     <definition value="Vision impaired"></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Hearing impaired"></display>
-     <definition value="Hearing impaired"></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Speech impaired"></display>
-     <definition value="Speech impaired"></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Mentally impaired"></display>
-     <definition value="Mentally impaired"></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Mobility impaired"></display>
-     <definition value="Mobility impaired"></definition>
-     <concept>
-      <code value="CB"></code>
-      <display value="Requires crib"></display>
-      <definition value="A crib is required to move the person"></definition>
-     </concept>
-     <concept>
-      <code value="CR"></code>
-      <display value="Requires crutches"></display>
-      <definition value="Person requires crutches to ambulate"></definition>
-     </concept>
-     <concept>
-      <code value="G"></code>
-      <display value="Requires gurney"></display>
-      <definition value="A gurney is required to move the person"></definition>
-     </concept>
-     <concept>
-      <code value="WC"></code>
-      <display value="Requires wheelchair"></display>
-      <definition value="Person requires a wheelchair to be ambulatory"></definition>
-     </concept>
-     <concept>
-      <code value="WK"></code>
-      <display value="Requires walker"></display>
-      <definition value="Person requires a walker to ambulate"></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ResponseLevel"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ResponseLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ResponseLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.108"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ResponseLevel"></name>
-    <title value="v3 Code System ResponseLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ResponseLevel"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="completion"></display>
-     <definition value="Respond with exceptions and a notification of completion"></definition>
+     <display value="Ascending"></display>
+     <definition value="Ascending sequence order."></definition>
     </concept>
     <concept>
      <code value="D"></code>
-     <display value="detail"></display>
-     <definition value="Respond with exceptions, completion, modifications and include more detail information (if applicable)"></definition>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="exception"></display>
-     <definition value="Respond with exceptions only"></definition>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="confirmation"></display>
-     <definition value="Respond with exceptions, completion, and modification with detail (as above), and send positive confirmations even if no modifications are being made."></definition>
+     <display value="Descending"></display>
+     <definition value="Descending sequence order."></definition>
     </concept>
     <concept>
      <code value="N"></code>
-     <display value="message-control"></display>
-     <definition value="Respond only with message level acknowledgements, i.e., only notify acceptance or rejection of the message, do not include any application-level detail"></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="modification"></display>
-     <definition value="Respond with exceptions, completions and modifications or revisions done before completion"></definition>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="none"></display>
-     <definition value="Do not send any kind of response"></definition>
+     <display value="None"></display>
+     <definition value="No enforced sequence order."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RelationshipConjunction"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-SetOperator"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RelationshipConjunction"></id>
+    <id value="v3-SetOperator"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -50160,14 +55793,14 @@ A set of codes advising a system or user which name in a set of names to select
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RelationshipConjunction"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-SetOperator"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.106"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1069"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.RelationshipConjunction"></name>
-    <title value="v3 Code System RelationshipConjunction"></title>
+    <name value="v3.SetOperator"></name>
+    <title value="v3 Code System SetOperator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -50180,32 +55813,57 @@ A set of codes advising a system or user which name in a set of names to select
     </contact>
     <description value="**** MISSING DEFINITIONS ****"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-SetOperator"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
     <concept>
-     <code value="AND"></code>
-     <display value="and"></display>
-     <definition value="This condition must be true."></definition>
+     <code value="_ValueSetOperator"></code>
+     <display value="ValueSetOperator"></display>
+     <definition value="Operations that can be used to associate concepts in a terminology."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="E"></code>
+      <display value="exclude"></display>
+      <definition value="Form the set-difference with this value, i.e., exclude this element or set from the resulting set."></definition>
+     </concept>
+     <concept>
+      <code value="I"></code>
+      <display value="include"></display>
+      <definition value="Form the union with this value, i.e., include this element or set in the resulting set."></definition>
+     </concept>
     </concept>
     <concept>
-     <code value="OR"></code>
-     <display value="or"></display>
-     <definition value="At least one of the condition among all OR conditions must be true."></definition>
+     <code value="A"></code>
+     <display value="intersect"></display>
+     <definition value="Form the intersection with the value."></definition>
     </concept>
     <concept>
-     <code value="XOR"></code>
-     <display value="exclusive or"></display>
-     <definition value="One and only one of the XOR conditions must be true."></definition>
+     <code value="H"></code>
+     <display value="convex hull"></display>
+     <definition value="Form the convex hull with the value. The convex hull is defined over ordered domains and is the smallest contiguous superset (interval) that of all the operand sets."></definition>
+    </concept>
+    <concept>
+     <code value="P"></code>
+     <display value="periodic hull"></display>
+     <definition value="Form the periodic hull with the value. The periodic hull is defined over ordered domains and is the periodic set that contains all contiguous supersets of pairs of intervals generated by the operand periodic intervals."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LocalMarkupIgnore"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-SpecimenType"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-LocalMarkupIgnore"></id>
+    <id value="v3-SpecimenType"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -50215,14 +55873,14 @@ A set of codes advising a system or user which name in a set of names to select
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-LocalMarkupIgnore"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-SpecimenType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.65"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.129"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.LocalMarkupIgnore"></name>
-    <title value="v3 Code System LocalMarkupIgnore"></title>
+    <name value="v3.SpecimenType"></name>
+    <title value="v3 Code System SpecimenType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -50233,9 +55891,1349 @@ A set of codes advising a system or user which name in a set of names to select
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value=&quot;markup&quot;, or to ignore the local markup tags and all contained content when value=&quot;all&quot;"></description>
+    <description value="**** MISSING DEFINITIONS ****"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LocalMarkupIgnore"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-SpecimenType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_SpecimenEntityType"></code>
+     <display value="SpecimenEntityType"></display>
+     <definition value="SpecimenEntityType"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="ABS"></code>
+      <display value="Abcess"></display>
+      <definition value="Abcess"></definition>
+     </concept>
+     <concept>
+      <code value="AMN"></code>
+      <display value="Amniotic fluid"></display>
+      <definition value="Amniotic fluid"></definition>
+     </concept>
+     <concept>
+      <code value="ASP"></code>
+      <display value="Aspirate"></display>
+      <definition value="Aspirate"></definition>
+     </concept>
+     <concept>
+      <code value="BBL"></code>
+      <display value="Blood bag"></display>
+      <definition value="Blood bag"></definition>
+     </concept>
+     <concept>
+      <code value="BDY"></code>
+      <display value="Whole body"></display>
+      <definition value="Whole body"></definition>
+     </concept>
+     <concept>
+      <code value="BIFL"></code>
+      <display value="Bile fluid"></display>
+      <definition value="Bile fluid"></definition>
+     </concept>
+     <concept>
+      <code value="BLD"></code>
+      <display value="Whole blood"></display>
+      <definition value="Whole blood"></definition>
+     </concept>
+     <concept>
+      <code value="BLDA"></code>
+      <display value="Blood arterial"></display>
+      <definition value="Blood arterial"></definition>
+     </concept>
+     <concept>
+      <code value="BLDC"></code>
+      <display value="Blood capillary"></display>
+      <definition value="Blood capillary"></definition>
+     </concept>
+     <concept>
+      <code value="BLDCO"></code>
+      <display value="Blood - cord"></display>
+      <definition value="Blood - cord"></definition>
+     </concept>
+     <concept>
+      <code value="BLDV"></code>
+      <display value="Blood venous"></display>
+      <definition value="Blood venous"></definition>
+     </concept>
+     <concept>
+      <code value="BON"></code>
+      <display value="Bone"></display>
+      <definition value="Bone"></definition>
+     </concept>
+     <concept>
+      <code value="BPH"></code>
+      <display value="Basophils"></display>
+      <definition value="Basophils"></definition>
+     </concept>
+     <concept>
+      <code value="BPU"></code>
+      <display value="Blood product unit"></display>
+      <definition value="Blood product unit"></definition>
+     </concept>
+     <concept>
+      <code value="BRN"></code>
+      <display value="Burn"></display>
+      <definition value="Burn"></definition>
+     </concept>
+     <concept>
+      <code value="BRO"></code>
+      <display value="Bronchial"></display>
+      <definition value="Bronchial"></definition>
+     </concept>
+     <concept>
+      <code value="BRTH"></code>
+      <display value="Exhaled gas (=breath)"></display>
+      <definition value="Exhaled gas (=breath)"></definition>
+     </concept>
+     <concept>
+      <code value="CALC"></code>
+      <display value="Calculus (=Stone)"></display>
+      <definition value="Calculus (=Stone)"></definition>
+     </concept>
+     <concept>
+      <code value="CDM"></code>
+      <display value="Cardiac muscle"></display>
+      <definition value="Cardiac muscle"></definition>
+     </concept>
+     <concept>
+      <code value="CNJT"></code>
+      <display value="Conjunctiva"></display>
+      <definition value="Conjunctiva"></definition>
+     </concept>
+     <concept>
+      <code value="CNL"></code>
+      <display value="Cannula"></display>
+      <definition value="Cannula"></definition>
+     </concept>
+     <concept>
+      <code value="COL"></code>
+      <display value="Colostrum"></display>
+      <definition value="Colostrum"></definition>
+     </concept>
+     <concept>
+      <code value="CRN"></code>
+      <display value="Cornea"></display>
+      <definition value="Cornea"></definition>
+     </concept>
+     <concept>
+      <code value="CSF"></code>
+      <display value="Cerebral spinal fluid"></display>
+      <definition value="Cerebral spinal fluid"></definition>
+     </concept>
+     <concept>
+      <code value="CTP"></code>
+      <display value="Catheter tip"></display>
+      <definition value="Catheter tip"></definition>
+     </concept>
+     <concept>
+      <code value="CUR"></code>
+      <display value="Curettage"></display>
+      <definition value="Curettage"></definition>
+     </concept>
+     <concept>
+      <code value="CVM"></code>
+      <display value="Cervical mucus"></display>
+      <definition value="Cervical mucus"></definition>
+     </concept>
+     <concept>
+      <code value="CVX"></code>
+      <display value="Cervix"></display>
+      <definition value="Cervix"></definition>
+     </concept>
+     <concept>
+      <code value="CYST"></code>
+      <display value="Cyst"></display>
+      <definition value="Cyst"></definition>
+     </concept>
+     <concept>
+      <code value="DIAF"></code>
+      <display value="Dialysis fluid"></display>
+      <definition value="Dialysis fluid"></definition>
+     </concept>
+     <concept>
+      <code value="DOSE"></code>
+      <display value="Dose med or substance"></display>
+      <definition value="Dose med or substance"></definition>
+     </concept>
+     <concept>
+      <code value="DRN"></code>
+      <display value="Drain"></display>
+      <definition value="Drain"></definition>
+     </concept>
+     <concept>
+      <code value="DUFL"></code>
+      <display value="Duodenal fluid"></display>
+      <definition value="Duodenal fluid"></definition>
+     </concept>
+     <concept>
+      <code value="EAR"></code>
+      <display value="Ear"></display>
+      <definition value="Ear"></definition>
+     </concept>
+     <concept>
+      <code value="EARW"></code>
+      <display value="Ear wax (cerumen)"></display>
+      <definition value="Ear wax (cerumen)"></definition>
+     </concept>
+     <concept>
+      <code value="ELT"></code>
+      <display value="Electrode"></display>
+      <definition value="Electrode"></definition>
+     </concept>
+     <concept>
+      <code value="ENDC"></code>
+      <display value="Endocardium"></display>
+      <definition value="Endocardium"></definition>
+     </concept>
+     <concept>
+      <code value="ENDM"></code>
+      <display value="Endometrium"></display>
+      <definition value="Endometrium"></definition>
+     </concept>
+     <concept>
+      <code value="EOS"></code>
+      <display value="Eosinophils"></display>
+      <definition value="Eosinophils"></definition>
+     </concept>
+     <concept>
+      <code value="EYE"></code>
+      <display value="Eye"></display>
+      <definition value="Eye"></definition>
+     </concept>
+     <concept>
+      <code value="FIB"></code>
+      <display value="Fibroblasts"></display>
+      <definition value="Fibroblasts"></definition>
+     </concept>
+     <concept>
+      <code value="FIST"></code>
+      <display value="Fistula"></display>
+      <definition value="Fistula"></definition>
+     </concept>
+     <concept>
+      <code value="FLT"></code>
+      <display value="Filter"></display>
+      <definition value="Filter"></definition>
+     </concept>
+     <concept>
+      <code value="FLU"></code>
+      <display value="Body fluid, unsp"></display>
+      <definition value="Body fluid, unsp"></definition>
+     </concept>
+     <concept>
+      <code value="FOOD"></code>
+      <display value="Food sample"></display>
+      <definition value="Food sample"></definition>
+     </concept>
+     <concept>
+      <code value="GAS"></code>
+      <display value="Gas"></display>
+      <definition value="Gas"></definition>
+     </concept>
+     <concept>
+      <code value="GAST"></code>
+      <display value="Gastric fluid/contents"></display>
+      <definition value="Gastric fluid/contents"></definition>
+     </concept>
+     <concept>
+      <code value="GEN"></code>
+      <display value="Genital"></display>
+      <definition value="Genital"></definition>
+     </concept>
+     <concept>
+      <code value="GENC"></code>
+      <display value="Genital cervix"></display>
+      <definition value="Genital cervix"></definition>
+     </concept>
+     <concept>
+      <code value="GENF"></code>
+      <display value="Genital fluid"></display>
+      <definition value="Genital fluid"></definition>
+     </concept>
+     <concept>
+      <code value="GENL"></code>
+      <display value="Genital lochia"></display>
+      <definition value="Genital lochia"></definition>
+     </concept>
+     <concept>
+      <code value="GENV"></code>
+      <display value="Genital vaginal"></display>
+      <definition value="Genital vaginal"></definition>
+     </concept>
+     <concept>
+      <code value="HAR"></code>
+      <display value="Hair"></display>
+      <definition value="Hair"></definition>
+     </concept>
+     <concept>
+      <code value="IHG"></code>
+      <display value="Inhaled Gas"></display>
+      <definition value="Inhaled Gas"></definition>
+     </concept>
+     <concept>
+      <code value="ISLT"></code>
+      <display value="Isolate"></display>
+      <definition value="Isolate"></definition>
+     </concept>
+     <concept>
+      <code value="IT"></code>
+      <display value="Intubation tube"></display>
+      <definition value="Intubation tube"></definition>
+     </concept>
+     <concept>
+      <code value="LAM"></code>
+      <display value="Lamella"></display>
+      <definition value="Lamella"></definition>
+     </concept>
+     <concept>
+      <code value="LIQ"></code>
+      <display value="Liquid NOS"></display>
+      <definition value="Liquid NOS"></definition>
+     </concept>
+     <concept>
+      <code value="LN"></code>
+      <display value="Line"></display>
+      <definition value="Line"></definition>
+     </concept>
+     <concept>
+      <code value="LNA"></code>
+      <display value="Line arterial"></display>
+      <definition value="Line arterial"></definition>
+     </concept>
+     <concept>
+      <code value="LNV"></code>
+      <display value="Line venous"></display>
+      <definition value="Line venous"></definition>
+     </concept>
+     <concept>
+      <code value="LYM"></code>
+      <display value="Lymphocytes"></display>
+      <definition value="Lymphocytes"></definition>
+     </concept>
+     <concept>
+      <code value="MAC"></code>
+      <display value="Macrophages"></display>
+      <definition value="Macrophages"></definition>
+     </concept>
+     <concept>
+      <code value="MAR"></code>
+      <display value="Marrow (bone)"></display>
+      <definition value="Marrow (bone)"></definition>
+     </concept>
+     <concept>
+      <code value="MBLD"></code>
+      <display value="Menstrual blood"></display>
+      <definition value="Menstrual blood"></definition>
+     </concept>
+     <concept>
+      <code value="MEC"></code>
+      <display value="Meconium"></display>
+      <definition value="Meconium"></definition>
+     </concept>
+     <concept>
+      <code value="MILK"></code>
+      <display value="Breast milk"></display>
+      <definition value="Breast milk"></definition>
+     </concept>
+     <concept>
+      <code value="MLK"></code>
+      <display value="Milk"></display>
+      <definition value="Milk"></definition>
+     </concept>
+     <concept>
+      <code value="NAIL"></code>
+      <display value="Nail"></display>
+      <definition value="Nail"></definition>
+     </concept>
+     <concept>
+      <code value="NOS"></code>
+      <display value="Nose (nasal passage)"></display>
+      <definition value="Nose (nasal passage)"></definition>
+     </concept>
+     <concept>
+      <code value="PAFL"></code>
+      <display value="Pancreatic fluid"></display>
+      <definition value="Pancreatic fluid"></definition>
+     </concept>
+     <concept>
+      <code value="PAT"></code>
+      <display value="Patient"></display>
+      <definition value="Patient"></definition>
+     </concept>
+     <concept>
+      <code value="PLAS"></code>
+      <display value="Plasma"></display>
+      <definition value="Plasma"></definition>
+     </concept>
+     <concept>
+      <code value="PLB"></code>
+      <display value="Plasma bag"></display>
+      <definition value="Plasma bag"></definition>
+     </concept>
+     <concept>
+      <code value="PLC"></code>
+      <display value="Placenta"></display>
+      <definition value="Placenta"></definition>
+     </concept>
+     <concept>
+      <code value="PLR"></code>
+      <display value="Pleural fluid (thoracentesis fld)"></display>
+      <definition value="Pleural fluid (thoracentesis fld)"></definition>
+     </concept>
+     <concept>
+      <code value="PMN"></code>
+      <display value="Polymorphonuclear neutrophils"></display>
+      <definition value="Polymorphonuclear neutrophils"></definition>
+     </concept>
+     <concept>
+      <code value="PPP"></code>
+      <display value="Platelet poor plasma"></display>
+      <definition value="Platelet poor plasma"></definition>
+     </concept>
+     <concept>
+      <code value="PRP"></code>
+      <display value="Platelet rich plasma"></display>
+      <definition value="Platelet rich plasma"></definition>
+     </concept>
+     <concept>
+      <code value="PRT"></code>
+      <display value="Peritoneal fluid /ascites"></display>
+      <definition value="Peritoneal fluid /ascites"></definition>
+     </concept>
+     <concept>
+      <code value="PUS"></code>
+      <display value="Pus"></display>
+      <definition value="Pus"></definition>
+     </concept>
+     <concept>
+      <code value="RBC"></code>
+      <display value="Erythrocytes"></display>
+      <definition value="Erythrocytes"></definition>
+     </concept>
+     <concept>
+      <code value="SAL"></code>
+      <display value="Saliva"></display>
+      <definition value="Saliva"></definition>
+     </concept>
+     <concept>
+      <code value="SER"></code>
+      <display value="Serum"></display>
+      <definition value="Serum"></definition>
+     </concept>
+     <concept>
+      <code value="SKM"></code>
+      <display value="Skeletal muscle"></display>
+      <definition value="Skeletal muscle"></definition>
+     </concept>
+     <concept>
+      <code value="SKN"></code>
+      <display value="Skin"></display>
+      <definition value="Skin"></definition>
+     </concept>
+     <concept>
+      <code value="SMN"></code>
+      <display value="Seminal fluid"></display>
+      <definition value="Seminal fluid"></definition>
+     </concept>
+     <concept>
+      <code value="SMPLS"></code>
+      <display value="Seminal plasma"></display>
+      <definition value="Seminal plasma"></definition>
+     </concept>
+     <concept>
+      <code value="SNV"></code>
+      <display value="Synovial fluid (Joint fluid)"></display>
+      <definition value="Synovial fluid (Joint fluid)"></definition>
+     </concept>
+     <concept>
+      <code value="SPRM"></code>
+      <display value="Spermatozoa"></display>
+      <definition value="Spermatozoa"></definition>
+     </concept>
+     <concept>
+      <code value="SPT"></code>
+      <display value="Sputum"></display>
+      <definition value="Sputum"></definition>
+     </concept>
+     <concept>
+      <code value="SPTC"></code>
+      <display value="Sputum - coughed"></display>
+      <definition value="Sputum - coughed"></definition>
+     </concept>
+     <concept>
+      <code value="SPTT"></code>
+      <display value="Sputum - tracheal aspirate"></display>
+      <definition value="Sputum - tracheal aspirate"></definition>
+     </concept>
+     <concept>
+      <code value="STL"></code>
+      <display value="Stool = Fecal"></display>
+      <definition value="Stool = Fecal"></definition>
+     </concept>
+     <concept>
+      <code value="SWT"></code>
+      <display value="Sweat"></display>
+      <definition value="Sweat"></definition>
+     </concept>
+     <concept>
+      <code value="TEAR"></code>
+      <display value="Tears"></display>
+      <definition value="Tears"></definition>
+     </concept>
+     <concept>
+      <code value="THRB"></code>
+      <display value="Thrombocyte (platelet)"></display>
+      <definition value="Thrombocyte (platelet)"></definition>
+     </concept>
+     <concept>
+      <code value="THRT"></code>
+      <display value="Throat"></display>
+      <definition value="Throat"></definition>
+     </concept>
+     <concept>
+      <code value="TISG"></code>
+      <display value="Tissue gall bladder"></display>
+      <definition value="Tissue gall bladder"></definition>
+     </concept>
+     <concept>
+      <code value="TISPL"></code>
+      <display value="Tissue placenta"></display>
+      <definition value="Tissue placenta"></definition>
+     </concept>
+     <concept>
+      <code value="TISS"></code>
+      <display value="Tissue, unspecified"></display>
+      <definition value="Tissue, unspecified"></definition>
+     </concept>
+     <concept>
+      <code value="TISU"></code>
+      <display value="Tissue ulcer"></display>
+      <definition value="Tissue ulcer"></definition>
+     </concept>
+     <concept>
+      <code value="TLGI"></code>
+      <display value="Tissue large intestine"></display>
+      <definition value="Tissue large intestine"></definition>
+     </concept>
+     <concept>
+      <code value="TLNG"></code>
+      <display value="Tissue lung"></display>
+      <definition value="Tissue lung"></definition>
+     </concept>
+     <concept>
+      <code value="TSMI"></code>
+      <display value="Tissue small intestine Tissue ulcer"></display>
+      <definition value="Tissue small intestine Tissue ulcer"></definition>
+     </concept>
+     <concept>
+      <code value="TUB"></code>
+      <display value="Tube, unspecified"></display>
+      <definition value="Tube, unspecified"></definition>
+     </concept>
+     <concept>
+      <code value="ULC"></code>
+      <display value="Ulcer"></display>
+      <definition value="Ulcer"></definition>
+     </concept>
+     <concept>
+      <code value="UMB"></code>
+      <display value="Umbilical blood"></display>
+      <definition value="Umbilical blood"></definition>
+     </concept>
+     <concept>
+      <code value="UMED"></code>
+      <display value="Unknown medicine"></display>
+      <definition value="Unknown medicine"></definition>
+     </concept>
+     <concept>
+      <code value="UR"></code>
+      <display value="Urine"></display>
+      <definition value="Urine"></definition>
+     </concept>
+     <concept>
+      <code value="URC"></code>
+      <display value="Urine clean catch"></display>
+      <definition value="Urine clean catch"></definition>
+     </concept>
+     <concept>
+      <code value="URNS"></code>
+      <display value="Urine sediment"></display>
+      <definition value="Urine sediment"></definition>
+     </concept>
+     <concept>
+      <code value="URT"></code>
+      <display value="Urine catheter"></display>
+      <definition value="Urine catheter"></definition>
+     </concept>
+     <concept>
+      <code value="URTH"></code>
+      <display value="Urethra"></display>
+      <definition value="Urethra"></definition>
+     </concept>
+     <concept>
+      <code value="USUB"></code>
+      <display value="Unknown substance"></display>
+      <definition value="Unknown substance"></definition>
+     </concept>
+     <concept>
+      <code value="VOM"></code>
+      <display value="Vomitus"></display>
+      <definition value="Vomitus"></definition>
+     </concept>
+     <concept>
+      <code value="WAT"></code>
+      <display value="Water"></display>
+      <definition value="Water"></definition>
+     </concept>
+     <concept>
+      <code value="WBC"></code>
+      <display value="Leukocytes"></display>
+      <definition value="Leukocytes"></definition>
+     </concept>
+     <concept>
+      <code value="WICK"></code>
+      <display value="Wick"></display>
+      <definition value="Wick"></definition>
+     </concept>
+     <concept>
+      <code value="WND"></code>
+      <display value="Wound"></display>
+      <definition value="Wound"></definition>
+     </concept>
+     <concept>
+      <code value="WNDA"></code>
+      <display value="Wound abscess"></display>
+      <definition value="Wound abscess"></definition>
+     </concept>
+     <concept>
+      <code value="WNDD"></code>
+      <display value="Wound drainage"></display>
+      <definition value="Wound drainage"></definition>
+     </concept>
+     <concept>
+      <code value="WNDE"></code>
+      <display value="Wound exudate"></display>
+      <definition value="Wound exudate"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-styleType"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-styleType"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-styleType"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1095"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.styleType"></name>
+    <title value="v3 Code System styleType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" &lt;ns1:p&gt;The style code is used within the CDA/SPL narrative block to give the instance author some control over various aspects of style&lt;/ns1:p&gt;"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-styleType"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_FontStyle"></code>
+     <display value="Font Style"></display>
+     <definition value="Defines font rendering characteristics"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="bold"></code>
+      <display value="Bold Font"></display>
+      <definition value="Render with a bold font"></definition>
+     </concept>
+     <concept>
+      <code value="emphasis"></code>
+      <display value="Emphasised Font"></display>
+      <definition value="Render with with some type of emphasis"></definition>
+     </concept>
+     <concept>
+      <code value="italics"></code>
+      <display value="Italics Font"></display>
+      <definition value="Render italicized"></definition>
+     </concept>
+     <concept>
+      <code value="underline"></code>
+      <display value="Underline Font"></display>
+      <definition value="Render with an underline font"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_ListStyle"></code>
+     <display value="List Style"></display>
+     <definition value="Defines list rendering characteristics"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="_OrderedListStyle"></code>
+      <display value="Ordered List Style"></display>
+      <definition value="Defines rendering characteristics for ordered lists"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="Arabic"></code>
+       <display value="Arabic"></display>
+       <definition value="List is ordered using Arabic numerals: 1, 2, 3"></definition>
+      </concept>
+      <concept>
+       <code value="BigAlpha"></code>
+       <display value="Big Alpha"></display>
+       <definition value="List is ordered using big alpha characters: A, B, C"></definition>
+      </concept>
+      <concept>
+       <code value="BigRoman"></code>
+       <display value="Big Roman"></display>
+       <definition value="List is ordered using big Roman numerals: I, II, III"></definition>
+      </concept>
+      <concept>
+       <code value="LittleAlpha"></code>
+       <display value="Little Alpha"></display>
+       <definition value="List is order using little alpha characters: a, b, c"></definition>
+      </concept>
+      <concept>
+       <code value="LittleRoman"></code>
+       <display value="Little Roman"></display>
+       <definition value="List is ordered using little Roman numerals: i, ii, iii"></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="_UnorderedListStyle"></code>
+      <display value="Unordered List Style"></display>
+      <definition value="Defines rendering characteristics for unordered lists"></definition>
+      <property>
+       <code value="notSelectable"></code>
+       <valueBoolean value="true"></valueBoolean>
+      </property>
+      <concept>
+       <code value="Circle"></code>
+       <display value="Circle"></display>
+       <definition value="List bullets are hollow discs"></definition>
+      </concept>
+      <concept>
+       <code value="Disc"></code>
+       <display value="Disc"></display>
+       <definition value="List bullets are simple solid discs"></definition>
+      </concept>
+      <concept>
+       <code value="Square"></code>
+       <display value="Square"></display>
+       <definition value="List bullets are solid squares"></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="_TableRuleStyle"></code>
+     <display value="Table Rule Style"></display>
+     <definition value="Defines table cell rendering characteristics"></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="Botrule"></code>
+      <display value="Bottom Rule"></display>
+      <definition value="Render cell with rule on bottom"></definition>
+     </concept>
+     <concept>
+      <code value="Lrule"></code>
+      <display value="Left-sided rule"></display>
+      <definition value="Render cell with left-sided rule"></definition>
+     </concept>
+     <concept>
+      <code value="Rrule"></code>
+      <display value="Right-sided rule"></display>
+      <definition value="Render cell with right-sided rule"></definition>
+     </concept>
+     <concept>
+      <code value="Toprule"></code>
+      <display value="Top Rule"></display>
+      <definition value="Render cell with rule on top"></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-substanceAdminSubstitution"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-substanceAdminSubstitution"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1070"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.substanceAdminSubstitution"></name>
+    <title value="v3 Code System substanceAdminSubstitution"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-substanceAdminSubstitution"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_ActSubstanceAdminSubstitutionCode"></code>
+     <display value="ActSubstanceAdminSubstitutionCode"></display>
+     <definition value="Description: Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological and therapeutic effects."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="E"></code>
+      <display value="equivalent"></display>
+      <definition value="Description: Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product."></definition>
+      <concept>
+       <code value="EC"></code>
+       <display value="equivalent composition"></display>
+       <definition value="Description: 
+        
+
+        Substitution occurred or is permitted with another product that is a:
+
+        
+         pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester
+         pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration
+        
+        
+         Examples: 
+        
+
+        
+         
+          Pharmaceutical alternative: Erythromycin Ethylsuccinate for Erythromycin Stearate
+         
+          Pharmaceutical equivalent: Lisonpril for Zestril"></definition>
+       <concept>
+        <code value="BC"></code>
+        <display value="brand composition"></display>
+        <definition value="Description: 
+        
+
+        Substitution occurred or is permitted between equivalent Brands but not Generics
+
+        
+         Examples: 
+        
+
+        
+         Zestril  for Prinivil
+         Coumadin for Jantoven"></definition>
+       </concept>
+       <concept>
+        <code value="G"></code>
+        <display value="generic composition"></display>
+        <definition value="Description: Substitution occurred or is permitted between equivalent Generics but not Brands
+
+        
+         Examples: 
+        
+
+        
+         Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp)"></definition>
+       </concept>
+      </concept>
+      <concept>
+       <code value="TE"></code>
+       <display value="therapeutic alternative"></display>
+       <definition value="Description: Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile.
+
+        
+         Examples: 
+        
+
+        
+         ranitidine for Tagamet"></definition>
+       <concept>
+        <code value="TB"></code>
+        <display value="therapeutic brand"></display>
+        <definition value="Description: Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics
+&gt;
+         Examples: 
+        
+
+        
+         Zantac for Tagamet"></definition>
+       </concept>
+       <concept>
+        <code value="TG"></code>
+        <display value="therapeutic generic"></display>
+        <definition value="Description: Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands
+&gt;
+         Examples: 
+        
+
+        
+         Ranitidine  for cimetidine"></definition>
+       </concept>
+      </concept>
+     </concept>
+     <concept>
+      <code value="F"></code>
+      <display value="formulary"></display>
+      <definition value="Description: This substitution was performed or is permitted based on formulary guidelines."></definition>
+     </concept>
+     <concept>
+      <code value="N"></code>
+      <display value="none"></display>
+      <definition value="No substitution occurred or is permitted."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-SubstitutionCondition"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-SubstitutionCondition"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.1071"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.SubstitutionCondition"></name>
+    <title value="v3 Code System SubstitutionCondition"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstitutionCondition"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="_Conditional"></code>
+     <display value="Conditional"></display>
+     <definition value="Some conditions may be attached to an allowable substitution.  An allowable substitution is based on a match to any other attributes that may be specified."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="CONFIRM"></code>
+      <display value="Confirm first"></display>
+      <definition value="Confirmation with Contact Person prior to making any substitutions has or will occur."></definition>
+     </concept>
+     <concept>
+      <code value="NOTIFY"></code>
+      <display value="Notify first"></display>
+      <definition value="Notification to the Contact Person, prior to substitution and through normal institutional procedures, has or will be made."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="NOSUB"></code>
+     <display value="No substitution"></display>
+     <definition value="Substitution is not permitted."></definition>
+    </concept>
+    <concept>
+     <code value="UNCOND"></code>
+     <display value="Unconditional"></display>
+     <definition value="No conditions are required."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableCellHorizontalAlign"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-TableCellHorizontalAlign"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TableCellHorizontalAlign"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.131"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableCellHorizontalAlign"></name>
+    <title value="v3 Code System TableCellHorizontalAlign"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableCellHorizontalAlign"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="center"></code>
+     <display value="center"></display>
+     <definition value="center"></definition>
+    </concept>
+    <concept>
+     <code value="char"></code>
+     <display value="char"></display>
+     <definition value="char"></definition>
+    </concept>
+    <concept>
+     <code value="justify"></code>
+     <display value="justify"></display>
+     <definition value="justify"></definition>
+    </concept>
+    <concept>
+     <code value="left"></code>
+     <display value="left"></display>
+     <definition value="left"></definition>
+    </concept>
+    <concept>
+     <code value="right"></code>
+     <display value="right"></display>
+     <definition value="right"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableCellScope"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-TableCellScope"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TableCellScope"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.132"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableCellScope"></name>
+    <title value="v3 Code System TableCellScope"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableCellScope"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="col"></code>
+     <display value="col"></display>
+     <definition value="col"></definition>
+    </concept>
+    <concept>
+     <code value="colgroup"></code>
+     <display value="colgroup"></display>
+     <definition value="colgroup"></definition>
+    </concept>
+    <concept>
+     <code value="row"></code>
+     <display value="row"></display>
+     <definition value="row"></definition>
+    </concept>
+    <concept>
+     <code value="rowgroup"></code>
+     <display value="rowgroup"></display>
+     <definition value="rowgroup"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableCellVerticalAlign"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-TableCellVerticalAlign"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TableCellVerticalAlign"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.133"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableCellVerticalAlign"></name>
+    <title value="v3 Code System TableCellVerticalAlign"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableCellVerticalAlign"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="baseline"></code>
+     <display value="baseline"></display>
+     <definition value="baseline"></definition>
+    </concept>
+    <concept>
+     <code value="bottom"></code>
+     <display value="bottom"></display>
+     <definition value="bottom"></definition>
+    </concept>
+    <concept>
+     <code value="middle"></code>
+     <display value="middle"></display>
+     <definition value="middle"></definition>
+    </concept>
+    <concept>
+     <code value="top"></code>
+     <display value="top"></display>
+     <definition value="top"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableFrame"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-TableFrame"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TableFrame"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.134"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableFrame"></name>
+    <title value="v3 Code System TableFrame"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableFrame"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="above"></code>
+     <display value="above"></display>
+     <definition value="above"></definition>
+    </concept>
+    <concept>
+     <code value="below"></code>
+     <display value="below"></display>
+     <definition value="below"></definition>
+    </concept>
+    <concept>
+     <code value="border"></code>
+     <display value="border"></display>
+     <definition value="border"></definition>
+    </concept>
+    <concept>
+     <code value="box"></code>
+     <display value="box"></display>
+     <definition value="box"></definition>
+    </concept>
+    <concept>
+     <code value="hsides"></code>
+     <display value="hsides"></display>
+     <definition value="hsides"></definition>
+    </concept>
+    <concept>
+     <code value="lhs"></code>
+     <display value="lhs"></display>
+     <definition value="lhs"></definition>
+    </concept>
+    <concept>
+     <code value="rhs"></code>
+     <display value="rhs"></display>
+     <definition value="rhs"></definition>
+    </concept>
+    <concept>
+     <code value="void"></code>
+     <display value="void"></display>
+     <definition value="void"></definition>
+    </concept>
+    <concept>
+     <code value="vsides"></code>
+     <display value="vsides"></display>
+     <definition value="vsides"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TableRules"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="v3-TableRules"></id>
+    <meta>
+     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="external"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TableRules"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.5.136"></value>
+    </identifier>
+    <version value="2019-07-31"></version>
+    <name value="v3.TableRules"></name>
+    <title value="v3 Code System TableRules"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2019-07-31T00:00:00+00:00"></date>
+    <publisher value="HL7, Inc"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value=" These values are defined within the XHTML 4.0 Table Model"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TableRules"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
@@ -50244,18 +57242,33 @@ A set of codes advising a system or user which name in a set of names to select
      <definition value="all"></definition>
     </concept>
     <concept>
-     <code value="markup"></code>
-     <display value="markup"></display>
-     <definition value="markup"></definition>
+     <code value="cols"></code>
+     <display value="cols"></display>
+     <definition value="cols"></definition>
+    </concept>
+    <concept>
+     <code value="groups"></code>
+     <display value="groups"></display>
+     <definition value="groups"></definition>
+    </concept>
+    <concept>
+     <code value="none"></code>
+     <display value="none"></display>
+     <definition value="none"></definition>
+    </concept>
+    <concept>
+     <code value="rows"></code>
+     <display value="rows"></display>
+     <definition value="rows"></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-GTSAbbreviation"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TargetAwareness"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-GTSAbbreviation"></id>
+    <id value="v3-TargetAwareness"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -50265,14 +57278,14 @@ A set of codes advising a system or user which name in a set of names to select
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TargetAwareness"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1022"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.137"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.GTSAbbreviation"></name>
-    <title value="v3 Code System GTSAbbreviation"></title>
+    <name value="v3.TargetAwareness"></name>
+    <title value="v3 Code System TargetAwareness"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -50283,250 +57296,49 @@ A set of codes advising a system or user which name in a set of names to select
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value="  Open Issue:
-It appears that the printnames are suboptimal and should be improved for many of the existing codes."></description>
+    <description value="**** MISSING DEFINITIONS ****"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-GTSAbbreviation"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TargetAwareness"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
     <concept>
-     <code value="AM"></code>
-     <display value="AM"></display>
-     <definition value="Every morning at institution specified times."></definition>
+     <code value="D"></code>
+     <display value="denying"></display>
+     <definition value="Target person has been informed about the issue but currently denies it."></definition>
     </concept>
     <concept>
-     <code value="BED"></code>
-     <display value="at bedtime"></display>
-     <definition value="At bedtime (institution specified time)."></definition>
+     <code value="F"></code>
+     <display value="full awareness"></display>
+     <definition value="Target person is fully aware of the issue."></definition>
     </concept>
     <concept>
-     <code value="BID"></code>
-     <display value="BID"></display>
-     <definition value="Two times a day at institution specified time"></definition>
+     <code value="I"></code>
+     <display value="incapable"></display>
+     <definition value="Target person is not capable of comprehending the issue."></definition>
     </concept>
     <concept>
-     <code value="JB"></code>
-     <display value="JB"></display>
-     <definition value="Regular business days (Monday to Friday excluding holidays)"></definition>
+     <code value="M"></code>
+     <display value="marginal"></display>
+     <definition value="Target person is marginally aware of the issue."></definition>
     </concept>
     <concept>
-     <code value="JE"></code>
-     <display value="JE"></display>
-     <definition value="Regular weekends (Saturday and Sunday excluding holidays)"></definition>
+     <code value="P"></code>
+     <display value="partial"></display>
+     <definition value="Target person is partially aware of the issue."></definition>
     </concept>
     <concept>
-     <code value="JH"></code>
-     <display value="GTSAbbreviationHolidays"></display>
-     <definition value="Holidays"></definition>
-     <concept>
-      <code value="_GTSAbbreviationHolidaysChristianRoman"></code>
-      <display value="GTSAbbreviationHolidaysChristianRoman"></display>
-      <definition value="Christian Holidays (Roman/Gregorian [Western] Tradition.)"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="JHCHREAS"></code>
-       <display value="JHCHREAS"></display>
-       <definition value="Easter Sunday.  The Easter date is a rather complex calculation based on Astronomical tables describing full moon dates.  Details can be found at [http://www.assa.org.au/edm.html, and http://aa.usno.navy.mil/AA/faq/docs/easter.html].  Note that the Christian Orthodox Holidays are based on the Julian calendar."></definition>
-      </concept>
-      <concept>
-       <code value="JHCHRGFR"></code>
-       <display value="JHCHRGFR"></display>
-       <definition value="Good Friday, is the Friday right before Easter Sunday."></definition>
-      </concept>
-      <concept>
-       <code value="JHCHRNEW"></code>
-       <display value="JHCHRNEW"></display>
-       <definition value="New Year's Day (January 1)"></definition>
-      </concept>
-      <concept>
-       <code value="JHCHRPEN"></code>
-       <display value="JHCHRPEN"></display>
-       <definition value="Pentecost Sunday, is seven weeks after Easter (the 50th day of Easter)."></definition>
-      </concept>
-      <concept>
-       <code value="JHCHRXME"></code>
-       <display value="JHCHRXME"></display>
-       <definition value="Christmas Eve (December 24)"></definition>
-      </concept>
-      <concept>
-       <code value="JHCHRXMS"></code>
-       <display value="JHCHRXMS"></display>
-       <definition value="Christmas Day (December 25)"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="JHNNL"></code>
-      <display value="The Netherlands National Holidays"></display>
-      <definition value="Description:The Netherlands National Holidays."></definition>
-      <concept>
-       <code value="JHNNLLD"></code>
-       <display value="Liberation day (May 5 every five years)"></display>
-       <definition value="Description:Liberation day  (May 5 every five years)"></definition>
-      </concept>
-      <concept>
-       <code value="JHNNLQD"></code>
-       <display value="Queen's day (April 30)"></display>
-       <definition value="Description:Queen's day (April 30)"></definition>
-      </concept>
-      <concept>
-       <code value="JHNNLSK"></code>
-       <display value="Sinterklaas (December 5)"></display>
-       <definition value="Description:Sinterklaas (December 5)"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="JHNUS"></code>
-      <display value="GTSAbbreviationHolidaysUSNational"></display>
-      <definition value="United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103)."></definition>
-      <concept>
-       <code value="JHNUSCLM"></code>
-       <display value="JHNUSCLM"></display>
-       <definition value="Columbus Day, the second Monday in October."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSIND"></code>
-       <display value="JHNUSIND"></display>
-       <definition value="Independence Day (4th of July)"></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSIND1"></code>
-       <display value="JHNUSIND1"></display>
-       <definition value="Alternative Monday after 4th of July Weekend [5 U.S.C. 6103(b)]."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSIND5"></code>
-       <display value="JHNUSIND5"></display>
-       <definition value="Alternative Friday before 4th of July Weekend [5 U.S.C. 6103(b)]."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSLBR"></code>
-       <display value="JHNUSLBR"></display>
-       <definition value="Labor Day, the first Monday in September."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSMEM"></code>
-       <display value="JHNUSMEM"></display>
-       <definition value="Memorial Day, the last Monday in May."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSMEM5"></code>
-       <display value="JHNUSMEM5"></display>
-       <definition value="Friday before Memorial Day Weekend"></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSMEM6"></code>
-       <display value="JHNUSMEM6"></display>
-       <definition value="Saturday of Memorial Day Weekend"></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSMLK"></code>
-       <display value="JHNUSMLK"></display>
-       <definition value="Dr. Martin Luther King, Jr. Day, the third Monday in January."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSPRE"></code>
-       <display value="JHNUSPRE"></display>
-       <definition value="Washington's Birthday (Presidential Day) the third Monday in February."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSTKS"></code>
-       <display value="JHNUSTKS"></display>
-       <definition value="Thanksgiving Day, the fourth Thursday in November."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSTKS5"></code>
-       <display value="JHNUSTKS5"></display>
-       <definition value="Friday after Thanksgiving."></definition>
-      </concept>
-      <concept>
-       <code value="JHNUSVET"></code>
-       <display value="JHNUSVET"></display>
-       <definition value="Veteran's Day, November 11."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="MO"></code>
-     <display value="monthly"></display>
-     <definition value="Monthly at institution specified time."></definition>
-    </concept>
-    <concept>
-     <code value="PM"></code>
-     <display value="PM"></display>
-     <definition value="Every afternoon at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="Q1H"></code>
-     <display value="every hour"></display>
-     <definition value="Every hour at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="Q2H"></code>
-     <display value="every 2 hours"></display>
-     <definition value="Every 2 hours at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="Q3H"></code>
-     <display value="every 3 hours"></display>
-     <definition value="Every 3 hours at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="Q4H"></code>
-     <display value="Q4H"></display>
-     <definition value="Every 4 hours at institution specified time"></definition>
-    </concept>
-    <concept>
-     <code value="Q6H"></code>
-     <display value="Q6H"></display>
-     <definition value="Every 6 hours at institution specified time"></definition>
-    </concept>
-    <concept>
-     <code value="Q8H"></code>
-     <display value="every 8 hours"></display>
-     <definition value="Every 8 hours at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="QD"></code>
-     <display value="QD"></display>
-     <definition value="Every day at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="QID"></code>
-     <display value="QID"></display>
-     <definition value="Four times a day at institution specified time"></definition>
-    </concept>
-    <concept>
-     <code value="QOD"></code>
-     <display value="QOD"></display>
-     <definition value="Every other day at institution specified times."></definition>
-    </concept>
-    <concept>
-     <code value="TID"></code>
-     <display value="TID"></display>
-     <definition value="Three times a day at institution specified time"></definition>
-    </concept>
-    <concept>
-     <code value="WK"></code>
-     <display value="weekly"></display>
-     <definition value="Weekly at institution specified time."></definition>
+     <code value="U"></code>
+     <display value="uninformed"></display>
+     <definition value="Target person has not yet been informed of the issue."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartTypeR2"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TelecommunicationCapabilities"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartTypeR2"></id>
+    <id value="v3-TelecommunicationCapabilities"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -50536,14 +57348,14 @@ It appears that the printnames are suboptimal and should be improved for many of
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartTypeR2"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TelecommunicationCapabilities"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1121"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1118"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartTypeR2"></name>
-    <title value="v3 Code System EntityNamePartTypeR2"></title>
+    <name value="v3.TelecommunicationCapabilities"></name>
+    <title value="v3 Code System TelecommunicationCapabilities"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -50555,42 +57367,44 @@ It appears that the printnames are suboptimal and should be improved for many of
      </telecom>
     </contact>
     <description value="  Description:
-Indicates whether the name part is a given name, family name, prefix, suffix, etc."></description>
+Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartTypeR2"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TelecommunicationCapabilities"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
-     <code value="DEL"></code>
-     <display value="delimiter"></display>
-     <definition value="Description:A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space."></definition>
+     <code value="data"></code>
+     <display value="data"></display>
+     <definition value="Description: This device can receive data calls (i.e. modem)."></definition>
     </concept>
     <concept>
-     <code value="FAM"></code>
-     <display value="family"></display>
-     <definition value="Description:Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father."></definition>
+     <code value="fax"></code>
+     <display value="fax"></display>
+     <definition value="Description: This device can receive faxes."></definition>
     </concept>
     <concept>
-     <code value="GIV"></code>
-     <display value="given"></display>
-     <definition value="Description:Given name. Note: don't call it &quot;first name&quot; since the given names do not always come first."></definition>
+     <code value="sms"></code>
+     <display value="sms"></display>
+     <definition value="Description: This device can receive SMS messages."></definition>
     </concept>
     <concept>
-     <code value="TITLE"></code>
-     <display value="title"></display>
-     <definition value="Description:Part of the name that is acquired as a title due to academic, legal, employment or nobility status etc.
-
-        
-         Note:Title name parts include name parts that come after the name such as qualifications, even if they are not always considered to be titles."></definition>
+     <code value="tty"></code>
+     <display value="text"></display>
+     <definition value="Description: This device is a text telephone."></definition>
+    </concept>
+    <concept>
+     <code value="voice"></code>
+     <display value="voice"></display>
+     <definition value="Description: This device can receive voice calls (i.e. talking to another person, or a recording device, or a voice activated computer)."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationType"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TimingEvent"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationType"></id>
+    <id value="v3-TimingEvent"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -50600,14 +57414,14 @@ Indicates whether the name part is a given name, family name, prefix, suffix, et
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TimingEvent"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.90"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.139"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.ParticipationType"></name>
-    <title value="v3 Code System ParticipationType"></title>
+    <name value="v3.TimingEvent"></name>
+    <title value="v3 Code System TimingEvent"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -50620,501 +57434,116 @@ Indicates whether the name part is a given name, family name, prefix, suffix, et
     </contact>
     <description value="**** MISSING DEFINITIONS ****"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TimingEvent"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
     <concept>
-     <code value="PART"></code>
-     <display value="Participation"></display>
-     <definition value="Indicates that the target of the participation is involved in some manner in the act, but does not qualify how."></definition>
+     <code value="AC"></code>
+     <display value="AC"></display>
+     <definition value="before meal (from lat. ante cibus)"></definition>
+    </concept>
+    <concept>
+     <code value="ACD"></code>
+     <display value="ACD"></display>
+     <definition value="before lunch (from lat. ante cibus diurnus)"></definition>
+    </concept>
+    <concept>
+     <code value="ACM"></code>
+     <display value="ACM"></display>
+     <definition value="before breakfast (from lat. ante cibus matutinus)"></definition>
+    </concept>
+    <concept>
+     <code value="ACV"></code>
+     <display value="ACV"></display>
+     <definition value="before dinner (from lat. ante cibus vespertinus)"></definition>
+    </concept>
+    <concept>
+     <code value="C"></code>
+     <display value="C"></display>
+     <definition value="Description: meal (from lat. ante cibus)"></definition>
      <concept>
-      <code value="_ParticipationAncillary"></code>
-      <display value="ParticipationAncillary"></display>
-      <definition value="Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="ADM"></code>
-       <display value="admitter"></display>
-       <definition value="The practitioner who is responsible for admitting a patient to a patient encounter."></definition>
-      </concept>
-      <concept>
-       <code value="ATND"></code>
-       <display value="attender"></display>
-       <definition value="The practitioner that has responsibility for overseeing a patient's care during a patient encounter."></definition>
-      </concept>
-      <concept>
-       <code value="CALLBCK"></code>
-       <display value="callback contact"></display>
-       <definition value="A person or organization who should be contacted for follow-up questions about the act in place of the author."></definition>
-      </concept>
-      <concept>
-       <code value="CON"></code>
-       <display value="consultant"></display>
-       <definition value="An advisor participating in the service by performing evaluations and making recommendations."></definition>
-      </concept>
-      <concept>
-       <code value="DIS"></code>
-       <display value="discharger"></display>
-       <definition value="The practitioner who is responsible for the discharge of a patient from a patient encounter."></definition>
-      </concept>
-      <concept>
-       <code value="ESC"></code>
-       <display value="escort"></display>
-       <definition value="Only with Transportation services.  A person who escorts the patient."></definition>
-      </concept>
-      <concept>
-       <code value="REF"></code>
-       <display value="referrer"></display>
-       <definition value="A person having referred the subject of the service to the performer (referring physician).  Typically, a referring physician will receive a report."></definition>
-      </concept>
+      <code value="CD"></code>
+      <display value="CD"></display>
+      <definition value="Description: lunch (from lat. cibus diurnus)"></definition>
      </concept>
      <concept>
-      <code value="_ParticipationInformationGenerator"></code>
-      <display value="ParticipationInformationGenerator"></display>
-      <definition value="Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness)."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="AUT"></code>
-       <display value="author (originator)"></display>
-       <definition value="Definition: A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.
-
-        
-         Example: the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship. 
-
-        Examples of such policies might include:
-
-        
-         
-          The author and anyone they explicitly delegate may update the report;
-
-         
-         
-          All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic;
-
-         
-        
-        A party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party."></definition>
-      </concept>
-      <concept>
-       <code value="INF"></code>
-       <display value="informant"></display>
-       <definition value="A source of reported information (e.g., a next of kin who answers questions about the patient's history).  For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject."></definition>
-      </concept>
-      <concept>
-       <code value="TRANS"></code>
-       <display value="Transcriber"></display>
-       <definition value="An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form."></definition>
-       <concept>
-        <code value="ENT"></code>
-        <display value="data entry person"></display>
-        <definition value="A person entering the data into the originating system.  The data entry person is collected optionally for internal quality control purposes.  This includes the transcriptionist for dictated text."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="WIT"></code>
-       <display value="witness"></display>
-       <definition value="Only with service events.  A person witnessing the action happening without doing anything.  A witness is not necessarily aware, much less approves of anything stated in the service event.  Example for a witness is students watching an operation or an advanced directive witness."></definition>
-      </concept>
+      <code value="CM"></code>
+      <display value="CM"></display>
+      <definition value="Description: breakfast (from lat. cibus matutinus)"></definition>
      </concept>
      <concept>
-      <code value="CST"></code>
-      <display value="custodian"></display>
-      <definition value="An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.)."></definition>
+      <code value="CV"></code>
+      <display value="CV"></display>
+      <definition value="Description: dinner (from lat. cibus vespertinus)"></definition>
      </concept>
-     <concept>
-      <code value="DIR"></code>
-      <display value="direct target"></display>
-      <definition value="Target participant  that is substantially present in the act  and which is directly involved in the action (includes consumed material, devices, etc.)."></definition>
-      <concept>
-       <code value="ALY"></code>
-       <display value="analyte"></display>
-       <definition value="The target of an Observation action. Links an observation to a Role whose player is the substance or most specific component entity (material, micro-organism, etc.) being measured within the subject.
+    </concept>
+    <concept>
+     <code value="HS"></code>
+     <display value="HS"></display>
+     <definition value="Description: Prior to beginning a regular period of extended sleep (this would exclude naps).  Note that this might occur at different times of day depending on a person's regular sleep schedule."></definition>
+    </concept>
+    <concept>
+     <code value="IC"></code>
+     <display value="IC"></display>
+     <definition value="between meals (from lat. inter cibus)"></definition>
+    </concept>
+    <concept>
+     <code value="ICD"></code>
+     <display value="ICD"></display>
+     <definition value="between lunch and dinner"></definition>
+    </concept>
+    <concept>
+     <code value="ICM"></code>
+     <display value="ICM"></display>
+     <definition value="between breakfast and lunch"></definition>
+    </concept>
+    <concept>
+     <code value="ICV"></code>
+     <display value="ICV"></display>
+     <definition value="between dinner and the hour of sleep"></definition>
+    </concept>
+    <concept>
+     <code value="PC"></code>
+     <display value="PC"></display>
+     <definition value="after meal (from lat. post cibus)"></definition>
+    </concept>
+    <concept>
+     <code value="PCD"></code>
+     <display value="PCD"></display>
+     <definition value="after lunch (from lat. post cibus diurnus)"></definition>
+    </concept>
+    <concept>
+     <code value="PCM"></code>
+     <display value="PCM"></display>
+     <definition value="after breakfast (from lat. post cibus matutinus)"></definition>
+    </concept>
+    <concept>
+     <code value="PCV"></code>
+     <display value="PCV"></display>
+     <definition value="after dinner (from lat. post cibus vespertinus)"></definition>
+    </concept>
+    <concept>
+     <code value="WAKE"></code>
+     <display value="WAKE"></display>
+     <definition value="Description: Upon waking up from a regular period of sleep, in order to start regular activities (this would exclude waking up from a nap or temporarily waking up during a period of sleep)
 
         
-         Examples: A &quot;plasma porcelain substance concentration&quot; has analyte a Role with player substance Entity &quot;porcelain&quot;.
+         Usage Notes: e.g.
 
-        
-         UsageNotes: The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for &quot;plasma porcelain&quot; the scoper could be &quot;Plasma&quot;."></definition>
-      </concept>
-      <concept>
-       <code value="BBY"></code>
-       <display value="baby"></display>
-       <definition value="In an obstetric service, the baby."></definition>
-      </concept>
-      <concept>
-       <code value="CAT"></code>
-       <display value="catalyst"></display>
-       <definition value="The catalyst of a chemical reaction, such as an enzyme or a platinum surface. In biochemical reactions, connects the enzyme with the molecular interaction"></definition>
-      </concept>
-      <concept>
-       <code value="CSM"></code>
-       <display value="consumable"></display>
-       <definition value="Participant material that is taken up, diminished, altered, or disappears in the act."></definition>
-       <concept>
-        <code value="TPA"></code>
-        <display value="therapeutic agent"></display>
-        <definition value="Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject.  In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product.  Thus, consumable or product must be specified in accordance with the kind of service."></definition>
-        <property>
-         <code value="status"></code>
-         <valueCode value="retired"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="DEV"></code>
-       <display value="device"></display>
-       <definition value="Participant used in performing the act without being substantially affected by the act (i.e. durable or inert with respect to that particular service).
+        Take pulse rate on waking in management of thyrotoxicosis.
 
-        
-         Examples: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc."></definition>
-       <concept>
-        <code value="NRD"></code>
-        <display value="non-reuseable device"></display>
-        <definition value="A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc.  Such material may need to be restocked after he service."></definition>
-       </concept>
-       <concept>
-        <code value="RDV"></code>
-        <display value="reusable device"></display>
-        <definition value="A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope.  The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="DON"></code>
-       <display value="donor"></display>
-       <definition value="In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service.  However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation.  The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service."></definition>
-      </concept>
-      <concept>
-       <code value="EXPAGNT"></code>
-       <display value="ExposureAgent"></display>
-       <definition value="Description: The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure.  For example in communicable diseases, the associated playing entity is the disease causing pathogen."></definition>
-      </concept>
-      <concept>
-       <code value="EXPART"></code>
-       <display value="ExposureParticipation"></display>
-       <definition value="Description:Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure.  If the participant is known to be the contact of an exposure then the SBJ participation type should be used.  If the participant is known to be the source then the EXSRC participation type should be used."></definition>
-       <concept>
-        <code value="EXPTRGT"></code>
-        <display value="ExposureTarget"></display>
-        <definition value="Description: The entity playing the associated role is the target (contact) of exposure."></definition>
-       </concept>
-       <concept>
-        <code value="EXSRC"></code>
-        <display value="ExposureSource"></display>
-        <definition value="Description:The entity playing the associated role is the source of exposure."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PRD"></code>
-       <display value="product"></display>
-       <definition value="Participant material that is brought forth (produced) in the act (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It does not matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock)."></definition>
-      </concept>
-      <concept>
-       <code value="SBJ"></code>
-       <display value="subject"></display>
-       <definition value="The principle target on which the action happens.
+        Take BP on waking in management of hypertension
 
-        
-         Examples: The patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). 
-
-        
-         UsageNotes: Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action."></definition>
-       <concept>
-        <code value="SPC"></code>
-        <display value="specimen"></display>
-        <definition value="The subject of non-clinical (e.g. laboratory) observation services is a specimen."></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="IND"></code>
-      <display value="indirect target"></display>
-      <definition value="Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act."></definition>
-      <concept>
-       <code value="BEN"></code>
-       <display value="beneficiary"></display>
-       <definition value="Target on behalf of whom the service happens, but that is not necessarily present in the service.  Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions.  This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.
-
-        Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause.  Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service."></definition>
-      </concept>
-      <concept>
-       <code value="CAGNT"></code>
-       <display value="causative agent"></display>
-       <definition value="Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition.
-
-        Constraint:  The use of this participation is limited to observations."></definition>
-      </concept>
-      <concept>
-       <code value="COV"></code>
-       <display value="coverage target"></display>
-       <definition value="The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage."></definition>
-      </concept>
-      <concept>
-       <code value="GUAR"></code>
-       <display value="guarantor party"></display>
-       <definition value="The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account
-
-        
-         Example:The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed."></definition>
-      </concept>
-      <concept>
-       <code value="HLD"></code>
-       <display value="holder"></display>
-       <definition value="Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author."></definition>
-      </concept>
-      <concept>
-       <code value="RCT"></code>
-       <display value="record target"></display>
-       <definition value="The record target indicates whose medical record holds the documentation of this act.  This is especially important when the subject of a service is not the patient himself."></definition>
-      </concept>
-      <concept>
-       <code value="RCV"></code>
-       <display value="receiver"></display>
-       <definition value="The person (or organization) who receives the product of an Act."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="IRCP"></code>
-      <display value="information recipient"></display>
-      <definition value="A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood.&quot; Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used."></definition>
-      <concept>
-       <code value="NOT"></code>
-       <display value="ugent notification contact"></display>
-       <definition value="An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill)."></definition>
-      </concept>
-      <concept>
-       <code value="PRCP"></code>
-       <display value="primary information recipient"></display>
-       <definition value="Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary."></definition>
-      </concept>
-      <concept>
-       <code value="REFB"></code>
-       <display value="Referred By"></display>
-       <definition value="A participant (e.g. provider) who has referred the subject of an act (e.g. patient).
-
-        Typically, a referred by participant will provide a report (e.g. referral)."></definition>
-      </concept>
-      <concept>
-       <code value="REFT"></code>
-       <display value="Referred to"></display>
-       <definition value="The person who receives the patient"></definition>
-      </concept>
-      <concept>
-       <code value="TRC"></code>
-       <display value="tracker"></display>
-       <definition value="A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist)."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="LOC"></code>
-      <display value="location"></display>
-      <definition value="The facility where the service is done.  May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)"></definition>
-      <concept>
-       <code value="DST"></code>
-       <display value="destination"></display>
-       <definition value="The destination for services.  May be a static building (or room therein) or a movable facility (e.g., ship)."></definition>
-      </concept>
-      <concept>
-       <code value="ELOC"></code>
-       <display value="entry location"></display>
-       <definition value="A location where data about an Act was entered."></definition>
-      </concept>
-      <concept>
-       <code value="ORG"></code>
-       <display value="origin"></display>
-       <definition value="The location of origin for services.  May be a static building (or room therein) or a movable facility (e.g., ship)."></definition>
-      </concept>
-      <concept>
-       <code value="RML"></code>
-       <display value="remote"></display>
-       <definition value="Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation).  The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered &quot;remote.&quot;"></definition>
-      </concept>
-      <concept>
-       <code value="VIA"></code>
-       <display value="via"></display>
-       <definition value="For services, an intermediate location that specifies a path between origin an destination."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="PRF"></code>
-      <display value="performer"></display>
-      <definition value="Definition: A person, non-person living subject, organization or device that who actually and principally carries out the action. Device should only be assigned as a performer in circumstances where the device is performing independent of human intervention.  Need not be the principal responsible actor.
-
-        
-         Exampe: A surgery resident operating under supervision of attending surgeon, a search and rescue dog locating survivors, an electronic laboratory analyzer or the laboratory discipline requested to perform a laboratory test. The performer may also be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.
-
-        
-         Note: that existing HL7 designs assign an organization as the playing entity of the Role that is the performer.  These designs should be revised in subsequent releases to make this the scooping entity for the role involved."></definition>
-      <concept>
-       <code value="DIST"></code>
-       <display value="distributor"></display>
-       <definition value="Distributes material used in or generated during the act."></definition>
-      </concept>
-      <concept>
-       <code value="PPRF"></code>
-       <display value="primary performer"></display>
-       <definition value="The principal or primary performer of the act."></definition>
-      </concept>
-      <concept>
-       <code value="SPRF"></code>
-       <display value="secondary performer"></display>
-       <definition value="A person assisting in an act through his substantial presence and involvement   This includes: assistants, technicians, associates, or whatever the job titles may be."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="RESP"></code>
-      <display value="responsible party"></display>
-      <definition value="The person or organization that has primary responsibility for the act.  The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact.  This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature.
-
-        
-         Example: A person who is the head of a biochemical laboratory; a sponsor for a policy or government program."></definition>
-     </concept>
-     <concept>
-      <code value="VRF"></code>
-      <display value="verifier"></display>
-      <definition value="A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability."></definition>
-      <concept>
-       <code value="AUTHEN"></code>
-       <display value="authenticator"></display>
-       <definition value="A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication."></definition>
-      </concept>
-      <concept>
-       <code value="LA"></code>
-       <display value="legal authenticator"></display>
-       <definition value="A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication."></definition>
-      </concept>
-     </concept>
+        Take basal body temperature on waking in establishing date of ovulation"></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-MaritalStatus"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TransmissionRelationshipTypeCode"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-MaritalStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.2"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.MaritalStatus"></name>
-    <title value="v3 Code System MaritalStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" * * * No description supplied * * *  Open Issue:
-The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.  Open Issue:
-fixing and completion of the hierarchy and proper good definitions of all the concepts is badly needed."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-MaritalStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Annulled"></display>
-     <definition value="Marriage contract has been declared null and to not have existed"></definition>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Divorced"></display>
-     <definition value="Marriage contract has been declared dissolved and inactive"></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Interlocutory"></display>
-     <definition value="Subject to an Interlocutory Decree."></definition>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Legally Separated"></display>
-     <definition value="Legally Separated"></definition>
-    </concept>
-    <concept>
-     <code value="M"></code>
-     <display value="Married"></display>
-     <definition value="A current marriage contract is active"></definition>
-     <concept>
-      <code value="C"></code>
-      <display value="Common Law"></display>
-      <definition value="a marriage recognized in some jurisdictions and based on the parties' agreement to consider themselves married and can also be based on documentation of cohabitation.
-
-        This definition was based on https://www.merriam-webster.com/dictionary/common-law%20marriage."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Polygamous"></display>
-     <definition value="More than 1 current spouse"></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Domestic partner"></display>
-     <definition value="Person declares that a domestic partner relationship exists."></definition>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="unmarried"></display>
-     <definition value="Currently not in a marriage contract."></definition>
-     <concept>
-      <code value="S"></code>
-      <display value="Never Married"></display>
-      <definition value="No marriage contract has ever been entered"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Widowed"></display>
-     <definition value="The spouse has died"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActExposureLevelCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActExposureLevelCode"></id>
+    <id value="v3-TransmissionRelationshipTypeCode"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -51124,14 +57553,14 @@ fixing and completion of the hierarchy and proper good definitions of all the co
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActExposureLevelCode"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-TransmissionRelationshipTypeCode"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1114"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1111"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.ActExposureLevelCode"></name>
-    <title value="v3 Code System ActExposureLevelCode"></title>
+    <name value="v3.TransmissionRelationshipTypeCode"></name>
+    <title value="v3 Code System TransmissionRelationshipTypeCode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -51142,160 +57571,16 @@ fixing and completion of the hierarchy and proper good definitions of all the co
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" A qualitative measure of the degree of exposure to the causative agent.  This includes concepts such as &quot;low&quot;, &quot;medium&quot; and &quot;high&quot;.  This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance."></description>
+    <description value="  Description:
+A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActExposureLevelCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_ActExposureLevelCode"></code>
-     <display value="ActExposureLevelCode"></display>
-     <definition value="A qualitative measure of the degree of exposure to the causative agent.  This includes concepts such as &quot;low&quot;, &quot;medium&quot; and &quot;high&quot;.  This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="HIGH"></code>
-      <display value="high"></display>
-      <definition value="Description: Exposure to an agent at a relatively high level above background."></definition>
-     </concept>
-     <concept>
-      <code value="LOW"></code>
-      <display value="low"></display>
-      <definition value="Description: Exposure to an agent at a relatively low level above background."></definition>
-     </concept>
-     <concept>
-      <code value="MEDIUM"></code>
-      <display value="medium"></display>
-      <definition value="Description: Exposure to an agent at a relatively moderate level above background.A"></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipJoin"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipJoin"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipJoin"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.12"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipJoin"></name>
-    <title value="v3 Code System ActRelationshipJoin"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipJoin"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TransmissionRelationshipTypeCode"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
-     <code value="D"></code>
-     <display value="detached"></display>
-     <definition value="Detach this branch from the other branches so it will not be resynchronized with the other branches."></definition>
-    </concept>
-    <concept>
-     <code value="K"></code>
-     <display value="kill"></display>
-     <definition value="When all other concurrent branches are terminated, interrupt and discontinue this branch."></definition>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="wait"></display>
-     <definition value="Wait for this branch to terminate."></definition>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="exclusive wait"></display>
-     <definition value="Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActInvoiceElementModifier"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActInvoiceElementModifier"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActInvoiceElementModifier"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1051"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActInvoiceElementModifier"></name>
-    <title value="v3 Code System ActInvoiceElementModifier"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Processing consideration and clarification codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActInvoiceElementModifier"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="EFORM"></code>
-     <display value="Electronic Form To Follow"></display>
-     <definition value="Electronic form with supporting information to follow."></definition>
-    </concept>
-    <concept>
-     <code value="FAX"></code>
-     <display value="Fax To Follow"></display>
-     <definition value="Fax with supporting information to follow."></definition>
-    </concept>
-    <concept>
-     <code value="LINV"></code>
-     <display value="Last Invoice"></display>
-     <definition value="Represents the last invoice from the perspective of the provider."></definition>
-    </concept>
-    <concept>
-     <code value="PAPER"></code>
-     <display value="Paper Documentation To Follow"></display>
-     <definition value="Paper documentation (or other physical format) with supporting information to follow."></definition>
+     <code value="SEQL"></code>
+     <display value="sequence"></display>
+     <definition value="Description:A transmission relationship indicating that the source transmission follows the target transmission."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -54195,10 +60480,10 @@ fixing and completion of the hierarchy and proper good definitions of all the co
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityNamePartQualifierR2"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-triggerEventID"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityNamePartQualifierR2"></id>
+    <id value="v3-triggerEventID"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -54208,14 +60493,14 @@ fixing and completion of the hierarchy and proper good definitions of all the co
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityNamePartQualifierR2"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-triggerEventID"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1122"></value>
+     <value value="urn:oid:2.16.840.1.113883.1.18"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.EntityNamePartQualifierR2"></name>
-    <title value="v3 Code System EntityNamePartQualifierR2"></title>
+    <name value="v3.triggerEventID"></name>
+    <title value="v3 Code System triggerEventID"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -54227,6265 +60512,65 @@ fixing and completion of the hierarchy and proper good definitions of all the co
      </telecom>
     </contact>
     <description value="  Description:
-The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records."></description>
+This code system contains all HL7 artifacts of type TE (Trigger Event) that are created by HL7 or its affiliates or their designates using the realm namespacing rules approved by HL7.  Local implementations who create trigger events outside of these namespacing rules, (e.g. using the ZZ realm code) must register their own code system.  The specific list of legal codes can be found by consulting the HL7 publications (editions, ballots, implementation guides, etc.) published by HL7 Inc. and by the various HL7 affiliates and their designates.  Codes shall be expressed in upper case, with separator as shown in HL7 publications with no version id.  E.g. PORX_TE123456UV."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityNamePartQualifierR2"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="AD"></code>
-     <display value="acquired"></display>
-     <definition value="Description:A name part a person acquired.  The name part may be acquired by adoption, or the person may have chosen to use the name part for some other reason.
-
-        
-         Note: this differs from an Other/Psuedonym/Alias in that an acquired name part is acquired on a formal basis rather than an informal one (e.g. registered as part of the official name)."></definition>
-     <concept>
-      <code value="SP"></code>
-      <display value="spouse"></display>
-      <definition value="Description:The name assumed from the partner in a marital relationship.  Usually the spouse's family name.  Note that no inference about gender can be made from the existence of spouse names."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="BR"></code>
-     <display value="birth"></display>
-     <definition value="Description:A name that a person was given at birth or established as a consequence of adoption. 
-
-        
-         Note: This is not used for temporary names assigned at birth such as &quot;Baby of Smith&quot; a&quot; which is just a name with a use code of &quot;TEMP&quot;."></definition>
-    </concept>
-    <concept>
-     <code value="CL"></code>
-     <display value="callme"></display>
-     <definition value="Description:Used to indicate which of the various name parts is used when interacting with the person."></definition>
-    </concept>
-    <concept>
-     <code value="IN"></code>
-     <display value="initial"></display>
-     <definition value="Description:Indicates that a name part is just an initial.  Initials do not imply a trailing period since this would not work with non-Latin scripts.  In some languages, initials may consist of more than one letter, e.g., &quot;Ph&quot; could stand for &quot;Philippe&quot; or &quot;Th&quot; For &quot;Thomas&quot;."></definition>
-    </concept>
-    <concept>
-     <code value="LS"></code>
-     <display value="legal status"></display>
-     <definition value="Description:For organizations a suffix indicating the legal status, e.g., &quot;Inc.&quot;, &quot;Co.&quot;, &quot;AG&quot;, &quot;GmbH&quot;, &quot;B.V.&quot; &quot;S.A.&quot;, &quot;Ltd.&quot; etc."></definition>
-    </concept>
-    <concept>
-     <code value="MID"></code>
-     <display value="middle name"></display>
-     <definition value="Description:Indicates that the name part is a middle name.
-
-        
-         Usage Notes: In general, the english &quot;middle name&quot; concept is all of the given names after the first. This qualifier may be used to explicitly indicate which given names are considered to be middle names. The middle name qualifier may also be used with family names. This is a Scandinavian use case, matching the concept of &quot;mellomnavn&quot;,&quot;mellannamn&quot;. Note that there are specific rules that indicate what names may be taken as a mellannamn in different Scandinavian countries."></definition>
-    </concept>
-    <concept>
-     <code value="PFX"></code>
-     <display value="prefix"></display>
-     <definition value="Description:A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though)."></definition>
-    </concept>
-    <concept>
-     <code value="PharmaceuticalEntityNamePartQualifiers"></code>
-     <display value="PharmaceuticalEntityNamePartQualifiers"></display>
-     <definition value="Description: Medication Name Parts are a means of specifying a range of acceptable &quot;official&quot; forms of the name of a product.  They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports.   While they cover the concepts held under &quot;doseForm&quot; or &quot;route&quot; or &quot;strength&quot; the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CON"></code>
-      <display value="container name"></display>
-      <definition value="Description: This refers to the container if present in the medicinal product name.
-
-        EXAMPLES: 
-
-        
-         
-          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe"></definition>
-     </concept>
-     <concept>
-      <code value="DEV"></code>
-      <display value="device name"></display>
-      <definition value="Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products.
-
-        EXAMPLES: 
-
-        
-         
-          For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen."></definition>
-     </concept>
-     <concept>
-      <code value="FLAV"></code>
-      <display value="FlavorName"></display>
-      <definition value="Description: This refers to a flavor of the medicinal product if present in the medicinal product name.
-
-        
-         Examples:
-        
-
-        
-         For 'CoughCure Linctus Orange Flavor', the flavor part is &quot;Orange&quot;
-         For 'Wonderdrug Syrup Cherry Flavor', the flavor part is &quot;Cherry&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="FORMUL"></code>
-      <display value="FormulationPartName"></display>
-      <definition value="Description: This refers to the formulation of the medicinal product if present in the medicinal product name.
-
-        
-         Examples:
-        
-
-        
-         For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is &quot;Sugar Free&quot;
-         For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is &quot;gluten-free&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="FRM"></code>
-      <display value="form name"></display>
-      <definition value="Description: This refers to the pharmaceutical form/ if present in the medicinal product name.
-
-        EXAMPLES: 
-
-        
-         
-          For Agenerase 50 mg soft capsules: Soft Capsules
-
-         
-         
-          For Ludiomil 25mg-Filmtabletten: Filmtabletten
-
-         
-         
-          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection"></definition>
-     </concept>
-     <concept>
-      <code value="INV"></code>
-      <display value="invented name"></display>
-      <definition value="Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. 
-
-        EXAMPLES: 
-
-        
-         
-          Agenerase
-
-         
-         
-          Optaflu
-
-         
-         
-          Ludiomil"></definition>
-     </concept>
-     <concept>
-      <code value="POPUL"></code>
-      <display value="TargetPopulationName"></display>
-      <definition value="Description: This refers to the target population for the medicinal product if present in the medicinal product name
-
-        
-         Examples:
-        
-
-        
-         For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is &quot;children&quot;
-         For 'Adult Chesty Cough Syrup', the target population part is &quot;adult&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="SCI"></code>
-      <display value="scientific name"></display>
-      <definition value="Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
-
-        EXAMPLES: 
-
-        
-         
-          For Agenerase: N/A
-
-         
-         
-          For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season)
-
-         
-         
-          For Ludiomil: N/A"></definition>
-     </concept>
-     <concept>
-      <code value="STR"></code>
-      <display value="strength name"></display>
-      <definition value="Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required.
-
-        EXAMPLES:
-
-        
-         
-          For Agenerase 50 mg soft capsules: 50mg
-
-         
-         
-          For Ludiomil 25mg-Filmtabletten: 25 mg
-
-         
-         
-          For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A"></definition>
-     </concept>
-     <concept>
-      <code value="TIME"></code>
-      <display value="TimeOrPeriodName"></display>
-      <definition value="Description: This refers to a time or time period that may be specified in the text of the medicinal product name
-
-        
-         Example:
-        
-
-        
-         For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is &quot;2008/2009 season&quot;"></definition>
-     </concept>
-     <concept>
-      <code value="TMK"></code>
-      <display value="trademark name"></display>
-      <definition value="Description: This refers to trademark/company element if present in the medicinal product name.
-
-        EXAMPLES: 
-
-        
-         
-          for Insulin Human Winthrop Comb 15: Winthrop"></definition>
-     </concept>
-     <concept>
-      <code value="USE"></code>
-      <display value="intended use name"></display>
-      <definition value="Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.
-
-
-        
-         Examples:
-        
-
-        
-         For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: &quot;Heartburn Relief&quot;
-         For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is &quot;Soothing Coughs&quot;"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="SFX"></code>
-     <display value="suffix"></display>
-     <definition value="Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though)."></definition>
-    </concept>
-    <concept>
-     <code value="TitleStyles"></code>
-     <display value="TitleStyles"></display>
-     <definition value="Description:Extra information about the style of a title"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AC"></code>
-      <display value="academic"></display>
-      <definition value="Description:Indicates that a title like &quot;Dr.&quot;, &quot;M.D.&quot; or &quot;Ph.D.&quot; is an academic title."></definition>
-     </concept>
-     <concept>
-      <code value="HON"></code>
-      <display value="honorific"></display>
-      <definition value="Description:A honorific such as &quot;The Right Honourable&quot; or &quot;Weledelgeleerde Heer&quot;."></definition>
-     </concept>
-     <concept>
-      <code value="NB"></code>
-      <display value="nobility"></display>
-      <definition value="Description:A nobility title such as Sir, Count, Grafin."></definition>
-     </concept>
-     <concept>
-      <code value="PR"></code>
-      <display value="professional"></display>
-      <definition value="Description:Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential titles."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Dentition"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Dentition"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Dentition"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1080"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Dentition"></name>
-    <title value="v3 Code System Dentition"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Dentition"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-triggerEventID"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
-     <code value="ArtificialDentition"></code>
-     <display value="Artificial dentition"></display>
-     <definition value="Artificial dentition, artificial subsitutes for the natural dentition"></definition>
-     <concept>
-      <code value="TID10a"></code>
-      <display value="10a"></display>
-      <definition value="Maxillary left lateral incisor abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID10i"></code>
-      <display value="10i"></display>
-      <definition value="Maxillary left lateral incisor implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID10p"></code>
-      <display value="10p"></display>
-      <definition value="Maxillary left lateral incisor prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID10pd"></code>
-      <display value="10pd"></display>
-      <definition value="Maxillary left lateral incisor distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID10pm"></code>
-      <display value="10pm"></display>
-      <definition value="Maxillary left lateral incisor mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID11a"></code>
-      <display value="11a"></display>
-      <definition value="Maxillary left canine abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID11i"></code>
-      <display value="11i"></display>
-      <definition value="Maxillary left canine implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID11p"></code>
-      <display value="11p"></display>
-      <definition value="Maxillary left canine prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID11pd"></code>
-      <display value="11pd"></display>
-      <definition value="Maxillary left canine distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID11pm"></code>
-      <display value="11pm"></display>
-      <definition value="Maxillary left canine mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID12a"></code>
-      <display value="12a"></display>
-      <definition value="Maxillary left first premolar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID12i"></code>
-      <display value="12i"></display>
-      <definition value="Maxillary left first premolar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID12p"></code>
-      <display value="12p"></display>
-      <definition value="Maxillary left first premolar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID12pd"></code>
-      <display value="12pd"></display>
-      <definition value="Maxillary left first premolar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID12pm"></code>
-      <display value="12pm"></display>
-      <definition value="Maxillary left first premolar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID13a"></code>
-      <display value="13a"></display>
-      <definition value="Maxillary left second premolar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID13i"></code>
-      <display value="13i"></display>
-      <definition value="Maxillary left second premolar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID13p"></code>
-      <display value="13p"></display>
-      <definition value="Maxillary left second premolar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID13pd"></code>
-      <display value="13pd"></display>
-      <definition value="Maxillary left second premolar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID13pm"></code>
-      <display value="13pm"></display>
-      <definition value="Maxillary left second premolar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID14a"></code>
-      <display value="14a"></display>
-      <definition value="Maxillary left first molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID14i"></code>
-      <display value="14i"></display>
-      <definition value="Maxillary left first molar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID14p"></code>
-      <display value="14p"></display>
-      <definition value="Maxillary left first molar prosthesis"></definition>
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-     <concept>
-      <code value="TID14pd"></code>
-      <display value="14pd"></display>
-      <definition value="Maxillary left first molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID14pm"></code>
-      <display value="14pm"></display>
-      <definition value="Maxillary left first molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID15a"></code>
-      <display value="15a"></display>
-      <definition value="Maxillary left second molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID15i"></code>
-      <display value="15i"></display>
-      <definition value="Maxillary left second molar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID15p"></code>
-      <display value="15p"></display>
-      <definition value="Maxillary left second molar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID15pd"></code>
-      <display value="15pd"></display>
-      <definition value="Maxillary left second molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID15pm"></code>
-      <display value="15pm"></display>
-      <definition value="Maxillary left second molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID16a"></code>
-      <display value="16a"></display>
-      <definition value="Maxillary left third molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID16i"></code>
-      <display value="16i"></display>
-      <definition value="Maxillary left third molar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID16p"></code>
-      <display value="16p"></display>
-      <definition value="Maxillary left third molar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID16pd"></code>
-      <display value="16pd"></display>
-      <definition value="Maxillary left third molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID16pm"></code>
-      <display value="16pm"></display>
-      <definition value="Maxillary left third molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID17a"></code>
-      <display value="17a"></display>
-      <definition value="Mandibular left third molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID17ad"></code>
-      <display value="17ad"></display>
-      <definition value="Mandibular left third molar abutment distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID17am"></code>
-      <display value="17am"></display>
-      <definition value="Mandibular left third molar abutment mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID17i"></code>
-      <display value="17i"></display>
-      <definition value="Mandibular left third molar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID17id"></code>
-      <display value="17id"></display>
-      <definition value="Mandibular left third molar implant distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID17im"></code>
-      <display value="17im"></display>
-      <definition value="Mandibular left third molar implant mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID17p"></code>
-      <display value="17p"></display>
-      <definition value="Mandibular left third molar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID17pd"></code>
-      <display value="17pd"></display>
-      <definition value="Mandibular left third molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID17pm"></code>
-      <display value="17pm"></display>
-      <definition value="Mandibular left third molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID18a"></code>
-      <display value="18a"></display>
-      <definition value="Mandibular left second molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID18ad"></code>
-      <display value="18ad"></display>
-      <definition value="Mandibular left second molar abutment distal hemisection"></definition>
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-     <concept>
-      <code value="TID18am"></code>
-      <display value="18am"></display>
-      <definition value="Mandibular left second molar abutment mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID18i"></code>
-      <display value="18i"></display>
-      <definition value="Mandibular left second molar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID18id"></code>
-      <display value="18id"></display>
-      <definition value="Mandibular left second molar implant distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID18im"></code>
-      <display value="18im"></display>
-      <definition value="Mandibular left second molar implant mesial hemisection"></definition>
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-     <concept>
-      <code value="TID18p"></code>
-      <display value="18p"></display>
-      <definition value="Mandibular left second molar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID18pd"></code>
-      <display value="18pd"></display>
-      <definition value="Mandibular left second molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID18pm"></code>
-      <display value="18pm"></display>
-      <definition value="Mandibular left second molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID19a"></code>
-      <display value="19a"></display>
-      <definition value="Mandibular left first molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID19ad"></code>
-      <display value="19ad"></display>
-      <definition value="Mandibular left first molar abutment distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID19am"></code>
-      <display value="19am"></display>
-      <definition value="Mandibular left first molar abutment mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID19i"></code>
-      <display value="19i"></display>
-      <definition value="Mandibular left first molar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID19id"></code>
-      <display value="19id"></display>
-      <definition value="Mandibular left first molar implant distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID19im"></code>
-      <display value="19im"></display>
-      <definition value="Mandibular left first molar implant mesial hemisection"></definition>
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-     <concept>
-      <code value="TID19p"></code>
-      <display value="19p"></display>
-      <definition value="Mandibular left first molar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID19pd"></code>
-      <display value="19pd"></display>
-      <definition value="Mandibular left first molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID19pm"></code>
-      <display value="19pm"></display>
-      <definition value="Mandibular left first molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID1a"></code>
-      <display value="1a"></display>
-      <definition value="Maxillary right third molar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID1i"></code>
-      <display value="1i"></display>
-      <definition value="Maxillary right third molar implant"></definition>
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-     <concept>
-      <code value="TID1p"></code>
-      <display value="1p"></display>
-      <definition value="Maxillary right third molar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID1pd"></code>
-      <display value="1pd"></display>
-      <definition value="Maxillary right third molar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID1pm"></code>
-      <display value="1pm"></display>
-      <definition value="Maxillary right third molar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID20a"></code>
-      <display value="20a"></display>
-      <definition value="Mandibular left second premolar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID20i"></code>
-      <display value="20i"></display>
-      <definition value="Mandibular left second premolar implant"></definition>
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-     <concept>
-      <code value="TID20p"></code>
-      <display value="20p"></display>
-      <definition value="Mandibular left second premolar prosthesis"></definition>
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-     <concept>
-      <code value="TID20pd"></code>
-      <display value="20pd"></display>
-      <definition value="Mandibular left second premolar distal prosthesis"></definition>
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-     <concept>
-      <code value="TID20pm"></code>
-      <display value="20pm"></display>
-      <definition value="Mandibular left second premolar mesial prosthesis"></definition>
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-     <concept>
-      <code value="TID21a"></code>
-      <display value="21a"></display>
-      <definition value="Mandibular left first premolar abutment"></definition>
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-     <concept>
-      <code value="TID21i"></code>
-      <display value="21i"></display>
-      <definition value="Mandibular left first premolar implant"></definition>
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-     <concept>
-      <code value="TID21p"></code>
-      <display value="21p"></display>
-      <definition value="Mandibular left first premolar prosthesis"></definition>
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-     <concept>
-      <code value="TID21pd"></code>
-      <display value="21pd"></display>
-      <definition value="Mandibular left first premolar distal prosthesis"></definition>
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-     <concept>
-      <code value="TID21pm"></code>
-      <display value="21pm"></display>
-      <definition value="Mandibular left first premolar mesial prosthesis"></definition>
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-     <concept>
-      <code value="TID22a"></code>
-      <display value="22a"></display>
-      <definition value="Mandibular left canine abutment"></definition>
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-     <concept>
-      <code value="TID22i"></code>
-      <display value="22i"></display>
-      <definition value="Mandibular left canine implant"></definition>
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-     <concept>
-      <code value="TID22p"></code>
-      <display value="22p"></display>
-      <definition value="Mandibular left canine prosthesis"></definition>
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-      <code value="TID22pd"></code>
-      <display value="22pd"></display>
-      <definition value="Mandibular left canine distal prosthesis"></definition>
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-      <code value="TID22pm"></code>
-      <display value="22pm"></display>
-      <definition value="Mandibular left canine mesial prosthesis"></definition>
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-     <concept>
-      <code value="TID23a"></code>
-      <display value="23a"></display>
-      <definition value="Mandibular left lateral incisor abutment"></definition>
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-      <code value="TID23i"></code>
-      <display value="23i"></display>
-      <definition value="Mandibular left lateral incisor implant"></definition>
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-      <code value="TID23p"></code>
-      <display value="23p"></display>
-      <definition value="Mandibular left lateral incisor prosthesis"></definition>
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-      <code value="TID23pd"></code>
-      <display value="23pd"></display>
-      <definition value="Mandibular left lateral incisor distal prosthesis"></definition>
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-      <code value="TID23pm"></code>
-      <display value="23pm"></display>
-      <definition value="Mandibular left lateral incisor mesial prosthesis"></definition>
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-      <code value="TID24a"></code>
-      <display value="24a"></display>
-      <definition value="Mandibular left central incisor abutment"></definition>
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-      <code value="TID24i"></code>
-      <display value="24i"></display>
-      <definition value="Mandibular left central incisor implant"></definition>
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-      <code value="TID24p"></code>
-      <display value="24p"></display>
-      <definition value="Mandibular left central incisor prosthesis"></definition>
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-      <code value="TID24pd"></code>
-      <display value="24pd"></display>
-      <definition value="Mandibular left central incisor distal prosthesis"></definition>
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-      <code value="TID24pm"></code>
-      <display value="24pm"></display>
-      <definition value="Mandibular left central incisor mesial prosthesis"></definition>
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-      <code value="TID25a"></code>
-      <display value="25a"></display>
-      <definition value="Mandibular right central incisor abutment"></definition>
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-      <code value="TID25i"></code>
-      <display value="25i"></display>
-      <definition value="Mandibular right central incisor implant"></definition>
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-      <code value="TID25p"></code>
-      <display value="25p"></display>
-      <definition value="Mandibular right central incisor prosthesis"></definition>
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-      <code value="TID25pd"></code>
-      <display value="25pd"></display>
-      <definition value="Mandibular right central incisor distal prosthesis"></definition>
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-      <code value="TID25pm"></code>
-      <display value="25pm"></display>
-      <definition value="Mandibular right central incisor mesial prosthesis"></definition>
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-      <code value="TID26a"></code>
-      <display value="26a"></display>
-      <definition value="Mandibular right lateral incisor abutment"></definition>
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-      <code value="TID26i"></code>
-      <display value="26i"></display>
-      <definition value="Mandibular right lateral incisor implant"></definition>
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-      <code value="TID26p"></code>
-      <display value="26p"></display>
-      <definition value="Mandibular right lateral incisor prosthesis"></definition>
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-      <code value="TID26pd"></code>
-      <display value="26pd"></display>
-      <definition value="Mandibular right lateral incisor distal prosthesis"></definition>
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-      <code value="TID26pm"></code>
-      <display value="26pm"></display>
-      <definition value="Mandibular right lateral incisor mesial prosthesis"></definition>
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-      <code value="TID27a"></code>
-      <display value="27a"></display>
-      <definition value="Mandibular right canine abutment"></definition>
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-      <code value="TID27i"></code>
-      <display value="27i"></display>
-      <definition value="Mandibular right canine implant"></definition>
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-      <code value="TID27p"></code>
-      <display value="27p"></display>
-      <definition value="Mandibular right canine prosthesis"></definition>
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-      <code value="TID27pd"></code>
-      <display value="27pd"></display>
-      <definition value="Mandibular right canine distal prosthesis"></definition>
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-      <code value="TID27pm"></code>
-      <display value="27pm"></display>
-      <definition value="Mandibular right canine mesial prosthesis"></definition>
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-      <code value="TID28a"></code>
-      <display value="28a"></display>
-      <definition value="Mandibular right first premolar abutment"></definition>
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-      <code value="TID28i"></code>
-      <display value="28i"></display>
-      <definition value="Mandibular right first premolar implant"></definition>
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-     <concept>
-      <code value="TID28p"></code>
-      <display value="28p"></display>
-      <definition value="Mandibular right first premolar prosthesis"></definition>
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-      <code value="TID28pd"></code>
-      <display value="28pd"></display>
-      <definition value="Mandibular right first premolar distal prosthesis"></definition>
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-      <code value="TID28pm"></code>
-      <display value="28pm"></display>
-      <definition value="Mandibular right first premolar mesial prosthesis"></definition>
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-      <code value="TID29a"></code>
-      <display value="29a"></display>
-      <definition value="Mandibular right second premolar abutment"></definition>
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-      <code value="TID29i"></code>
-      <display value="29i"></display>
-      <definition value="Mandibular right second premolar implant"></definition>
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-     <concept>
-      <code value="TID29p"></code>
-      <display value="29p"></display>
-      <definition value="Mandibular right second premolar prosthesis"></definition>
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-      <code value="TID29pd"></code>
-      <display value="29pd"></display>
-      <definition value="Mandibular right second premolar distal prosthesis"></definition>
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-      <code value="TID29pm"></code>
-      <display value="29pm"></display>
-      <definition value="Mandibular right second premolar mesial prosthesis"></definition>
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-      <code value="TID2a"></code>
-      <display value="2a"></display>
-      <definition value="Maxillary right second molar abutment"></definition>
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-      <code value="TID2i"></code>
-      <display value="2i"></display>
-      <definition value="Maxillary right second molar implant"></definition>
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-      <code value="TID2p"></code>
-      <display value="2p"></display>
-      <definition value="Maxillary right second molar prosthesis"></definition>
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-      <code value="TID2pd"></code>
-      <display value="2pd"></display>
-      <definition value="Maxillary right second molar distal prosthesis"></definition>
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-      <code value="TID2pm"></code>
-      <display value="2pm"></display>
-      <definition value="Maxillary right second molar mesial prosthesis"></definition>
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-      <code value="TID30a"></code>
-      <display value="30a"></display>
-      <definition value="Mandibular right first molar abutment"></definition>
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-      <code value="TID30ad"></code>
-      <display value="30ad"></display>
-      <definition value="Mandibular right first molar abutment distal hemisection"></definition>
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-      <code value="TID30am"></code>
-      <display value="30am"></display>
-      <definition value="Mandibular right first molar abutment mesial hemisection"></definition>
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-      <code value="TID30i"></code>
-      <display value="30i"></display>
-      <definition value="Mandibular right first molar implant"></definition>
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-      <code value="TID30id"></code>
-      <display value="30id"></display>
-      <definition value="Mandibular right first molar implant distal hemisection"></definition>
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-      <code value="TID30im"></code>
-      <display value="30im"></display>
-      <definition value="Mandibular right first molar implant mesial hemisection"></definition>
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-      <code value="TID30p"></code>
-      <display value="30p"></display>
-      <definition value="Mandibular right first molar prosthesis"></definition>
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-      <code value="TID30pd"></code>
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-      <definition value="Mandibular right first molar distal prosthesis"></definition>
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-      <code value="TID30pm"></code>
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-      <definition value="Mandibular right first molar mesial prosthesis"></definition>
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-      <code value="TID31a"></code>
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-      <definition value="Mandibular right second molar abutment"></definition>
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-      <code value="TID31ad"></code>
-      <display value="31ad"></display>
-      <definition value="Mandibular right second molar abutment distal hemisection"></definition>
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-      <code value="TID31am"></code>
-      <display value="31am"></display>
-      <definition value="Mandibular right second molar abutment mesial hemisection"></definition>
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-      <code value="TID31i"></code>
-      <display value="31i"></display>
-      <definition value="Mandibular right second molar implant"></definition>
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-      <code value="TID31id"></code>
-      <display value="31id"></display>
-      <definition value="Mandibular right second molar implant distal hemisection"></definition>
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-      <code value="TID31im"></code>
-      <display value="31im"></display>
-      <definition value="Mandibular right second molar implant mesial hemisection"></definition>
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-      <code value="TID31p"></code>
-      <display value="31p"></display>
-      <definition value="Mandibular right second molar prosthesis"></definition>
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-      <code value="TID31pd"></code>
-      <display value="31pd"></display>
-      <definition value="Mandibular right second molar distal prosthesis"></definition>
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-      <code value="TID31pm"></code>
-      <display value="31pm"></display>
-      <definition value="Mandibular right second molar mesial prosthesis"></definition>
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-      <code value="TID32a"></code>
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-      <definition value="Mandibular right third molar abutment"></definition>
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-      <code value="TID32ad"></code>
-      <display value="32ad"></display>
-      <definition value="Mandibular right third molar abutment distal hemisection"></definition>
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-      <code value="TID32am"></code>
-      <display value="32am"></display>
-      <definition value="Mandibular right third molar abutment mesial hemisection"></definition>
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-      <code value="TID32i"></code>
-      <display value="32i"></display>
-      <definition value="Mandibular right third molar implant"></definition>
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-      <code value="TID32id"></code>
-      <display value="32id"></display>
-      <definition value="Mandibular right third molar implant distal hemisection"></definition>
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-      <code value="TID32im"></code>
-      <display value="32im"></display>
-      <definition value="Mandibular right third molar implant mesial hemisection"></definition>
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-      <code value="TID32p"></code>
-      <display value="32p"></display>
-      <definition value="Mandibular right third molar prosthesis"></definition>
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-      <code value="TID32pd"></code>
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-      <definition value="Mandibular right third molar distal prosthesis"></definition>
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-      <code value="TID32pm"></code>
-      <display value="32pm"></display>
-      <definition value="Mandibular right third molar mesial prosthesis"></definition>
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-      <code value="TID3a"></code>
-      <display value="3a"></display>
-      <definition value="Maxillary right first molar abutment"></definition>
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-      <code value="TID3i"></code>
-      <display value="3i"></display>
-      <definition value="Maxillary right first molar implant"></definition>
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-      <code value="TID3p"></code>
-      <display value="3p"></display>
-      <definition value="Maxillary right first molar prosthesis"></definition>
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-      <code value="TID3pd"></code>
-      <display value="3pd"></display>
-      <definition value="Maxillary right first molar distal prosthesis"></definition>
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-      <code value="TID3pm"></code>
-      <display value="3pm"></display>
-      <definition value="Maxillary right first molar mesial prosthesis"></definition>
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-      <code value="TID4a"></code>
-      <display value="4a"></display>
-      <definition value="Maxillary right second premolar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID4i"></code>
-      <display value="4i"></display>
-      <definition value="Maxillary right second premolar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID4p"></code>
-      <display value="4p"></display>
-      <definition value="Maxillary right second premolar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID4pd"></code>
-      <display value="4pd"></display>
-      <definition value="Maxillary right second premolar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID4pm"></code>
-      <display value="4pm"></display>
-      <definition value="Maxillary right second premolar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID5a"></code>
-      <display value="5a"></display>
-      <definition value="Maxillary right first premolar abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID5i"></code>
-      <display value="5i"></display>
-      <definition value="Maxillary right first premolar implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID5p"></code>
-      <display value="5p"></display>
-      <definition value="Maxillary right first premolar prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID5pd"></code>
-      <display value="5pd"></display>
-      <definition value="Maxillary right first premolar distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID5pm"></code>
-      <display value="5pm"></display>
-      <definition value="Maxillary right first premolar mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID6a"></code>
-      <display value="6a"></display>
-      <definition value="Maxillary right canine abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID6i"></code>
-      <display value="6i"></display>
-      <definition value="Maxillary right canine implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID6p"></code>
-      <display value="6p"></display>
-      <definition value="Maxillary right canine prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID6pd"></code>
-      <display value="6pd"></display>
-      <definition value="Maxillary right canine distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID6pm"></code>
-      <display value="6pm"></display>
-      <definition value="Maxillary right canine mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID7a"></code>
-      <display value="7a"></display>
-      <definition value="Maxillary right lateral incisor abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID7i"></code>
-      <display value="7i"></display>
-      <definition value="Maxillary right lateral incisor implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID7p"></code>
-      <display value="7p"></display>
-      <definition value="Maxillary right lateral incisor prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID7pd"></code>
-      <display value="7pd"></display>
-      <definition value="Maxillary right lateral incisor distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID7pm"></code>
-      <display value="7pm"></display>
-      <definition value="Maxillary right lateral incisor mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID8a"></code>
-      <display value="8a"></display>
-      <definition value="Maxillary right central incisor abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID8i"></code>
-      <display value="8i"></display>
-      <definition value="Maxillary right central incisor implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID8p"></code>
-      <display value="8p"></display>
-      <definition value="Maxillary right central incisor prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID8pd"></code>
-      <display value="8pd"></display>
-      <definition value="Maxillary right central incisor distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID8pm"></code>
-      <display value="8pm"></display>
-      <definition value="Maxillary right central incisor mesial prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID9a"></code>
-      <display value="9a"></display>
-      <definition value="Maxillary left central incisor abutment"></definition>
-     </concept>
-     <concept>
-      <code value="TID9i"></code>
-      <display value="9i"></display>
-      <definition value="Maxillary left central incisor implant"></definition>
-     </concept>
-     <concept>
-      <code value="TID9p"></code>
-      <display value="9p"></display>
-      <definition value="Maxillary left central incisor prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID9pd"></code>
-      <display value="9pd"></display>
-      <definition value="Maxillary left central incisor distal prosthesis"></definition>
-     </concept>
-     <concept>
-      <code value="TID9pm"></code>
-      <display value="9pm"></display>
-      <definition value="Maxillary left central incisor mesial prosthesis"></definition>
-     </concept>
+     <code value="POLB_TE004000UV"></code>
+     <display value="Result Status"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="PermanentDentition"></code>
-     <display value="Permanent dentition"></display>
-     <definition value="Permanent dentition, the natural teeth of adulthood that replace or are added to the deciduous teeth"></definition>
-     <concept>
-      <code value="TID1"></code>
-      <display value="1"></display>
-      <definition value="Maxillary right third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID10"></code>
-      <display value="10"></display>
-      <definition value="Maxillary left lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID11"></code>
-      <display value="11"></display>
-      <definition value="Maxillary left canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID12"></code>
-      <display value="12"></display>
-      <definition value="Maxillary left first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID13"></code>
-      <display value="13"></display>
-      <definition value="Maxillary left second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID14"></code>
-      <display value="14"></display>
-      <definition value="Maxillary left first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID15"></code>
-      <display value="15"></display>
-      <definition value="Maxillary left second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID16"></code>
-      <display value="16"></display>
-      <definition value="Maxillary left third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID17"></code>
-      <display value="17"></display>
-      <definition value="Mandibular left third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID17d"></code>
-      <display value="17d"></display>
-      <definition value="Mandibular left third molar distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID17m"></code>
-      <display value="17m"></display>
-      <definition value="Mandibular left third molar mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID18"></code>
-      <display value="18"></display>
-      <definition value="Mandibular left second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID18d"></code>
-      <display value="18d"></display>
-      <definition value="Mandibular left second molar distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID18m"></code>
-      <display value="18m"></display>
-      <definition value="Mandibular left second molar mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID19"></code>
-      <display value="19"></display>
-      <definition value="Mandibular left first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID19d"></code>
-      <display value="19d"></display>
-      <definition value="Mandibular left first molar distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID19m"></code>
-      <display value="19m"></display>
-      <definition value="Mandibular left first molar mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID2"></code>
-      <display value="2"></display>
-      <definition value="Maxillary right second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID20"></code>
-      <display value="20"></display>
-      <definition value="Mandibular left second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID21"></code>
-      <display value="21"></display>
-      <definition value="Mandibular left first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID22"></code>
-      <display value="22"></display>
-      <definition value="Mandibular left canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID23"></code>
-      <display value="23"></display>
-      <definition value="Mandibular left lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID24"></code>
-      <display value="24"></display>
-      <definition value="Mandibular left central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID25"></code>
-      <display value="25"></display>
-      <definition value="Mandibular right central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID26"></code>
-      <display value="26"></display>
-      <definition value="Mandibular right lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID27"></code>
-      <display value="27"></display>
-      <definition value="Mandibular right canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID28"></code>
-      <display value="28"></display>
-      <definition value="Mandibular right first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID29"></code>
-      <display value="29"></display>
-      <definition value="Mandibular right second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID3"></code>
-      <display value="3"></display>
-      <definition value="Maxillary right first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID30"></code>
-      <display value="30"></display>
-      <definition value="Mandibular right first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID30d"></code>
-      <display value="30d"></display>
-      <definition value="Mandibular right first molar distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID30m"></code>
-      <display value="30m"></display>
-      <definition value="Mandibular right first molar mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID31"></code>
-      <display value="31"></display>
-      <definition value="Mandibular right second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID31d"></code>
-      <display value="31d"></display>
-      <definition value="Mandibular right second molar distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID31m"></code>
-      <display value="31m"></display>
-      <definition value="Mandibular right second molar mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID32"></code>
-      <display value="32"></display>
-      <definition value="Mandibular right third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID32d"></code>
-      <display value="32d"></display>
-      <definition value="Mandibular right third molar distal hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID32m"></code>
-      <display value="32m"></display>
-      <definition value="Mandibular right third molar mesial hemisection"></definition>
-     </concept>
-     <concept>
-      <code value="TID4"></code>
-      <display value="4"></display>
-      <definition value="Maxillary right second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID5"></code>
-      <display value="5"></display>
-      <definition value="Maxillary right first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID6"></code>
-      <display value="6"></display>
-      <definition value="Maxillary right canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID7"></code>
-      <display value="7"></display>
-      <definition value="Maxillary right lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID8"></code>
-      <display value="8"></display>
-      <definition value="Maxillary right central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID9"></code>
-      <display value="9"></display>
-      <definition value="Maxillary left central incisor"></definition>
-     </concept>
+     <code value="POLB_TE004001UV"></code>
+     <display value="Result Confirm"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="PrimaryDentition"></code>
-     <display value="Primary dentition"></display>
-     <definition value="Primary dentition, the first teeth to errupt and usually replaced with permanent dentition"></definition>
-     <concept>
-      <code value="TIDA"></code>
-      <display value="A"></display>
-      <definition value="Maxillary right second primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDB"></code>
-      <display value="B"></display>
-      <definition value="Maxillary right first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDC"></code>
-      <display value="C"></display>
-      <definition value="Maxillary right primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDD"></code>
-      <display value="D"></display>
-      <definition value="Maxillary right lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDE"></code>
-      <display value="E"></display>
-      <definition value="Maxillary right central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDF"></code>
-      <display value="F"></display>
-      <definition value="Maxillary left central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDG"></code>
-      <display value="G"></display>
-      <definition value="Maxillary left lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDH"></code>
-      <display value="H"></display>
-      <definition value="Maxillary left primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDI"></code>
-      <display value="I"></display>
-      <definition value="Maxillary left first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDJ"></code>
-      <display value="J"></display>
-      <definition value="Maxillary left second primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDK"></code>
-      <display value="K"></display>
-      <definition value="Mandibular left second primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDL"></code>
-      <display value="L"></display>
-      <definition value="Mandibular left first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDM"></code>
-      <display value="M"></display>
-      <definition value="Mandibular left primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDN"></code>
-      <display value="N"></display>
-      <definition value="Mandibular left lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDO"></code>
-      <display value="O"></display>
-      <definition value="Mandibular left central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDP"></code>
-      <display value="P"></display>
-      <definition value="Mandibular right central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDQ"></code>
-      <display value="Q"></display>
-      <definition value="Mandibular right lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDR"></code>
-      <display value="R"></display>
-      <definition value="Mandibular right primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDS"></code>
-      <display value="S"></display>
-      <definition value="Mandibular right first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDT"></code>
-      <display value="T"></display>
-      <definition value="Mandibular right second primary molar"></definition>
-     </concept>
+     <code value="POLB_TE004002UV"></code>
+     <display value="Result Reject"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="SupernumeraryTooth"></code>
-     <display value="Supernumerary Tooth"></display>
-     <definition value="Supernumerary tooth, any tooth in addition to the normal permanent and primary dentition"></definition>
-     <concept>
-      <code value="TID10s"></code>
-      <display value="10s"></display>
-      <definition value="Supernumerary maxillary left lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID11s"></code>
-      <display value="11s"></display>
-      <definition value="Supernumerary maxillary left canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID12s"></code>
-      <display value="12s"></display>
-      <definition value="Supernumerary maxillary left first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID13s"></code>
-      <display value="13s"></display>
-      <definition value="Supernumerary maxillary left second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID14s"></code>
-      <display value="14s"></display>
-      <definition value="Supernumerary maxillary left first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID15s"></code>
-      <display value="15s"></display>
-      <definition value="Supernumerary maxillary left second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID16s"></code>
-      <display value="16s"></display>
-      <definition value="Supernumerary maxillary left third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID17s"></code>
-      <display value="17s"></display>
-      <definition value="Supernumerary mandibular left third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID18s"></code>
-      <display value="18s"></display>
-      <definition value="Supernumerary mandibular left second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID19s"></code>
-      <display value="19s"></display>
-      <definition value="Supernumerary mandibular left first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID1s"></code>
-      <display value="1s"></display>
-      <definition value="Supernumerary maxillary right third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID20s"></code>
-      <display value="20s"></display>
-      <definition value="Supernumerary mandibular left second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID21s"></code>
-      <display value="21s"></display>
-      <definition value="Supernumerary mandibular left first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID22s"></code>
-      <display value="22s"></display>
-      <definition value="Supernumerary mandibular left canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID23s"></code>
-      <display value="23s"></display>
-      <definition value="Supernumerary mandibular left lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID24s"></code>
-      <display value="24s"></display>
-      <definition value="Supernumerary mandibular left central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID25s"></code>
-      <display value="25s"></display>
-      <definition value="Supernumerary mandibular right central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID26s"></code>
-      <display value="26s"></display>
-      <definition value="Supernumerary mandibular right lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID27s"></code>
-      <display value="27s"></display>
-      <definition value="Supernumerary mandibular right canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID28s"></code>
-      <display value="28s"></display>
-      <definition value="Supernumerary mandibular right first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID29s"></code>
-      <display value="29s"></display>
-      <definition value="Supernumerary mandibular right second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID2s"></code>
-      <display value="2s"></display>
-      <definition value="Supernumerary maxillary right second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID30s"></code>
-      <display value="30s"></display>
-      <definition value="Supernumerary mandibular right first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID31s"></code>
-      <display value="31s"></display>
-      <definition value="Supernumerary mandibular right second molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID32s"></code>
-      <display value="32s"></display>
-      <definition value="Supernumerary mandibular right third molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID3s"></code>
-      <display value="3s"></display>
-      <definition value="Supernumerary maxillary right first molar"></definition>
-     </concept>
-     <concept>
-      <code value="TID4s"></code>
-      <display value="4s"></display>
-      <definition value="Supernumerary maxillary right second premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID5s"></code>
-      <display value="5s"></display>
-      <definition value="Supernumerary maxillary right first premolar"></definition>
-     </concept>
-     <concept>
-      <code value="TID6s"></code>
-      <display value="6s"></display>
-      <definition value="Supernumerary maxillary right canine"></definition>
-     </concept>
-     <concept>
-      <code value="TID7s"></code>
-      <display value="7s"></display>
-      <definition value="Supernumerary maxillary right lateral incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID8s"></code>
-      <display value="8s"></display>
-      <definition value="Supernumerary maxillary right central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TID9s"></code>
-      <display value="9s"></display>
-      <definition value="Supernumerary maxillary left central incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDAs"></code>
-      <display value="As"></display>
-      <definition value="Supernumerary maxillary right second primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDBs"></code>
-      <display value="Bs"></display>
-      <definition value="Supernumerary maxillary right first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDCs"></code>
-      <display value="Cs"></display>
-      <definition value="Supernumerary maxillary right primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDDs"></code>
-      <display value="Ds"></display>
-      <definition value="Supernumerary maxillary right lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDEs"></code>
-      <display value="Es"></display>
-      <definition value="Supernumerary maxillary right central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDFs"></code>
-      <display value="Fs"></display>
-      <definition value="Supernumerary maxillary left central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDGs"></code>
-      <display value="Gs"></display>
-      <definition value="Supernumerary maxillary left lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDHs"></code>
-      <display value="Hs"></display>
-      <definition value="Supernumerary maxillary left primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDIs"></code>
-      <display value="Is"></display>
-      <definition value="Supernumerary maxillary left first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDJs"></code>
-      <display value="Js"></display>
-      <definition value="Supernumerary maxillary left second primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDKs"></code>
-      <display value="Ks"></display>
-      <definition value="Supernumerary mandibular left second primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDLs"></code>
-      <display value="Ls"></display>
-      <definition value="Supernumerary mandibular left first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDMs"></code>
-      <display value="Ms"></display>
-      <definition value="Supernumerary mandibular left primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDNs"></code>
-      <display value="Ns"></display>
-      <definition value="Supernumerary mandibular left lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDOs"></code>
-      <display value="Os"></display>
-      <definition value="Supernumerary mandibular left central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDPs"></code>
-      <display value="Ps"></display>
-      <definition value="Supernumerary mandibular right central primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDQs"></code>
-      <display value="Qs"></display>
-      <definition value="Supernumerary mandibular right lateral primary incisor"></definition>
-     </concept>
-     <concept>
-      <code value="TIDRs"></code>
-      <display value="Rs"></display>
-      <definition value="Supernumerary mandibular right primary canine"></definition>
-     </concept>
-     <concept>
-      <code value="TIDSs"></code>
-      <display value="Ss"></display>
-      <definition value="Supernumerary mandibular right first primary molar"></definition>
-     </concept>
-     <concept>
-      <code value="TIDTs"></code>
-      <display value="Ts"></display>
-      <definition value="Supernumerary mandibular right second primary molar"></definition>
-     </concept>
+     <code value="POLB_TE004007UV"></code>
+     <display value="Result Tracking"></display>
+     <definition value="Description:"></definition>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationFunction"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationFunction"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.88"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationFunction"></name>
-    <title value="v3 Code System ParticipationFunction"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationFunction"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
     <concept>
-     <code value="_AuthorizedParticipationFunction"></code>
-     <display value="AuthorizedParticipationFunction"></display>
-     <definition value="This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_AuthorizedReceiverParticipationFunction"></code>
-      <display value="AuthorizedReceiverParticipationFunction"></display>
-      <definition value="This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="AUCG"></code>
-       <display value="caregiver information receiver"></display>
-       <definition value="Description:Caregiver authorized to receive patient health information."></definition>
-      </concept>
-      <concept>
-       <code value="AULR"></code>
-       <display value="legitimate relationship information receiver"></display>
-       <definition value="Description:Provider with legitimate relationship authorized to receive patient health information."></definition>
-      </concept>
-      <concept>
-       <code value="AUTM"></code>
-       <display value="care team information receiver"></display>
-       <definition value="Description:Member of care team authorized to receive patient health information."></definition>
-      </concept>
-      <concept>
-       <code value="AUWA"></code>
-       <display value="work area information receiver"></display>
-       <definition value="Description:Entities within specified work area authorized to receive patient health information."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_ConsenterParticipationFunction"></code>
-      <display value="ConsenterParticipationFunction"></display>
-      <definition value="This code is used to specify the exact function an actor is authorized to have in authoring a consent directive."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="GRDCON"></code>
-       <display value="legal guardian consent author"></display>
-       <definition value="Description:Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent."></definition>
-      </concept>
-      <concept>
-       <code value="POACON"></code>
-       <display value="healthcare power of attorney consent author"></display>
-       <definition value="Description:Person authorized with healthcare power of attorney to author a  consent directive for the subject of consent."></definition>
-      </concept>
-      <concept>
-       <code value="PRCON"></code>
-       <display value="personal representative consent author"></display>
-       <definition value="Description:Personal representative of the subject of consent authorized to author a consent directive for the subject of consent."></definition>
-      </concept>
-      <concept>
-       <code value="PROMSK"></code>
-       <display value="authorized provider masking author"></display>
-       <definition value="Definition:Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information."></definition>
-      </concept>
-      <concept>
-       <code value="SUBCON"></code>
-       <display value="subject of consent author"></display>
-       <definition value="Description:Subject of consent authorized to author a consent directive."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_OverriderParticipationFunction"></code>
-      <display value="OverriderParticipationFunction"></display>
-      <definition value="This code is used to specify the exact function an actor is authorized to have in authoring a consent override."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="AUCOV"></code>
-       <display value="consent overrider"></display>
-       <definition value="Description:Entity authorized to override a consent directive."></definition>
-      </concept>
-      <concept>
-       <code value="AUEMROV"></code>
-       <display value="emergency overrider"></display>
-       <definition value="Description:Entity  authorized to override a consent directive or privacy policy in an emergency."></definition>
-      </concept>
-     </concept>
+     <code value="POLB_TE004100UV"></code>
+     <display value="Result in Progress"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="_CoverageParticipationFunction"></code>
-     <display value="CoverageParticipationFunction"></display>
-     <definition value="Definition: Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_PayorParticipationFunction"></code>
-      <display value="PayorParticipationFunction"></display>
-      <definition value="Definition: Set of codes indicating the manner in which payors participate in a policy or program.&lt;/"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="CLMADJ"></code>
-       <display value="claims adjudication"></display>
-       <definition value="Definition: Manages all operations required to adjudicate fee for service claims or managed care encounter reports."></definition>
-      </concept>
-      <concept>
-       <code value="ENROLL"></code>
-       <display value="enrollment broker"></display>
-       <definition value="Definition: Managing the enrollment of covered parties."></definition>
-      </concept>
-      <concept>
-       <code value="FFSMGT"></code>
-       <display value="ffs management"></display>
-       <definition value="Definition: Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review."></definition>
-      </concept>
-      <concept>
-       <code value="MCMGT"></code>
-       <display value="managed care management"></display>
-       <definition value="Definition: Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review."></definition>
-      </concept>
-      <concept>
-       <code value="PROVMGT"></code>
-       <display value="provider management"></display>
-       <definition value="Definition: Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy."></definition>
-      </concept>
-      <concept>
-       <code value="UMGT"></code>
-       <display value="utilization management"></display>
-       <definition value="Definition: Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity.  May include management of authorizations for services and referrals."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_SponsorParticipationFunction"></code>
-      <display value="SponsorParticipationFunction"></display>
-      <definition value="Definition: Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="FULINRD"></code>
-       <display value="fully insured"></display>
-       <definition value="Definition: Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="SELFINRD"></code>
-       <display value="self insured"></display>
-       <definition value="Definition: Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_UnderwriterParticipationFunction"></code>
-      <display value="UnderwriterParticipationFunction"></display>
-      <definition value="Definition: Set of codes indicating the manner in which underwriters participate in a policy or program."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="PAYORCNTR"></code>
-       <display value="payor contracting"></display>
-       <definition value="Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage.  Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management.  Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions.  The underwriter may act as the payor in some, but not all of the regions in which coverage is provided."></definition>
-      </concept>
-      <concept>
-       <code value="REINS"></code>
-       <display value="reinsures"></display>
-       <definition value="Definition: Underwriting reinsurance for another underwriter for the policy or program."></definition>
-      </concept>
-      <concept>
-       <code value="RETROCES"></code>
-       <display value="retrocessionaires"></display>
-       <definition value="Definition: Underwriting reinsurance for another reinsurer."></definition>
-      </concept>
-      <concept>
-       <code value="SUBCTRT"></code>
-       <display value="subcontracting risk"></display>
-       <definition value="Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region ."></definition>
-      </concept>
-      <concept>
-       <code value="UNDERWRTNG"></code>
-       <display value="underwriting"></display>
-       <definition value="Definition: Provision of underwriting analysis for another underwriter without assumption of risk."></definition>
-      </concept>
-     </concept>
+     <code value="POLB_TE004102UV"></code>
+     <display value="Result Activate"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="ADMPHYS"></code>
-     <display value="admitting physician"></display>
-     <definition value="A physician who admitted a patient to a hospital or other care unit that is the context of this service."></definition>
+     <code value="POLB_TE004200UV"></code>
+     <display value="Result Complete with Fulfillment"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="ANEST"></code>
-     <display value="anesthesist"></display>
-     <definition value="In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself.  To clarify responsibilities anesthesia should always be represented as a separate service related to the surgery."></definition>
+     <code value="POLB_TE004201UV"></code>
+     <display value="Result Corrected"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="ANRS"></code>
-     <display value="anesthesia nurse"></display>
-     <definition value="In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods."></definition>
+     <code value="POLB_TE004202UV"></code>
+     <display value="Result Complete"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="ASSEMBLER"></code>
-     <display value="assembly software"></display>
-     <definition value="A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact.
-         UsageConstraint: ASSEMBLER ParticipationFunction should be used with DEV (device) ParticipationType."></definition>
+     <code value="POLB_TE004301UV"></code>
+     <display value="Result Abort"></display>
+     <definition value="Description:"></definition>
     </concept>
     <concept>
-     <code value="ATTPHYS"></code>
-     <display value="attending physician"></display>
-     <definition value="A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service."></definition>
-    </concept>
-    <concept>
-     <code value="COMPOSER"></code>
-     <display value="composer software"></display>
-     <definition value="A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact.
-         UsageConstraint: COMPOSER ParticipationFunction should be used with DEV (device) ParticipationType.
-
-        
-         Usage Note: This code will enable implementers to more specifically represent the manner in which a Device participated in and facilitated the generation of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised of the Author's newly entered content, and may include the pre-existing content selected by the Author, for the purpose of establishing the provenance and accountability for these acts."></definition>
-    </concept>
-    <concept>
-     <code value="DISPHYS"></code>
-     <display value="discharging physician"></display>
-     <definition value="A physician who discharged a patient from a hospital or other care unit that is the context of this service."></definition>
-    </concept>
-    <concept>
-     <code value="FASST"></code>
-     <display value="first assistant surgeon"></display>
-     <definition value="In a typical surgery setting the assistant facing the primary surgeon.  The first assistant performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering, ligatures, sutures)."></definition>
-    </concept>
-    <concept>
-     <code value="MDWF"></code>
-     <display value="midwife"></display>
-     <definition value="A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging from a mere optional assistant to a full required participant, responsible for (normal) births and pre- and post-natal care for both mother and baby."></definition>
-    </concept>
-    <concept>
-     <code value="NASST"></code>
-     <display value="nurse assistant"></display>
-     <definition value="In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="PCP"></code>
-     <display value="primary care physician"></display>
-     <definition value="The healthcare provider that holds primary responsibility for the overall care of a patient."></definition>
-    </concept>
-    <concept>
-     <code value="PRISURG"></code>
-     <display value="primary surgeon"></display>
-     <definition value="In a typical surgery setting the primary performing surgeon."></definition>
-    </concept>
-    <concept>
-     <code value="REVIEWER"></code>
-     <display value="reviewer"></display>
-     <definition value="A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy.
-
-        
-         UsageConstraint: UsageConstraint:  Specifies the exact function that an actor is authorized to have as a verifier of an Act.  Connotes that a specialized verifier asserts compliance for veracity of the review per jurisdictional or organizational policy.  E.g., The Provider who takes responsibility for authenticity of a record submitted to a payer.
-
-        REVIEW ParticipationFunction should be used with VFR (verifier)"></definition>
-    </concept>
-    <concept>
-     <code value="RNDPHYS"></code>
-     <display value="rounding physician"></display>
-     <definition value="A physician who made rounds on a patient in a hospital or other care center."></definition>
-    </concept>
-    <concept>
-     <code value="SASST"></code>
-     <display value="second assistant surgeon"></display>
-     <definition value="In a typical surgery setting the assistant who primarily holds the hooks."></definition>
-    </concept>
-    <concept>
-     <code value="SNRS"></code>
-     <display value="scrub nurse"></display>
-     <definition value="In a typical surgery setting the nurse in charge of the instrumentation."></definition>
-    </concept>
-    <concept>
-     <code value="TASST"></code>
-     <display value="third assistant"></display>
-     <definition value="In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityHandling"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityHandling"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityHandling"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.42"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityHandling"></name>
-    <title value="v3 Code System EntityHandling"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityHandling"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AMB"></code>
-     <display value="Ambient Temperature"></display>
-     <definition value="Keep at ambient temperature, 22 +/- 2C"></definition>
-    </concept>
-    <concept>
-     <code value="C37"></code>
-     <display value="Body Temperature"></display>
-     <definition value="Critical to keep at body temperature 36-38C"></definition>
-    </concept>
-    <concept>
-     <code value="CAMB"></code>
-     <display value="Critical Ambient temperature"></display>
-     <definition value="Critical ambient - must not be refrigerated or frozen."></definition>
-    </concept>
-    <concept>
-     <code value="CATM"></code>
-     <display value="Protect from Air"></display>
-     <definition value="Critical. Do not expose to atmosphere.  Do not uncap."></definition>
-    </concept>
-    <concept>
-     <code value="CFRZ"></code>
-     <display value="Critical frozen"></display>
-     <definition value="Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing."></definition>
-    </concept>
-    <concept>
-     <code value="CREF"></code>
-     <display value="Critical refrigerated temperature"></display>
-     <definition value="Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing."></definition>
-    </concept>
-    <concept>
-     <code value="DFRZ"></code>
-     <display value="Deep Frozen"></display>
-     <definition value="Deep Frozen -16 to -20C."></definition>
-    </concept>
-    <concept>
-     <code value="DRY"></code>
-     <display value="dry"></display>
-     <definition value="Keep in a dry environment"></definition>
-    </concept>
-    <concept>
-     <code value="FRZ"></code>
-     <display value="frozen"></display>
-     <definition value="Keep frozen below 0 ?C"></definition>
-    </concept>
-    <concept>
-     <code value="MTLF"></code>
-     <display value="Metal Free"></display>
-     <definition value="Container is free of heavy metals, including lead."></definition>
-    </concept>
-    <concept>
-     <code value="NTR"></code>
-     <display value="nitrogen"></display>
-     <definition value="Keep in liquid nitrogen"></definition>
-    </concept>
-    <concept>
-     <code value="PRTL"></code>
-     <display value="Protect from Light"></display>
-     <definition value="Protect from light (eg. Wrap in aluminum foil)."></definition>
-    </concept>
-    <concept>
-     <code value="PSA"></code>
-     <display value="do not shake"></display>
-     <definition value="Do not shake"></definition>
-    </concept>
-    <concept>
-     <code value="PSO"></code>
-     <display value="no shock"></display>
-     <definition value="Protect against shock"></definition>
-    </concept>
-    <concept>
-     <code value="REF"></code>
-     <display value="Refrigerated temperature"></display>
-     <definition value="Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence."></definition>
-    </concept>
-    <concept>
-     <code value="SBU"></code>
-     <display value="Shake before use"></display>
-     <definition value="Shake thoroughly before using"></definition>
-    </concept>
-    <concept>
-     <code value="UFRZ"></code>
-     <display value="Ultra frozen"></display>
-     <definition value="Ultra cold frozen -75 to -85C.  Ultra cold freezer is typically at temperature of dry ice."></definition>
-    </concept>
-    <concept>
-     <code value="UPR"></code>
-     <display value="upright"></display>
-     <definition value="Keep upright, do not turn upside down"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CommunicationFunctionType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-CommunicationFunctionType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-CommunicationFunctionType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1056"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CommunicationFunctionType"></name>
-    <title value="v3 Code System CommunicationFunctionType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Describes the type of communication function that the associated entity plays in the associated transmission."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CommunicationFunctionType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="RCV"></code>
-     <display value="receiver"></display>
-     <definition value="The entity is the receiver of the transmission."></definition>
-    </concept>
-    <concept>
-     <code value="RSP"></code>
-     <display value="respond to"></display>
-     <definition value="The entity is the one to which the response or reply to the transmission should be sent."></definition>
-    </concept>
-    <concept>
-     <code value="SND"></code>
-     <display value="sender"></display>
-     <definition value="The entity is the sender of the transmission."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleClass"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleClass"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.110"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleClass"></name>
-    <title value="v3 Code System RoleClass"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes for the Role class hierarchy.  The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role.  Roles names are derived from the name of the playing entity in that role. The role hierarchy stems from three core concepts, or abstract domains:    RoleClassOntological
-is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity.   RoleClassPartitive
-collects roles in which the playing entity is in some sense a &quot;part&quot; of the scoping entity.   RoleClassAssociative
-collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between:    RoleClassPassive
-which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity.   RoleClassMutualRelationship
-which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may bede facto
-behavior.  Thus, this sub-domain is further divided into:    RoleClassRelationshipFormal
-in which the relationship is formally defined, frequently by a contract or agreement.   Personal relationship
-which inks two people in a personal relationship. The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the  &quot;Personal relationship&quot; which is a leaf concept.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleClass"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="ROL"></code>
-     <display value="role"></display>
-     <definition value="Corresponds to the Role class"></definition>
-     <concept>
-      <code value="_RoleClassAssociative"></code>
-      <display value="RoleClassAssociative"></display>
-      <definition value="A general association between two entities that is neither partitive nor ontological."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="_RoleClassMutualRelationship"></code>
-       <display value="RoleClassMutualRelationship"></display>
-       <definition value="A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may be de facto behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children)."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="_RoleClassRelationshipFormal"></code>
-        <display value="RoleClassRelationshipFormal"></display>
-        <definition value="A relationship between two entities that is formally recognized, frequently by a contract or similar agreement."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="AFFL"></code>
-         <display value="affiliate"></display>
-         <definition value="Player of the Affiliate role has a business/professional relationship with scoper.  Player and scoper may be persons or organization.  The Affiliate relationship does not imply membership in a group, nor does it exist for resource scheduling purposes.
-
-        
-         Example: A healthcare provider is affiliated with another provider as a business associate."></definition>
-        </concept>
-        <concept>
-         <code value="AGNT"></code>
-         <display value="agent"></display>
-         <definition value="An entity (player) that acts or is authorized to act on behalf of another entity (scoper)."></definition>
-         <concept>
-          <code value="ASSIGNED"></code>
-          <display value="assigned entity"></display>
-          <definition value="An agent role in which the agent is an Entity acting in the employ of an organization.  The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization."></definition>
-          <concept>
-           <code value="COMPAR"></code>
-           <display value="commissioning party"></display>
-           <definition value="An Entity that is authorized to issue or instantiate permissions, privileges, credentials or other formal/legal authorizations."></definition>
-          </concept>
-          <concept>
-           <code value="SGNOFF"></code>
-           <display value="signing authority or officer"></display>
-           <definition value="The role of a person (player) who is the officer or signature authority for of a scoping entity, usually an organization (scoper)."></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="CON"></code>
-          <display value="contact"></display>
-          <definition value="A person or an organization (player) which provides or receives information regarding another entity (scoper).  Examples; patient NOK and emergency contacts; guarantor contact; employer contact."></definition>
-          <concept>
-           <code value="ECON"></code>
-           <display value="emergency contact"></display>
-           <definition value="An entity to be contacted in the event of an emergency."></definition>
-          </concept>
-          <concept>
-           <code value="NOK"></code>
-           <display value="next of kin"></display>
-           <definition value="An individual designated for notification as the next of kin for a given entity."></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="GUARD"></code>
-          <display value="guardian"></display>
-          <definition value="Guardian of a ward"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="CIT"></code>
-         <display value="citizen"></display>
-         <definition value="Citizen of apolitical entity"></definition>
-        </concept>
-        <concept>
-         <code value="COVPTY"></code>
-         <display value="covered party"></display>
-         <definition value="A role class played by a person who receives benefit coverage under the terms of a particular insurance policy.  The underwriter of that policy is the scoping entity.  The covered party receives coverage because of some contractual or other relationship with the holder of that policy.
-
-        
-         Discussion:This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.
-
-        Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder.  Thus the notion of covered party is a role that is distinct from that of the policy holder."></definition>
-         <concept>
-          <code value="CLAIM"></code>
-          <display value="claimant"></display>
-          <definition value="Description: A role played by a party making a claim for coverage under a policy or program.  A claimant must be either a person or organization, or a group of persons or organizations.  A claimant is not a named insured or a program eligible.
-
-        
-         Discussion: With respect to liability insurance such as property and casualty insurance, a claimant must file a claim requesting indemnification for a loss that the claimant considers covered under the policy of a named insured.  The claims adjuster for the policy underwriter will review the claim to determine whether the loss meets the benefit coverage criteria under a policy, and base any indemnification or coverage payment on that review.  If a third party is liable in whole or part for the loss, the underwriter may pursue third party liability recovery.  A claimant may be involved in civil or criminal legal proceedings involving claims against a defendant party that is indemnified by an insurance policy or to protest the finding of a claims adjustor. With respect to life insurance, a beneficiary designated by a named insured becomes a claimant of the proceeds of coverage, as in the case of a life insurance policy.  However, a claimant for coverage under life insurance is not necessarily a designated beneficiary.
-
-        
-         Note: A claimant is not a named insured.  However, a named insured may make a claim under a policy, e.g., an insured driver may make a claim for an injury under his or her comprehensive automobile insurance policy.  Similarly, a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.
-
-        In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that either a named insured or an individual insured has filed a claim for a loss.  In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a &quot;claim&quot; under the program for benefits.  Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.
-
-        
-         Example: A claimant under automobile policy that is not the named insured."></definition>
-         </concept>
-         <concept>
-          <code value="NAMED"></code>
-          <display value="named insured"></display>
-          <definition value="Description: A role played by a party to an insurance policy to which the insurer agrees to indemnify for losses, provides benefits for, or renders services.  A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.
-
-        
-         Discussion: The coded concept NAMED should not be used where a more specific child concept in this Specializable value set applies.  In some cases, the named insured may not be the policy holder, e.g., where a policy holder purchases life insurance policy in which another party is the named insured and the policy holder is the beneficiary of the policy.
-
-        
-         Note: The party playing the role of a named insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a named insured may make a claim under a policy, e.g., e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy e.g., if injured in an automobile accident and there is no liable third party.  In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that a named insured has filed a claim for a loss.
-
-        
-         Example: The named insured under a comprehensive automobile, disability, or property and casualty policy that is the named insured and may or may not be the policy holder."></definition>
-          <concept>
-           <code value="DEPEN"></code>
-           <display value="dependent"></display>
-           <definition value="Description: A role played by a person covered under a policy or program based on an association with a subscriber, which is recognized by the policy holder.
-
-        
-         Note:  The party playing the role of a dependent is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a dependent may make a claim under a policy, e.g., a dependent under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party.  In the case of a dependent making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the dependent has filed a claim for services covered under the health insurance policy.
-
-        
-         Example: The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child.  The policy holder may be required by law to recognize certain associations or may have discretion about the associations.  For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents.  Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently abled or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriberaTMs legal standing in the relationship with the dependent."></definition>
-          </concept>
-          <concept>
-           <code value="INDIV"></code>
-           <display value="individual"></display>
-           <definition value="Description: A role played by a party covered under a policy as the policy holder.  An individual may be either a person or an organization.
-
-        
-         Note: The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party.  In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.
-
-        
-         Example: The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder."></definition>
-          </concept>
-          <concept>
-           <code value="SUBSCR"></code>
-           <display value="subscriber"></display>
-           <definition value="Description: A role played by a person covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage.
-
-        
-         Discussion: The policy holder holds the contract with the policy or program underwriter.  The subscriber holds a certificate of coverage under the contract.  In legal proceedings concerning the policy or program, the terms of the contract takes precedence over the terms of the certificate of coverage if there are any inconsistencies.
-
-        
-         Note: The party playing the role of a subscriber is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However, a subscriber may make a claim under a policy, e.g., a subscriber under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party.  In the case of a subscriber making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed a claim for services covered under the health insurance policy.
-
-        
-         Example: An employee or a member of an association."></definition>
-          </concept>
-         </concept>
-         <concept>
-          <code value="PROG"></code>
-          <display value="program eligible"></display>
-          <definition value="Description: A role played by a party that meets the eligibility criteria for coverage under a program.  A program eligible may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.
-
-        
-         Discussion: A program as typically government administered coverage for parties determined eligible under the terms of the program.
-
-        
-         Note: The party playing a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant).  However a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.
-
-        In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a &quot;claim&quot; under the program for benefits.  Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.
-
-        
-         Example: A party meeting eligibility criteria related to health or financial status, e.g., in the U.S., persons meeting health, demographic, or financial criteria established by state and federal law are eligible for Medicaid."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="CRINV"></code>
-         <display value="clinical research investigator"></display>
-         <definition value="A role played by a provider, always a person, who has agency authority from a Clinical Research Sponsor to direct the conduct of a clinical research trial or study on behalf of the sponsor."></definition>
-        </concept>
-        <concept>
-         <code value="CRSPNSR"></code>
-         <display value="clinical research sponsor"></display>
-         <definition value="A role played by an entity, usually an organization, that is the sponsor of a clinical research trial or study.  The sponsor commissions the study, bears the expenses, is responsible for satisfying all legal requirements concerning subject safety and privacy, and is generally responsible for collection, storage and analysis of the data generated during the trial.  No scoper is necessary, as a clinical research sponsor undertakes the role on its own authority and declaration. Clinical research sponsors are usually educational or other research organizations, government agencies or biopharmaceutical companies."></definition>
-        </concept>
-        <concept>
-         <code value="EMP"></code>
-         <display value="employee"></display>
-         <definition value="A relationship between a person or organization and a person or organization formed for the purpose of exchanging work for compensation.  The purpose of the role is to identify the type of relationship the employee has to the employer, rather than the nature of the work actually performed.  (Contrast with AssignedEntity.)"></definition>
-         <concept>
-          <code value="MIL"></code>
-          <display value="military person"></display>
-          <definition value="A role played by a member of a military service. Scoper is the military service (e.g. Army, Navy, Air Force, etc.) or, more specifically, the unit (e.g. Company C, 3rd Battalion, 4th Division, etc.)"></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="GUAR"></code>
-         <display value="guarantor"></display>
-         <definition value="A person or organization (player) that serves as a financial guarantor for another person or organization (scoper)."></definition>
-        </concept>
-        <concept>
-         <code value="INVSBJ"></code>
-         <display value="Investigation Subject"></display>
-         <definition value="An entity that is the subject of an investigation. This role is scoped by the party responsible for the investigation."></definition>
-         <concept>
-          <code value="CASEBJ"></code>
-          <display value="Case Subject"></display>
-          <definition value="A person, non-person living subject, or place that is the subject of an investigation related to a notifiable condition (health circumstance that is reportable within the applicable public health jurisdiction)"></definition>
-         </concept>
-         <concept>
-          <code value="RESBJ"></code>
-          <display value="research subject"></display>
-          <definition value="Definition:Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established.
-
-        
-         Examples: Screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the experimental portion of the design."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="LIC"></code>
-         <display value="licensed entity"></display>
-         <definition value="A relationship in which the scoper certifies the player ( e. g. a medical care giver, a medical device or a provider organization) to perform certain activities that fall under the jurisdiction of the scoper (e.g., a health authority licensing healthcare providers, a medical quality authority certifying healthcare professionals)."></definition>
-         <concept>
-          <code value="NOT"></code>
-          <display value="notary public"></display>
-          <definition value="notary public"></definition>
-         </concept>
-         <concept>
-          <code value="PROV"></code>
-          <display value="healthcare provider"></display>
-          <definition value="An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper)."></definition>
-         </concept>
-        </concept>
-        <concept>
-         <code value="PAT"></code>
-         <display value="patient"></display>
-         <definition value="A Role of a LivingSubject (player) as an actual or potential recipient of health care services from a healthcare provider organization (scoper).
-
-        
-         Usage Note: Communication about relationships between patients and specific healthcare practitioners (people) is not done via scoper.  Instead this is generally done using the CareProvision act.  This allows linkage between patient and a particular healthcare practitioner role and also allows description of the type of care involved in the relationship."></definition>
-        </concept>
-        <concept>
-         <code value="PAYEE"></code>
-         <display value="payee"></display>
-         <definition value="The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question."></definition>
-        </concept>
-        <concept>
-         <code value="PAYOR"></code>
-         <display value="invoice payor"></display>
-         <definition value="The role of an organization that undertakes to accept claims invoices, assess the coverage or payments due for those invoices and pay to the designated payees for those invoices.  This role may be either the underwriter or a third-party organization authorized by the underwriter.  The scoping entity is the organization that underwrites the claimed coverage."></definition>
-        </concept>
-        <concept>
-         <code value="POLHOLD"></code>
-         <display value="policy holder"></display>
-         <definition value="A role played by a person or organization that holds an insurance policy.  The underwriter of that policy is the scoping entity.
-
-        
-         Discussion:The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.
-
-        A particular policy may cover several individuals one of whom may be, but need not be, the policy holder.  Thus the notion of covered party is a role that is distinct from that of the policy holder."></definition>
-        </concept>
-        <concept>
-         <code value="QUAL"></code>
-         <display value="qualified entity"></display>
-         <definition value="An entity (player) that has been recognized as having certain training/experience or other characteristics that would make said entity an appropriate performer for a certain activity. The scoper is an organization that educates or qualifies entities."></definition>
-        </concept>
-        <concept>
-         <code value="SPNSR"></code>
-         <display value="coverage sponsor"></display>
-         <definition value="A role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law.  A sponsor can be an employer, union, government agency, or association.  Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan.  Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators.  Program sponsors designate services to be covered in accordance with statute.   Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become 
-
-        
-         
-          a policy holder of the plan;
-
-         
-         
-          where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or
-
-         
-         
-          where the sponsor is a government agency, who may become program eligibles under a program. 
-
-         
-        
-        The sponsor role may be further qualified by the SponsorRole.code.  Entities playing the sponsor role may also play the role of a Coverage Administrator.
-
-        
-         Example: An employer, union, government agency, or association."></definition>
-        </concept>
-        <concept>
-         <code value="STD"></code>
-         <display value="student"></display>
-         <definition value="A role played by an individual who is a student of a school, which is the scoping entity."></definition>
-        </concept>
-        <concept>
-         <code value="UNDWRT"></code>
-         <display value="underwriter"></display>
-         <definition value="A role played by a person or an organization.  It is the party that 
-
-        
-         
-          accepts fiscal responsibility for insurance plans and the policies created under those plans;
-
-         
-         
-          administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or
-
-         
-         
-          has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk.  If played by an organization, this role may be further specified by an appropriate RoleCode.
-
-         
-        
-        
-         Example:
-        
-
-        
-         
-          A health insurer; 
-
-         
-         
-          Medicaid Program;
-
-         
-         
-          Lloyd's of London"></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="CAREGIVER"></code>
-        <display value="caregiver"></display>
-        <definition value="A person responsible for the primary care of a patient at home."></definition>
-       </concept>
-       <concept>
-        <code value="PRS"></code>
-        <display value="personal relationship"></display>
-        <definition value="Links two entities with classCode PSN (person) in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well."></definition>
-       </concept>
-       <concept>
-        <code value="SELF"></code>
-        <display value="self"></display>
-        <definition value="The &quot;same&quot; roleclass asserts an identity between playing and scoping entities: that they are in fact instances of the same entity and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.
-
-        
-         Usage:
-        
-
-        playing and scoping entities must have same classcode, but need not have identical attributes or values. 
-
-        
-         Example: 
-        
-
-        a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual."></definition>
-        <property>
-         <code value="status"></code>
-         <valueCode value="retired"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="_RoleClassPassive"></code>
-       <display value="RoleClassPassive"></display>
-       <definition value="An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="ACCESS"></code>
-        <display value="access"></display>
-        <definition value="A role in which the playing entity (material) provides access to another entity. The principal use case is intravenous (or other bodily) access lines that preexist and need to be referred to for medication routing instructions."></definition>
-       </concept>
-       <concept>
-        <code value="ADJY"></code>
-        <display value="adjacency"></display>
-        <definition value="A physical association whereby two Entities are in some (even lose) spatial relationship with each other such that they touch each other in some way.
-
-        
-         Examples: the colon is connected (and therefore adjacent) to the jejunum; the colon is adjacent to the liver (even if not actually connected.)
-
-        
-         UsageConstraints: Adjacency is in principle a symmetrical connection, but scoper and player of the role should, where applicable, be assigned to have scoper be the larger, more central Entity and player the smaller, more distant, appendage."></definition>
-        <concept>
-         <code value="CONC"></code>
-         <display value="connection"></display>
-         <definition value="An adjacency of two Entities held together by a bond which attaches to each of the two entities. 
-
-        
-         Examples: biceps brachii muscle connected to the radius bone, port 3 on a network switch connected to port 5 on a patch panel.
-
-        
-         UsageConstraints: See Adjacency for the assignment of scoper (larger, more central) and player (smaller, more distant)."></definition>
-         <concept>
-          <code value="BOND"></code>
-          <display value="molecular bond"></display>
-          <definition value="A connection between two atoms of a molecule.
-
-        
-         Examples: double bond between first and second C in ethane, peptide bond between two amino-acid, disulfide bridge between two proteins, chelate and ion associations, even the much weaker van-der-Waals bonds can be considered molecular bonds.
-
-        
-         UsageConstraints: See connection and adjacency for the assignment of player and scoper."></definition>
-         </concept>
-         <concept>
-          <code value="CONY"></code>
-          <display value="continuity"></display>
-          <definition value="A connection between two regional parts.
-
-        
-         Examples:  the connection between ascending aorta and the aortic arc, connection between descending colon and sigmoid.
-
-        
-         UsageConstraints: See connection and adjacency for the assignment of player and scoper."></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="ADMM"></code>
-        <display value="Administerable Material"></display>
-        <definition value="A material (player) that can be administered to an Entity (scoper)."></definition>
-       </concept>
-       <concept>
-        <code value="BIRTHPL"></code>
-        <display value="birthplace"></display>
-        <definition value="Relates a place (playing Entity) as the location where a living subject (scoping Entity) was born."></definition>
-       </concept>
-       <concept>
-        <code value="DEATHPLC"></code>
-        <display value="place of death"></display>
-        <definition value="Definition: Relates a place (playing Entity) as the location where a living subject (scoping Entity) died."></definition>
-       </concept>
-       <concept>
-        <code value="DST"></code>
-        <display value="distributed material"></display>
-        <definition value="A material (player) distributed by a distributor (scoper) who functions between a manufacturer and a buyer or retailer."></definition>
-        <concept>
-         <code value="RET"></code>
-         <display value="retailed material"></display>
-         <definition value="Material (player) sold by a retailer (scoper), who also give advice to prospective buyers."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="EXLOC"></code>
-        <display value="event location"></display>
-        <definition value="A role played by a place at which the location of an event may be recorded."></definition>
-        <concept>
-         <code value="SDLOC"></code>
-         <display value="service delivery location"></display>
-         <definition value="A role played by a place at which services may be provided."></definition>
-         <concept>
-          <code value="DSDLOC"></code>
-          <display value="dedicated service delivery location"></display>
-          <definition value="A role of a place (player) that is intended to house the provision of services. Scoper is the Entity (typically Organization) that provides these services. This is not synonymous with &quot;ownership.&quot;"></definition>
-         </concept>
-         <concept>
-          <code value="ISDLOC"></code>
-          <display value="incidental service delivery location"></display>
-          <definition value="A role played by a place at which health care services may be provided without prior designation or authorization."></definition>
-         </concept>
-        </concept>
-       </concept>
-       <concept>
-        <code value="EXPR"></code>
-        <display value="exposed entity"></display>
-        <definition value="A role played by an entity that has been exposed to a person or animal suffering a contagious disease, or with a location from which a toxin has been distributed.  The player of the role is normally a person or animal, but it is possible that other entity types could become exposed.  The role is scoped by the source of the exposure, and it is quite possible for a person playing the role of exposed party to also become the scoper a role played by another person.  That is to say, once a person has become infected, it is possible, perhaps likely, for that person to infect others.
-
-        Management of exposures and tracking exposed parties is a key function within public health, and within most public health contexts - exposed parties are known as &quot;contacts.&quot;"></definition>
-       </concept>
-       <concept>
-        <code value="HLD"></code>
-        <display value="held entity"></display>
-        <definition value="Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner."></definition>
-       </concept>
-       <concept>
-        <code value="HLTHCHRT"></code>
-        <display value="health chart"></display>
-        <definition value="The role of a material (player) that is the physical health chart belonging to an organization (scoper)."></definition>
-       </concept>
-       <concept>
-        <code value="IDENT"></code>
-        <display value="identified entity"></display>
-        <definition value="A role in which the scoping entity designates an identifier for a playing entity."></definition>
-       </concept>
-       <concept>
-        <code value="MANU"></code>
-        <display value="manufactured product"></display>
-        <definition value="Scoped by the manufacturer"></definition>
-        <concept>
-         <code value="THER"></code>
-         <display value="therapeutic agent"></display>
-         <definition value="A manufactured material (player) that is used for its therapeutic properties.  The manufacturer is the scoper."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="MNT"></code>
-        <display value="maintained entity"></display>
-        <definition value="An entity (player) that is maintained by another entity (scoper).  This is typical role held by durable equipment. The scoper assumes responsibility for proper operation, quality, and safety."></definition>
-       </concept>
-       <concept>
-        <code value="OWN"></code>
-        <display value="owned entity"></display>
-        <definition value="An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own.  This entitles the scoper to make decisions about the disposition of that material."></definition>
-       </concept>
-       <concept>
-        <code value="RGPR"></code>
-        <display value="regulated product"></display>
-        <definition value="A product regulated by some governmentatl orgnization.  The role is played by Material and scoped by Organization.
-
-        Rationale: To support an entity clone used to identify the NDC number for a drug product."></definition>
-       </concept>
-       <concept>
-        <code value="TERR"></code>
-        <display value="territory of authority"></display>
-        <definition value="Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory &quot;Region 4 of Alberta&quot; (player) in matters of health."></definition>
-       </concept>
-       <concept>
-        <code value="USED"></code>
-        <display value="used entity"></display>
-        <definition value="Description:An entity (player) that is used by another entity (scoper)"></definition>
-       </concept>
-       <concept>
-        <code value="WRTE"></code>
-        <display value="warranted product"></display>
-        <definition value="A role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions."></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_RoleClassOntological"></code>
-      <display value="RoleClassOntological"></display>
-      <definition value="A relationship in which the scoping Entity defines or specifies what the playing Entity is.  Thus, the player's &quot;being&quot; (Greek: ontos) is specified."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="EQUIV"></code>
-       <display value="equivalent entity"></display>
-       <definition value="Description: Specifies the player Entity (the equivalent Entity) as an Entity that is considered to be equivalent to a reference Entity (scoper).  The equivalence is in principle a symmetric relationship, however, it is expected that the scoper is a reference entity which serves as reference entity for multiple different equivalent entities. 
-
-        
-         Examples: An innovator's medicine formulation is the reference for &quot;generics&quot;, i.e., formulations manufactured differently but having been proven to be biologically equivalent to the reference medicine. Another example is a reference ingredient that serves as basis for quantity specifications (basis of strength, e.g., metoprolol succinate specified in terms of metoprolol tartrate.)"></definition>
-       <concept>
-        <code value="SAME"></code>
-        <display value="same"></display>
-        <definition value="The &quot;same&quot; role asserts an identity between playing and scoping entities, i.e., that they are in fact two records of the same entity instance, and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.
-
-        
-         Usage:
-        
-
-        playing and scoping entities must have same classCode, but need not have identical attributes or values.
-
-        
-         Example: 
-        
-
-        a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual."></definition>
-       </concept>
-       <concept>
-        <code value="SUBY"></code>
-        <display value="subsumed by"></display>
-        <definition value="Relates a prevailing record of an Entity (scoper) with another record (player) that it subsumes.
-
-        
-         Examples: Show a correct new Person object (scoper) that subsumes one or more duplicate Person objects that had accidentally been created for the same physical person.
-
-        
-         Constraints: Both the player and scoper must have the same classCode."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="GEN"></code>
-       <display value="has generalization"></display>
-       <definition value="Relates a specialized material concept (player) to its generalization (scoper)."></definition>
-       <concept>
-        <code value="GRIC"></code>
-        <display value="has generic"></display>
-        <definition value="A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player)."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="INST"></code>
-       <display value="instance"></display>
-       <definition value="An individual piece of material (player) instantiating a class of material (scoper)."></definition>
-      </concept>
-      <concept>
-       <code value="SUBS"></code>
-       <display value="subsumer"></display>
-       <definition value="An entity that subsumes the identity of another.  Used in the context of merging documented entity instances. Both the player and scoper must have the same classCode.
-
-        The use of this code is deprecated in favor of the term SUBY which is its inverse and is more ontologically correct."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-       <property>
-        <code value="deprecationDate"></code>
-        <valueDateTime value="2011-12-01"></valueDateTime>
-       </property>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_RoleClassPartitive"></code>
-      <display value="RoleClassPartitive"></display>
-      <definition value="An association between two Entities where the playing Entity is considered in some way &quot;part&quot; of the scoping Entity, e.g., as a member, component, ingredient, or content. Being &quot;part&quot; in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="CONT"></code>
-       <display value="content"></display>
-       <definition value="Relates a material as the content (player) to a container (scoper).  Unlike ingredients, the content and a container remain separate (not mixed) and the content can be removed from the container.  A content is not part of an empty container."></definition>
-      </concept>
-      <concept>
-       <code value="EXPAGTCAR"></code>
-       <display value="exposure agent carrier"></display>
-       <definition value="An exposure agent carrier is an entity that is capable of conveying an exposure agent from one entity to another.  The scoper of the role must be the exposure agent (e.g., pathogen)."></definition>
-       <concept>
-        <code value="EXPVECTOR"></code>
-        <display value="exposure vector"></display>
-        <definition value="Description: A vector is a living subject that carries an exposure agent.  The vector does not cause the disease itself, but exposes targets to the exposure agent.  A mosquito carrying malaria is an example of a vector.  The scoper of the role must be the exposure agent (e.g., pathogen)."></definition>
-       </concept>
-       <concept>
-        <code value="FOMITE"></code>
-        <display value="fomite"></display>
-        <definition value="Description: A fomite is a non-living entity that is capable of conveying exposure agent from one entity to another.  A doorknob contaminated with a Norovirus is an example of a fomite.  Anyone touching the doorknob would be exposed to the virus.  The scoper of the role must be the exposure agent (e.g., pathogen)."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="INGR"></code>
-       <display value="ingredient"></display>
-       <definition value="Relates a component (player) to a mixture (scoper). E.g., Glucose and Water are ingredients of D5W, latex may be an ingredient in a tracheal tube."></definition>
-       <concept>
-        <code value="ACTI"></code>
-        <display value="active ingredient"></display>
-        <definition value="Definition: a therapeutically active ingredient (player) in a mixture (scoper), where the mixture is typically a manufactured pharmaceutical.  It is unknown if the quantity of such an ingredient is expressed precisely in terms of the playing ingredient substance, or, if it is specified in terms of a closely related substance (active moiety or reference substance)."></definition>
-        <concept>
-         <code value="ACTIB"></code>
-         <display value="active ingredient - basis of strength"></display>
-         <definition value="Description:  Active ingredient, where the ingredient substance (player) is itself the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies exactly the quantity of the player substance in the medicine formulation. 
-
-        
-         Examples: Lopressor 50 mg actually contains 50 mg of metoprolol succinate, even though the active moiety is metoprolol,  but also: Tenormin 50 mg contain 50 mg of atenolol, as free base, i.e., where the active ingredient atenolol is also the active moiety."></definition>
-        </concept>
-        <concept>
-         <code value="ACTIM"></code>
-         <display value="active ingredient - moiety is basis of strength"></display>
-         <definition value="Description: Active ingredient, where not the ingredient substance (player), but itaTMs active moiety is the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies the quantity of the player substance's active moiety in the medicine formulation.
-
-        
-         Examples: 1 mL of Betopic 5mg/mL eye drops contains 5.6 mg betaxolol hydrochloride equivalent to betaxolol base 5 mg."></definition>
-        </concept>
-        <concept>
-         <code value="ACTIR"></code>
-         <display value="active ingredient - reference substance is basis of strength"></display>
-         <definition value="Description: Active ingredient, where not the ingredient substance (player) but another reference substance with the same active moiety, is the &quot;basis of strength&quot;, i.e., where the Role.quantity specifies the quantity of a reference substance, similar but different from the player substance's in the medicine formulation.
-
-        
-         Examples: Toprol-XL 50 mg contains 47.5 mg of metoprolol succinate equivalent to 50 mg of metoprolol tartrate."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="ADJV"></code>
-        <display value="adjuvant"></display>
-        <definition value="A component (player) added to enhance the action of an active ingredient (scoper) (in the manner of a catalyst) but which has no active effect in and of itself.  Such ingredients are significant in defining equivalence of products in a way that inactive ingredients are not."></definition>
-       </concept>
-       <concept>
-        <code value="ADTV"></code>
-        <display value="additive"></display>
-        <definition value="An ingredient (player)  that is added to a base (scoper), that amounts to a minor part of the overall mixture."></definition>
-       </concept>
-       <concept>
-        <code value="BASE"></code>
-        <display value="base"></display>
-        <definition value="A base ingredient (player) is what comprises the major part of a mixture (scoper). E.g., Water in most i.v. solutions, or Vaseline in salves. Among all ingredients of a material, there should be only one base. A base substance can, in turn, be a mixture."></definition>
-       </concept>
-       <concept>
-        <code value="CNTM"></code>
-        <display value="contaminant ingredient"></display>
-        <definition value="An ingredient whose presence is not intended but may not be reasonably avoided given the circumstances of the mixture's nature or origin."></definition>
-       </concept>
-       <concept>
-        <code value="IACT"></code>
-        <display value="inactive ingredient"></display>
-        <definition value="An ingredient which is not considered therapeutically active, e.g., colors, flavors, stabilizers, or preservatives, fillers, or structural components added to an active ingredient in order to facilitate administration of the active ingredient but without being considered therapeutically active. An inactive ingredient need not be biologically inert, e.g., might be active as an allergen or might have a pleasant taste, but is not an essential constituent delivering the therapeutic effect."></definition>
-        <concept>
-         <code value="COLR"></code>
-         <display value="color additive"></display>
-         <definition value="A substance (player) influencing the optical aspect of material (scoper)."></definition>
-        </concept>
-        <concept>
-         <code value="FLVR"></code>
-         <display value="flavor additive"></display>
-         <definition value="A substance (player) added to a mixture (scoper) to make it taste a certain way.  In food the use is obvious, in pharmaceuticals flavors can hide disgusting taste of the active ingredient (important in pediatric treatments)."></definition>
-        </concept>
-        <concept>
-         <code value="PRSV"></code>
-         <display value="preservative"></display>
-         <definition value="A substance (player) added to a mixture (scoper) to prevent microorganisms (fungi, bacteria) to spoil the mixture."></definition>
-        </concept>
-        <concept>
-         <code value="STBL"></code>
-         <display value="stabilizer"></display>
-         <definition value="A stabilizer (player) added to a mixture (scoper) in order to prevent the molecular disintegration of the main substance."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="MECH"></code>
-        <display value="mechanical ingredient"></display>
-        <definition value="An ingredient (player) of a medication (scoper) that is inseparable from the active ingredients, but has no intended chemical or pharmaceutical effect itself, but which may have some systemic effect on the patient.
-
-        An example is a collagen matrix used as a base for transplanting skin cells.  The collagen matrix can be left permanently in the graft site.  Because it is of bovine origin, the patient may exhibit allergies or may have cultural objections to its use."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="LOCE"></code>
-       <display value="located entity"></display>
-       <definition value="Relates an entity (player) to a location (scoper) at which it is present in some way. This presence may be limited in time."></definition>
-       <concept>
-        <code value="STOR"></code>
-        <display value="stored entity"></display>
-        <definition value="Relates an entity (player) (e.g. a device) to a location (scoper) at which it is normally found or stored when not used."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="MBR"></code>
-       <display value="member"></display>
-       <definition value="A role played by an entity that is a member of a group.  The group provides the scope for this role.
-
-        Among other uses, groups as used in insurance (groups of covered individuals) and in scheduling where resources may be grouped for scheduling and logistical purposes."></definition>
-      </concept>
-      <concept>
-       <code value="PART"></code>
-       <display value="part"></display>
-       <definition value="Definition:  an association between two Entities where the playing Entity (the part) is a component of the whole (scoper) in the sense of an integral structural component, that is distinct from other parts in the same whole, has a distinct function in the whole, and, as an effect, the full integrity of the whole depends (to some degree) on the presence of this part, even though the part may often be separable from the whole.
-
-        
-         Discussion: Part is defined in opposition to (a) ingredient (not separable), (b) content (not a functional component), and (c) member (not functionally distinct from other members)."></definition>
-       <concept>
-        <code value="ACTM"></code>
-        <display value="active moiety"></display>
-        <definition value="The molecule or ion that is responsible for the intended pharmacological action of the drug substance, excluding those appended or associated parts of the molecule that make the molecule an ester, salt (including a salt with hydrogen or coordination bonds), or other noncovalent derivative (such as a complex, chelate, or clathrate).
-
-        Examples: heparin-sodium and heparin-potassium have the same active moiety, heparin; the active moiety of morphine-hydrochloride is morphine."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="SPEC"></code>
-       <display value="specimen"></display>
-       <definition value="A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen."></definition>
-       <concept>
-        <code value="ALQT"></code>
-        <display value="aliquot"></display>
-        <definition value="A portion (player) of an original or source specimen (scoper) used for testing or transportation."></definition>
-       </concept>
-       <concept>
-        <code value="ISLT"></code>
-        <display value="isolate"></display>
-        <definition value="A microorganism that has been isolated from other microorganisms or a source matrix."></definition>
-       </concept>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="CHILD"></code>
-     <display value="child"></display>
-     <definition value="The player of the role is a child of the scoping entity, in a generic sense."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="CRED"></code>
-     <display value="credentialed entity"></display>
-     <definition value="A role played by an entity that receives credentials from the scoping entity."></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="NURPRAC"></code>
-     <display value="nurse practitioner"></display>
-     <definition value="nurse practitioner"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="NURS"></code>
-     <display value="nurse"></display>
-     <definition value="nurse"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="PA"></code>
-     <display value="physician assistant"></display>
-     <definition value="physician assistant"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="PHYS"></code>
-     <display value="physician"></display>
-     <definition value="physician"></definition>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementDetailType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementDetailType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1082"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementDetailType"></name>
-    <title value="v3 Code System AcknowledgementDetailType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A code identifying the specific message to be provided.  Discussion:
-A textual value may be specified as the print name, or for non-coded messages, as the original text.  Examples:
-'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <concept>
-     <code value="E"></code>
-     <display value="Error"></display>
-     <definition value="Definition:An issue which has prevented, or will prevent (unless a management is provided for the issue by the sender), the successful processing of an interaction.  Response interactions which include an issue which is an Error are a 'rejection', indicating that the request was not successfully processed. 
-
-        
-         Example:Unable to find specified patient."></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Information"></display>
-     <definition value="Definition: The message relates to an issue which has no bearing on the successful processing of the request.  Information issues cannot be overridden by specifying a management.
-
-        
-         Example: A Patient's coverage will expire in 5 days."></definition>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Warning"></display>
-     <definition value="Definition: The message relates to an issue which cannot prevent the successful processing of a request, but which could result in the processing not having the ideal or intended effect.  Managing a warning issue is not required for successful processing, but will suppress the warning from being raised. 
-
-        
-         Example:
-        
-
-        Unexpected additional repetitions of phone number have been ignored."></definition>
-    </concept>
-    <concept>
-     <code value="ERR"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="INFO"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-    <concept>
-     <code value="WARN"></code>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AddressUse"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-AddressUse"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-AddressUse"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1119"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AddressUse"></name>
-    <title value="v3 Code System AddressUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes that provide guidance around the circumstances in which a given address should be used."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AddressUse"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_GeneralAddressUse"></code>
-     <display value="_GeneralAddressUse"></display>
-     <definition value="Description: Address uses that can apply to both postal and telecommunication addresses."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="BAD"></code>
-      <display value="bad address"></display>
-      <definition value="Description: A flag indicating that the address is bad, in fact, useless."></definition>
-     </concept>
-     <concept>
-      <code value="CONF"></code>
-      <display value="confidential address"></display>
-      <definition value="Description: Indicates that the address is considered sensitive and should only be shared or published in accordance with organizational controls governing patient demographic information with increased sensitivity. Uses of Addresses.   Lloyd to supply more complete description."></definition>
-     </concept>
-     <concept>
-      <code value="H"></code>
-      <display value="home address"></display>
-      <definition value="Description: A communication address at a home, attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available."></definition>
-      <concept>
-       <code value="HP"></code>
-       <display value="primary home"></display>
-       <definition value="Description: The primary home, to reach a person after business hours."></definition>
-      </concept>
-      <concept>
-       <code value="HV"></code>
-       <display value="vacation home"></display>
-       <definition value="Description: A vacation home, to reach a person while on vacation."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="OLD"></code>
-      <display value="no longer in use"></display>
-      <definition value="This address is no longer in use.
-
-        
-         Usage Note: Address may also carry valid time ranges. This code is used to cover the situations where it is known that the address is no longer valid, but no particular time range for its use is known."></definition>
-     </concept>
-     <concept>
-      <code value="TMP"></code>
-      <display value="temporary address"></display>
-      <definition value="Description: A temporary address, may be good for visit or mailing. Note that an address history can provide more detailed information."></definition>
-     </concept>
-     <concept>
-      <code value="WP"></code>
-      <display value="work place"></display>
-      <definition value="Description: An office address. First choice for business related contacts during business hours."></definition>
-      <concept>
-       <code value="DIR"></code>
-       <display value="direct"></display>
-       <definition value="Description: Indicates a work place address or telecommunication address that reaches the individual or organization directly without intermediaries. For phones, often referred to as a 'private line'."></definition>
-      </concept>
-      <concept>
-       <code value="PUB"></code>
-       <display value="public"></display>
-       <definition value="Description: Indicates a work place address or telecommunication address that is a 'standard' address which may reach a reception service, mail-room, or other intermediary prior to the target entity."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_PostalAddressUse"></code>
-     <display value="_PostalAddressUse"></display>
-     <definition value="Description: Address uses that only apply to postal addresses, not telecommunication addresses."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="PHYS"></code>
-      <display value="physical visit address"></display>
-      <definition value="Description: Used primarily to visit an address."></definition>
-     </concept>
-     <concept>
-      <code value="PST"></code>
-      <display value="postal address"></display>
-      <definition value="Description: Used to send mail."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_TelecommunicationAddressUse"></code>
-     <display value="_TelecommunicationAddressUse"></display>
-     <definition value="Description: Address uses that only apply to telecommunication addresses, not postal addresses."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="AS"></code>
-      <display value="answering service"></display>
-      <definition value="Description: An automated answering machine used for less urgent cases and if the main purpose of contact is to leave a message or access an automated announcement."></definition>
-     </concept>
-     <concept>
-      <code value="EC"></code>
-      <display value="emergency contact"></display>
-      <definition value="Description: A contact specifically designated to be used for emergencies. This is the first choice in emergencies, independent of any other use codes."></definition>
-     </concept>
-     <concept>
-      <code value="MC"></code>
-      <display value="mobile contact)"></display>
-      <definition value="Description: A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business."></definition>
-     </concept>
-     <concept>
-      <code value="PG"></code>
-      <display value="pager"></display>
-      <definition value="Description: A paging device suitable to solicit a callback or to leave a very short message."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-QueryRequestLimit"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-QueryRequestLimit"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-QueryRequestLimit"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1112"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.QueryRequestLimit"></name>
-    <title value="v3 Code System QueryRequestLimit"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Definition:
-Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-QueryRequestLimit"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_QueryRequestLimit"></code>
-     <display value="QueryRequestLimit"></display>
-     <definition value="Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="RD"></code>
-      <display value="record"></display>
-      <definition value="Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-SubstitutionCondition"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-SubstitutionCondition"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1071"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.SubstitutionCondition"></name>
-    <title value="v3 Code System SubstitutionCondition"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstitutionCondition"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_Conditional"></code>
-     <display value="Conditional"></display>
-     <definition value="Some conditions may be attached to an allowable substitution.  An allowable substitution is based on a match to any other attributes that may be specified."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CONFIRM"></code>
-      <display value="Confirm first"></display>
-      <definition value="Confirmation with Contact Person prior to making any substitutions has or will occur."></definition>
-     </concept>
-     <concept>
-      <code value="NOTIFY"></code>
-      <display value="Notify first"></display>
-      <definition value="Notification to the Contact Person, prior to substitution and through normal institutional procedures, has or will be made."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="NOSUB"></code>
-     <display value="No substitution"></display>
-     <definition value="Substitution is not permitted."></definition>
-    </concept>
-    <concept>
-     <code value="UNCOND"></code>
-     <display value="Unconditional"></display>
-     <definition value="No conditions are required."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipSplit"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipSplit"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSplit"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.13"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipSplit"></name>
-    <title value="v3 Code System ActRelationshipSplit"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSplit"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="E1"></code>
-     <display value="exclusive try once"></display>
-     <definition value="The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or &quot;XOR-split.&quot; The order in which the branches are considered may be specified in the priorityNumber attribute."></definition>
-    </concept>
-    <concept>
-     <code value="EW"></code>
-     <display value="exclusive wait"></display>
-     <definition value="A branch is selected as soon as the pre-condition associated with the branch evaluates to true.  If the condition is false, the branch may be entered later, when the condition turns true.  All other exclusive branches compete with each other and only one will be selected.  Each waiting branch executes in parallel with the default join code wait  (see below). The order in which the branches are considered may be specified in the Service_relationship.priority_nmb."></definition>
-    </concept>
-    <concept>
-     <code value="I1"></code>
-     <display value="inclusive try once"></display>
-     <definition value="A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped.  Inclusive branches are not suppressed and do not suppress other branches."></definition>
-    </concept>
-    <concept>
-     <code value="IW"></code>
-     <display value="inclusive wait"></display>
-     <definition value="A branch is executed as soon as its associated conditions permit.  If the condition is false, the branch may be entered later, when the condition turns true.  Inclusive branches are not suppressed and do not suppress other branches.  Each waiting branch executes in parallel with the default join code wait  (see below)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-hl7CMETAttribution"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-hl7CMETAttribution"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-hl7CMETAttribution"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1132"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.hl7CMETAttribution"></name>
-    <title value="v3 Code System hl7CMETAttribution"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-hl7CMETAttribution"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="contact"></code>
-     <display value="contact"></display>
-     <definition value="Description: Provides sufficient information to allow the object identified to be contacted. This is likely to have the content of identified and confirmable plus telephone number."></definition>
-    </concept>
-    <concept>
-     <code value="identified"></code>
-     <display value="identified"></display>
-     <definition value="Description: This variant is a proper subset of universal and is intended to provide sufficient information to identify the object(s) modeled by the CMET. This variant is only suitable for use within TIGHTLY COUPLED SYSTEMS ONLY. This variant provides ONLY the ID (and code where applicable) and Name. Other variants may not be substituted at runtime."></definition>
-    </concept>
-    <concept>
-     <code value="identified-confirmable"></code>
-     <display value="identified-confirmable"></display>
-     <definition value="Description: This extends the identified variant by adding just sufficient additional information to allow the identity of object modeled to be confirmed by a number of corroborating items of data; for instance a patient's date of birth and current address. However, specific contact information, such as telephone number, are not viewed as confirming information."></definition>
-    </concept>
-    <concept>
-     <code value="identified-informational"></code>
-     <display value="identified-informational"></display>
-     <definition value="Description: Generally the same information content as &quot;contactable&quot; but using new &quot;informational&quot; CMETs as dependant CMETs. This flavor allows expression of the CMET when non-focal class information is not known."></definition>
-    </concept>
-    <concept>
-     <code value="informational"></code>
-     <display value="informational"></display>
-     <definition value="Description: Generally the same information content as &quot;contactable&quot;, but with required (not mandatory) ids on entry point class. This flavor allows expression of the CMET even when mandatory information is not known."></definition>
-    </concept>
-    <concept>
-     <code value="minimal"></code>
-     <display value="minimal"></display>
-     <definition value="Description: Provides more than identified, but not as much as universal. There are not expected to be many of these."></definition>
-    </concept>
-    <concept>
-     <code value="universal"></code>
-     <display value="universal"></display>
-     <definition value="Description: This variant includes all attributes and associations present in the R-MIM. Any of non-mandatory and non-required attributes and/or associations may be present or absent, as permitted in the cardinality constraints."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ParticipationSignature"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ParticipationSignature"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.89"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ParticipationSignature"></name>
-    <title value="v3 Code System ParticipationSignature"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.  Examples:
-A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationSignature"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="I"></code>
-     <display value="intended"></display>
-     <definition value="The particpant intends to provide a signature."></definition>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="signed"></display>
-     <definition value="Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText."></definition>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="required"></display>
-     <definition value="A signature for the service is required of this actor."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ResponseModality"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ResponseModality"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ResponseModality"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.109"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ResponseModality"></name>
-    <title value="v3 Code System ResponseModality"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Defines the timing and grouping of the response instances.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ResponseModality"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="B"></code>
-     <display value="Batch"></display>
-     <definition value="Query response to be sent as an HL7 Batch."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Real Time"></display>
-     <definition value="Query response to occur in real time."></definition>
-    </concept>
-    <concept>
-     <code value="T"></code>
-     <display value="Bolus"></display>
-     <definition value="Query response to sent as a series of responses at the same time without the use of batch formatting."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-TelecommunicationCapabilities"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-TelecommunicationCapabilities"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-TelecommunicationCapabilities"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1118"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.TelecommunicationCapabilities"></name>
-    <title value="v3 Code System TelecommunicationCapabilities"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  Description:
-Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-TelecommunicationCapabilities"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="data"></code>
-     <display value="data"></display>
-     <definition value="Description: This device can receive data calls (i.e. modem)."></definition>
-    </concept>
-    <concept>
-     <code value="fax"></code>
-     <display value="fax"></display>
-     <definition value="Description: This device can receive faxes."></definition>
-    </concept>
-    <concept>
-     <code value="sms"></code>
-     <display value="sms"></display>
-     <definition value="Description: This device can receive SMS messages."></definition>
-    </concept>
-    <concept>
-     <code value="tty"></code>
-     <display value="text"></display>
-     <definition value="Description: This device is a text telephone."></definition>
-    </concept>
-    <concept>
-     <code value="voice"></code>
-     <display value="voice"></display>
-     <definition value="Description: This device can receive voice calls (i.e. talking to another person, or a recording device, or a voice activated computer)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EntityClass"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EntityClass"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EntityClass"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.41"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EntityClass"></name>
-    <title value="v3 Code System EntityClass"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Classifies the Entity class and all of its subclasses.  The terminology is hierarchical.  At the top is this  HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EntityClass"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="ENT"></code>
-     <display value="entity"></display>
-     <definition value="Corresponds to the Entity class"></definition>
-     <concept>
-      <code value="HCE"></code>
-      <display value="health chart entity"></display>
-      <definition value="A health chart included to serve as a document receiving entity in the management of medical records."></definition>
-     </concept>
-     <concept>
-      <code value="LIV"></code>
-      <display value="living subject"></display>
-      <definition value="Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject)."></definition>
-      <concept>
-       <code value="NLIV"></code>
-       <display value="non-person living subject"></display>
-       <definition value="A subtype of living subject that includes all living things except the species Homo Sapiens."></definition>
-       <concept>
-        <code value="ANM"></code>
-        <display value="animal"></display>
-        <definition value="A living subject from the animal kingdom."></definition>
-       </concept>
-       <concept>
-        <code value="MIC"></code>
-        <display value="microorganism"></display>
-        <definition value="All single celled living organisms including protozoa, bacteria, yeast, viruses, etc."></definition>
-       </concept>
-       <concept>
-        <code value="PLNT"></code>
-        <display value="plant"></display>
-        <definition value="A living subject from the order of plants."></definition>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PSN"></code>
-       <display value="person"></display>
-       <definition value="A living subject of the species homo sapiens."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="MAT"></code>
-      <display value="material"></display>
-      <definition value="Any thing that has extension in space and mass, may be of living or non-living origin."></definition>
-      <concept>
-       <code value="CHEM"></code>
-       <display value="chemical substance"></display>
-       <definition value="A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes."></definition>
-      </concept>
-      <concept>
-       <code value="FOOD"></code>
-       <display value="food"></display>
-       <definition value="Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals."></definition>
-      </concept>
-      <concept>
-       <code value="MMAT"></code>
-       <display value="manufactured material"></display>
-       <definition value="Corresponds to the ManufacturedMaterial class"></definition>
-       <concept>
-        <code value="CONT"></code>
-        <display value="container"></display>
-        <definition value="A container of other entities."></definition>
-        <concept>
-         <code value="HOLD"></code>
-         <display value="holder"></display>
-         <definition value="A type of container that can hold other containers or other holders."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="DEV"></code>
-        <display value="device"></display>
-        <definition value="A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity.  The kind of device is identified by the code attribute inherited from Entity.
-
-        
-         Usage: This includes durable (reusable) medical equipment as well as disposable equipment."></definition>
-        <concept>
-         <code value="CER"></code>
-         <display value="certificate representation"></display>
-         <definition value="A physical artifact that stores information about the granting of authorization."></definition>
-        </concept>
-        <concept>
-         <code value="MODDV"></code>
-         <display value="imaging modality"></display>
-         <definition value="Class to contain unique attributes of diagnostic imaging equipment."></definition>
-        </concept>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="ORG"></code>
-      <display value="organization"></display>
-      <definition value="A social or legal structure formed by human beings."></definition>
-      <concept>
-       <code value="PUB"></code>
-       <display value="public institution"></display>
-       <definition value="An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations."></definition>
-      </concept>
-      <concept>
-       <code value="STATE"></code>
-       <display value="state"></display>
-       <definition value="A politically organized body of people bonded by territory, culture, or ethnicity, having sovereignty (to a certain extent) granted by other states (enclosing or neighboring states). This includes countries (nations), provinces (e.g., one of the United States of America or a French departement), counties or municipalities. Refine using, e.g., ISO country codes, FIPS-PUB state codes, etc."></definition>
-       <concept>
-        <code value="NAT"></code>
-        <display value="Nation"></display>
-        <definition value="A politically organized body of people bonded by territory and known as a nation."></definition>
-       </concept>
-      </concept>
-     </concept>
-     <concept>
-      <code value="PLC"></code>
-      <display value="place"></display>
-      <definition value="A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant."></definition>
-      <concept>
-       <code value="CITY"></code>
-       <display value="city or town"></display>
-       <definition value="The territory of a city, town or other municipality."></definition>
-      </concept>
-      <concept>
-       <code value="COUNTRY"></code>
-       <display value="country"></display>
-       <definition value="The territory of a sovereign nation."></definition>
-      </concept>
-      <concept>
-       <code value="COUNTY"></code>
-       <display value="county or parish"></display>
-       <definition value="The territory of a county, parish or other division of a state or province."></definition>
-      </concept>
-      <concept>
-       <code value="PROVINCE"></code>
-       <display value="state or province"></display>
-       <definition value="The territory of a state, province, department or other division of a sovereign country."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="RGRP"></code>
-      <display value="group"></display>
-      <definition value="A grouping of resources (personnel, material, or places) to be used for scheduling purposes.  May be a pool of like-type resources, a team, or combination of personnel, material and places."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Calendar"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Calendar"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Calendar"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1055"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Calendar"></name>
-    <title value="v3 Code System Calendar"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Calendar"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="GREG"></code>
-     <display value="Gregorian"></display>
-     <definition value="The Gregorian calendar is the calendar in effect in most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.14"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActStatus"></name>
-    <title value="v3 Code System ActStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Codes representing the defined possible states of an Act, as defined by the Act class state machine."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="normal"></code>
-     <display value="normal"></display>
-     <definition value="Encompasses the expected states of an Act, but excludes &quot;nullified&quot; and &quot;obsolete&quot; which represent unusual terminal states for the life-cycle."></definition>
-     <concept>
-      <code value="aborted"></code>
-      <display value="aborted"></display>
-      <definition value="The Act has been terminated prior to the originally intended completion."></definition>
-     </concept>
-     <concept>
-      <code value="active"></code>
-      <display value="active"></display>
-      <definition value="The Act can be performed or is being performed"></definition>
-     </concept>
-     <concept>
-      <code value="cancelled"></code>
-      <display value="cancelled"></display>
-      <definition value="The Act has been abandoned before activation."></definition>
-     </concept>
-     <concept>
-      <code value="completed"></code>
-      <display value="completed"></display>
-      <definition value="An Act that has terminated normally after all of its constituents have been performed."></definition>
-     </concept>
-     <concept>
-      <code value="held"></code>
-      <display value="held"></display>
-      <definition value="An Act that is still in the preparatory stages has been put aside.  No action can occur until the Act is released."></definition>
-     </concept>
-     <concept>
-      <code value="new"></code>
-      <display value="new"></display>
-      <definition value="An Act that is in the preparatory stages and may not yet be acted upon"></definition>
-     </concept>
-     <concept>
-      <code value="suspended"></code>
-      <display value="suspended"></display>
-      <definition value="An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled.  No further action should be taken against it until it is released"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="nullified"></code>
-     <display value="nullified"></display>
-     <definition value="This Act instance was created in error and has been 'removed' and is treated as though it never existed.  A record is retained for audit purposes only."></definition>
-    </concept>
-    <concept>
-     <code value="obsolete"></code>
-     <display value="obsolete"></display>
-     <definition value="This Act instance has been replaced by a new instance."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.18"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementType"></name>
-    <title value="v3 Code System AcknowledgementType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" This attribute contains an acknowledgement code as described in the HL7 message processing rules.  OpenIssue:
-Description was copied from attribute and needs to be improved to be appropriate for a code system."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AA"></code>
-     <display value="Application Acknowledgement Accept"></display>
-     <definition value="Receiving application successfully processed message."></definition>
-    </concept>
-    <concept>
-     <code value="AE"></code>
-     <display value="Application Acknowledgement Error"></display>
-     <definition value="Receiving application found error in processing message.  Sending error response with additional error detail information."></definition>
-    </concept>
-    <concept>
-     <code value="AR"></code>
-     <display value="Application Acknowledgement Reject"></display>
-     <definition value="Receiving application failed to process message for reason unrelated to content or format.  Original message sender must decide on whether to automatically send message again."></definition>
-    </concept>
-    <concept>
-     <code value="CA"></code>
-     <display value="Accept Acknowledgement Commit Accept"></display>
-     <definition value="Receiving message handling service accepts responsibility for passing message onto receiving application."></definition>
-    </concept>
-    <concept>
-     <code value="CE"></code>
-     <display value="Accept Acknowledgement Commit Error"></display>
-     <definition value="Receiving message handling service cannot accept message for any other reason (e.g. message sequence number, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="CR"></code>
-     <display value="Accept Acknowledgement Commit Reject"></display>
-     <definition value="Receiving message handling service rejects message if interaction identifier, version or processing mode is incompatible with known receiving application role information."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-EncounterSpecialCourtesy"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-EncounterSpecialCourtesy"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-EncounterSpecialCourtesy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.40"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.EncounterSpecialCourtesy"></name>
-    <title value="v3 Code System EncounterSpecialCourtesy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-EncounterSpecialCourtesy"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="EXT"></code>
-     <display value="extended courtesy"></display>
-     <definition value="extended courtesy"></definition>
-    </concept>
-    <concept>
-     <code value="NRM"></code>
-     <display value="normal courtesy"></display>
-     <definition value="normal courtesy"></definition>
-    </concept>
-    <concept>
-     <code value="PRF"></code>
-     <display value="professional courtesy"></display>
-     <definition value="professional courtesy"></definition>
-    </concept>
-    <concept>
-     <code value="STF"></code>
-     <display value="staff"></display>
-     <definition value="Courtesies extended to the staff of the entity providing service."></definition>
-    </concept>
-    <concept>
-     <code value="VIP"></code>
-     <display value="very important person"></display>
-     <definition value="very important person"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-AcknowledgementDetailCode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-AcknowledgementDetailCode"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-AcknowledgementDetailCode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1100"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.AcknowledgementDetailCode"></name>
-    <title value="v3 Code System AcknowledgementDetailCode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="  OpenIssue:
-Missing description."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-AcknowledgementDetailCode"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_AcknowledgementDetailNotSupportedCode"></code>
-     <display value="AcknowledgementDetailNotSupportedCode"></display>
-     <definition value="Refelects rejections because elements of the communication are not supported in the current context."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="NS200"></code>
-      <display value="Unsupported interaction"></display>
-      <definition value="The interaction (or: this version of the interaction) is not supported."></definition>
-     </concept>
-     <concept>
-      <code value="NS202"></code>
-      <display value="Unsupported processing id"></display>
-      <definition value="The Processing ID is not supported."></definition>
-     </concept>
-     <concept>
-      <code value="NS203"></code>
-      <display value="Unsupported version id"></display>
-      <definition value="The Version ID is not supported."></definition>
-     </concept>
-     <concept>
-      <code value="NS250"></code>
-      <display value="Unsupported processing Mode"></display>
-      <definition value="The processing mode is not supported."></definition>
-     </concept>
-     <concept>
-      <code value="NS260"></code>
-      <display value="Unknown sender"></display>
-      <definition value="The Device.id of the sender is unknown."></definition>
-     </concept>
-     <concept>
-      <code value="NS261"></code>
-      <display value="Unrecognized attentionline"></display>
-      <definition value="The receiver requires information in the attentionLine classes for routing purposes."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="INTERR"></code>
-     <display value="Internal system error"></display>
-     <definition value="An internal software component (database, application, queue mechanism, etc.) has failed, leading to inability to process the message."></definition>
-    </concept>
-    <concept>
-     <code value="NOSTORE"></code>
-     <display value="No storage space for message."></display>
-     <definition value="Rejection: The message can't be stored by the receiver due to an unspecified internal application issue. The message was neither processed nor stored by the receiving application."></definition>
-    </concept>
-    <concept>
-     <code value="RTEDEST"></code>
-     <display value="Message routing error, destination unreachable."></display>
-     <definition value="Error: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is unavailable."></definition>
-    </concept>
-    <concept>
-     <code value="RTUDEST"></code>
-     <display value="Error: Message routing error, unknown destination."></display>
-     <definition value="The destination of this message is unknown to the receiving application. The receiving application in the message does not match the application which received the message. The message was neither routed, processed nor stored by the receiving application."></definition>
-    </concept>
-    <concept>
-     <code value="RTWDEST"></code>
-     <display value="Message routing warning, destination unreachable."></display>
-     <definition value="Warning: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is (temporarily) unavailable. The receiving application will forward the message as soon as the destination can be reached again."></definition>
-    </concept>
-    <concept>
-     <code value="SYN"></code>
-     <display value="Syntax error"></display>
-     <definition value="Reflects errors in the syntax or structure of the communication."></definition>
-     <concept>
-      <code value="SYN102"></code>
-      <display value="Data type error"></display>
-      <definition value="The attribute contained data of the wrong data type, e.g. a numeric attribute contained &quot;FOO&quot;."></definition>
-     </concept>
-     <concept>
-      <code value="SYN105"></code>
-      <display value="Required element missing"></display>
-      <definition value="Description: Required association or attribute missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message."></definition>
-      <concept>
-       <code value="SYN100"></code>
-       <display value="Required association missing"></display>
-       <definition value="Required association missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message."></definition>
-      </concept>
-      <concept>
-       <code value="SYN101"></code>
-       <display value="Required attribute missing"></display>
-       <definition value="A required attribute is missing in a class."></definition>
-      </concept>
-      <concept>
-       <code value="SYN114"></code>
-       <display value="Insufficient repetitions"></display>
-       <definition value="Description: The number of repetitions of a group of association or attributes is less than the required minimum for the standard or of one of the conformance profiles or templates identified in the message."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SYN106"></code>
-      <display value="Terminology error"></display>
-      <definition value="Description: A coded attribute or datatype property violates one of the terminology constraints specified in the standard or one of the conformance profiles or templates declared by the instance."></definition>
-      <concept>
-       <code value="SYN103"></code>
-       <display value="Value not found in code system"></display>
-       <definition value="An attribute value was compared against the corresponding code system, and no match was found."></definition>
-      </concept>
-      <concept>
-       <code value="SYN104"></code>
-       <display value="Invalid code system in CNE"></display>
-       <definition value="An attribute value referenced a code system that is not valid for an attribute constrained to CNE."></definition>
-      </concept>
-      <concept>
-       <code value="SYN107"></code>
-       <display value="Deprecated code"></display>
-       <definition value="Description: A coded attribute is referencing a code that has been deprecated by the owning code system."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SYN108"></code>
-      <display value="Number of repetitions exceeds limit"></display>
-      <definition value="Description: The number of repetitions of a (group of) association(s) or attribute(s) exceeds the limits of the standard or of one of the conformance profiles or templates identified in the message."></definition>
-      <concept>
-       <code value="SYN110"></code>
-       <display value="Number of association repetitions exceeds limit"></display>
-       <definition value="The number of repetitions of a (group of) association(s) exceeds the limits of the standard or of one of the conformance profiles identified in the message."></definition>
-      </concept>
-      <concept>
-       <code value="SYN112"></code>
-       <display value="Number of attribute repetitions exceeds limit"></display>
-       <definition value="The number of repetitions of an attribute exceeds the limits of the standard or of one of the conformance profiles identified in the message."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SYN109"></code>
-      <display value="Mandatory element with null value"></display>
-      <definition value="Description: An attribute or association identified as mandatory in a specification or declared conformance profile or template has been specified with a null flavor."></definition>
-     </concept>
-     <concept>
-      <code value="SYN111"></code>
-      <display value="Value does not match fixed value"></display>
-      <definition value="Description: The value of an attribute or property differs from the fixed value asserted in the standard or one of the conformance profiles or templates declared in the message."></definition>
-     </concept>
-     <concept>
-      <code value="SYN113"></code>
-      <display value="Formal constraint violation"></display>
-      <definition value="Description: A formal constraint asserted in the standard or one of the conformance profiles or templates declared in the message has been violated."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-LanguageAbilityProficiency"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-LanguageAbilityProficiency"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-LanguageAbilityProficiency"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.61"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.LanguageAbilityProficiency"></name>
-    <title value="v3 Code System LanguageAbilityProficiency"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A value representing the level of proficiency in a language.  Example:
-Excellent, good, fair, poor.  OpenIssue:
-Description copied from Concept Domain of same name.  Must be verified."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="E"></code>
-     <display value="Excellent"></display>
-     <definition value="Excellent"></definition>
-    </concept>
-    <concept>
-     <code value="F"></code>
-     <display value="Fair"></display>
-     <definition value="Fair"></definition>
-    </concept>
-    <concept>
-     <code value="G"></code>
-     <display value="Good"></display>
-     <definition value="Good"></definition>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="Poor"></display>
-     <definition value="Poor"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-GenderStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-GenderStatus"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-GenderStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.51"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.GenderStatus"></name>
-    <title value="v3 Code System GenderStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-GenderStatus"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="I"></code>
-     <display value="Intact"></display>
-     <definition value="Reproductively intact"></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Neutered"></display>
-     <definition value="Reproductively neutered"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-CalendarType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-CalendarType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-CalendarType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1017"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.CalendarType"></name>
-    <title value="v3 Code System CalendarType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-CalendarType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="GREG"></code>
-     <display value="Gregorian"></display>
-     <definition value="The Gregorian calendar is in effect in the most countries of Christian influence since approximately 1582.  This calendar superceded the Julian calendar."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActRelationshipSubset"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActRelationshipSubset"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipSubset"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1099"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActRelationshipSubset"></name>
-    <title value="v3 Code System ActRelationshipSubset"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" &lt;ns1:p&gt;Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.&lt;/ns1:p&gt;&lt;ns1:p&gt;Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.&lt;/ns1:p&gt;"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActRelationshipSubset"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_ParticipationSubset"></code>
-     <display value="ParticipationSubset"></display>
-     <definition value="Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act. 
-
-        Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="FUTURE"></code>
-      <display value="expected future"></display>
-      <definition value="An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored."></definition>
-      <concept>
-       <code value="FUTSUM"></code>
-       <display value="future summary"></display>
-       <definition value="Represents a 'summary' of all acts that are scheduled to occur in the future (whose effective time is greater than 'now' where is the time the instance is authored.). The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc."></definition>
-      </concept>
-      <concept>
-       <code value="LAST"></code>
-       <display value="expected last"></display>
-       <definition value="Restricted to the latest known occurrence that is scheduled to occur. The Act with the highest known effective time."></definition>
-      </concept>
-      <concept>
-       <code value="NEXT"></code>
-       <display value="expected next"></display>
-       <definition value="Restricted to the nearest recent known occurrence scheduled to occur in the future. The Act with the lowest effective time, still greater than 'now'. ('now' is the time the instance is authored.)"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="PAST"></code>
-      <display value="previous"></display>
-      <definition value="An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)"></definition>
-      <concept>
-       <code value="FIRST"></code>
-       <display value="first known"></display>
-       <definition value="Restricted to the earliest known occurrence that occurred or was scheduled to occur in the past. The Act with the lowest effective time. ('now' is the time the instance is authored.)"></definition>
-      </concept>
-      <concept>
-       <code value="PREVSUM"></code>
-       <display value="previous summary"></display>
-       <definition value="Represents a 'summary' of all acts that previously occurred or were scheduled to occur. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc. ('now' is the time the instance is authored.)"></definition>
-      </concept>
-      <concept>
-       <code value="RECENT"></code>
-       <display value="most recent"></display>
-       <definition value="Restricted to the most recent known occurrence that occurred or was scheduled to occur in the past. The Act with the most recent effective time, still less than 'now'. ('now' is the time the instance is authored.)"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="SUM"></code>
-      <display value="summary"></display>
-      <definition value="Represents a 'summary' of all acts that have occurred or were scheduled to occur and which are scheduled to occur in the future. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="ActRelationshipExpectedSubset"></code>
-     <display value="ActRelationshipExpectedSubset"></display>
-     <definition value="ActRelationshipExpectedSubset"></definition>
-    </concept>
-    <concept>
-     <code value="ActRelationshipPastSubset"></code>
-     <display value="ActRelationshipPastSubset"></display>
-     <definition value="ActRelationshipPastSubset"></definition>
-    </concept>
-    <concept>
-     <code value="MAX"></code>
-     <display value="maximum"></display>
-     <definition value="The occurrence whose value attribute is greater than all other occurrences at the time the instance is created."></definition>
-    </concept>
-    <concept>
-     <code value="MIN"></code>
-     <display value="minimum"></display>
-     <definition value="The occurrence whose value attribute is less than all other occurrences at the time the instance is created."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-SetOperator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-SetOperator"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-SetOperator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1069"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.SetOperator"></name>
-    <title value="v3 Code System SetOperator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-SetOperator"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_ValueSetOperator"></code>
-     <display value="ValueSetOperator"></display>
-     <definition value="Operations that can be used to associate concepts in a terminology."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="E"></code>
-      <display value="exclude"></display>
-      <definition value="Form the set-difference with this value, i.e., exclude this element or set from the resulting set."></definition>
-     </concept>
-     <concept>
-      <code value="I"></code>
-      <display value="include"></display>
-      <definition value="Form the union with this value, i.e., include this element or set in the resulting set."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="A"></code>
-     <display value="intersect"></display>
-     <definition value="Form the intersection with the value."></definition>
-    </concept>
-    <concept>
-     <code value="H"></code>
-     <display value="convex hull"></display>
-     <definition value="Form the convex hull with the value. The convex hull is defined over ordered domains and is the smallest contiguous superset (interval) that of all the operand sets."></definition>
-    </concept>
-    <concept>
-     <code value="P"></code>
-     <display value="periodic hull"></display>
-     <definition value="Form the periodic hull with the value. The periodic hull is defined over ordered domains and is the periodic set that contains all contiguous supersets of pairs of intervals generated by the operand periodic intervals."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DocumentStorage"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-DocumentStorage"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-DocumentStorage"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.34"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.DocumentStorage"></name>
-    <title value="v3 Code System DocumentStorage"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Identifies the storage status of a document."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DocumentStorage"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="AC"></code>
-     <display value="active"></display>
-     <definition value="A storage status in which a document is available on-line."></definition>
-     <concept>
-      <code value="AA"></code>
-      <display value="active and archived"></display>
-      <definition value="A storage status in which a document is available on-line and is also stored off-line for long-term access."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="AR"></code>
-     <display value="archived (not active)"></display>
-     <definition value="A storage status in which a document has been stored off-line for long-term access."></definition>
-    </concept>
-    <concept>
-     <code value="PU"></code>
-     <display value="purged"></display>
-     <definition value="A storage status in which a document is no longer available in this system."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-styleType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-styleType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-styleType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1095"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.styleType"></name>
-    <title value="v3 Code System styleType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" &lt;ns1:p&gt;The style code is used within the CDA/SPL narrative block to give the instance author some control over various aspects of style&lt;/ns1:p&gt;"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-styleType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="_FontStyle"></code>
-     <display value="Font Style"></display>
-     <definition value="Defines font rendering characteristics"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="bold"></code>
-      <display value="Bold Font"></display>
-      <definition value="Render with a bold font"></definition>
-     </concept>
-     <concept>
-      <code value="emphasis"></code>
-      <display value="Emphasised Font"></display>
-      <definition value="Render with with some type of emphasis"></definition>
-     </concept>
-     <concept>
-      <code value="italics"></code>
-      <display value="Italics Font"></display>
-      <definition value="Render italicized"></definition>
-     </concept>
-     <concept>
-      <code value="underline"></code>
-      <display value="Underline Font"></display>
-      <definition value="Render with an underline font"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ListStyle"></code>
-     <display value="List Style"></display>
-     <definition value="Defines list rendering characteristics"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_OrderedListStyle"></code>
-      <display value="Ordered List Style"></display>
-      <definition value="Defines rendering characteristics for ordered lists"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="Arabic"></code>
-       <display value="Arabic"></display>
-       <definition value="List is ordered using Arabic numerals: 1, 2, 3"></definition>
-      </concept>
-      <concept>
-       <code value="BigAlpha"></code>
-       <display value="Big Alpha"></display>
-       <definition value="List is ordered using big alpha characters: A, B, C"></definition>
-      </concept>
-      <concept>
-       <code value="BigRoman"></code>
-       <display value="Big Roman"></display>
-       <definition value="List is ordered using big Roman numerals: I, II, III"></definition>
-      </concept>
-      <concept>
-       <code value="LittleAlpha"></code>
-       <display value="Little Alpha"></display>
-       <definition value="List is order using little alpha characters: a, b, c"></definition>
-      </concept>
-      <concept>
-       <code value="LittleRoman"></code>
-       <display value="Little Roman"></display>
-       <definition value="List is ordered using little Roman numerals: i, ii, iii"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="_UnorderedListStyle"></code>
-      <display value="Unordered List Style"></display>
-      <definition value="Defines rendering characteristics for unordered lists"></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="Circle"></code>
-       <display value="Circle"></display>
-       <definition value="List bullets are hollow discs"></definition>
-      </concept>
-      <concept>
-       <code value="Disc"></code>
-       <display value="Disc"></display>
-       <definition value="List bullets are simple solid discs"></definition>
-      </concept>
-      <concept>
-       <code value="Square"></code>
-       <display value="Square"></display>
-       <definition value="List bullets are solid squares"></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_TableRuleStyle"></code>
-     <display value="Table Rule Style"></display>
-     <definition value="Defines table cell rendering characteristics"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="Botrule"></code>
-      <display value="Bottom Rule"></display>
-      <definition value="Render cell with rule on bottom"></definition>
-     </concept>
-     <concept>
-      <code value="Lrule"></code>
-      <display value="Left-sided rule"></display>
-      <definition value="Render cell with left-sided rule"></definition>
-     </concept>
-     <concept>
-      <code value="Rrule"></code>
-      <display value="Right-sided rule"></display>
-      <definition value="Render cell with right-sided rule"></definition>
-     </concept>
-     <concept>
-      <code value="Toprule"></code>
-      <display value="Top Rule"></display>
-      <definition value="Render cell with rule on top"></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Confidentiality"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Confidentiality"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.25"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Confidentiality"></name>
-    <title value="v3 Code System Confidentiality"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain &quot;Confidentiality&quot;."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Confidentiality"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="_Confidentiality"></code>
-     <display value="Confidentiality"></display>
-     <definition value="A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain &quot;Confidentiality&quot;."></definition>
-     <concept>
-      <code value="L"></code>
-      <display value="low"></display>
-      <definition value="Privacy metadata indicating that a low level of protection is required to safeguard personal and healthcare information, which has been altered in such a way as to minimize the need for confidentiality protections with some residual risks associated with re-linking. The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk.
-
-        
-         Usage Note: 
-        
-The level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.
-         Example: Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. See 45 CFR Section 164.514.
-
-        This metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.
-
-        Confidentiality code total order hierarchy: Low (L) is less protective than V, R, N, and M, and subsumes U."></definition>
-     </concept>
-     <concept>
-      <code value="M"></code>
-      <display value="moderate"></display>
-      <definition value="Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.
-
-        
-         Usage Note: The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject.
-
-        Privacy policies mandating moderate levels of protection, which preempt less protective privacy policies. &quot;Moderate&quot; confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.
-
-        Confidentiality code total order hierarchy: Moderate (M) is less protective than V, R, and N, and subsumes all other protection levels (i.e., L and U).
-
-        
-         Examples: Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account; to health oversight authorities; to a hospital patient directory; to worker compensation, disability, property and casualty or life insurers; and to personal health record systems, consumer-controlled devices, social media accounts and online Apps; or for marketing purposes"></definition>
-     </concept>
-     <concept>
-      <code value="N"></code>
-      <display value="normal"></display>
-      <definition value="Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.
-
-        
-         Usage Note: The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.
-
-        Privacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).
-
-        Confidentiality code total order hierarchy: Normal (N) is less protective than V and R, and subsumes all other protection levels (i.e., M, L, and U).
-
-        
-         Map:Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations. 
-
-        
-         Examples: 
-        
-n the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103."></definition>
-     </concept>
-     <concept>
-      <code value="R"></code>
-      <display value="restricted"></display>
-      <definition value="Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.
-
-        
-         Usage Note: The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual’s request, intended to engender patient trust in providers of sensitive services.
-
-        Privacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).
-
-        Confidentiality code total order hierarchy: Restricted (R) is less protective than V, and subsumes all other protection levels (i.e., N, M, L, and U).
-
-        
-         Examples: 
-        
-Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient’s standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer)."></definition>
-     </concept>
-     <concept>
-      <code value="U"></code>
-      <display value="unrestricted"></display>
-      <definition value="Privacy metadata indicating that no level of protection is required to safeguard personal and healthcare information that has been disclosed by an authorized individual without restrictions on its use.
-
-        
-         Examples: Includes publicly available information e.g., business name, phone, email and physical address.
-
-        
-         Usage Note: The authorization to collect, access, use, and disclose this information may be stipulated in a contract of adhesion by a data user (e.g., via terms of service or data user privacy policies) in exchange for the data subject's use of a service.
-
-        This metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.
-
-        This metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.
-
-        Confidentiality code total order hierarchy: Unrestricted (U) is less protective than V, R, N, M, and L, and is the lowest protection levels."></definition>
-     </concept>
-     <concept>
-      <code value="V"></code>
-      <display value="very restricted"></display>
-      <definition value="Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.
-
-        
-         Usage Note: The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..
-
-        Privacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).
-
-        Confidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., R, N, M, L, and UI).
-
-        
-         Examples: 
-        
-Includes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under a legal hold or attorney-client privilege."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ConfidentialityByAccessKind"></code>
-     <display value="ConfidentialityByAccessKind"></display>
-     <definition value="Description: By accessing subject / role and relationship based  rights  (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)
-
-        
-         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-12-14"></valueDateTime>
-     </property>
-     <concept>
-      <code value="B"></code>
-      <display value="business"></display>
-      <definition value="Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality.  However, no patient related information may ever be of this confidentiality level.
-
-        
-         Deprecation Comment: Replced by ActCode.B"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="D"></code>
-      <display value="clinician"></display>
-      <definition value="Description: Only clinicians may see this item, billing and administration persons can not access this item without special permission.
-
-        
-         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="I"></code>
-      <display value="individual"></display>
-      <definition value="Description: Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).
-
-        
-         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ConfidentialityByInfoType"></code>
-     <display value="ConfidentialityByInfoType"></display>
-     <definition value="Description: By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data!
-
-        
-         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-12-14"></valueDateTime>
-     </property>
-     <concept>
-      <code value="ETH"></code>
-      <display value="substance abuse related"></display>
-      <definition value="Description: Alcohol/drug-abuse related item
-
-        
-         Deprecation Comment:Replced by ActCode.ETH"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="HIV"></code>
-      <display value="HIV related"></display>
-      <definition value="Description: HIV and AIDS related item
-
-        
-         Deprecation Comment:Replced by ActCode.HIV"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="PSY"></code>
-      <display value="psychiatry relate"></display>
-      <definition value="Description: Psychiatry related item
-
-        
-         Deprecation Comment:Replced by ActCode.PSY"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="SDV"></code>
-      <display value="sexual and domestic violence related"></display>
-      <definition value="Description: Sexual assault / domestic violence related item
-
-        
-         Deprecation Comment:Replced by ActCode.SDV"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ConfidentialityModifiers"></code>
-     <display value="ConfidentialityModifiers"></display>
-     <definition value="Description: Modifiers of role based access rights  (multiple allowed)
-
-        
-         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <property>
-      <code value="status"></code>
-      <valueCode value="retired"></valueCode>
-     </property>
-     <property>
-      <code value="deprecationDate"></code>
-      <valueDateTime value="2011-12-14"></valueDateTime>
-     </property>
-     <concept>
-      <code value="C"></code>
-      <display value="celebrity"></display>
-      <definition value="Description: Celebrities are people of public interest (VIP) including employees, whose information require special protection.
-
-        
-         Deprecation Comment:Replced by ActCode.CEL"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="S"></code>
-      <display value="sensitive"></display>
-      <definition value="Description: 
-        
-Information for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members.  Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request.
-         Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-     <concept>
-      <code value="T"></code>
-      <display value="taboo"></display>
-      <definition value="Description: Information not to be disclosed or discussed with patient except through physician assigned to patient in this case.  This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV.
-
-        
-         Deprecation Note:Replced by ActCode.TBOO"></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="retired"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2011-12-14"></valueDateTime>
-      </property>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-RoleLinkType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-RoleLinkType"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-RoleLinkType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.107"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.RoleLinkType"></name>
-    <title value="v3 Code System RoleLinkType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="**** MISSING DEFINITIONS ****"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-RoleLinkType"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="REL"></code>
-     <display value="related"></display>
-     <definition value="An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable.
-
-        Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.Examples:"></definition>
-     <concept>
-      <code value="BACKUP"></code>
-      <display value="is backup for"></display>
-      <definition value="This relationship indicates the source Role is available to the target Role as a backup. An entity in a backup role will be available as a substitute or replacement in the event that the entity assigned the role is unavailable. In medical roles where it is critical that the function be performed and there is a possibility that the individual assigned may be ill or otherwise indisposed, another individual is assigned to cover for the individual originally assigned the role. A backup may be required to be identified, but unless the backup is actually used, he/she would not assume the assigned entity role."></definition>
-     </concept>
-     <concept>
-      <code value="CONT"></code>
-      <display value="has contact"></display>
-      <definition value="This relationship indicates the target Role provides or receives information regarding the target role.  For example, AssignedEntity is a contact for a ServiceDeliveryLocation."></definition>
-     </concept>
-     <concept>
-      <code value="DIRAUTH"></code>
-      <display value="has direct authority over"></display>
-      <definition value="The source Role has direct authority over the target role in a chain of authority."></definition>
-     </concept>
-     <concept>
-      <code value="IDENT"></code>
-      <display value="Identification"></display>
-      <definition value="Description: The source role provides identification for the target role. The source role must be IDENT. The player entity of the source role is constrained to be the same as (i.e. the equivalent of, or equal to) the player of the target role if present. If the player is absent from the source role, then it is assumed to be the same as the player of the target role."></definition>
-     </concept>
-     <concept>
-      <code value="INDAUTH"></code>
-      <display value="has indirect authority over"></display>
-      <definition value="The source Role has indirect authority over the target role in a chain of authority."></definition>
-     </concept>
-     <concept>
-      <code value="PART"></code>
-      <display value="has part"></display>
-      <definition value="The target Role is part of the Source Role."></definition>
-     </concept>
-     <concept>
-      <code value="REPL"></code>
-      <display value="replaces"></display>
-      <definition value="This relationship indicates that the source Role replaces (or subsumes) the target Role.  Allows for new identifiers and/or new effective time for a registry entry or a certification, etc."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Ethnicity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Ethnicity"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Ethnicity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.50"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Ethnicity"></name>
-    <title value="v3 Code System Ethnicity"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification.  Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification.  The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino.  The standards define a Hispanic or Latino as a person of &quot;Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race.&quot; The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories.  In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="2135-2"></code>
-     <display value="Hispanic or Latino"></display>
-     <definition value="Hispanic or Latino"></definition>
-     <concept>
-      <code value="2137-8"></code>
-      <display value="Spaniard"></display>
-      <definition value="Spaniard"></definition>
-      <concept>
-       <code value="2138-6"></code>
-       <display value="Andalusian"></display>
-       <definition value="Andalusian"></definition>
-      </concept>
-      <concept>
-       <code value="2139-4"></code>
-       <display value="Asturian"></display>
-       <definition value="Asturian"></definition>
-      </concept>
-      <concept>
-       <code value="2140-2"></code>
-       <display value="Castillian"></display>
-       <definition value="Castillian"></definition>
-      </concept>
-      <concept>
-       <code value="2141-0"></code>
-       <display value="Catalonian"></display>
-       <definition value="Catalonian"></definition>
-      </concept>
-      <concept>
-       <code value="2142-8"></code>
-       <display value="Belearic Islander"></display>
-       <definition value="Belearic Islander"></definition>
-      </concept>
-      <concept>
-       <code value="2143-6"></code>
-       <display value="Gallego"></display>
-       <definition value="Gallego"></definition>
-      </concept>
-      <concept>
-       <code value="2144-4"></code>
-       <display value="Valencian"></display>
-       <definition value="Valencian"></definition>
-      </concept>
-      <concept>
-       <code value="2145-1"></code>
-       <display value="Canarian"></display>
-       <definition value="Canarian"></definition>
-      </concept>
-      <concept>
-       <code value="2146-9"></code>
-       <display value="Spanish Basque"></display>
-       <definition value="Spanish Basque"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2148-5"></code>
-      <display value="Mexican"></display>
-      <definition value="Mexican"></definition>
-      <concept>
-       <code value="2149-3"></code>
-       <display value="Mexican American"></display>
-       <definition value="Mexican American"></definition>
-      </concept>
-      <concept>
-       <code value="2150-1"></code>
-       <display value="Mexicano"></display>
-       <definition value="Mexicano"></definition>
-      </concept>
-      <concept>
-       <code value="2151-9"></code>
-       <display value="Chicano"></display>
-       <definition value="Chicano"></definition>
-      </concept>
-      <concept>
-       <code value="2152-7"></code>
-       <display value="La Raza"></display>
-       <definition value="La Raza"></definition>
-      </concept>
-      <concept>
-       <code value="2153-5"></code>
-       <display value="Mexican American Indian"></display>
-       <definition value="Mexican American Indian"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2155-0"></code>
-      <display value="Central American"></display>
-      <definition value="Central American"></definition>
-      <concept>
-       <code value="2156-8"></code>
-       <display value="Costa Rican"></display>
-       <definition value="Costa Rican"></definition>
-      </concept>
-      <concept>
-       <code value="2157-6"></code>
-       <display value="Guatemalan"></display>
-       <definition value="Guatemalan"></definition>
-      </concept>
-      <concept>
-       <code value="2158-4"></code>
-       <display value="Honduran"></display>
-       <definition value="Honduran"></definition>
-      </concept>
-      <concept>
-       <code value="2159-2"></code>
-       <display value="Nicaraguan"></display>
-       <definition value="Nicaraguan"></definition>
-      </concept>
-      <concept>
-       <code value="2160-0"></code>
-       <display value="Panamanian"></display>
-       <definition value="Panamanian"></definition>
-      </concept>
-      <concept>
-       <code value="2161-8"></code>
-       <display value="Salvadoran"></display>
-       <definition value="Salvadoran"></definition>
-      </concept>
-      <concept>
-       <code value="2162-6"></code>
-       <display value="Central American Indian"></display>
-       <definition value="Central American Indian"></definition>
-      </concept>
-      <concept>
-       <code value="2163-4"></code>
-       <display value="Canal Zone"></display>
-       <definition value="Canal Zone"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2165-9"></code>
-      <display value="South American"></display>
-      <definition value="South American"></definition>
-      <concept>
-       <code value="2166-7"></code>
-       <display value="Argentinean"></display>
-       <definition value="Argentinean"></definition>
-      </concept>
-      <concept>
-       <code value="2167-5"></code>
-       <display value="Bolivian"></display>
-       <definition value="Bolivian"></definition>
-      </concept>
-      <concept>
-       <code value="2168-3"></code>
-       <display value="Chilean"></display>
-       <definition value="Chilean"></definition>
-      </concept>
-      <concept>
-       <code value="2169-1"></code>
-       <display value="Colombian"></display>
-       <definition value="Colombian"></definition>
-      </concept>
-      <concept>
-       <code value="2170-9"></code>
-       <display value="Ecuadorian"></display>
-       <definition value="Ecuadorian"></definition>
-      </concept>
-      <concept>
-       <code value="2171-7"></code>
-       <display value="Paraguayan"></display>
-       <definition value="Paraguayan"></definition>
-      </concept>
-      <concept>
-       <code value="2172-5"></code>
-       <display value="Peruvian"></display>
-       <definition value="Peruvian"></definition>
-      </concept>
-      <concept>
-       <code value="2173-3"></code>
-       <display value="Uruguayan"></display>
-       <definition value="Uruguayan"></definition>
-      </concept>
-      <concept>
-       <code value="2174-1"></code>
-       <display value="Venezuelan"></display>
-       <definition value="Venezuelan"></definition>
-      </concept>
-      <concept>
-       <code value="2175-8"></code>
-       <display value="South American Indian"></display>
-       <definition value="South American Indian"></definition>
-      </concept>
-      <concept>
-       <code value="2176-6"></code>
-       <display value="Criollo"></display>
-       <definition value="Criollo"></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="2178-2"></code>
-      <display value="Latin American"></display>
-      <definition value="Latin American"></definition>
-     </concept>
-     <concept>
-      <code value="2180-8"></code>
-      <display value="Puerto Rican"></display>
-      <definition value="Puerto Rican"></definition>
-     </concept>
-     <concept>
-      <code value="2182-4"></code>
-      <display value="Cuban"></display>
-      <definition value="Cuban"></definition>
-     </concept>
-     <concept>
-      <code value="2184-0"></code>
-      <display value="Dominican"></display>
-      <definition value="Dominican"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="2186-5"></code>
-     <display value="Not Hispanic or Latino"></display>
-     <definition value="Note that this term remains in the table for completeness, even though within HL7, the notion of &quot;not otherwise coded&quot; term is deprecated."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-DeviceAlertLevel"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-DeviceAlertLevel"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-DeviceAlertLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.31"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.DeviceAlertLevel"></name>
-    <title value="v3 Code System DeviceAlertLevel"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Domain values for the Device.Alert_levelCode"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-DeviceAlertLevel"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Critical"></display>
-     <definition value="Shut Down, Fix Problem and Re-initialize"></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="Normal"></display>
-     <definition value="No Corrective Action Needed"></definition>
-    </concept>
-    <concept>
-     <code value="S"></code>
-     <display value="Serious"></display>
-     <definition value="Corrective Action Required"></definition>
-    </concept>
-    <concept>
-     <code value="W"></code>
-     <display value="Warning"></display>
-     <definition value="Corrective Action Anticipated"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-ActMood"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-ActMood"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-ActMood"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.1001"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.ActMood"></name>
-    <title value="v3 Code System ActMood"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" OpenIssue:  In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found &quot;Persuasive With Mod&quot;, with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActMood"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <property>
-     <code value="status"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#status"></uri>
-     <description value="A property that indicates the status of the concept. One of active, experimental, deprecated, retired"></description>
-     <type value="code"></type>
-    </property>
-    <property>
-     <code value="deprecationDate"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"></uri>
-     <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged"></description>
-     <type value="dateTime"></type>
-    </property>
-    <concept>
-     <code value="_ActMoodCompletionTrack"></code>
-     <display value="ActMoodCompletionTrack"></display>
-     <definition value="These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="_ActMoodPotential"></code>
-      <display value="potential"></display>
-      <definition value="Definition: A possible act."></definition>
-      <property>
-       <code value="notSelectable"></code>
-       <valueBoolean value="true"></valueBoolean>
-      </property>
-      <concept>
-       <code value="DEF"></code>
-       <display value="definition"></display>
-       <definition value="Definition: A definition of a kind of act that can occur .
-
-        
-         OpenIssue: The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be &quot;retired&quot; in the future in favor of the more general ActMood.CRT."></definition>
-      </concept>
-      <concept>
-       <code value="PERM"></code>
-       <display value="permission"></display>
-       <definition value="Definition: A kind of act that defines a permission that has been granted."></definition>
-      </concept>
-      <concept>
-       <code value="SLOT"></code>
-       <display value="resource slot"></display>
-       <definition value="Definition: A kind of act that may occur during the specified time period."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="EVN"></code>
-      <display value="event (occurrence)"></display>
-      <definition value="Definition: An act that actually happens (may be an ongoing act or a documentation of a past act)."></definition>
-     </concept>
-     <concept>
-      <code value="INT"></code>
-      <display value="intent"></display>
-      <definition value="Definition: An intention or plan for an act. 
-
-        
-         &gt;UsageNotes: The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur."></definition>
-      <concept>
-       <code value="_ActMoodDesire"></code>
-       <display value="desire"></display>
-       <definition value="Definition:  A desire to have an act occur."></definition>
-       <property>
-        <code value="notSelectable"></code>
-        <valueBoolean value="true"></valueBoolean>
-       </property>
-       <concept>
-        <code value="_ActMoodActRequest"></code>
-        <display value="act request"></display>
-        <definition value="Definition: A request (or order) for an act that is part of a defined request/fulfillment cycle.
-
-        
-         UsageNotes: Use of an HL7 defined request/fulfillment framework is not required to use this mood code."></definition>
-        <property>
-         <code value="notSelectable"></code>
-         <valueBoolean value="true"></valueBoolean>
-        </property>
-        <concept>
-         <code value="ARQ"></code>
-         <display value="appointment request"></display>
-         <definition value="Definition: A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment (the actual act may well not happen if that is the professional decision during the appointment)."></definition>
-        </concept>
-        <concept>
-         <code value="PERMRQ"></code>
-         <display value="permission request"></display>
-         <definition value="Definition: A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission."></definition>
-        </concept>
-        <concept>
-         <code value="RQO"></code>
-         <display value="request"></display>
-         <definition value="Definition: A request act that is specialized for an event request/fulfillment cycle. 
-
-        
-         UsageNotes: The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event. 
-
-        
-         UsageNotes: The concepts of a &quot;request&quot; and an &quot;order&quot; are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  &quot;Orders&quot; are commonly refused for a variety of clinical and business reasons, and the notion of a &quot;request&quot; obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is &quot;request.&quot;
-
-        Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the &quot;local&quot; business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.
-
-        The critical distinction here, is the difference between this concept and an &quot;intent&quot;, of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request."></definition>
-        </concept>
-       </concept>
-       <concept>
-        <code value="PRP"></code>
-        <display value="proposal"></display>
-        <definition value="Definition: A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present."></definition>
-        <concept>
-         <code value="RMD"></code>
-         <display value="recommendation"></display>
-         <definition value="Definition: A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .
-
-        
-         UsageNotes: Where there is no clear definition or applicable concept of &quot;professional responsibility�, RMD becomes indistinguishable from PRP. ."></definition>
-        </concept>
-       </concept>
-      </concept>
-      <concept>
-       <code value="PRMS"></code>
-       <display value="promise"></display>
-       <definition value="Definition: A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.
-
-        
-         UsageNotes: Commitments may be retracted or cancelled."></definition>
-       <concept>
-        <code value="APT"></code>
-        <display value="appointment"></display>
-        <definition value="Definition: An act that has been scheduled to be performed at a specific place and time."></definition>
-       </concept>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="_ActMoodPredicate"></code>
-     <display value="ActMoodPredicate"></display>
-     <definition value="Definition: An act that expresses condition statements for other acts."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="CRT"></code>
-      <display value="criterion"></display>
-      <definition value="Deprecation Comment: 
-         This concept This codes should no longer be used.  Instead, set attribute Act.isCriterionInd to &quot;true&quot; and use the desired mood for your criterion.
-
-        
-         Definition: A condition that must be true for the source act to be considered."></definition>
-      <property>
-       <code value="status"></code>
-       <valueCode value="deprecated"></valueCode>
-      </property>
-      <property>
-       <code value="deprecationDate"></code>
-       <valueDateTime value="2010-07-12"></valueDateTime>
-      </property>
-      <concept>
-       <code value="EVN.CRT"></code>
-       <display value="event criterion"></display>
-       <definition value="Deprecation Comment: 
-         This concept This codes should no longer be used.  Instead, set attribute Act.isCriterionInd to &quot;true&quot; and use the desired mood for your criterion.
-
-        
-         Definition: A criterion (CRT) that has_match = an event (EVN)."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="deprecated"></valueCode>
-       </property>
-       <property>
-        <code value="deprecationDate"></code>
-        <valueDateTime value="2010-07-12"></valueDateTime>
-       </property>
-      </concept>
-      <concept>
-       <code value="GOL.CRT"></code>
-       <display value="goal criterion"></display>
-       <definition value="A criterion expressed over goals (ActMood.GOL)."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-      <concept>
-       <code value="INT.CRT"></code>
-       <display value="intent criterion"></display>
-       <definition value="A criterion expressed over intents (ActMood.INT)."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-       <concept>
-        <code value="PRMS.CRT"></code>
-        <display value="promise criterion"></display>
-        <definition value="A criterion expressed over promises (ActMood.PRMS)."></definition>
-        <property>
-         <code value="status"></code>
-         <valueCode value="retired"></valueCode>
-        </property>
-       </concept>
-       <concept>
-        <code value="RQO.CRT"></code>
-        <display value="request criterion"></display>
-        <definition value="A criterion expressed over requests or orders (ActMood.RQO)."></definition>
-        <property>
-         <code value="status"></code>
-         <valueCode value="retired"></valueCode>
-        </property>
-       </concept>
-      </concept>
-      <concept>
-       <code value="RSK.CRT"></code>
-       <display value="risk criterion"></display>
-       <definition value="A criterion expressed over risks (ActMood.RSK)."></definition>
-       <property>
-        <code value="status"></code>
-        <valueCode value="retired"></valueCode>
-       </property>
-      </concept>
-     </concept>
-     <concept>
-      <code value="EXPEC"></code>
-      <display value="expectation"></display>
-      <definition value="Definition: An act that is considered to have some noteworthy likelihood of occurring in the future (has_match = event).
-
-        
-         Examples:Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.
-
-        
-         UsageNotes:INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen."></definition>
-      <concept>
-       <code value="GOL"></code>
-       <display value="Goal"></display>
-       <definition value="Definition: An expectation that is considered to be desirable to occur in the future 
-
-        
-         Examples:Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.
-
-        
-         UsageNotes: INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  &quot;I will reduce the dose of drug x to 20mg&quot; is an intent.  &quot;I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg&quot; is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope."></definition>
-      </concept>
-      <concept>
-       <code value="RSK"></code>
-       <display value="risk"></display>
-       <definition value="Definition:An act that may occur in the future and which is regarded as undesirable 
-
-        
-         Examples:Increased risk of DVT, at risk for sub-acute bacterial endocarditis.
-
-        
-         UsageNotes:Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="OPT"></code>
-      <display value="option"></display>
-      <definition value="Definition: One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN."></definition>
-     </concept>
+     <code value="POLB_TE004500UV"></code>
+     <display value="Result Nullify"></display>
+     <definition value="Description:"></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -60731,10 +60816,10 @@ Information for which the patient seeks heightened confidentiality. Sensitive in
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-HtmlLinkType"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-WorkClassificationODH"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-HtmlLinkType"></id>
+    <id value="v3-WorkClassificationODH"></id>
     <meta>
      <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
     </meta>
@@ -60744,14 +60829,14 @@ Information for which the patient seeks heightened confidentiality. Sensitive in
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-HtmlLinkType"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.58"></value>
+     <value value="urn:oid:2.16.840.1.113883.5.1139"></value>
     </identifier>
     <version value="2019-07-31"></version>
-    <name value="v3.HtmlLinkType"></name>
-    <title value="v3 Code System HtmlLinkType"></title>
+    <name value="v3.WorkClassificationODH"></name>
+    <title value="v3 Code System WorkClassificationODH"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
     <date value="2019-07-31T00:00:00+00:00"></date>
@@ -60762,140 +60847,55 @@ Information for which the patient seeks heightened confidentiality. Sensitive in
       <value value="http://hl7.org"></value>
      </telecom>
     </contact>
-    <description value=" HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link"></description>
+    <description value=" Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.)."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-HtmlLinkType"></valueSet>
+    <valueSet value="http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH"></valueSet>
     <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
     <concept>
-     <code value="alternate"></code>
-     <display value="alternate"></display>
-     <definition value="Designates substitute versions for the document in which the link occurs. When used together with the lang attribute, it implies a translated version of the document. When used together with the media attribute, it implies a version designed for a different medium (or media)."></definition>
+     <code value="PWAF"></code>
+     <display value="Paid work, Armed Forces"></display>
+     <definition value="A situation in which an individual serves in a government-sponsored military force."></definition>
     </concept>
     <concept>
-     <code value="appendix"></code>
-     <display value="appendix"></display>
-     <definition value="Refers to a document serving as an appendix in a collection of documents."></definition>
+     <code value="PWFG"></code>
+     <display value="Paid work, national government, not armed forces"></display>
+     <definition value="A situation in which an individual works for a national government organization, not including armed forces, and receives a paid salary or wage."></definition>
     </concept>
     <concept>
-     <code value="bookmark"></code>
-     <display value="bookmark"></display>
-     <definition value="Refers to a bookmark. A bookmark is a link to a key entry point within an extended document. The title attribute may be used, for example, to label the bookmark. Note that several bookmarks may be defined in each document."></definition>
+     <code value="PWLG"></code>
+     <display value="Paid work, local government, not armed forces"></display>
+     <definition value="A situation in which an individual works for a government organization with jurisdiction below the level of state/provincial/territorial/tribal government (e.g., city, town, township), not armed forces, and receives a paid salary or wage."></definition>
     </concept>
     <concept>
-     <code value="chapter"></code>
-     <display value="chapter"></display>
-     <definition value="Refers to a document serving as a chapter in a collection of documents."></definition>
+     <code value="PWNSE"></code>
+     <display value="Paid non-governmental work, not self-employed"></display>
+     <definition value="A situation in which an individual works for a business (not government) that they do not own and receives a paid salary or wage."></definition>
     </concept>
     <concept>
-     <code value="contents"></code>
-     <display value="contents"></display>
-     <definition value="Refers to a document serving as a table of contents. Some user agents also support the synonym ToC (from &quot;Table of Contents&quot;)."></definition>
+     <code value="PWSE"></code>
+     <display value="Paid work, self-employed"></display>
+     <definition value="A situation in which an individual earns a salary or wage working for himself or herself instead of working for an employer."></definition>
     </concept>
     <concept>
-     <code value="copyright"></code>
-     <display value="copyright"></display>
-     <definition value="Refers to a copyright statement for the current document."></definition>
+     <code value="PWSG"></code>
+     <display value="Paid work, state government, not armed forces"></display>
+     <definition value="A situation in which an individual works for a government organization with jurisdiction immediately below the level of national government (between national government and local government), not armed forces and receives a paid salary or wage.  Often called a state, provincial, territorial, or tribal government."></definition>
     </concept>
     <concept>
-     <code value="glossary"></code>
-     <display value="glossary"></display>
-     <definition value="Refers to a document providing a glossary of terms that pertain to the current document."></definition>
+     <code value="UWNSE"></code>
+     <display value="Unpaid non-governmental work, not self-employed"></display>
+     <definition value="A situation in which an individual works for a business (not government) that they do not own without receiving a paid salary or wage."></definition>
     </concept>
     <concept>
-     <code value="help"></code>
-     <display value="help"></display>
-     <definition value="Refers to a document offering help (more information, links to other sources of information, etc.)."></definition>
+     <code value="UWSE"></code>
+     <display value="Unpaid work, self-employed"></display>
+     <definition value="A situation in which an individual works for himself or herself without receiving a paid salary or wage."></definition>
     </concept>
     <concept>
-     <code value="index"></code>
-     <display value="index"></display>
-     <definition value="Refers to a document providing an index for the current document."></definition>
-    </concept>
-    <concept>
-     <code value="next"></code>
-     <display value="next"></display>
-     <definition value="Refers to the next document in a linear sequence of documents. User agents may choose to preload the &quot;next&quot; document, to reduce the perceived load time."></definition>
-    </concept>
-    <concept>
-     <code value="prev"></code>
-     <display value="prev"></display>
-     <definition value="Refers to the previous document in an ordered series of documents. Some user agents also support the synonym &quot;Previous&quot;."></definition>
-    </concept>
-    <concept>
-     <code value="section"></code>
-     <display value="section"></display>
-     <definition value="Refers to a document serving as a section in a collection of documents."></definition>
-    </concept>
-    <concept>
-     <code value="start"></code>
-     <display value="start"></display>
-     <definition value="Refers to the first document in a collection of documents. This link type tells search engines which document is considered by the author to be the starting point of the collection."></definition>
-    </concept>
-    <concept>
-     <code value="stylesheet"></code>
-     <display value="stylesheet"></display>
-     <definition value="Refers to an external style sheet. See the section on external style sheets for details. This is used together with the link type &quot;Alternate&quot; for user-selectable alternate style sheets."></definition>
-    </concept>
-    <concept>
-     <code value="subsection"></code>
-     <display value="subsection"></display>
-     <definition value="Refers to a document serving as a subsection in a collection of documents."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/v3-Sequencing"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="v3-Sequencing"></id>
-    <meta>
-     <lastUpdated value="2019-07-31T00:00:00.000+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="external"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/v3-Sequencing"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.5.113"></value>
-    </identifier>
-    <version value="2019-07-31"></version>
-    <name value="v3.Sequencing"></name>
-    <title value="v3 Code System Sequencing"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-07-31T00:00:00+00:00"></date>
-    <publisher value="HL7, Inc"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value=" Specifies sequence of sort order."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://terminology.hl7.org/ValueSet/v3-Sequencing"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="A"></code>
-     <display value="Ascending"></display>
-     <definition value="Ascending sequence order."></definition>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Descending"></display>
-     <definition value="Descending sequence order."></definition>
-    </concept>
-    <concept>
-     <code value="N"></code>
-     <display value="None"></display>
-     <definition value="No enforced sequence order."></definition>
+     <code value="VW"></code>
+     <display value="Voluntary work"></display>
+     <definition value="A situation in which an individual chooses to do something, especially for other people or for an organization, willingly and without being forced or compensated to do it.  This can include formal activity undertaken through public, private and voluntary organizations as well as informal community participation."></definition>
     </concept>
    </CodeSystem>
   </resource>
diff --git a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/valuesets.xml b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/valuesets.xml
index 97ffd067eab..3d92fa179ca 100644
--- a/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/valuesets.xml
+++ b/hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/valueset/valuesets.xml
@@ -1,7 +1,7 @@
 <Bundle xmlns="http://hl7.org/fhir">
  <id value="valuesets"></id>
  <meta>
-  <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+  <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
  </meta>
  <type value="collection"></type>
  <entry>
@@ -10,7 +10,7 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="example"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -21,7 +21,7 @@
      <system value="http://acme.com/identifiers/codesystems"></system>
      <value value="internal-cholesterol-inl"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ACMECholCodesBlood"></name>
     <title value="ACME Codes for Cholesterol in Serum/Plasma"></title>
     <status value="draft"></status>
@@ -89,7 +89,7 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="nhin-purposeofuse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
@@ -255,7 +255,7 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="snomedct"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
@@ -738,13 +738,13 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="summary"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/CodeSystem/summary"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Code system summary example for ACME body sites"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -788,13 +788,13 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="example-supplement"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/CodeSystem/example-supplement"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CholCodeLegacyStatus"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -839,24 +839,1796 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-type-link"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adjudication-error"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="resource-type-link"></id>
+    <id value="adjudication-error"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/resource-type-link"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adjudication-error"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1180"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1053"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="PayeeResourceType"></name>
-    <title value="PayeeResourceType"></title>
+    <version value="4.2.0"></version>
+    <name value="Adjudication Error Codes"></name>
+    <status value="draft"></status>
+    <experimental value="true"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of adjudication codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adjudication-error"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="a001"></code>
+     <display value="Missing Identifier"></display>
+     <definition value="Missing Identifier"></definition>
+    </concept>
+    <concept>
+     <code value="a002"></code>
+     <display value="Missing Creation Date"></display>
+     <definition value="Missing Creation Date"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/administrative-gender"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="administrative-gender"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/administrative-gender"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.2"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdministrativeGender"></name>
+    <title value="AdministrativeGender"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The gender of a person used for administrative purposes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Male"></valueString>
+     </extension>
+     <code value="male"></code>
+     <display value="Male"></display>
+     <definition value="Male."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Female"></valueString>
+     </extension>
+     <code value="female"></code>
+     <display value="Female"></display>
+     <definition value="Female."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The administrative gender is a value other than male/female/unknown. Where this value is selected, systems may often choose to include an extension with the localized more specific value."></valueString>
+     </extension>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="A proper value is applicable, but not known.  Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:  Those properties themselves directly translate to a semantic of &quot;unknown&quot;. (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)"></valueString>
+     </extension>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="Unknown."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/binding-strength"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="binding-strength"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/binding-strength"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.44"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BindingStrength"></name>
+    <title value="BindingStrength"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="Indication of the degree of conformance expectations associated with a binding."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="required"></code>
+     <display value="Required"></display>
+     <definition value="To be conformant, the concept in this element SHALL be from the specified value set."></definition>
+    </concept>
+    <concept>
+     <code value="extensible"></code>
+     <display value="Extensible"></display>
+     <definition value="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead."></definition>
+    </concept>
+    <concept>
+     <code value="preferred"></code>
+     <display value="Preferred"></display>
+     <definition value="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant."></definition>
+    </concept>
+    <concept>
+     <code value="example"></code>
+     <display value="Example"></display>
+     <definition value="Instances are not expected or even encouraged to draw from the specified value set.  The value set merely provides examples of the types of concepts intended to be included."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/cdshooks-indicator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="cdshooks-indicator"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://cds-hooks.hl7.org/CodeSystem/indicator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1066"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Indicator"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set captures the set of indicator codes defined by the CDS Hooks specification."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/cdshooks-indicator"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="info"></code>
+     <display value="The response is informational"></display>
+    </concept>
+    <concept>
+     <code value="warning"></code>
+     <display value="The response is a warning"></display>
+    </concept>
+    <concept>
+     <code value="critical"></code>
+     <display value="The response is critical and indicates the workflow should not be allowed to proceed"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-map-equivalence"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="concept-map-equivalence"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/concept-map-equivalence"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.18"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConceptMapEquivalence"></name>
+    <title value="ConceptMapEquivalence"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The degree of equivalence between concepts."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-equivalence"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="relatedto"></code>
+     <display value="Related To"></display>
+     <definition value="The concepts are related to each other, and have at least some overlap in meaning, but the exact relationship is not known."></definition>
+     <concept>
+      <code value="equivalent"></code>
+      <display value="Equivalent"></display>
+      <definition value="The definitions of the concepts mean the same thing (including when structural implications of meaning are considered) (i.e. extensionally identical)."></definition>
+      <concept>
+       <code value="equal"></code>
+       <display value="Equal"></display>
+       <definition value="The definitions of the concepts are exactly the same (i.e. only grammatical differences) and structural implications of meaning are identical or irrelevant (i.e. intentionally identical)."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="wider"></code>
+      <display value="Wider"></display>
+      <definition value="The target mapping is wider in meaning than the source concept."></definition>
+     </concept>
+     <concept>
+      <code value="subsumes"></code>
+      <display value="Subsumes"></display>
+      <definition value="The target mapping subsumes the meaning of the source concept (e.g. the source is-a target)."></definition>
+     </concept>
+     <concept>
+      <code value="narrower"></code>
+      <display value="Narrower"></display>
+      <definition value="The target mapping is narrower in meaning than the source concept. The sense in which the mapping is narrower SHALL be described in the comments in this case, and applications should be careful when attempting to use these mappings operationally."></definition>
+     </concept>
+     <concept>
+      <code value="specializes"></code>
+      <display value="Specializes"></display>
+      <definition value="The target mapping specializes the meaning of the source concept (e.g. the target is-a source)."></definition>
+     </concept>
+     <concept>
+      <code value="inexact"></code>
+      <display value="Inexact"></display>
+      <definition value="The target mapping overlaps with the source concept, but both source and target cover additional meaning, or the definitions are imprecise and it is uncertain whether they have the same boundaries to their meaning. The sense in which the mapping is inexact SHALL be described in the comments in this case, and applications should be careful when attempting to use these mappings operationally."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="unmatched"></code>
+     <display value="Unmatched"></display>
+     <definition value="There is no match for this concept in the target code system."></definition>
+     <concept>
+      <code value="disjoint"></code>
+      <display value="Disjoint"></display>
+      <definition value="This is an explicit assertion that there is no mapping between the source and target concept."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-map-relationship"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="concept-map-relationship"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/concept-map-relationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1409"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConceptMapRelationship"></name>
+    <title value="ConceptMapRelationship"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The relationship between concepts."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="related-to"></code>
+     <display value="Related To"></display>
+     <definition value="The concepts are related to each other, but the exact relationship is not known."></definition>
+     <concept>
+      <code value="equivalent"></code>
+      <display value="Equivalent"></display>
+      <definition value="The definitions of the concepts mean the same thing."></definition>
+     </concept>
+     <concept>
+      <code value="broader"></code>
+      <display value="Broader"></display>
+      <definition value="The target concept is broader in meaning than the source concept."></definition>
+     </concept>
+     <concept>
+      <code value="narrower"></code>
+      <display value="Narrower"></display>
+      <definition value="The target concept is narrower in meaning than the source concept."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="not-related-to"></code>
+     <display value="Not Related To"></display>
+     <definition value="This is an explicit assertion that the target concept is not related to the source concept."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/data-absent-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="data-absent-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/data-absent-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1048"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DataAbsentReason"></name>
+    <title value="DataAbsentReason"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="Used to specify why the normally expected content of the data element is missing."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The value is expected to exist but is not known."></definition>
+     <concept>
+      <code value="asked-unknown"></code>
+      <display value="Asked But Unknown"></display>
+      <definition value="The source was asked but does not know the value."></definition>
+     </concept>
+     <concept>
+      <code value="temp-unknown"></code>
+      <display value="Temporarily Unknown"></display>
+      <definition value="There is reason to expect (from the workflow) that the value may become known."></definition>
+     </concept>
+     <concept>
+      <code value="not-asked"></code>
+      <display value="Not Asked"></display>
+      <definition value="The workflow didn't lead to this value being known."></definition>
+     </concept>
+     <concept>
+      <code value="asked-declined"></code>
+      <display value="Asked But Declined"></display>
+      <definition value="The source was asked but declined to answer."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Using &quot;masked&quot; may be breach of security or confidentiality, but there are times when its use is required to support alternate workflows for gaining access to denied information."></valueString>
+     </extension>
+     <code value="masked"></code>
+     <display value="Masked"></display>
+     <definition value="The information is not available due to security, privacy or related reasons."></definition>
+    </concept>
+    <concept>
+     <code value="not-applicable"></code>
+     <display value="Not Applicable"></display>
+     <definition value="There is no proper value for this element (e.g. last menstrual period for a male)."></definition>
+    </concept>
+    <concept>
+     <code value="unsupported"></code>
+     <display value="Unsupported"></display>
+     <definition value="The source system wasn't capable of supporting this element."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="It may be linked by internal references (e.g. xml:id). This usually implies that the value could not be represented in the correct format - this may be due to system limitations, or this particular data value."></valueString>
+     </extension>
+     <code value="as-text"></code>
+     <display value="As Text"></display>
+     <definition value="The content of the data is represented in the resource narrative."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="Some system or workflow process error means that the information is not available."></definition>
+     <concept>
+      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+       <valueString value="This is sometimes an output value from measuring devices."></valueString>
+      </extension>
+      <code value="not-a-number"></code>
+      <display value="Not a Number (NaN)"></display>
+      <definition value="The numeric value is undefined or unrepresentable due to a floating point processing error."></definition>
+     </concept>
+     <concept>
+      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+       <valueString value="This is sometimes an output value from measuring devices."></valueString>
+      </extension>
+      <code value="negative-infinity"></code>
+      <display value="Negative Infinity (NINF)"></display>
+      <definition value="The numeric value is excessively low and unrepresentable due to a floating point processing error."></definition>
+     </concept>
+     <concept>
+      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+       <valueString value="This is sometimes an output value from measuring devices."></valueString>
+      </extension>
+      <code value="positive-infinity"></code>
+      <display value="Positive Infinity (PINF)"></display>
+      <definition value="The numeric value is excessively high and unrepresentable due to a floating point processing error."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="not-performed"></code>
+     <display value="Not Performed"></display>
+     <definition value="The value is not available because the observation procedure (test, etc.) was not performed."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="This is most often associated with required bindings that do not include the actual code used, but may be used with other data types."></valueString>
+     </extension>
+     <code value="not-permitted"></code>
+     <display value="Not Permitted"></display>
+     <definition value="The value is not permitted in this context (e.g. due to profiles, or the base data types)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-resource-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="definition-resource-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/definition-resource-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1057"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DefinitionResourceType"></name>
+    <title value="DefinitionResourceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="A list of all the definition resource types defined in this version of the FHIR specification."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/definition-resource-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ActivityDefinition"></code>
+     <display value="ActivityDefinition"></display>
+     <definition value="This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context."></definition>
+    </concept>
+    <concept>
+     <code value="EventDefinition"></code>
+     <display value="EventDefinition"></display>
+     <definition value="The EventDefinition resource provides a reusable description of when a particular event can occur."></definition>
+    </concept>
+    <concept>
+     <code value="Measure"></code>
+     <display value="Measure"></display>
+     <definition value="The Measure resource provides the definition of a quality measure."></definition>
+    </concept>
+    <concept>
+     <code value="OperationDefinition"></code>
+     <display value="OperationDefinition"></display>
+     <definition value="A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction)."></definition>
+    </concept>
+    <concept>
+     <code value="PlanDefinition"></code>
+     <display value="PlanDefinition"></display>
+     <definition value="This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols."></definition>
+    </concept>
+    <concept>
+     <code value="Questionnaire"></code>
+     <display value="Questionnaire"></display>
+     <definition value="A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/diagnosis-role"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="diagnosis-role"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1054"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DiagnosisRole"></name>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to express the role of a diagnosis on the Encounter or EpisodeOfCare record."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/diagnosis-role"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="AD"></code>
+     <display value="Admission diagnosis"></display>
+    </concept>
+    <concept>
+     <code value="DD"></code>
+     <display value="Discharge diagnosis"></display>
+    </concept>
+    <concept>
+     <code value="CC"></code>
+     <display value="Chief complaint"></display>
+    </concept>
+    <concept>
+     <code value="CM"></code>
+     <display value="Comorbidity diagnosis"></display>
+    </concept>
+    <concept>
+     <code value="pre-op"></code>
+     <display value="pre-op diagnosis"></display>
+    </concept>
+    <concept>
+     <code value="post-op"></code>
+     <display value="post-op diagnosis"></display>
+    </concept>
+    <concept>
+     <code value="billing"></code>
+     <display value="Billing"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/document-reference-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="document-reference-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/document-reference-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.8"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DocumentReferenceStatus"></name>
+    <title value="DocumentReferenceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The status of the document reference."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="current"></code>
+     <display value="Current"></display>
+     <definition value="This is the current reference for this document."></definition>
+    </concept>
+    <concept>
+     <code value="superseded"></code>
+     <display value="Superseded"></display>
+     <definition value="This reference has been superseded by another reference."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This reference was created in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-resource-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="event-resource-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/event-resource-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1061"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EventResourceType"></name>
+    <title value="EventResourceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="A list of all the event resource types defined in this version of the FHIR specification."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/event-resource-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ChargeItem"></code>
+     <display value="ChargeItem"></display>
+     <definition value="Item containing charge code(s) associated with the provision of healthcare provider products."></definition>
+    </concept>
+    <concept>
+     <code value="ClaimResponse"></code>
+     <display value="ClaimResponse"></display>
+     <definition value="Remittance resource."></definition>
+    </concept>
+    <concept>
+     <code value="ClinicalImpression"></code>
+     <display value="ClinicalImpression"></display>
+     <definition value="A clinical assessment performed when planning treatments and management strategies for a patient."></definition>
+    </concept>
+    <concept>
+     <code value="Communication"></code>
+     <display value="Communication"></display>
+     <definition value="A record of information transmitted from a sender to a receiver."></definition>
+    </concept>
+    <concept>
+     <code value="Composition"></code>
+     <display value="Composition"></display>
+     <definition value="A set of resources composed into a single coherent clinical statement with clinical attestation."></definition>
+    </concept>
+    <concept>
+     <code value="Condition"></code>
+     <display value="Condition"></display>
+     <definition value="Detailed information about conditions, problems or diagnoses."></definition>
+    </concept>
+    <concept>
+     <code value="Consent"></code>
+     <display value="Consent"></display>
+     <definition value="A healthcare consumer's policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time."></definition>
+    </concept>
+    <concept>
+     <code value="Coverage"></code>
+     <display value="Coverage"></display>
+     <definition value="Insurance or medical plan or a payment agreement."></definition>
+    </concept>
+    <concept>
+     <code value="DeviceUseStatement"></code>
+     <display value="DeviceUseStatement"></display>
+     <definition value="Record of use of a device."></definition>
+    </concept>
+    <concept>
+     <code value="DiagnosticReport"></code>
+     <display value="DiagnosticReport"></display>
+     <definition value="A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports."></definition>
+    </concept>
+    <concept>
+     <code value="DocumentManifest"></code>
+     <display value="DocumentManifest"></display>
+     <definition value="A list that defines a set of documents."></definition>
+    </concept>
+    <concept>
+     <code value="DocumentReference"></code>
+     <display value="DocumentReference"></display>
+     <definition value="A reference to a document."></definition>
+    </concept>
+    <concept>
+     <code value="Encounter"></code>
+     <display value="Encounter"></display>
+     <definition value="An interaction during which services are provided to the patient."></definition>
+    </concept>
+    <concept>
+     <code value="EnrollmentResponse"></code>
+     <display value="EnrollmentResponse"></display>
+     <definition value="EnrollmentResponse resource."></definition>
+    </concept>
+    <concept>
+     <code value="EpisodeOfCare"></code>
+     <display value="EpisodeOfCare"></display>
+     <definition value="An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility."></definition>
+    </concept>
+    <concept>
+     <code value="ExplanationOfBenefit"></code>
+     <display value="ExplanationOfBenefit"></display>
+     <definition value="Explanation of Benefit resource."></definition>
+    </concept>
+    <concept>
+     <code value="FamilyMemberHistory"></code>
+     <display value="FamilyMemberHistory"></display>
+     <definition value="Information about patient's relatives, relevant for patient."></definition>
+    </concept>
+    <concept>
+     <code value="GuidanceResponse"></code>
+     <display value="GuidanceResponse"></display>
+     <definition value="The formal response to a guidance request."></definition>
+    </concept>
+    <concept>
+     <code value="ImagingStudy"></code>
+     <display value="ImagingStudy"></display>
+     <definition value="A set of images produced in single study (one or more series of references images)."></definition>
+    </concept>
+    <concept>
+     <code value="Immunization"></code>
+     <display value="Immunization"></display>
+     <definition value="Immunization event information."></definition>
+    </concept>
+    <concept>
+     <code value="MeasureReport"></code>
+     <display value="MeasureReport"></display>
+     <definition value="Results of a measure evaluation."></definition>
+    </concept>
+    <concept>
+     <code value="Media"></code>
+     <display value="Media"></display>
+     <definition value="A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference."></definition>
+    </concept>
+    <concept>
+     <code value="MedicationAdministration"></code>
+     <display value="MedicationAdministration"></display>
+     <definition value="Administration of medication to a patient."></definition>
+    </concept>
+    <concept>
+     <code value="MedicationDispense"></code>
+     <display value="MedicationDispense"></display>
+     <definition value="Dispensing a medication to a named patient."></definition>
+    </concept>
+    <concept>
+     <code value="MedicationUsage"></code>
+     <display value="MedicationUsage"></display>
+     <definition value="Record of medication being taken by a patient."></definition>
+    </concept>
+    <concept>
+     <code value="Observation"></code>
+     <display value="Observation"></display>
+     <definition value="Measurements and simple assertions."></definition>
+    </concept>
+    <concept>
+     <code value="PaymentNotice"></code>
+     <display value="PaymentNotice"></display>
+     <definition value="PaymentNotice request."></definition>
+    </concept>
+    <concept>
+     <code value="PaymentReconciliation"></code>
+     <display value="PaymentReconciliation"></display>
+     <definition value="PaymentReconciliation resource."></definition>
+    </concept>
+    <concept>
+     <code value="Procedure"></code>
+     <display value="Procedure"></display>
+     <definition value="An action that is being or was performed on a patient."></definition>
+    </concept>
+    <concept>
+     <code value="ProcessResponse"></code>
+     <display value="ProcessResponse"></display>
+     <definition value="ProcessResponse resource."></definition>
+    </concept>
+    <concept>
+     <code value="QuestionnaireResponse"></code>
+     <display value="QuestionnaireResponse"></display>
+     <definition value="A structured set of questions and their answers."></definition>
+    </concept>
+    <concept>
+     <code value="RiskAssessment"></code>
+     <display value="RiskAssessment"></display>
+     <definition value="Potential outcomes for a subject with likelihood."></definition>
+    </concept>
+    <concept>
+     <code value="SupplyDelivery"></code>
+     <display value="SupplyDelivery"></display>
+     <definition value="Delivery of bulk Supplies."></definition>
+    </concept>
+    <concept>
+     <code value="Task"></code>
+     <display value="Task"></display>
+     <definition value="A task to be performed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/FHIR-version"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="FHIR-version"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/FHIR-version"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1310"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FHIRVersion"></name>
+    <title value="FHIRVersion"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="All published FHIR Versions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="0.01"></code>
+     <display value="0.01"></display>
+     <definition value="Oldest archived version of FHIR."></definition>
+    </concept>
+    <concept>
+     <code value="0.05"></code>
+     <display value="0.05"></display>
+     <definition value="1st Draft for Comment (Sept 2012 Ballot)."></definition>
+    </concept>
+    <concept>
+     <code value="0.06"></code>
+     <display value="0.06"></display>
+     <definition value="2nd Draft for Comment (January 2013 Ballot)."></definition>
+    </concept>
+    <concept>
+     <code value="0.11"></code>
+     <display value="0.11"></display>
+     <definition value="DSTU 1 Ballot version."></definition>
+    </concept>
+    <concept>
+     <code value="0.0.80"></code>
+     <display value="0.0.80"></display>
+     <definition value="DSTU 1 Official version."></definition>
+    </concept>
+    <concept>
+     <code value="0.0.81"></code>
+     <display value="0.0.81"></display>
+     <definition value="DSTU 1 Official version Technical Errata #1."></definition>
+    </concept>
+    <concept>
+     <code value="0.0.82"></code>
+     <display value="0.0.82"></display>
+     <definition value="DSTU 1 Official version Technical Errata #2."></definition>
+    </concept>
+    <concept>
+     <code value="0.4.0"></code>
+     <display value="0.4.0"></display>
+     <definition value="Draft For Comment (January 2015 Ballot)."></definition>
+    </concept>
+    <concept>
+     <code value="0.5.0"></code>
+     <display value="0.5.0"></display>
+     <definition value="DSTU 2 Ballot version (May 2015 Ballot)."></definition>
+    </concept>
+    <concept>
+     <code value="1.0.0"></code>
+     <display value="1.0.0"></display>
+     <definition value="DSTU 2 QA Preview + CQIF Ballot (Sep 2015)."></definition>
+    </concept>
+    <concept>
+     <code value="1.0.1"></code>
+     <display value="1.0.1"></display>
+     <definition value="DSTU 2 (Official version)."></definition>
+    </concept>
+    <concept>
+     <code value="1.0.2"></code>
+     <display value="1.0.2"></display>
+     <definition value="DSTU 2 (Official version) with 1 technical errata."></definition>
+    </concept>
+    <concept>
+     <code value="1.1.0"></code>
+     <display value="1.1.0"></display>
+     <definition value="GAO Ballot + draft changes to main FHIR standard."></definition>
+    </concept>
+    <concept>
+     <code value="1.4.0"></code>
+     <display value="1.4.0"></display>
+     <definition value="CQF on FHIR Ballot + Connectathon 12 (Montreal)."></definition>
+    </concept>
+    <concept>
+     <code value="1.6.0"></code>
+     <display value="1.6.0"></display>
+     <definition value="FHIR STU3 Ballot + Connectathon 13 (Baltimore)."></definition>
+    </concept>
+    <concept>
+     <code value="1.8.0"></code>
+     <display value="1.8.0"></display>
+     <definition value="FHIR STU3 Candidate + Connectathon 14 (San Antonio)."></definition>
+    </concept>
+    <concept>
+     <code value="3.0.0"></code>
+     <display value="3.0.0"></display>
+     <definition value="FHIR Release 3 (STU)."></definition>
+    </concept>
+    <concept>
+     <code value="3.0.1"></code>
+     <display value="3.0.1"></display>
+     <definition value="FHIR Release 3 (STU) with 1 technical errata."></definition>
+    </concept>
+    <concept>
+     <code value="3.0.2"></code>
+     <display value="3.0.2"></display>
+     <definition value="FHIR Release 3 (STU) with 2 technical errata."></definition>
+    </concept>
+    <concept>
+     <code value="3.3.0"></code>
+     <display value="3.3.0"></display>
+     <definition value="R4 Ballot #1."></definition>
+    </concept>
+    <concept>
+     <code value="3.5.0"></code>
+     <display value="3.5.0"></display>
+     <definition value="R4 Ballot #2."></definition>
+    </concept>
+    <concept>
+     <code value="4.0.0"></code>
+     <display value="4.0.0"></display>
+     <definition value="FHIR Release 4 (Normative + STU)."></definition>
+    </concept>
+    <concept>
+     <code value="4.0.1"></code>
+     <display value="4.0.1"></display>
+     <definition value="FHIR Release 4 (Normative + STU) with 1 technical errata."></definition>
+    </concept>
+    <concept>
+     <code value="4.1.0"></code>
+     <display value="4.1.0"></display>
+     <definition value="Interim Version."></definition>
+    </concept>
+    <concept>
+     <code value="4.2.0"></code>
+     <display value="4.2.0"></display>
+     <definition value="R5 Preview #1."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/forms"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="forms"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/forms-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1052"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Form Codes"></name>
+    <status value="draft"></status>
+    <experimental value="true"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a sample set of Forms codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/forms"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Form #1"></display>
+     <definition value="Example: The #1 form to be used when printing this information."></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Form #1"></display>
+     <definition value="Example: The #2 form to be used when printing this information."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/fundsreserve"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="fundsreserve"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/fundsreserve"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1051"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Funds Reservation Codes"></name>
+    <status value="draft"></status>
+    <experimental value="true"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample funds reservation type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/fundsreserve"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="patient"></code>
+     <display value="Patient"></display>
+     <definition value="The payor is requested to reserve funds for the provision of the named services by any provider for settlement of future claims related to this request."></definition>
+    </concept>
+    <concept>
+     <code value="provider"></code>
+     <display value="Provider"></display>
+     <definition value="The payor is requested to reserve funds solely for the named provider for settlement of future claims related to this request."></definition>
+    </concept>
+    <concept>
+     <code value="none"></code>
+     <display value="None"></display>
+     <definition value="The payor is not being requested to reserve any funds for the settlement of future claims."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/knowledge-resource-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="knowledge-resource-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/knowledge-resource-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1063"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="KnowledgeResourceType"></name>
+    <title value="KnowledgeResourceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="A list of all the knowledge resource types defined in this version of the FHIR specification."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/knowledge-resource-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ActivityDefinition"></code>
+     <display value="ActivityDefinition"></display>
+     <definition value="The definition of a specific activity to be taken, independent of any particular patient or context."></definition>
+    </concept>
+    <concept>
+     <code value="CodeSystem"></code>
+     <display value="CodeSystem"></display>
+     <definition value="A set of codes drawn from one or more code systems."></definition>
+    </concept>
+    <concept>
+     <code value="ConceptMap"></code>
+     <display value="ConceptMap"></display>
+     <definition value="A map from one set of concepts to one or more other concepts."></definition>
+    </concept>
+    <concept>
+     <code value="Library"></code>
+     <display value="Library"></display>
+     <definition value="Represents a library of quality improvement components."></definition>
+    </concept>
+    <concept>
+     <code value="Measure"></code>
+     <display value="Measure"></display>
+     <definition value="A quality measure definition."></definition>
+    </concept>
+    <concept>
+     <code value="PlanDefinition"></code>
+     <display value="PlanDefinition"></display>
+     <definition value="The definition of a plan for a series of actions, independent of any specific patient or context."></definition>
+    </concept>
+    <concept>
+     <code value="StructureDefinition"></code>
+     <display value="StructureDefinition"></display>
+     <definition value="Structural Definition."></definition>
+    </concept>
+    <concept>
+     <code value="StructureMap"></code>
+     <display value="StructureMap"></display>
+     <definition value="A Map of relationships between 2 structures that can be used to transform data."></definition>
+    </concept>
+    <concept>
+     <code value="ValueSet"></code>
+     <display value="ValueSet"></display>
+     <definition value="A set of codes drawn from one or more code systems."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/note-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="note-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/note-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.16"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NoteType"></name>
+    <title value="NoteType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The presentation types of notes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/note-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="display"></code>
+     <display value="Display"></display>
+     <definition value="Display the note."></definition>
+    </concept>
+    <concept>
+     <code value="print"></code>
+     <display value="Print (Form)"></display>
+     <definition value="Print the note on the form."></definition>
+    </concept>
+    <concept>
+     <code value="printoper"></code>
+     <display value="Print (Operator)"></display>
+     <definition value="Print the note for the operator."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/payeetype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="payeetype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/payeetype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1050"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Claim Payee Type Codes"></name>
+    <status value="draft"></status>
+    <experimental value="true"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Payee Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/payeetype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="subscriber"></code>
+     <display value="Subscriber"></display>
+     <definition value="The subscriber (policy holder) will be reimbursed."></definition>
+    </concept>
+    <concept>
+     <code value="provider"></code>
+     <display value="Provider"></display>
+     <definition value="Any benefit payable will be paid to the provider (Assignment of Benefit)."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Provider"></display>
+     <definition value="Any benefit payable will be paid to a third party such as a guarrantor."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/publication-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="publication-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/publication-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.4"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PublicationStatus"></name>
+    <title value="PublicationStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The lifecycle status of an artifact."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/publication-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="This resource is still under development and is not yet considered to be ready for normal use."></definition>
+     <designation>
+      <language value="ru"></language>
+      <value value="черновик"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <value value="ontwerp"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="This resource is ready for normal use."></definition>
+     <designation>
+      <language value="ru"></language>
+      <value value="активный"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <value value="actief"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="retired"></code>
+     <display value="Retired"></display>
+     <definition value="This resource has been withdrawn or superseded and should no longer be used."></definition>
+     <designation>
+      <language value="ru"></language>
+      <value value="удалён"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <value value="verouderd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring system does not know which of the status values currently applies for this resource.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/relationship"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="relationship"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/relationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.36"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Beneficiary Relationship Codes"></name>
+    <status value="draft"></status>
+    <experimental value="true"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes the Patient to subscriber relationship codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/relationship"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Self"></display>
+     <definition value="The patient is the subscriber (policy holder)"></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Spouse"></display>
+     <definition value="The patient is the spouse or equivalent of the subscriber (policy holder)"></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Child"></display>
+     <definition value="The patient is the child of the subscriber (policy holder)"></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Common Law Spouse"></display>
+     <definition value="The patient is the common law spouse of the subscriber (policy holder)"></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Other"></display>
+     <definition value="The patient has some other relationship, such as parent, to the subscriber (policy holder)"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/remittance-outcome"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="remittance-outcome"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/remittance-outcome"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.14"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RemittanceOutcome"></name>
+    <title value="RemittanceOutcome"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="The outcome of the processing."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="complete"></code>
+     <display value="Complete"></display>
+     <definition value="The processing completed without errors."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="The processing identified errors."></definition>
+    </concept>
+    <concept>
+     <code value="partial"></code>
+     <display value="Partial"></display>
+     <definition value="No errors have been detected and some of the adjudication has been performed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-resource-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="request-resource-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/request-resource-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1059"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RequestResourceType"></name>
+    <title value="RequestResourceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="A list of all the request resource types defined in this version of the FHIR specification."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="Appointment"></code>
+     <display value="Appointment"></display>
+     <definition value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)."></definition>
+    </concept>
+    <concept>
+     <code value="AppointmentResponse"></code>
+     <display value="AppointmentResponse"></display>
+     <definition value="A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection."></definition>
+    </concept>
+    <concept>
+     <code value="CarePlan"></code>
+     <display value="CarePlan"></display>
+     <definition value="Healthcare plan for patient or group."></definition>
+    </concept>
+    <concept>
+     <code value="Claim"></code>
+     <display value="Claim"></display>
+     <definition value="Claim, Pre-determination or Pre-authorization."></definition>
+    </concept>
+    <concept>
+     <code value="CommunicationRequest"></code>
+     <display value="CommunicationRequest"></display>
+     <definition value="A request for information to be sent to a receiver."></definition>
+    </concept>
+    <concept>
+     <code value="Contract"></code>
+     <display value="Contract"></display>
+     <definition value="Legal Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="DeviceRequest"></code>
+     <display value="DeviceRequest"></display>
+     <definition value="Medical device request."></definition>
+    </concept>
+    <concept>
+     <code value="EnrollmentRequest"></code>
+     <display value="EnrollmentRequest"></display>
+     <definition value="Enrollment request."></definition>
+    </concept>
+    <concept>
+     <code value="ImmunizationRecommendation"></code>
+     <display value="ImmunizationRecommendation"></display>
+     <definition value="Guidance or advice relating to an immunization."></definition>
+    </concept>
+    <concept>
+     <code value="MedicationRequest"></code>
+     <display value="MedicationRequest"></display>
+     <definition value="Ordering of medication for patient or group."></definition>
+    </concept>
+    <concept>
+     <code value="NutritionOrder"></code>
+     <display value="NutritionOrder"></display>
+     <definition value="Diet, formula or nutritional supplement request."></definition>
+    </concept>
+    <concept>
+     <code value="ServiceRequest"></code>
+     <display value="ServiceRequest"></display>
+     <definition value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed."></definition>
+    </concept>
+    <concept>
+     <code value="SupplyRequest"></code>
+     <display value="SupplyRequest"></display>
+     <definition value="Request for a medication, substance or device."></definition>
+    </concept>
+    <concept>
+     <code value="Task"></code>
+     <display value="Task"></display>
+     <definition value="A task to be performed."></definition>
+    </concept>
+    <concept>
+     <code value="VisionPrescription"></code>
+     <display value="VisionPrescription"></display>
+     <definition value="Prescription for vision correction products for a patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-param-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="search-param-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/search-param-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.12"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SearchParamType"></name>
+    <title value="SearchParamType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="Data types allowed to be used for search parameters."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="number"></code>
+     <display value="Number"></display>
+     <definition value="Search parameter SHALL be a number (a whole number, or a decimal)."></definition>
+    </concept>
+    <concept>
+     <code value="date"></code>
+     <display value="Date/DateTime"></display>
+     <definition value="Search parameter is on a date/time. The date format is the standard XML format, though other formats may be supported."></definition>
+    </concept>
+    <concept>
+     <code value="string"></code>
+     <display value="String"></display>
+     <definition value="Search parameter is a simple string, like a name part. Search is case-insensitive and accent-insensitive. May match just the start of a string. String parameters may contain spaces."></definition>
+    </concept>
+    <concept>
+     <code value="token"></code>
+     <display value="Token"></display>
+     <definition value="Search parameter on a coded element or identifier. May be used to search through the text, display, code and code/codesystem (for codes) and label, system and key (for identifier). Its value is either a string or a pair of namespace and value, separated by a &quot;|&quot;, depending on the modifier used."></definition>
+    </concept>
+    <concept>
+     <code value="reference"></code>
+     <display value="Reference"></display>
+     <definition value="A reference to another resource (Reference or canonical)."></definition>
+    </concept>
+    <concept>
+     <code value="composite"></code>
+     <display value="Composite"></display>
+     <definition value="A composite search parameter that combines a search on two values together."></definition>
+    </concept>
+    <concept>
+     <code value="quantity"></code>
+     <display value="Quantity"></display>
+     <definition value="A search parameter that searches on a quantity."></definition>
+    </concept>
+    <concept>
+     <code value="uri"></code>
+     <display value="URI"></display>
+     <definition value="A search parameter that searches on a URI (RFC 3986)."></definition>
+    </concept>
+    <concept>
+     <code value="special"></code>
+     <display value="Special"></display>
+     <definition value="Special logic applies to this parameter per the description of the search parameter."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/special-values"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="special-values"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/special-values"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1049"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SpecialValues"></name>
+    <title value="SpecialValues"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <description value="A set of generally useful codes defined so they can be included in value sets."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/special-values"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="true"></code>
+     <display value="true"></display>
+     <definition value="Boolean true."></definition>
+    </concept>
+    <concept>
+     <code value="false"></code>
+     <display value="false"></display>
+     <definition value="Boolean false."></definition>
+    </concept>
+    <concept>
+     <code value="trace"></code>
+     <display value="Trace Amount Detected"></display>
+     <definition value="The content is greater than zero, but too small to be quantified."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="used in formulations (e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' This code would be used to express the quantity of water. )"></valueString>
+     </extension>
+     <code value="sufficient"></code>
+     <display value="Sufficient Quantity"></display>
+     <definition value="The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material."></definition>
+    </concept>
+    <concept>
+     <code value="withdrawn"></code>
+     <display value="Value Withdrawn"></display>
+     <definition value="The value is no longer available."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The existence of this subject to review"></valueString>
+     </extension>
+     <code value="nil-known"></code>
+     <display value="Nil Known"></display>
+     <definition value="The are no known applicable values in this context."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/narrative-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="narrative-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/narrative-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.56"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NarrativeStatus"></name>
+    <title value="NarrativeStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -868,40 +2640,6172 @@
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The type of payee Resource."></description>
+    <description value="The status of a resource narrative."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/resource-type-link"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="organization"></code>
-     <display value="Organization"></display>
-     <definition value="Organization resource."></definition>
+     <code value="generated"></code>
+     <display value="Generated"></display>
+     <definition value="The contents of the narrative are entirely generated from the core elements in the content."></definition>
     </concept>
     <concept>
-     <code value="patient"></code>
-     <display value="Patient"></display>
-     <definition value="Patient resource."></definition>
+     <code value="extensions"></code>
+     <display value="Extensions"></display>
+     <definition value="The contents of the narrative are entirely generated from the core elements in the content and some of the content is generated from extensions. The narrative SHALL reflect the impact of all modifier extensions."></definition>
     </concept>
     <concept>
-     <code value="practitioner"></code>
-     <display value="Practitioner"></display>
-     <definition value="Practitioner resource."></definition>
+     <code value="additional"></code>
+     <display value="Additional"></display>
+     <definition value="The contents of the narrative may contain additional information not found in the structured data. Note that there is no computable way to determine what the extra information is, other than by human inspection."></definition>
     </concept>
     <concept>
-     <code value="relatedperson"></code>
-     <display value="RelatedPerson"></display>
-     <definition value="RelatedPerson resource."></definition>
+     <code value="empty"></code>
+     <display value="Empty"></display>
+     <definition value="The contents of the narrative are some equivalent of &quot;No human-readable text provided in this case&quot;."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/participantrequired"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/identifier-use"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="participantrequired"></id>
+    <id value="identifier-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/identifier-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.58"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="IdentifierUse"></name>
+    <title value="IdentifierUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the purpose for this identifier, if known ."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="usual"></code>
+     <display value="Usual"></display>
+     <definition value="The identifier recommended for display and use in real-world interactions."></definition>
+    </concept>
+    <concept>
+     <code value="official"></code>
+     <display value="Official"></display>
+     <definition value="The identifier considered to be most trusted for the identification of this item. Sometimes also known as &quot;primary&quot; and &quot;main&quot;. The determination of &quot;official&quot; is subjective and implementation guides often provide additional guidelines for use."></definition>
+    </concept>
+    <concept>
+     <code value="temp"></code>
+     <display value="Temp"></display>
+     <definition value="A temporary identifier."></definition>
+    </concept>
+    <concept>
+     <code value="secondary"></code>
+     <display value="Secondary"></display>
+     <definition value="An identifier that was assigned in secondary use - it serves to identify the object in a relative context, but cannot be consistently assigned to the same object again in a different context."></definition>
+    </concept>
+    <concept>
+     <code value="old"></code>
+     <display value="Old"></display>
+     <definition value="The identifier id no longer considered valid, but may be relevant for search purposes.  E.g. Changes to identifier schemes, account merges, etc."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/quantity-comparator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="quantity-comparator"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/quantity-comparator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.60"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="QuantityComparator"></name>
+    <title value="QuantityComparator"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How the Quantity should be understood and represented."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="&lt;"></code>
+     <display value="Less than"></display>
+     <definition value="The actual value is less than the given value."></definition>
+    </concept>
+    <concept>
+     <code value="&lt;="></code>
+     <display value="Less or Equal to"></display>
+     <definition value="The actual value is less than or equal to the given value."></definition>
+    </concept>
+    <concept>
+     <code value="&gt;="></code>
+     <display value="Greater or Equal to"></display>
+     <definition value="The actual value is greater than or equal to the given value."></definition>
+    </concept>
+    <concept>
+     <code value="&gt;"></code>
+     <display value="Greater than"></display>
+     <definition value="The actual value is greater than the given value."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/name-use"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="name-use"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/name-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.66"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NameUse"></name>
+    <title value="NameUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The use of a human name."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/name-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="usual"></code>
+     <display value="Usual"></display>
+     <definition value="Known as/conventional/the one you normally use."></definition>
+    </concept>
+    <concept>
+     <code value="official"></code>
+     <display value="Official"></display>
+     <definition value="The formal name as registered in an official (government) registry, but which name might not be commonly used. May be called &quot;legal name&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="temp"></code>
+     <display value="Temp"></display>
+     <definition value="A temporary name. Name.period can provide more detailed information. This may also be used for temporary names assigned at birth or in emergency situations."></definition>
+    </concept>
+    <concept>
+     <code value="nickname"></code>
+     <display value="Nickname"></display>
+     <definition value="A name that is used to address the person in an informal manner, but is not part of their formal or usual name."></definition>
+    </concept>
+    <concept>
+     <code value="anonymous"></code>
+     <display value="Anonymous"></display>
+     <definition value="Anonymous assigned name, alias, or pseudonym (used to protect a person's identity for privacy reasons)."></definition>
+    </concept>
+    <concept>
+     <code value="old"></code>
+     <display value="Old"></display>
+     <definition value="This name is no longer in use (or was never correct, but retained for records)."></definition>
+     <concept>
+      <code value="maiden"></code>
+      <display value="Name changed for Marriage"></display>
+      <definition value="A name used prior to changing name because of marriage. This name use is for use by applications that collect and store names that were used prior to a marriage. Marriage naming customs vary greatly around the world, and are constantly changing. This term is not gender specific. The use of this term does not imply any particular history for a person's name."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/address-use"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="address-use"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/address-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.68"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AddressUse"></name>
+    <title value="AddressUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The use of an address."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/address-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="home"></code>
+     <display value="Home"></display>
+     <definition value="A communication address at a home."></definition>
+    </concept>
+    <concept>
+     <code value="work"></code>
+     <display value="Work"></display>
+     <definition value="An office address. First choice for business related contacts during business hours."></definition>
+    </concept>
+    <concept>
+     <code value="temp"></code>
+     <display value="Temporary"></display>
+     <definition value="A temporary address. The period can provide more detailed information."></definition>
+    </concept>
+    <concept>
+     <code value="old"></code>
+     <display value="Old / Incorrect"></display>
+     <definition value="This address is no longer in use (or was never correct but retained for records)."></definition>
+    </concept>
+    <concept>
+     <code value="billing"></code>
+     <display value="Billing"></display>
+     <definition value="An address to be used to send bills, invoices, receipts etc."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/address-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="address-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/address-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.70"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AddressType"></name>
+    <title value="AddressType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of an address (physical / postal)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/address-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="postal"></code>
+     <display value="Postal"></display>
+     <definition value="Mailing addresses - PO Boxes and care-of addresses."></definition>
+    </concept>
+    <concept>
+     <code value="physical"></code>
+     <display value="Physical"></display>
+     <definition value="A physical address that can be visited."></definition>
+    </concept>
+    <concept>
+     <code value="both"></code>
+     <display value="Postal &amp; Physical"></display>
+     <definition value="An address that is both physical and postal."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contact-point-system"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contact-point-system"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contact-point-system"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.72"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContactPointSystem"></name>
+    <title value="ContactPointSystem"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Telecommunications form for contact point."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="phone"></code>
+     <display value="Phone"></display>
+     <definition value="The value is a telephone number used for voice calls. Use of full international numbers starting with + is recommended to enable automatic dialing support but not required."></definition>
+    </concept>
+    <concept>
+     <code value="fax"></code>
+     <display value="Fax"></display>
+     <definition value="The value is a fax machine. Use of full international numbers starting with + is recommended to enable automatic dialing support but not required."></definition>
+    </concept>
+    <concept>
+     <code value="email"></code>
+     <display value="Email"></display>
+     <definition value="The value is an email address."></definition>
+    </concept>
+    <concept>
+     <code value="pager"></code>
+     <display value="Pager"></display>
+     <definition value="The value is a pager number. These may be local pager numbers that are only usable on a particular pager system."></definition>
+    </concept>
+    <concept>
+     <code value="url"></code>
+     <display value="URL"></display>
+     <definition value="A contact that is not a phone, fax, pager or email address and is expressed as a URL.  This is intended for various institutional or personal contacts including web sites, blogs, Skype, Twitter, Facebook, etc. Do not use for email addresses."></definition>
+    </concept>
+    <concept>
+     <code value="sms"></code>
+     <display value="SMS"></display>
+     <definition value="A contact that can be used for sending an sms message (e.g. mobile phones, some landlines)."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="A contact that is not a phone, fax, page or email address and is not expressible as a URL.  E.g. Internal mail address.  This SHOULD NOT be used for contacts that are expressible as a URL (e.g. Skype, Twitter, Facebook, etc.)  Extensions may be used to distinguish &quot;other&quot; contact types."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contact-point-use"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contact-point-use"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contact-point-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.74"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContactPointUse"></name>
+    <title value="ContactPointUse"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Use of contact point."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="home"></code>
+     <display value="Home"></display>
+     <definition value="A communication contact point at a home; attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available."></definition>
+    </concept>
+    <concept>
+     <code value="work"></code>
+     <display value="Work"></display>
+     <definition value="An office contact point. First choice for business related contacts during business hours."></definition>
+    </concept>
+    <concept>
+     <code value="temp"></code>
+     <display value="Temp"></display>
+     <definition value="A temporary contact point. The period can provide more detailed information."></definition>
+    </concept>
+    <concept>
+     <code value="old"></code>
+     <display value="Old"></display>
+     <definition value="This contact point is no longer in use (or was never correct, but retained for records)."></definition>
+    </concept>
+    <concept>
+     <code value="mobile"></code>
+     <display value="Mobile"></display>
+     <definition value="A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/synthesis-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="synthesis-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/synthesis-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1348"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticSynthesisType"></name>
+    <title value="StatisticSynthesisType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Types of combining results from a body of evidence (eg. summary data meta-analysis)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/synthesis-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="std-MA"></code>
+     <display value="summary data meta-analysis"></display>
+     <definition value="A meta-analysis of the summary data of estimates from individual studies or data sets."></definition>
+    </concept>
+    <concept>
+     <code value="IPD-MA"></code>
+     <display value="individual patient data meta-analysis"></display>
+     <definition value="A meta-analysis of the individual participant data from individual studies or data sets."></definition>
+    </concept>
+    <concept>
+     <code value="indirect-NMA"></code>
+     <display value="indirect network meta-analysis"></display>
+     <definition value="An indirect meta-analysis derived from 2 or more direct comparisons in a network meta-analysis."></definition>
+    </concept>
+    <concept>
+     <code value="combined-NMA"></code>
+     <display value="combined direct plus indirect network meta-analysis"></display>
+     <definition value="An composite meta-analysis derived from direct comparisons and indirect comparisons in a network meta-analysis."></definition>
+    </concept>
+    <concept>
+     <code value="range"></code>
+     <display value="range of results"></display>
+     <definition value="A range of results across a body of evidence."></definition>
+    </concept>
+    <concept>
+     <code value="classification"></code>
+     <display value="classifcation of results"></display>
+     <definition value="An approach describing a body of evidence by categorically classifying individual studies (eg 3 studies showed beneft and 2 studied found no effect)."></definition>
+    </concept>
+    <concept>
+     <code value="pooled"></code>
+     <display value="pooled rates"></display>
+     <definition value="An unweighted average."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/study-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="study-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/study-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1350"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticStudyType"></name>
+    <title value="StatisticStudyType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of study a statistic was derived from."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/study-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="RCT"></code>
+     <display value="randomized trial"></display>
+     <definition value="randomized controlled trial."></definition>
+    </concept>
+    <concept>
+     <code value="CCT"></code>
+     <display value="controlled trial (non-randomized)"></display>
+     <definition value="controlled (but not randomized) trial."></definition>
+    </concept>
+    <concept>
+     <code value="cohort"></code>
+     <display value="comparative cohort study"></display>
+     <definition value="observational study comparing cohorts."></definition>
+    </concept>
+    <concept>
+     <code value="case-control"></code>
+     <display value="case-control study"></display>
+     <definition value="case-control study."></definition>
+    </concept>
+    <concept>
+     <code value="series"></code>
+     <display value="uncontrolled case series"></display>
+     <definition value="uncontrolled case series."></definition>
+    </concept>
+    <concept>
+     <code value="case-report"></code>
+     <display value="case report"></display>
+     <definition value="a single case report."></definition>
+    </concept>
+    <concept>
+     <code value="RCTandCohort"></code>
+     <display value="mixed RCT and cohort"></display>
+     <definition value="a combination of 1 or more RCTs and cohorts."></definition>
+    </concept>
+    <concept>
+     <code value="cross-section"></code>
+     <display value="cross sectional study"></display>
+     <definition value="uncontrolled cohort."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/statistic-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="statistic-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/statistic-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1411"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticStatisticType"></name>
+    <title value="StatisticStatisticType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of a specific statistic."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/statistic-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="absolute-MedianDiff"></code>
+     <display value="Absolute Median Difference"></display>
+     <definition value="Computed by forming the difference between two medians."></definition>
+    </concept>
+    <concept>
+     <code value="C25463"></code>
+     <display value="Count"></display>
+     <definition value="The number or amount of something."></definition>
+    </concept>
+    <concept>
+     <code value="0000301"></code>
+     <display value="Covariance"></display>
+     <definition value="The strength of correlation between a set (2 or more) of random variables. The covariance is obtained by forming: cov(x,y)=e([x-e(x)][y-e(y)] where e(x), e(y) is the expected value (mean) of variable x and y respectively. Covariance is symmetric so cov(x,y)=cov(y,x). The covariance is usefull when looking at the variance of the sum of the 2 random variables since: var(x+y) = var(x) +var(y) +2cov(x,y) the covariance cov(x,y) is used to obtain the coefficient of correlation cor(x,y) by normalizing (dividing) cov(x,y) but the product of the standard deviations of x and y."></definition>
+    </concept>
+    <concept>
+     <code value="predictedRisk"></code>
+     <display value="Predicted Risk"></display>
+     <definition value="A special use case where the proportion is derived from a formula rather than derived from summary evidence."></definition>
+    </concept>
+    <concept>
+     <code value="descriptive"></code>
+     <display value="Descriptive"></display>
+     <definition value="Descriptive measure reported as narrative."></definition>
+    </concept>
+    <concept>
+     <code value="C93150"></code>
+     <display value="Hazard Ratio"></display>
+     <definition value="A measure of how often a particular event happens in one group compared to how often it happens in another group, over time. In cancer research, hazard ratios are often used in clinical trials to measure survival at any point in time in a group of patients who have been given a specific treatment compared to a control group given another treatment or a placebo. A hazard ratio of one means that there is no difference in survival between the two groups. A hazard ratio of greater than one or less than one means that survival was better in one of the groups."></definition>
+    </concept>
+    <concept>
+     <code value="C16726"></code>
+     <display value="Incidence"></display>
+     <definition value="The relative frequency of occurrence of something."></definition>
+    </concept>
+    <concept>
+     <code value="rate-ratio"></code>
+     <display value="Incidence Rate Ratio"></display>
+     <definition value="A type of relative effect estimate that compares rates over time (eg events per person-years)."></definition>
+    </concept>
+    <concept>
+     <code value="C25564"></code>
+     <display value="Maximum"></display>
+     <definition value="The largest possible quantity or degree."></definition>
+    </concept>
+    <concept>
+     <code value="C53319"></code>
+     <display value="Mean"></display>
+     <definition value="The sum of a set of values divided by the number of values in the set."></definition>
+    </concept>
+    <concept>
+     <code value="0000457"></code>
+     <display value="Mean Difference"></display>
+     <definition value="The mean difference, or difference in means, measures the absolute difference between the mean value in two different groups."></definition>
+    </concept>
+    <concept>
+     <code value="C28007"></code>
+     <display value="Median"></display>
+     <definition value="The value which has an equal number of values greater and less than it."></definition>
+    </concept>
+    <concept>
+     <code value="C25570"></code>
+     <display value="Minimum"></display>
+     <definition value="The smallest possible quantity."></definition>
+    </concept>
+    <concept>
+     <code value="C16932"></code>
+     <display value="Odds Ratio"></display>
+     <definition value="The ratio of the odds of an event occurring in one group to the odds of it occurring in another group, or to a sample-based estimate of that ratio."></definition>
+    </concept>
+    <concept>
+     <code value="C65172"></code>
+     <display value="Pearson Correlation Coefficient"></display>
+     <definition value="A measure of the correlation of two variables X and Y measured on the same object or organism, that is, a measure of the tendency of the variables to increase or decrease together. It is defined as the sum of the products of the standard scores of the two measures divided by the degrees of freedom."></definition>
+    </concept>
+    <concept>
+     <code value="C17010"></code>
+     <display value="Prevalence"></display>
+     <definition value="The ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population."></definition>
+    </concept>
+    <concept>
+     <code value="C44256"></code>
+     <display value="Proportion"></display>
+     <definition value="Quotient of quantities of the same kind for different components within the same system. [Use for univariate outcomes within an individual.]."></definition>
+    </concept>
+    <concept>
+     <code value="0000565"></code>
+     <display value="Regression Coefficient"></display>
+     <definition value="Generated by a type of data transformation called a regression, which aims to model a response variable by expression the predictor variables as part of a function where variable terms are modified by a number. A regression coefficient is one such number."></definition>
+    </concept>
+    <concept>
+     <code value="C93152"></code>
+     <display value="Relative Risk"></display>
+     <definition value="A measure of the risk of a certain event happening in one group compared to the risk of the same event happening in another group. In cancer research, risk ratios are used in prospective (forward looking) studies, such as cohort studies and clinical trials. A risk ratio of one means there is no difference between two groups in terms of their risk of cancer, based on whether or not they were exposed to a certain substance or factor, or how they responded to two treatments being compared. A risk ratio of greater than one or of less than one usually means that being exposed to a certain substance or factor either increases (risk ratio greater than one) or decreases (risk ratio less than one) the risk of cancer, or that the treatments being compared do not have the same effects."></definition>
+    </concept>
+    <concept>
+     <code value="0000424"></code>
+     <display value="Risk Difference"></display>
+     <definition value="Difference between the observed risks (proportions of individuals with the outcome of interest) in the two groups. The risk difference is straightforward to interpret: it describes the actual difference in the observed risk of events between experimental and control interventions."></definition>
+    </concept>
+    <concept>
+     <code value="C65171"></code>
+     <display value="Spearman Rank-Order Correlation "></display>
+     <definition value="A distribution-free analog of correlation analysis. Like regression, it can be applied to compare two independent random variables, each at several levels (which may be discrete or continuous). Unlike regression, Spearman's rank correlation works on ranked (relative) data, rather than directly on the data itself."></definition>
+    </concept>
+    <concept>
+     <code value="0000100"></code>
+     <display value="Standardized Mean Difference"></display>
+     <definition value="Computed by forming the difference between two means, divided by an estimate of the within-group standard deviation. It is used to provide an estimatation of the effect size between two treatments when the predictor (independent variable) is categorical and the response(dependent) variable is continuous."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/attribute-estimate-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="attribute-estimate-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/attribute-estimate-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1413"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticAttributeEstimateType"></name>
+    <title value="StatisticAttributeEstimateType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/attribute-estimate-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="0000419"></code>
+     <display value="Cochran's Q statistic"></display>
+     <definition value="A measure of heterogeneity accros study computed by summing the squared deviations of each study's estimate from the overall meta-analytic estimate, weighting each study's contribution in the same manner as in the meta-analysis."></definition>
+    </concept>
+    <concept>
+     <code value="C53324"></code>
+     <display value="Confidence interval"></display>
+     <definition value="A range of values considered compatible with the observed data at the specified confidence level."></definition>
+    </concept>
+    <concept>
+     <code value="0000455"></code>
+     <display value="Credible interval"></display>
+     <definition value="An interval of a posterior distribution which is such that the density at any point inside the interval is greater than the density at any point outside and that the area under the curve for that interval is equal to a prespecified probability level. For any probability level there is generally only one such interval, which is also often known as the highest posterior density region. Unlike the usual confidence interval associated with frequentist inference, here the intervals specify the range within which parameters lie with a certain probability. The bayesian counterparts of the confidence interval used in frequentists statistics."></definition>
+    </concept>
+    <concept>
+     <code value="0000420"></code>
+     <display value="I-squared"></display>
+     <definition value="The percentage of total variation across studies that is due to heterogeneity rather than chance. I2 can be readily calculated from basic results obtained from a typical meta-analysis as i2 = 100%×(q - df)/q, where q is cochran's heterogeneity statistic and df the degrees of freedom. Negative values of i2 are put equal to zero so that i2 lies between 0% and 100%. A value of 0% indicates no observed heterogeneity, and larger values show increasing heterogeneity. Unlike cochran's q, it does not inherently depend upon the number of studies considered. A confidence interval for i² is constructed using either i) the iterative non-central chi-squared distribution method of hedges and piggott (2001); or ii) the test-based method of higgins and thompson (2002). The non-central chi-square method is currently the method of choice (higgins, personal communication, 2006) – it is computed if the 'exact' option is selected."></definition>
+    </concept>
+    <concept>
+     <code value="C53245"></code>
+     <display value="Interquartile range"></display>
+     <definition value="The difference between the 3d and 1st quartiles is called the interquartile range and it is used as a measure of variability (dispersion)."></definition>
+    </concept>
+    <concept>
+     <code value="C44185"></code>
+     <display value="P-value"></display>
+     <definition value="The probability of obtaining the results obtained, or more extreme results, if the hypothesis being tested and all other model assumptions are true."></definition>
+    </concept>
+    <concept>
+     <code value="C38013"></code>
+     <display value="Range"></display>
+     <definition value="The difference between the lowest and highest numerical values; the limits or scale of variation."></definition>
+    </concept>
+    <concept>
+     <code value="C53322"></code>
+     <display value="Standard deviation"></display>
+     <definition value="A measure of the range of values in a set of numbers. Standard deviation is a statistic used as a measure of the dispersion or variation in a distribution, equal to the square root of the arithmetic mean of the squares of the deviations from the arithmetic mean."></definition>
+    </concept>
+    <concept>
+     <code value="0000037"></code>
+     <display value="Standard error of the mean"></display>
+     <definition value="The standard deviation of the sample-mean's estimate of a population mean. It is calculated by dividing the sample standard deviation (i.e., the sample-based estimate of the standard deviation of the population) by the square root of n , the size (number of observations) of the sample."></definition>
+    </concept>
+    <concept>
+     <code value="0000421"></code>
+     <display value="Tau squared"></display>
+     <definition value="An estimate of the between-study variance in a random-effects meta-analysis. The square root of this number (i.e. Tau) is the estimated standard deviation of underlying effects across studies."></definition>
+    </concept>
+    <concept>
+     <code value="C48918"></code>
+     <display value="Variance"></display>
+     <definition value="A measure of the variability in a sample or population. It is calculated as the mean squared deviation (MSD) of the individual values from their common mean. In calculating the MSD, the divisor n is commonly used for a population variance and the divisor n-1 for a sample variance."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/certainty-rating"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="certainty-rating"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/certainty-rating"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1415"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticCertaintyRating"></name>
+    <title value="StatisticCertaintyRating"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The relative quality of the statistic."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/certainty-rating"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="high"></code>
+     <display value="High quality"></display>
+     <definition value="High quality evidence."></definition>
+    </concept>
+    <concept>
+     <code value="moderate"></code>
+     <display value="Moderate quality"></display>
+     <definition value="Moderate quality evidence."></definition>
+    </concept>
+    <concept>
+     <code value="low"></code>
+     <display value="Low quality"></display>
+     <definition value="Low quality evidence."></definition>
+    </concept>
+    <concept>
+     <code value="very-low"></code>
+     <display value="Very low quality"></display>
+     <definition value="Very low quality evidence."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/certainty-subcomponent-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="certainty-subcomponent-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1360"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticCertaintySubcomponentType"></name>
+    <title value="StatisticCertaintySubcomponentType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The subcomponent classification of quality of evidence rating systems."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/certainty-subcomponent-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="RiskOfBias"></code>
+     <display value="Risk of bias"></display>
+     <definition value="methodologic concerns reducing internal validity."></definition>
+    </concept>
+    <concept>
+     <code value="Inconsistency"></code>
+     <display value="Inconsistency"></display>
+     <definition value="concerns that findings are not similar enough to support certainty."></definition>
+    </concept>
+    <concept>
+     <code value="Indirectness"></code>
+     <display value="Indirectness"></display>
+     <definition value="concerns reducing external validity."></definition>
+    </concept>
+    <concept>
+     <code value="Imprecision"></code>
+     <display value="Imprecision"></display>
+     <definition value="fuzzy or wide variability."></definition>
+    </concept>
+    <concept>
+     <code value="PublicationBias"></code>
+     <display value="Publication bias"></display>
+     <definition value="likelihood that what is published misrepresents what is available to publish."></definition>
+    </concept>
+    <concept>
+     <code value="DoseResponseGradient"></code>
+     <display value="Dose response gradient"></display>
+     <definition value="higher certainty due to dose response relationship."></definition>
+    </concept>
+    <concept>
+     <code value="PlausibleConfounding"></code>
+     <display value="Plausible confounding"></display>
+     <definition value="higher certainty due to risk of bias in opposite direction."></definition>
+    </concept>
+    <concept>
+     <code value="LargeEffect"></code>
+     <display value="Large effect"></display>
+     <definition value="higher certainty due to large effect size."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/certainty-subcomponent-rating"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="certainty-subcomponent-rating"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1362"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticCertaintySubcomponentRating"></name>
+    <title value="StatisticCertaintySubcomponentRating"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The quality rating of the subcomponent of a quality of evidence rating."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="no-change"></code>
+     <display value="no change to rating"></display>
+     <definition value="no change to quality rating."></definition>
+    </concept>
+    <concept>
+     <code value="downcode1"></code>
+     <display value="reduce rating: -1"></display>
+     <definition value="reduce quality rating by 1."></definition>
+    </concept>
+    <concept>
+     <code value="downcode2"></code>
+     <display value="reduce rating: -2"></display>
+     <definition value="reduce quality rating by 2."></definition>
+    </concept>
+    <concept>
+     <code value="downcode3"></code>
+     <display value="reduce rating: -3"></display>
+     <definition value="reduce quality rating by 3."></definition>
+    </concept>
+    <concept>
+     <code value="upcode1"></code>
+     <display value="increase rating: +1"></display>
+     <definition value="increase quality rating by 1."></definition>
+    </concept>
+    <concept>
+     <code value="upcode2"></code>
+     <display value="increase rating: +2"></display>
+     <definition value="increase quality rating by 2."></definition>
+    </concept>
+    <concept>
+     <code value="no-concern"></code>
+     <display value="no serious concern"></display>
+     <definition value="no serious concern."></definition>
+    </concept>
+    <concept>
+     <code value="serious-concern"></code>
+     <display value="serious concern"></display>
+     <definition value="serious concern."></definition>
+    </concept>
+    <concept>
+     <code value="critical-concern"></code>
+     <display value="critical concern"></display>
+     <definition value="critical concern."></definition>
+    </concept>
+    <concept>
+     <code value="present"></code>
+     <display value="present"></display>
+     <definition value="possible reason for increasing quality rating was checked and found to bepresent."></definition>
+    </concept>
+    <concept>
+     <code value="absent"></code>
+     <display value="absent"></display>
+     <definition value="possible reason for increasing quality rating was checked and found to be absent."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-timing"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="event-timing"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/event-timing"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.76"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EventTiming"></name>
+    <title value="EventTiming"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Real world event relating to the schedule."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="MORN"></code>
+     <display value="Morning"></display>
+     <definition value="Event occurs during the morning. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="MORN.early"></code>
+     <display value="Early Morning"></display>
+     <definition value="Event occurs during the early morning. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="MORN.late"></code>
+     <display value="Late Morning"></display>
+     <definition value="Event occurs during the late morning. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="NOON"></code>
+     <display value="Noon"></display>
+     <definition value="Event occurs around 12:00pm. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="AFT"></code>
+     <display value="Afternoon"></display>
+     <definition value="Event occurs during the afternoon. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="AFT.early"></code>
+     <display value="Early Afternoon"></display>
+     <definition value="Event occurs during the early afternoon. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="AFT.late"></code>
+     <display value="Late Afternoon"></display>
+     <definition value="Event occurs during the late afternoon. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="EVE"></code>
+     <display value="Evening"></display>
+     <definition value="Event occurs during the evening. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="EVE.early"></code>
+     <display value="Early Evening"></display>
+     <definition value="Event occurs during the early evening. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="EVE.late"></code>
+     <display value="Late Evening"></display>
+     <definition value="Event occurs during the late evening. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="NIGHT"></code>
+     <display value="Night"></display>
+     <definition value="Event occurs during the night. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+    <concept>
+     <code value="PHS"></code>
+     <display value="After Sleep"></display>
+     <definition value="Event occurs [offset] after subject goes to sleep. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/common-tags"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="common-tags"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/common-tags"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1067"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CommonTags"></name>
+    <title value="Common Tags"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Common Tag Codes defined by FHIR project"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/common-tags"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="actionable"></code>
+     <display value="Actionable"></display>
+     <definition value="This request is intended to be acted upon, not merely stored"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contributor-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contributor-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contributor-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.94"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContributorType"></name>
+    <title value="ContributorType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of contributor."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contributor-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="author"></code>
+     <display value="Author"></display>
+     <definition value="An author of the content of the module."></definition>
+    </concept>
+    <concept>
+     <code value="editor"></code>
+     <display value="Editor"></display>
+     <definition value="An editor of the content of the module."></definition>
+    </concept>
+    <concept>
+     <code value="reviewer"></code>
+     <display value="Reviewer"></display>
+     <definition value="A reviewer of the content of the module."></definition>
+    </concept>
+    <concept>
+     <code value="endorser"></code>
+     <display value="Endorser"></display>
+     <definition value="An endorser of the content of the module."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/sort-direction"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="sort-direction"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/sort-direction"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.980"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SortDirection"></name>
+    <title value="SortDirection"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The possible sort directions, ascending or descending."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/sort-direction"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ascending"></code>
+     <display value="Ascending"></display>
+     <definition value="Sort by the value ascending, so that lower values appear first."></definition>
+    </concept>
+    <concept>
+     <code value="descending"></code>
+     <display value="Descending"></display>
+     <definition value="Sort by the value descending, so that lower values appear last."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/related-artifact-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="related-artifact-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/related-artifact-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.100"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RelatedArtifactType"></name>
+    <title value="RelatedArtifactType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of relationship to the related artifact."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/related-artifact-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="documentation"></code>
+     <display value="Documentation"></display>
+     <definition value="Additional documentation for the knowledge resource. This would include additional instructions on usage as well as additional information on clinical context or appropriateness."></definition>
+    </concept>
+    <concept>
+     <code value="justification"></code>
+     <display value="Justification"></display>
+     <definition value="A summary of the justification for the knowledge resource including supporting evidence, relevant guidelines, or other clinically important information. This information is intended to provide a way to make the justification for the knowledge resource available to the consumer of interventions or results produced by the knowledge resource."></definition>
+    </concept>
+    <concept>
+     <code value="citation"></code>
+     <display value="Citation"></display>
+     <definition value="Bibliographic citation for papers, references, or other relevant material for the knowledge resource. This is intended to allow for citation of related material, but that was not necessarily specifically prepared in connection with this knowledge resource."></definition>
+    </concept>
+    <concept>
+     <code value="predecessor"></code>
+     <display value="Predecessor"></display>
+     <definition value="The previous version of the knowledge resource."></definition>
+    </concept>
+    <concept>
+     <code value="successor"></code>
+     <display value="Successor"></display>
+     <definition value="The next version of the knowledge resource."></definition>
+    </concept>
+    <concept>
+     <code value="derived-from"></code>
+     <display value="Derived From"></display>
+     <definition value="The knowledge resource is derived from the related artifact. This is intended to capture the relationship in which a particular knowledge resource is based on the content of another artifact, but is modified to capture either a different set of overall requirements, or a more specific set of requirements such as those involved in a particular institution or clinical setting."></definition>
+    </concept>
+    <concept>
+     <code value="depends-on"></code>
+     <display value="Depends On"></display>
+     <definition value="The knowledge resource depends on the given related artifact."></definition>
+    </concept>
+    <concept>
+     <code value="composed-of"></code>
+     <display value="Composed Of"></display>
+     <definition value="The knowledge resource is composed of the given related artifact."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/trigger-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="trigger-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/trigger-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.104"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TriggerType"></name>
+    <title value="TriggerType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of trigger."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/trigger-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="named-event"></code>
+     <display value="Named Event"></display>
+     <definition value="The trigger occurs in response to a specific named event, and no other information about the trigger is specified. Named events are completely pre-coordinated, and the formal semantics of the trigger are not provided."></definition>
+    </concept>
+    <concept>
+     <code value="periodic"></code>
+     <display value="Periodic"></display>
+     <definition value="The trigger occurs at a specific time or periodically as described by a timing or schedule. A periodic event cannot have any data elements, but may have a name assigned as a shorthand for the event."></definition>
+    </concept>
+    <concept>
+     <code value="data-changed"></code>
+     <display value="Data Changed"></display>
+     <definition value="The trigger occurs whenever data of a particular type is changed in any way, either added, modified, or removed."></definition>
+     <concept>
+      <code value="data-added"></code>
+      <display value="Data Added"></display>
+      <definition value="The trigger occurs whenever data of a particular type is added."></definition>
+     </concept>
+     <concept>
+      <code value="data-modified"></code>
+      <display value="Data Updated"></display>
+      <definition value="The trigger occurs whenever data of a particular type is modified."></definition>
+     </concept>
+     <concept>
+      <code value="data-removed"></code>
+      <display value="Data Removed"></display>
+      <definition value="The trigger occurs whenever data of a particular type is removed."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="data-accessed"></code>
+     <display value="Data Accessed"></display>
+     <definition value="The trigger occurs whenever data of a particular type is accessed."></definition>
+    </concept>
+    <concept>
+     <code value="data-access-ended"></code>
+     <display value="Data Access Ended"></display>
+     <definition value="The trigger occurs whenever access to data of a particular type is completed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/usage-context-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="usage-context-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/usage-context-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1068"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="UsageContextType"></name>
+    <title value="UsageContextType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that specifies a type of context being specified by a usage context."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/usage-context-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="gender"></code>
+     <display value="Gender"></display>
+     <definition value="The gender of the patient. For this context type, appropriate values can be found in the http://hl7.org/fhir/ValueSet/administrative-gender value set."></definition>
+    </concept>
+    <concept>
+     <code value="age"></code>
+     <display value="Age Range"></display>
+     <definition value="The age of the patient. For this context type, the value could be a range that specifies the applicable ages or a code from an appropriate value set such as the MeSH value set http://terminology.hl7.org/ValueSet/v3-AgeGroupObservationValue."></definition>
+    </concept>
+    <concept>
+     <code value="focus"></code>
+     <display value="Clinical Focus"></display>
+     <definition value="The clinical concept(s) addressed by the artifact. For example, disease, diagnostic test interpretation, medication ordering as in http://hl7.org/fhir/ValueSet/condition-code."></definition>
+    </concept>
+    <concept>
+     <code value="user"></code>
+     <display value="User Type"></display>
+     <definition value="The clinical specialty of the context in which the patient is being treated - For example, PCP, Patient, Cardiologist, Behavioral Professional, Oral Health Professional, Prescriber, etc... taken from a specialty value set such as the NUCC Health Care provider taxonomy value set http://hl7.org/fhir/ValueSet/provider-taxonomy."></definition>
+    </concept>
+    <concept>
+     <code value="workflow"></code>
+     <display value="Workflow Setting"></display>
+     <definition value="The settings in which the artifact is intended for use. For example, admission, pre-op, etc. For example, the ActEncounterCode value set http://terminology.hl7.org/ValueSet/v3-ActEncounterCode."></definition>
+    </concept>
+    <concept>
+     <code value="task"></code>
+     <display value="Workflow Task"></display>
+     <definition value="The context for the clinical task(s) represented by this artifact. For example, this could be any task context represented by the HL7 ActTaskCode value set http://terminology.hl7.org/ValueSet/v3-ActTaskCode. General categories include: order entry, patient documentation and patient information review."></definition>
+    </concept>
+    <concept>
+     <code value="venue"></code>
+     <display value="Clinical Venue"></display>
+     <definition value="The venue in which an artifact could be used. For example, Outpatient, Inpatient, Home, Nursing home. The code value may originate from the HL7 ServiceDeliveryLocationRoleType value set (http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)."></definition>
+    </concept>
+    <concept>
+     <code value="species"></code>
+     <display value="Species"></display>
+     <definition value="The species to which an artifact applies. For example, SNOMED - 387961004 | Kingdom Animalia (organism)."></definition>
+    </concept>
+    <concept>
+     <code value="program"></code>
+     <display value="Program"></display>
+     <definition value="A program/project of work for which this artifact is applicable."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/dose-rate-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="dose-rate-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/dose-rate-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1069"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DoseAndRateType"></name>
+    <title value="DoseAndRateType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The kind of dose or rate specified."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/dose-rate-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="calculated"></code>
+     <display value="Calculated"></display>
+     <definition value="The dose specified is calculated by the prescriber or the system."></definition>
+    </concept>
+    <concept>
+     <code value="ordered"></code>
+     <display value="Ordered"></display>
+     <definition value="The dose specified is as ordered by the prescriber."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/expression-language"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="expression-language"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/expression-language"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.106"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExpressionLanguage"></name>
+    <title value="ExpressionLanguage"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The media type of the expression language."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/expression-language"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="text/cql"></code>
+     <display value="CQL"></display>
+     <definition value="Clinical Quality Language."></definition>
+    </concept>
+    <concept>
+     <code value="text/fhirpath"></code>
+     <display value="FHIRPath"></display>
+     <definition value="FHIRPath."></definition>
+    </concept>
+    <concept>
+     <code value="application/x-fhir-query"></code>
+     <display value="FHIR Query"></display>
+     <definition value="FHIR's RESTful query syntax - typically independent of base URL."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/constraint-severity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="constraint-severity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/constraint-severity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.82"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConstraintSeverity"></name>
+    <title value="ConstraintSeverity"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="SHALL applications comply with this constraint?"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="If the constraint is violated, the resource is not conformant."></definition>
+    </concept>
+    <concept>
+     <code value="warning"></code>
+     <display value="Warning"></display>
+     <definition value="If the constraint is violated, the resource is conformant, but it is not necessarily following best practice."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-slicing-rules"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="resource-slicing-rules"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/resource-slicing-rules"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.84"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SlicingRules"></name>
+    <title value="SlicingRules"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How slices are interpreted when evaluating an instance."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="closed"></code>
+     <display value="Closed"></display>
+     <definition value="No additional content is allowed other than that described by the slices in this profile."></definition>
+    </concept>
+    <concept>
+     <code value="open"></code>
+     <display value="Open"></display>
+     <definition value="Additional content is allowed anywhere in the list."></definition>
+    </concept>
+    <concept>
+     <code value="openAtEnd"></code>
+     <display value="Open at End"></display>
+     <definition value="Additional content is allowed, but only at the end of the list. Note that using this requires that the slices be ordered, which makes it hard to share uses. This should only be done where absolutely required."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-aggregation-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="resource-aggregation-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/resource-aggregation-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.86"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AggregationMode"></name>
+    <title value="AggregationMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How resource references can be aggregated."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="contained"></code>
+     <display value="Contained"></display>
+     <definition value="The reference is a local reference to a contained resource."></definition>
+    </concept>
+    <concept>
+     <code value="referenced"></code>
+     <display value="Referenced"></display>
+     <definition value="The reference to a resource that has to be resolved externally to the resource that includes the reference."></definition>
+     <concept>
+      <code value="bundled"></code>
+      <display value="Bundled"></display>
+      <definition value="The resource the reference points to will be found in the same bundle as the resource that includes the reference."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/property-representation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="property-representation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/property-representation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.88"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PropertyRepresentation"></name>
+    <title value="PropertyRepresentation"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a property is represented when serialized."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/property-representation"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="xmlAttr"></code>
+     <display value="XML Attribute"></display>
+     <definition value="In XML, this property is represented as an attribute not an element."></definition>
+    </concept>
+    <concept>
+     <code value="xmlText"></code>
+     <display value="XML Text"></display>
+     <definition value="This element is represented using the XML text attribute (primitives only)."></definition>
+    </concept>
+    <concept>
+     <code value="typeAttr"></code>
+     <display value="Type Attribute"></display>
+     <definition value="The type of this element is indicated using xsi:type."></definition>
+    </concept>
+    <concept>
+     <code value="cdaText"></code>
+     <display value="CDA Text Format"></display>
+     <definition value="Use CDA narrative instead of XHTML."></definition>
+    </concept>
+    <concept>
+     <code value="xhtml"></code>
+     <display value="XHTML"></display>
+     <definition value="The property is represented using XHTML."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/reference-version-rules"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="reference-version-rules"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/reference-version-rules"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.90"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ReferenceVersionRules"></name>
+    <title value="ReferenceVersionRules"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Whether a reference needs to be version specific or version independent, or whether either can be used."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="either"></code>
+     <display value="Either Specific or independent"></display>
+     <definition value="The reference may be either version independent or version specific."></definition>
+    </concept>
+    <concept>
+     <code value="independent"></code>
+     <display value="Version independent"></display>
+     <definition value="The reference must be version independent."></definition>
+    </concept>
+    <concept>
+     <code value="specific"></code>
+     <display value="Version Specific"></display>
+     <definition value="The reference must be version specific."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/discriminator-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="discriminator-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/discriminator-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.92"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DiscriminatorType"></name>
+    <title value="DiscriminatorType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How an element value is interpreted when discrimination is evaluated."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="value"></code>
+     <display value="Value"></display>
+     <definition value="The slices have different values in the nominated element."></definition>
+    </concept>
+    <concept>
+     <code value="exists"></code>
+     <display value="Exists"></display>
+     <definition value="The slices are differentiated by the presence or absence of the nominated element."></definition>
+    </concept>
+    <concept>
+     <code value="pattern"></code>
+     <display value="Pattern"></display>
+     <definition value="The slices have different values in the nominated element, as determined by testing them against the applicable ElementDefinition.pattern[x]."></definition>
+    </concept>
+    <concept>
+     <code value="type"></code>
+     <display value="Type"></display>
+     <definition value="The slices are differentiated by type of the nominated element."></definition>
+    </concept>
+    <concept>
+     <code value="profile"></code>
+     <display value="Profile"></display>
+     <definition value="The slices are differentiated by conformance of the nominated element to a specified profile. Note that if the path specifies .resolve() then the profile is the target profile on the reference. In this case, validation by the possible profiles is required to differentiate the slices."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="definition-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/definition-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1070"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DefinitionStatus"></name>
+    <title value="DefinitionStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying the lifecycle stage of a definition."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/definition-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="The definition is in the design stage and is not yet considered to be &quot;ready for use&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The definition is considered ready for use."></definition>
+    </concept>
+    <concept>
+     <code value="withdrawn"></code>
+     <display value="Withdrawn"></display>
+     <definition value="The definition should no longer be used."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this resource.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply,  but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="event-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/event-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.110"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EventStatus"></name>
+    <title value="EventStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying the lifecycle stage of an event."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/event-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="preparation"></code>
+     <display value="Preparation"></display>
+     <definition value="The core event has not started yet, but some staging activities have begun (e.g. surgical suite preparation).  Preparation stages may be tracked for billing purposes."></definition>
+    </concept>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="The event is currently occurring."></definition>
+    </concept>
+    <concept>
+     <code value="not-done"></code>
+     <display value="Not Done"></display>
+     <definition value="The event was terminated prior to any activity beyond preparation.  I.e. The 'main' activity has not yet begun.  The boundary between preparatory and the 'main' activity is context-specific."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="The event has been temporarily stopped but is expected to resume in the future."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="The event was terminated prior to the full completion of the intended activity but after at least some of the 'main' activity (beyond preparation) has occurred."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The event has now concluded."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it.  (If real-world activity has occurred, the status should be &quot;stopped&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this event.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply,  but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="request-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/request-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.112"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RequestStatus"></name>
+    <title value="RequestStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying the lifecycle stage of a request."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/request-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="The request has been created but is not yet complete or ready for action."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The request is in force and ready to be acted upon."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="The request (and any implicit authorization to act) has been temporarily withdrawn but is expected to resume in the future."></definition>
+    </concept>
+    <concept>
+     <code value="revoked"></code>
+     <display value="Revoked"></display>
+     <definition value="The request (and any implicit authorization to act) has been terminated prior to the known full completion of the intended actions.  No further activity should occur."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The activity described by the request has been fully performed.  No further activity will occur."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This request should never have existed and should be considered 'void'.  (It is possible that real-world decisions were based on it.  If real-world activity has occurred, the status should be &quot;revoked&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this request.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply,  but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-intent"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="request-intent"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/request-intent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.114"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RequestIntent"></name>
+    <title value="RequestIntent"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/request-intent"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="proposal"></code>
+     <display value="Proposal"></display>
+     <definition value="The request is a suggestion made by someone/something that does not have an intention to ensure it occurs and without providing an authorization to act."></definition>
+    </concept>
+    <concept>
+     <code value="plan"></code>
+     <display value="Plan"></display>
+     <definition value="The request represents an intention to ensure something occurs without providing an authorization for others to act."></definition>
+    </concept>
+    <concept>
+     <code value="directive"></code>
+     <display value="Directive"></display>
+     <definition value="The request represents a legally binding instruction authored by a Patient or RelatedPerson."></definition>
+    </concept>
+    <concept>
+     <code value="order"></code>
+     <display value="Order"></display>
+     <definition value="The request represents a request/demand and authorization for action by a Practitioner."></definition>
+     <concept>
+      <code value="original-order"></code>
+      <display value="Original Order"></display>
+      <definition value="The request represents an original authorization for action."></definition>
+     </concept>
+     <concept>
+      <code value="reflex-order"></code>
+      <display value="Reflex Order"></display>
+      <definition value="The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization."></definition>
+     </concept>
+     <concept>
+      <code value="filler-order"></code>
+      <display value="Filler Order"></display>
+      <definition value="The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order."></definition>
+      <concept>
+       <code value="instance-order"></code>
+       <display value="Instance Order"></display>
+       <definition value="An order created in fulfillment of a broader order that represents the authorization for a single activity occurrence.  E.g. The administration of a single dose of a drug."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="option"></code>
+     <display value="Option"></display>
+     <definition value="The request represents a component or option for a RequestGroup that establishes timing, conditionality and/or other constraints among a set of requests.  Refer to [[[RequestGroup]]] for additional information on how this status is used."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-priority"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="request-priority"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/request-priority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.116"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RequestPriority"></name>
+    <title value="RequestPriority"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the level of importance to be assigned to actioning the request."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/request-priority"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="routine"></code>
+     <display value="Routine"></display>
+     <definition value="The request has normal priority."></definition>
+    </concept>
+    <concept>
+     <code value="urgent"></code>
+     <display value="Urgent"></display>
+     <definition value="The request should be actioned promptly - higher priority than routine."></definition>
+    </concept>
+    <concept>
+     <code value="asap"></code>
+     <display value="ASAP"></display>
+     <definition value="The request should be actioned as soon as possible - higher priority than urgent."></definition>
+    </concept>
+    <concept>
+     <code value="stat"></code>
+     <display value="STAT"></display>
+     <definition value="The request should be actioned immediately - highest possible priority.  E.g. an emergency."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/product-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="product-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/product-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.903"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProductStatus"></name>
+    <title value="ProductStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying the lifecycle stage of a product."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/product-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The product can be used."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it.  (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-validation-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="resource-validation-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/resource-validation-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.119"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResourceValidationMode"></name>
+    <title value="ResourceValidationMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes indicating the type of validation to perform."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/resource-validation-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="create"></code>
+     <display value="Validate for Create"></display>
+     <definition value="The server checks the content, and then checks that the content would be acceptable as a create (e.g. that the content would not violate any uniqueness constraints)."></definition>
+    </concept>
+    <concept>
+     <code value="update"></code>
+     <display value="Validate for Update"></display>
+     <definition value="The server checks the content, and then checks that it would accept it as an update against the nominated specific resource (e.g. that there are no changes to immutable fields the server does not allow to change and checking version integrity if appropriate)."></definition>
+    </concept>
+    <concept>
+     <code value="delete"></code>
+     <display value="Validate for Delete"></display>
+     <definition value="The server ignores the content and checks that the nominated resource is allowed to be deleted (e.g. checking referential integrity rules)."></definition>
+    </concept>
+    <concept>
+     <code value="profile"></code>
+     <display value="Validate Against a Profile"></display>
+     <definition value="The server checks an existing resource (must be nominated by id, not provided as a parameter) as valid against the nominated profile."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/flag-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="flag-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/flag-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.121"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FlagStatus"></name>
+    <title value="FlagStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/flag-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="A current flag that should be displayed to a user. A system may use the category to determine which user roles should view the flag."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The flag no longer needs to be displayed."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The flag was added in error and should no longer be displayed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/flag-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="flag-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/flag-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1071"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FlagCategory"></name>
+    <title value="Flag Category"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/patientcare"></value>
+     </telecom>
+    </contact>
+    <description value="Example list of general categories for flagged issues. (Not complete or necessarily appropriate.)"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/flag-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="diet"></code>
+     <display value="Diet"></display>
+     <definition value="Flags related to the subject's dietary needs."></definition>
+    </concept>
+    <concept>
+     <code value="drug"></code>
+     <display value="Drug"></display>
+     <definition value="Flags related to the subject's medications."></definition>
+    </concept>
+    <concept>
+     <code value="lab"></code>
+     <display value="Lab"></display>
+     <definition value="Flags related to performing laboratory tests and related processes (e.g. phlebotomy)."></definition>
+    </concept>
+    <concept>
+     <code value="admin"></code>
+     <display value="Administrative"></display>
+     <definition value="Flags related to administrative and financial processes."></definition>
+    </concept>
+    <concept>
+     <code value="contact"></code>
+     <display value="Subject Contact"></display>
+     <definition value="Flags related to coming into contact with the patient."></definition>
+    </concept>
+    <concept>
+     <code value="clinical"></code>
+     <display value="Clinical"></display>
+     <definition value="Flags related to the subject's clinical data."></definition>
+    </concept>
+    <concept>
+     <code value="behavioral"></code>
+     <display value="Behavioral"></display>
+     <definition value="Flags related to behavior."></definition>
+    </concept>
+    <concept>
+     <code value="research"></code>
+     <display value="Research"></display>
+     <definition value="Flags related to research."></definition>
+    </concept>
+    <concept>
+     <code value="advance-directive"></code>
+     <display value="Advance Directive"></display>
+     <definition value="Flags related to subject's advance directives."></definition>
+    </concept>
+    <concept>
+     <code value="safety"></code>
+     <display value="Safety"></display>
+     <definition value="Flags related to safety precautions."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergyintolerance-verification"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-verification"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1371"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceVerificationStatus"></name>
+    <title value="AllergyIntolerance Verification Status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="The verification status to support or decline the clinical status of the allergy or intolerance."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="unconfirmed"></code>
+     <display value="Unconfirmed"></display>
+     <definition value="The propensity for a reaction to the identified substance has not been objectively verified."></definition>
+     <concept>
+      <code value="presumed"></code>
+      <display value="Presumed"></display>
+      <definition value="The available clinical information supports a high liklihood of the propensity for a reaction to the identified substance."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="confirmed"></code>
+     <display value="Confirmed"></display>
+     <definition value="The propensity for a reaction to the identified substance has been objectively verified (which may include clinical evidence by testing, rechallenge, or observation)."></definition>
+    </concept>
+    <concept>
+     <code value="refuted"></code>
+     <display value="Refuted"></display>
+     <definition value="A propensity for a reaction to the identified substance has been disputed or disproven with a sufficient level of clinical certainty to justify invalidating the assertion. This might or might not include testing or rechallenge."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The statement was entered in error and is not valid."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergyintolerance-clinical"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="allergyintolerance-clinical"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1373"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceClinicalStatusCodes"></name>
+    <title value="AllergyIntolerance Clinical Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Preferred value set for AllergyIntolerance Clinical Status."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The subject is currently experiencing, or is at risk of, a reaction to the identified substance."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The subject is no longer at risk of a reaction to the identified substance."></definition>
+     <concept>
+      <code value="resolved"></code>
+      <display value="Resolved"></display>
+      <definition value="A reaction to the identified substance has been clinically reassessed by testing or re-exposure and is considered no longer to be present. Re-exposure could be accidental, unplanned, or outside of any clinical setting."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergy-intolerance-criticality"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="allergy-intolerance-criticality"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/allergy-intolerance-criticality"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.130"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceCriticality"></name>
+    <title value="AllergyIntoleranceCriticality"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="low"></code>
+     <display value="Low Risk"></display>
+     <definition value="Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure."></definition>
+    </concept>
+    <concept>
+     <code value="high"></code>
+     <display value="High Risk"></display>
+     <definition value="Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure."></definition>
+    </concept>
+    <concept>
+     <code value="unable-to-assess"></code>
+     <display value="Unable to Assess Risk"></display>
+     <definition value="Unable to assess the worst case result of a future exposure."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergy-intolerance-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="allergy-intolerance-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/allergy-intolerance-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.132"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceType"></name>
+    <title value="AllergyIntoleranceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identification of the underlying physiological mechanism for a Reaction Risk."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="allergy"></code>
+     <display value="Allergy"></display>
+     <definition value="A propensity for hypersensitive reaction(s) to a substance.  These reactions are most typically type I hypersensitivity, plus other &quot;allergy-like&quot; reactions, including pseudoallergy."></definition>
+    </concept>
+    <concept>
+     <code value="intolerance"></code>
+     <display value="Intolerance"></display>
+     <definition value="A propensity for adverse reactions to a substance that is not judged to be allergic or &quot;allergy-like&quot;.  These reactions are typically (but not necessarily) non-immune.  They are to some degree idiosyncratic and/or patient-specific (i.e. are not a reaction that is expected to occur with most or all patients given similar circumstances)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergy-intolerance-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="allergy-intolerance-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/allergy-intolerance-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.134"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceCategory"></name>
+    <title value="AllergyIntoleranceCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Category of an identified substance associated with allergies or intolerances."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="food"></code>
+     <display value="Food"></display>
+     <definition value="Any substance consumed to provide nutritional support for the body."></definition>
+    </concept>
+    <concept>
+     <code value="medication"></code>
+     <display value="Medication"></display>
+     <definition value="Substances administered to achieve a physiological effect."></definition>
+    </concept>
+    <concept>
+     <code value="environment"></code>
+     <display value="Environment"></display>
+     <definition value="Any substances that are encountered in the environment, including any substance not already classified as food, medication, or biologic."></definition>
+    </concept>
+    <concept>
+     <code value="biologic"></code>
+     <display value="Biologic"></display>
+     <definition value="A preparation that is synthesized from living organisms or their products, especially a human or animal protein, such as a hormone or antitoxin, that is used as a diagnostic, preventive, or therapeutic agent. Examples of biologic medications include: vaccines; allergenic extracts, which are used for both diagnosis and treatment (for example, allergy shots); gene therapies; cellular therapies.  There are other biologic products, such as tissues, which are not typically associated with allergies."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/reaction-event-severity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="reaction-event-severity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/reaction-event-severity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.136"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceSeverity"></name>
+    <title value="AllergyIntoleranceSeverity"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="mild"></code>
+     <display value="Mild"></display>
+     <definition value="Causes mild physiological effects."></definition>
+    </concept>
+    <concept>
+     <code value="moderate"></code>
+     <display value="Moderate"></display>
+     <definition value="Causes moderate physiological effects."></definition>
+    </concept>
+    <concept>
+     <code value="severe"></code>
+     <display value="Severe"></display>
+     <definition value="Causes severe physiological effects."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/basic-resource-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="basic-resource-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/basic-resource-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1072"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BasicResourceTypes"></name>
+    <title value="Basic Resource Types"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines codes for resources not yet supported by (or which will never be supported by) FHIR.  Many of the codes listed here will eventually be turned into official resources.  However, there is no guarantee that any particular resource will be created nor that the scope will be exactly as defined by the codes presented here.  Codes in this set will be deprecated if/when formal resources are defined that encompass these concepts."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/basic-resource-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="consent"></code>
+     <display value="Consent"></display>
+     <definition value="An assertion of permission for an activity or set of activities to occur, possibly subject to particular limitations; e.g. surgical consent, information disclosure consent, etc."></definition>
+    </concept>
+    <concept>
+     <code value="referral"></code>
+     <display value="Referral"></display>
+     <definition value="A request that care of a particular type be provided to a patient.  Could involve the transfer of care, a consult, etc."></definition>
+    </concept>
+    <concept>
+     <code value="advevent"></code>
+     <display value="Adverse Event"></display>
+     <definition value="An undesired reaction caused by exposure to some agent (e.g. a medication, immunization, food, or environmental agent)."></definition>
+    </concept>
+    <concept>
+     <code value="aptmtreq"></code>
+     <display value="Appointment Request"></display>
+     <definition value="A request that a time be scheduled for a type of service for a specified patient, potentially subject to other constraints"></definition>
+    </concept>
+    <concept>
+     <code value="transfer"></code>
+     <display value="Transfer"></display>
+     <definition value="The transition of a patient or set of material from one location to another"></definition>
+    </concept>
+    <concept>
+     <code value="diet"></code>
+     <display value="Diet"></display>
+     <definition value="The specification of a set of food and/or other nutritional material to be delivered to a patient."></definition>
+    </concept>
+    <concept>
+     <code value="adminact"></code>
+     <display value="Administrative Activity"></display>
+     <definition value="An occurrence of a non-care-related event in the healthcare domain, such as approvals, reviews, etc."></definition>
+    </concept>
+    <concept>
+     <code value="exposure"></code>
+     <display value="Exposure"></display>
+     <definition value="Record of a situation where a subject was exposed to a substance.  Usually of interest to public health."></definition>
+    </concept>
+    <concept>
+     <code value="investigation"></code>
+     <display value="Investigation"></display>
+     <definition value="A formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event"></definition>
+    </concept>
+    <concept>
+     <code value="account"></code>
+     <display value="Account"></display>
+     <definition value="A financial instrument used to track costs, charges or other amounts."></definition>
+    </concept>
+    <concept>
+     <code value="invoice"></code>
+     <display value="Invoice"></display>
+     <definition value="A request for payment for goods and/or services.  Includes the idea of a healthcare insurance claim."></definition>
+    </concept>
+    <concept>
+     <code value="adjudicat"></code>
+     <display value="Invoice Adjudication"></display>
+     <definition value="The determination of what will be paid against a particular invoice based on coverage, plan rules, etc."></definition>
+    </concept>
+    <concept>
+     <code value="predetreq"></code>
+     <display value="Pre-determination Request"></display>
+     <definition value="A request for a pre-determination of the cost that would be paid under an insurance plan for a hypothetical claim for goods or services"></definition>
+    </concept>
+    <concept>
+     <code value="predetermine"></code>
+     <display value="Predetermination"></display>
+     <definition value="An adjudication of what would be paid under an insurance plan for a hypothetical claim for goods or services"></definition>
+    </concept>
+    <concept>
+     <code value="study"></code>
+     <display value="Study"></display>
+     <definition value="An investigation to determine information about a particular therapy or product"></definition>
+    </concept>
+    <concept>
+     <code value="protocol"></code>
+     <display value="Protocol"></display>
+     <definition value="A set of (possibly conditional) steps to be taken to achieve some aim.  Includes study protocols, treatment protocols, emergency protocols, etc."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/care-plan-activity-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="care-plan-activity-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/care-plan-activity-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.147"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CarePlanActivityStatus"></name>
+    <title value="CarePlanActivityStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes that reflect the current state of a care plan activity within its overall life cycle."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-started"></code>
+     <display value="Not Started"></display>
+     <definition value="Care plan activity is planned but no action has yet been taken."></definition>
+    </concept>
+    <concept>
+     <code value="scheduled"></code>
+     <display value="Scheduled"></display>
+     <definition value="Appointment or other booking has occurred but activity has not yet begun."></definition>
+    </concept>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="Care plan activity has been started but is not yet complete."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="Care plan activity was started but has temporarily ceased with an expectation of resumption at a future time."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="Care plan activity has been completed (more or less) as planned."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The planned care plan activity has been withdrawn."></definition>
+     <concept>
+      <code value="stopped"></code>
+      <display value="Stopped"></display>
+      <definition value="The planned care plan activity has been ended prior to completion after the activity was started."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The current state of the care plan activity is not known.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which one."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Care plan activity was entered in error and voided."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/care-team-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="care-team-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/care-team-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.154"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CareTeamStatus"></name>
+    <title value="CareTeamStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the status of the care team."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="proposed"></code>
+     <display value="Proposed"></display>
+     <definition value="The care team has been drafted and proposed, but not yet participating in the coordination and delivery of patient care."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The care team is currently participating in the coordination and delivery of care."></definition>
+    </concept>
+    <concept>
+     <code value="suspended"></code>
+     <display value="Suspended"></display>
+     <definition value="The care team is temporarily on hold or suspended and not participating in the coordination and delivery of care."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The care team was, but is no longer, participating in the coordination and delivery of care."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The care team should have never existed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="condition-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/condition-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1073"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionCategoryCodes"></name>
+    <title value="Condition Category Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Preferred value set for Condition Categories."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="problem-list-item"></code>
+     <display value="Problem List Item"></display>
+     <definition value="An item on a problem list that can be managed over time and can be expressed by a practitioner (e.g. physician, nurse), patient, or related person."></definition>
+    </concept>
+    <concept>
+     <code value="encounter-diagnosis"></code>
+     <display value="Encounter Diagnosis"></display>
+     <definition value="A point in time diagnosis (e.g. from a physician or nurse) in context of an encounter."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-clinical"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="condition-clinical"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/condition-clinical"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1074"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionClinicalStatusCodes"></name>
+    <title value="Condition Clinical Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Preferred value set for Condition Clinical Status."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The subject is currently experiencing the symptoms of the condition or there is evidence of the condition."></definition>
+     <concept>
+      <code value="recurrence"></code>
+      <display value="Recurrence"></display>
+      <definition value="The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis."></definition>
+     </concept>
+     <concept>
+      <code value="relapse"></code>
+      <display value="Relapse"></display>
+      <definition value="The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition."></definition>
+     <concept>
+      <code value="remission"></code>
+      <display value="Remission"></display>
+      <definition value="The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning."></definition>
+     </concept>
+     <concept>
+      <code value="resolved"></code>
+      <display value="Resolved"></display>
+      <definition value="The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-ver-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="condition-ver-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1075"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionVerificationStatus"></name>
+    <title value="ConditionVerificationStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The verification status to support or decline the clinical status of the condition or diagnosis."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="unconfirmed"></code>
+     <display value="Unconfirmed"></display>
+     <definition value="There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition."></definition>
+     <concept>
+      <code value="provisional"></code>
+      <display value="Provisional"></display>
+      <definition value="This is a tentative diagnosis - still a candidate that is under consideration."></definition>
+     </concept>
+     <concept>
+      <code value="differential"></code>
+      <display value="Differential"></display>
+      <definition value="One of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="confirmed"></code>
+     <display value="Confirmed"></display>
+     <definition value="There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition."></definition>
+    </concept>
+    <concept>
+     <code value="refuted"></code>
+     <display value="Refuted"></display>
+     <definition value="This condition has been ruled out by subsequent diagnostic and clinical evidence."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The statement was entered in error and is not valid."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/communication-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="communication-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/communication-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1076"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CommunicationCategory"></name>
+    <title value="CommunicationCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for general categories of communications such as alerts, instructions, etc."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/communication-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="alert"></code>
+     <display value="Alert"></display>
+     <definition value="The communication conveys an alert."></definition>
+    </concept>
+    <concept>
+     <code value="notification"></code>
+     <display value="Notification"></display>
+     <definition value="The communication conveys a notification."></definition>
+    </concept>
+    <concept>
+     <code value="reminder"></code>
+     <display value="Reminder"></display>
+     <definition value="The communication conveys a reminder."></definition>
+    </concept>
+    <concept>
+     <code value="instruction"></code>
+     <display value="Instruction"></display>
+     <definition value="The communication conveys an instruction."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/communication-not-done-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="communication-not-done-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/communication-not-done-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1077"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CommunicationNotDoneReason"></name>
+    <title value="CommunicationNotDoneReason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for the reason why a communication did not happen."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/communication-not-done-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The communication was not done due to an unknown reason."></definition>
+    </concept>
+    <concept>
+     <code value="system-error"></code>
+     <display value="System Error"></display>
+     <definition value="The communication was not done due to a system error."></definition>
+    </concept>
+    <concept>
+     <code value="invalid-phone-number"></code>
+     <display value="Invalid Phone Number"></display>
+     <definition value="The communication was not done due to an invalid phone number."></definition>
+    </concept>
+    <concept>
+     <code value="recipient-unavailable"></code>
+     <display value="Recipient Unavailable"></display>
+     <definition value="The communication was not done due to the recipient being unavailable."></definition>
+    </concept>
+    <concept>
+     <code value="family-objection"></code>
+     <display value="Family Objection"></display>
+     <definition value="The communication was not done due to a family objection."></definition>
+    </concept>
+    <concept>
+     <code value="patient-objection"></code>
+     <display value="Patient Objection"></display>
+     <definition value="The communication was not done due to a patient objection."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/communication-topic"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="communication-topic"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/communication-topic"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1078"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CommunicationTopic"></name>
+    <title value="CommunicationTopic"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes describing the purpose or content of the communication."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/communication-topic"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="prescription-refill-request"></code>
+     <display value="Prescription Refill Request"></display>
+     <definition value="The purpose or content of the communication is a prescription refill request."></definition>
+    </concept>
+    <concept>
+     <code value="progress-update"></code>
+     <display value="Progress Update"></display>
+     <definition value="The purpose or content of the communication is a progress update."></definition>
+    </concept>
+    <concept>
+     <code value="report-labs"></code>
+     <display value="Report Labs"></display>
+     <definition value="The purpose or content of the communication is to report labs."></definition>
+    </concept>
+    <concept>
+     <code value="appointment-reminder"></code>
+     <display value="Appointment Reminder"></display>
+     <definition value="The purpose or content of the communication is an appointment reminder."></definition>
+    </concept>
+    <concept>
+     <code value="phone-consult"></code>
+     <display value="Phone Consult"></display>
+     <definition value="The purpose or content of the communication is a phone consult."></definition>
+    </concept>
+    <concept>
+     <code value="summary-report"></code>
+     <display value="Summary Report"></display>
+     <definition value="The purpose or content of the communication is a summary report."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/restful-capability-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="restful-capability-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/restful-capability-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.177"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RestfulCapabilityMode"></name>
+    <title value="RestfulCapabilityMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The mode of a RESTful capability statement."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="client"></code>
+     <display value="Client"></display>
+     <definition value="The application acts as a client for this resource."></definition>
+    </concept>
+    <concept>
+     <code value="server"></code>
+     <display value="Server"></display>
+     <definition value="The application acts as a server for this resource."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/restful-security-service"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="restful-security-service"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/restful-security-service"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1079"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RestfulSecurityService"></name>
+    <title value="RestfulSecurityService"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Types of security services used with FHIR."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/restful-security-service"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="OAuth"></code>
+     <display value="OAuth"></display>
+     <definition value="OAuth (unspecified version see oauth.net)."></definition>
+    </concept>
+    <concept>
+     <code value="SMART-on-FHIR"></code>
+     <display value="SMART-on-FHIR"></display>
+     <definition value="OAuth2 using SMART-on-FHIR profile (see http://docs.smarthealthit.org/)."></definition>
+    </concept>
+    <concept>
+     <code value="NTLM"></code>
+     <display value="NTLM"></display>
+     <definition value="Microsoft NTLM Authentication."></definition>
+    </concept>
+    <concept>
+     <code value="Basic"></code>
+     <display value="Basic"></display>
+     <definition value="Basic authentication defined in HTTP specification."></definition>
+    </concept>
+    <concept>
+     <code value="Kerberos"></code>
+     <display value="Kerberos"></display>
+     <definition value="see http://www.ietf.org/rfc/rfc4120.txt."></definition>
+    </concept>
+    <concept>
+     <code value="Certificates"></code>
+     <display value="Certificates"></display>
+     <definition value="SSL where client must have a certificate registered with the server."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-capability-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="event-capability-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/event-capability-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.183"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EventCapabilityMode"></name>
+    <title value="EventCapabilityMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The mode of a message capability statement."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/event-capability-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="sender"></code>
+     <display value="Sender"></display>
+     <definition value="The application sends requests and receives responses."></definition>
+    </concept>
+    <concept>
+     <code value="receiver"></code>
+     <display value="Receiver"></display>
+     <definition value="The application receives requests and sends responses."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-transport"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="message-transport"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/message-transport"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1080"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MessageTransport"></name>
+    <title value="MessageTransport"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The protocol used for message transport."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/message-transport"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="http"></code>
+     <display value="HTTP"></display>
+     <definition value="The application sends or receives messages using HTTP POST (may be over http: or https:)."></definition>
+    </concept>
+    <concept>
+     <code value="ftp"></code>
+     <display value="FTP"></display>
+     <definition value="The application sends or receives messages using File Transfer Protocol."></definition>
+    </concept>
+    <concept>
+     <code value="mllp"></code>
+     <display value="MLLP"></display>
+     <definition value="The application sends or receives messages using HL7's Minimal Lower Level Protocol."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/document-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="document-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/document-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.187"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DocumentMode"></name>
+    <title value="DocumentMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Whether the application produces or consumes documents."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/document-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="producer"></code>
+     <display value="Producer"></display>
+     <definition value="The application produces documents of the specified type."></definition>
+    </concept>
+    <concept>
+     <code value="consumer"></code>
+     <display value="Consumer"></display>
+     <definition value="The application consumes documents of the specified type."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/versioning-policy"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="versioning-policy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/versioning-policy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.191"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResourceVersionPolicy"></name>
+    <title value="ResourceVersionPolicy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How the system supports versioning for a resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/versioning-policy"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="no-version"></code>
+     <display value="No VersionId Support"></display>
+     <definition value="VersionId meta-property is not supported (server) or used (client)."></definition>
+    </concept>
+    <concept>
+     <code value="versioned"></code>
+     <display value="Versioned"></display>
+     <definition value="VersionId meta-property is supported (server) or used (client)."></definition>
+    </concept>
+    <concept>
+     <code value="versioned-update"></code>
+     <display value="VersionId tracked fully"></display>
+     <definition value="VersionId must be correct for updates (server) or will be specified (If-match header) for updates (client)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/transaction-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="transaction-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/transaction-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.193"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TransactionMode"></name>
+    <title value="TransactionMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that indicates how transactions are supported."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/transaction-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-supported"></code>
+     <display value="None"></display>
+     <definition value="Neither batch or transaction is supported."></definition>
+    </concept>
+    <concept>
+     <code value="batch"></code>
+     <display value="Batches supported"></display>
+     <definition value="Batches are  supported."></definition>
+    </concept>
+    <concept>
+     <code value="transaction"></code>
+     <display value="Transactions Supported"></display>
+     <definition value="Transactions are supported."></definition>
+    </concept>
+    <concept>
+     <code value="both"></code>
+     <display value="Batches &amp; Transactions"></display>
+     <definition value="Both batches and transactions are supported."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/conditional-delete-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="conditional-delete-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/conditional-delete-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.195"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionalDeleteStatus"></name>
+    <title value="ConditionalDeleteStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that indicates how the server supports conditional delete."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/conditional-delete-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-supported"></code>
+     <display value="Not Supported"></display>
+     <definition value="No support for conditional deletes."></definition>
+    </concept>
+    <concept>
+     <code value="single"></code>
+     <display value="Single Deletes Supported"></display>
+     <definition value="Conditional deletes are supported, but only single resources at a time."></definition>
+    </concept>
+    <concept>
+     <code value="multiple"></code>
+     <display value="Multiple Deletes Supported"></display>
+     <definition value="Conditional deletes are supported, and multiple resources can be deleted in a single interaction."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/unknown-content-code"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="unknown-content-code"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/unknown-content-code"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.197"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="UnknownContentCode"></name>
+    <title value="UnknownContentCode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that indicates whether an application accepts unknown elements or extensions when reading resources."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/unknown-content-code"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="no"></code>
+     <display value="Neither Elements or Extensions"></display>
+     <definition value="The application does not accept either unknown elements or extensions."></definition>
+    </concept>
+    <concept>
+     <code value="extensions"></code>
+     <display value="Unknown Extensions"></display>
+     <definition value="The application accepts unknown extensions, but not unknown elements."></definition>
+    </concept>
+    <concept>
+     <code value="elements"></code>
+     <display value="Unknown Elements"></display>
+     <definition value="The application accepts unknown elements, but not unknown extensions."></definition>
+    </concept>
+    <concept>
+     <code value="both"></code>
+     <display value="Unknown Elements and Extensions"></display>
+     <definition value="The application accepts unknown elements and extensions."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/capability-statement-kind"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="capability-statement-kind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/capability-statement-kind"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.199"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CapabilityStatementKind"></name>
+    <title value="CapabilityStatementKind"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a capability statement is intended to be used."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="instance"></code>
+     <display value="Instance"></display>
+     <definition value="The CapabilityStatement instance represents the present capabilities of a specific system instance.  This is the kind returned by /metadata for a FHIR server end-point."></definition>
+    </concept>
+    <concept>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="Elements marked as 'optional' represent configurable capabilities"></valueString>
+     </extension>
+     <code value="capability"></code>
+     <display value="Capability"></display>
+     <definition value="The CapabilityStatement instance represents the capabilities of a system or piece of software, independent of a particular installation."></definition>
+    </concept>
+    <concept>
+     <code value="requirements"></code>
+     <display value="Requirements"></display>
+     <definition value="The CapabilityStatement instance represents a set of requirements for other systems to meet; e.g. as part of an implementation guide or 'request for proposal'."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/conditional-read-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="conditional-read-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/conditional-read-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.201"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionalReadStatus"></name>
+    <title value="ConditionalReadStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that indicates how the server supports conditional read."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/conditional-read-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-supported"></code>
+     <display value="Not Supported"></display>
+     <definition value="No support for conditional reads."></definition>
+    </concept>
+    <concept>
+     <code value="modified-since"></code>
+     <display value="If-Modified-Since"></display>
+     <definition value="Conditional reads are supported, but only with the If-Modified-Since HTTP Header."></definition>
+    </concept>
+    <concept>
+     <code value="not-match"></code>
+     <display value="If-None-Match"></display>
+     <definition value="Conditional reads are supported, but only with the If-None-Match HTTP Header."></definition>
+    </concept>
+    <concept>
+     <code value="full-support"></code>
+     <display value="Full Support"></display>
+     <definition value="Conditional reads are supported, with both If-Modified-Since and If-None-Match HTTP Headers."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/reference-handling-policy"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="reference-handling-policy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/reference-handling-policy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.203"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ReferenceHandlingPolicy"></name>
+    <title value="ReferenceHandlingPolicy"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A set of flags that defines how references are supported."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/reference-handling-policy"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="literal"></code>
+     <display value="Literal References"></display>
+     <definition value="The server supports and populates Literal references (i.e. using Reference.reference) where they are known (this code does not guarantee that all references are literal; see 'enforced')."></definition>
+    </concept>
+    <concept>
+     <code value="logical"></code>
+     <display value="Logical References"></display>
+     <definition value="The server allows logical references (i.e. using Reference.identifier)."></definition>
+    </concept>
+    <concept>
+     <code value="resolves"></code>
+     <display value="Resolves References"></display>
+     <definition value="The server will attempt to resolve logical references to literal references - i.e. converting Reference.identifier to Reference.reference (if resolution fails, the server may still accept resources; see logical)."></definition>
+    </concept>
+    <concept>
+     <code value="enforced"></code>
+     <display value="Reference Integrity Enforced"></display>
+     <definition value="The server enforces that references have integrity - e.g. it ensures that references can always be resolved. This is typically the case for clinical record systems, but often not the case for middleware/proxy systems."></definition>
+    </concept>
+    <concept>
+     <code value="local"></code>
+     <display value="Local References Only"></display>
+     <definition value="The server does not support references that point to other servers."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/detectedissue-severity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="detectedissue-severity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/detectedissue-severity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.207"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DetectedIssueSeverity"></name>
+    <title value="DetectedIssueSeverity"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the potential degree of impact of the identified issue on the patient."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/detectedissue-severity"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="high"></code>
+     <display value="High"></display>
+     <definition value="Indicates the issue may be life-threatening or has the potential to cause permanent injury."></definition>
+    </concept>
+    <concept>
+     <code value="moderate"></code>
+     <display value="Moderate"></display>
+     <definition value="Indicates the issue may result in noticeable adverse consequences but is unlikely to be life-threatening or cause permanent injury."></definition>
+    </concept>
+    <concept>
+     <code value="low"></code>
+     <display value="Low"></display>
+     <definition value="Indicates the issue may result in some adverse consequences but is unlikely to substantially affect the situation of the subject."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="device-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/device-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.210"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FHIRDeviceStatus"></name>
+    <title value="FHIRDeviceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The availability status of the device."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/device-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The device is available for use.  Note: For *implanted devices*  this means that the device is implanted in the patient."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The device is no longer available for use (e.g. lost, expired, damaged).  Note: For *implanted devices*  this means that the device has been removed from the patient."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The device was entered in error and voided."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The status of the device has not been determined."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-status-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="device-status-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/device-status-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1082"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FHIRDeviceStatusReason"></name>
+    <title value="FHIRDeviceStatusReason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The availability status reason of the device."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/device-status-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="online"></code>
+     <display value="Online"></display>
+     <definition value="The device is off."></definition>
+    </concept>
+    <concept>
+     <code value="paused"></code>
+     <display value="Paused"></display>
+     <definition value="The device is paused."></definition>
+    </concept>
+    <concept>
+     <code value="standby"></code>
+     <display value="Standby"></display>
+     <definition value="The device is ready but not actively operating."></definition>
+    </concept>
+    <concept>
+     <code value="offline"></code>
+     <display value="Offline"></display>
+     <definition value="The device is offline."></definition>
+    </concept>
+    <concept>
+     <code value="not-ready"></code>
+     <display value="Not Ready"></display>
+     <definition value="The device is not ready."></definition>
+    </concept>
+    <concept>
+     <code value="transduc-discon"></code>
+     <display value="Transducer Disconnected"></display>
+     <definition value="The device transducer is disconnected."></definition>
+    </concept>
+    <concept>
+     <code value="hw-discon"></code>
+     <display value="Hardware Disconnected"></display>
+     <definition value="The device hardware is disconnected."></definition>
+    </concept>
+    <concept>
+     <code value="off"></code>
+     <display value="Off"></display>
+     <definition value="The device is off."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/udi-entry-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="udi-entry-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/udi-entry-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.212"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="UDIEntryType"></name>
+    <title value="UDIEntryType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes to identify how UDI data was entered."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/udi-entry-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="barcode"></code>
+     <display value="Barcode"></display>
+     <definition value="a barcodescanner captured the data from the device label."></definition>
+    </concept>
+    <concept>
+     <code value="rfid"></code>
+     <display value="RFID"></display>
+     <definition value="An RFID chip reader captured the data from the device label."></definition>
+    </concept>
+    <concept>
+     <code value="manual"></code>
+     <display value="Manual"></display>
+     <definition value="The data was read from the label by a person and manually entered. (e.g.  via a keyboard)."></definition>
+    </concept>
+    <concept>
+     <code value="card"></code>
+     <display value="Card"></display>
+     <definition value="The data originated from a patient's implant card and was read by an operator."></definition>
+    </concept>
+    <concept>
+     <code value="self-reported"></code>
+     <display value="Self Reported"></display>
+     <definition value="The data originated from a patient source and was not directly scanned or read from a label or card."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The method of data capture has not been determined."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-nametype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="device-nametype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/device-nametype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1084"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceNameType"></name>
+    <title value="DeviceNameType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of name the device is referred by."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="udi-label-name"></code>
+     <display value="UDI Label name"></display>
+     <definition value="UDI Label name."></definition>
+    </concept>
+    <concept>
+     <code value="user-friendly-name"></code>
+     <display value="User Friendly name"></display>
+     <definition value="User Friendly name."></definition>
+    </concept>
+    <concept>
+     <code value="patient-reported-name"></code>
+     <display value="Patient Reported name"></display>
+     <definition value="Patient Reported name."></definition>
+    </concept>
+    <concept>
+     <code value="manufacturer-name"></code>
+     <display value="Manufacturer name"></display>
+     <definition value="Manufacturer name."></definition>
+    </concept>
+    <concept>
+     <code value="model-name"></code>
+     <display value="Model name"></display>
+     <definition value="Model name."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="other"></display>
+     <definition value="other."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-statement-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="device-statement-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/device-statement-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.215"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceUseStatementStatus"></name>
+    <title value="DeviceUseStatementStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A coded concept indicating the current status of the Device Usage."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/device-statement-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The device is still being used."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The device is no longer being used."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The statement was recorded incorrectly."></definition>
+    </concept>
+    <concept>
+     <code value="intended"></code>
+     <display value="Intended"></display>
+     <definition value="The device may be used at some time in the future."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="Actions implied by the statement have been permanently halted, before all of them occurred."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="Actions implied by the statement have been temporarily halted, but are expected to continue later. May also be called &quot;suspended&quot;."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/variant-state"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="variant-state"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/variant-state"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1085"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="sequenceStatus"></name>
+    <title value="sequenceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes providing the status of the variant test result."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/variant-state"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="positive"></code>
+     <display value="positive"></display>
+     <definition value="the variant is detected."></definition>
+    </concept>
+    <concept>
+     <code value="negative"></code>
+     <display value="negative"></display>
+     <definition value="no variant is detected."></definition>
+    </concept>
+    <concept>
+     <code value="absent"></code>
+     <display value="absent"></display>
+     <definition value="result of the variant is missing."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/sequence-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="sequence-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cg"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/sequence-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.220"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="sequenceType"></name>
+    <title value="sequenceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type if a sequence -- DNA, RNA, or amino acid sequence."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/sequence-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="aa"></code>
+     <display value="AA Sequence"></display>
+     <definition value="Amino acid sequence."></definition>
+    </concept>
+    <concept>
+     <code value="dna"></code>
+     <display value="DNA Sequence"></display>
+     <definition value="DNA Sequence."></definition>
+    </concept>
+    <concept>
+     <code value="rna"></code>
+     <display value="RNA Sequence"></display>
+     <definition value="RNA Sequence."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/chromosome-human"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="chromosome-human"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cg"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/chromosome-human"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1086"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="chromosome-human"></name>
+    <title value="chromosome-human"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Chromosome number for human."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/chromosome-human"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="chromosome 1"></display>
+     <definition value="chromosome 1."></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="chromosome 2"></display>
+     <definition value="chromosome 2."></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="chromosome 3"></display>
+     <definition value="chromosome 3."></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="chromosome 4"></display>
+     <definition value="chromosome 4."></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="chromosome 5"></display>
+     <definition value="chromosome 5."></definition>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="chromosome 6"></display>
+     <definition value="chromosome 6."></definition>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="chromosome 7"></display>
+     <definition value="chromosome 7."></definition>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="chromosome 8"></display>
+     <definition value="chromosome 8."></definition>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="chromosome 9"></display>
+     <definition value="chromosome 9."></definition>
+    </concept>
+    <concept>
+     <code value="10"></code>
+     <display value="chromosome 10"></display>
+     <definition value="chromosome 10."></definition>
+    </concept>
+    <concept>
+     <code value="11"></code>
+     <display value="chromosome 11"></display>
+     <definition value="chromosome 11."></definition>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="chromosome 12"></display>
+     <definition value="chromosome 12."></definition>
+    </concept>
+    <concept>
+     <code value="13"></code>
+     <display value="chromosome 13"></display>
+     <definition value="chromosome 13."></definition>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="chromosome 14"></display>
+     <definition value="chromosome 14."></definition>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="chromosome 15"></display>
+     <definition value="chromosome 15."></definition>
+    </concept>
+    <concept>
+     <code value="16"></code>
+     <display value="chromosome 16"></display>
+     <definition value="chromosome 16."></definition>
+    </concept>
+    <concept>
+     <code value="17"></code>
+     <display value="chromosome 17"></display>
+     <definition value="chromosome 17."></definition>
+    </concept>
+    <concept>
+     <code value="18"></code>
+     <display value="chromosome 18"></display>
+     <definition value="chromosome 18."></definition>
+    </concept>
+    <concept>
+     <code value="19"></code>
+     <display value="chromosome 19"></display>
+     <definition value="chromosome 19."></definition>
+    </concept>
+    <concept>
+     <code value="20"></code>
+     <display value="chromosome 20"></display>
+     <definition value="chromosome 20."></definition>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="chromosome 21"></display>
+     <definition value="chromosome 21."></definition>
+    </concept>
+    <concept>
+     <code value="22"></code>
+     <display value="chromosome 22"></display>
+     <definition value="chromosome 22."></definition>
+    </concept>
+    <concept>
+     <code value="X"></code>
+     <display value="chromosome X"></display>
+     <definition value="chromosome X."></definition>
+    </concept>
+    <concept>
+     <code value="Y"></code>
+     <display value="chromosome Y"></display>
+     <definition value="chromosome Y."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/copy-number-event"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="copy-number-event"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/copy-number-event"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1087"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CopyNumberEvent"></name>
+    <title value="CopyNumberEvent"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Copy Number Event."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/copy-number-event"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="amp"></code>
+     <display value="amplification"></display>
+     <definition value="amplification."></definition>
+    </concept>
+    <concept>
+     <code value="del"></code>
+     <display value="deletion"></display>
+     <definition value="deletion."></definition>
+    </concept>
+    <concept>
+     <code value="lof"></code>
+     <display value="loss of function"></display>
+     <definition value="loss of function."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/quality-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="quality-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cg"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/quality-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.229"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="qualityType"></name>
+    <title value="qualityType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type for quality report."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/quality-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="indel"></code>
+     <display value="INDEL Comparison"></display>
+     <definition value="INDEL Comparison."></definition>
+    </concept>
+    <concept>
+     <code value="snp"></code>
+     <display value="SNP Comparison"></display>
+     <definition value="SNP Comparison."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="UNKNOWN Comparison"></display>
+     <definition value="UNKNOWN Comparison."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/repository-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="repository-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cg"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/repository-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.231"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="repositoryType"></name>
+    <title value="repositoryType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type for access of external URI."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/repository-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="directlink"></code>
+     <display value="Click and see"></display>
+     <definition value="When URL is clicked, the resource can be seen directly (by webpage or by download link format)."></definition>
+    </concept>
+    <concept>
+     <code value="openapi"></code>
+     <display value="The URL is the RESTful or other kind of API that can access to the result."></display>
+     <definition value="When the API method (e.g. [base_url]/[parameter]) related with the URL of the website is executed, the resource can be seen directly (usually in JSON or XML format)."></definition>
+    </concept>
+    <concept>
+     <code value="login"></code>
+     <display value="Result cannot be access unless an account is logged in"></display>
+     <definition value="When logged into the website, the resource can be seen."></definition>
+    </concept>
+    <concept>
+     <code value="oauth"></code>
+     <display value="Result need to be fetched with API and need LOGIN( or cookies are required when visiting the link of resource)"></display>
+     <definition value="When logged in and  follow the API in the website related with URL, the resource can be seen."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Some other complicated or particular way to get resource from URL."></display>
+     <definition value="Some other complicated or particular way to get resource from URL."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/strand-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="strand-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cg"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/strand-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.986"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="strandType"></name>
+    <title value="strandType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type for strand."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/strand-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="watson"></code>
+     <display value="Watson strand of referenceSeq"></display>
+     <definition value="Watson strand of reference sequence."></definition>
+    </concept>
+    <concept>
+     <code value="crick"></code>
+     <display value="Crick strand of referenceSeq"></display>
+     <definition value="Crick strand of reference sequence."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/orientation-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="orientation-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cg"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/orientation-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.988"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="orientationType"></name>
+    <title value="orientationType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type for orientation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/orientation-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="sense"></code>
+     <display value="Sense orientation of referenceSeq"></display>
+     <definition value="Sense orientation of reference sequence."></definition>
+    </concept>
+    <concept>
+     <code value="antisense"></code>
+     <display value="Antisense orientation of referenceSeq"></display>
+     <definition value="Antisense orientation of reference sequence."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/diagnostic-report-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="diagnostic-report-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/diagnostic-report-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.236"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DiagnosticReportStatus"></name>
+    <title value="DiagnosticReportStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of the diagnostic report."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="registered"></code>
+     <display value="Registered"></display>
+     <definition value="The existence of the report is registered, but there is nothing yet available."></definition>
+    </concept>
+    <concept>
+     <code value="partial"></code>
+     <display value="Partial"></display>
+     <definition value="This is a partial (e.g. initial, interim or preliminary) report: data in the report may be incomplete or unverified."></definition>
+     <concept>
+      <code value="preliminary"></code>
+      <display value="Preliminary"></display>
+      <definition value="Verified early results are available, but not all  results are final."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="final"></code>
+     <display value="Final"></display>
+     <definition value="The report is complete and verified by an authorized person."></definition>
+    </concept>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="Subsequent to being final, the report has been modified.  This includes any change in the results, diagnosis, narrative text, or other content of a report that has been issued."></definition>
+     <concept>
+      <code value="corrected"></code>
+      <display value="Corrected"></display>
+      <definition value="Subsequent to being final, the report has been modified  to correct an error in the report or referenced results."></definition>
+     </concept>
+     <concept>
+      <code value="appended"></code>
+      <display value="Appended"></display>
+      <definition value="Subsequent to being final, the report has been modified by adding new content. The existing content is unchanged."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The report is unavailable because the measurement was not started or not completed (also sometimes called &quot;aborted&quot;)."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The report has been withdrawn following a previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/composition-attestation-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="composition-attestation-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/composition-attestation-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.239"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CompositionAttestationMode"></name>
+    <title value="CompositionAttestationMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The way in which a person authenticated a composition."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="personal"></code>
+     <display value="Personal"></display>
+     <definition value="The person authenticated the content in their personal capacity."></definition>
+    </concept>
+    <concept>
+     <code value="professional"></code>
+     <display value="Professional"></display>
+     <definition value="The person authenticated the content in their professional capacity."></definition>
+    </concept>
+    <concept>
+     <code value="legal"></code>
+     <display value="Legal"></display>
+     <definition value="The person authenticated the content and accepted legal responsibility for its content."></definition>
+    </concept>
+    <concept>
+     <code value="official"></code>
+     <display value="Official"></display>
+     <definition value="The organization authenticated the content as consistent with their policies and procedures."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/composition-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="composition-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/composition-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.242"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CompositionStatus"></name>
+    <title value="CompositionStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The workflow/clinical status of the composition."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/composition-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="preliminary"></code>
+     <display value="Preliminary"></display>
+     <definition value="This is a preliminary composition or document (also known as initial or interim). The content may be incomplete or unverified."></definition>
+    </concept>
+    <concept>
+     <code value="final"></code>
+     <display value="Final"></display>
+     <definition value="This version of the composition is complete and verified by an appropriate person and no further work is planned. Any subsequent updates would be on a new version of the composition."></definition>
+    </concept>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="The composition content or the referenced resources have been modified (edited or added to) subsequent to being released as &quot;final&quot; and the composition is complete and verified by an authorized person."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The composition or document was originally created/issued in error, and this is an amendment that marks that the entire series should not be considered as valid."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/document-relationship-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="document-relationship-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/document-relationship-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.245"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DocumentRelationshipType"></name>
+    <title value="DocumentRelationshipType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of relationship between documents."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="replaces"></code>
+     <display value="Replaces"></display>
+     <definition value="This document logically replaces or supersedes the target document."></definition>
+    </concept>
+    <concept>
+     <code value="transforms"></code>
+     <display value="Transforms"></display>
+     <definition value="This document was generated by transforming the target document (e.g. format or language conversion)."></definition>
+    </concept>
+    <concept>
+     <code value="signs"></code>
+     <display value="Signs"></display>
+     <definition value="This document is a signature of the target document."></definition>
+    </concept>
+    <concept>
+     <code value="appends"></code>
+     <display value="Appends"></display>
+     <definition value="This document adds additional information to the target document."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/encounter-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.247"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EncounterStatus"></name>
+    <title value="EncounterStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Current state of the encounter."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="planned"></code>
+     <display value="Planned"></display>
+     <definition value="The Encounter has not yet started."></definition>
+    </concept>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="The Encounter has begun and the patient is present / the practitioner and the patient are meeting."></definition>
+    </concept>
+    <concept>
+     <code value="onhold"></code>
+     <display value="On Hold"></display>
+     <definition value="The Encounter has begun, but is currently on hold, e.g. because the patient is temporarily on leave."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The Encounter has ended."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The Encounter has ended before it has begun."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This instance should not have been part of this patient's medical record."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The encounter status is unknown. Note that &quot;unknown&quot; is a value of last resort and every attempt should be made to provide a meaningful value other than &quot;unknown&quot;."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/encounter-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1088"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EncounterType"></name>
+    <title value="Encounter type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the type of encounter: a specific code indicating type of service provided."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ADMS"></code>
+     <display value="Annual diabetes mellitus screening"></display>
+    </concept>
+    <concept>
+     <code value="BD/BM-clin"></code>
+     <display value="Bone drilling/bone marrow punction in clinic"></display>
+    </concept>
+    <concept>
+     <code value="CCS60"></code>
+     <display value="Infant colon screening - 60 minutes"></display>
+    </concept>
+    <concept>
+     <code value="OKI"></code>
+     <display value="Outpatient Kenacort injection"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-participant-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-participant-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="pa"></valueCode>
@@ -912,17 +8816,388 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/participantrequired"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/participant-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.489"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1089"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ParticipantRequired"></name>
-    <title value="ParticipantRequired"></title>
+    <version value="4.2.0"></version>
+    <name value="ParticipantType"></name>
+    <title value="Participant type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to indicate how an individual participates in an encounter."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="translator"></code>
+     <display value="Translator"></display>
+     <definition value="A translator who is facilitating communication with the patient during the encounter."></definition>
+    </concept>
+    <concept>
+     <code value="emergency"></code>
+     <display value="Emergency"></display>
+     <definition value="A person to be contacted in case of an emergency during the encounter."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-special-arrangements"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-special-arrangements"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/encounter-special-arrangements"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1090"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SpecialArrangements"></name>
+    <title value="Special arrangements"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to indicate the kinds of special arrangements in place for a patients visit."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-special-arrangements"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="wheel"></code>
+     <display value="Wheelchair"></display>
+     <definition value="The patient requires a wheelchair to be made available for the encounter."></definition>
+    </concept>
+    <concept>
+     <code value="add-bed"></code>
+     <display value="Additional bedding"></display>
+     <definition value="An additional bed made available for a person accompanying the patient, for example a parent accompanying a child."></definition>
+    </concept>
+    <concept>
+     <code value="int"></code>
+     <display value="Interpreter"></display>
+     <definition value="The patient is not fluent in the local language and requires an interpreter to be available. Refer to the Patient.Language property for the type of interpreter required."></definition>
+    </concept>
+    <concept>
+     <code value="att"></code>
+     <display value="Attendant"></display>
+     <definition value="A person who accompanies a patient to provide assistive services necessary for the patient's care during the encounter."></definition>
+    </concept>
+    <concept>
+     <code value="dog"></code>
+     <display value="Guide dog"></display>
+     <definition value="The patient has a guide dog and the location used for the encounter should be able to support the presence of the service animal."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-diet"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-diet"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/diet"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1091"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Diet"></name>
+    <title value="Diet"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to indicate dietary preferences or restrictions a patient may have."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-diet"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="vegetarian"></code>
+     <display value="Vegetarian"></display>
+     <definition value="Food without meat, poultry or seafood."></definition>
+    </concept>
+    <concept>
+     <code value="dairy-free"></code>
+     <display value="Dairy Free"></display>
+     <definition value="Excludes dairy products."></definition>
+    </concept>
+    <concept>
+     <code value="nut-free"></code>
+     <display value="Nut Free"></display>
+     <definition value="Excludes ingredients containing nuts."></definition>
+    </concept>
+    <concept>
+     <code value="gluten-free"></code>
+     <display value="Gluten Free"></display>
+     <definition value="Excludes ingredients containing gluten."></definition>
+    </concept>
+    <concept>
+     <code value="vegan"></code>
+     <display value="Vegan"></display>
+     <definition value="Food without meat, poultry, seafood, eggs, dairy products and other animal-derived substances."></definition>
+    </concept>
+    <concept>
+     <code value="halal"></code>
+     <display value="Halal"></display>
+     <definition value="Foods that conform to Islamic law."></definition>
+    </concept>
+    <concept>
+     <code value="kosher"></code>
+     <display value="Kosher"></display>
+     <definition value="Foods that conform to Jewish dietary law."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-admit-source"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-admit-source"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/admit-source"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1092"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdmitSource"></name>
+    <title value="Admit source"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to indicate from where the patient came in."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-admit-source"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="hosp-trans"></code>
+     <display value="Transferred from other hospital"></display>
+     <definition value="The Patient has been transferred from another hospital for this encounter."></definition>
+    </concept>
+    <concept>
+     <code value="emd"></code>
+     <display value="From accident/emergency department"></display>
+     <definition value="The patient has been transferred from the emergency department within the hospital. This is typically used in the transition to an inpatient encounter"></definition>
+    </concept>
+    <concept>
+     <code value="outp"></code>
+     <display value="From outpatient department"></display>
+     <definition value="The patient has been transferred from an outpatient department within the hospital."></definition>
+    </concept>
+    <concept>
+     <code value="born"></code>
+     <display value="Born in hospital"></display>
+     <definition value="The patient is a newborn and the encounter will track the baby related activities (as opposed to the Mothers encounter - that may be associated using the newborn encounters partof property)"></definition>
+    </concept>
+    <concept>
+     <code value="gp"></code>
+     <display value="General Practitioner referral"></display>
+     <definition value="The patient has been admitted due to a referred from a General Practitioner."></definition>
+    </concept>
+    <concept>
+     <code value="mp"></code>
+     <display value="Medical Practitioner/physician referral"></display>
+     <definition value="The patient has been admitted due to a referred from a Specialist (as opposed to a General Practitioner)."></definition>
+    </concept>
+    <concept>
+     <code value="nursing"></code>
+     <display value="From nursing home"></display>
+     <definition value="The patient has been transferred from a nursing home."></definition>
+    </concept>
+    <concept>
+     <code value="psych"></code>
+     <display value="From psychiatric hospital"></display>
+     <definition value="The patient has been transferred from a psychiatric facility."></definition>
+    </concept>
+    <concept>
+     <code value="rehab"></code>
+     <display value="From rehabilitation facility"></display>
+     <definition value="The patient has been transferred from a rehabilitation facility or clinic."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="The patient has been admitted from a source otherwise not specified here."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-discharge-disposition"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-discharge-disposition"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/discharge-disposition"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1093"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DischargeDisposition"></name>
+    <title value="Discharge disposition"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to where the patient left the hospital."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="home"></code>
+     <display value="Home"></display>
+     <definition value="The patient was dicharged and has indicated that they are going to return home afterwards."></definition>
+    </concept>
+    <concept>
+     <code value="alt-home"></code>
+     <display value="Alternative home"></display>
+     <definition value="The patient was discharged and has indicated that they are going to return home afterwards, but not the patient's home - e.g. a family member's home."></definition>
+    </concept>
+    <concept>
+     <code value="other-hcf"></code>
+     <display value="Other healthcare facility"></display>
+     <definition value="The patient was transferred to another healthcare facility."></definition>
+    </concept>
+    <concept>
+     <code value="hosp"></code>
+     <display value="Hospice"></display>
+     <definition value="The patient has been discharged into palliative care."></definition>
+    </concept>
+    <concept>
+     <code value="long"></code>
+     <display value="Long-term care"></display>
+     <definition value="The patient has been discharged into long-term care where is likely to be monitored through an ongoing episode-of-care."></definition>
+    </concept>
+    <concept>
+     <code value="aadvice"></code>
+     <display value="Left against advice"></display>
+     <definition value="The patient self discharged against medical advice."></definition>
+    </concept>
+    <concept>
+     <code value="exp"></code>
+     <display value="Expired"></display>
+     <definition value="The patient has deceased during this encounter."></definition>
+    </concept>
+    <concept>
+     <code value="psy"></code>
+     <display value="Psychiatric hospital"></display>
+     <definition value="The patient has been transferred to a psychiatric facility."></definition>
+    </concept>
+    <concept>
+     <code value="rehab"></code>
+     <display value="Rehabilitation"></display>
+     <definition value="The patient was discharged and is to receive post acute care rehabilitation services."></definition>
+    </concept>
+    <concept>
+     <code value="snf"></code>
+     <display value="Skilled nursing facility"></display>
+     <definition value="The patient has been discharged to a skilled nursing facility for the patient to receive additional care."></definition>
+    </concept>
+    <concept>
+     <code value="oth"></code>
+     <display value="Other"></display>
+     <definition value="The discharge disposition has not otherwise defined."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-location-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-location-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/encounter-location-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.263"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EncounterLocationStatus"></name>
+    <title value="EncounterLocationStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -934,24 +9209,10379 @@
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Is the Participant required to attend the appointment."></description>
+    <description value="The status of the location."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/participantrequired"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-location-status"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="required"></code>
-     <display value="Required"></display>
-     <definition value="The participant is required to attend the appointment."></definition>
+     <code value="planned"></code>
+     <display value="Planned"></display>
+     <definition value="The patient is planned to be moved to this location at some point in the future."></definition>
     </concept>
     <concept>
-     <code value="optional"></code>
-     <display value="Optional"></display>
-     <definition value="The participant may optionally attend the appointment."></definition>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The patient is currently at this location, or was between the period specified.

A system may update these records when the patient leaves the location to either reserved, or completed."></definition>
     </concept>
     <concept>
-     <code value="information-only"></code>
-     <display value="Information Only"></display>
-     <definition value="The participant is excluded from the appointment, and might not be informed of the appointment taking place. (Appointment is about them, not for them - such as 2 doctors discussing results about a patient's test)."></definition>
+     <code value="reserved"></code>
+     <display value="Reserved"></display>
+     <definition value="This location is held empty for this patient."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The patient was at this location during the period specified.

Not to be used when the patient is currently at the location."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-subject-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="encounter-subject-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/encounter-subject-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1420"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EncounterSubjectStatus"></name>
+    <title value="Encounter subject status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the status of the subject within the encounter"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-subject-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="arrived"></code>
+     <display value="Arrived"></display>
+    </concept>
+    <concept>
+     <code value="triaged"></code>
+     <display value="Triaged"></display>
+    </concept>
+    <concept>
+     <code value="on-leave"></code>
+     <display value="On Leave"></display>
+    </concept>
+    <concept>
+     <code value="departed"></code>
+     <display value="Departed"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/history-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="history-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/history-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.268"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FamilyHistoryStatus"></name>
+    <title value="FamilyHistoryStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that identifies the status of the family history record."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/history-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="partial"></code>
+     <display value="Partial"></display>
+     <definition value="Some health information is known and captured, but not complete - see notes for details."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="All available related health information is captured as of the date (and possibly time) when the family member history was taken."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This instance should not have been part of this patient's medical record."></definition>
+    </concept>
+    <concept>
+     <code value="health-unknown"></code>
+     <display value="Health Unknown"></display>
+     <definition value="Health information for this family member is unavailable/unknown."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/history-absent-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="history-absent-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/history-absent-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1094"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FamilyHistoryAbsentReason"></name>
+    <title value="FamilyHistoryAbsentReason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes describing the reason why a family member's history is not available."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/history-absent-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="subject-unknown"></code>
+     <display value="Subject Unknown"></display>
+     <definition value="Patient does not know the subject, e.g. the biological parent of an adopted patient."></definition>
+    </concept>
+    <concept>
+     <code value="withheld"></code>
+     <display value="Information Withheld"></display>
+     <definition value="The patient withheld or refused to share the information."></definition>
+    </concept>
+    <concept>
+     <code value="unable-to-obtain"></code>
+     <display value="Unable To Obtain"></display>
+     <definition value="Information cannot be obtained; e.g. unconscious patient."></definition>
+    </concept>
+    <concept>
+     <code value="deferred"></code>
+     <display value="Deferred"></display>
+     <definition value="Patient does not have the information now, but can provide the information at a later date."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="goal-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/goal-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.272"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GoalLifecycleStatus"></name>
+    <title value="GoalLifecycleStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes that reflect the current state of a goal and whether the goal is still being targeted."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="proposed"></code>
+     <display value="Proposed"></display>
+     <definition value="A goal is proposed for this patient."></definition>
+    </concept>
+    <concept>
+     <code value="planned"></code>
+     <display value="Planned"></display>
+     <definition value="A goal is planned for this patient."></definition>
+    </concept>
+    <concept>
+     <code value="accepted"></code>
+     <display value="Accepted"></display>
+     <definition value="A proposed goal was accepted or acknowledged."></definition>
+     <concept>
+      <code value="active"></code>
+      <display value="Active"></display>
+      <definition value="The goal is being sought actively."></definition>
+     </concept>
+     <concept>
+      <code value="on-hold"></code>
+      <display value="On Hold"></display>
+      <definition value="The goal remains a long term objective but is no longer being actively pursued for a temporary period of time."></definition>
+     </concept>
+     <concept>
+      <code value="completed"></code>
+      <display value="Completed"></display>
+      <definition value="The goal is no longer being sought."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The goal has been abandoned."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The goal was entered in error and voided."></definition>
+    </concept>
+    <concept>
+     <code value="rejected"></code>
+     <display value="Rejected"></display>
+     <definition value="A proposed goal was rejected."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-priority"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="goal-priority"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/goal-priority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1096"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GoalPriority"></name>
+    <title value="Goal priority"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the level of importance associated with reaching or sustaining a goal."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="high-priority"></code>
+     <display value="High Priority"></display>
+     <definition value="Indicates that the goal is of considerable importance and should be a primary focus of care delivery."></definition>
+    </concept>
+    <concept>
+     <code value="medium-priority"></code>
+     <display value="Medium Priority"></display>
+     <definition value="Indicates that the goal has a reasonable degree of importance and that concrete action should be taken towards the goal.  Attainment is not as critical as high-priority goals."></definition>
+    </concept>
+    <concept>
+     <code value="low-priority"></code>
+     <display value="Low Priority"></display>
+     <definition value="The goal is desirable but is not sufficiently important to devote significant resources to.  Achievement of the goal may be sought when incidental to achieving other goals."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="goal-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/goal-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1097"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GoalCategory"></name>
+    <title value="Goal category"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
+     </telecom>
+    </contact>
+    <description value="Example codes for grouping goals to use for filtering or presentation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="dietary"></code>
+     <display value="Dietary"></display>
+     <definition value="Goals related to the consumption of food and/or beverages."></definition>
+    </concept>
+    <concept>
+     <code value="safety"></code>
+     <display value="Safety"></display>
+     <definition value="Goals related to the personal protection of the subject."></definition>
+    </concept>
+    <concept>
+     <code value="behavioral"></code>
+     <display value="Behavioral"></display>
+     <definition value="Goals related to the manner in which the subject acts."></definition>
+    </concept>
+    <concept>
+     <code value="nursing"></code>
+     <display value="Nursing"></display>
+     <definition value="Goals related to the practice of nursing or established by nurses."></definition>
+    </concept>
+    <concept>
+     <code value="physiotherapy"></code>
+     <display value="Physiotherapy"></display>
+     <definition value="Goals related to the mobility and/or motor capability of the subject."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-status-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="goal-status-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/goal-status-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.278"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GoalStatusReason"></name>
+    <title value="Goal status reason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
+     </telecom>
+    </contact>
+    <description value="Example codes indicating the reason for a current status.  Note that these are in no way complete and might not even be appropriate for some uses."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-status-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="surgery"></code>
+     <display value="Surgery"></display>
+     <definition value="Goal suspended or ended because of a surgical procedure."></definition>
+    </concept>
+    <concept>
+     <code value="life-event"></code>
+     <display value="Life Event"></display>
+     <definition value="Goal suspended or ended because of a significant life event (marital change, bereavement, etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="replaced"></code>
+     <display value="Replaced"></display>
+     <definition value="Goal has been superseded by a new goal."></definition>
+    </concept>
+    <concept>
+     <code value="patient-request"></code>
+     <display value="Patient Request"></display>
+     <definition value="Patient wishes the goal to be set aside, at least temporarily."></definition>
+    </concept>
+    <concept>
+     <code value="temp-not-attainable"></code>
+     <display value="Goal Not Attainable Temporarily"></display>
+     <definition value="Goal cannot be reached temporarily."></definition>
+    </concept>
+    <concept>
+     <code value="permanent-not-attainable"></code>
+     <display value="Goal Not Attainable Permanently"></display>
+     <definition value="Goal cannot be reached permanently."></definition>
+    </concept>
+    <concept>
+     <code value="financial-barrier"></code>
+     <display value="Financial Reason"></display>
+     <definition value="Goal cannot be reached due to financial barrier or reason."></definition>
+    </concept>
+    <concept>
+     <code value="lack-of-transportation"></code>
+     <display value="Lack Of Transportation"></display>
+     <definition value="Goal cannot be reached due to a lack of transportation."></definition>
+    </concept>
+    <concept>
+     <code value="lack-of-social-support"></code>
+     <display value="Lack Of Social Support"></display>
+     <definition value="Goal cannot be reached due to a lack of social support."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-achievement"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="goal-achievement"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/goal-achievement"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1375"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GoalAchievementStatus"></name>
+    <title value="Goal achievement status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the progression, or lack thereof, towards the goal against the target."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-achievement"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="The goal is being sought but has not yet been reached. (Also applies if the goal was reached in the past but there has been regression and the goal is again being sought)."></definition>
+     <concept>
+      <code value="improving"></code>
+      <display value="Improving"></display>
+      <definition value="The goal is being sought, and is progressing."></definition>
+     </concept>
+     <concept>
+      <code value="worsening"></code>
+      <display value="Worsening"></display>
+      <definition value="The goal is being sought, but is regressing."></definition>
+     </concept>
+     <concept>
+      <code value="no-change"></code>
+      <display value="No Change"></display>
+      <definition value="The goal is being sought, but the trend is flat."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="achieved"></code>
+     <display value="Achieved"></display>
+     <definition value="The goal has been met."></definition>
+     <concept>
+      <code value="sustaining"></code>
+      <display value="Sustaining"></display>
+      <definition value="The goal has been met, but ongoing activity is needed to sustain the goal objective."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="not-achieved"></code>
+     <display value="Not Achieved"></display>
+     <definition value="The goal has not been met and there might or might not have been progress towards target."></definition>
+     <concept>
+      <code value="no-progress"></code>
+      <display value="No Progress"></display>
+      <definition value="The goal has not been met and little to no progress towards target."></definition>
+     </concept>
+     <concept>
+      <code value="not-attainable"></code>
+      <display value="Not Attainable"></display>
+      <definition value="The goal is not possible to be met."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/graph-compartment-rule"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="graph-compartment-rule"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/graph-compartment-rule"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.281"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GraphCompartmentRule"></name>
+    <title value="GraphCompartmentRule"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a compartment must be linked."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-rule"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="identical"></code>
+     <display value="Identical"></display>
+     <definition value="The compartment must be identical (the same literal reference)."></definition>
+    </concept>
+    <concept>
+     <code value="matching"></code>
+     <display value="Matching"></display>
+     <definition value="The compartment must be the same - the record must be about the same patient, but the reference may be different."></definition>
+    </concept>
+    <concept>
+     <code value="different"></code>
+     <display value="Different"></display>
+     <definition value="The compartment must be different."></definition>
+    </concept>
+    <concept>
+     <code value="custom"></code>
+     <display value="Custom"></display>
+     <definition value="The compartment rule is defined in the accompanying FHIRPath expression."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/graph-compartment-use"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="graph-compartment-use"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/graph-compartment-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.283"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GraphCompartmentUse"></name>
+    <title value="GraphCompartmentUse"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines how a compartment rule is used."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="condition"></code>
+     <display value="Condition"></display>
+     <definition value="This compartment rule is a condition for whether the rule applies."></definition>
+    </concept>
+    <concept>
+     <code value="requirement"></code>
+     <display value="Requirement"></display>
+     <definition value="This compartment rule is enforced on any relationships that meet the conditions."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/group-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="group-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/group-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.285"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GroupType"></name>
+    <title value="GroupType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Types of resources that are part of group."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/group-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="person"></code>
+     <display value="Person"></display>
+     <definition value="Group contains &quot;person&quot; Patient resources."></definition>
+    </concept>
+    <concept>
+     <code value="animal"></code>
+     <display value="Animal"></display>
+     <definition value="Group contains &quot;animal&quot; Patient resources."></definition>
+    </concept>
+    <concept>
+     <code value="practitioner"></code>
+     <display value="Practitioner"></display>
+     <definition value="Group contains healthcare practitioner resources (Practitioner or PractitionerRole)."></definition>
+    </concept>
+    <concept>
+     <code value="device"></code>
+     <display value="Device"></display>
+     <definition value="Group contains Device resources."></definition>
+    </concept>
+    <concept>
+     <code value="medication"></code>
+     <display value="Medication"></display>
+     <definition value="Group contains Medication resources."></definition>
+    </concept>
+    <concept>
+     <code value="substance"></code>
+     <display value="Substance"></display>
+     <definition value="Group contains Substance resources."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/imagingstudy-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="imagingstudy-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="ii"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/imagingstudy-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.991"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImagingStudyStatus"></name>
+    <title value="ImagingStudyStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of the ImagingStudy."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="registered"></code>
+     <display value="Registered"></display>
+     <definition value="The existence of the imaging study is registered, but there is nothing yet available."></definition>
+    </concept>
+    <concept>
+     <code value="available"></code>
+     <display value="Available"></display>
+     <definition value="At least one instance has been associated with this imaging study."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The imaging study is unavailable because the imaging study was not started or not completed (also sometimes called &quot;aborted&quot;)."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The imaging study has been withdrawn following a previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The system does not know which of the status values currently applies for this request. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-subpotent-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-subpotent-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-subpotent-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1098"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationSubpotentReason"></name>
+    <title value="Immunization Subpotent Reason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why a dose is considered to be subpotent. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="partialdose"></code>
+     <display value="Partial Dose"></display>
+     <definition value="The full volume of the dose was not administered to the patient."></definition>
+    </concept>
+    <concept>
+     <code value="coldchainbreak"></code>
+     <display value="Cold Chain Break"></display>
+     <definition value="The vaccine experienced a cold chain break."></definition>
+    </concept>
+    <concept>
+     <code value="recall"></code>
+     <display value="Manufacturer Recall"></display>
+     <definition value="The vaccine was recalled by the manufacturer."></definition>
+    </concept>
+    <concept>
+     <code value="adversestorage"></code>
+     <display value="Adverse Storage"></display>
+     <definition value="The vaccine experienced adverse storage conditions."></definition>
+    </concept>
+    <concept>
+     <code value="expired"></code>
+     <display value="Expired Product"></display>
+     <definition value="The vaccine was expired at the time of administration."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-program-eligibility"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-program-eligibility"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-program-eligibility"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1099"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationProgramEligibility"></name>
+    <title value="Immunization Program Eligibility"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the patient's eligibility for a vaccination program. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-program-eligibility"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ineligible"></code>
+     <display value="Not Eligible"></display>
+     <definition value="The patient is not eligible for the funding program."></definition>
+    </concept>
+    <concept>
+     <code value="uninsured"></code>
+     <display value="Uninsured"></display>
+     <definition value="The patient is eligible for the funding program because they are uninsured."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-funding-source"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-funding-source"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-funding-source"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1100"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationFundingSource"></name>
+    <title value="Immunization Funding Source"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the source of the vaccine administered. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-funding-source"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="private"></code>
+     <display value="Private"></display>
+     <definition value="The vaccine was purchased with private funds."></definition>
+    </concept>
+    <concept>
+     <code value="public"></code>
+     <display value="Public"></display>
+     <definition value="The vaccine was purchased with public funds."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-origin"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-origin"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-origin"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1101"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationOriginCodes"></name>
+    <title value="Immunization Origin Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the source of the data when the report of the immunization event is not based on information from the person, entity or organization who administered the vaccine. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="provider"></code>
+     <display value="Other Provider"></display>
+     <definition value="The data for the immunization event originated with another provider."></definition>
+    </concept>
+    <concept>
+     <code value="record"></code>
+     <display value="Written Record"></display>
+     <definition value="The data for the immunization event originated with a written record for the patient."></definition>
+    </concept>
+    <concept>
+     <code value="recall"></code>
+     <display value="Parent/Guardian/Patient Recall"></display>
+     <definition value="The data for the immunization event originated from the recollection of the patient or parent/guardian of the patient."></definition>
+    </concept>
+    <concept>
+     <code value="school"></code>
+     <display value="School Record"></display>
+     <definition value="The data for the immunization event originated with a school record for the patient."></definition>
+    </concept>
+    <concept>
+     <code value="jurisdiction"></code>
+     <display value="Jurisdictional IIS"></display>
+     <definition value="The data for the immunization event originated with an immunization information system (IIS) or registry operating within the jurisdiction."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-evaluation-dose-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-evaluation-dose-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1102"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationEvaluationDoseStatusCodes"></name>
+    <title value="Immunization Evaluation Dose Status codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the validity of a dose relative to a particular recommended schedule. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="valid"></code>
+     <display value="Valid"></display>
+     <definition value="The dose counts toward fulfilling a path to immunity for a patient, providing protection against the target disease."></definition>
+    </concept>
+    <concept>
+     <code value="notvalid"></code>
+     <display value="Not valid"></display>
+     <definition value="The dose does not count toward fulfilling a path to immunity for a patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-evaluation-dose-status-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-evaluation-dose-status-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1103"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationEvaluationDoseStatusReasonCodes"></name>
+    <title value="Immunization Evaluation Dose Status Reason codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why an administered dose has been assigned a particular status. Often, this reason describes why a dose is considered invalid. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="partialdose"></code>
+     <display value="Partial Dose"></display>
+     <definition value="The full volume of the dose was not administered to the patient."></definition>
+    </concept>
+    <concept>
+     <code value="coldchainbreak"></code>
+     <display value="Cold Chain Break"></display>
+     <definition value="The vaccine experienced a cold chain break."></definition>
+    </concept>
+    <concept>
+     <code value="recall"></code>
+     <display value="Manufacturer Recall"></display>
+     <definition value="The vaccine was recalled by the manufacturer."></definition>
+    </concept>
+    <concept>
+     <code value="adversestorage"></code>
+     <display value="Adverse Storage"></display>
+     <definition value="The vaccine experienced adverse storage conditions."></definition>
+    </concept>
+    <concept>
+     <code value="expired"></code>
+     <display value="Expired Product"></display>
+     <definition value="The vaccine was expired at the time of administration."></definition>
+    </concept>
+    <concept>
+     <code value="outsideschedule"></code>
+     <display value="Outside Schedule"></display>
+     <definition value="The vaccine was administered in a manner that is inconsistent with the evaluated schedule."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-recommendation-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="immunization-recommendation-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pher"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/immunization-recommendation-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1104"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ImmunizationRecommendationStatusCodes"></name>
+    <title value="Immunization Recommendation Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the status of the patient towards perceived immunity against a vaccine preventable disease. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="due"></code>
+     <display value="Due"></display>
+     <definition value="The patient is due for their next vaccination."></definition>
+    </concept>
+    <concept>
+     <code value="overdue"></code>
+     <display value="Overdue"></display>
+     <definition value="The patient is considered overdue for their next vaccination."></definition>
+    </concept>
+    <concept>
+     <code value="immune"></code>
+     <display value="Immune"></display>
+     <definition value="The patient is immune to the target disease and further immunization against the disease is not likely to provide benefit."></definition>
+    </concept>
+    <concept>
+     <code value="contraindicated"></code>
+     <display value="Contraindicated"></display>
+     <definition value="The patient is contraindicated for futher doses."></definition>
+    </concept>
+    <concept>
+     <code value="complete"></code>
+     <display value="Complete"></display>
+     <definition value="The patient is fully protected and no further doses are recommended."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/guide-parameter-code"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="guide-parameter-code"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/guide-parameter-code"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1421"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GuideParameterCode"></name>
+    <title value="GuideParameterCode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Code of parameter that is input to the guide."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/guide-parameter-code"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="apply"></code>
+     <display value="Apply Metadata Value"></display>
+     <definition value="If the value of this string 0..* parameter is one of the metadata fields then all conformance resources will have any specified [Resource].[field] overwritten with the ImplementationGuide.[field], where field is one of: version, date, status, publisher, contact, copyright, experimental, jurisdiction, useContext."></definition>
+    </concept>
+    <concept>
+     <code value="path-resource"></code>
+     <display value="Resource Path"></display>
+     <definition value="The value of this string 0..* parameter is a subfolder of the build context's location that is to be scanned to load resources. Scope is (if present) a particular resource type."></definition>
+    </concept>
+    <concept>
+     <code value="path-pages"></code>
+     <display value="Pages Path"></display>
+     <definition value="The value of this string 0..1 parameter is a subfolder of the build context's location that contains files that are part of the html content processed by the builder."></definition>
+    </concept>
+    <concept>
+     <code value="path-tx-cache"></code>
+     <display value="Terminology Cache Path"></display>
+     <definition value="The value of this string 0..1 parameter is a subfolder of the build context's location that is used as the terminology cache. If this is not present, the terminology cache is on the local system, not under version control."></definition>
+    </concept>
+    <concept>
+     <code value="expansion-parameter"></code>
+     <display value="Expansion Profile"></display>
+     <definition value="The value of this string 0..* parameter is a parameter (name=value) when expanding value sets for this implementation guide. This is particularly used to specify the versions of published terminologies such as SNOMED CT."></definition>
+    </concept>
+    <concept>
+     <code value="rule-broken-links"></code>
+     <display value="Broken Links Rule"></display>
+     <definition value="The value of this string 0..1 parameter is either &quot;warning&quot; or &quot;error&quot; (default = &quot;error&quot;). If the value is &quot;warning&quot; then IG build tools allow the IG to be considered successfully build even when there is no internal broken links."></definition>
+    </concept>
+    <concept>
+     <code value="generate-xml"></code>
+     <display value="Generate XML"></display>
+     <definition value="The value of this boolean 0..1 parameter specifies whether the IG publisher creates examples in XML format. If not present, the Publication Tool decides whether to generate XML."></definition>
+    </concept>
+    <concept>
+     <code value="generate-json"></code>
+     <display value="Generate JSON"></display>
+     <definition value="The value of this boolean 0..1 parameter specifies whether the IG publisher creates examples in JSON format. If not present, the Publication Tool decides whether to generate JSON."></definition>
+    </concept>
+    <concept>
+     <code value="generate-turtle"></code>
+     <display value="Generate Turtle"></display>
+     <definition value="The value of this boolean 0..1 parameter specifies whether the IG publisher creates examples in Turtle format. If not present, the Publication Tool decides whether to generate Turtle."></definition>
+    </concept>
+    <concept>
+     <code value="html-template"></code>
+     <display value="HTML Template"></display>
+     <definition value="The value of this string singleton parameter is the name of the file to use as the builder template for each generated page (see templating)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/guide-page-generation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="guide-page-generation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/guide-page-generation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.999"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GuidePageGeneration"></name>
+    <title value="GuidePageGeneration"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that indicates how the page is generated."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="html"></code>
+     <display value="HTML"></display>
+     <definition value="Page is proper xhtml with no templating.  Will be brought across unchanged for standard post-processing."></definition>
+    </concept>
+    <concept>
+     <code value="markdown"></code>
+     <display value="Markdown"></display>
+     <definition value="Page is markdown with templating.  Will use the template to create a file that imports the markdown file prior to post-processing."></definition>
+    </concept>
+    <concept>
+     <code value="xml"></code>
+     <display value="XML"></display>
+     <definition value="Page is xml with templating.  Will use the template to create a file that imports the source file and run the nominated XSLT transform (see parameters) if present prior to post-processing."></definition>
+    </concept>
+    <concept>
+     <code value="generated"></code>
+     <display value="Generated"></display>
+     <definition value="Page will be generated by the publication process - no source to bring across."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/spdx-license"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="spdx-license"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/spdx-license"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1027"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SPDXLicense"></name>
+    <title value="SPDXLicense"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-open-source"></code>
+     <display value="Not open source"></display>
+     <definition value="Not an open source license."></definition>
+    </concept>
+    <concept>
+     <code value="0BSD"></code>
+     <display value="BSD Zero Clause License"></display>
+     <definition value="BSD Zero Clause License."></definition>
+    </concept>
+    <concept>
+     <code value="AAL"></code>
+     <display value="Attribution Assurance License"></display>
+     <definition value="Attribution Assurance License."></definition>
+    </concept>
+    <concept>
+     <code value="Abstyles"></code>
+     <display value="Abstyles License"></display>
+     <definition value="Abstyles License."></definition>
+    </concept>
+    <concept>
+     <code value="Adobe-2006"></code>
+     <display value="Adobe Systems Incorporated Source Code License Agreement"></display>
+     <definition value="Adobe Systems Incorporated Source Code License Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="Adobe-Glyph"></code>
+     <display value="Adobe Glyph List License"></display>
+     <definition value="Adobe Glyph List License."></definition>
+    </concept>
+    <concept>
+     <code value="ADSL"></code>
+     <display value="Amazon Digital Services License"></display>
+     <definition value="Amazon Digital Services License."></definition>
+    </concept>
+    <concept>
+     <code value="AFL-1.1"></code>
+     <display value="Academic Free License v1.1"></display>
+     <definition value="Academic Free License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="AFL-1.2"></code>
+     <display value="Academic Free License v1.2"></display>
+     <definition value="Academic Free License v1.2."></definition>
+    </concept>
+    <concept>
+     <code value="AFL-2.0"></code>
+     <display value="Academic Free License v2.0"></display>
+     <definition value="Academic Free License v2.0."></definition>
+    </concept>
+    <concept>
+     <code value="AFL-2.1"></code>
+     <display value="Academic Free License v2.1"></display>
+     <definition value="Academic Free License v2.1."></definition>
+    </concept>
+    <concept>
+     <code value="AFL-3.0"></code>
+     <display value="Academic Free License v3.0"></display>
+     <definition value="Academic Free License v3.0."></definition>
+    </concept>
+    <concept>
+     <code value="Afmparse"></code>
+     <display value="Afmparse License"></display>
+     <definition value="Afmparse License."></definition>
+    </concept>
+    <concept>
+     <code value="AGPL-1.0-only"></code>
+     <display value="Affero General Public License v1.0 only"></display>
+     <definition value="Affero General Public License v1.0 only."></definition>
+    </concept>
+    <concept>
+     <code value="AGPL-1.0-or-later"></code>
+     <display value="Affero General Public License v1.0 or later"></display>
+     <definition value="Affero General Public License v1.0 or later."></definition>
+    </concept>
+    <concept>
+     <code value="AGPL-3.0-only"></code>
+     <display value="GNU Affero General Public License v3.0 only"></display>
+     <definition value="GNU Affero General Public License v3.0 only."></definition>
+    </concept>
+    <concept>
+     <code value="AGPL-3.0-or-later"></code>
+     <display value="GNU Affero General Public License v3.0 or later"></display>
+     <definition value="GNU Affero General Public License v3.0 or later."></definition>
+    </concept>
+    <concept>
+     <code value="Aladdin"></code>
+     <display value="Aladdin Free Public License"></display>
+     <definition value="Aladdin Free Public License."></definition>
+    </concept>
+    <concept>
+     <code value="AMDPLPA"></code>
+     <display value="AMD's plpa_map.c License"></display>
+     <definition value="AMD's plpa_map.c License."></definition>
+    </concept>
+    <concept>
+     <code value="AML"></code>
+     <display value="Apple MIT License"></display>
+     <definition value="Apple MIT License."></definition>
+    </concept>
+    <concept>
+     <code value="AMPAS"></code>
+     <display value="Academy of Motion Picture Arts and Sciences BSD"></display>
+     <definition value="Academy of Motion Picture Arts and Sciences BSD."></definition>
+    </concept>
+    <concept>
+     <code value="ANTLR-PD"></code>
+     <display value="ANTLR Software Rights Notice"></display>
+     <definition value="ANTLR Software Rights Notice."></definition>
+    </concept>
+    <concept>
+     <code value="Apache-1.0"></code>
+     <display value="Apache License 1.0"></display>
+     <definition value="Apache License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Apache-1.1"></code>
+     <display value="Apache License 1.1"></display>
+     <definition value="Apache License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="Apache-2.0"></code>
+     <display value="Apache License 2.0"></display>
+     <definition value="Apache License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="APAFML"></code>
+     <display value="Adobe Postscript AFM License"></display>
+     <definition value="Adobe Postscript AFM License."></definition>
+    </concept>
+    <concept>
+     <code value="APL-1.0"></code>
+     <display value="Adaptive Public License 1.0"></display>
+     <definition value="Adaptive Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="APSL-1.0"></code>
+     <display value="Apple Public Source License 1.0"></display>
+     <definition value="Apple Public Source License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="APSL-1.1"></code>
+     <display value="Apple Public Source License 1.1"></display>
+     <definition value="Apple Public Source License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="APSL-1.2"></code>
+     <display value="Apple Public Source License 1.2"></display>
+     <definition value="Apple Public Source License 1.2."></definition>
+    </concept>
+    <concept>
+     <code value="APSL-2.0"></code>
+     <display value="Apple Public Source License 2.0"></display>
+     <definition value="Apple Public Source License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="Artistic-1.0-cl8"></code>
+     <display value="Artistic License 1.0 w/clause 8"></display>
+     <definition value="Artistic License 1.0 w/clause 8."></definition>
+    </concept>
+    <concept>
+     <code value="Artistic-1.0-Perl"></code>
+     <display value="Artistic License 1.0 (Perl)"></display>
+     <definition value="Artistic License 1.0 (Perl)."></definition>
+    </concept>
+    <concept>
+     <code value="Artistic-1.0"></code>
+     <display value="Artistic License 1.0"></display>
+     <definition value="Artistic License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Artistic-2.0"></code>
+     <display value="Artistic License 2.0"></display>
+     <definition value="Artistic License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="Bahyph"></code>
+     <display value="Bahyph License"></display>
+     <definition value="Bahyph License."></definition>
+    </concept>
+    <concept>
+     <code value="Barr"></code>
+     <display value="Barr License"></display>
+     <definition value="Barr License."></definition>
+    </concept>
+    <concept>
+     <code value="Beerware"></code>
+     <display value="Beerware License"></display>
+     <definition value="Beerware License."></definition>
+    </concept>
+    <concept>
+     <code value="BitTorrent-1.0"></code>
+     <display value="BitTorrent Open Source License v1.0"></display>
+     <definition value="BitTorrent Open Source License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="BitTorrent-1.1"></code>
+     <display value="BitTorrent Open Source License v1.1"></display>
+     <definition value="BitTorrent Open Source License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="Borceux"></code>
+     <display value="Borceux license"></display>
+     <definition value="Borceux license."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-1-Clause"></code>
+     <display value="BSD 1-Clause License"></display>
+     <definition value="BSD 1-Clause License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-2-Clause-FreeBSD"></code>
+     <display value="BSD 2-Clause FreeBSD License"></display>
+     <definition value="BSD 2-Clause FreeBSD License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-2-Clause-NetBSD"></code>
+     <display value="BSD 2-Clause NetBSD License"></display>
+     <definition value="BSD 2-Clause NetBSD License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-2-Clause-Patent"></code>
+     <display value="BSD-2-Clause Plus Patent License"></display>
+     <definition value="BSD-2-Clause Plus Patent License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-2-Clause"></code>
+     <display value="BSD 2-Clause &quot;Simplified&quot; License"></display>
+     <definition value="BSD 2-Clause &quot;Simplified&quot; License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause-Attribution"></code>
+     <display value="BSD with attribution"></display>
+     <definition value="BSD with attribution."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause-Clear"></code>
+     <display value="BSD 3-Clause Clear License"></display>
+     <definition value="BSD 3-Clause Clear License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause-LBNL"></code>
+     <display value="Lawrence Berkeley National Labs BSD variant license"></display>
+     <definition value="Lawrence Berkeley National Labs BSD variant license."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause-No-Nuclear-License-2014"></code>
+     <display value="BSD 3-Clause No Nuclear License 2014"></display>
+     <definition value="BSD 3-Clause No Nuclear License 2014."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause-No-Nuclear-License"></code>
+     <display value="BSD 3-Clause No Nuclear License"></display>
+     <definition value="BSD 3-Clause No Nuclear License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause-No-Nuclear-Warranty"></code>
+     <display value="BSD 3-Clause No Nuclear Warranty"></display>
+     <definition value="BSD 3-Clause No Nuclear Warranty."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-3-Clause"></code>
+     <display value="BSD 3-Clause &quot;New&quot; or &quot;Revised&quot; License"></display>
+     <definition value="BSD 3-Clause &quot;New&quot; or &quot;Revised&quot; License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-4-Clause-UC"></code>
+     <display value="BSD-4-Clause (University of California-Specific)"></display>
+     <definition value="BSD-4-Clause (University of California-Specific)."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-4-Clause"></code>
+     <display value="BSD 4-Clause &quot;Original&quot; or &quot;Old&quot; License"></display>
+     <definition value="BSD 4-Clause &quot;Original&quot; or &quot;Old&quot; License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-Protection"></code>
+     <display value="BSD Protection License"></display>
+     <definition value="BSD Protection License."></definition>
+    </concept>
+    <concept>
+     <code value="BSD-Source-Code"></code>
+     <display value="BSD Source Code Attribution"></display>
+     <definition value="BSD Source Code Attribution."></definition>
+    </concept>
+    <concept>
+     <code value="BSL-1.0"></code>
+     <display value="Boost Software License 1.0"></display>
+     <definition value="Boost Software License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="bzip2-1.0.5"></code>
+     <display value="bzip2 and libbzip2 License v1.0.5"></display>
+     <definition value="bzip2 and libbzip2 License v1.0.5."></definition>
+    </concept>
+    <concept>
+     <code value="bzip2-1.0.6"></code>
+     <display value="bzip2 and libbzip2 License v1.0.6"></display>
+     <definition value="bzip2 and libbzip2 License v1.0.6."></definition>
+    </concept>
+    <concept>
+     <code value="Caldera"></code>
+     <display value="Caldera License"></display>
+     <definition value="Caldera License."></definition>
+    </concept>
+    <concept>
+     <code value="CATOSL-1.1"></code>
+     <display value="Computer Associates Trusted Open Source License 1.1"></display>
+     <definition value="Computer Associates Trusted Open Source License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-1.0"></code>
+     <display value="Creative Commons Attribution 1.0 Generic"></display>
+     <definition value="Creative Commons Attribution 1.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-2.0"></code>
+     <display value="Creative Commons Attribution 2.0 Generic"></display>
+     <definition value="Creative Commons Attribution 2.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-2.5"></code>
+     <display value="Creative Commons Attribution 2.5 Generic"></display>
+     <definition value="Creative Commons Attribution 2.5 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-3.0"></code>
+     <display value="Creative Commons Attribution 3.0 Unported"></display>
+     <definition value="Creative Commons Attribution 3.0 Unported."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-4.0"></code>
+     <display value="Creative Commons Attribution 4.0 International"></display>
+     <definition value="Creative Commons Attribution 4.0 International."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-1.0"></code>
+     <display value="Creative Commons Attribution Non Commercial 1.0 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial 1.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-2.0"></code>
+     <display value="Creative Commons Attribution Non Commercial 2.0 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial 2.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-2.5"></code>
+     <display value="Creative Commons Attribution Non Commercial 2.5 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial 2.5 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-3.0"></code>
+     <display value="Creative Commons Attribution Non Commercial 3.0 Unported"></display>
+     <definition value="Creative Commons Attribution Non Commercial 3.0 Unported."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-4.0"></code>
+     <display value="Creative Commons Attribution Non Commercial 4.0 International"></display>
+     <definition value="Creative Commons Attribution Non Commercial 4.0 International."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-ND-1.0"></code>
+     <display value="Creative Commons Attribution Non Commercial No Derivatives 1.0 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial No Derivatives 1.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-ND-2.0"></code>
+     <display value="Creative Commons Attribution Non Commercial No Derivatives 2.0 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial No Derivatives 2.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-ND-2.5"></code>
+     <display value="Creative Commons Attribution Non Commercial No Derivatives 2.5 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial No Derivatives 2.5 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-ND-3.0"></code>
+     <display value="Creative Commons Attribution Non Commercial No Derivatives 3.0 Unported"></display>
+     <definition value="Creative Commons Attribution Non Commercial No Derivatives 3.0 Unported."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-ND-4.0"></code>
+     <display value="Creative Commons Attribution Non Commercial No Derivatives 4.0 International"></display>
+     <definition value="Creative Commons Attribution Non Commercial No Derivatives 4.0 International."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-SA-1.0"></code>
+     <display value="Creative Commons Attribution Non Commercial Share Alike 1.0 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial Share Alike 1.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-SA-2.0"></code>
+     <display value="Creative Commons Attribution Non Commercial Share Alike 2.0 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial Share Alike 2.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-SA-2.5"></code>
+     <display value="Creative Commons Attribution Non Commercial Share Alike 2.5 Generic"></display>
+     <definition value="Creative Commons Attribution Non Commercial Share Alike 2.5 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-SA-3.0"></code>
+     <display value="Creative Commons Attribution Non Commercial Share Alike 3.0 Unported"></display>
+     <definition value="Creative Commons Attribution Non Commercial Share Alike 3.0 Unported."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-NC-SA-4.0"></code>
+     <display value="Creative Commons Attribution Non Commercial Share Alike 4.0 International"></display>
+     <definition value="Creative Commons Attribution Non Commercial Share Alike 4.0 International."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-ND-1.0"></code>
+     <display value="Creative Commons Attribution No Derivatives 1.0 Generic"></display>
+     <definition value="Creative Commons Attribution No Derivatives 1.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-ND-2.0"></code>
+     <display value="Creative Commons Attribution No Derivatives 2.0 Generic"></display>
+     <definition value="Creative Commons Attribution No Derivatives 2.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-ND-2.5"></code>
+     <display value="Creative Commons Attribution No Derivatives 2.5 Generic"></display>
+     <definition value="Creative Commons Attribution No Derivatives 2.5 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-ND-3.0"></code>
+     <display value="Creative Commons Attribution No Derivatives 3.0 Unported"></display>
+     <definition value="Creative Commons Attribution No Derivatives 3.0 Unported."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-ND-4.0"></code>
+     <display value="Creative Commons Attribution No Derivatives 4.0 International"></display>
+     <definition value="Creative Commons Attribution No Derivatives 4.0 International."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-SA-1.0"></code>
+     <display value="Creative Commons Attribution Share Alike 1.0 Generic"></display>
+     <definition value="Creative Commons Attribution Share Alike 1.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-SA-2.0"></code>
+     <display value="Creative Commons Attribution Share Alike 2.0 Generic"></display>
+     <definition value="Creative Commons Attribution Share Alike 2.0 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-SA-2.5"></code>
+     <display value="Creative Commons Attribution Share Alike 2.5 Generic"></display>
+     <definition value="Creative Commons Attribution Share Alike 2.5 Generic."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-SA-3.0"></code>
+     <display value="Creative Commons Attribution Share Alike 3.0 Unported"></display>
+     <definition value="Creative Commons Attribution Share Alike 3.0 Unported."></definition>
+    </concept>
+    <concept>
+     <code value="CC-BY-SA-4.0"></code>
+     <display value="Creative Commons Attribution Share Alike 4.0 International"></display>
+     <definition value="Creative Commons Attribution Share Alike 4.0 International."></definition>
+    </concept>
+    <concept>
+     <code value="CC0-1.0"></code>
+     <display value="Creative Commons Zero v1.0 Universal"></display>
+     <definition value="Creative Commons Zero v1.0 Universal."></definition>
+    </concept>
+    <concept>
+     <code value="CDDL-1.0"></code>
+     <display value="Common Development and Distribution License 1.0"></display>
+     <definition value="Common Development and Distribution License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="CDDL-1.1"></code>
+     <display value="Common Development and Distribution License 1.1"></display>
+     <definition value="Common Development and Distribution License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="CDLA-Permissive-1.0"></code>
+     <display value="Community Data License Agreement Permissive 1.0"></display>
+     <definition value="Community Data License Agreement Permissive 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="CDLA-Sharing-1.0"></code>
+     <display value="Community Data License Agreement Sharing 1.0"></display>
+     <definition value="Community Data License Agreement Sharing 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="CECILL-1.0"></code>
+     <display value="CeCILL Free Software License Agreement v1.0"></display>
+     <definition value="CeCILL Free Software License Agreement v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="CECILL-1.1"></code>
+     <display value="CeCILL Free Software License Agreement v1.1"></display>
+     <definition value="CeCILL Free Software License Agreement v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="CECILL-2.0"></code>
+     <display value="CeCILL Free Software License Agreement v2.0"></display>
+     <definition value="CeCILL Free Software License Agreement v2.0."></definition>
+    </concept>
+    <concept>
+     <code value="CECILL-2.1"></code>
+     <display value="CeCILL Free Software License Agreement v2.1"></display>
+     <definition value="CeCILL Free Software License Agreement v2.1."></definition>
+    </concept>
+    <concept>
+     <code value="CECILL-B"></code>
+     <display value="CeCILL-B Free Software License Agreement"></display>
+     <definition value="CeCILL-B Free Software License Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="CECILL-C"></code>
+     <display value="CeCILL-C Free Software License Agreement"></display>
+     <definition value="CeCILL-C Free Software License Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="ClArtistic"></code>
+     <display value="Clarified Artistic License"></display>
+     <definition value="Clarified Artistic License."></definition>
+    </concept>
+    <concept>
+     <code value="CNRI-Jython"></code>
+     <display value="CNRI Jython License"></display>
+     <definition value="CNRI Jython License."></definition>
+    </concept>
+    <concept>
+     <code value="CNRI-Python-GPL-Compatible"></code>
+     <display value="CNRI Python Open Source GPL Compatible License Agreement"></display>
+     <definition value="CNRI Python Open Source GPL Compatible License Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="CNRI-Python"></code>
+     <display value="CNRI Python License"></display>
+     <definition value="CNRI Python License."></definition>
+    </concept>
+    <concept>
+     <code value="Condor-1.1"></code>
+     <display value="Condor Public License v1.1"></display>
+     <definition value="Condor Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="CPAL-1.0"></code>
+     <display value="Common Public Attribution License 1.0"></display>
+     <definition value="Common Public Attribution License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="CPL-1.0"></code>
+     <display value="Common Public License 1.0"></display>
+     <definition value="Common Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="CPOL-1.02"></code>
+     <display value="Code Project Open License 1.02"></display>
+     <definition value="Code Project Open License 1.02."></definition>
+    </concept>
+    <concept>
+     <code value="Crossword"></code>
+     <display value="Crossword License"></display>
+     <definition value="Crossword License."></definition>
+    </concept>
+    <concept>
+     <code value="CrystalStacker"></code>
+     <display value="CrystalStacker License"></display>
+     <definition value="CrystalStacker License."></definition>
+    </concept>
+    <concept>
+     <code value="CUA-OPL-1.0"></code>
+     <display value="CUA Office Public License v1.0"></display>
+     <definition value="CUA Office Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Cube"></code>
+     <display value="Cube License"></display>
+     <definition value="Cube License."></definition>
+    </concept>
+    <concept>
+     <code value="curl"></code>
+     <display value="curl License"></display>
+     <definition value="curl License."></definition>
+    </concept>
+    <concept>
+     <code value="D-FSL-1.0"></code>
+     <display value="Deutsche Freie Software Lizenz"></display>
+     <definition value="Deutsche Freie Software Lizenz."></definition>
+    </concept>
+    <concept>
+     <code value="diffmark"></code>
+     <display value="diffmark license"></display>
+     <definition value="diffmark license."></definition>
+    </concept>
+    <concept>
+     <code value="DOC"></code>
+     <display value="DOC License"></display>
+     <definition value="DOC License."></definition>
+    </concept>
+    <concept>
+     <code value="Dotseqn"></code>
+     <display value="Dotseqn License"></display>
+     <definition value="Dotseqn License."></definition>
+    </concept>
+    <concept>
+     <code value="DSDP"></code>
+     <display value="DSDP License"></display>
+     <definition value="DSDP License."></definition>
+    </concept>
+    <concept>
+     <code value="dvipdfm"></code>
+     <display value="dvipdfm License"></display>
+     <definition value="dvipdfm License."></definition>
+    </concept>
+    <concept>
+     <code value="ECL-1.0"></code>
+     <display value="Educational Community License v1.0"></display>
+     <definition value="Educational Community License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="ECL-2.0"></code>
+     <display value="Educational Community License v2.0"></display>
+     <definition value="Educational Community License v2.0."></definition>
+    </concept>
+    <concept>
+     <code value="EFL-1.0"></code>
+     <display value="Eiffel Forum License v1.0"></display>
+     <definition value="Eiffel Forum License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="EFL-2.0"></code>
+     <display value="Eiffel Forum License v2.0"></display>
+     <definition value="Eiffel Forum License v2.0."></definition>
+    </concept>
+    <concept>
+     <code value="eGenix"></code>
+     <display value="eGenix.com Public License 1.1.0"></display>
+     <definition value="eGenix.com Public License 1.1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Entessa"></code>
+     <display value="Entessa Public License v1.0"></display>
+     <definition value="Entessa Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="EPL-1.0"></code>
+     <display value="Eclipse Public License 1.0"></display>
+     <definition value="Eclipse Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="EPL-2.0"></code>
+     <display value="Eclipse Public License 2.0"></display>
+     <definition value="Eclipse Public License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="ErlPL-1.1"></code>
+     <display value="Erlang Public License v1.1"></display>
+     <definition value="Erlang Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="EUDatagrid"></code>
+     <display value="EU DataGrid Software License"></display>
+     <definition value="EU DataGrid Software License."></definition>
+    </concept>
+    <concept>
+     <code value="EUPL-1.0"></code>
+     <display value="European Union Public License 1.0"></display>
+     <definition value="European Union Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="EUPL-1.1"></code>
+     <display value="European Union Public License 1.1"></display>
+     <definition value="European Union Public License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="EUPL-1.2"></code>
+     <display value="European Union Public License 1.2"></display>
+     <definition value="European Union Public License 1.2."></definition>
+    </concept>
+    <concept>
+     <code value="Eurosym"></code>
+     <display value="Eurosym License"></display>
+     <definition value="Eurosym License."></definition>
+    </concept>
+    <concept>
+     <code value="Fair"></code>
+     <display value="Fair License"></display>
+     <definition value="Fair License."></definition>
+    </concept>
+    <concept>
+     <code value="Frameworx-1.0"></code>
+     <display value="Frameworx Open License 1.0"></display>
+     <definition value="Frameworx Open License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="FreeImage"></code>
+     <display value="FreeImage Public License v1.0"></display>
+     <definition value="FreeImage Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="FSFAP"></code>
+     <display value="FSF All Permissive License"></display>
+     <definition value="FSF All Permissive License."></definition>
+    </concept>
+    <concept>
+     <code value="FSFUL"></code>
+     <display value="FSF Unlimited License"></display>
+     <definition value="FSF Unlimited License."></definition>
+    </concept>
+    <concept>
+     <code value="FSFULLR"></code>
+     <display value="FSF Unlimited License (with License Retention)"></display>
+     <definition value="FSF Unlimited License (with License Retention)."></definition>
+    </concept>
+    <concept>
+     <code value="FTL"></code>
+     <display value="Freetype Project License"></display>
+     <definition value="Freetype Project License."></definition>
+    </concept>
+    <concept>
+     <code value="GFDL-1.1-only"></code>
+     <display value="GNU Free Documentation License v1.1 only"></display>
+     <definition value="GNU Free Documentation License v1.1 only."></definition>
+    </concept>
+    <concept>
+     <code value="GFDL-1.1-or-later"></code>
+     <display value="GNU Free Documentation License v1.1 or later"></display>
+     <definition value="GNU Free Documentation License v1.1 or later."></definition>
+    </concept>
+    <concept>
+     <code value="GFDL-1.2-only"></code>
+     <display value="GNU Free Documentation License v1.2 only"></display>
+     <definition value="GNU Free Documentation License v1.2 only."></definition>
+    </concept>
+    <concept>
+     <code value="GFDL-1.2-or-later"></code>
+     <display value="GNU Free Documentation License v1.2 or later"></display>
+     <definition value="GNU Free Documentation License v1.2 or later."></definition>
+    </concept>
+    <concept>
+     <code value="GFDL-1.3-only"></code>
+     <display value="GNU Free Documentation License v1.3 only"></display>
+     <definition value="GNU Free Documentation License v1.3 only."></definition>
+    </concept>
+    <concept>
+     <code value="GFDL-1.3-or-later"></code>
+     <display value="GNU Free Documentation License v1.3 or later"></display>
+     <definition value="GNU Free Documentation License v1.3 or later."></definition>
+    </concept>
+    <concept>
+     <code value="Giftware"></code>
+     <display value="Giftware License"></display>
+     <definition value="Giftware License."></definition>
+    </concept>
+    <concept>
+     <code value="GL2PS"></code>
+     <display value="GL2PS License"></display>
+     <definition value="GL2PS License."></definition>
+    </concept>
+    <concept>
+     <code value="Glide"></code>
+     <display value="3dfx Glide License"></display>
+     <definition value="3dfx Glide License."></definition>
+    </concept>
+    <concept>
+     <code value="Glulxe"></code>
+     <display value="Glulxe License"></display>
+     <definition value="Glulxe License."></definition>
+    </concept>
+    <concept>
+     <code value="gnuplot"></code>
+     <display value="gnuplot License"></display>
+     <definition value="gnuplot License."></definition>
+    </concept>
+    <concept>
+     <code value="GPL-1.0-only"></code>
+     <display value="GNU General Public License v1.0 only"></display>
+     <definition value="GNU General Public License v1.0 only."></definition>
+    </concept>
+    <concept>
+     <code value="GPL-1.0-or-later"></code>
+     <display value="GNU General Public License v1.0 or later"></display>
+     <definition value="GNU General Public License v1.0 or later."></definition>
+    </concept>
+    <concept>
+     <code value="GPL-2.0-only"></code>
+     <display value="GNU General Public License v2.0 only"></display>
+     <definition value="GNU General Public License v2.0 only."></definition>
+    </concept>
+    <concept>
+     <code value="GPL-2.0-or-later"></code>
+     <display value="GNU General Public License v2.0 or later"></display>
+     <definition value="GNU General Public License v2.0 or later."></definition>
+    </concept>
+    <concept>
+     <code value="GPL-3.0-only"></code>
+     <display value="GNU General Public License v3.0 only"></display>
+     <definition value="GNU General Public License v3.0 only."></definition>
+    </concept>
+    <concept>
+     <code value="GPL-3.0-or-later"></code>
+     <display value="GNU General Public License v3.0 or later"></display>
+     <definition value="GNU General Public License v3.0 or later."></definition>
+    </concept>
+    <concept>
+     <code value="gSOAP-1.3b"></code>
+     <display value="gSOAP Public License v1.3b"></display>
+     <definition value="gSOAP Public License v1.3b."></definition>
+    </concept>
+    <concept>
+     <code value="HaskellReport"></code>
+     <display value="Haskell Language Report License"></display>
+     <definition value="Haskell Language Report License."></definition>
+    </concept>
+    <concept>
+     <code value="HPND"></code>
+     <display value="Historical Permission Notice and Disclaimer"></display>
+     <definition value="Historical Permission Notice and Disclaimer."></definition>
+    </concept>
+    <concept>
+     <code value="IBM-pibs"></code>
+     <display value="IBM PowerPC Initialization and Boot Software"></display>
+     <definition value="IBM PowerPC Initialization and Boot Software."></definition>
+    </concept>
+    <concept>
+     <code value="ICU"></code>
+     <display value="ICU License"></display>
+     <definition value="ICU License."></definition>
+    </concept>
+    <concept>
+     <code value="IJG"></code>
+     <display value="Independent JPEG Group License"></display>
+     <definition value="Independent JPEG Group License."></definition>
+    </concept>
+    <concept>
+     <code value="ImageMagick"></code>
+     <display value="ImageMagick License"></display>
+     <definition value="ImageMagick License."></definition>
+    </concept>
+    <concept>
+     <code value="iMatix"></code>
+     <display value="iMatix Standard Function Library Agreement"></display>
+     <definition value="iMatix Standard Function Library Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="Imlib2"></code>
+     <display value="Imlib2 License"></display>
+     <definition value="Imlib2 License."></definition>
+    </concept>
+    <concept>
+     <code value="Info-ZIP"></code>
+     <display value="Info-ZIP License"></display>
+     <definition value="Info-ZIP License."></definition>
+    </concept>
+    <concept>
+     <code value="Intel-ACPI"></code>
+     <display value="Intel ACPI Software License Agreement"></display>
+     <definition value="Intel ACPI Software License Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="Intel"></code>
+     <display value="Intel Open Source License"></display>
+     <definition value="Intel Open Source License."></definition>
+    </concept>
+    <concept>
+     <code value="Interbase-1.0"></code>
+     <display value="Interbase Public License v1.0"></display>
+     <definition value="Interbase Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="IPA"></code>
+     <display value="IPA Font License"></display>
+     <definition value="IPA Font License."></definition>
+    </concept>
+    <concept>
+     <code value="IPL-1.0"></code>
+     <display value="IBM Public License v1.0"></display>
+     <definition value="IBM Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="ISC"></code>
+     <display value="ISC License"></display>
+     <definition value="ISC License."></definition>
+    </concept>
+    <concept>
+     <code value="JasPer-2.0"></code>
+     <display value="JasPer License"></display>
+     <definition value="JasPer License."></definition>
+    </concept>
+    <concept>
+     <code value="JSON"></code>
+     <display value="JSON License"></display>
+     <definition value="JSON License."></definition>
+    </concept>
+    <concept>
+     <code value="LAL-1.2"></code>
+     <display value="Licence Art Libre 1.2"></display>
+     <definition value="Licence Art Libre 1.2."></definition>
+    </concept>
+    <concept>
+     <code value="LAL-1.3"></code>
+     <display value="Licence Art Libre 1.3"></display>
+     <definition value="Licence Art Libre 1.3."></definition>
+    </concept>
+    <concept>
+     <code value="Latex2e"></code>
+     <display value="Latex2e License"></display>
+     <definition value="Latex2e License."></definition>
+    </concept>
+    <concept>
+     <code value="Leptonica"></code>
+     <display value="Leptonica License"></display>
+     <definition value="Leptonica License."></definition>
+    </concept>
+    <concept>
+     <code value="LGPL-2.0-only"></code>
+     <display value="GNU Library General Public License v2 only"></display>
+     <definition value="GNU Library General Public License v2 only."></definition>
+    </concept>
+    <concept>
+     <code value="LGPL-2.0-or-later"></code>
+     <display value="GNU Library General Public License v2 or later"></display>
+     <definition value="GNU Library General Public License v2 or later."></definition>
+    </concept>
+    <concept>
+     <code value="LGPL-2.1-only"></code>
+     <display value="GNU Lesser General Public License v2.1 only"></display>
+     <definition value="GNU Lesser General Public License v2.1 only."></definition>
+    </concept>
+    <concept>
+     <code value="LGPL-2.1-or-later"></code>
+     <display value="GNU Lesser General Public License v2.1 or later"></display>
+     <definition value="GNU Lesser General Public License v2.1 or later."></definition>
+    </concept>
+    <concept>
+     <code value="LGPL-3.0-only"></code>
+     <display value="GNU Lesser General Public License v3.0 only"></display>
+     <definition value="GNU Lesser General Public License v3.0 only."></definition>
+    </concept>
+    <concept>
+     <code value="LGPL-3.0-or-later"></code>
+     <display value="GNU Lesser General Public License v3.0 or later"></display>
+     <definition value="GNU Lesser General Public License v3.0 or later."></definition>
+    </concept>
+    <concept>
+     <code value="LGPLLR"></code>
+     <display value="Lesser General Public License For Linguistic Resources"></display>
+     <definition value="Lesser General Public License For Linguistic Resources."></definition>
+    </concept>
+    <concept>
+     <code value="Libpng"></code>
+     <display value="libpng License"></display>
+     <definition value="libpng License."></definition>
+    </concept>
+    <concept>
+     <code value="libtiff"></code>
+     <display value="libtiff License"></display>
+     <definition value="libtiff License."></definition>
+    </concept>
+    <concept>
+     <code value="LiLiQ-P-1.1"></code>
+     <display value="Licence Libre du Québec – Permissive version 1.1"></display>
+     <definition value="Licence Libre du Québec – Permissive version 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="LiLiQ-R-1.1"></code>
+     <display value="Licence Libre du Québec – Réciprocité version 1.1"></display>
+     <definition value="Licence Libre du Québec – Réciprocité version 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="LiLiQ-Rplus-1.1"></code>
+     <display value="Licence Libre du Québec – Réciprocité forte version 1.1"></display>
+     <definition value="Licence Libre du Québec – Réciprocité forte version 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="Linux-OpenIB"></code>
+     <display value="Linux Kernel Variant of OpenIB.org license"></display>
+     <definition value="Linux Kernel Variant of OpenIB.org license."></definition>
+    </concept>
+    <concept>
+     <code value="LPL-1.0"></code>
+     <display value="Lucent Public License Version 1.0"></display>
+     <definition value="Lucent Public License Version 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="LPL-1.02"></code>
+     <display value="Lucent Public License v1.02"></display>
+     <definition value="Lucent Public License v1.02."></definition>
+    </concept>
+    <concept>
+     <code value="LPPL-1.0"></code>
+     <display value="LaTeX Project Public License v1.0"></display>
+     <definition value="LaTeX Project Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="LPPL-1.1"></code>
+     <display value="LaTeX Project Public License v1.1"></display>
+     <definition value="LaTeX Project Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="LPPL-1.2"></code>
+     <display value="LaTeX Project Public License v1.2"></display>
+     <definition value="LaTeX Project Public License v1.2."></definition>
+    </concept>
+    <concept>
+     <code value="LPPL-1.3a"></code>
+     <display value="LaTeX Project Public License v1.3a"></display>
+     <definition value="LaTeX Project Public License v1.3a."></definition>
+    </concept>
+    <concept>
+     <code value="LPPL-1.3c"></code>
+     <display value="LaTeX Project Public License v1.3c"></display>
+     <definition value="LaTeX Project Public License v1.3c."></definition>
+    </concept>
+    <concept>
+     <code value="MakeIndex"></code>
+     <display value="MakeIndex License"></display>
+     <definition value="MakeIndex License."></definition>
+    </concept>
+    <concept>
+     <code value="MirOS"></code>
+     <display value="MirOS License"></display>
+     <definition value="MirOS License."></definition>
+    </concept>
+    <concept>
+     <code value="MIT-0"></code>
+     <display value="MIT No Attribution"></display>
+     <definition value="MIT No Attribution."></definition>
+    </concept>
+    <concept>
+     <code value="MIT-advertising"></code>
+     <display value="Enlightenment License (e16)"></display>
+     <definition value="Enlightenment License (e16)."></definition>
+    </concept>
+    <concept>
+     <code value="MIT-CMU"></code>
+     <display value="CMU License"></display>
+     <definition value="CMU License."></definition>
+    </concept>
+    <concept>
+     <code value="MIT-enna"></code>
+     <display value="enna License"></display>
+     <definition value="enna License."></definition>
+    </concept>
+    <concept>
+     <code value="MIT-feh"></code>
+     <display value="feh License"></display>
+     <definition value="feh License."></definition>
+    </concept>
+    <concept>
+     <code value="MIT"></code>
+     <display value="MIT License"></display>
+     <definition value="MIT License."></definition>
+    </concept>
+    <concept>
+     <code value="MITNFA"></code>
+     <display value="MIT +no-false-attribs license"></display>
+     <definition value="MIT +no-false-attribs license."></definition>
+    </concept>
+    <concept>
+     <code value="Motosoto"></code>
+     <display value="Motosoto License"></display>
+     <definition value="Motosoto License."></definition>
+    </concept>
+    <concept>
+     <code value="mpich2"></code>
+     <display value="mpich2 License"></display>
+     <definition value="mpich2 License."></definition>
+    </concept>
+    <concept>
+     <code value="MPL-1.0"></code>
+     <display value="Mozilla Public License 1.0"></display>
+     <definition value="Mozilla Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="MPL-1.1"></code>
+     <display value="Mozilla Public License 1.1"></display>
+     <definition value="Mozilla Public License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="MPL-2.0-no-copyleft-exception"></code>
+     <display value="Mozilla Public License 2.0 (no copyleft exception)"></display>
+     <definition value="Mozilla Public License 2.0 (no copyleft exception)."></definition>
+    </concept>
+    <concept>
+     <code value="MPL-2.0"></code>
+     <display value="Mozilla Public License 2.0"></display>
+     <definition value="Mozilla Public License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="MS-PL"></code>
+     <display value="Microsoft Public License"></display>
+     <definition value="Microsoft Public License."></definition>
+    </concept>
+    <concept>
+     <code value="MS-RL"></code>
+     <display value="Microsoft Reciprocal License"></display>
+     <definition value="Microsoft Reciprocal License."></definition>
+    </concept>
+    <concept>
+     <code value="MTLL"></code>
+     <display value="Matrix Template Library License"></display>
+     <definition value="Matrix Template Library License."></definition>
+    </concept>
+    <concept>
+     <code value="Multics"></code>
+     <display value="Multics License"></display>
+     <definition value="Multics License."></definition>
+    </concept>
+    <concept>
+     <code value="Mup"></code>
+     <display value="Mup License"></display>
+     <definition value="Mup License."></definition>
+    </concept>
+    <concept>
+     <code value="NASA-1.3"></code>
+     <display value="NASA Open Source Agreement 1.3"></display>
+     <definition value="NASA Open Source Agreement 1.3."></definition>
+    </concept>
+    <concept>
+     <code value="Naumen"></code>
+     <display value="Naumen Public License"></display>
+     <definition value="Naumen Public License."></definition>
+    </concept>
+    <concept>
+     <code value="NBPL-1.0"></code>
+     <display value="Net Boolean Public License v1"></display>
+     <definition value="Net Boolean Public License v1."></definition>
+    </concept>
+    <concept>
+     <code value="NCSA"></code>
+     <display value="University of Illinois/NCSA Open Source License"></display>
+     <definition value="University of Illinois/NCSA Open Source License."></definition>
+    </concept>
+    <concept>
+     <code value="Net-SNMP"></code>
+     <display value="Net-SNMP License"></display>
+     <definition value="Net-SNMP License."></definition>
+    </concept>
+    <concept>
+     <code value="NetCDF"></code>
+     <display value="NetCDF license"></display>
+     <definition value="NetCDF license."></definition>
+    </concept>
+    <concept>
+     <code value="Newsletr"></code>
+     <display value="Newsletr License"></display>
+     <definition value="Newsletr License."></definition>
+    </concept>
+    <concept>
+     <code value="NGPL"></code>
+     <display value="Nethack General Public License"></display>
+     <definition value="Nethack General Public License."></definition>
+    </concept>
+    <concept>
+     <code value="NLOD-1.0"></code>
+     <display value="Norwegian Licence for Open Government Data"></display>
+     <definition value="Norwegian Licence for Open Government Data."></definition>
+    </concept>
+    <concept>
+     <code value="NLPL"></code>
+     <display value="No Limit Public License"></display>
+     <definition value="No Limit Public License."></definition>
+    </concept>
+    <concept>
+     <code value="Nokia"></code>
+     <display value="Nokia Open Source License"></display>
+     <definition value="Nokia Open Source License."></definition>
+    </concept>
+    <concept>
+     <code value="NOSL"></code>
+     <display value="Netizen Open Source License"></display>
+     <definition value="Netizen Open Source License."></definition>
+    </concept>
+    <concept>
+     <code value="Noweb"></code>
+     <display value="Noweb License"></display>
+     <definition value="Noweb License."></definition>
+    </concept>
+    <concept>
+     <code value="NPL-1.0"></code>
+     <display value="Netscape Public License v1.0"></display>
+     <definition value="Netscape Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="NPL-1.1"></code>
+     <display value="Netscape Public License v1.1"></display>
+     <definition value="Netscape Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="NPOSL-3.0"></code>
+     <display value="Non-Profit Open Software License 3.0"></display>
+     <definition value="Non-Profit Open Software License 3.0."></definition>
+    </concept>
+    <concept>
+     <code value="NRL"></code>
+     <display value="NRL License"></display>
+     <definition value="NRL License."></definition>
+    </concept>
+    <concept>
+     <code value="NTP"></code>
+     <display value="NTP License"></display>
+     <definition value="NTP License."></definition>
+    </concept>
+    <concept>
+     <code value="OCCT-PL"></code>
+     <display value="Open CASCADE Technology Public License"></display>
+     <definition value="Open CASCADE Technology Public License."></definition>
+    </concept>
+    <concept>
+     <code value="OCLC-2.0"></code>
+     <display value="OCLC Research Public License 2.0"></display>
+     <definition value="OCLC Research Public License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="ODbL-1.0"></code>
+     <display value="ODC Open Database License v1.0"></display>
+     <definition value="ODC Open Database License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="OFL-1.0"></code>
+     <display value="SIL Open Font License 1.0"></display>
+     <definition value="SIL Open Font License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="OFL-1.1"></code>
+     <display value="SIL Open Font License 1.1"></display>
+     <definition value="SIL Open Font License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="OGTSL"></code>
+     <display value="Open Group Test Suite License"></display>
+     <definition value="Open Group Test Suite License."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-1.1"></code>
+     <display value="Open LDAP Public License v1.1"></display>
+     <definition value="Open LDAP Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-1.2"></code>
+     <display value="Open LDAP Public License v1.2"></display>
+     <definition value="Open LDAP Public License v1.2."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-1.3"></code>
+     <display value="Open LDAP Public License v1.3"></display>
+     <definition value="Open LDAP Public License v1.3."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-1.4"></code>
+     <display value="Open LDAP Public License v1.4"></display>
+     <definition value="Open LDAP Public License v1.4."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.0.1"></code>
+     <display value="Open LDAP Public License v2.0.1"></display>
+     <definition value="Open LDAP Public License v2.0.1."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.0"></code>
+     <display value="Open LDAP Public License v2.0 (or possibly 2.0A and 2.0B)"></display>
+     <definition value="Open LDAP Public License v2.0 (or possibly 2.0A and 2.0B)."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.1"></code>
+     <display value="Open LDAP Public License v2.1"></display>
+     <definition value="Open LDAP Public License v2.1."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.2.1"></code>
+     <display value="Open LDAP Public License v2.2.1"></display>
+     <definition value="Open LDAP Public License v2.2.1."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.2.2"></code>
+     <display value="Open LDAP Public License 2.2.2"></display>
+     <definition value="Open LDAP Public License 2.2.2."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.2"></code>
+     <display value="Open LDAP Public License v2.2"></display>
+     <definition value="Open LDAP Public License v2.2."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.3"></code>
+     <display value="Open LDAP Public License v2.3"></display>
+     <definition value="Open LDAP Public License v2.3."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.4"></code>
+     <display value="Open LDAP Public License v2.4"></display>
+     <definition value="Open LDAP Public License v2.4."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.5"></code>
+     <display value="Open LDAP Public License v2.5"></display>
+     <definition value="Open LDAP Public License v2.5."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.6"></code>
+     <display value="Open LDAP Public License v2.6"></display>
+     <definition value="Open LDAP Public License v2.6."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.7"></code>
+     <display value="Open LDAP Public License v2.7"></display>
+     <definition value="Open LDAP Public License v2.7."></definition>
+    </concept>
+    <concept>
+     <code value="OLDAP-2.8"></code>
+     <display value="Open LDAP Public License v2.8"></display>
+     <definition value="Open LDAP Public License v2.8."></definition>
+    </concept>
+    <concept>
+     <code value="OML"></code>
+     <display value="Open Market License"></display>
+     <definition value="Open Market License."></definition>
+    </concept>
+    <concept>
+     <code value="OpenSSL"></code>
+     <display value="OpenSSL License"></display>
+     <definition value="OpenSSL License."></definition>
+    </concept>
+    <concept>
+     <code value="OPL-1.0"></code>
+     <display value="Open Public License v1.0"></display>
+     <definition value="Open Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="OSET-PL-2.1"></code>
+     <display value="OSET Public License version 2.1"></display>
+     <definition value="OSET Public License version 2.1."></definition>
+    </concept>
+    <concept>
+     <code value="OSL-1.0"></code>
+     <display value="Open Software License 1.0"></display>
+     <definition value="Open Software License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="OSL-1.1"></code>
+     <display value="Open Software License 1.1"></display>
+     <definition value="Open Software License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="OSL-2.0"></code>
+     <display value="Open Software License 2.0"></display>
+     <definition value="Open Software License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="OSL-2.1"></code>
+     <display value="Open Software License 2.1"></display>
+     <definition value="Open Software License 2.1."></definition>
+    </concept>
+    <concept>
+     <code value="OSL-3.0"></code>
+     <display value="Open Software License 3.0"></display>
+     <definition value="Open Software License 3.0."></definition>
+    </concept>
+    <concept>
+     <code value="PDDL-1.0"></code>
+     <display value="ODC Public Domain Dedication &amp; License 1.0"></display>
+     <definition value="ODC Public Domain Dedication &amp; License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="PHP-3.0"></code>
+     <display value="PHP License v3.0"></display>
+     <definition value="PHP License v3.0."></definition>
+    </concept>
+    <concept>
+     <code value="PHP-3.01"></code>
+     <display value="PHP License v3.01"></display>
+     <definition value="PHP License v3.01."></definition>
+    </concept>
+    <concept>
+     <code value="Plexus"></code>
+     <display value="Plexus Classworlds License"></display>
+     <definition value="Plexus Classworlds License."></definition>
+    </concept>
+    <concept>
+     <code value="PostgreSQL"></code>
+     <display value="PostgreSQL License"></display>
+     <definition value="PostgreSQL License."></definition>
+    </concept>
+    <concept>
+     <code value="psfrag"></code>
+     <display value="psfrag License"></display>
+     <definition value="psfrag License."></definition>
+    </concept>
+    <concept>
+     <code value="psutils"></code>
+     <display value="psutils License"></display>
+     <definition value="psutils License."></definition>
+    </concept>
+    <concept>
+     <code value="Python-2.0"></code>
+     <display value="Python License 2.0"></display>
+     <definition value="Python License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="Qhull"></code>
+     <display value="Qhull License"></display>
+     <definition value="Qhull License."></definition>
+    </concept>
+    <concept>
+     <code value="QPL-1.0"></code>
+     <display value="Q Public License 1.0"></display>
+     <definition value="Q Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Rdisc"></code>
+     <display value="Rdisc License"></display>
+     <definition value="Rdisc License."></definition>
+    </concept>
+    <concept>
+     <code value="RHeCos-1.1"></code>
+     <display value="Red Hat eCos Public License v1.1"></display>
+     <definition value="Red Hat eCos Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="RPL-1.1"></code>
+     <display value="Reciprocal Public License 1.1"></display>
+     <definition value="Reciprocal Public License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="RPL-1.5"></code>
+     <display value="Reciprocal Public License 1.5"></display>
+     <definition value="Reciprocal Public License 1.5."></definition>
+    </concept>
+    <concept>
+     <code value="RPSL-1.0"></code>
+     <display value="RealNetworks Public Source License v1.0"></display>
+     <definition value="RealNetworks Public Source License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="RSA-MD"></code>
+     <display value="RSA Message-Digest License"></display>
+     <definition value="RSA Message-Digest License."></definition>
+    </concept>
+    <concept>
+     <code value="RSCPL"></code>
+     <display value="Ricoh Source Code Public License"></display>
+     <definition value="Ricoh Source Code Public License."></definition>
+    </concept>
+    <concept>
+     <code value="Ruby"></code>
+     <display value="Ruby License"></display>
+     <definition value="Ruby License."></definition>
+    </concept>
+    <concept>
+     <code value="SAX-PD"></code>
+     <display value="Sax Public Domain Notice"></display>
+     <definition value="Sax Public Domain Notice."></definition>
+    </concept>
+    <concept>
+     <code value="Saxpath"></code>
+     <display value="Saxpath License"></display>
+     <definition value="Saxpath License."></definition>
+    </concept>
+    <concept>
+     <code value="SCEA"></code>
+     <display value="SCEA Shared Source License"></display>
+     <definition value="SCEA Shared Source License."></definition>
+    </concept>
+    <concept>
+     <code value="Sendmail"></code>
+     <display value="Sendmail License"></display>
+     <definition value="Sendmail License."></definition>
+    </concept>
+    <concept>
+     <code value="SGI-B-1.0"></code>
+     <display value="SGI Free Software License B v1.0"></display>
+     <definition value="SGI Free Software License B v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="SGI-B-1.1"></code>
+     <display value="SGI Free Software License B v1.1"></display>
+     <definition value="SGI Free Software License B v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="SGI-B-2.0"></code>
+     <display value="SGI Free Software License B v2.0"></display>
+     <definition value="SGI Free Software License B v2.0."></definition>
+    </concept>
+    <concept>
+     <code value="SimPL-2.0"></code>
+     <display value="Simple Public License 2.0"></display>
+     <definition value="Simple Public License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="SISSL-1.2"></code>
+     <display value="Sun Industry Standards Source License v1.2"></display>
+     <definition value="Sun Industry Standards Source License v1.2."></definition>
+    </concept>
+    <concept>
+     <code value="SISSL"></code>
+     <display value="Sun Industry Standards Source License v1.1"></display>
+     <definition value="Sun Industry Standards Source License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="Sleepycat"></code>
+     <display value="Sleepycat License"></display>
+     <definition value="Sleepycat License."></definition>
+    </concept>
+    <concept>
+     <code value="SMLNJ"></code>
+     <display value="Standard ML of New Jersey License"></display>
+     <definition value="Standard ML of New Jersey License."></definition>
+    </concept>
+    <concept>
+     <code value="SMPPL"></code>
+     <display value="Secure Messaging Protocol Public License"></display>
+     <definition value="Secure Messaging Protocol Public License."></definition>
+    </concept>
+    <concept>
+     <code value="SNIA"></code>
+     <display value="SNIA Public License 1.1"></display>
+     <definition value="SNIA Public License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="Spencer-86"></code>
+     <display value="Spencer License 86"></display>
+     <definition value="Spencer License 86."></definition>
+    </concept>
+    <concept>
+     <code value="Spencer-94"></code>
+     <display value="Spencer License 94"></display>
+     <definition value="Spencer License 94."></definition>
+    </concept>
+    <concept>
+     <code value="Spencer-99"></code>
+     <display value="Spencer License 99"></display>
+     <definition value="Spencer License 99."></definition>
+    </concept>
+    <concept>
+     <code value="SPL-1.0"></code>
+     <display value="Sun Public License v1.0"></display>
+     <definition value="Sun Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="SugarCRM-1.1.3"></code>
+     <display value="SugarCRM Public License v1.1.3"></display>
+     <definition value="SugarCRM Public License v1.1.3."></definition>
+    </concept>
+    <concept>
+     <code value="SWL"></code>
+     <display value="Scheme Widget Library (SWL) Software License Agreement"></display>
+     <definition value="Scheme Widget Library (SWL) Software License Agreement."></definition>
+    </concept>
+    <concept>
+     <code value="TCL"></code>
+     <display value="TCL/TK License"></display>
+     <definition value="TCL/TK License."></definition>
+    </concept>
+    <concept>
+     <code value="TCP-wrappers"></code>
+     <display value="TCP Wrappers License"></display>
+     <definition value="TCP Wrappers License."></definition>
+    </concept>
+    <concept>
+     <code value="TMate"></code>
+     <display value="TMate Open Source License"></display>
+     <definition value="TMate Open Source License."></definition>
+    </concept>
+    <concept>
+     <code value="TORQUE-1.1"></code>
+     <display value="TORQUE v2.5+ Software License v1.1"></display>
+     <definition value="TORQUE v2.5+ Software License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="TOSL"></code>
+     <display value="Trusster Open Source License"></display>
+     <definition value="Trusster Open Source License."></definition>
+    </concept>
+    <concept>
+     <code value="Unicode-DFS-2015"></code>
+     <display value="Unicode License Agreement - Data Files and Software (2015)"></display>
+     <definition value="Unicode License Agreement - Data Files and Software (2015)."></definition>
+    </concept>
+    <concept>
+     <code value="Unicode-DFS-2016"></code>
+     <display value="Unicode License Agreement - Data Files and Software (2016)"></display>
+     <definition value="Unicode License Agreement - Data Files and Software (2016)."></definition>
+    </concept>
+    <concept>
+     <code value="Unicode-TOU"></code>
+     <display value="Unicode Terms of Use"></display>
+     <definition value="Unicode Terms of Use."></definition>
+    </concept>
+    <concept>
+     <code value="Unlicense"></code>
+     <display value="The Unlicense"></display>
+     <definition value="The Unlicense."></definition>
+    </concept>
+    <concept>
+     <code value="UPL-1.0"></code>
+     <display value="Universal Permissive License v1.0"></display>
+     <definition value="Universal Permissive License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Vim"></code>
+     <display value="Vim License"></display>
+     <definition value="Vim License."></definition>
+    </concept>
+    <concept>
+     <code value="VOSTROM"></code>
+     <display value="VOSTROM Public License for Open Source"></display>
+     <definition value="VOSTROM Public License for Open Source."></definition>
+    </concept>
+    <concept>
+     <code value="VSL-1.0"></code>
+     <display value="Vovida Software License v1.0"></display>
+     <definition value="Vovida Software License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="W3C-19980720"></code>
+     <display value="W3C Software Notice and License (1998-07-20)"></display>
+     <definition value="W3C Software Notice and License (1998-07-20)."></definition>
+    </concept>
+    <concept>
+     <code value="W3C-20150513"></code>
+     <display value="W3C Software Notice and Document License (2015-05-13)"></display>
+     <definition value="W3C Software Notice and Document License (2015-05-13)."></definition>
+    </concept>
+    <concept>
+     <code value="W3C"></code>
+     <display value="W3C Software Notice and License (2002-12-31)"></display>
+     <definition value="W3C Software Notice and License (2002-12-31)."></definition>
+    </concept>
+    <concept>
+     <code value="Watcom-1.0"></code>
+     <display value="Sybase Open Watcom Public License 1.0"></display>
+     <definition value="Sybase Open Watcom Public License 1.0."></definition>
+    </concept>
+    <concept>
+     <code value="Wsuipa"></code>
+     <display value="Wsuipa License"></display>
+     <definition value="Wsuipa License."></definition>
+    </concept>
+    <concept>
+     <code value="WTFPL"></code>
+     <display value="Do What The F*ck You Want To Public License"></display>
+     <definition value="Do What The F*ck You Want To Public License."></definition>
+    </concept>
+    <concept>
+     <code value="X11"></code>
+     <display value="X11 License"></display>
+     <definition value="X11 License."></definition>
+    </concept>
+    <concept>
+     <code value="Xerox"></code>
+     <display value="Xerox License"></display>
+     <definition value="Xerox License."></definition>
+    </concept>
+    <concept>
+     <code value="XFree86-1.1"></code>
+     <display value="XFree86 License 1.1"></display>
+     <definition value="XFree86 License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="xinetd"></code>
+     <display value="xinetd License"></display>
+     <definition value="xinetd License."></definition>
+    </concept>
+    <concept>
+     <code value="Xnet"></code>
+     <display value="X.Net License"></display>
+     <definition value="X.Net License."></definition>
+    </concept>
+    <concept>
+     <code value="xpp"></code>
+     <display value="XPP License"></display>
+     <definition value="XPP License."></definition>
+    </concept>
+    <concept>
+     <code value="XSkat"></code>
+     <display value="XSkat License"></display>
+     <definition value="XSkat License."></definition>
+    </concept>
+    <concept>
+     <code value="YPL-1.0"></code>
+     <display value="Yahoo! Public License v1.0"></display>
+     <definition value="Yahoo! Public License v1.0."></definition>
+    </concept>
+    <concept>
+     <code value="YPL-1.1"></code>
+     <display value="Yahoo! Public License v1.1"></display>
+     <definition value="Yahoo! Public License v1.1."></definition>
+    </concept>
+    <concept>
+     <code value="Zed"></code>
+     <display value="Zed License"></display>
+     <definition value="Zed License."></definition>
+    </concept>
+    <concept>
+     <code value="Zend-2.0"></code>
+     <display value="Zend License v2.0"></display>
+     <definition value="Zend License v2.0."></definition>
+    </concept>
+    <concept>
+     <code value="Zimbra-1.3"></code>
+     <display value="Zimbra Public License v1.3"></display>
+     <definition value="Zimbra Public License v1.3."></definition>
+    </concept>
+    <concept>
+     <code value="Zimbra-1.4"></code>
+     <display value="Zimbra Public License v1.4"></display>
+     <definition value="Zimbra Public License v1.4."></definition>
+    </concept>
+    <concept>
+     <code value="zlib-acknowledgement"></code>
+     <display value="zlib/libpng License with Acknowledgement"></display>
+     <definition value="zlib/libpng License with Acknowledgement."></definition>
+    </concept>
+    <concept>
+     <code value="Zlib"></code>
+     <display value="zlib License"></display>
+     <definition value="zlib License."></definition>
+    </concept>
+    <concept>
+     <code value="ZPL-1.1"></code>
+     <display value="Zope Public License 1.1"></display>
+     <definition value="Zope Public License 1.1."></definition>
+    </concept>
+    <concept>
+     <code value="ZPL-2.0"></code>
+     <display value="Zope Public License 2.0"></display>
+     <definition value="Zope Public License 2.0."></definition>
+    </concept>
+    <concept>
+     <code value="ZPL-2.1"></code>
+     <display value="Zope Public License 2.1"></display>
+     <definition value="Zope Public License 2.1."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/linkage-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="linkage-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/linkage-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.315"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LinkageType"></name>
+    <title value="LinkageType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Used to distinguish different roles a resource can play within a set of linked resources."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/linkage-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="source"></code>
+     <display value="Source of Truth"></display>
+     <definition value="The resource represents the &quot;source of truth&quot; (from the perspective of this Linkage resource) for the underlying event/condition/etc."></definition>
+    </concept>
+    <concept>
+     <code value="alternate"></code>
+     <display value="Alternate Record"></display>
+     <definition value="The resource represents an alternative view of the underlying event/condition/etc.  The resource may still be actively maintained, even though it is not considered to be the source of truth."></definition>
+    </concept>
+    <concept>
+     <code value="historical"></code>
+     <display value="Historical/Obsolete Record"></display>
+     <definition value="The resource represents an obsolete record of the underlying event/condition/etc.  It is not expected to be actively maintained."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-example-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="list-example-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/list-example-use-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1105"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleUseCodesForList"></name>
+    <title value="Example Use Codes for List"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Example use codes for the List resource - typical kinds of use."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/list-example-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="alerts"></code>
+     <display value="Alerts"></display>
+     <definition value="A list of alerts for the patient."></definition>
+    </concept>
+    <concept>
+     <code value="adverserxns"></code>
+     <display value="Adverse Reactions"></display>
+     <definition value="A list of part adverse reactions."></definition>
+    </concept>
+    <concept>
+     <code value="allergies"></code>
+     <display value="Allergies"></display>
+     <definition value="A list of Allergies for the patient."></definition>
+    </concept>
+    <concept>
+     <code value="medications"></code>
+     <display value="Medication List"></display>
+     <definition value="A list of medication statements for the patient."></definition>
+    </concept>
+    <concept>
+     <code value="problems"></code>
+     <display value="Problem List"></display>
+     <definition value="A list of problems that the patient is known of have (or have had in the past)."></definition>
+    </concept>
+    <concept>
+     <code value="worklist"></code>
+     <display value="Worklist"></display>
+     <definition value="A list of items that constitute a set of work to be performed (typically this code would be specialized for more specific uses, such as a ward round list)."></definition>
+    </concept>
+    <concept>
+     <code value="waiting"></code>
+     <display value="Waiting List"></display>
+     <definition value="A list of items waiting for an event (perhaps a surgical patient waiting list)."></definition>
+    </concept>
+    <concept>
+     <code value="protocols"></code>
+     <display value="Protocols"></display>
+     <definition value="A set of protocols to be followed."></definition>
+    </concept>
+    <concept>
+     <code value="plans"></code>
+     <display value="Care Plans"></display>
+     <definition value="A set of care plans that apply in a particular context of care."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="list-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/list-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.319"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ListMode"></name>
+    <title value="ListMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The processing mode that applies to this list."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/list-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="working"></code>
+     <display value="Working List"></display>
+     <definition value="This list is the master list, maintained in an ongoing fashion with regular updates as the real world list it is tracking changes."></definition>
+    </concept>
+    <concept>
+     <code value="snapshot"></code>
+     <display value="Snapshot List"></display>
+     <definition value="This list was prepared as a snapshot. It should not be assumed to be current."></definition>
+    </concept>
+    <concept>
+     <code value="changes"></code>
+     <display value="Change List"></display>
+     <definition value="A point-in-time list that shows what changes have been made or recommended.  E.g. a discharge medication list showing what was added and removed during an encounter."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-item-flag"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="list-item-flag"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="urn:oid:1.2.36.1.2001.1001.101.104.16592"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.321"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PatientMedicineChangeTypes"></name>
+    <title value="Patient Medicine Change Types"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="National E-Health Transition Authority Ltd (NEHTA)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.nehta.gov.au"></value>
+     </telecom>
+    </contact>
+    <description value="Example Item Flags for the List Resource. In this case, these are the kind of flags that would be used on a medication list at the end of a consultation."></description>
+    <copyright value=" Copyright © 2012-2013 National E-Health Transition Authority Ltd : This document contains information which is protected by copyright. All Rights Reserved. No part of this work may be reproduced or used in any form or by any means--graphic, electronic, or mechanical, including photocopying,  recording, taping, or information storage and retrieval systems--without the permission of NEHTA. All copies of this  document must include the copyright and other information contained on this page.  Revision 1  Telephone: 1300 901 001 or email: servicedesk@nehta.gov.au  Disclaimer: The National E-Health Transition Authority Ltd (NEHTA) makes the information and other material ('Information') in  this document available in good faith but without any representation or warranty as to its accuracy or completeness.  NEHTA cannot accept any responsibility for the consequences of any use of the Information. As the Information is of a  general nature only, it is up to any person using or relying on the Information to ensure that it is accurate, complete  and suitable for the circumstances of its use."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/list-item-flag"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="01"></code>
+     <display value="Unchanged"></display>
+     <definition value="No change has been made to the status of this medicine item."></definition>
+    </concept>
+    <concept>
+     <code value="02"></code>
+     <display value="Changed"></display>
+     <definition value="The medicine item has changed. The change may be described in an extension (not defined yet)"></definition>
+    </concept>
+    <concept>
+     <code value="03"></code>
+     <display value="Cancelled"></display>
+     <definition value="The prescription for this medicine item was cancelled by an authorized health care provider. The patient may be advised to complete the course of the prescribed medicine. This advice is a clinical decision made based on assessment of the patient's clinical condition."></definition>
+    </concept>
+    <concept>
+     <code value="04"></code>
+     <display value="Prescribed"></display>
+     <definition value="A new medicine item has been prescribed"></definition>
+    </concept>
+    <concept>
+     <code value="05"></code>
+     <display value="Ceased"></display>
+     <definition value="Administration of this medication item that the patient is currently taking is stopped or recommended to be stopped (i.e. instructed to be ceased by a health care provider). This cessation is anticipated to be permanent. The Change Description should describe the reason for cessation. Example uses: the medication in question is considered ineffective or has caused serious adverse effects. This value applies both to the cessation of a medication that is prescribed by another healthcare provider or patient self-administration of OTC medicines."></definition>
+    </concept>
+    <concept>
+     <code value="06"></code>
+     <display value="Suspended"></display>
+     <definition value="Administration of this medication item that the patient is currently taking is on hold, or instructed or recommended by a health care provider to be temporarily stopped, or subject to clinical review (i.e. the stop may be temporary or permanent depending on the outcome of clinical review), or temporarily suspended as a pre-requisite to certain surgical or diagnostic procedures."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-empty-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="list-empty-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/list-empty-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1106"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ListEmptyReasons"></name>
+    <title value="List Empty Reasons"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="General reasons for a list to be empty. Reasons are either related to a summary list (i.e. problem or medication list) or to a workflow related list (i.e. consultation list)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="nilknown"></code>
+     <display value="Nil Known"></display>
+     <definition value="Clinical judgment that there are no known items for this list after reasonable investigation. Note that this a positive statement by a clinical user, and not a default position asserted by a computer system in the lack of other information. Example uses:  * For allergies: the patient or patient's agent/guardian has asserted that he/she is not aware of any allergies (NKA - nil known allergies)  * For medications: the patient or patient's agent/guardian has asserted that the patient is known to be taking no medications  * For diagnoses, problems and procedures: the patient or patient's agent/guardian has asserted that there is no known event to record."></definition>
+    </concept>
+    <concept>
+     <code value="notasked"></code>
+     <display value="Not Asked"></display>
+     <definition value="The investigation to find out whether there are items for this list has not occurred."></definition>
+    </concept>
+    <concept>
+     <code value="withheld"></code>
+     <display value="Information Withheld"></display>
+     <definition value="The content of the list was not provided due to privacy or confidentiality concerns. Note that it should not be assumed that this means that the particular information in question was withheld due to its contents - it can also be a policy decision."></definition>
+    </concept>
+    <concept>
+     <code value="unavailable"></code>
+     <display value="Unavailable"></display>
+     <definition value="Information to populate this list cannot be obtained; e.g. unconscious patient."></definition>
+    </concept>
+    <concept>
+     <code value="notstarted"></code>
+     <display value="Not Started"></display>
+     <definition value="The work to populate this list has not yet begun."></definition>
+    </concept>
+    <concept>
+     <code value="closed"></code>
+     <display value="Closed"></display>
+     <definition value="This list has now closed or has ceased to be relevant or useful."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-order"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="list-order"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sd"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/list-order"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1107"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ListOrderCodes"></name>
+    <title value="List Order Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Base values for the order of the items in a list resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/list-order"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="user"></code>
+     <display value="Sorted by User"></display>
+     <definition value="The list was sorted by a user. The criteria the user used are not specified."></definition>
+    </concept>
+    <concept>
+     <code value="system"></code>
+     <display value="Sorted by System"></display>
+     <definition value="The list was sorted by the system. The criteria the user used are not specified; define additional codes to specify a particular order (or use other defined codes)."></definition>
+    </concept>
+    <concept>
+     <code value="event-date"></code>
+     <display value="Sorted by Event Date"></display>
+     <definition value="The list is sorted by the data of the event. This can be used when the list has items which are dates with past or future events."></definition>
+    </concept>
+    <concept>
+     <code value="entry-date"></code>
+     <display value="Sorted by Item Date"></display>
+     <definition value="The list is sorted by the date the item was added to the list. Note that the date added to the list is not explicit in the list itself."></definition>
+    </concept>
+    <concept>
+     <code value="priority"></code>
+     <display value="Sorted by Priority"></display>
+     <definition value="The list is sorted by priority. The exact method in which priority has been determined is not specified."></definition>
+    </concept>
+    <concept>
+     <code value="alphabetic"></code>
+     <display value="Sorted Alphabetically"></display>
+     <definition value="The list is sorted alphabetically by an unspecified property of the items in the list."></definition>
+    </concept>
+    <concept>
+     <code value="category"></code>
+     <display value="Sorted by Category"></display>
+     <definition value="The list is sorted categorically by an unspecified property of the items in the list."></definition>
+    </concept>
+    <concept>
+     <code value="patient"></code>
+     <display value="Sorted by Patient"></display>
+     <definition value="The list is sorted by patient, with items for each patient grouped together."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="list-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/list-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.327"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ListStatus"></name>
+    <title value="ListStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The current state of the list."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/list-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="current"></code>
+     <display value="Current"></display>
+     <definition value="The list is considered to be an active part of the patient's record."></definition>
+    </concept>
+    <concept>
+     <code value="retired"></code>
+     <display value="Retired"></display>
+     <definition value="The list is &quot;old&quot; and should no longer be considered accurate or relevant."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered In Error"></display>
+     <definition value="The list was never accurate.  It is retained for medico-legal purposes only."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/location-physical-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="location-physical-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/location-physical-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1108"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LocationType"></name>
+    <title value="Location type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the physical form of the Location."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/location-physical-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="si"></code>
+     <display value="Site"></display>
+     <definition value="A collection of buildings or other locations such as a site or a campus."></definition>
+    </concept>
+    <concept>
+     <code value="bu"></code>
+     <display value="Building"></display>
+     <definition value="Any Building or structure. This may contain rooms, corridors, wings, etc. It might not have walls, or a roof, but is considered a defined/allocated space."></definition>
+    </concept>
+    <concept>
+     <code value="wi"></code>
+     <display value="Wing"></display>
+     <definition value="A Wing within a Building, this often contains levels, rooms and corridors."></definition>
+    </concept>
+    <concept>
+     <code value="wa"></code>
+     <display value="Ward"></display>
+     <definition value="A Ward is a section of a medical facility that may contain rooms and other types of location."></definition>
+    </concept>
+    <concept>
+     <code value="lvl"></code>
+     <display value="Level"></display>
+     <definition value="A Level in a multi-level Building/Structure."></definition>
+    </concept>
+    <concept>
+     <code value="co"></code>
+     <display value="Corridor"></display>
+     <definition value="Any corridor within a Building, that may connect rooms."></definition>
+    </concept>
+    <concept>
+     <code value="ro"></code>
+     <display value="Room"></display>
+     <definition value="A space that is allocated as a room, it may have walls/roof etc., but does not require these."></definition>
+    </concept>
+    <concept>
+     <code value="bd"></code>
+     <display value="Bed"></display>
+     <definition value="A space that is allocated for sleeping/laying on. This is not the physical bed/trolley that may be moved about, but the space it may occupy."></definition>
+    </concept>
+    <concept>
+     <code value="ve"></code>
+     <display value="Vehicle"></display>
+     <definition value="A means of transportation."></definition>
+    </concept>
+    <concept>
+     <code value="ho"></code>
+     <display value="House"></display>
+     <definition value="A residential dwelling. Usually used to reference a location that a person/patient may reside."></definition>
+    </concept>
+    <concept>
+     <code value="ca"></code>
+     <display value="Cabinet"></display>
+     <definition value="A container that can store goods, equipment, medications or other items."></definition>
+    </concept>
+    <concept>
+     <code value="rd"></code>
+     <display value="Road"></display>
+     <definition value="A defined path to travel between 2 points that has a known name."></definition>
+    </concept>
+    <concept>
+     <code value="area"></code>
+     <display value="Area"></display>
+     <definition value="A defined physical boundary of something, such as a flood risk zone, region, postcode"></definition>
+    </concept>
+    <concept>
+     <code value="jdn"></code>
+     <display value="Jurisdiction"></display>
+     <definition value="A wide scope that covers a conceptual domain, such as a Nation (Country wide community or Federal Government - e.g. Ministry of Health),  Province or State (community or Government), Business (throughout the enterprise), Nation with a business scope of an agency (e.g. CDC, FDA etc.) or a Business segment (UK Pharmacy), not just an physical boundary"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/location-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="location-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/location-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.331"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LocationMode"></name>
+    <title value="LocationMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates whether a resource instance represents a specific location or a class of locations."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/location-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="instance"></code>
+     <display value="Instance"></display>
+     <definition value="The Location resource represents a specific instance of a location (e.g. Operating Theatre 1A)."></definition>
+    </concept>
+    <concept>
+     <code value="kind"></code>
+     <display value="Kind"></display>
+     <definition value="The Location represents a class of locations (e.g. Any Operating Theatre) although this class of locations could be constrained within a specific boundary (such as organization, or parent location, address etc.)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/location-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="location-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/location-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.333"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LocationStatus"></name>
+    <title value="LocationStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates whether the location is still in use."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/location-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The location is operational."></definition>
+    </concept>
+    <concept>
+     <code value="suspended"></code>
+     <display value="Suspended"></display>
+     <definition value="The location is temporarily closed."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The location is no longer used."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-admin-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medication-admin-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medication-admin-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1311"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationAdministration Status Codes"></name>
+    <title value="Medication administration  status  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationAdministration Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="The administration has started but has not yet completed."></definition>
+    </concept>
+    <concept>
+     <code value="not-done"></code>
+     <display value="Not Done"></display>
+     <definition value="The administration was terminated prior to any impact on the subject (though preparatory actions may have been taken)"></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="Actions implied by the administration have been temporarily halted, but are expected to continue later. May also be called 'suspended'."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="All actions that are implied by the administration have occurred."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The administration was entered in error and therefore nullified."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="Actions implied by the administration have been permanently halted, before all of them occurred."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring system does not know which of the status values currently applies for this request. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/reason-medication-not-given-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="reason-medication-not-given-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/reason-medication-not-given"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.343"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SNOMEDCTReasonMedicationNotGivenCodes"></name>
+    <title value="SNOMED CT Reason Medication Not Given Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes all medication refused, medication not administered, and non-administration of necessary drug or medicine codes from SNOMED CT - provided as an exemplar value set."></description>
+    <copyright value="This value set includes content from SNOMED CT, which is copyright 2002 International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="a"></code>
+     <display value="None"></display>
+     <definition value="No reason known."></definition>
+    </concept>
+    <concept>
+     <code value="b"></code>
+     <display value="Away"></display>
+     <definition value="The patient was not available when the dose was scheduled."></definition>
+    </concept>
+    <concept>
+     <code value="c"></code>
+     <display value="Asleep"></display>
+     <definition value="The patient was asleep when the dose was scheduled."></definition>
+    </concept>
+    <concept>
+     <code value="d"></code>
+     <display value="Vomit"></display>
+     <definition value="The patient was given the medication and immediately vomited it back."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/reason-medication-given-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="reason-medication-given-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/reason-medication-given"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1110"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ReasonMedicationGivenCodes"></name>
+    <title value="Reason Medication Given Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the medication process."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="a"></code>
+     <display value="None"></display>
+     <definition value="No reason known."></definition>
+    </concept>
+    <concept>
+     <code value="b"></code>
+     <display value="Given as Ordered"></display>
+     <definition value="The administration was following an ordered protocol."></definition>
+    </concept>
+    <concept>
+     <code value="c"></code>
+     <display value="Emergency"></display>
+     <definition value="The administration was needed to treat an emergency."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-admin-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medication-admin-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medication-admin-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1111"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationAdministration Category Codes"></name>
+    <title value="Medication administration  category  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationAdministration Category Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="inpatient"></code>
+     <display value="Inpatient"></display>
+     <definition value="Includes administrations in an inpatient or acute care setting"></definition>
+    </concept>
+    <concept>
+     <code value="outpatient"></code>
+     <display value="Outpatient"></display>
+     <definition value="Includes administrations in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
+    </concept>
+    <concept>
+     <code value="community"></code>
+     <display value="Community"></display>
+     <definition value="Includes administrations by the patient in their home (this would include long term care or nursing homes, hospices, etc.)"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/med-admin-perform-function"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="med-admin-perform-function"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1112"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationAdministration Performer Function Codes"></name>
+    <title value="Medication administration  performer  function  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationAdministration Performer Function Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/med-admin-perform-function"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="performer"></code>
+     <display value="Performer"></display>
+     <definition value="A person, non-person living subject, organization or device that who actually and principally carries out the action"></definition>
+    </concept>
+    <concept>
+     <code value="verifier"></code>
+     <display value="Verifier"></display>
+     <definition value="A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability."></definition>
+    </concept>
+    <concept>
+     <code value="witness"></code>
+     <display value="Witness"></display>
+     <definition value="A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationdispense-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationdispense-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1313"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationDispense Status Codes"></name>
+    <title value="Medication dispense  status  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationDispense Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="preparation"></code>
+     <display value="Preparation"></display>
+     <definition value="The core event has not started yet, but some staging activities have begun (e.g. initial compounding or packaging of medication). Preparation stages may be tracked for billing purposes."></definition>
+    </concept>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="The dispensed product is ready for pickup."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The dispensed product was not and will never be picked up by the patient."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="The dispense process is paused while waiting for an external event to reactivate the dispense.  For example, new stock has arrived or the prescriber has called."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The dispensed product has been picked up."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The dispense was entered in error and therefore nullified."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="Actions implied by the dispense have been permanently halted, before all of them occurred."></definition>
+    </concept>
+    <concept>
+     <code value="declined"></code>
+     <display value="Declined"></display>
+     <definition value="The dispense was declined and not performed."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring system does not know which of the status values applies for this medication dispense.  Note: this concept is not to be used for other - one of the listed statuses is presumed to apply, it's just now known which one."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationdispense-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1315"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationDispense Category Codes"></name>
+    <title value="Medication dispense  category  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationDispense Category Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="inpatient"></code>
+     <display value="Inpatient"></display>
+     <definition value="Includes dispenses for medications to be administered or consumed in an inpatient or acute care setting."></definition>
+    </concept>
+    <concept>
+     <code value="outpatient"></code>
+     <display value="Outpatient"></display>
+     <definition value="Includes dispenses for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)."></definition>
+    </concept>
+    <concept>
+     <code value="community"></code>
+     <display value="Community"></display>
+     <definition value="Includes dispenses for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="discharge"></code>
+     <display value="Discharge"></display>
+     <definition value="Includes dispenses for medications created when the patient is being released from a facility."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationdispense-status-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-status-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1317"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationDispense Status Reason Codes"></name>
+    <title value="Medication dispense  status  reason  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationDispense Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="frr01"></code>
+     <display value="Order Stopped"></display>
+     <definition value="The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example: A verbal stop, a fax, etc."></definition>
+    </concept>
+    <concept>
+     <code value="frr02"></code>
+     <display value="Stale-dated Order"></display>
+     <definition value="Order has not been fulfilled within a reasonable amount of time, and might not be current."></definition>
+    </concept>
+    <concept>
+     <code value="frr03"></code>
+     <display value="Incomplete data"></display>
+     <definition value="Data needed to safely act on the order which was expected to become available independent of the order is not yet available. Example: Lab results, diagnostic imaging, etc."></definition>
+    </concept>
+    <concept>
+     <code value="frr04"></code>
+     <display value="Product unavailable"></display>
+     <definition value="Product not available or manufactured. Cannot supply."></definition>
+    </concept>
+    <concept>
+     <code value="frr05"></code>
+     <display value="Ethical/religious"></display>
+     <definition value="The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product."></definition>
+    </concept>
+    <concept>
+     <code value="frr06"></code>
+     <display value="Unable to provide care"></display>
+     <definition value="Fulfiller not able to provide appropriate care associated with fulfilling the order. Example: Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc."></definition>
+    </concept>
+    <concept>
+     <code value="altchoice"></code>
+     <display value="Try another treatment first"></display>
+     <definition value="This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful."></definition>
+    </concept>
+    <concept>
+     <code value="clarif"></code>
+     <display value="Prescription/Request requires clarification"></display>
+     <definition value="Clarification is required before the order can be acted upon."></definition>
+    </concept>
+    <concept>
+     <code value="drughigh"></code>
+     <display value="Drug level too high"></display>
+     <definition value="The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level."></definition>
+    </concept>
+    <concept>
+     <code value="hospadm"></code>
+     <display value="Admission to hospital"></display>
+     <definition value="The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."></definition>
+    </concept>
+    <concept>
+     <code value="labint"></code>
+     <display value="Lab interference issues"></display>
+     <definition value="The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."></definition>
+    </concept>
+    <concept>
+     <code value="non-avail"></code>
+     <display value="Patient not available"></display>
+     <definition value="Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."></definition>
+    </concept>
+    <concept>
+     <code value="preg"></code>
+     <display value="Patient is pregnant or breastfeeding"></display>
+     <definition value="The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."></definition>
+    </concept>
+    <concept>
+     <code value="saig"></code>
+     <display value="Allergy"></display>
+     <definition value="The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
+    </concept>
+    <concept>
+     <code value="sddi"></code>
+     <display value="Drug interacts with another drug"></display>
+     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
+    </concept>
+    <concept>
+     <code value="sdupther"></code>
+     <display value="Duplicate therapy"></display>
+     <definition value="Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete."></definition>
+    </concept>
+    <concept>
+     <code value="sintol"></code>
+     <display value="Suspected intolerance"></display>
+     <definition value="The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
+    </concept>
+    <concept>
+     <code value="surg"></code>
+     <display value="Patient scheduled for surgery"></display>
+     <definition value="The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery."></definition>
+    </concept>
+    <concept>
+     <code value="washout"></code>
+     <display value="Washout"></display>
+     <definition value="The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system."></definition>
+    </concept>
+    <concept>
+     <code value="outofstock"></code>
+     <display value="Drug not available - out of stock"></display>
+     <definition value="Drug out of stock. Cannot supply."></definition>
+    </concept>
+    <concept>
+     <code value="offmarket"></code>
+     <display value="Drug not available - off market"></display>
+     <definition value="Drug no longer marketed Cannot supply."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-performer-function"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationdispense-performer-function"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1319"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationDispense Performer Function Codes"></name>
+    <title value="Medication dispense  performer  function  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationDispense Performer Function Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="dataenterer"></code>
+     <display value="Data Enterer"></display>
+     <definition value="Recorded the details of the request"></definition>
+    </concept>
+    <concept>
+     <code value="packager"></code>
+     <display value="Packager"></display>
+     <definition value="Prepared the medication."></definition>
+    </concept>
+    <concept>
+     <code value="checker"></code>
+     <display value="Checker"></display>
+     <definition value="Performed initial quality assurance on the prepared medication"></definition>
+    </concept>
+    <concept>
+     <code value="finalchecker"></code>
+     <display value="Final Checker"></display>
+     <definition value="Performed the final quality assurance on the prepared medication against the request. Typically, this is a pharmacist function."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationrequest-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/medicationrequest-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1377"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="medicationrequest Status"></name>
+    <title value="Medicationrequest  status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationRequest Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The prescription is 'actionable', but not all actions that are implied by it have occurred yet."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="Actions implied by the prescription are to be temporarily halted. The prescription might or might not be resumed. May also be called 'suspended'."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The prescription has been withdrawn before any administrations have occurred"></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="All actions that are implied by the prescription have occurred."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Some of the actions that are implied by the medication request may have occurred.  For example, the medication may have been dispensed and the patient may have taken some of the medication.  Clinical decision support systems should take this status into account"></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="Actions implied by the prescription are to be permanently halted, before all of the administrations occurred. This should not be used if the original order was entered in error"></definition>
+    </concept>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="The prescription is not yet 'actionable', e.g. it is a work in progress, requires sign-off, verification or needs to be run through decision support process."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-intent"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationrequest-intent"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/medicationrequest-intent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1378"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="medicationRequest Intent"></name>
+    <title value="Medication request  intent"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationRequest Intent Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="proposal"></code>
+     <display value="Proposal"></display>
+     <definition value="The request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act"></definition>
+    </concept>
+    <concept>
+     <code value="plan"></code>
+     <display value="Plan"></display>
+     <definition value="The request represents an intention to ensure something occurs without providing an authorization for others to act."></definition>
+    </concept>
+    <concept>
+     <code value="order"></code>
+     <display value="Order"></display>
+     <definition value="The request represents a request/demand and authorization for action"></definition>
+    </concept>
+    <concept>
+     <code value="original-order"></code>
+     <display value="Original Order"></display>
+     <definition value="The request represents the original authorization for the medication request."></definition>
+    </concept>
+    <concept>
+     <code value="reflex-order"></code>
+     <display value="Reflex Order"></display>
+     <definition value="The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization.."></definition>
+    </concept>
+    <concept>
+     <code value="filler-order"></code>
+     <display value="Filler Order"></display>
+     <definition value="The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order."></definition>
+    </concept>
+    <concept>
+     <code value="instance-order"></code>
+     <display value="Instance Order"></display>
+     <definition value="The request represents an instance for the particular order, for example a medication administration record."></definition>
+    </concept>
+    <concept>
+     <code value="option"></code>
+     <display value="Option"></display>
+     <definition value="The request represents a component or option for a RequestGroup that establishes timing, conditionality and/or  other constraints among a set of requests."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationrequest-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1323"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="medicationRequest Category Codes"></name>
+    <title value="Medication request  category  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationRequest Category Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="inpatient"></code>
+     <display value="Inpatient"></display>
+     <definition value="Includes requests for medications to be administered or consumed in an inpatient or acute care setting"></definition>
+    </concept>
+    <concept>
+     <code value="outpatient"></code>
+     <display value="Outpatient"></display>
+     <definition value="Includes requests for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
+    </concept>
+    <concept>
+     <code value="community"></code>
+     <display value="Community"></display>
+     <definition value="Includes requests for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)"></definition>
+    </concept>
+    <concept>
+     <code value="discharge"></code>
+     <display value="Discharge"></display>
+     <definition value="Includes requests for medications created when the patient is being released from a facility"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-status-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationrequest-status-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1325"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="medicationRequest Status Reason Codes"></name>
+    <title value="Medication request  status  reason  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationRequest Status Reason Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="altchoice"></code>
+     <display value="Try another treatment first"></display>
+     <definition value="This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful."></definition>
+    </concept>
+    <concept>
+     <code value="clarif"></code>
+     <display value="Prescription requires clarification"></display>
+     <definition value="Clarification is required before the order can be acted upon."></definition>
+    </concept>
+    <concept>
+     <code value="drughigh"></code>
+     <display value="Drug level too high"></display>
+     <definition value="The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level."></definition>
+    </concept>
+    <concept>
+     <code value="hospadm"></code>
+     <display value="Admission to hospital"></display>
+     <definition value="The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."></definition>
+    </concept>
+    <concept>
+     <code value="labint"></code>
+     <display value="Lab interference issues"></display>
+     <definition value="The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."></definition>
+    </concept>
+    <concept>
+     <code value="non-avail"></code>
+     <display value="Patient not available"></display>
+     <definition value="Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."></definition>
+    </concept>
+    <concept>
+     <code value="preg"></code>
+     <display value="Parent is pregnant/breast feeding"></display>
+     <definition value="The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."></definition>
+    </concept>
+    <concept>
+     <code value="salg"></code>
+     <display value="Allergy"></display>
+     <definition value="The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
+    </concept>
+    <concept>
+     <code value="sddi"></code>
+     <display value="Drug interacts with another drug"></display>
+     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
+    </concept>
+    <concept>
+     <code value="sdupther"></code>
+     <display value="Duplicate therapy"></display>
+     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
+    </concept>
+    <concept>
+     <code value="sintol"></code>
+     <display value="Suspected intolerance"></display>
+     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
+    </concept>
+    <concept>
+     <code value="surg"></code>
+     <display value="Patient scheduled for surgery."></display>
+     <definition value="The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery."></definition>
+    </concept>
+    <concept>
+     <code value="washout"></code>
+     <display value="Waiting for old drug to wash out"></display>
+     <definition value="The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-course-of-therapy"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationrequest-course-of-therapy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1327"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="medicationRequest Course of Therapy Codes"></name>
+    <title value="Medication request  course of  therapy  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationRequest Course of Therapy Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="continuous"></code>
+     <display value="Continuous long term therapy"></display>
+     <definition value="A medication which is expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped."></definition>
+    </concept>
+    <concept>
+     <code value="acute"></code>
+     <display value="Short course (acute) therapy"></display>
+     <definition value="A medication which the patient is only expected to consume for the duration of the current order and which is not expected to be renewed."></definition>
+    </concept>
+    <concept>
+     <code value="seasonal"></code>
+     <display value="Seasonal"></display>
+     <definition value="A medication which is expected to be used on a part time basis at certain times of the year"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-usage-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medication-usage-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/medication-usage-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1423"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationUsage Status Codes"></name>
+    <title value="Medication usage  status  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationUsage Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The medication is still being taken."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The medication is no longer being taken."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Some of the actions that are implied by the medication usage may have occurred.  For example, the patient may have taken some of the medication.  Clinical decision support systems should take this status into account."></definition>
+    </concept>
+    <concept>
+     <code value="intended"></code>
+     <display value="Intended"></display>
+     <definition value="The medication may be taken at some time in the future."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="Actions implied by the usage have been permanently halted, before all of them occurred. This should not be used if the statement was entered in error."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="Actions implied by the usage have been temporarily halted, but are expected to continue later. May also be called 'suspended'."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The state of the medication use is not currently known."></definition>
+    </concept>
+    <concept>
+     <code value="not-taken"></code>
+     <display value="Not Taken"></display>
+     <definition value="The medication was not consumed by the patient"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-usage-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medication-usage-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medication-usage-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1425"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationUsage Category Codes"></name>
+    <title value="Medication usage  category  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationUsage Category Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="inpatient"></code>
+     <display value="Inpatient"></display>
+     <definition value="Includes orders for medications to be administered or consumed in an inpatient or acute care setting"></definition>
+    </concept>
+    <concept>
+     <code value="outpatient"></code>
+     <display value="Outpatient"></display>
+     <definition value="Includes orders for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
+    </concept>
+    <concept>
+     <code value="community"></code>
+     <display value="Community"></display>
+     <definition value="Includes orders for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="patientspecified"></code>
+     <display value="Patient Specified"></display>
+     <definition value="Includes statements about medication use, including over the counter medication, provided by the patient, agent or another provider"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medication-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/medication-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1380"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Medication Status Codes"></name>
+    <title value="Medication  status  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Medication Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medication-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The medication is available for use."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The medication is not available for use."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The medication was entered in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-ingredientstrength"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medication-ingredientstrength"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/medication-ingredientstrength"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1427"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Medication Ingredient Strength Codes"></name>
+    <title value="Medication  ingredient  strength  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Medication Ingredient Strength Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medication-ingredientstrength"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="qs"></code>
+     <display value="QS"></display>
+     <definition value="As much as is sufficient."></definition>
+    </concept>
+    <concept>
+     <code value="trace"></code>
+     <display value="Trace"></display>
+     <definition value="Very small amount."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-reason-encounter"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="message-reason-encounter"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="inm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/message-reasons-encounter"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1122"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleMessageReasonCodes"></name>
+    <title value="Example Message Reason Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Example Message Reasons. These are the set of codes that might be used an updating an encounter using admin-update."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/message-reason-encounter"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="admit"></code>
+     <display value="Admit"></display>
+     <definition value="The patient has been admitted."></definition>
+    </concept>
+    <concept>
+     <code value="discharge"></code>
+     <display value="Discharge"></display>
+     <definition value="The patient has been discharged."></definition>
+    </concept>
+    <concept>
+     <code value="absent"></code>
+     <display value="Absent"></display>
+     <definition value="The patient has temporarily left the institution."></definition>
+    </concept>
+    <concept>
+     <code value="return"></code>
+     <display value="Returned"></display>
+     <definition value="The patient has returned from a temporary absence."></definition>
+    </concept>
+    <concept>
+     <code value="moved"></code>
+     <display value="Moved"></display>
+     <definition value="The patient has been moved to a new location."></definition>
+    </concept>
+    <concept>
+     <code value="edit"></code>
+     <display value="Edit"></display>
+     <definition value="Encounter details have been updated (e.g. to correct a coding error)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/response-code"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="response-code"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="inm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="4"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/response-code"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.381"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResponseType"></name>
+    <title value="ResponseType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The kind of response to a message."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/response-code"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ok"></code>
+     <display value="OK"></display>
+     <definition value="The message was accepted and processed without error."></definition>
+    </concept>
+    <concept>
+     <code value="transient-error"></code>
+     <display value="Transient Error"></display>
+     <definition value="Some internal unexpected error occurred - wait and try again. Note - this is usually used for things like database unavailable, which may be expected to resolve, though human intervention may be required."></definition>
+    </concept>
+    <concept>
+     <code value="fatal-error"></code>
+     <display value="Fatal Error"></display>
+     <definition value="The message was rejected because of a problem with the content. There is no point in re-sending without change. The response narrative SHALL describe the issue."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/nutrition-intake-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="nutrition-intake-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/nutrition-intake-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1429"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NutritionIntake Status Codes"></name>
+    <title value="Nutrition intake  status  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="NutritionIntake Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The nutrition is still being taken."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="The nutrition is no longer being taken."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Some of the actions that are implied by the nutrition usage may have occurred.  For example, the patient may have taken some of the nutrition.  Clinical decision support systems should take this status into account."></definition>
+    </concept>
+    <concept>
+     <code value="intended"></code>
+     <display value="Intended"></display>
+     <definition value="The nutrition may be taken at some time in the future."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="Actions implied by the usage have been permanently halted, before all of them occurred. This should not be used if the statement was entered in error."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="Actions implied by the usage have been temporarily halted, but are expected to continue later. May also be called 'suspended'."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The state of the nutrition use is not currently known."></definition>
+    </concept>
+    <concept>
+     <code value="not-taken"></code>
+     <display value="Not Taken"></display>
+     <definition value="The nutrition was not consumed by the patient"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/nutrition-intake-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="nutrition-intake-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/nutrition-intake-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1431"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NutritionIntake Category Codes"></name>
+    <title value="Nutrition intake  category  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="NutritionIntake Category Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="inpatient"></code>
+     <display value="Inpatient"></display>
+     <definition value="Includes orders for nutrition to be administered or consumed in an inpatient or acute care setting"></definition>
+    </concept>
+    <concept>
+     <code value="outpatient"></code>
+     <display value="Outpatient"></display>
+     <definition value="Includes orders for nutrition to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
+    </concept>
+    <concept>
+     <code value="community"></code>
+     <display value="Community"></display>
+     <definition value="Includes orders for nutrition to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="patientspecified"></code>
+     <display value="Patient Specified"></display>
+     <definition value="Includes statements about nutrition use, including over the counter medication, provided by the patient, agent or another provider"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/entformula-additive"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="entformula-additive"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/entformula-additive"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1123"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EnteralFormulaAdditiveTypeCode"></name>
+    <title value="Enteral Formula Additive Type Code"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR NutritionOrder team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="EnteralFormulaAdditiveType: Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. This value set is provided as a suggestive example."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/entformula-additive"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="lipid"></code>
+     <display value="Lipid"></display>
+     <definition value="Modular lipid enteral formula component"></definition>
+    </concept>
+    <concept>
+     <code value="protein"></code>
+     <display value="Protein"></display>
+     <definition value="Modular protein enteral formula component"></definition>
+    </concept>
+    <concept>
+     <code value="carbohydrate"></code>
+     <display value="Carbohydrate"></display>
+     <definition value="Modular carbohydrate enteral formula component"></definition>
+    </concept>
+    <concept>
+     <code value="fiber"></code>
+     <display value="Fiber"></display>
+     <definition value="Modular fiber enteral formula component"></definition>
+    </concept>
+    <concept>
+     <code value="water"></code>
+     <display value="Water"></display>
+     <definition value="Added water"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/referencerange-meaning"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="referencerange-meaning"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1124"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ObservationReferenceRangeMeaningCodes"></name>
+    <title value="Observation Reference Range Meaning Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that can be used to indicate the meaning/use of a reference range for a particular target population."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/referencerange-meaning"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <property>
+     <code value="abstract"></code>
+     <description value="True if an element is considered 'abstract' - in otherwords, the code is not for use as a real concept"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="type"></code>
+     <display value="Type"></display>
+     <definition value="General types of reference range."></definition>
+     <property>
+      <code value="abstract"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="normal"></code>
+      <display value="Normal Range"></display>
+      <definition value="Values expected for a normal member of the relevant control population being measured. Typically each results producer such as a laboratory has specific normal ranges and they are usually defined as within two standard deviations from the mean and account for 95.45% of this population."></definition>
+     </concept>
+     <concept>
+      <code value="recommended"></code>
+      <display value="Recommended Range"></display>
+      <definition value="The range that is recommended by a relevant professional body."></definition>
+     </concept>
+     <concept>
+      <code value="treatment"></code>
+      <display value="Treatment Range"></display>
+      <definition value="The range at which treatment would/should be considered."></definition>
+     </concept>
+     <concept>
+      <code value="therapeutic"></code>
+      <display value="Therapeutic Desired Level"></display>
+      <definition value="The optimal range for best therapeutic outcomes."></definition>
+      <concept>
+       <code value="pre"></code>
+       <display value="Pre Therapeutic Desired Level"></display>
+       <definition value="The optimal range for best therapeutic outcomes for a specimen taken immediately before administration."></definition>
+      </concept>
+      <concept>
+       <code value="post"></code>
+       <display value="Post Therapeutic Desired Level"></display>
+       <definition value="The optimal range for best therapeutic outcomes for a specimen taken immediately after administration."></definition>
+      </concept>
+     </concept>
+    </concept>
+    <concept>
+     <code value="endocrine"></code>
+     <display value="Endocrine"></display>
+     <definition value="Endocrine related states that change the expected value."></definition>
+     <property>
+      <code value="abstract"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="pre-puberty"></code>
+      <display value="Pre-Puberty"></display>
+      <definition value="An expected range in an individual prior to puberty."></definition>
+     </concept>
+     <concept>
+      <code value="follicular"></code>
+      <display value="Follicular Stage"></display>
+      <definition value="An expected range in an individual during the follicular stage of the cycle."></definition>
+     </concept>
+     <concept>
+      <code value="midcycle"></code>
+      <display value="MidCycle"></display>
+      <definition value="An expected range in an individual during the midcycle stage of the cycle."></definition>
+     </concept>
+     <concept>
+      <code value="luteal"></code>
+      <display value="Luteal"></display>
+      <definition value="An expected range in an individual during the luteal stage of the cycle."></definition>
+     </concept>
+     <concept>
+      <code value="postmenopausal"></code>
+      <display value="Post-Menopause"></display>
+      <definition value="An expected range in an individual post-menopause."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="observation-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/observation-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.401"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ObservationStatus"></name>
+    <title value="ObservationStatus"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes providing the status of an observation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/observation-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="registered"></code>
+     <display value="Registered"></display>
+     <definition value="The existence of the observation is registered, but there is no result yet available."></definition>
+    </concept>
+    <concept>
+     <code value="preliminary"></code>
+     <display value="Preliminary"></display>
+     <definition value="This is an initial or interim observation: data may be incomplete or unverified."></definition>
+    </concept>
+    <concept>
+     <code value="final"></code>
+     <display value="Final"></display>
+     <definition value="The observation is complete and there are no further actions needed. Additional information such &quot;released&quot;, &quot;signed&quot;, etc would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied."></definition>
+    </concept>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="Subsequent to being Final, the observation has been modified subsequent.  This includes updates/new information and corrections."></definition>
+     <concept>
+      <code value="corrected"></code>
+      <display value="Corrected"></display>
+      <definition value="Subsequent to being Final, the observation has been modified to correct an error in the test result."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The observation is unavailable because the measurement was not started or not completed (also sometimes called &quot;aborted&quot;)."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="observation-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/observation-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1125"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ObservationCategoryCodes"></name>
+    <title value="Observation Category Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Observation Category codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/observation-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="social-history"></code>
+     <display value="Social History"></display>
+     <definition value="Social History Observations define the patient's occupational, personal (e.g., lifestyle), social, familial, and environmental history and health risk factors that may impact the patient's health."></definition>
+    </concept>
+    <concept>
+     <code value="vital-signs"></code>
+     <display value="Vital Signs"></display>
+     <definition value=" Clinical observations measure the body's basic functions such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse oximetry, temperature, and body surface area."></definition>
+    </concept>
+    <concept>
+     <code value="imaging"></code>
+     <display value="Imaging"></display>
+     <definition value="Observations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine."></definition>
+    </concept>
+    <concept>
+     <code value="laboratory"></code>
+     <display value="Laboratory"></display>
+     <definition value="The results of observations generated by laboratories.  Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology (including digital pathology), microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory."></definition>
+    </concept>
+    <concept>
+     <code value="procedure"></code>
+     <display value="Procedure"></display>
+     <definition value="Observations generated by other procedures.  This category includes observations resulting from interventional and non-interventional procedures excluding laboratory and imaging (e.g., cardiology catheterization, endoscopy, electrodiagnostics, etc.).  Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure.  An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy."></definition>
+    </concept>
+    <concept>
+     <code value="survey"></code>
+     <display value="Survey"></display>
+     <definition value="Assessment tool/survey instrument observations (e.g., Apgar Scores, Montreal Cognitive Assessment (MoCA))."></definition>
+    </concept>
+    <concept>
+     <code value="exam"></code>
+     <display value="Exam"></display>
+     <definition value="Observations generated by physical exam findings including direct observations made by a clinician and use of simple instruments and the result of simple maneuvers performed directly on the patient's body."></definition>
+    </concept>
+    <concept>
+     <code value="therapy"></code>
+     <display value="Therapy"></display>
+     <definition value="Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)"></definition>
+    </concept>
+    <concept>
+     <code value="activity"></code>
+     <display value="Activity"></display>
+     <definition value="Observations that measure or record any bodily activity that enhances or maintains physical fitness and overall health and wellness.  Not under direct supervision of practitioner such as a physical therapist. (e.g., laps swum, steps, sleep data)"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-statistics"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="observation-statistics"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/observation-statistics"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1126"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StatisticsCode"></name>
+    <title value="StatisticsCode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The statistical operation parameter -&quot;statistic&quot; codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/observation-statistics"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="average"></code>
+     <display value="Average"></display>
+     <definition value="The [mean](https://en.wikipedia.org/wiki/Arithmetic_mean) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="maximum"></code>
+     <display value="Maximum"></display>
+     <definition value="The [maximum](https://en.wikipedia.org/wiki/Maximal_element) value of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="minimum"></code>
+     <display value="Minimum"></display>
+     <definition value="The [minimum](https://en.wikipedia.org/wiki/Minimal_element) value of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="count"></code>
+     <display value="Count"></display>
+     <definition value="The [number] of valid measurements over the stated period that contributed to the other statistical outputs."></definition>
+    </concept>
+    <concept>
+     <code value="total-count"></code>
+     <display value="Total Count"></display>
+     <definition value="The total [number] of valid measurements over the stated period, including observations that were ignored because they did not contain valid result values."></definition>
+    </concept>
+    <concept>
+     <code value="median"></code>
+     <display value="Median"></display>
+     <definition value="The [median](https://en.wikipedia.org/wiki/Median) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="std-dev"></code>
+     <display value="Standard Deviation"></display>
+     <definition value="The [standard deviation](https://en.wikipedia.org/wiki/Standard_deviation) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="sum"></code>
+     <display value="Sum"></display>
+     <definition value="The [sum](https://en.wikipedia.org/wiki/Summation) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="variance"></code>
+     <display value="Variance"></display>
+     <definition value="The [variance](https://en.wikipedia.org/wiki/Variance) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="20-percent"></code>
+     <display value="20th Percentile"></display>
+     <definition value="The 20th [Percentile](https://en.wikipedia.org/wiki/Percentile) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="80-percent"></code>
+     <display value="80th Percentile"></display>
+     <definition value="The 80th [Percentile](https://en.wikipedia.org/wiki/Percentile) of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="4-lower"></code>
+     <display value="Lower Quartile"></display>
+     <definition value="The lower [Quartile](https://en.wikipedia.org/wiki/Quartile) Boundary of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="4-upper"></code>
+     <display value="Upper Quartile"></display>
+     <definition value="The upper [Quartile](https://en.wikipedia.org/wiki/Quartile) Boundary of N measurements over the stated period."></definition>
+    </concept>
+    <concept>
+     <code value="4-dev"></code>
+     <display value="Quartile Deviation"></display>
+     <definition value="The difference between the upper and lower [Quartiles](https://en.wikipedia.org/wiki/Quartile) is called the Interquartile range. (IQR = Q3-Q1) Quartile deviation or Semi-interquartile range is one-half the difference between the first and the third quartiles."></definition>
+    </concept>
+    <concept>
+     <code value="5-1"></code>
+     <display value="1st Quintile"></display>
+     <definition value="The lowest of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
+    </concept>
+    <concept>
+     <code value="5-2"></code>
+     <display value="2nd Quintile"></display>
+     <definition value="The second of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
+    </concept>
+    <concept>
+     <code value="5-3"></code>
+     <display value="3rd Quintile"></display>
+     <definition value="The third of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
+    </concept>
+    <concept>
+     <code value="5-4"></code>
+     <display value="4th Quintile"></display>
+     <definition value="The fourth of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
+    </concept>
+    <concept>
+     <code value="skew"></code>
+     <display value="Skew"></display>
+     <definition value="Skewness is a measure of the asymmetry of the probability distribution of a real-valued random variable about its mean. The skewness value can be positive or negative, or even undefined.  Source: [Wikipedia](https://en.wikipedia.org/wiki/Skewness)."></definition>
+    </concept>
+    <concept>
+     <code value="kurtosis"></code>
+     <display value="Kurtosis"></display>
+     <definition value="Kurtosis  is a measure of the &quot;tailedness&quot; of the probability distribution of a real-valued random variable.   Source: [Wikipedia](https://en.wikipedia.org/wiki/Kurtosis)."></definition>
+    </concept>
+    <concept>
+     <code value="regression"></code>
+     <display value="Regression"></display>
+     <definition value="Linear regression is an approach for modeling two-dimensional sample points with one independent variable and one dependent variable (conventionally, the x and y coordinates in a Cartesian coordinate system) and finds a linear function (a non-vertical straight line) that, as accurately as possible, predicts the dependent variable values as a function of the independent variables. Source: [Wikipedia](https://en.wikipedia.org/wiki/Simple_linear_regression)  This Statistic code will return both a gradient and an intercept value."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/issue-severity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="issue-severity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/issue-severity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.409"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="IssueSeverity"></name>
+    <title value="IssueSeverity"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How the issue affects the success of the action."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/issue-severity"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="fatal"></code>
+     <display value="Fatal"></display>
+     <definition value="The issue caused the action to fail and no further checking could be performed."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="The issue is sufficiently important to cause the action to fail."></definition>
+    </concept>
+    <concept>
+     <code value="warning"></code>
+     <display value="Warning"></display>
+     <definition value="The issue is not important enough to cause the action to fail but may cause it to be performed suboptimally or in a way that is not as desired."></definition>
+    </concept>
+    <concept>
+     <code value="information"></code>
+     <display value="Information"></display>
+     <definition value="The issue has no relation to the degree of success of the action."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/issue-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="issue-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/issue-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.411"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="IssueType"></name>
+    <title value="IssueType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code that describes the type of issue."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/issue-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="invalid"></code>
+     <display value="Invalid Content"></display>
+     <definition value="Content invalid against the specification or a profile."></definition>
+     <concept>
+      <code value="structure"></code>
+      <display value="Structural Issue"></display>
+      <definition value="A structural issue in the content such as wrong namespace, unable to parse the content completely, invalid syntax, etc."></definition>
+     </concept>
+     <concept>
+      <code value="required"></code>
+      <display value="Required element missing"></display>
+      <definition value="A required element is missing."></definition>
+     </concept>
+     <concept>
+      <code value="value"></code>
+      <display value="Element value invalid"></display>
+      <definition value="An element or header value is invalid."></definition>
+     </concept>
+     <concept>
+      <code value="invariant"></code>
+      <display value="Validation rule failed"></display>
+      <definition value="A content validation rule failed - e.g. a schematron rule."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="security"></code>
+     <display value="Security Problem"></display>
+     <definition value="An authentication/authorization/permissions issue of some kind."></definition>
+     <concept>
+      <code value="login"></code>
+      <display value="Login Required"></display>
+      <definition value="The client needs to initiate an authentication process."></definition>
+     </concept>
+     <concept>
+      <code value="unknown"></code>
+      <display value="Unknown User"></display>
+      <definition value="The user or system was not able to be authenticated (either there is no process, or the proferred token is unacceptable)."></definition>
+     </concept>
+     <concept>
+      <code value="expired"></code>
+      <display value="Session Expired"></display>
+      <definition value="User session expired; a login may be required."></definition>
+     </concept>
+     <concept>
+      <code value="forbidden"></code>
+      <display value="Forbidden"></display>
+      <definition value="The user does not have the rights to perform this action."></definition>
+     </concept>
+     <concept>
+      <code value="suppressed"></code>
+      <display value="Information  Suppressed"></display>
+      <definition value="Some information was not or might not have been returned due to business rules, consent or privacy rules, or access permission constraints.  This information may be accessible through alternate processes."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="processing"></code>
+     <display value="Processing Failure"></display>
+     <definition value="Processing issues. These are expected to be final e.g. there is no point resubmitting the same content unchanged."></definition>
+     <concept>
+      <code value="not-supported"></code>
+      <display value="Content not supported"></display>
+      <definition value="The interaction, operation, resource or profile is not supported."></definition>
+     </concept>
+     <concept>
+      <code value="duplicate"></code>
+      <display value="Duplicate"></display>
+      <definition value="An attempt was made to create a duplicate record."></definition>
+     </concept>
+     <concept>
+      <code value="multiple-matches"></code>
+      <display value="Multiple Matches"></display>
+      <definition value="Multiple matching records were found when the operation required only one match."></definition>
+     </concept>
+     <concept>
+      <code value="not-found"></code>
+      <display value="Not Found"></display>
+      <definition value="The reference provided was not found. In a pure RESTful environment, this would be an HTTP 404 error, but this code may be used where the content is not found further into the application architecture."></definition>
+      <concept>
+       <code value="deleted"></code>
+       <display value="Deleted"></display>
+       <definition value="The reference pointed to content (usually a resource) that has been deleted."></definition>
+      </concept>
+     </concept>
+     <concept>
+      <code value="too-long"></code>
+      <display value="Content Too Long"></display>
+      <definition value="Provided content is too long (typically, this is a denial of service protection type of error)."></definition>
+     </concept>
+     <concept>
+      <code value="code-invalid"></code>
+      <display value="Invalid Code"></display>
+      <definition value="The code or system could not be understood, or it was not valid in the context of a particular ValueSet.code."></definition>
+     </concept>
+     <concept>
+      <code value="extension"></code>
+      <display value="Unacceptable Extension"></display>
+      <definition value="An extension was found that was not acceptable, could not be resolved, or a modifierExtension was not recognized."></definition>
+     </concept>
+     <concept>
+      <code value="too-costly"></code>
+      <display value="Operation Too Costly"></display>
+      <definition value="The operation was stopped to protect server resources; e.g. a request for a value set expansion on all of SNOMED CT."></definition>
+     </concept>
+     <concept>
+      <code value="business-rule"></code>
+      <display value="Business Rule Violation"></display>
+      <definition value="The content/operation failed to pass some business rule and so could not proceed."></definition>
+     </concept>
+     <concept>
+      <code value="conflict"></code>
+      <display value="Edit Version Conflict"></display>
+      <definition value="Content could not be accepted because of an edit conflict (i.e. version aware updates). (In a pure RESTful environment, this would be an HTTP 409 error, but this code may be used where the conflict is discovered further into the application architecture.)."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="transient"></code>
+     <display value="Transient Issue"></display>
+     <definition value="Transient processing issues. The system receiving the message may be able to resubmit the same content once an underlying issue is resolved."></definition>
+     <concept>
+      <code value="lock-error"></code>
+      <display value="Lock Error"></display>
+      <definition value="A resource/record locking failure (usually in an underlying database)."></definition>
+     </concept>
+     <concept>
+      <code value="no-store"></code>
+      <display value="No Store Available"></display>
+      <definition value="The persistent store is unavailable; e.g. the database is down for maintenance or similar action, and the interaction or operation cannot be processed."></definition>
+     </concept>
+     <concept>
+      <code value="exception"></code>
+      <display value="Exception"></display>
+      <definition value="An unexpected internal error has occurred."></definition>
+     </concept>
+     <concept>
+      <code value="timeout"></code>
+      <display value="Timeout"></display>
+      <definition value="An internal timeout has occurred."></definition>
+     </concept>
+     <concept>
+      <code value="incomplete"></code>
+      <display value="Incomplete Results"></display>
+      <definition value="Not all data sources typically accessed could be reached or responded in time, so the returned information might not be complete (applies to search interactions and some operations)."></definition>
+     </concept>
+     <concept>
+      <code value="throttled"></code>
+      <display value="Throttled"></display>
+      <definition value="The system is not prepared to handle this request due to load management."></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="informational"></code>
+     <display value="Informational Note"></display>
+     <definition value="A message unrelated to the processing success of the completed operation (examples of the latter include things like reminders of password expiry, system maintenance times, etc.)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/operation-outcome"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="operation-outcome"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/operation-outcome"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1127"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="OperationOutcomeCodes"></name>
+    <title value="Operation Outcome Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Operation Outcome codes used by FHIR test servers (see Implementation file translations.xml)"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="DELETE_MULTIPLE_MATCHES"></code>
+     <display value="Error: Multiple matches exist for the conditional delete"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fout: er is meer dan één resultaat voor de conditionele delete"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_AUTH_REQUIRED"></code>
+     <display value="You must authenticate before you can use this service"></display>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Autenticazione richiesta prima di usare questo servizio"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Wymagana autentykacja przed użyciem tego serwisu"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Vous devez être authentifié avant de pouvoir utiliser ce service"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="U moet zich authenticeren voor gebruik van deze service"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="使用此服务前需认证"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Debe autenticarse antes de poder usar este servicio"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_BAD_FORMAT"></code>
+     <display value="Bad Syntax: &quot;%s&quot; must be a %s'"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Неверный синтакс: &quot;%s&quot; должен быть %s"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sintassi Errata: &quot;%s&quot; deve essere un %s'"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd składni: &quot;%s&quot; powinno być %s'"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Erreur de Syntaxe : &quot;%s&quot; doit être un %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verkeerde syntax: &quot;%s&quot; moet een %s zijn"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="句法错误: &quot;%s&quot; 必须是一个 %s'"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sintaxis Incorrecta: &quot;%s&quot; debe de ser un %s'"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_BAD_SYNTAX"></code>
+     <display value="Bad Syntax in %s"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Неверный синтакс: %s"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sintassi errata in %s"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd składni w %s"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Erreur de Syntaxe dans %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verkeerde syntax in %s"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="%s 中句法错误"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Sintaxis Incorrecta en %s"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_CANT_PARSE_CONTENT"></code>
+     <display value="Unable to parse feed (entry content type = &quot;%s&quot;)"></display>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossibile effettuare il parsing del feed (tipo del contenuto della entry = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd parsowania (typ zawartości wejściowej = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossible d'analyser le flux (type de contenu de l'entrée = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kan feed niet verwerken (contenttype inhoud = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="无法解析feed (条目的内容类型 = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="No se pudo parsear el feed (el tipo de contenido de la entry = &quot;%s&quot;)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_CANT_PARSE_ROOT"></code>
+     <display value="Unable to parse feed (root element name = &quot;%s&quot;)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Не удалось разобрать данные (корневой элемент = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossibile effettuare il parsing del feed (nome elemento root = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd parsowania (nazwa elementu root = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossible d'analyser le flux (nom de l'élément racine = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kan feed niet verwerken (rootelementnaam = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="无法解析feed (根元素名 = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="No se pudo parsear el feed (nombre del elemento raiz = &quot;%s&quot;)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_CREATED"></code>
+     <display value="New resource created"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieuwe resource gemaakt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_DATE_FORMAT"></code>
+     <display value="The Date value %s is not in the correct format (Xml Date Format required)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Значение Date %s в неверном формате (требуется Xml Date формат)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Il valore %s per la data non è nel formato corretto (richiesto il Formato Data Xml)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niepoprawny format wartości daty %s (wymagany format XML)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Le format de la date %s est incorrect (format Date Xml attendu)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De Datum-waarde %s heeft niet de juiste structuur (Xml Date vereist)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="日期的值 %s 格式不正确 (要求是Xml Date格式)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="El valor de la fecha %s no está en el formato correcto (se requiere un formato de fecha Xml)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_DELETED"></code>
+     <display value="This resource has been deleted"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Данный ресурс был удалён"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Questa risorsa è stata cancellata"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ten zasób został usunięty"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La ressource a été supprimée"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Deze resource is verwijderd"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="该资源已删除"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Este recurso ha sido borrado"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_DELETED_DONE"></code>
+     <display value="Resource deleted"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ресурс удалён"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Risorsa cancellata"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zasób usunięto"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ressource supprimée"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resource verwijderd"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="资源已删除"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Recurso borrado"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_DELETED_ID"></code>
+     <display value="The resource &quot;%s&quot; has been deleted"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ресурс &quot;%s&quot; был удалён"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La risorsa &quot;%s&quot; è stata eliminata"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zasób &quot;%s&quot; został usunięty"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La ressource &quot;%s&quot; a été supprimée"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De resource &quot;%s&quot; is verwijderd"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="资源 &quot;%s&quot; 已被删除"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="El recurso &quot;%s&quot; ha sido borrado"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_DUPLICATE_ID"></code>
+     <display value="Duplicate Id %s for resource type %s"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Дублирующий Id %s для типа ресурса %s"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id %s duplicato per il tipo di risorsa %s"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zdublowany identyfikator %s dla zasobu typu %s"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id %s en double pour le type de ressource %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Duplicaat-id %s voor resourcetype %s"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ID %s 重复（资源类型 %s）"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id %s duplicada para el recurso de tipo %s"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_ERROR_PARSING"></code>
+     <display value="Error parsing resource Xml (%s)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ошибка синтаксического разбора ресурса Xml (%s)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Errore nel parsing della risorsa Xml (%s)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd w trakcie parsowania zasobu XML (%s)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Erreur d'analyse de la ressource Xml (%s)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fout in verwerking resource Xml (%s)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="解析资源Xml时出错 (%s)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Error parseando el recurso Xml (%s)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_ID_INVALID"></code>
+     <display value="Id &quot;%s&quot; has an invalid character &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; содержит недопустимые символы &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="L''Id &quot;%s&quot; ha un carattere non valido: &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identyfikator &quot;%s&quot; zawiera niepoprawny znak &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; possède un caractère invalide &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; heeft een ongeldig teken &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ID &quot;%s&quot; 带有非法字符: &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="El Id &quot;%s&quot; contiene el caracter inválido &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_ID_TOO_LONG"></code>
+     <display value="Id &quot;%s&quot; too long (length limit 36)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Недопустимая длина Id &quot;%s&quot; (ограничение 36)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; troppo lunga (limite di lunghezza: 36)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identyfikator &quot;%s&quot; jest zbyt długi (limit długości 36)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; trop long (la longueur limite est 36)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; te lang (max lengte 36)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id &quot;%s&quot; 过长 (长度限制: 36)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="El Id &quot;%s&quot; es demasiado largo (limite de longitud: 36)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_INVALID_ID"></code>
+     <display value="Id not accepted"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id не принято"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id non accettato"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identyfikator nie zaakceptowany"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id non accepté"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id niet geaccepteerd"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id不被接受"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id no aceptada"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_JSON_OBJECT"></code>
+     <display value="Json Source for a resource should start with an object"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Json Source для ресурса должен начинаться с объекта"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Il sorgente Json di una risorsa dovrebbe iniziare con un oggetto"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Źródło json dla zasobu powinno rozpoczynać się od obiektu"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La source Json pour une ressource doit commencer par un objet"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Json Source van een resource moeten beginnen met een object"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="资源的Json源应以一个object开始"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La fuente Json para un recurso debería empezar con un objeto"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_LOCAL_FAIL"></code>
+     <display value="Unable to resolve local reference to resource %s"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Невозможно определить локальную ссылку на ресурс %s"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossibile risolvere il riferimento locale alla risorsa %s"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zasób wskazywany przez loklaną referencję %s nie został odnaleziony"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossible de résourdre la référence locale à la ressource %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="De resource met lokale referentie %s is niet gevonden"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="无法解析对资源 %s 的本地引用"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Imposible resolver la referencia al recurso %s"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_NO_EXIST"></code>
+     <display value="Resource Id &quot;%s&quot; does not exist"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ресурс Id &quot;%s&quot; не существует"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La risorsa con Id &quot;%s&quot; non esiste"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zasób o identyfikatorze &quot;%s&quot; nie istnieje"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="La ressource avec l'Id &quot;%s&quot; n'existe pas"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resource-id &quot;%s&quot; bestaat niet"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="资源Id &quot;%s&quot;不存在"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="El recurso con Id &quot;%s&quot; no existe"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_NO_MATCH"></code>
+     <display value="No Resource found matching the query &quot;%s&quot;"></display>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nessuna Risorsa soddisfa la query &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen resource gevonden met query &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_NO_MODULE"></code>
+     <display value="No module could be found to handle the request &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Модуль для обработки запроса &quot;%s&quot; не найден"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Impossibile trovare un modulo per gestire la richiesta &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nie można odnaleźć modułu, aby obsłużyć żądanie &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aucun module disponible pour traiter la requête &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Er kon geen module worden gevonden om verzoek &quot;%s&quot; te verwerken"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="无法找到处理请求&quot;%s&quot;的模块"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="No se encontró un modulo que gestione la petición &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_NO_SUMMARY"></code>
+     <display value="No Summary for this resource"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Отсутствует Summary для данного ресурса"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nessun riepilogo per questa risorsa"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Brak podsumowania (Summary) dla tego zasobu"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Aucun résumé disponible pour cette ressource"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Geen samenvatting voor deze resource"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="该资源无summary"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="No existe un resumen para este recurso"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_OP_NOT_ALLOWED"></code>
+     <display value="Operation %s not allowed for resource %s (due to local configuration)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Операция %s недопустима для ресурса %s (по причине локальной конфигурации)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Operazione %s non consentita per la risorsa %s (a causa di configurazioni locali)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niedozwolona operacja %s dla zasobu %s (ze względu na lokalną konfigurację)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="L'opération %s n'est pas permise pour la ressource %s (à cause de la configuration locale)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Bewerking %s niet toegestaan voor resource %s (vanwege lokale configuratie)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="操作 %s 不允许，对于资源 %s (由于本地配置)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Operación %s no permitida para el recurso %s (debido a la configuración local)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_PARAM_CHAINED"></code>
+     <display value="Unknown chained parameter name &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Неизвестое вложенное наименование параметра &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nome di parametro concatenato sconosciuto: &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieznana nazwa parametru powiązanego &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nom du paramètre chainé inconnu : &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekende geschakelde parameternaam &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="未知的链式参数名: &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nombre de parametro encadenado desconocido: &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_PARAM_INVALID"></code>
+     <display value="Parameter &quot;%s&quot; content is invalid"></display>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Il contenuto del Parametro &quot;%s&quot; non è valido"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Waarde van parameter &quot;%s&quot; is ongeldig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_PARAM_MODIFIER_INVALID"></code>
+     <display value="Parameter &quot;%s&quot; modifier is invalid"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Modifier van parameter &quot;%s&quot; is ongeldig"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_PARAM_NO_REPEAT"></code>
+     <display value="Parameter &quot;%s&quot; is not allowed to repeat"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Параметр &quot;%s&quot; не может быть повторён"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Non � consentito ripetere il parametro &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parametr &quot;%s&quot; nie może zostać powtórzony"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Le paramètre &quot;%s&quot; ne peut pas être répété"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parameter &quot;%s&quot; mag niet herhalen"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="参数&quot;%s&quot;不可重复"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="No se permite la repetición del parámetro &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_PARAM_UNKNOWN"></code>
+     <display value="Parameter &quot;%s&quot; not understood"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Параметр &quot;%s&quot; не понят"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parametro &quot;%s&quot; non riconosciuto"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niezrozumiały parametr &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Paramètre &quot;%s&quot; non reconnu"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parameter &quot;%s&quot; onbekend"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="无法理解参数&quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Parámetro &quot;%s&quot; no reconocido"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_EXAMPLE_PROTECTED"></code>
+     <display value="Resources with identity &quot;example&quot; cannot be deleted (for testing/training purposes)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ресурс с идентификатором &quot;example&quot; не может быть удалён (для случаев тестирования/обучения)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Le Risorse aventi l'identità &quot;example&quot; non possono essere cancellate (per finalità di test/formazione)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zasoby oznaczone jako &quot;example&quot; nie mogą zostać usunięte (dla celów testów/szkoleń)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Les ressources ayant l'identité &quot;example&quot; ne peuvent pas être supprimées (utilisées pour les tests/formations)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resources met identiteit &quot;voorbeeld&quot; kunnen niet worden verwijderd (ten behoeve van testen/training)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="以&quot;example&quot; 为ID的资源不能被删除 (用于测试/培训)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Recursos con la identidad &quot;example&quot; no pueden ser borrados (son usados para pruebas/entrenamiento)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_ID_FAIL"></code>
+     <display value="unable to allocate resource id"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="невозможно выделить идентификатор ресурса"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="impossibile allocare l''id della risorsa"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nie można nadać identyfikatora zasobu"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="impossible d'allouer l'id de la ressource"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="kan geen resource-id reserveren"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="无法分配资源ID"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="imposible encontrar el id del recurso"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_ID_MISMATCH"></code>
+     <display value="Resource Id Mismatch"></display>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Problème de correspondance d'Id de la Ressource"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resource ID's komen niet overeen"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_ID_MISSING"></code>
+     <display value="Resource Id Missing"></display>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id della Risorsa mancante"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Id de la Ressource manquante"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resource ID ontbreekt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_NOT_ALLOWED"></code>
+     <display value="Not allowed to submit a resource for this operation"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Для данной операции отправка ресурса недопустима"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Non è consentito sottomettere una risorsa per questa operazione"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nie można zgłosić zasobu dla tej operacji"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Non autorisé à soumettre une ressource pour cette opération"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niet toegestaan om een resource in te dienen voor deze bewerking"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="该操作不允许提交资源"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="No se permite el envío de un recurso para esta operación"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_REQUIRED"></code>
+     <display value="A resource is required"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Требуется ресурс"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="E'' richiesta una risorsa"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zasób jest wymagany"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Une ressource est requise"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Een resource is verplicht"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="必须提供一个资源"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Se requiere un recurso"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_RESOURCE_TYPE_MISMATCH"></code>
+     <display value="Resource Type Mismatch"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Несоответствие типа ресурса"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tipo Risorsa non corrispondente"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Niepoprawny typ zasobu"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Type de ressource incorrect"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Verkeerd resourcetype"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="资源类型不匹配"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Los Tipos de los recursos no coinciden"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_SORT_UNKNOWN"></code>
+     <display value="Unknown sort parameter name &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Неизвестное имя параметра сортировки &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nome del parametro di ordinamento &quot;%s&quot; non riconosciuto"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieznany parametr sortowania &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nom du paramètre de tri inconnu &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekende parameternaam &quot;%s&quot; voor sortering"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="未知的排序参数名称&quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nombre del parámetro de ordenación &quot;%s&quot; desconocido"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_TRANSACTION_DUPLICATE_ID"></code>
+     <display value="Duplicate Identifier in transaction: %s"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Дублирующий идентификатор в транзакции: %s"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Zdublowany identyfikator w transakcji: %s"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identifiant en double dans la transaction : %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dubbele identificatie in transactie: %s"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="事务中存在重复Id: %s"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identificador duplicado en la transacción: %s"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_TRANSACTION_MISSING_ID"></code>
+     <display value="Missing Identifier in transaction - an entry.id must be provided"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Отсутствует идентификатор в транзакции - требуется entry.id"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Brak identyfikatora w transakcji - należy podać entry.id"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identifiant manquant dans la transaction - un élément entry.id doit être fourni"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ontbrekende identificatie in transactie - entry.id is verplicht"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="事务中缺少Id - 必须提供一个entry.id"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Identificador de la transacción no encontrado - se debe proporcionar un entry.id"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_UNHANDLED_NODE_TYPE"></code>
+     <display value="Unhandled xml node type &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Не обработанный xml узел &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tipo di nodo Xml non gestito &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieobsługiwany typ węzła XML &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Type de noeud xml &quot;%s&quot; non traité"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Kan xml nodetype &quot;%s&quot; niet verwerken"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="未处理的XML节点类型&quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tipo de nodo Xml no soportado &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_UNKNOWN_CONTENT"></code>
+     <display value="Unknown Content (%s) at %s"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Неизвестный контент (%s) в %s"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contenuto Sconosciuto (%s) at %s"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nieznana zawartość (%s) dla %s"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contenu inconnu (%s) à %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Onbekende content (%s) at %s"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="未知内容 (%s) 位于 %s"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Contenido desconocido (%s) en %s"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_UNKNOWN_OPERATION"></code>
+     <display value="unknown FHIR http operation"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="неизвестная операция FHIR http"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="operazione http FHIR sconosciuta"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="nieznana operacja FHIR http"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="operation http FHIR inconnue"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="onbekende FHIR http operation"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="未知的FHIR HTTP操作"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Operación http FHIR desconocida"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_UNKNOWN_TYPE"></code>
+     <display value="Resource Type &quot;%s&quot; not recognised"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Тип ресурса &quot;%s&quot; не распознан"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tipo di Risorsa &quot;%s&quot; non riconosciuto"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nie rozpoznany typ zasobu: &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Type de ressource &quot;%s&quot; non reconnu"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Resourcetype &quot;%s&quot; niet herkend"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="资源类型&quot;%s&quot;未识别"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Tipo de Recurso &quot;%s&quot; no reconocido"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_UPDATED"></code>
+     <display value="existing resource updated"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="существующий ресурс обновлён"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="risorsa esistente aggiornata"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="uaktualniono istniejący zasób"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="ressource existante mise à jour"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="bestaande resource updated"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="已有资源被更新"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Recurso existente actualizado"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_VERSION_AWARE"></code>
+     <display value="Version aware updates are required for this resource"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Для данного ресурса необходимы обновления с учётом версии"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Questa risorsa richiede aggiornamenti per versione"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Uaktualnienia zakładające wersjonowanie są wymagane dla tego zasobu"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Des mises à jour en relation avec la version sont requises pour cette ressource"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie-bewuste updates zijn vereist voor deze resource"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="该资源的更新必须针对版本"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Este recurso requiere actualizaciones en base a versiones"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_VERSION_AWARE_CONFLICT"></code>
+     <display value="Update Conflict (server current version = &quot;%s&quot;, client version referenced = &quot;%s&quot;)"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Конфликт обновления (текущая версия сервера = &quot;%s&quot;, указанная версия клиента = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Conflitto nell''aggiornamento (attuale = &quot;%s&quot;, quotato = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Konflikt podczas uaktualnienia (obecna wersja na serwerze = &quot;%s&quot;, wersja wskazana przez klienta = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Conflit de mise à jour (version courante du serveur = &quot;%s&quot;, version référencée du client = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Updateconflict (huidige serverversie = &quot;%s&quot;, opgegeven clientversie = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="更新冲突 (服务器当前版本 = &quot;%s&quot;, 客户端引用的版本 = &quot;%s&quot;)"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Conflicto de actualizaciones (versión actual del servidor = &quot;%s&quot;, versión del cliente referenciada = &quot;%s&quot;)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_VERSION_AWARE_URL"></code>
+     <display value="Version specific URL not recognised"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="URL для указанной версии не распознан"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="URL specifico alla versione non riconosciuto"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Nie rozpoznany URL specyficzny dla wersji"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="URL spécifique à une version non reconnue"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Versie-specifieke URL niet herkend"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="未识别特定版本的URL"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="URL especifica de la versión no reconocida"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="MSG_WRONG_NS"></code>
+     <display value="This does not appear to be a FHIR element or resource (wrong namespace &quot;%s&quot;)"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Dit lijkt geen FHIR element of resource te zijn (verkeerde namespace &quot;%s&quot;)"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SEARCH_MULTIPLE"></code>
+     <display value="Error: Multiple matches exist for %s search parameters &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ошибка: множественные совпадения для %s с параметрами поиска &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Errore: Trovate corrispondenze multiple per %s parametri di ricerca &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd: Istnieją wielokrotne dopasowania dla %s parametrów wyszukiwania &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Erreur : Plusieurs correspondances existent pour ce paramètre de recherche %s"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fout: er is meer dan één resultaat voor %s zoekparameters &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="错误: 对于 %s 搜索的参数 &quot;%s&quot;存在多个匹配"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Error: Multiples ocurrencias existen para %s parametros de búsqueda &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="SEARCH_NONE"></code>
+     <display value="Error: no processable search found for %s search parameters &quot;%s&quot;"></display>
+     <designation>
+      <language value="ru"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Ошибка: обрабатываемых результатов поиска для %s с параметрами поиска &quot;%s&quot; не найдено"></value>
+     </designation>
+     <designation>
+      <language value="it"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Errore: non è stato trovato alcun parametro di ricerca processabile per %s parametri di ricerca &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="pl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Błąd: Niewykonalne wyszukiwanie dla %s parametrów wyszukiwania &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="fr"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Erreur : aucune recherche trouvée pour les paramètres %s &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fout: geen verwerkbare zoekactie gevonden voor %s zoekparameters &quot;%s&quot;"></value>
+     </designation>
+     <designation>
+      <language value="zh"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="错误: 对%s搜索参数&quot;%s&quot;未找到可处理的搜索"></value>
+     </designation>
+     <designation>
+      <language value="es"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Error: no se encontro una búsqueda apropiada para %s parametros de búsqueda &quot;%s&quot;"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="UPDATE_MULTIPLE_MATCHES"></code>
+     <display value="Error: Multiple matches exist for the conditional update"></display>
+     <designation>
+      <language value="nl"></language>
+      <use>
+       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
+       <code value="display"></code>
+      </use>
+      <value value="Fout: er is meer dan één resultaat voor de conditionele update"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/organization-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="organization-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/organization-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1128"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="OrganizationType"></name>
+    <title value="Organization type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate a type of organization."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/organization-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="prov"></code>
+     <display value="Healthcare Provider"></display>
+     <definition value="An organization that provides healthcare services."></definition>
+    </concept>
+    <concept>
+     <code value="dept"></code>
+     <display value="Hospital Department"></display>
+     <definition value="A department or ward within a hospital (Generally is not applicable to top level organizations)"></definition>
+    </concept>
+    <concept>
+     <code value="team"></code>
+     <display value="Organizational team"></display>
+     <definition value="An organizational team is usually a grouping of practitioners that perform a specific function within an organization (which could be a top level organization, or a department)."></definition>
+    </concept>
+    <concept>
+     <code value="govt"></code>
+     <display value="Government"></display>
+     <definition value="A political body, often used when including organization records for government bodies such as a Federal Government, State or Local Government."></definition>
+    </concept>
+    <concept>
+     <code value="ins"></code>
+     <display value="Insurance Company"></display>
+     <definition value="A company that provides insurance to its subscribers that may include healthcare related policies."></definition>
+    </concept>
+    <concept>
+     <code value="pay"></code>
+     <display value="Payer"></display>
+     <definition value="A company, charity, or governmental organization, which processes claims and/or issues payments to providers on behalf of patients or groups of patients."></definition>
+    </concept>
+    <concept>
+     <code value="edu"></code>
+     <display value="Educational Institute"></display>
+     <definition value="An educational institution that provides education or research facilities."></definition>
+    </concept>
+    <concept>
+     <code value="reli"></code>
+     <display value="Religious Institution"></display>
+     <definition value="An organization that is identified as a part of a religious institution."></definition>
+    </concept>
+    <concept>
+     <code value="crs"></code>
+     <display value="Clinical Research Sponsor"></display>
+     <definition value="An organization that is identified as a Pharmaceutical/Clinical Research Sponsor."></definition>
+    </concept>
+    <concept>
+     <code value="cg"></code>
+     <display value="Community Group"></display>
+     <definition value="An un-incorporated community group."></definition>
+    </concept>
+    <concept>
+     <code value="bus"></code>
+     <display value="Non-Healthcare Business or Corporation"></display>
+     <definition value="An organization that is a registered business or corporation but not identified by other types."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other type of organization not already specified."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contactentity-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contactentity-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contactentity-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1129"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContactEntityType"></name>
+    <title value="Contact entity type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the purpose for which you would contact a contact party."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contactentity-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="BILL"></code>
+     <display value="Billing"></display>
+     <definition value="Contact details for information regarding to billing/general finance enquiries."></definition>
+    </concept>
+    <concept>
+     <code value="ADMIN"></code>
+     <display value="Administrative"></display>
+     <definition value="Contact details for administrative enquiries."></definition>
+    </concept>
+    <concept>
+     <code value="HR"></code>
+     <display value="Human Resource"></display>
+     <definition value="Contact details for issues related to Human Resources, such as staff matters, OH&amp;S etc."></definition>
+    </concept>
+    <concept>
+     <code value="PAYOR"></code>
+     <display value="Payor"></display>
+     <definition value="Contact details for dealing with issues related to insurance claims/adjudication/payment."></definition>
+    </concept>
+    <concept>
+     <code value="PATINF"></code>
+     <display value="Patient"></display>
+     <definition value="Generic information contact for patients."></definition>
+    </concept>
+    <concept>
+     <code value="PRESS"></code>
+     <display value="Press"></display>
+     <definition value="Dedicated contact point for matters relating to press enquiries."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/animal-genderstatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="animal-genderstatus"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/animal-genderstatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.419"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GenderStatus"></name>
+    <title value="Gender status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the current state of the animal's reproductive organs."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="neutered"></code>
+     <display value="Neutered"></display>
+     <definition value="The animal has been sterilized, castrated or otherwise made infertile."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="gesteriliseerd"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="intact"></code>
+     <display value="Intact"></display>
+     <definition value="The animal's reproductive organs are intact."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="intact"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="Unable to determine whether the animal has been neutered."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="onbekend"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/animal-species"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="animal-species"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/animal-species"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.421"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AnimalSpecies"></name>
+    <title value="Animal species"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate species of animal patients."></description>
+    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="canislf"></code>
+     <display value="Dog"></display>
+     <definition value="Canis lupus familiaris"></definition>
+    </concept>
+    <concept>
+     <code value="ovisa"></code>
+     <display value="Sheep"></display>
+     <definition value="Ovis aries"></definition>
+    </concept>
+    <concept>
+     <code value="serinuscd"></code>
+     <display value="Domestic Canary"></display>
+     <definition value="Serinus canaria domestica"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/link-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="link-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/link-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.424"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LinkType"></name>
+    <title value="LinkType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of link between this patient resource and another patient resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/link-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="replaced-by"></code>
+     <display value="Replaced-by"></display>
+     <definition value="The patient resource containing this link must no longer be used. The link points forward to another patient resource that must be used in lieu of the patient resource that contains this link."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="Vervangen door"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="replaces"></code>
+     <display value="Replaces"></display>
+     <definition value="The patient resource containing this link is the current active patient record. The link points back to an inactive patient resource that has been merged into this resource, and should be consulted to retrieve additional referenced information."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="Vervangt"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="refer"></code>
+     <display value="Refer"></display>
+     <definition value="The patient resource containing this link is in use and valid but not considered the main source of information about a patient. The link points forward to another patient resource that should be consulted to retrieve additional patient information."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="Verwijzing"></value>
+     </designation>
+    </concept>
+    <concept>
+     <code value="seealso"></code>
+     <display value="See also"></display>
+     <definition value="The patient resource containing this link is in use and valid, but points to another patient resource that is known to contain data about the same person. Data in this resource might overlap or contradict information found in the other patient resource. This link does not indicate any relative importance of the resources concerned, and both should be regarded as equally valid."></definition>
+     <designation>
+      <language value="nl"></language>
+      <value value="Zie ook"></value>
+     </designation>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-action"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="device-action"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/device-action"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.426"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProcedureDeviceActionCodes"></name>
+    <title value="Procedure Device Action Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
+     </telecom>
+    </contact>
+    <description value="Example codes indicating the change that happened to the device during the procedure.  Note that these are in no way complete and might not even be appropriate for some uses."></description>
+    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="implanted"></code>
+     <display value="Implanted"></display>
+     <definition value="The device was implanted in the patient during the procedure."></definition>
+    </concept>
+    <concept>
+     <code value="explanted"></code>
+     <display value="Explanted"></display>
+     <definition value="The device was explanted from the patient during the procedure."></definition>
+    </concept>
+    <concept>
+     <code value="manipulated"></code>
+     <display value="Manipulated"></display>
+     <definition value="The device remains in the patient, but its location, settings, or functionality was changed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/provenance-entity-role"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="provenance-entity-role"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/provenance-entity-role"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.437"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProvenanceEntityRole"></name>
+    <title value="ProvenanceEntityRole"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How an entity was used in an activity."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="derivation"></code>
+     <display value="Derivation"></display>
+     <definition value="A transformation of an entity into another, an update of an entity resulting in a new one, or the construction of a new entity based on a pre-existing entity."></definition>
+     <concept>
+      <code value="revision"></code>
+      <display value="Revision"></display>
+      <definition value="A derivation for which the resulting entity is a revised version of some original."></definition>
+     </concept>
+     <concept>
+      <code value="quotation"></code>
+      <display value="Quotation"></display>
+      <definition value="The repeat of (some or all of) an entity, such as text or image, by someone who might or might not be its original author."></definition>
+     </concept>
+     <concept>
+      <code value="source"></code>
+      <display value="Source"></display>
+      <definition value="A primary source for a topic refers to something produced by some agent with direct experience and knowledge about the topic, at the time of the topic's study, without benefit from hindsight."></definition>
+     </concept>
+     <concept>
+      <code value="removal"></code>
+      <display value="Removal"></display>
+      <definition value="A derivation for which the entity is removed from accessibility usually through the use of the Delete operation."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/provenance-agent-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="provenance-agent-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1131"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProvenanceParticipantType"></name>
+    <title value="Provenance participant type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2023-05-12T10:00:00+10:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of participation a provenance participant."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/provenance-agent-type"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="enterer"></code>
+     <display value="Enterer"></display>
+     <definition value="A person entering the data into the originating system"></definition>
+    </concept>
+    <concept>
+     <code value="performer"></code>
+     <display value="Performer"></display>
+     <definition value="A person, animal, organization or device that who actually and principally carries out the activity"></definition>
+    </concept>
+    <concept>
+     <code value="author"></code>
+     <display value="Author"></display>
+     <definition value="A party that originates the resource and therefore has responsibility for the information given in the resource and ownership of this resource"></definition>
+    </concept>
+    <concept>
+     <code value="verifier"></code>
+     <display value="Verifier"></display>
+     <definition value="A person who verifies the correctness and appropriateness of activity"></definition>
+     <concept>
+      <code value="legal"></code>
+      <display value="Legal Authenticator"></display>
+      <definition value="The person authenticated the content and accepted legal responsibility for its content"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="attester"></code>
+     <display value="Attester"></display>
+     <definition value="A verifier who attests to the accuracy of the resource"></definition>
+    </concept>
+    <concept>
+     <code value="informant"></code>
+     <display value="Informant"></display>
+     <definition value="A person who reported information that contributed to the resource"></definition>
+    </concept>
+    <concept>
+     <code value="custodian"></code>
+     <display value="Custodian"></display>
+     <definition value="The entity that is accountable for maintaining a true an accurate copy of the original record"></definition>
+    </concept>
+    <concept>
+     <code value="assembler"></code>
+     <display value="Assembler"></display>
+     <definition value="A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact."></definition>
+    </concept>
+    <concept>
+     <code value="composer"></code>
+     <display value="Composer"></display>
+     <definition value="A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/practitioner-role"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="practitioner-role"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/practitioner-role"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1132"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PractitionerRole"></name>
+    <title value="Practitioner role"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the role of a Practitioner."></description>
+    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="doctor"></code>
+     <display value="Doctor"></display>
+     <definition value="A qualified/registered medical practitioner"></definition>
+    </concept>
+    <concept>
+     <code value="nurse"></code>
+     <display value="Nurse"></display>
+     <definition value="A practitioner with nursing experience that may be qualified/registered"></definition>
+    </concept>
+    <concept>
+     <code value="pharmacist"></code>
+     <display value="Pharmacist"></display>
+     <definition value="A qualified/registered/licensed pharmacist"></definition>
+    </concept>
+    <concept>
+     <code value="researcher"></code>
+     <display value="Researcher"></display>
+     <definition value="A practitioner that may perform research"></definition>
+    </concept>
+    <concept>
+     <code value="teacher"></code>
+     <display value="Teacher/educator"></display>
+     <definition value="Someone who is able to provide educational services"></definition>
+    </concept>
+    <concept>
+     <code value="ict"></code>
+     <display value="ICT professional"></display>
+     <definition value="Someone who is qualified in Information and Communication Technologies"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/practitioner-specialty"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="practitioner-specialty"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/practitioner-specialty"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.442"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PractitionerSpecialty"></name>
+    <title value="Practitioner specialty"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to indicate the specialty of a Practitioner."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/practitioner-specialty"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="cardio"></code>
+     <display value="Cardiologist"></display>
+    </concept>
+    <concept>
+     <code value="dent"></code>
+     <display value="Dentist"></display>
+    </concept>
+    <concept>
+     <code value="dietary"></code>
+     <display value="Dietary consultant"></display>
+    </concept>
+    <concept>
+     <code value="midw"></code>
+     <display value="Midwife"></display>
+    </concept>
+    <concept>
+     <code value="sysarch"></code>
+     <display value="Systems architect"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/item-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="item-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/item-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.445"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="QuestionnaireItemType"></name>
+    <title value="QuestionnaireItemType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Distinguishes groups from questions and display text and indicates data type for questions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/item-type"></valueSet>
+    <content value="complete"></content>
+    <property>
+     <code value="notSelectable"></code>
+     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
+     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
+     <type value="boolean"></type>
+    </property>
+    <concept>
+     <code value="group"></code>
+     <display value="Group"></display>
+     <definition value="An item with no direct answer but should have at least one child item."></definition>
+    </concept>
+    <concept>
+     <code value="display"></code>
+     <display value="Display"></display>
+     <definition value="Text for display that will not capture an answer or have child items."></definition>
+    </concept>
+    <concept>
+     <code value="question"></code>
+     <display value="Question"></display>
+     <definition value="An item that defines a specific answer to be captured, and which may have child items. (the answer provided in the QuestionnaireResponse should be of the defined datatype)."></definition>
+     <property>
+      <code value="notSelectable"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="boolean"></code>
+      <display value="Boolean"></display>
+      <definition value="Question with a yes/no answer (valueBoolean)."></definition>
+     </concept>
+     <concept>
+      <code value="decimal"></code>
+      <display value="Decimal"></display>
+      <definition value="Question with is a real number answer (valueDecimal)."></definition>
+     </concept>
+     <concept>
+      <code value="integer"></code>
+      <display value="Integer"></display>
+      <definition value="Question with an integer answer (valueInteger)."></definition>
+     </concept>
+     <concept>
+      <code value="date"></code>
+      <display value="Date"></display>
+      <definition value="Question with a date answer (valueDate)."></definition>
+     </concept>
+     <concept>
+      <code value="dateTime"></code>
+      <display value="Date Time"></display>
+      <definition value="Question with a date and time answer (valueDateTime)."></definition>
+     </concept>
+     <concept>
+      <code value="time"></code>
+      <display value="Time"></display>
+      <definition value="Question with a time (hour:minute:second) answer independent of date. (valueTime)."></definition>
+     </concept>
+     <concept>
+      <code value="string"></code>
+      <display value="String"></display>
+      <definition value="Question with a short (few words to short sentence) free-text entry answer (valueString)."></definition>
+     </concept>
+     <concept>
+      <code value="text"></code>
+      <display value="Text"></display>
+      <definition value="Question with a long (potentially multi-paragraph) free-text entry answer (valueString)."></definition>
+     </concept>
+     <concept>
+      <code value="url"></code>
+      <display value="Url"></display>
+      <definition value="Question with a URL (website, FTP site, etc.) answer (valueUri)."></definition>
+     </concept>
+     <concept>
+      <code value="choice"></code>
+      <display value="Choice"></display>
+      <definition value="Question with a Coding drawn from a list of possible answers (specified in either the answerOption property, or via the valueset referenced in the answerValueSet property) as an answer (valueCoding)."></definition>
+     </concept>
+     <concept>
+      <code value="open-choice"></code>
+      <display value="Open Choice"></display>
+      <definition value="Answer is a Coding drawn from a list of possible answers (as with the choice type) or a free-text entry in a string (valueCoding or valueString)."></definition>
+     </concept>
+     <concept>
+      <code value="attachment"></code>
+      <display value="Attachment"></display>
+      <definition value="Question with binary content such as an image, PDF, etc. as an answer (valueAttachment)."></definition>
+     </concept>
+     <concept>
+      <code value="reference"></code>
+      <display value="Reference"></display>
+      <definition value="Question with a reference to another resource (practitioner, organization, etc.) as an answer (valueReference)."></definition>
+     </concept>
+     <concept>
+      <code value="quantity"></code>
+      <display value="Quantity"></display>
+      <definition value="Question with a combination of a numeric value and unit, potentially with a comparator (&lt;, &gt;, etc.) as an answer. (valueQuantity) There is an extension 'http://hl7.org/fhir/StructureDefinition/questionnaire-unit' that can be used to define what unit should be captured (or the unit that has a ucum conversion from the provided unit)."></definition>
+     </concept>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-enable-operator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-enable-operator"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/questionnaire-enable-operator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1006"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="QuestionnaireItemOperator"></name>
+    <title value="QuestionnaireItemOperator"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The criteria by which a question is enabled."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="exists"></code>
+     <display value="Exists"></display>
+     <definition value="True if whether an answer exists is equal to the enableWhen answer (which must be a boolean)."></definition>
+    </concept>
+    <concept>
+     <code value="="></code>
+     <display value="Equals"></display>
+     <definition value="True if whether at least one answer has a value that is equal to the enableWhen answer."></definition>
+    </concept>
+    <concept>
+     <code value="!="></code>
+     <display value="Not Equals"></display>
+     <definition value="True if whether at least no answer has a value that is equal to the enableWhen answer."></definition>
+    </concept>
+    <concept>
+     <code value="&gt;"></code>
+     <display value="Greater Than"></display>
+     <definition value="True if whether at least no answer has a value that is greater than the enableWhen answer."></definition>
+    </concept>
+    <concept>
+     <code value="&lt;"></code>
+     <display value="Less Than"></display>
+     <definition value="True if whether at least no answer has a value that is less than the enableWhen answer."></definition>
+    </concept>
+    <concept>
+     <code value="&gt;="></code>
+     <display value="Greater or Equals"></display>
+     <definition value="True if whether at least no answer has a value that is greater or equal to the enableWhen answer."></definition>
+    </concept>
+    <concept>
+     <code value="&lt;="></code>
+     <display value="Less or Equals"></display>
+     <definition value="True if whether at least no answer has a value that is less or equal to the enableWhen answer."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-enable-behavior"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-enable-behavior"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/questionnaire-enable-behavior"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1008"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EnableWhenBehavior"></name>
+    <title value="EnableWhenBehavior"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Controls how multiple enableWhen values are interpreted -  whether all or any must be true."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="all"></code>
+     <display value="All"></display>
+     <definition value="Enable the question when all the enableWhen criteria are satisfied."></definition>
+    </concept>
+    <concept>
+     <code value="any"></code>
+     <display value="Any"></display>
+     <definition value="Enable the question when any of the enableWhen criteria are satisfied."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-answers-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-answers-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/questionnaire-answers-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.448"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="QuestionnaireResponseStatus"></name>
+    <title value="QuestionnaireResponseStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Lifecycle status of the questionnaire response."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="This QuestionnaireResponse has been partially filled out with answers but changes or additions are still expected to be made to it."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="This QuestionnaireResponse has been filled out with answers and the current content is regarded as definitive."></definition>
+    </concept>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="This QuestionnaireResponse has been filled out with answers, then marked as complete, yet changes or additions have been made to it afterwards."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This QuestionnaireResponse was entered in error and voided."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="This QuestionnaireResponse has been partially filled out with answers but has been abandoned. It is unknown whether changes or additions are expected to be made to it."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/risk-probability"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="risk-probability"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/risk-probability"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1133"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RiskProbability"></name>
+    <title value="Risk Probability"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Codes representing the likelihood of a particular outcome in a risk assessment."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/risk-probability"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="negligible"></code>
+     <display value="Negligible likelihood"></display>
+     <definition value="The specified outcome is exceptionally unlikely."></definition>
+    </concept>
+    <concept>
+     <code value="low"></code>
+     <display value="Low likelihood"></display>
+     <definition value="The specified outcome is possible but unlikely."></definition>
+    </concept>
+    <concept>
+     <code value="moderate"></code>
+     <display value="Moderate likelihood"></display>
+     <definition value="The specified outcome has a reasonable likelihood of occurrence."></definition>
+    </concept>
+    <concept>
+     <code value="high"></code>
+     <display value="High likelihood"></display>
+     <definition value="The specified outcome is more likely to occur than not."></definition>
+    </concept>
+    <concept>
+     <code value="certain"></code>
+     <display value="Certain"></display>
+     <definition value="The specified outcome is effectively guaranteed."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-severity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="audit-event-severity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/audit-event-severity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AuditEventSeverity"></name>
+    <title value="AuditEventSeverity"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The severity of the audit entry."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="Emergency"></code>
+     <display value="Emergency"></display>
+     <definition value="System is unusable."></definition>
+    </concept>
+    <concept>
+     <code value="Alert"></code>
+     <display value="Alert"></display>
+     <definition value="Action must be taken immediately."></definition>
+    </concept>
+    <concept>
+     <code value="Critical"></code>
+     <display value="Critical"></display>
+     <definition value="Critical conditions."></definition>
+    </concept>
+    <concept>
+     <code value="Error"></code>
+     <display value="Error"></display>
+     <definition value="Error conditions."></definition>
+    </concept>
+    <concept>
+     <code value="Warning"></code>
+     <display value="Warning"></display>
+     <definition value="Warning conditions."></definition>
+    </concept>
+    <concept>
+     <code value="Notice"></code>
+     <display value="Notice"></display>
+     <definition value="Normal but significant condition."></definition>
+    </concept>
+    <concept>
+     <code value="Informational"></code>
+     <display value="Informational"></display>
+     <definition value="Informational messages."></definition>
+    </concept>
+    <concept>
+     <code value="Debug"></code>
+     <display value="Debug"></display>
+     <definition value="Debug-level messages."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-action"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="audit-event-action"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/audit-event-action"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.453"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AuditEventAction"></name>
+    <title value="AuditEventAction"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicator for type of action performed during the event that generated the event."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="C"></code>
+     <display value="Create"></display>
+     <definition value="Create a new database object, such as placing an order."></definition>
+    </concept>
+    <concept>
+     <code value="R"></code>
+     <display value="Read/View/Print"></display>
+     <definition value="Display or print data, such as a doctor census."></definition>
+    </concept>
+    <concept>
+     <code value="U"></code>
+     <display value="Update"></display>
+     <definition value="Update data, such as revise patient information."></definition>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Delete"></display>
+     <definition value="Delete items, such as a doctor master file record."></definition>
+    </concept>
+    <concept>
+     <code value="E"></code>
+     <display value="Execute"></display>
+     <definition value="Perform a system or application function such as log-on, program execution or use of an object's method, or perform a query/search operation."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-outcome"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="audit-event-outcome"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/audit-event-outcome"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.455"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AuditEventOutcome"></name>
+    <title value="AuditEventOutcome"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates whether the event succeeded or failed."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Success"></display>
+     <definition value="The operation completed successfully (whether with warnings or not)."></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Minor failure"></display>
+     <definition value="The action was not successful due to some kind of minor failure (often equivalent to an HTTP 400 response)."></definition>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Serious failure"></display>
+     <definition value="The action was not successful due to some kind of unexpected error (often equivalent to an HTTP 500 response)."></definition>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="Major failure"></display>
+     <definition value="An error of such magnitude occurred that the system is no longer available for use (i.e. the system died)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/network-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="network-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/network-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.457"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AuditEventAgentNetworkType"></name>
+    <title value="AuditEventAgentNetworkType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of network access point of this agent in the audit event."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/network-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Machine Name"></display>
+     <definition value="The machine name, including DNS name."></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="IP Address"></display>
+     <definition value="The assigned Internet Protocol (IP) address."></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Telephone Number"></display>
+     <definition value="The assigned telephone number."></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Email address"></display>
+     <definition value="The assigned email address."></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="URI"></display>
+     <definition value="URI (User directory, HTTP-PUT, ftp, etc.)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-entity-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="audit-entity-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/audit-entity-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1134"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AuditEventEntityType"></name>
+    <title value="Audit event entity type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2017-03-10T09:44:54+11:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Code for the entity type involved in the audit event."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Person"></display>
+     <definition value="Person"></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="System Object"></display>
+     <definition value="System Object"></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Organization"></display>
+     <definition value="Organization"></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Other"></display>
+     <definition value="Other"></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -962,7 +19592,7 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="object-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="sec"></valueCode>
@@ -978,12 +19608,12 @@
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.1135"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventEntityRole"></name>
     <title value="AuditEventEntityRole"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -1123,249 +19753,157 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-definition-type"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-definition-type"></id>
+    <id value="audit-event-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-definition-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1211"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceDefinitionTypeCodes"></name>
-    <title value="Contract Resource Definition Type codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for status."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-definition-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="temp"></code>
-     <display value="Temporary Value"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-selfpay"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="coverage-selfpay"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1148"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CoverageSelfPayCodes"></name>
-    <title value="Coverage SelfPay Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Coverage SelfPay codes."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-selfpay"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="pay"></code>
-     <display value="Pay"></display>
-     <definition value="An individual or organization is paying directly for goods and services."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/match-grade"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="match-grade"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/match-grade"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1289"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MatchGrade"></name>
-    <title value="MatchGrade"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/match-grade"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="certain"></code>
-     <display value="Certain Match"></display>
-     <definition value="This record meets the matching criteria to be automatically considered as a full match."></definition>
-    </concept>
-    <concept>
-     <code value="probable"></code>
-     <display value="Probable Match"></display>
-     <definition value="This record is a close match, but not a certain match. Additional review (e.g. by a human) may be required before using this as a match."></definition>
-    </concept>
-    <concept>
-     <code value="possible"></code>
-     <display value="Possible Match"></display>
-     <definition value="This record may be a matching one. Additional review (e.g. by a human) SHOULD be performed before using this as a match."></definition>
-    </concept>
-    <concept>
-     <code value="certainly-not"></code>
-     <display value="Certainly Not a Match"></display>
-     <definition value="This record is known not to be a match. Note that usually non-matching records are not returned, but in some cases records previously or likely considered as a match may specifically be negated by the matching engine."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/financial-taskcode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="financial-taskcode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/financialtaskcode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1390"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FinancialTaskCodes"></name>
-    <title value="Financial Task Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Financial Task codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/financial-taskcode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="cancel"></code>
-     <display value="Cancel"></display>
-     <definition value="Cancel or reverse a resource, such as a claim or preauthorization, which is in-process or complete."></definition>
-    </concept>
-    <concept>
-     <code value="poll"></code>
-     <display value="Poll"></display>
-     <definition value="Retrieve selected or all queued resources or messages."></definition>
-    </concept>
-    <concept>
-     <code value="release"></code>
-     <display value="Release"></display>
-     <definition value="Release any reserved funds or material obligations associated with a resource. For example, any unused but reserved funds or treatment allowance associated with a preauthorization once treatment is complete."></definition>
-    </concept>
-    <concept>
-     <code value="reprocess"></code>
-     <display value="Reprocess"></display>
-     <definition value="Indication that the processing of a resource, such as a claim, for some or all of the required work is now being requested."></definition>
-    </concept>
-    <concept>
-     <code value="status"></code>
-     <display value="Status check"></display>
-     <definition value="Check on the processing status of a resource such as the adjudication of a claim."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/repository-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="repository-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cg"></valueCode>
+     <valueCode value="sec"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
+     <valueInteger value="3"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/repository-type"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/audit-event-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.231"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1136"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="repositoryType"></name>
-    <title value="repositoryType"></title>
+    <version value="4.2.0"></version>
+    <name value="AuditEventID"></name>
+    <title value="Audit Event ID"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2015-03-26T11:00:00+11:00"></date>
+    <publisher value="NEMA/DICOM"></publisher>
+    <description value="Event Types for Audit Events - defined by DICOM with some FHIR specific additions."></description>
+    <copyright value="These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="rest"></code>
+     <display value="RESTful Operation"></display>
+     <definition value="Audit Event: Execution of a RESTful operation as defined by FHIR."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-source-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="audit-source-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="sec"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/security-source-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1137"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AuditEventSourceType"></name>
+    <title value="Audit Event Source Type"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2010-08-26T10:00:00+10:00"></date>
+    <publisher value="NEMA/DICOM"></publisher>
+    <description value="The type of process where the audit event originated from."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/audit-source-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="User Device"></display>
+     <definition value="End-user display device, diagnostic device."></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Data Interface"></display>
+     <definition value="Data acquisition device or instrument."></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Web Server"></display>
+     <definition value="Web Server process or thread."></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Application Server"></display>
+     <definition value="Application Server process or thread."></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Database Server"></display>
+     <definition value="Database Server process or thread."></definition>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="Security Server"></display>
+     <definition value="Security server, e.g. a domain controller."></definition>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="Network Device"></display>
+     <definition value="ISO level 1-3 network component."></definition>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Network Router"></display>
+     <definition value="ISO level 4-6 operating software."></definition>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Other"></display>
+     <definition value="Other kind of device (defined by DICOM, but some other code/system can be used)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/specimen-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="specimen-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/specimen-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.472"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SpecimenStatus"></name>
+    <title value="SpecimenStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -1377,34 +19915,90 @@
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Type for access of external URI."></description>
+    <description value="Codes providing the status/availability of a specimen."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/repository-type"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/specimen-status"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="directlink"></code>
-     <display value="Click and see"></display>
-     <definition value="When URL is clicked, the resource can be seen directly (by webpage or by download link format)."></definition>
+     <code value="available"></code>
+     <display value="Available"></display>
+     <definition value="The physical specimen is present and in good condition."></definition>
     </concept>
     <concept>
-     <code value="openapi"></code>
-     <display value="The URL is the RESTful or other kind of API that can access to the result."></display>
-     <definition value="When the API method (e.g. [base_url]/[parameter]) related with the URL of the website is executed, the resource can be seen directly (usually in JSON or XML format)."></definition>
+     <code value="unavailable"></code>
+     <display value="Unavailable"></display>
+     <definition value="There is no physical specimen because it is either lost, destroyed or consumed."></definition>
     </concept>
     <concept>
-     <code value="login"></code>
-     <display value="Result cannot be access unless an account is logged in"></display>
-     <definition value="When logged into the website, the resource can be seen."></definition>
+     <code value="unsatisfactory"></code>
+     <display value="Unsatisfactory"></display>
+     <definition value="The specimen cannot be used because of a quality issue such as a broken container, contamination, or too old."></definition>
     </concept>
     <concept>
-     <code value="oauth"></code>
-     <display value="Result need to be fetched with API and need LOGIN( or cookies are required when visiting the link of resource)"></display>
-     <definition value="When logged in and  follow the API in the website related with URL, the resource can be seen."></definition>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The specimen was entered in error and therefore nullified."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/substance-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="substance-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/substance-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.475"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FHIRSubstanceStatus"></name>
+    <title value="FHIRSubstanceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code to indicate if the substance is actively used."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/substance-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The substance is considered for use or reference."></definition>
     </concept>
     <concept>
-     <code value="other"></code>
-     <display value="Some other complicated or particular way to get resource from URL."></display>
-     <definition value="Some other complicated or particular way to get resource from URL."></definition>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The substance is considered for reference, but not for use."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The substance was entered in error."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -1415,7 +20009,7 @@
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="substance-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -1432,7 +20026,7 @@
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.1138"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceCategoryCodes"></name>
     <title value="Substance Category Codes"></title>
     <status value="draft"></status>
@@ -1487,625 +20081,12 @@
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/vision-product"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/filter-operator"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="vision-product"></id>
+    <id value="filter-operator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1188"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleVisionPrescriptionProductCodes"></name>
-    <title value="Example Vision Prescription Product Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Prescription Product codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/vision-product"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="lens"></code>
-     <display value="Lens"></display>
-     <definition value="A lens to be fitted to a frame to comprise a pair of glasses."></definition>
-    </concept>
-    <concept>
-     <code value="contact"></code>
-     <display value="Contact Lens"></display>
-     <definition value="A lens to be fitted for wearing directly on an eye."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-causality-assess"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adverse-event-causality-assess"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1254"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdverseEventCausalityAssessment"></name>
-    <title value="AdverseEventCausalityAssessment"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for the assessment of whether the entity caused the event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="certain"></code>
-     <display value="Certain"></display>
-     <definition value="i) Event or laboratory test abnormality, with plausible time relationship to drug intake; ii) Cannot be explained by disease or other drugs; iii) Response to withdrawal plausible (pharmacologically, pathologically); iv) Event definitive pharmacologically or phenomenologically (i.e. an objective and specific medical disorder or a recognized pharmacological phenomenon); or v) Re-challenge satisfactory, if necessary."></definition>
-    </concept>
-    <concept>
-     <code value="probably-likely"></code>
-     <display value="Probably/Likely"></display>
-     <definition value="i) Event or laboratory test abnormality, with reasonable time relationship to drug intake; ii) Unlikely to be attributed to disease or other drugs; iii) Response to withdrawal clinically reasonable; or iv) Re-challenge not required."></definition>
-    </concept>
-    <concept>
-     <code value="possible"></code>
-     <display value="Possible"></display>
-     <definition value="i) Event or laboratory test abnormality, with reasonable time relationship to drug intake; ii) Could also be explained by disease or other drugs; or iii) Information on drug withdrawal may be lacking or unclear."></definition>
-    </concept>
-    <concept>
-     <code value="unlikely"></code>
-     <display value="Unlikely"></display>
-     <definition value="i) Event or laboratory test abnormality, with a time to drug intake that makes a relationship improbable (but not impossible); or ii) Disease or other drugs provide plausible explanations."></definition>
-    </concept>
-    <concept>
-     <code value="conditional-classified"></code>
-     <display value="Conditional/Classified"></display>
-     <definition value="i) Event or laboratory test abnormality; ii) More data for proper assessment needed; or iii) Additional data under examination."></definition>
-    </concept>
-    <concept>
-     <code value="unassessable-unclassifiable"></code>
-     <display value="Unassessable/Unclassifiable"></display>
-     <definition value="i) Report suggesting an adverse reaction; ii) Cannot be judged because information is insufficient or contradictory; or iii) Data cannot be supplemented or verified."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-need"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-need"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/need"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.883"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="need"></name>
-    <title value="Need"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The frequency with which the target must be validated"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-need"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="none"></code>
-     <display value="None"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="initial"></code>
-     <display value="Initial"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="periodic"></code>
-     <display value="Periodic"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationknowledge-package-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationknowledge-package-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationknowledge-package-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1340"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationKnowledge Package Type Codes"></name>
-    <title value="Medication knowledge  package  type  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationKnowledge Package Type Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-package-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="amp"></code>
-     <display value="Ampule"></display>
-    </concept>
-    <concept>
-     <code value="bag"></code>
-     <display value="Bag"></display>
-    </concept>
-    <concept>
-     <code value="blstrpk"></code>
-     <display value="Blister Pack"></display>
-    </concept>
-    <concept>
-     <code value="bot"></code>
-     <display value="Bottle"></display>
-    </concept>
-    <concept>
-     <code value="box"></code>
-     <display value="Box"></display>
-    </concept>
-    <concept>
-     <code value="can"></code>
-     <display value="Can"></display>
-    </concept>
-    <concept>
-     <code value="cart"></code>
-     <display value="Cartridge"></display>
-    </concept>
-    <concept>
-     <code value="disk"></code>
-     <display value="Disk"></display>
-    </concept>
-    <concept>
-     <code value="doset"></code>
-     <display value="Dosette"></display>
-    </concept>
-    <concept>
-     <code value="jar"></code>
-     <display value="Jar"></display>
-    </concept>
-    <concept>
-     <code value="jug"></code>
-     <display value="Jug"></display>
-    </concept>
-    <concept>
-     <code value="minim"></code>
-     <display value="Minim"></display>
-    </concept>
-    <concept>
-     <code value="nebamp"></code>
-     <display value="Nebule Amp"></display>
-    </concept>
-    <concept>
-     <code value="ovul"></code>
-     <display value="Ovule"></display>
-    </concept>
-    <concept>
-     <code value="pch"></code>
-     <display value="Pouch"></display>
-    </concept>
-    <concept>
-     <code value="pkt"></code>
-     <display value="Packet"></display>
-    </concept>
-    <concept>
-     <code value="sash"></code>
-     <display value="Sashet"></display>
-    </concept>
-    <concept>
-     <code value="strip"></code>
-     <display value="Strip"></display>
-    </concept>
-    <concept>
-     <code value="tin"></code>
-     <display value="Tin"></display>
-    </concept>
-    <concept>
-     <code value="tub"></code>
-     <display value="Tub"></display>
-    </concept>
-    <concept>
-     <code value="tube"></code>
-     <display value="Tube"></display>
-    </concept>
-    <concept>
-     <code value="vial"></code>
-     <display value="Vial"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/insuranceplan-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="insuranceplan-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/insurance-plan-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1261"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="InsurancePlanType"></name>
-    <title value="Insurance plan type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate a type of insurance plan."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-type"></valueSet>
-    <content value="fragment"></content>
-    <concept>
-     <code value="medical"></code>
-     <display value="Medical"></display>
-    </concept>
-    <concept>
-     <code value="dental"></code>
-     <display value="Dental"></display>
-    </concept>
-    <concept>
-     <code value="mental"></code>
-     <display value="Mental Health"></display>
-    </concept>
-    <concept>
-     <code value="subst-ab"></code>
-     <display value="Substance Abuse"></display>
-    </concept>
-    <concept>
-     <code value="vision"></code>
-     <display value="Vision"></display>
-    </concept>
-    <concept>
-     <code value="Drug"></code>
-     <display value="Drug"></display>
-    </concept>
-    <concept>
-     <code value="short-term"></code>
-     <display value="Short Term"></display>
-    </concept>
-    <concept>
-     <code value="long-term"></code>
-     <display value="Long Term Care"></display>
-    </concept>
-    <concept>
-     <code value="hospice"></code>
-     <display value="Hospice"></display>
-    </concept>
-    <concept>
-     <code value="home"></code>
-     <display value="Home Health"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-enable-operator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="questionnaire-enable-operator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/questionnaire-enable-operator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1006"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuestionnaireItemOperator"></name>
-    <title value="QuestionnaireItemOperator"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The criteria by which a question is enabled."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="exists"></code>
-     <display value="Exists"></display>
-     <definition value="True if whether an answer exists is equal to the enableWhen answer (which must be a boolean)."></definition>
-    </concept>
-    <concept>
-     <code value="="></code>
-     <display value="Equals"></display>
-     <definition value="True if whether at least one answer has a value that is equal to the enableWhen answer."></definition>
-    </concept>
-    <concept>
-     <code value="!="></code>
-     <display value="Not Equals"></display>
-     <definition value="True if whether at least no answer has a value that is equal to the enableWhen answer."></definition>
-    </concept>
-    <concept>
-     <code value="&gt;"></code>
-     <display value="Greater Than"></display>
-     <definition value="True if whether at least no answer has a value that is greater than the enableWhen answer."></definition>
-    </concept>
-    <concept>
-     <code value="&lt;"></code>
-     <display value="Less Than"></display>
-     <definition value="True if whether at least no answer has a value that is less than the enableWhen answer."></definition>
-    </concept>
-    <concept>
-     <code value="&gt;="></code>
-     <display value="Greater or Equals"></display>
-     <definition value="True if whether at least no answer has a value that is greater or equal to the enableWhen answer."></definition>
-    </concept>
-    <concept>
-     <code value="&lt;="></code>
-     <display value="Less or Equals"></display>
-     <definition value="True if whether at least no answer has a value that is less or equal to the enableWhen answer."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-can-push-updates"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-can-push-updates"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/can-push-updates"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.897"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="can-push-updates"></name>
-    <title value="Can-push-updates"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Ability of the primary source to push updates/alerts"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="yes"></code>
-     <display value="Yes"></display>
-    </concept>
-    <concept>
-     <code value="no"></code>
-     <display value="No"></display>
-    </concept>
-    <concept>
-     <code value="undetermined"></code>
-     <display value="Undetermined"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/composition-altcode-kind"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="composition-altcode-kind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/composition-altcode-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1406"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AlternativeCodeKind"></name>
-    <title value="AlternativeCodeKind"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the type of use for which the code is defined."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/composition-altcode-kind"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="alternate"></code>
-     <display value="Alternate Code"></display>
-     <definition value="The code is an alternative code that can be used in any of the circumstances that the primary code can be used."></definition>
-    </concept>
-    <concept>
-     <code value="deprecated"></code>
-     <display value="Deprecated"></display>
-     <definition value="The code should no longer be used, but was used in the past."></definition>
-    </concept>
-    <concept>
-     <code value="case-insensitive"></code>
-     <display value="Case Insensitive"></display>
-     <definition value="The code is an alternative to be used when a case insensitive code is required (when the primary codes are case sensitive)."></definition>
-    </concept>
-    <concept>
-     <code value="case-sensitive"></code>
-     <display value="Case Sensitive"></display>
-     <definition value="The code is an alternative to be used when a case sensitive code is required (when the primary codes are case insensitive)."></definition>
-    </concept>
-    <concept>
-     <code value="expression"></code>
-     <display value="Expression"></display>
-     <definition value="The code is an alternative for the primary code that is built using the expression grammar defined by the code system."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/FHIR-version"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="FHIR-version"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="vocab"></valueCode>
@@ -2119,288 +20100,180 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/FHIR-version"></url>
+    <url value="http://hl7.org/fhir/filter-operator"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1310"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.479"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="FHIRVersion"></name>
-    <title value="FHIRVersion"></title>
+    <version value="4.2.0"></version>
+    <name value="FilterOperator"></name>
+    <title value="FilterOperator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="All published FHIR Versions."></description>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The kind of operation to perform as a part of a property based filter."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/FHIR-version"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="0.01"></code>
-     <display value="0.01"></display>
-     <definition value="Oldest archived version of FHIR."></definition>
+     <code value="="></code>
+     <display value="Equals"></display>
+     <definition value="The specified property of the code equals the provided value."></definition>
     </concept>
     <concept>
-     <code value="0.05"></code>
-     <display value="0.05"></display>
-     <definition value="1st Draft for Comment (Sept 2012 Ballot)."></definition>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The definition of is-a is that all the properties of the value are true for the specified property of the code, which means that a code has an is-a relationship with itself. To exclude the root code, use descendent-of"></valueString>
+     </extension>
+     <code value="is-a"></code>
+     <display value="Is A (by subsumption)"></display>
+     <definition value="Includes all concept ids that have a transitive is-a relationship with the concept Id provided as the value, including the provided concept itself (include descendant codes and self)."></definition>
     </concept>
     <concept>
-     <code value="0.06"></code>
-     <display value="0.06"></display>
-     <definition value="2nd Draft for Comment (January 2013 Ballot)."></definition>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The definition of is-a is that all the properties of the value are true for the specified property of the code. 
+
+Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelling &quot;descendent&quot; is maintained in the code for backwards compatibility reasons"></valueString>
+     </extension>
+     <code value="descendent-of"></code>
+     <display value="Descendent Of (by subsumption)"></display>
+     <definition value="Includes all concept ids that have a transitive is-a relationship with the concept Id provided as the value, excluding the provided concept itself i.e. include descendant codes only)."></definition>
     </concept>
     <concept>
-     <code value="0.11"></code>
-     <display value="0.11"></display>
-     <definition value="DSTU 1 Ballot version."></definition>
+     <code value="is-not-a"></code>
+     <display value="Not (Is A) (by subsumption)"></display>
+     <definition value="The specified property of the code does not have an is-a relationship with the provided value."></definition>
     </concept>
     <concept>
-     <code value="0.0.80"></code>
-     <display value="0.0.80"></display>
-     <definition value="DSTU 1 Official version."></definition>
+     <code value="regex"></code>
+     <display value="Regular Expression"></display>
+     <definition value="The specified property of the code  matches the regex specified in the provided value."></definition>
     </concept>
     <concept>
-     <code value="0.0.81"></code>
-     <display value="0.0.81"></display>
-     <definition value="DSTU 1 Official version Technical Errata #1."></definition>
+     <code value="in"></code>
+     <display value="In Set"></display>
+     <definition value="The specified property of the code is in the set of codes or concepts specified in the provided value (comma separated list)."></definition>
     </concept>
     <concept>
-     <code value="0.0.82"></code>
-     <display value="0.0.82"></display>
-     <definition value="DSTU 1 Official version Technical Errata #2."></definition>
+     <code value="not-in"></code>
+     <display value="Not in Set"></display>
+     <definition value="The specified property of the code is not in the set of codes or concepts specified in the provided value (comma separated list)."></definition>
     </concept>
     <concept>
-     <code value="0.4.0"></code>
-     <display value="0.4.0"></display>
-     <definition value="Draft For Comment (January 2015 Ballot)."></definition>
+     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
+      <valueString value="The definition of is-a is that all the properties of the value are true for the specified property of the code, which means that a code has an is-a relationship with itself. To exclude the root code, add it explicitly to as an exclude"></valueString>
+     </extension>
+     <code value="generalizes"></code>
+     <display value="Generalizes (by Subsumption)"></display>
+     <definition value="Includes all concept ids that have a transitive is-a relationship from the concept Id provided as the value, including the provided concept itself (i.e. include ancestor codes and self)."></definition>
     </concept>
     <concept>
-     <code value="0.5.0"></code>
-     <display value="0.5.0"></display>
-     <definition value="DSTU 2 Ballot version (May 2015 Ballot)."></definition>
-    </concept>
-    <concept>
-     <code value="1.0.0"></code>
-     <display value="1.0.0"></display>
-     <definition value="DSTU 2 QA Preview + CQIF Ballot (Sep 2015)."></definition>
-    </concept>
-    <concept>
-     <code value="1.0.1"></code>
-     <display value="1.0.1"></display>
-     <definition value="DSTU 2 (Official version)."></definition>
-    </concept>
-    <concept>
-     <code value="1.0.2"></code>
-     <display value="1.0.2"></display>
-     <definition value="DSTU 2 (Official version) with 1 technical errata."></definition>
-    </concept>
-    <concept>
-     <code value="1.1.0"></code>
-     <display value="1.1.0"></display>
-     <definition value="GAO Ballot + draft changes to main FHIR standard."></definition>
-    </concept>
-    <concept>
-     <code value="1.4.0"></code>
-     <display value="1.4.0"></display>
-     <definition value="CQF on FHIR Ballot + Connectathon 12 (Montreal)."></definition>
-    </concept>
-    <concept>
-     <code value="1.6.0"></code>
-     <display value="1.6.0"></display>
-     <definition value="FHIR STU3 Ballot + Connectathon 13 (Baltimore)."></definition>
-    </concept>
-    <concept>
-     <code value="1.8.0"></code>
-     <display value="1.8.0"></display>
-     <definition value="FHIR STU3 Candidate + Connectathon 14 (San Antonio)."></definition>
-    </concept>
-    <concept>
-     <code value="3.0.0"></code>
-     <display value="3.0.0"></display>
-     <definition value="FHIR Release 3 (STU)."></definition>
-    </concept>
-    <concept>
-     <code value="3.0.1"></code>
-     <display value="3.0.1"></display>
-     <definition value="FHIR Release 3 (STU) with 1 technical errata."></definition>
-    </concept>
-    <concept>
-     <code value="3.3.0"></code>
-     <display value="3.3.0"></display>
-     <definition value="R4 Ballot #1."></definition>
-    </concept>
-    <concept>
-     <code value="3.5.0"></code>
-     <display value="3.5.0"></display>
-     <definition value="R4 Ballot #2."></definition>
-    </concept>
-    <concept>
-     <code value="4.0.0"></code>
-     <display value="4.0.0"></display>
-     <definition value="FHIR Release 4 (Normative + STU)."></definition>
-    </concept>
-    <concept>
-     <code value="4.1.0"></code>
-     <display value="4.1.0"></display>
-     <definition value="Current build after R4."></definition>
+     <code value="exists"></code>
+     <display value="Exists"></display>
+     <definition value="The specified property of the code has at least one value (if the specified value is true; if the specified value is false, then matches when the specified property of the code has no values)."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-communication-method"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/conceptmap-unmapped-mode"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-communication-method"></id>
+    <id value="conceptmap-unmapped-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/conceptmap-unmapped-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.481"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConceptMapGroupUnmappedMode"></name>
+    <title value="ConceptMapGroupUnmappedMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines which action to take if there is no match in the group."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="provided"></code>
+     <display value="Provided Code"></display>
+     <definition value="Use the code as provided in the $translate request."></definition>
+    </concept>
+    <concept>
+     <code value="fixed"></code>
+     <display value="Fixed Code"></display>
+     <definition value="Use the code explicitly provided in the group.unmapped."></definition>
+    </concept>
+    <concept>
+     <code value="other-map"></code>
+     <display value="Other Map"></display>
+     <definition value="Use the map identified by the canonical URL in the url element."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/slotstatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="slotstatus"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="pa"></valueCode>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/verificationresult-communication-method"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1402"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="verificationresult-communication-method"></name>
-    <title value="VerificationResult Communication Method"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-10-31"></date>
-    <publisher value="HL7 International"></publisher>
-    <contact>
-     <telecom>
-      <system value="other"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="other"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Attested information may be validated by process that are manual or automated. For automated processes it may accomplished by the system of record reaching out through another system's API or information may be sent to the system of record. This value set defines a set of codes to describing the process, the how, a resource or data element is validated."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-communication-method"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="manual"></code>
-     <display value="Manual"></display>
-     <definition value="The information is submitted/retrieved manually (e.g. by phone, fax, paper-based)"></definition>
-    </concept>
-    <concept>
-     <code value="portal"></code>
-     <display value="Portal"></display>
-     <definition value="The information is submitted/retrieved via a portal"></definition>
-    </concept>
-    <concept>
-     <code value="pull"></code>
-     <display value="Pull"></display>
-     <definition value="The information is retrieved (i.e. pulled) from a source (e.g. over an API)"></definition>
-    </concept>
-    <concept>
-     <code value="push"></code>
-     <display value="Push"></display>
-     <definition value="The information is sent (i.e. pushed) from a source (e.g. over an API, asynchronously, secure messaging)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/reaction-event-certainty"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="reaction-event-certainty"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/reaction-event-certainty"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1276"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceCertainty"></name>
-    <title value="AllergyIntoleranceCertainty"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-certainty"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="unlikely"></code>
-     <display value="Unlikely"></display>
-     <definition value="There is a low level of clinical certainty that the reaction was caused by the identified substance."></definition>
-    </concept>
-    <concept>
-     <code value="likely"></code>
-     <display value="Likely"></display>
-     <definition value="There is a high level of clinical certainty that the reaction was caused by the identified substance."></definition>
-    </concept>
-    <concept>
-     <code value="confirmed"></code>
-     <display value="Confirmed"></display>
-     <definition value="There is a very high level of clinical certainty that the reaction was due to the identified substance, which may include clinical evidence by testing or rechallenge."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The clinical certainty that the reaction was caused by the identified substance is unknown.  It is an explicit assertion that certainty is not known."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-selection-behavior"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-selection-behavior"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="3"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/action-selection-behavior"></url>
+    <url value="http://hl7.org/fhir/slotstatus"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.802"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.483"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionSelectionBehavior"></name>
-    <title value="ActionSelectionBehavior"></title>
+    <version value="4.2.0"></version>
+    <name value="SlotStatus"></name>
+    <title value="SlotStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -2412,204 +20285,66 @@
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Defines selection behavior of a group."></description>
+    <description value="The free/busy status of the slot."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/slotstatus"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="any"></code>
-     <display value="Any"></display>
-     <definition value="Any number of the actions in the group may be chosen, from zero to all."></definition>
+     <code value="busy"></code>
+     <display value="Busy"></display>
+     <definition value="Indicates that the time interval is busy because one  or more events have been scheduled for that interval."></definition>
     </concept>
     <concept>
-     <code value="all"></code>
-     <display value="All"></display>
-     <definition value="All the actions in the group must be selected as a single unit."></definition>
+     <code value="free"></code>
+     <display value="Free"></display>
+     <definition value="Indicates that the time interval is free for scheduling."></definition>
     </concept>
     <concept>
-     <code value="all-or-none"></code>
-     <display value="All Or None"></display>
-     <definition value="All the actions in the group are meant to be chosen as a single unit: either all must be selected by the end user, or none may be selected."></definition>
+     <code value="busy-unavailable"></code>
+     <display value="Busy (Unavailable)"></display>
+     <definition value="Indicates that the time interval is busy and that the interval cannot be scheduled."></definition>
     </concept>
     <concept>
-     <code value="exactly-one"></code>
-     <display value="Exactly One"></display>
-     <definition value="The end user must choose one and only one of the selectable actions in the group. The user SHALL NOT choose none of the actions in the group."></definition>
-    </concept>
-    <concept>
-     <code value="at-most-one"></code>
-     <display value="At Most One"></display>
-     <definition value="The end user may choose zero or at most one of the actions in the group."></definition>
-    </concept>
-    <concept>
-     <code value="one-or-more"></code>
-     <display value="One Or More"></display>
-     <definition value="The end user must choose a minimum of one, and as many additional as desired."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/history-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="history-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/history-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.268"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FamilyHistoryStatus"></name>
-    <title value="FamilyHistoryStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that identifies the status of the family history record."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/history-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="partial"></code>
-     <display value="Partial"></display>
-     <definition value="Some health information is known and captured, but not complete - see notes for details."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="All available related health information is captured as of the date (and possibly time) when the family member history was taken."></definition>
+     <code value="busy-tentative"></code>
+     <display value="Busy (Tentative)"></display>
+     <definition value="Indicates that the time interval is busy because one or more events have been tentatively scheduled for that interval."></definition>
     </concept>
     <concept>
      <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
+     <display value="Entered in error"></display>
      <definition value="This instance should not have been part of this patient's medical record."></definition>
     </concept>
-    <concept>
-     <code value="health-unknown"></code>
-     <display value="Health Unknown"></display>
-     <definition value="Health information for this family member is unavailable/unknown."></definition>
-    </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-failure-action"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/appointmentstatus"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-failure-action"></id>
+    <id value="appointmentstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="pa"></valueCode>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/failure-action"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.891"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="failure-action"></name>
-    <title value="Failure-action"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The result if validation fails"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-failure-action"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="fatal"></code>
-     <display value="Fatal"></display>
-    </concept>
-    <concept>
-     <code value="warn"></code>
-     <display value="Warning"></display>
-    </concept>
-    <concept>
-     <code value="rec-only"></code>
-     <display value="Record only"></display>
-    </concept>
-    <concept>
-     <code value="none"></code>
-     <display value="None"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/vision-eye-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="vision-eye-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="3"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/vision-eye-codes"></url>
+    <url value="http://hl7.org/fhir/appointmentstatus"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.661"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.485"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="VisionEyes"></name>
-    <title value="VisionEyes"></title>
+    <version value="4.2.0"></version>
+    <name value="AppointmentStatus"></name>
+    <title value="AppointmentStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -2621,1142 +20356,74 @@
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="A coded concept listing the eye codes."></description>
+    <description value="The free/busy status of an appointment."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/vision-eye-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="right"></code>
-     <display value="Right Eye"></display>
-     <definition value="Right Eye."></definition>
-    </concept>
-    <concept>
-     <code value="left"></code>
-     <display value="Left Eye"></display>
-     <definition value="Left Eye."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-definition-subtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-definition-subtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-definition-subtype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1213"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceDefinitionSubtypeCodes"></name>
-    <title value="Contract Resource Definition Subtype codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for status."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-definition-subtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="temp"></code>
-     <display value="Temporary Value"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/etsi-signature-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="etsi-signature-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://uri.etsi.org/01903/v1.2.2"></url>
-    <name value="ETSISignatureTypeCodes"></name>
-    <title value="ETSI Signature Type Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="ETSI"></publisher>
-    <description value="The ETSI TS 101 733 V2.2.1 (2013-04) - Electronic Signatures and Infrastructures (ESI) - defines a set of Commitment Types (Purpose of Signature). ETSI TS 101 903 V1.2.2 defines vocabulary identifiers for these Commitment Types. Digital Signature Purposes, an indication of the reason an entity signs a document. This is included in the signed information and can be used when determining accountability for various actions concerning the document. "></description>
-    <copyright value="These codes are excerpted from ETSI Standard for Digital Signatures and XAdES, Copyright by ETSI International. Copies of this standard are available through the ETSI Web Site at www.etsi.org."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="ProofOfOrigin"></code>
-     <display value="Proof of origin"></display>
-     <definition value="indicates that the signer recognizes to have created, approved and sent the signed data object."></definition>
-    </concept>
-    <concept>
-     <code value="ProofOfReceipt"></code>
-     <display value="Proof of receipt"></display>
-     <definition value="indicates that signer recognizes to have received the content of the signed data object."></definition>
-    </concept>
-    <concept>
-     <code value="ProofOfDelivery"></code>
-     <display value="Proof of delivery"></display>
-     <definition value="indicates that the TSP providing that indication has delivered a signed data object in a local store accessible to the recipient of the signed data object."></definition>
-    </concept>
-    <concept>
-     <code value="ProofOfSender"></code>
-     <display value="Proof of sender"></display>
-     <definition value="indicates that the entity providing that indication has sent the signed data object (but not necessarily created it)."></definition>
-    </concept>
-    <concept>
-     <code value="ProofOfapproval"></code>
-     <display value="Proof of approval"></display>
-     <definition value="indicates that the signer has approved the content of the signed data object."></definition>
-    </concept>
-    <concept>
-     <code value="ProofOfCreation"></code>
-     <display value="Proof of creation"></display>
-     <definition value="indicates that the signer has created the signed data object (but not necessarily approved, nor sent it)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/care-team-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="care-team-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/care-team-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.154"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CareTeamStatus"></name>
-    <title value="CareTeamStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the status of the care team."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/appointmentstatus"></valueSet>
     <content value="complete"></content>
     <concept>
      <code value="proposed"></code>
      <display value="Proposed"></display>
-     <definition value="The care team has been drafted and proposed, but not yet participating in the coordination and delivery of patient care."></definition>
+     <definition value="None of the participant(s) have finalized their acceptance of the appointment request, and the start/end time might not be set yet."></definition>
     </concept>
     <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The care team is currently participating in the coordination and delivery of care."></definition>
+     <code value="pending"></code>
+     <display value="Pending"></display>
+     <definition value="Some or all of the participant(s) have not finalized their acceptance of the appointment request."></definition>
     </concept>
     <concept>
-     <code value="suspended"></code>
-     <display value="Suspended"></display>
-     <definition value="The care team is temporarily on hold or suspended and not participating in the coordination and delivery of care."></definition>
+     <code value="booked"></code>
+     <display value="Booked"></display>
+     <definition value="All participant(s) have been considered and the appointment is confirmed to go ahead at the date/times specified."></definition>
     </concept>
     <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The care team was, but is no longer, participating in the coordination and delivery of care."></definition>
+     <code value="arrived"></code>
+     <display value="Arrived"></display>
+     <definition value="The patient/patients has/have arrived and is/are waiting to be seen."></definition>
     </concept>
     <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The care team should have never existed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/invoice-priceComponentType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="invoice-priceComponentType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/invoice-priceComponentType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.869"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="InvoicePriceComponentType"></name>
-    <title value="InvoicePriceComponentType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes indicating the kind of the price component."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="base"></code>
-     <display value="base price"></display>
-     <definition value="the amount is the base price used for calculating the total price before applying surcharges, discount or taxes."></definition>
-    </concept>
-    <concept>
-     <code value="surcharge"></code>
-     <display value="surcharge"></display>
-     <definition value="the amount is a surcharge applied on the base price."></definition>
-    </concept>
-    <concept>
-     <code value="deduction"></code>
-     <display value="deduction"></display>
-     <definition value="the amount is a deduction applied on the base price."></definition>
-    </concept>
-    <concept>
-     <code value="discount"></code>
-     <display value="discount"></display>
-     <definition value="the amount is a discount applied on the base price."></definition>
-    </concept>
-    <concept>
-     <code value="tax"></code>
-     <display value="tax"></display>
-     <definition value="the amount is the tax component of the total price."></definition>
-    </concept>
-    <concept>
-     <code value="informational"></code>
-     <display value="informational"></display>
-     <definition value="the amount is of informational character, it has not been applied in the calculation of the total price."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-action"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-action"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contractaction"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1202"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractActionCodes"></name>
-    <title value="Contract Action Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Contract Action codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-action"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="action-a"></code>
-     <display value="Action A"></display>
-     <definition value="Definition for Action A"></definition>
-    </concept>
-    <concept>
-     <code value="action-b"></code>
-     <display value="Action B"></display>
-     <definition value="Definition for Action B"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/evidence-quality"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="evidence-quality"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/evidence-quality"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1267"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QualityOfEvidenceRating"></name>
-    <title value="QualityOfEvidenceRating"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/evidence-quality"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="high"></code>
-     <display value="High quality"></display>
-     <definition value="High quality evidence."></definition>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate quality"></display>
-     <definition value="Moderate quality evidence."></definition>
-    </concept>
-    <concept>
-     <code value="low"></code>
-     <display value="Low quality"></display>
-     <definition value="Low quality evidence."></definition>
-    </concept>
-    <concept>
-     <code value="very-low"></code>
-     <display value="Very low quality"></display>
-     <definition value="Very low quality evidence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/variable-role"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="variable-role"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/variable-role"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1457"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EvidenceVariableRole"></name>
-    <title value="EvidenceVariableRole"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The role that the assertion variable plays."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/variable-role"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="exposure"></code>
-     <display value="exposure"></display>
-     <definition value="variable represents an exposure."></definition>
-    </concept>
-    <concept>
-     <code value="referenceExposure"></code>
-     <display value="reference exposure"></display>
-     <definition value="variable represents a reference exposure."></definition>
-    </concept>
-    <concept>
-     <code value="measuredVariable"></code>
-     <display value="measured variable"></display>
-     <definition value="variable represents a measured variable."></definition>
-    </concept>
-    <concept>
-     <code value="confounder"></code>
-     <display value="confounder"></display>
-     <definition value="variable represents a confounder."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/specimen-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="specimen-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/specimen-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.472"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SpecimenStatus"></name>
-    <title value="SpecimenStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes providing the status/availability of a specimen."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/specimen-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="available"></code>
-     <display value="Available"></display>
-     <definition value="The physical specimen is present and in good condition."></definition>
-    </concept>
-    <concept>
-     <code value="unavailable"></code>
-     <display value="Unavailable"></display>
-     <definition value="There is no physical specimen because it is either lost, destroyed or consumed."></definition>
-    </concept>
-    <concept>
-     <code value="unsatisfactory"></code>
-     <display value="Unsatisfactory"></display>
-     <definition value="The specimen cannot be used because of a quality issue such as a broken container, contamination, or too old."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The specimen was entered in error and therefore nullified."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-publicationstatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-publicationstatus"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-publicationstatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1209"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourcePublicationStatusCodes"></name>
-    <title value="Contract Resource Publication Status codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for status."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-publicationstatus"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="Contract is augmented with additional information to correct errors in a predecessor or to updated values in a predecessor. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: revised; replaced."></definition>
-    </concept>
-    <concept>
-     <code value="appended"></code>
-     <display value="Appended"></display>
-     <definition value="Contract is augmented with additional information that was missing from a predecessor Contract. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: updated, replaced."></definition>
+     <code value="fulfilled"></code>
+     <display value="Fulfilled"></display>
+     <definition value="The planning stages of the appointment are now complete, the encounter resource will exist and will track further status changes. Note that an encounter may exist before the appointment status is fulfilled for many reasons."></definition>
     </concept>
     <concept>
      <code value="cancelled"></code>
      <display value="Cancelled"></display>
-     <definition value="Contract is terminated due to failure of the Grantor and/or the Grantee to fulfil one or more contract provisions. Usage: Abnormal contract termination. Precedence Order = 10. Comparable FHIR and v.3 status codes: stopped; failed; aborted."></definition>
+     <definition value="The appointment has been cancelled."></definition>
     </concept>
     <concept>
-     <code value="disputed"></code>
-     <display value="Disputed"></display>
-     <definition value="Contract is pended to rectify failure of the Grantor or the Grantee to fulfil contract provision(s). E.g., Grantee complaint about Grantor's failure to comply with contract provisions. Usage: Contract pended. Precedence Order = 7. Comparable FHIR and v.3 status codes: on hold; pended; suspended."></definition>
+     <code value="noshow"></code>
+     <display value="No Show"></display>
+     <definition value="Some or all of the participant(s) have not/did not appear for the appointment (usually the patient)."></definition>
     </concept>
     <concept>
      <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Contract was created in error. No Precedence Order.  Status may be applied to a Contract with any status."></definition>
+     <display value="Entered in error"></display>
+     <definition value="This instance should not have been part of this patient's medical record."></definition>
     </concept>
     <concept>
-     <code value="executable"></code>
-     <display value="Executable"></display>
-     <definition value="Contract execution pending; may be executed when either the Grantor or the Grantee accepts the contract provisions by signing. I.e., where either the Grantor or the Grantee has signed, but not both. E.g., when an insurance applicant signs the insurers application, which references the policy. Usage: Optional first step of contract execution activity.  May be skipped and contracting activity moves directly to executed state. Precedence Order = 3. Comparable FHIR and v.3 status codes: draft; preliminary; planned; intended; active."></definition>
+     <code value="checked-in"></code>
+     <display value="Checked In"></display>
+     <definition value="When checked in, all pre-encounter administrative work is complete, and the encounter may begin. (where multiple patients are involved, they are all present)."></definition>
     </concept>
     <concept>
-     <code value="executed"></code>
-     <display value="Executed"></display>
-     <definition value="Contract is activated for period stipulated when both the Grantor and Grantee have signed it. Usage: Required state for normal completion of contracting activity.  Precedence Order = 6. Comparable FHIR and v.3 status codes: accepted; completed."></definition>
-    </concept>
-    <concept>
-     <code value="negotiable"></code>
-     <display value="Negotiable"></display>
-     <definition value="Contract execution is suspended while either or both the Grantor and Grantee propose and consider new or revised contract provisions. I.e., where the party which has not signed proposes changes to the terms.  E .g., a life insurer declines to agree to the signed application because the life insurer has evidence that the applicant, who asserted to being younger or a non-smoker to get a lower premium rate - but offers instead to agree to a higher premium based on the applicants actual age or smoking status. Usage: Optional contract activity between executable and executed state. Precedence Order = 4. Comparable FHIR and v.3 status codes: in progress; review; held."></definition>
-    </concept>
-    <concept>
-     <code value="offered"></code>
-     <display value="Offered"></display>
-     <definition value="Contract is a proposal by either the Grantor or the Grantee. Aka - A Contract hard copy or electronic 'template', 'form' or 'application'. E.g., health insurance application; consent directive form. Usage: Beginning of contract negotiation, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 2. Comparable FHIR and v.3 status codes: requested; new."></definition>
-    </concept>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="Contract template is available as the basis for an application or offer by the Grantor or Grantee. E.g., health insurance policy; consent directive policy.  Usage: Required initial contract activity, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 1. Comparable FHIR and v.3 status codes: proposed; intended."></definition>
-    </concept>
-    <concept>
-     <code value="rejected"></code>
-     <display value="Rejected"></display>
-     <definition value=" Execution of the Contract is not completed because either or both the Grantor and Grantee decline to accept some or all of the contract provisions. Usage: Optional contract activity between executable and abnormal termination. Precedence Order = 5. Comparable FHIR and v.3 status codes:  stopped; cancelled."></definition>
-    </concept>
-    <concept>
-     <code value="renewed"></code>
-     <display value="Renewed"></display>
-     <definition value="Beginning of a successor Contract at the termination of predecessor Contract lifecycle. Usage: Follows termination of a preceding Contract that has reached its expiry date. Precedence Order = 13. Comparable FHIR and v.3 status codes: superseded."></definition>
-    </concept>
-    <concept>
-     <code value="revoked"></code>
-     <display value="Revoked"></display>
-     <definition value="A Contract that is rescinded.  May be required prior to replacing with an updated Contract. Comparable FHIR and v.3 status codes: nullified."></definition>
-    </concept>
-    <concept>
-     <code value="resolved"></code>
-     <display value="Resolved"></display>
-     <definition value="Contract is reactivated after being pended because of faulty execution. *E.g., competency of the signer(s), or where the policy is substantially different from and did not accompany the application/form so that the applicant could not compare them. Aka - ''reactivated''. Usage: Optional stage where a pended contract is reactivated. Precedence Order = 8. Comparable FHIR and v.3 status codes: reactivated."></definition>
-    </concept>
-    <concept>
-     <code value="terminated"></code>
-     <display value="Terminated"></display>
-     <definition value="Contract reaches its expiry date. It might or might not be renewed or renegotiated. Usage: Normal end of contract period. Precedence Order = 12. Comparable FHIR and v.3 status codes: Obsoleted."></definition>
+     <code value="waitlist"></code>
+     <display value="Waitlisted"></display>
+     <definition value="The appointment has been placed on a waitlist, to be scheduled/confirmed in the future when a slot/service is available.
+A specific time might or might not be pre-allocated."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/reference-version-rules"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/participationstatus"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="reference-version-rules"></id>
+    <id value="participationstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/reference-version-rules"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.90"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ReferenceVersionRules"></name>
-    <title value="ReferenceVersionRules"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Whether a reference needs to be version specific or version independent, or whether either can be used."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/reference-version-rules"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="either"></code>
-     <display value="Either Specific or independent"></display>
-     <definition value="The reference may be either version independent or version specific."></definition>
-    </concept>
-    <concept>
-     <code value="independent"></code>
-     <display value="Version independent"></display>
-     <definition value="The reference must be version independent."></definition>
-    </concept>
-    <concept>
-     <code value="specific"></code>
-     <display value="Version Specific"></display>
-     <definition value="The reference must be version specific."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-context-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-context-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-context-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.680"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapContextType"></name>
-    <title value="StructureMapContextType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How to interpret the context."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-context-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="type"></code>
-     <display value="Type"></display>
-     <definition value="The context specifies a type."></definition>
-    </concept>
-    <concept>
-     <code value="variable"></code>
-     <display value="Variable"></display>
-     <definition value="The context specifies a variable."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-subsumption-outcome"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="concept-subsumption-outcome"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/concept-subsumption-outcome"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1239"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConceptSubsumptionOutcome"></name>
-    <title value="ConceptSubsumptionOutcome"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The subsumption relationship between code/Coding &quot;A&quot; and code/Coding &quot;B&quot;. There are 4 possible codes to be returned: equivalent, subsumes, subsumed-by, and not-subsumed. If the server is unable to determine the relationship between the codes/Codings, then it returns an error (i.e. an OperationOutcome)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/concept-subsumption-outcome"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="equivalent"></code>
-     <display value="Equivalent"></display>
-     <definition value="The two concepts are equivalent (have the same properties)."></definition>
-    </concept>
-    <concept>
-     <code value="subsumes"></code>
-     <display value="Subsumes"></display>
-     <definition value="Coding/code &quot;A&quot; subsumes Coding/code &quot;B&quot; (e.g. B has all the properties A has, and some of it's own)."></definition>
-    </concept>
-    <concept>
-     <code value="subsumed-by"></code>
-     <display value="Subsumed-By"></display>
-     <definition value="Coding/code &quot;A&quot; is subsumed by Coding/code &quot;B&quot; (e.g. A has all the properties B has, and some of it's own)."></definition>
-    </concept>
-    <concept>
-     <code value="not-subsumed"></code>
-     <display value="Not-Subsumed"></display>
-     <definition value="Coding/code &quot;A&quot; and Coding/code &quot;B&quot; are disjoint (e.g. each has propeties that the other doesn't have)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="list-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/list-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.319"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ListMode"></name>
-    <title value="ListMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The processing mode that applies to this list."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/list-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="working"></code>
-     <display value="Working List"></display>
-     <definition value="This list is the master list, maintained in an ongoing fashion with regular updates as the real world list it is tracking changes."></definition>
-    </concept>
-    <concept>
-     <code value="snapshot"></code>
-     <display value="Snapshot List"></display>
-     <definition value="This list was prepared as a snapshot. It should not be assumed to be current."></definition>
-    </concept>
-    <concept>
-     <code value="changes"></code>
-     <display value="Change List"></display>
-     <definition value="A point-in-time list that shows what changes have been made or recommended.  E.g. a discharge medication list showing what was added and removed during an encounter."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-property-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="concept-property-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/concept-property-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.781"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PropertyType"></name>
-    <title value="PropertyType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of a property value."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="code"></code>
-     <display value="code (internal reference)"></display>
-     <definition value="The property value is a code that identifies a concept defined in the code system."></definition>
-    </concept>
-    <concept>
-     <code value="Coding"></code>
-     <display value="Coding (external reference)"></display>
-     <definition value="The property  value is a code defined in an external code system. This may be used for translations, but is not the intent."></definition>
-    </concept>
-    <concept>
-     <code value="string"></code>
-     <display value="string"></display>
-     <definition value="The property value is a string."></definition>
-    </concept>
-    <concept>
-     <code value="integer"></code>
-     <display value="integer"></display>
-     <definition value="The property value is a string (often used to assign ranking values to concepts for supporting score assessments)."></definition>
-    </concept>
-    <concept>
-     <code value="boolean"></code>
-     <display value="boolean"></display>
-     <definition value="The property value is a boolean true | false."></definition>
-    </concept>
-    <concept>
-     <code value="dateTime"></code>
-     <display value="dateTime"></display>
-     <definition value="The property is a date or a date + time."></definition>
-    </concept>
-    <concept>
-     <code value="decimal"></code>
-     <display value="decimal"></display>
-     <definition value="The property value is a decimal number."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-payee-resource-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-payee-resource-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-payee-resource-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1164"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClaimPayeeResourceType"></name>
-    <title value="ClaimPayeeResourceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of Claim payee Resource."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-payee-resource-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="organization"></code>
-     <display value="Organization"></display>
-     <definition value="Organization resource."></definition>
-    </concept>
-    <concept>
-     <code value="patient"></code>
-     <display value="Patient"></display>
-     <definition value="Patient resource."></definition>
-    </concept>
-    <concept>
-     <code value="practitioner"></code>
-     <display value="Practitioner"></display>
-     <definition value="Practitioner resource."></definition>
-    </concept>
-    <concept>
-     <code value="relatedperson"></code>
-     <display value="RelatedPerson"></display>
-     <definition value="RelatedPerson resource."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/name-assembly-order"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="name-assembly-order"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/name-assembly-order"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1266"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="HumanNameAssemblyOrder"></name>
-    <title value="HumanNameAssemblyOrder"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that represents the preferred display order of the components of a human name."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="NL1"></code>
-     <display value="Own Name"></display>
-    </concept>
-    <concept>
-     <code value="NL2"></code>
-     <display value="Partner Name"></display>
-    </concept>
-    <concept>
-     <code value="NL3"></code>
-     <display value="Partner Name followed by Maiden Name"></display>
-    </concept>
-    <concept>
-     <code value="NL4"></code>
-     <display value="Own Name followed by Partner Name"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/transaction-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="transaction-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/transaction-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.193"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TransactionMode"></name>
-    <title value="TransactionMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that indicates how transactions are supported."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/transaction-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="not-supported"></code>
-     <display value="None"></display>
-     <definition value="Neither batch or transaction is supported."></definition>
-    </concept>
-    <concept>
-     <code value="batch"></code>
-     <display value="Batches supported"></display>
-     <definition value="Batches are  supported."></definition>
-    </concept>
-    <concept>
-     <code value="transaction"></code>
-     <display value="Transactions Supported"></display>
-     <definition value="Transactions are supported."></definition>
-    </concept>
-    <concept>
-     <code value="both"></code>
-     <display value="Batches &amp; Transactions"></display>
-     <definition value="Both batches and transactions are supported."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="audit-event-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -3764,102 +20431,83 @@
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="3"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/audit-event-type"></url>
+    <url value="http://hl7.org/fhir/participationstatus"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1136"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.487"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventID"></name>
-    <title value="Audit Event ID"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2015-03-26T11:00:00+11:00"></date>
-    <publisher value="NEMA/DICOM"></publisher>
-    <description value="Event Types for Audit Events - defined by DICOM with some FHIR specific additions."></description>
-    <copyright value="These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="rest"></code>
-     <display value="RESTful Operation"></display>
-     <definition value="Audit Event: Execution of a RESTful operation as defined by FHIR."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/intervention"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="intervention"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/intervention"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.533"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="InterventionCodes"></name>
-    <title value="Intervention Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="ParticipationStatus"></name>
+    <title value="ParticipationStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
     </contact>
-    <description value="This value set includes sample Intervention codes."></description>
-    <copyright value="This is an example set."></copyright>
+    <description value="The Participation status of an appointment."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/intervention"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="Unknown"></definition>
+     <code value="accepted"></code>
+     <display value="Accepted"></display>
+     <definition value="The participant has accepted the appointment."></definition>
     </concept>
     <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other"></definition>
+     <code value="declined"></code>
+     <display value="Declined"></display>
+     <definition value="The participant has declined the appointment and will not participate in the appointment."></definition>
+    </concept>
+    <concept>
+     <code value="tentative"></code>
+     <display value="Tentative"></display>
+     <definition value="The participant has  tentatively accepted the appointment. This could be automatically created by a system and requires further processing before it can be accepted. There is no commitment that attendance will occur."></definition>
+    </concept>
+    <concept>
+     <code value="needs-action"></code>
+     <display value="Needs Action"></display>
+     <definition value="The participant needs to indicate if they accept the appointment by changing this status to one of the other statuses."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-report-type"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/participantrequired"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-report-type"></id>
+    <id value="participantrequired"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="3"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/measure-report-type"></url>
+    <url value="http://hl7.org/fhir/participantrequired"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.779"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.489"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasureReportType"></name>
-    <title value="MeasureReportType"></title>
+    <version value="4.2.0"></version>
+    <name value="ParticipantRequired"></name>
+    <title value="ParticipantRequired"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -3871,174 +20519,39 @@
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The type of the measure report."></description>
+    <description value="Is the Participant required to attend the appointment."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-type"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/participantrequired"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="individual"></code>
-     <display value="Individual"></display>
-     <definition value="An individual report that provides information on the performance for a given measure with respect to a single subject."></definition>
+     <code value="required"></code>
+     <display value="Required"></display>
+     <definition value="The participant is required to attend the appointment."></definition>
     </concept>
     <concept>
-     <code value="subject-list"></code>
-     <display value="Subject List"></display>
-     <definition value="A subject list report that includes a listing of subjects that satisfied each population criteria in the measure."></definition>
+     <code value="optional"></code>
+     <display value="Optional"></display>
+     <definition value="The participant may optionally attend the appointment."></definition>
     </concept>
     <concept>
-     <code value="summary"></code>
-     <display value="Summary"></display>
-     <definition value="A summary report that returns the number of members in each population criteria for the measure."></definition>
-    </concept>
-    <concept>
-     <code value="data-collection"></code>
-     <display value="Data Collection"></display>
-     <definition value="A data collection report that contains data-of-interest for the measure."></definition>
+     <code value="information-only"></code>
+     <display value="Information Only"></display>
+     <definition value="The participant is excluded from the appointment, and might not be informed of the appointment taking place. (Appointment is about them, not for them - such as 2 doctors discussing results about a patient's test)."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/standards-status"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/appointment-cancellation-reason"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="standards-status"></id>
+    <id value="appointment-cancellation-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/standards-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1366"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StandardsStatus"></name>
-    <title value="StandardsStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="HL7 Ballot/Standards status of artifact."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/standards-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="This portion of the specification is not considered to be complete enough or sufficiently reviewed to be safe for implementation. It may have known issues or still be in the &quot;in development&quot; stage. It is included in the publication as a place-holder, to solicit feedback from the implementation community and/or to give implementers some insight as to functionality likely to be included in future versions of the specification. Content at this level should only be implemented by the brave or desperate and is very much &quot;use at your own risk&quot;. The content that is Draft that will usually be elevated to Trial Use once review and correction is complete after it has been subjected to ballot."></definition>
-    </concept>
-    <concept>
-     <code value="normative"></code>
-     <display value="Normative"></display>
-     <definition value="This content has been subject to review and production implementation in a wide variety of environments. The content is considered to be stable and has been 'locked', subjecting it to FHIR Inter-version Compatibility Rules. While changes are possible, they are expected to be infrequent and are tightly constrained. Compatibility Rules."></definition>
-    </concept>
-    <concept>
-     <code value="trial-use"></code>
-     <display value="Trial-Use"></display>
-     <definition value="This content has been well reviewed and is considered by the authors to be ready for use in production systems. It has been subjected to ballot and approved as an official standard. However, it has not yet seen widespread use in production across the full spectrum of environments it is intended to be used in. In some cases, there may be documented known issues that require implementation experience to determine appropriate resolutions for.
-
-Future versions of FHIR may make significant changes to Trial Use content that are not compatible with previously published content."></definition>
-    </concept>
-    <concept>
-     <code value="informative"></code>
-     <display value="Informative"></display>
-     <definition value="This portion of the specification is provided for implementer assistance, and does not make rules that implementers are required to follow. Typical examples of this content in the FHIR specification are tables of contents, registries, examples, and implementer advice."></definition>
-    </concept>
-    <concept>
-     <code value="deprecated"></code>
-     <display value="Deprecated"></display>
-     <definition value="This portion of the specification is provided for implementer assistance, and does not make rules that implementers are required to follow. Typical examples of this content in the FHIR specification are tables of contents, registries, examples, and implementer advice."></definition>
-    </concept>
-    <concept>
-     <code value="external"></code>
-     <display value="External"></display>
-     <definition value="This is content that is managed outside the FHIR Specification, but included for implementer convenience."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-required-behavior"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-required-behavior"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-required-behavior"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.804"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionRequiredBehavior"></name>
-    <title value="ActionRequiredBehavior"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines expectations around whether an action or action group is required."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="must"></code>
-     <display value="Must"></display>
-     <definition value="An action with this behavior must be included in the actions processed by the end user; the end user SHALL NOT choose not to include this action."></definition>
-    </concept>
-    <concept>
-     <code value="could"></code>
-     <display value="Could"></display>
-     <definition value="An action with this behavior may be included in the set of actions processed by the end user."></definition>
-    </concept>
-    <concept>
-     <code value="must-unless-documented"></code>
-     <display value="Must Unless Documented"></display>
-     <definition value="An action with this behavior must be included in the set of actions processed by the end user, unless the end user provides documentation as to why the action was not included."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-procedure-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-procedure-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
@@ -4046,51 +20559,168 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-procedure-type"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1388"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1382"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleProcedureTypeCodes"></name>
-    <title value="Example Procedure Type Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="AppointmentCancellationReason"></name>
+    <title value="Appointment cancellation reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
+    <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This value set includes example Procedure Type codes."></description>
-    <copyright value="This is an example set."></copyright>
+    <description value="This example value set defines a set of reasons for the cancellation of an appointment."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-procedure-type"></valueSet>
-    <content value="complete"></content>
+    <valueSet value="http://hl7.org/fhir/ValueSet/appointment-cancellation-reason"></valueSet>
+    <content value="example"></content>
     <concept>
-     <code value="primary"></code>
-     <display value="Primary procedure"></display>
-     <definition value="The first procedure in a series required to produce and overall patient outcome."></definition>
+     <code value="pat"></code>
+     <display value="Patient"></display>
+     <concept>
+      <code value="pat-crs"></code>
+      <display value="Patient: Canceled via automated reminder system"></display>
+     </concept>
+     <concept>
+      <code value="pat-cpp"></code>
+      <display value="Patient: Canceled via Patient Portal"></display>
+     </concept>
+     <concept>
+      <code value="pat-dec"></code>
+      <display value="Patient: Deceased"></display>
+     </concept>
+     <concept>
+      <code value="pat-fb"></code>
+      <display value="Patient: Feeling Better"></display>
+     </concept>
+     <concept>
+      <code value="pat-lt"></code>
+      <display value="Patient: Lack of Transportation"></display>
+     </concept>
+     <concept>
+      <code value="pat-mt"></code>
+      <display value="Patient: Member Terminated"></display>
+     </concept>
+     <concept>
+      <code value="pat-mv"></code>
+      <display value="Patient: Moved"></display>
+     </concept>
+     <concept>
+      <code value="pat-preg"></code>
+      <display value="Patient: Pregnant"></display>
+     </concept>
+     <concept>
+      <code value="pat-swl"></code>
+      <display value="Patient: Scheduled from Wait List"></display>
+     </concept>
+     <concept>
+      <code value="pat-ucp"></code>
+      <display value="Patient: Unhappy/Changed Provider"></display>
+     </concept>
     </concept>
     <concept>
-     <code value="secondary"></code>
-     <display value="Secondary procedure"></display>
-     <definition value="The second procedure in a series required to produce and overall patient outcome."></definition>
+     <code value="prov"></code>
+     <display value="Provider"></display>
+     <concept>
+      <code value="prov-pers"></code>
+      <display value="Provider: Personal"></display>
+     </concept>
+     <concept>
+      <code value="prov-dch"></code>
+      <display value="Provider: Discharged"></display>
+     </concept>
+     <concept>
+      <code value="prov-edu"></code>
+      <display value="Provider: Edu/Meeting"></display>
+     </concept>
+     <concept>
+      <code value="prov-hosp"></code>
+      <display value="Provider: Hospitalized"></display>
+     </concept>
+     <concept>
+      <code value="prov-labs"></code>
+      <display value="Provider: Labs Out of Acceptable Range"></display>
+     </concept>
+     <concept>
+      <code value="prov-mri"></code>
+      <display value="Provider: MRI Screening Form Marked Do Not Proceed"></display>
+     </concept>
+     <concept>
+      <code value="prov-onc"></code>
+      <display value="Provider: Oncology Treatment Plan Changes"></display>
+     </concept>
+    </concept>
+    <concept>
+     <code value="maint"></code>
+     <display value="Equipment Maintenance/Repair"></display>
+    </concept>
+    <concept>
+     <code value="meds-inc"></code>
+     <display value="Prep/Med Incomplete"></display>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <concept>
+      <code value="oth-cms"></code>
+      <display value="Other: CMS Therapy Cap Service Not Authorized"></display>
+     </concept>
+     <concept>
+      <code value="oth-err"></code>
+      <display value="Other: Error"></display>
+     </concept>
+     <concept>
+      <code value="oth-fin"></code>
+      <display value="Other: Financial"></display>
+     </concept>
+     <concept>
+      <code value="oth-iv"></code>
+      <display value="Other: Improper IV Access/Infiltrate IV"></display>
+     </concept>
+     <concept>
+      <code value="oth-int"></code>
+      <display value="Other: No Interpreter Available"></display>
+     </concept>
+     <concept>
+      <code value="oth-mu"></code>
+      <display value="Other: Prep/Med/Results Unavailable"></display>
+     </concept>
+     <concept>
+      <code value="oth-room"></code>
+      <display value="Other: Room/Resource Maintenance"></display>
+     </concept>
+     <concept>
+      <code value="oth-oerr"></code>
+      <display value="Other: Schedule Order Error"></display>
+     </concept>
+     <concept>
+      <code value="oth-swie"></code>
+      <display value="Other: Silent Walk In Error"></display>
+     </concept>
+     <concept>
+      <code value="oth-weath"></code>
+      <display value="Other: Weather"></display>
+     </concept>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-color"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/namingsystem-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="metric-color"></id>
+    <id value="namingsystem-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="dev"></valueCode>
+     <valueCode value="fhir"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -4098,17 +20728,17 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/metric-color"></url>
+    <url value="http://hl7.org/fhir/namingsystem-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.655"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.491"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceMetricColor"></name>
-    <title value="DeviceMetricColor"></title>
+    <version value="4.2.0"></version>
+    <name value="NamingSystemType"></name>
+    <title value="NamingSystemType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -4120,60 +20750,739 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Describes the typical color of representation."></description>
+    <description value="Identifies the purpose of the naming system."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/metric-color"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-type"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="black"></code>
-     <display value="Color Black"></display>
-     <definition value="Color for representation - black."></definition>
+     <code value="codesystem"></code>
+     <display value="Code System"></display>
+     <definition value="The naming system is used to define concepts and symbols to represent those concepts; e.g. UCUM, LOINC, NDC code, local lab codes, etc."></definition>
     </concept>
     <concept>
-     <code value="red"></code>
-     <display value="Color Red"></display>
-     <definition value="Color for representation - red."></definition>
+     <code value="identifier"></code>
+     <display value="Identifier"></display>
+     <definition value="The naming system is used to manage identifiers (e.g. license numbers, order numbers, etc.)."></definition>
     </concept>
     <concept>
-     <code value="green"></code>
-     <display value="Color Green"></display>
-     <definition value="Color for representation - green."></definition>
-    </concept>
-    <concept>
-     <code value="yellow"></code>
-     <display value="Color Yellow"></display>
-     <definition value="Color for representation - yellow."></definition>
-    </concept>
-    <concept>
-     <code value="blue"></code>
-     <display value="Color Blue"></display>
-     <definition value="Color for representation - blue."></definition>
-    </concept>
-    <concept>
-     <code value="magenta"></code>
-     <display value="Color Magenta"></display>
-     <definition value="Color for representation - magenta."></definition>
-    </concept>
-    <concept>
-     <code value="cyan"></code>
-     <display value="Color Cyan"></display>
-     <definition value="Color for representation - cyan."></definition>
-    </concept>
-    <concept>
-     <code value="white"></code>
-     <display value="Color White"></display>
-     <definition value="Color for representation - white."></definition>
+     <code value="root"></code>
+     <display value="Root"></display>
+     <definition value="The naming system is used as the root for other identifiers and naming systems."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/restful-capability-mode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/namingsystem-identifier-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="restful-capability-mode"></id>
+    <id value="namingsystem-identifier-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/namingsystem-identifier-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.493"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NamingSystemIdentifierType"></name>
+    <title value="NamingSystemIdentifierType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the style of unique identifier used to identify a namespace."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="oid"></code>
+     <display value="OID"></display>
+     <definition value="An ISO object identifier; e.g. 1.2.3.4.5."></definition>
+    </concept>
+    <concept>
+     <code value="uuid"></code>
+     <display value="UUID"></display>
+     <definition value="A universally unique identifier of the form a5afddf4-e880-459b-876e-e4591b0acc11."></definition>
+    </concept>
+    <concept>
+     <code value="uri"></code>
+     <display value="URI"></display>
+     <definition value="A uniform resource identifier (ideally a URL - uniform resource locator); e.g. http://unitsofmeasure.org."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Some other type of unique identifier; e.g. HL7-assigned reserved string such as LN for LOINC."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/endpoint-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="endpoint-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/endpoint-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.495"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EndpointStatus"></name>
+    <title value="EndpointStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of the endpoint."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="This endpoint is expected to be active and can be used."></definition>
+    </concept>
+    <concept>
+     <code value="suspended"></code>
+     <display value="Suspended"></display>
+     <definition value="This endpoint is temporarily unavailable."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="This endpoint has exceeded connectivity thresholds and is considered in an error state and should no longer be attempted to connect to until corrective action is taken."></definition>
+    </concept>
+    <concept>
+     <code value="off"></code>
+     <display value="Off"></display>
+     <definition value="This endpoint is no longer to be used."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in error"></display>
+     <definition value="This instance should not have been part of this patient's medical record."></definition>
+    </concept>
+    <concept>
+     <code value="test"></code>
+     <display value="Test"></display>
+     <definition value="This endpoint is not intended for production usage."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/endpoint-payload-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="endpoint-payload-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/endpoint-payload-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1139"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EndpointPayloadType"></name>
+    <title value="Endpoint Payload Type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 Patient Administration"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This is an example value set defined by the FHIR project, that could be used to represent possible payload document types."></description>
+    <copyright value="Some content from IHE® Copyright © 2015 IHE International, Inc.    This content is from the IHE Technical Frameworks and Supplements,    available for free download and use at http://www.ihe.net/Technical_Frameworks/"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="any"></code>
+     <display value="Any"></display>
+     <definition value="Any payload type can be used with this endpoint, it is either a payload agnostic infrastructure (such as a storage repository), or some other type of endpoint where payload considerations are internally handled, and not available"></definition>
+    </concept>
+    <concept>
+     <code value="none"></code>
+     <display value="None"></display>
+     <definition value="This endpoint does not require any content to be sent; simply connecting to the endpoint is enough notification. This can be used as a 'ping' to wakeup a service to retrieve content, which could be to ensure security considerations are correctly handled"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/endpoint-connection-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="endpoint-connection-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/endpoint-connection-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1140"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EndpointConnectionType"></name>
+    <title value="Endpoint Connection Type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 Patient Administration"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This is an example value set defined by the FHIR project, that could be used to represent possible connection type profile values."></description>
+    <copyright value="Some content from IHE® Copyright © 2015 IHE International, Inc.    This content is from the IHE Technical Frameworks and Supplements,    available for free download and use at http://www.ihe.net/Technical_Frameworks/"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-connection-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ihe-xcpd"></code>
+     <display value="IHE XCPD"></display>
+     <definition value="IHE Cross Community Patient Discovery Profile (XCPD) - http://wiki.ihe.net/index.php/Cross-Community_Patient_Discovery"></definition>
+    </concept>
+    <concept>
+     <code value="ihe-xca"></code>
+     <display value="IHE XCA"></display>
+     <definition value="IHE Cross Community Access Profile (XCA) - http://wiki.ihe.net/index.php/Cross-Community_Access"></definition>
+    </concept>
+    <concept>
+     <code value="ihe-xdr"></code>
+     <display value="IHE XDR"></display>
+     <definition value="IHE Cross-Enterprise Document Reliable Exchange (XDR) - http://wiki.ihe.net/index.php/Cross-enterprise_Document_Reliable_Interchange"></definition>
+    </concept>
+    <concept>
+     <code value="ihe-xds"></code>
+     <display value="IHE XDS"></display>
+     <definition value="IHE Cross-Enterprise Document Sharing (XDS) - http://wiki.ihe.net/index.php/Cross-Enterprise_Document_Sharing"></definition>
+    </concept>
+    <concept>
+     <code value="ihe-iid"></code>
+     <display value="IHE IID"></display>
+     <definition value="IHE Invoke Image Display (IID) - http://wiki.ihe.net/index.php/Invoke_Image_Display"></definition>
+    </concept>
+    <concept>
+     <code value="dicom-wado-rs"></code>
+     <display value="DICOM WADO-RS"></display>
+     <definition value="DICOMweb RESTful Image Retrieve - http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.5.html"></definition>
+    </concept>
+    <concept>
+     <code value="dicom-qido-rs"></code>
+     <display value="DICOM QIDO-RS"></display>
+     <definition value="DICOMweb RESTful Image query - http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.7.html"></definition>
+    </concept>
+    <concept>
+     <code value="dicom-stow-rs"></code>
+     <display value="DICOM STOW-RS"></display>
+     <definition value="DICOMweb RESTful image sending and storage - http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.6.html"></definition>
+    </concept>
+    <concept>
+     <code value="dicom-wado-uri"></code>
+     <display value="DICOM WADO-URI"></display>
+     <definition value="DICOMweb Image Retrieve - http://dicom.nema.org/dicom/2013/output/chtml/part18/sect_6.3.html"></definition>
+    </concept>
+    <concept>
+     <code value="hl7-fhir-rest"></code>
+     <display value="HL7 FHIR"></display>
+     <definition value="Interact with the server interface using FHIR's RESTful interface. For details on its version/capabilities you should connect the value in Endpoint.address and retrieve the FHIR CapabilityStatement."></definition>
+    </concept>
+    <concept>
+     <code value="hl7-fhir-msg"></code>
+     <display value="HL7 FHIR Messaging"></display>
+     <definition value="Use the servers FHIR Messaging interface. Details can be found on the messaging.html page in the FHIR Specification. The FHIR server's base address is specified in the Endpoint.address property."></definition>
+    </concept>
+    <concept>
+     <code value="hl7v2-mllp"></code>
+     <display value="HL7 v2 MLLP"></display>
+     <definition value="HL7v2 messages over an LLP TCP connection"></definition>
+    </concept>
+    <concept>
+     <code value="secure-email"></code>
+     <display value="Secure email"></display>
+     <definition value="Email delivery using a digital certificate to encrypt the content using the public key, receiver must have the private key to decrypt the content"></definition>
+    </concept>
+    <concept>
+     <code value="direct-project"></code>
+     <display value="Direct Project"></display>
+     <definition value="Direct Project information - http://wiki.directproject.org/"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-channel-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-channel-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/subscription-channel-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1432"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionChannelTypeCodes"></name>
+    <title value="SubscriptionChannel Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes to represent subscription error details"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-channel-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="rest-hook"></code>
+     <display value="Rest Hook"></display>
+     <definition value="The channel is executed by making a post to the URI. If a payload is included, the URL is interpreted as the service base, and an update (PUT) is made."></definition>
+    </concept>
+    <concept>
+     <code value="websocket"></code>
+     <display value="Websocket"></display>
+     <definition value="The channel is executed by sending a packet across a web socket connection maintained by the client. The URL identifies the websocket, and the client binds to this URL."></definition>
+    </concept>
+    <concept>
+     <code value="email"></code>
+     <display value="Email"></display>
+     <definition value="The channel is executed by sending an email to the email addressed in the URI (which must be a mailto:)."></definition>
+    </concept>
+    <concept>
+     <code value="sms"></code>
+     <display value="SMS"></display>
+     <definition value="The channel is executed by sending an SMS message to the phone number identified in the URL (tel:)."></definition>
+    </concept>
+    <concept>
+     <code value="message"></code>
+     <display value="Message"></display>
+     <definition value="The channel is executed by sending a message (e.g. a Bundle with a MessageHeader resource etc.) to the application identified in the URI."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/subscription-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.503"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionStatus"></name>
+    <title value="SubscriptionStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of a subscription."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="requested"></code>
+     <display value="Requested"></display>
+     <definition value="The client has requested the subscription, and the server has not yet set it up."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The subscription is active."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="The server has an error executing the notification."></definition>
+    </concept>
+    <concept>
+     <code value="off"></code>
+     <display value="Off"></display>
+     <definition value="Too many errors have occurred or the subscription has expired."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-tag"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-tag"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/subscription-tag"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1141"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionTag"></name>
+    <title value="SubscriptionTag"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Tags to put on a resource after subscriptions have been sent."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-tag"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="queued"></code>
+     <display value="Queued"></display>
+     <definition value="The message has been queued for processing on a destination systems."></definition>
+    </concept>
+    <concept>
+     <code value="delivered"></code>
+     <display value="Delivered"></display>
+     <definition value="The message has been delivered to its intended recipient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-operator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-operator"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/subscription-operator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1434"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionFilterByMatchType"></name>
+    <title value="SubscriptionFilterByMatchType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Operator to apply to filter label."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-operator"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="="></code>
+     <display value="="></display>
+     <definition value="Used to match a value according to FHIR Search rules (e.g., Patient/123, Encounter/2002)."></definition>
+    </concept>
+    <concept>
+     <code value="in"></code>
+     <display value="in"></display>
+     <definition value="The key value in the topic stream is an active members of the reference set identified by the concept provided as the filter value."></definition>
+    </concept>
+    <concept>
+     <code value="not-in"></code>
+     <display value="not-in"></display>
+     <definition value="The key value in the topic stream is NOT an active members of the reference set identified by the concept provided as the filter value."></definition>
+    </concept>
+    <concept>
+     <code value="above"></code>
+     <display value="above"></display>
+     <definition value="The key value is subsumes the value in the filter value."></definition>
+    </concept>
+    <concept>
+     <code value="below"></code>
+     <display value="below"></display>
+     <definition value="The key value is subsumed by the value in the filter value."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-payload-content"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-payload-content"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/subscription-payload-content"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1436"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionPayloadContent"></name>
+    <title value="SubscriptionPayloadContent"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes to represent how much resource content to send in the notification payload."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-payload-content"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="empty"></code>
+     <display value="empty"></display>
+     <definition value="No resource content is transacted in the notification payload."></definition>
+    </concept>
+    <concept>
+     <code value="id-only"></code>
+     <display value="id-only"></display>
+     <definition value="Only the resource id is transacted in the notification payload."></definition>
+    </concept>
+    <concept>
+     <code value="full-resource"></code>
+     <display value="full-resource"></display>
+     <definition value="The entire resource is transacted in the notification payload."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-error"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-error"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/subscription-error"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1438"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionErrorCodes"></name>
+    <title value="Subscription Error Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes to represent subscription error details"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-error"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="dns-resolution-error"></code>
+     <display value="DNS resolution error"></display>
+     <definition value="DNS resolution error for client rest-hook endpoint."></definition>
+    </concept>
+    <concept>
+     <code value="no-response"></code>
+     <display value="No response"></display>
+     <definition value="No response for client rest-hook endpoint."></definition>
+    </concept>
+    <concept>
+     <code value="error-response"></code>
+     <display value="Error response"></display>
+     <definition value="Error response from client rest-hook endpoint. Recommended practice: convey the actual HTTP error in an adjacent Coding or in text"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/operation-kind"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="operation-kind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
@@ -4187,17 +21496,17 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/restful-capability-mode"></url>
+    <url value="http://hl7.org/fhir/operation-kind"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.177"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.507"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="RestfulCapabilityMode"></name>
-    <title value="RestfulCapabilityMode"></title>
+    <version value="4.2.0"></version>
+    <name value="OperationKind"></name>
+    <title value="OperationKind"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -4209,105 +21518,54 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The mode of a RESTful capability statement."></description>
+    <description value="Whether an operation is a normal operation or a query."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/restful-capability-mode"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="client"></code>
-     <display value="Client"></display>
-     <definition value="The application acts as a client for this resource."></definition>
+     <code value="operation"></code>
+     <display value="Operation"></display>
+     <definition value="This operation is invoked as an operation."></definition>
     </concept>
     <concept>
-     <code value="server"></code>
-     <display value="Server"></display>
-     <definition value="The application acts as a server for this resource."></definition>
+     <code value="query"></code>
+     <display value="Query"></display>
+     <definition value="This operation is a named query, invoked using the search mechanism."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/oral-prosthodontic-material"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/operation-parameter-use"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="oral-prosthodontic-material"></id>
+    <id value="operation-parameter-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/ex-oralprostho"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.539"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="OralProsthoMaterialTypeCodes"></name>
-    <title value="Oral Prostho Material type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Oral Prosthodontic Material type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/oral-prosthodontic-material"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Fixed Bridge"></display>
-     <definition value="Fixed Bridge"></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Maryland Bridge"></display>
-     <definition value="Maryland Bridge"></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Denture Acrylic"></display>
-     <definition value="Denture Acrylic"></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Denture Chrome Cobalt"></display>
-     <definition value="Denture Chrome Cobalt"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/graph-compartment-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="graph-compartment-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
+     <valueCode value="normative"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/graph-compartment-use"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/operation-parameter-use"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.283"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.509"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="GraphCompartmentUse"></name>
-    <title value="GraphCompartmentUse"></title>
-    <status value="draft"></status>
+    <version value="4.2.0"></version>
+    <name value="OperationParameterUse"></name>
+    <title value="OperationParameterUse"></title>
+    <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -4319,30 +21577,246 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Defines how a compartment rule is used."></description>
+    <description value="Whether an operation parameter is an input or an output parameter."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-use"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="condition"></code>
-     <display value="Condition"></display>
-     <definition value="This compartment rule is a condition for whether the rule applies."></definition>
+     <code value="in"></code>
+     <display value="In"></display>
+     <definition value="This is an input parameter."></definition>
     </concept>
     <concept>
-     <code value="requirement"></code>
-     <display value="Requirement"></display>
-     <definition value="This compartment rule is enforced on any relationships that meet the conditions."></definition>
+     <code value="out"></code>
+     <display value="Out"></display>
+     <definition value="This is an output parameter."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-validation-process"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-referral-method"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-validation-process"></id>
+    <id value="service-referral-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/service-referral-method"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1142"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ReferralMethod"></name>
+    <title value="ReferralMethod"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The methods of referral can be used when referring to a specific HealthCareService resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-referral-method"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="fax"></code>
+     <display value="Fax"></display>
+     <definition value="Referrals may be accepted by fax."></definition>
+    </concept>
+    <concept>
+     <code value="phone"></code>
+     <display value="Phone"></display>
+     <definition value="Referrals may be accepted over the phone from a practitioner."></definition>
+    </concept>
+    <concept>
+     <code value="elec"></code>
+     <display value="Secure Messaging"></display>
+     <definition value="Referrals may be accepted via a secure messaging system. To determine the types of secure messaging systems supported, refer to the identifiers collection. Callers will need to understand the specific identifier system used to know that they are able to transmit messages."></definition>
+    </concept>
+    <concept>
+     <code value="semail"></code>
+     <display value="Secure Email"></display>
+     <definition value="Referrals may be accepted via a secure email. To send please encrypt with the services public key."></definition>
+    </concept>
+    <concept>
+     <code value="mail"></code>
+     <display value="Mail"></display>
+     <definition value="Referrals may be accepted via regular postage (or hand delivered)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/days-of-week"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="days-of-week"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/days-of-week"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.513"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DaysOfWeek"></name>
+    <title value="DaysOfWeek"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The days of the week."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="mon"></code>
+     <display value="Monday"></display>
+     <definition value="Monday."></definition>
+    </concept>
+    <concept>
+     <code value="tue"></code>
+     <display value="Tuesday"></display>
+     <definition value="Tuesday."></definition>
+    </concept>
+    <concept>
+     <code value="wed"></code>
+     <display value="Wednesday"></display>
+     <definition value="Wednesday."></definition>
+    </concept>
+    <concept>
+     <code value="thu"></code>
+     <display value="Thursday"></display>
+     <definition value="Thursday."></definition>
+    </concept>
+    <concept>
+     <code value="fri"></code>
+     <display value="Friday"></display>
+     <definition value="Friday."></definition>
+    </concept>
+    <concept>
+     <code value="sat"></code>
+     <display value="Saturday"></display>
+     <definition value="Saturday."></definition>
+    </concept>
+    <concept>
+     <code value="sun"></code>
+     <display value="Sunday"></display>
+     <definition value="Sunday."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-provision-conditions"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-provision-conditions"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/service-provision-conditions"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1143"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ServiceProvisionConditions"></name>
+    <title value="ServiceProvisionConditions"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The code(s) that detail the conditions under which the healthcare service is available/offered."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-provision-conditions"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="free"></code>
+     <display value="Free"></display>
+     <definition value="This service is available for no patient cost."></definition>
+    </concept>
+    <concept>
+     <code value="disc"></code>
+     <display value="Discounts Available"></display>
+     <definition value="There are discounts available on this service for qualifying patients."></definition>
+    </concept>
+    <concept>
+     <code value="cost"></code>
+     <display value="Fees apply"></display>
+     <definition value="Fees apply for this service."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -4354,177 +21828,14 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/validation-process"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/service-category"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.889"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1144"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="validation-process"></name>
-    <title value="Validation-process"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The primary process by which the target is validated"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-validation-process"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="edit-check"></code>
-     <display value="edit check"></display>
-    </concept>
-    <concept>
-     <code value="valueset"></code>
-     <display value="value set"></display>
-    </concept>
-    <concept>
-     <code value="primary"></code>
-     <display value="primary source"></display>
-    </concept>
-    <concept>
-     <code value="multi"></code>
-     <display value="multiple sources"></display>
-    </concept>
-    <concept>
-     <code value="standalone"></code>
-     <display value="standalone"></display>
-    </concept>
-    <concept>
-     <code value="in-context"></code>
-     <display value="in context"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/parameter-group"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="parameter-group"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/parameter-group"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1264"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceDefinitionParameterGroup"></name>
-    <title value="DeviceDefinitionParameterGroup"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying groupings of parameters; e.g. Cardiovascular."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/parameter-group"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="haemodynamic"></code>
-     <display value="Haemodynamic Parameter Group"></display>
-     <definition value="Haemodynamic Parameter Group - MDC_PGRP_HEMO."></definition>
-    </concept>
-    <concept>
-     <code value="ecg"></code>
-     <display value="ECG Parameter Group"></display>
-     <definition value="ECG Parameter Group - MDC_PGRP_ECG."></definition>
-    </concept>
-    <concept>
-     <code value="respiratory"></code>
-     <display value="Respiratory Parameter Group"></display>
-     <definition value="Respiratory Parameter Group - MDC_PGRP_RESP."></definition>
-    </concept>
-    <concept>
-     <code value="ventilation"></code>
-     <display value="Ventilation Parameter Group"></display>
-     <definition value="Ventilation Parameter Group - MDC_PGRP_VENT."></definition>
-    </concept>
-    <concept>
-     <code value="neurological"></code>
-     <display value="Neurological Parameter Group"></display>
-     <definition value="Neurological Parameter Group - MDC_PGRP_NEURO."></definition>
-    </concept>
-    <concept>
-     <code value="drug-delivery"></code>
-     <display value="Drug Delivery Parameter Group"></display>
-     <definition value="Drug Delivery Parameter Group - MDC_PGRP_DRUG."></definition>
-    </concept>
-    <concept>
-     <code value="fluid-chemistry"></code>
-     <display value="Fluid Chemistry Parameter Group"></display>
-     <definition value="Fluid Chemistry Parameter Group - MDC_PGRP_FLUID."></definition>
-    </concept>
-    <concept>
-     <code value="blood-chemistry"></code>
-     <display value="Blood Chemistry Parameter Group"></display>
-     <definition value="Blood Chemistry Parameter Group - MDC_PGRP_BLOOD_CHEM."></definition>
-    </concept>
-    <concept>
-     <code value="miscellaneous"></code>
-     <display value="Miscellaneous Parameter Group"></display>
-     <definition value="Miscellaneous Parameter Group - MDC_PGRP_MISC."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-evaluation-dose-status-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-evaluation-dose-status-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1103"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationEvaluationDoseStatusReasonCodes"></name>
-    <title value="Immunization Evaluation Dose Status Reason codes"></title>
+    <version value="4.2.0"></version>
+    <name value="ServiceCategory"></name>
+    <title value="Service category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
     <publisher value="FHIR Project team"></publisher>
@@ -4534,91 +21845,199 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why an administered dose has been assigned a particular status. Often, this reason describes why a dose is considered invalid. This value set is provided as a suggestive example."></description>
+    <description value="This value set defines an example set of codes that can be used to classify groupings of service-types/specialties."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status-reason"></valueSet>
-    <content value="complete"></content>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-category"></valueSet>
+    <content value="example"></content>
     <concept>
-     <code value="partialdose"></code>
-     <display value="Partial Dose"></display>
-     <definition value="The full volume of the dose was not administered to the patient."></definition>
+     <code value="1"></code>
+     <display value="Adoption"></display>
+     <definition value="Adoption"></definition>
     </concept>
     <concept>
-     <code value="coldchainbreak"></code>
-     <display value="Cold Chain Break"></display>
-     <definition value="The vaccine experienced a cold chain break."></definition>
+     <code value="2"></code>
+     <display value="Aged Care"></display>
+     <definition value="Aged Care"></definition>
     </concept>
     <concept>
-     <code value="recall"></code>
-     <display value="Manufacturer Recall"></display>
-     <definition value="The vaccine was recalled by the manufacturer."></definition>
+     <code value="34"></code>
+     <display value="Allied Health"></display>
+     <definition value="Allied Health"></definition>
     </concept>
     <concept>
-     <code value="adversestorage"></code>
-     <display value="Adverse Storage"></display>
-     <definition value="The vaccine experienced adverse storage conditions."></definition>
+     <code value="3"></code>
+     <display value="Alternative/Complementary Therapies"></display>
+     <definition value="Alternative &amp; Complementary Therapies"></definition>
     </concept>
     <concept>
-     <code value="expired"></code>
-     <display value="Expired Product"></display>
-     <definition value="The vaccine was expired at the time of administration."></definition>
+     <code value="4"></code>
+     <display value="Child Care /Kindergarten"></display>
+     <definition value="Child Care and/or Kindergarten"></definition>
     </concept>
     <concept>
-     <code value="outsideschedule"></code>
-     <display value="Outside Schedule"></display>
-     <definition value="The vaccine was administered in a manner that is inconsistent with the evaluated schedule."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-evaluation-dose-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-evaluation-dose-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-evaluation-dose-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1102"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationEvaluationDoseStatusCodes"></name>
-    <title value="Immunization Evaluation Dose Status codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the validity of a dose relative to a particular recommended schedule. This value set is provided as a suggestive example."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="valid"></code>
-     <display value="Valid"></display>
-     <definition value="The dose counts toward fulfilling a path to immunity for a patient, providing protection against the target disease."></definition>
+     <code value="5"></code>
+     <display value="Child Development"></display>
+     <definition value="Child Development"></definition>
     </concept>
     <concept>
-     <code value="notvalid"></code>
-     <display value="Not valid"></display>
-     <definition value="The dose does not count toward fulfilling a path to immunity for a patient."></definition>
+     <code value="6"></code>
+     <display value="Child Protection &amp; Family Services"></display>
+     <definition value="Child Protection &amp; Family Services"></definition>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="Community Health Care"></display>
+     <definition value="Community Health Care"></definition>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Counselling"></display>
+     <definition value="Counselling"></definition>
+    </concept>
+    <concept>
+     <code value="36"></code>
+     <display value="Crisis Line (GPAH use only)"></display>
+     <definition value="Crisis Line (GPAH use only)"></definition>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Death Services"></display>
+     <definition value="Death Services"></definition>
+    </concept>
+    <concept>
+     <code value="10"></code>
+     <display value="Dental"></display>
+     <definition value="Dental"></definition>
+    </concept>
+    <concept>
+     <code value="11"></code>
+     <display value="Disability Support"></display>
+     <definition value="Disability Support"></definition>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="Drug/Alcohol"></display>
+     <definition value="Drug/Alcohol"></definition>
+    </concept>
+    <concept>
+     <code value="13"></code>
+     <display value="Education &amp; Learning"></display>
+     <definition value="Education &amp; Learning"></definition>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="Emergency Department"></display>
+     <definition value="Emergency Department"></definition>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="Employment"></display>
+     <definition value="Employment"></definition>
+    </concept>
+    <concept>
+     <code value="16"></code>
+     <display value="Financial &amp; Material Aid"></display>
+     <definition value="Financial &amp; Material aid"></definition>
+    </concept>
+    <concept>
+     <code value="17"></code>
+     <display value="General Practice"></display>
+     <definition value="General Practice/GP (doctor)"></definition>
+    </concept>
+    <concept>
+     <code value="35"></code>
+     <display value="Hospital"></display>
+     <definition value="Hospital"></definition>
+    </concept>
+    <concept>
+     <code value="18"></code>
+     <display value="Housing/Homelessness"></display>
+     <definition value="Housing/Homelessness"></definition>
+    </concept>
+    <concept>
+     <code value="19"></code>
+     <display value="Interpreting"></display>
+     <definition value="Interpreting"></definition>
+    </concept>
+    <concept>
+     <code value="20"></code>
+     <display value="Justice"></display>
+     <definition value="Justice"></definition>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="Legal"></display>
+     <definition value="Legal"></definition>
+    </concept>
+    <concept>
+     <code value="22"></code>
+     <display value="Mental Health"></display>
+     <definition value="Mental Health"></definition>
+    </concept>
+    <concept>
+     <code value="38"></code>
+     <display value="NDIA"></display>
+     <definition value="NDIA"></definition>
+    </concept>
+    <concept>
+     <code value="23"></code>
+     <display value="Physical Activity &amp; Recreation"></display>
+     <definition value="Physical Activity &amp; Recreation"></definition>
+    </concept>
+    <concept>
+     <code value="24"></code>
+     <display value="Regulation"></display>
+     <definition value="Regulation"></definition>
+    </concept>
+    <concept>
+     <code value="25"></code>
+     <display value="Respite/Carer Support"></display>
+     <definition value="Respite/Carer Support"></definition>
+    </concept>
+    <concept>
+     <code value="26"></code>
+     <display value="Specialist Clinical Pathology"></display>
+     <definition value="Specialist Clinical Pathology - requires referral"></definition>
+    </concept>
+    <concept>
+     <code value="27"></code>
+     <display value="Specialist Medical"></display>
+     <definition value="Specialist Medical - requires referral"></definition>
+    </concept>
+    <concept>
+     <code value="28"></code>
+     <display value="Specialist Obstetrics &amp; Gynecology"></display>
+     <definition value="Specialist Obstetrics &amp; Gynecology - requires referral"></definition>
+    </concept>
+    <concept>
+     <code value="29"></code>
+     <display value="Specialist Paediatric"></display>
+     <definition value="Specialist Paediatric - requires referral"></definition>
+    </concept>
+    <concept>
+     <code value="30"></code>
+     <display value="Specialist Radiology/Imaging"></display>
+     <definition value="Specialist Radiology/Imaging - requires referral"></definition>
+    </concept>
+    <concept>
+     <code value="31"></code>
+     <display value="Specialist Surgical"></display>
+     <definition value="Specialist Surgical - requires referral"></definition>
+    </concept>
+    <concept>
+     <code value="32"></code>
+     <display value="Support Group/s"></display>
+     <definition value="Support group/s"></definition>
+    </concept>
+    <concept>
+     <code value="37"></code>
+     <display value="Test Message (HSD admin)"></display>
+     <definition value="Test Message (HSD admin use only)"></definition>
+    </concept>
+    <concept>
+     <code value="33"></code>
+     <display value="Transport"></display>
+     <definition value="Transport"></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -4629,7 +22048,7 @@ Future versions of FHIR may make significant changes to Trial Use content that a
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="service-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -4646,7 +22065,7 @@ Future versions of FHIR may make significant changes to Trial Use content that a
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.1145"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceType"></name>
     <title value="Service type"></title>
     <status value="draft"></status>
@@ -7645,13 +25064,4733 @@ Future versions of FHIR may make significant changes to Trial Use content that a
    </CodeSystem>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/program"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="program"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/program"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1384"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Program"></name>
+    <title value="Program"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines an example set of codes that could be can be used to classify groupings of service-types/specialties."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/program"></valueSet>
+    <content value="example"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Acquired Brain Injury (ABI) Program "></display>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="ABI Slow To Recover (ABI STR) Program"></display>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Access Programs"></display>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Adult and Further Education (ACFE) Program"></display>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Adult Day Activity and Support Services (ADASS) Program"></display>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="Adult Day Care Program"></display>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="ATSS (Adult Training Support Service)"></display>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="Community Aged Care Packages (CACP)"></display>
+    </concept>
+    <concept>
+     <code value="9"></code>
+     <display value="Care Coordination &amp; Supplementary Services (CCSS)"></display>
+    </concept>
+    <concept>
+     <code value="10"></code>
+     <display value="Cognitive Dementia Memory Service (CDAMS)"></display>
+    </concept>
+    <concept>
+     <code value="11"></code>
+     <display value="ChildFIRST"></display>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="Children's Contact Services"></display>
+    </concept>
+    <concept>
+     <code value="13"></code>
+     <display value="Community Visitors Scheme"></display>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="CPP (Community Partners Program)"></display>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="Closing the Gap (CTG)"></display>
+    </concept>
+    <concept>
+     <code value="16"></code>
+     <display value="Coordinated Veterans' Care (CVC) Program"></display>
+    </concept>
+    <concept>
+     <code value="17"></code>
+     <display value="Day Program"></display>
+    </concept>
+    <concept>
+     <code value="18"></code>
+     <display value="Drop In Program"></display>
+    </concept>
+    <concept>
+     <code value="19"></code>
+     <display value="Early Years Program"></display>
+    </concept>
+    <concept>
+     <code value="20"></code>
+     <display value="Employee Assistance Program"></display>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="Home And Community Care (HACC)"></display>
+    </concept>
+    <concept>
+     <code value="22"></code>
+     <display value="Hospital Admission Risk Program (HARP)"></display>
+    </concept>
+    <concept>
+     <code value="23"></code>
+     <display value="Hospital in the Home (HITH) Program"></display>
+    </concept>
+    <concept>
+     <code value="24"></code>
+     <display value="ICTP (Intensive Community Treatment Program)"></display>
+    </concept>
+    <concept>
+     <code value="25"></code>
+     <display value="IFSS (Intensive Family Support Program)"></display>
+    </concept>
+    <concept>
+     <code value="26"></code>
+     <display value="JPET (Job Placement, Education and Training)"></display>
+    </concept>
+    <concept>
+     <code value="27"></code>
+     <display value="Koori Juvenile Justice Program"></display>
+    </concept>
+    <concept>
+     <code value="28"></code>
+     <display value="Language Literacy and Numeracy Program"></display>
+    </concept>
+    <concept>
+     <code value="29"></code>
+     <display value="Life Skills Program"></display>
+    </concept>
+    <concept>
+     <code value="30"></code>
+     <display value="LMP (Lifestyle Modification Program)"></display>
+    </concept>
+    <concept>
+     <code value="31"></code>
+     <display value="MedsCheck Program"></display>
+    </concept>
+    <concept>
+     <code value="32"></code>
+     <display value="Methadone/Buprenorphine Program"></display>
+    </concept>
+    <concept>
+     <code value="33"></code>
+     <display value="National Disabilities Insurance Scheme (NDIS)"></display>
+    </concept>
+    <concept>
+     <code value="34"></code>
+     <display value="National Diabetes Services Scheme (NDSS)"></display>
+    </concept>
+    <concept>
+     <code value="35"></code>
+     <display value="Needle/Syringe Program"></display>
+    </concept>
+    <concept>
+     <code value="36"></code>
+     <display value="nPEP Program"></display>
+    </concept>
+    <concept>
+     <code value="37"></code>
+     <display value="Personal Support Program"></display>
+    </concept>
+    <concept>
+     <code value="38"></code>
+     <display value="Partners in Recovery (PIR) Program"></display>
+    </concept>
+    <concept>
+     <code value="39"></code>
+     <display value="Pre-employment Program"></display>
+    </concept>
+    <concept>
+     <code value="40"></code>
+     <display value="Reconnect Program"></display>
+    </concept>
+    <concept>
+     <code value="41"></code>
+     <display value="Sexual Abuse Counselling and Prevention Program (SACPP)"></display>
+    </concept>
+    <concept>
+     <code value="42"></code>
+     <display value="Social Support Programs"></display>
+    </concept>
+    <concept>
+     <code value="43"></code>
+     <display value="Supported Residential Service (SRS)"></display>
+    </concept>
+    <concept>
+     <code value="44"></code>
+     <display value="Tasmanian Aboriginal Centre (TAC)"></display>
+    </concept>
+    <concept>
+     <code value="45"></code>
+     <display value="Victim's Assistance Program"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscriber-relationship"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscriber-relationship"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1386"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriberRelationshipCodes"></name>
+    <title value="SubscriberPolicyholder Relationship Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes codes for the relationship between the Subscriber and the Beneficiary (insured/covered party/patient)."></description>
+    <copyright value="This is an extensible set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscriber-relationship"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="child"></code>
+     <display value="Child"></display>
+     <definition value="The Beneficiary is a child of the Subscriber"></definition>
+    </concept>
+    <concept>
+     <code value="parent"></code>
+     <display value="Parent"></display>
+     <definition value="The Beneficiary is a parent of the Subscriber"></definition>
+    </concept>
+    <concept>
+     <code value="spouse"></code>
+     <display value="Spouse"></display>
+     <definition value="The Beneficiary is a spouse or equivalent of the Subscriber"></definition>
+    </concept>
+    <concept>
+     <code value="common"></code>
+     <display value="Common Law Spouse"></display>
+     <definition value="The Beneficiary is a common law spouse or equivalent of the Subscriber"></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="The Beneficiary has some other relationship the Subscriber"></definition>
+    </concept>
+    <concept>
+     <code value="self"></code>
+     <display value="Self"></display>
+     <definition value="The Beneficiary is the Subscriber"></definition>
+    </concept>
+    <concept>
+     <code value="injured"></code>
+     <display value="Injured Party"></display>
+     <definition value="The Beneficiary is covered under insurance of the subscriber due to an injury."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-class"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="coverage-class"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/coverage-class"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1147"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CoverageClassCodes"></name>
+    <title value="Coverage Class Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Coverage Class codes."></description>
+    <copyright value="HL7 Inc."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-class"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="group"></code>
+     <display value="Group"></display>
+     <definition value="An employee group"></definition>
+    </concept>
+    <concept>
+     <code value="subgroup"></code>
+     <display value="SubGroup"></display>
+     <definition value="A sub-group of an employee group"></definition>
+    </concept>
+    <concept>
+     <code value="plan"></code>
+     <display value="Plan"></display>
+     <definition value="A specific suite of benefits."></definition>
+    </concept>
+    <concept>
+     <code value="subplan"></code>
+     <display value="SubPlan"></display>
+     <definition value="A subset of a specific suite of benefits."></definition>
+    </concept>
+    <concept>
+     <code value="class"></code>
+     <display value="Class"></display>
+     <definition value="A class of benefits."></definition>
+    </concept>
+    <concept>
+     <code value="subclass"></code>
+     <display value="SubClass"></display>
+     <definition value="A subset of a class of benefits."></definition>
+    </concept>
+    <concept>
+     <code value="sequence"></code>
+     <display value="Sequence"></display>
+     <definition value="A sequence number associated with a short-term continuance of the coverage."></definition>
+    </concept>
+    <concept>
+     <code value="rxbin"></code>
+     <display value="RX BIN"></display>
+     <definition value="Pharmacy benefit manager's Business Identification Number."></definition>
+    </concept>
+    <concept>
+     <code value="rxpcn"></code>
+     <display value="RX PCN"></display>
+     <definition value="A Pharmacy Benefit Manager specified Processor Control Number."></definition>
+    </concept>
+    <concept>
+     <code value="rxid"></code>
+     <display value="RX Id"></display>
+     <definition value="A Pharmacy Benefit Manager specified Member ID."></definition>
+    </concept>
+    <concept>
+     <code value="rxgroup"></code>
+     <display value="RX Group"></display>
+     <definition value="A Pharmacy Benefit Manager specified Group number."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-selfpay"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="coverage-selfpay"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1148"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CoverageSelfPayCodes"></name>
+    <title value="Coverage SelfPay Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Coverage SelfPay codes."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-selfpay"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="pay"></code>
+     <display value="Pay"></display>
+     <definition value="An individual or organization is paying directly for goods and services."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-copay-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="coverage-copay-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1149"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CoverageCopayTypeCodes"></name>
+    <title value="Coverage Copay Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Coverage Copayment Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-copay-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="gpvisit"></code>
+     <display value="GP Office Visit"></display>
+     <definition value="An office visit for a general practitioner of a discipline."></definition>
+    </concept>
+    <concept>
+     <code value="spvisit"></code>
+     <display value="Specialist Office Visit"></display>
+     <definition value="An office visit for a specialist practitioner of a discipline"></definition>
+    </concept>
+    <concept>
+     <code value="emergency"></code>
+     <display value="Emergency"></display>
+     <definition value="An episode in an emergency department."></definition>
+    </concept>
+    <concept>
+     <code value="inpthosp"></code>
+     <display value="Inpatient Hospital"></display>
+     <definition value="An episode of an Inpatient hospital stay."></definition>
+    </concept>
+    <concept>
+     <code value="televisit"></code>
+     <display value="Tele-visit"></display>
+     <definition value="A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."></definition>
+    </concept>
+    <concept>
+     <code value="urgentcare"></code>
+     <display value="Urgent Care"></display>
+     <definition value="A visit to an urgent care facility - typically a community care clinic."></definition>
+    </concept>
+    <concept>
+     <code value="copaypct"></code>
+     <display value="Copay Percentage"></display>
+     <definition value="A standard percentage applied to all classes or service or product not otherwise specified."></definition>
+    </concept>
+    <concept>
+     <code value="copay"></code>
+     <display value="Copay Amount"></display>
+     <definition value="A standard fixed currency amount applied to all classes or service or product not otherwise specified."></definition>
+    </concept>
+    <concept>
+     <code value="deductible"></code>
+     <display value="Deductible"></display>
+     <definition value="The accumulated amount of patient payment before the coverage begins to pay for services."></definition>
+    </concept>
+    <concept>
+     <code value="maxoutofpocket"></code>
+     <display value="Maximum out of pocket"></display>
+     <definition value="The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-financial-exception"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="coverage-financial-exception"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1329"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleCoverageFinancialExceptionCodes"></name>
+    <title value="Example Coverage Financial Exception Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Example Coverage Financial Exception Codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-financial-exception"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="retired"></code>
+     <display value="Retired"></display>
+     <definition value="Retired persons have all copays and deductibles reduced."></definition>
+    </concept>
+    <concept>
+     <code value="foster"></code>
+     <display value="Foster child"></display>
+     <definition value="Children in the foster care have all copays and deductibles waived."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/additionalmaterials"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="additionalmaterials"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/additionalmaterials"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.530"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdditionalMaterialCodes"></name>
+    <title value="Additional Material Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample additional material type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/additionalmaterials"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="xray"></code>
+     <display value="XRay"></display>
+     <definition value="XRay"></definition>
+    </concept>
+    <concept>
+     <code value="image"></code>
+     <display value="Image"></display>
+     <definition value="Image"></definition>
+    </concept>
+    <concept>
+     <code value="email"></code>
+     <display value="Email"></display>
+     <definition value="Email"></definition>
+    </concept>
+    <concept>
+     <code value="model"></code>
+     <display value="Model"></display>
+     <definition value="Model"></definition>
+    </concept>
+    <concept>
+     <code value="document"></code>
+     <display value="Document"></display>
+     <definition value="Document"></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/intervention"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="intervention"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/intervention"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.533"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="InterventionCodes"></name>
+    <title value="Intervention Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Intervention codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/intervention"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="Unknown"></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/missing-tooth-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="missing-tooth-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/missingtoothreason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1150"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MissingToothReasonCodes"></name>
+    <title value="Missing Tooth Reason Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Missing Tooth Reason codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/missing-tooth-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="e"></code>
+     <display value="E"></display>
+     <definition value="Extraction"></definition>
+    </concept>
+    <concept>
+     <code value="c"></code>
+     <display value="C"></display>
+     <definition value="Congenital"></definition>
+    </concept>
+    <concept>
+     <code value="u"></code>
+     <display value="U"></display>
+     <definition value="Unknown"></definition>
+    </concept>
+    <concept>
+     <code value="o"></code>
+     <display value="O"></display>
+     <definition value="Other"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-modifiers"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-modifiers"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/modifiers"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1151"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ModifierTypeCodes"></name>
+    <title value="Modifier type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Modifier type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="a"></code>
+     <display value="Repair of prior service or installation"></display>
+     <definition value="Repair of prior service or installation."></definition>
+    </concept>
+    <concept>
+     <code value="b"></code>
+     <display value="Temporary service or installation"></display>
+     <definition value="Temporary service or installation."></definition>
+    </concept>
+    <concept>
+     <code value="c"></code>
+     <display value="TMJ treatment"></display>
+     <definition value="Treatment associated with TMJ."></definition>
+    </concept>
+    <concept>
+     <code value="e"></code>
+     <display value="Implant or associated with an implant"></display>
+     <definition value="Implant or associated with an implant."></definition>
+    </concept>
+    <concept>
+     <code value="rooh"></code>
+     <display value="Rush or Outside of office hours"></display>
+     <definition value="A Rush service or service performed outside of normal office hours."></definition>
+    </concept>
+    <concept>
+     <code value="x"></code>
+     <display value="None"></display>
+     <definition value="None."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/oral-prosthodontic-material"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="oral-prosthodontic-material"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-oralprostho"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.539"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="OralProsthoMaterialTypeCodes"></name>
+    <title value="Oral Prostho Material type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Oral Prosthodontic Material type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/oral-prosthodontic-material"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Fixed Bridge"></display>
+     <definition value="Fixed Bridge"></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Maryland Bridge"></display>
+     <definition value="Maryland Bridge"></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Denture Acrylic"></display>
+     <definition value="Denture Acrylic"></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Denture Chrome Cobalt"></display>
+     <definition value="Denture Chrome Cobalt"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/tooth"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="tooth"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-tooth"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1152"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="OralSiteCodes"></name>
+    <title value="Oral Site Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of FDI oral site codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/tooth"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="0"></code>
+     <display value="Oral cavity"></display>
+     <definition value="Oral cavity."></definition>
+    </concept>
+    <concept>
+     <code value="1"></code>
+     <display value="1"></display>
+     <definition value="Permanent teeth Maxillary right."></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="2"></display>
+     <definition value="Permanent teeth Maxillary left."></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="3"></display>
+     <definition value="Permanent teeth Mandibular right."></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="4"></display>
+     <definition value="Permanent teeth Mandibular left."></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="5"></display>
+     <definition value="Deciduous teeth Maxillary right."></definition>
+    </concept>
+    <concept>
+     <code value="6"></code>
+     <display value="6"></display>
+     <definition value="Deciduous teeth Maxillary left."></definition>
+    </concept>
+    <concept>
+     <code value="7"></code>
+     <display value="7"></display>
+     <definition value="Deciduous teeth Mandibular right."></definition>
+    </concept>
+    <concept>
+     <code value="8"></code>
+     <display value="8"></display>
+     <definition value="Deciduous teeth Mandibular left."></definition>
+    </concept>
+    <concept>
+     <code value="11"></code>
+     <display value="11"></display>
+     <definition value="Upper Right Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="12"></display>
+     <definition value="Upper Right Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="13"></code>
+     <display value="13"></display>
+     <definition value="Upper Right Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="14"></display>
+     <definition value="Upper Right Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="15"></display>
+     <definition value="Upper Right Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="16"></code>
+     <display value="16"></display>
+     <definition value="Upper Right Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="17"></code>
+     <display value="17"></display>
+     <definition value="Upper Right Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="18"></code>
+     <display value="18"></display>
+     <definition value="Upper Right Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="21"></display>
+     <definition value="Upper Left Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="22"></code>
+     <display value="22"></display>
+     <definition value="Upper Left Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="23"></code>
+     <display value="23"></display>
+     <definition value="Upper Left Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="24"></code>
+     <display value="24"></display>
+     <definition value="Upper Left Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="25"></code>
+     <display value="25"></display>
+     <definition value="Upper Left Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="26"></code>
+     <display value="26"></display>
+     <definition value="Upper Left Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="27"></code>
+     <display value="27"></display>
+     <definition value="Upper Left Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="28"></code>
+     <display value="28"></display>
+     <definition value="Upper Left Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="31"></code>
+     <display value="31"></display>
+     <definition value="Lower Left Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="32"></code>
+     <display value="32"></display>
+     <definition value="Lower Left Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="33"></code>
+     <display value="33"></display>
+     <definition value="Lower Left Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="34"></code>
+     <display value="34"></display>
+     <definition value="Lower Left Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="35"></code>
+     <display value="35"></display>
+     <definition value="Lower Left Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="36"></code>
+     <display value="36"></display>
+     <definition value="Lower Left Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="37"></code>
+     <display value="37"></display>
+     <definition value="Lower Left Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="38"></code>
+     <display value="38"></display>
+     <definition value="Lower Left Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="41"></code>
+     <display value="41"></display>
+     <definition value="Lower Right Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="42"></code>
+     <display value="42"></display>
+     <definition value="Lower Right Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="43"></code>
+     <display value="43"></display>
+     <definition value="Lower Right Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="44"></code>
+     <display value="44"></display>
+     <definition value="Lower Right Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="45"></code>
+     <display value="45"></display>
+     <definition value="Lower Right Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="46"></code>
+     <display value="46"></display>
+     <definition value="Lower Right Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="47"></code>
+     <display value="47"></display>
+     <definition value="Lower Right Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="48"></code>
+     <display value="48"></display>
+     <definition value="Lower Right Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-uscls"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-uscls"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-USCLS"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1153"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="USCLSCodes"></name>
+    <title value="USCLS Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of USCLS codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1101"></code>
+     <display value="Exam, comp, primary"></display>
+     <definition value="Exam, comp, primary"></definition>
+    </concept>
+    <concept>
+     <code value="1102"></code>
+     <display value="Exam, comp, mixed"></display>
+     <definition value="Exam, comp, mixed"></definition>
+    </concept>
+    <concept>
+     <code value="1103"></code>
+     <display value="Exam, comp, permanent"></display>
+     <definition value="Exam, comp, permanent"></definition>
+    </concept>
+    <concept>
+     <code value="1201"></code>
+     <display value="Exam, recall"></display>
+     <definition value="Exam, recall"></definition>
+    </concept>
+    <concept>
+     <code value="1205"></code>
+     <display value="Exam, emergency"></display>
+     <definition value="Exam, emergency"></definition>
+    </concept>
+    <concept>
+     <code value="2101"></code>
+     <display value="Radiograph, series (12)"></display>
+     <definition value="Radiograph, series (12)"></definition>
+    </concept>
+    <concept>
+     <code value="2102"></code>
+     <display value="Radiograph, series (16)"></display>
+     <definition value="Radiograph, series (16)"></definition>
+    </concept>
+    <concept>
+     <code value="2141"></code>
+     <display value="Radiograph, bitewing"></display>
+     <definition value="Radiograph, bitewing"></definition>
+    </concept>
+    <concept>
+     <code value="2601"></code>
+     <display value="Radiograph, panoramic"></display>
+     <definition value="Radiograph, panoramic"></definition>
+    </concept>
+    <concept>
+     <code value="11101"></code>
+     <display value="Polishing, 1 unit"></display>
+     <definition value="Polishing, 1 unit"></definition>
+    </concept>
+    <concept>
+     <code value="11102"></code>
+     <display value="Polishing, 2 unit"></display>
+     <definition value="Polishing, 2 unit"></definition>
+    </concept>
+    <concept>
+     <code value="11103"></code>
+     <display value="Polishing, 3 unit"></display>
+     <definition value="Polishing, 3 unit"></definition>
+    </concept>
+    <concept>
+     <code value="11104"></code>
+     <display value="Polishing, 4 unit"></display>
+     <definition value="Polishing, 4 unit"></definition>
+    </concept>
+    <concept>
+     <code value="21211"></code>
+     <display value="Amalgam, 1 surface"></display>
+     <definition value="Amalgam, 1 surface"></definition>
+    </concept>
+    <concept>
+     <code value="21212"></code>
+     <display value="Amalgam, 2 surface"></display>
+     <definition value="Amalgam, 2 surface"></definition>
+    </concept>
+    <concept>
+     <code value="27211"></code>
+     <display value="Crown, PFM"></display>
+     <definition value="Crown, PFM"></definition>
+    </concept>
+    <concept>
+     <code value="67211"></code>
+     <display value="Maryland Bridge"></display>
+     <definition value="Maryland Bridge"></definition>
+    </concept>
+    <concept>
+     <code value="99111"></code>
+     <display value="Lab, commercial"></display>
+     <definition value="Lab, commercial"></definition>
+    </concept>
+    <concept>
+     <code value="99333"></code>
+     <display value="Lab, in office"></display>
+     <definition value="Lab, in office"></definition>
+    </concept>
+    <concept>
+     <code value="99555"></code>
+     <display value="Expense"></display>
+     <definition value="Expense"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-use"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-use"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/claim-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.545"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Use"></name>
+    <title value="Use"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The purpose of the Claim: predetermination, preauthorization, claim."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="claim"></code>
+     <display value="Claim"></display>
+     <definition value="The treatment is complete and this represents a Claim for the services."></definition>
+    </concept>
+    <concept>
+     <code value="preauthorization"></code>
+     <display value="Preauthorization"></display>
+     <definition value="The treatment is proposed and this represents a Pre-authorization for the services."></definition>
+    </concept>
+    <concept>
+     <code value="predetermination"></code>
+     <display value="Predetermination"></display>
+     <definition value="The treatment is proposed and this represents a Pre-determination for the services."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/surface"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="surface"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/FDI-surface"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1154"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SurfaceCodes"></name>
+    <title value="Surface Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of FDI tooth surface codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/surface"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="M"></code>
+     <display value="Mesial"></display>
+     <definition value="The surface of a tooth that is closest to the midline (middle) of the face."></definition>
+    </concept>
+    <concept>
+     <code value="O"></code>
+     <display value="Occlusal"></display>
+     <definition value="The chewing surface of posterior teeth."></definition>
+    </concept>
+    <concept>
+     <code value="I"></code>
+     <display value="Incisal"></display>
+     <definition value="The biting edge of anterior teeth."></definition>
+    </concept>
+    <concept>
+     <code value="D"></code>
+     <display value="Distal"></display>
+     <definition value="The surface of a tooth that faces away from the midline of the face."></definition>
+    </concept>
+    <concept>
+     <code value="B"></code>
+     <display value="Buccal"></display>
+     <definition value="The surface of a posterior tooth facing the cheeks."></definition>
+    </concept>
+    <concept>
+     <code value="V"></code>
+     <display value="Ventral"></display>
+     <definition value="The surface of a tooth facing the lips."></definition>
+    </concept>
+    <concept>
+     <code value="L"></code>
+     <display value="Lingual"></display>
+     <definition value="The surface of a tooth facing the tongue."></definition>
+    </concept>
+    <concept>
+     <code value="MO"></code>
+     <display value="Mesioclusal"></display>
+     <definition value="The Mesioclusal surfaces of a tooth."></definition>
+    </concept>
+    <concept>
+     <code value="DO"></code>
+     <display value="Distoclusal"></display>
+     <definition value="The Distoclusal surfaces of a tooth."></definition>
+    </concept>
+    <concept>
+     <code value="DI"></code>
+     <display value="Distoincisal"></display>
+     <definition value="The Distoincisal surfaces of a tooth."></definition>
+    </concept>
+    <concept>
+     <code value="MOD"></code>
+     <display value="Mesioclusodistal"></display>
+     <definition value="The Mesioclusodistal surfaces of a tooth."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/fm-itemtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="fm-itemtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-claimitemtype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.549"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ClaimItemTypeCodes"></name>
+    <title value="Claim Item Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Item Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/fm-itemtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="group"></code>
+     <display value="Group"></display>
+     <definition value="A group of products and/or Services, amount ar the summary or detail level products and services."></definition>
+    </concept>
+    <concept>
+     <code value="product"></code>
+     <display value="Product"></display>
+     <definition value="A billed product line item."></definition>
+    </concept>
+    <concept>
+     <code value="service"></code>
+     <display value="Service"></display>
+     <definition value="A billed service line item."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/teeth"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="teeth"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-fdi"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.551"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TeethCodes"></name>
+    <title value="Teeth Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes the FDI Teeth codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/teeth"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="11"></code>
+     <display value="11"></display>
+     <definition value="Upper Right Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="12"></display>
+     <definition value="Upper Right Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="13"></code>
+     <display value="13"></display>
+     <definition value="Upper Right Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="14"></display>
+     <definition value="Upper Right Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="15"></display>
+     <definition value="Upper Right Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="16"></code>
+     <display value="16"></display>
+     <definition value="Upper Right Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="17"></code>
+     <display value="17"></display>
+     <definition value="Upper Right Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="18"></code>
+     <display value="18"></display>
+     <definition value="Upper Right Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="21"></display>
+     <definition value="Upper Left Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="22"></code>
+     <display value="22"></display>
+     <definition value="Upper Left Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="23"></code>
+     <display value="23"></display>
+     <definition value="Upper Left Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="24"></code>
+     <display value="24"></display>
+     <definition value="Upper Left Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="25"></code>
+     <display value="25"></display>
+     <definition value="Upper Left Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="26"></code>
+     <display value="26"></display>
+     <definition value="Upper Left Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="27"></code>
+     <display value="27"></display>
+     <definition value="Upper Left Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="28"></code>
+     <display value="28"></display>
+     <definition value="Upper Left Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="31"></code>
+     <display value="31"></display>
+     <definition value="Lower Left Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="32"></code>
+     <display value="32"></display>
+     <definition value="Lower Left Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="33"></code>
+     <display value="33"></display>
+     <definition value="Lower Left Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="34"></code>
+     <display value="34"></display>
+     <definition value="Lower Left Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="35"></code>
+     <display value="35"></display>
+     <definition value="Lower Left Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="36"></code>
+     <display value="36"></display>
+     <definition value="Lower Left Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="37"></code>
+     <display value="37"></display>
+     <definition value="Lower Left Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="38"></code>
+     <display value="38"></display>
+     <definition value="Lower Left Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="41"></code>
+     <display value="41"></display>
+     <definition value="Lower Right Tooth 1 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="42"></code>
+     <display value="42"></display>
+     <definition value="Lower Right Tooth 2 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="43"></code>
+     <display value="43"></display>
+     <definition value="Lower Right Tooth 3 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="44"></code>
+     <display value="44"></display>
+     <definition value="Lower Right Tooth 4 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="45"></code>
+     <display value="45"></display>
+     <definition value="Lower Right Tooth 5 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="46"></code>
+     <display value="46"></display>
+     <definition value="Lower Right Tooth 6 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="47"></code>
+     <display value="47"></display>
+     <definition value="Lower Right Tooth 7 from the central axis, permanent dentition."></definition>
+    </concept>
+    <concept>
+     <code value="48"></code>
+     <display value="48"></display>
+     <definition value="Lower Right Tooth 8 from the central axis, permanent dentition."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/process-priority"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="process-priority"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/processpriority"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1155"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProcessPriorityCodes"></name>
+    <title value="Process Priority Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes the financial processing priority codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/process-priority"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="stat"></code>
+     <display value="Immediate"></display>
+     <definition value="Immediately in real time."></definition>
+    </concept>
+    <concept>
+     <code value="normal"></code>
+     <display value="Normal"></display>
+     <definition value="With best effort."></definition>
+    </concept>
+    <concept>
+     <code value="deferred"></code>
+     <display value="Deferred"></display>
+     <definition value="Later, when possible."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/udi"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="udi"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-udi"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.555"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="UDICodes"></name>
+    <title value="UDI Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample UDI codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/udi"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="gudid"></code>
+     <display value="GUDID (FDA)"></display>
+     <definition value="GUDID (FDA) US Repository"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/fm-conditions"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="fm-conditions"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/fm-conditions"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.557"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FMConditionCodes"></name>
+    <title value="FM Condition Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Conditions codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/fm-conditions"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="123987"></code>
+     <display value="Headache"></display>
+     <definition value="Headache"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/claim-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1156"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ClaimTypeCodes"></name>
+    <title value="Claim Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Claim Type codes."></description>
+    <copyright value="HL7 Inc."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="institutional"></code>
+     <display value="Institutional"></display>
+     <definition value="Hospital, clinic and typically inpatient claims."></definition>
+    </concept>
+    <concept>
+     <code value="oral"></code>
+     <display value="Oral"></display>
+     <definition value="Dental, Denture and Hygiene claims."></definition>
+    </concept>
+    <concept>
+     <code value="pharmacy"></code>
+     <display value="Pharmacy"></display>
+     <definition value="Pharmacy claims for goods and services."></definition>
+    </concept>
+    <concept>
+     <code value="professional"></code>
+     <display value="Professional"></display>
+     <definition value="Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."></definition>
+    </concept>
+    <concept>
+     <code value="vision"></code>
+     <display value="Vision"></display>
+     <definition value="Vision claims for professional services and products such as glasses and contact lenses."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-product"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-product"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-serviceproduct"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.561"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleService/ProductCodes"></name>
+    <title value="Example Service/Product Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Service/Product codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-product"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="exam"></code>
+     <display value="Exam"></display>
+     <definition value="Exam"></definition>
+    </concept>
+    <concept>
+     <code value="flushot"></code>
+     <display value="Flu shot"></display>
+     <definition value="Flu shot"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-pharmacy"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-pharmacy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-pharmaservice"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.563"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExamplePharmacyServiceCodes"></name>
+    <title value="Example Pharmacy Service Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Pharmacy Service codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-pharmacy"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="smokecess"></code>
+     <display value="Smoking cessation"></display>
+     <definition value="Smoking cessation"></definition>
+    </concept>
+    <concept>
+     <code value="flushot"></code>
+     <display value="Flu Shot"></display>
+     <definition value="Flu Shot"></definition>
+    </concept>
+    <concept>
+     <code value="drugcost"></code>
+     <display value="Drug Cost"></display>
+     <definition value="The wholesale price of the medication."></definition>
+    </concept>
+    <concept>
+     <code value="markup"></code>
+     <display value="Markup"></display>
+     <definition value="The additional cost assessed on the drug."></definition>
+    </concept>
+    <concept>
+     <code value="dispensefee"></code>
+     <display value="Dispense Fee"></display>
+     <definition value="The professional fee charged for dispensing the product or service."></definition>
+    </concept>
+    <concept>
+     <code value="compoundfee"></code>
+     <display value="Compounding Fee"></display>
+     <definition value="The professional fee charged for compounding the medication."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-place"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-place"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-serviceplace"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1157"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleServicePlaceCodes"></name>
+    <title value="Example Service Place Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Service Place codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-place"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="01"></code>
+     <display value="Pharmacy"></display>
+     <definition value="A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients."></definition>
+    </concept>
+    <concept>
+     <code value="03"></code>
+     <display value="School"></display>
+     <definition value="A facility whose primary purpose is education."></definition>
+    </concept>
+    <concept>
+     <code value="04"></code>
+     <display value="Homeless Shelter"></display>
+     <definition value="A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters)."></definition>
+    </concept>
+    <concept>
+     <code value="05"></code>
+     <display value="Indian Health Service Free-standing Facility"></display>
+     <definition value="A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization."></definition>
+    </concept>
+    <concept>
+     <code value="06"></code>
+     <display value="Indian Health Service Provider-based Facility"></display>
+     <definition value="A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients."></definition>
+    </concept>
+    <concept>
+     <code value="07"></code>
+     <display value="Tribal 638 Free-Standing Facility"></display>
+     <definition value="A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members who do not require hospitalization."></definition>
+    </concept>
+    <concept>
+     <code value="08"></code>
+     <display value="Tribal 638 Provider-Based Facility"></display>
+     <definition value="A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members admitted as inpatients or outpatients."></definition>
+    </concept>
+    <concept>
+     <code value="09"></code>
+     <display value="Prison/Correctional Facility"></display>
+     <definition value="A prison, jail, reformatory, work farm, detention center, or any other similar facility maintained by either Federal, State or local authorities for the purpose of confinement or rehabilitation of adult or juvenile criminal offenders."></definition>
+    </concept>
+    <concept>
+     <code value="11"></code>
+     <display value="Office"></display>
+     <definition value="Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis."></definition>
+    </concept>
+    <concept>
+     <code value="12"></code>
+     <display value="Home"></display>
+     <definition value="Location, other than a hospital or other facility, where the patient receives care in a private residence."></definition>
+    </concept>
+    <concept>
+     <code value="13"></code>
+     <display value="Assisted Living Fa"></display>
+     <definition value="Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services."></definition>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="Group Home"></display>
+     <definition value="A residence, with shared living areas, where clients receive supervision and other services such as social and/or behavioral services, custodial service, and minimal services (e.g., medication administration)."></definition>
+    </concept>
+    <concept>
+     <code value="15"></code>
+     <display value="Mobile Unit"></display>
+     <definition value="A facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services."></definition>
+    </concept>
+    <concept>
+     <code value="19"></code>
+     <display value="Off Campus-Outpatient Hospital"></display>
+     <definition value="portion of an off-campus hospital provider-based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization."></definition>
+    </concept>
+    <concept>
+     <code value="20"></code>
+     <display value="Urgent Care Facility"></display>
+     <definition value="Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention."></definition>
+    </concept>
+    <concept>
+     <code value="21"></code>
+     <display value="Inpatient Hospital"></display>
+     <definition value="A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions."></definition>
+    </concept>
+    <concept>
+     <code value="41"></code>
+     <display value="Ambulance—Land"></display>
+     <definition value="A land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-subtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-subtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-claimsubtype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1158"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleClaimSubTypeCodes"></name>
+    <title value="Example Claim SubType Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Claim SubType codes which are used to distinguish the claim types for example within type institutional there may be subtypes for emergency services, bed stay and transportation."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-subtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ortho"></code>
+     <display value="Orthodontic Claim"></display>
+     <definition value="A claim for Orthodontic Services."></definition>
+    </concept>
+    <concept>
+     <code value="emergency"></code>
+     <display value="Emergency Claim"></display>
+     <definition value="A claim for emergency services."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/related-claim-relationship"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="related-claim-relationship"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1159"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleRelatedClaimRelationshipCodes"></name>
+    <title value="Example Related Claim Relationship Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Related Claim Relationship codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/related-claim-relationship"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="prior"></code>
+     <display value="Prior Claim"></display>
+     <definition value="A prior claim instance for the same intended suite of services."></definition>
+    </concept>
+    <concept>
+     <code value="associated"></code>
+     <display value="Associated Claim"></display>
+     <definition value="A claim for a different suite of services which is related the suite claimed here."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/provider-qualification"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="provider-qualification"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-providerqualification"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1160"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleProviderQualificationCodes"></name>
+    <title value="Example Provider Qualification Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Provider Qualification codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/provider-qualification"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="311405"></code>
+     <display value="Dentist"></display>
+     <definition value="Dentist General Practitioner (DDS, DDM)."></definition>
+    </concept>
+    <concept>
+     <code value="604215"></code>
+     <display value="Ophthalmologist"></display>
+     <definition value="Ophthalmologist."></definition>
+    </concept>
+    <concept>
+     <code value="604210"></code>
+     <display value="Optometrist"></display>
+     <definition value="Optometrist."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-modifiers"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="service-modifiers"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-servicemodifier"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.573"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleServiceModifierCodes"></name>
+    <title value="Example Service Modifier Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Service Modifier codes which may support differential payment."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/service-modifiers"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="sr"></code>
+     <display value="Side of the Road"></display>
+     <definition value="Services provided on the side of the road or such other non-conventional setting."></definition>
+    </concept>
+    <concept>
+     <code value="ah"></code>
+     <display value="After hours"></display>
+     <definition value="Services provided outside or normal business hours."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/icd-10-procedures"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="icd-10-procedures"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/sid/ex-icd-10-procedures"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.575"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ICD-10ProcedureCodes"></name>
+    <title value="ICD-10 Procedure Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample ICD-10 Procedure codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/icd-10-procedures"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="123001"></code>
+     <display value="PROC-1"></display>
+     <definition value="Procedure 1"></definition>
+    </concept>
+    <concept>
+     <code value="123002"></code>
+     <display value="PROC-2"></display>
+     <definition value="Procedure 2"></definition>
+    </concept>
+    <concept>
+     <code value="123003"></code>
+     <display value="PROC-3"></display>
+     <definition value="Procedure 3"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-program-code"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-program-code"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-programcode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1161"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleProgramReasonCodes"></name>
+    <title value="Example Program Reason Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Program Reason Span codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="as"></code>
+     <display value="Child Asthma"></display>
+     <definition value="Child Asthma Program"></definition>
+    </concept>
+    <concept>
+     <code value="hd"></code>
+     <display value="Hemodialysis"></display>
+     <definition value="Hemodialysis Program."></definition>
+    </concept>
+    <concept>
+     <code value="auscr"></code>
+     <display value="Autism Screening"></display>
+     <definition value="Autism Screening Program."></definition>
+    </concept>
+    <concept>
+     <code value="none"></code>
+     <display value="None"></display>
+     <definition value="No program code applies."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-onsettype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-onsettype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/ex-onsettype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.579"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleOnsetType(Reason)Codes"></name>
+    <title value="Example Onset Type (Reason) Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes example Onset Type codes which are used to identify the event for which the onset, starting date, is required."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-onsettype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="lxm"></code>
+     <display value="Last Exam"></display>
+     <definition value="Date of last examination."></definition>
+    </concept>
+    <concept>
+     <code value="sym"></code>
+     <display value="Start of Symptoms"></display>
+     <definition value="Date when symptoms were first noticed."></definition>
+    </concept>
+    <concept>
+     <code value="lmn"></code>
+     <display value="Last Menstruation"></display>
+     <definition value="Start date of last menstruation."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-exception"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-exception"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/claim-exception"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1162"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExceptionCodes"></name>
+    <title value="Exception Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Exception codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-exception"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="student"></code>
+     <display value="Student (Fulltime)"></display>
+     <definition value="Fulltime Student"></definition>
+    </concept>
+    <concept>
+     <code value="disabled"></code>
+     <display value="Disabled"></display>
+     <definition value="Disabled"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-informationcategory"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-informationcategory"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1163"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ClaimInformationCategoryCodes"></name>
+    <title value="Claim Information Category Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Information Category codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-informationcategory"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="info"></code>
+     <display value="Information"></display>
+     <definition value="Codes conveying additional situation and condition information."></definition>
+    </concept>
+    <concept>
+     <code value="discharge"></code>
+     <display value="Discharge"></display>
+     <definition value="Discharge status and discharge to locations."></definition>
+    </concept>
+    <concept>
+     <code value="onset"></code>
+     <display value="Onset"></display>
+     <definition value="Period, start or end dates of aspects of the Condition."></definition>
+    </concept>
+    <concept>
+     <code value="related"></code>
+     <display value="Related Services"></display>
+     <definition value="Nature and date of the related event e.g. Last exam, service, X-ray etc."></definition>
+    </concept>
+    <concept>
+     <code value="exception"></code>
+     <display value="Exception"></display>
+     <definition value="Insurance policy exceptions."></definition>
+    </concept>
+    <concept>
+     <code value="material"></code>
+     <display value="Materials Forwarded"></display>
+     <definition value="Materials being forwarded, e.g. Models, molds, images, documents."></definition>
+    </concept>
+    <concept>
+     <code value="attachment"></code>
+     <display value="Attachment"></display>
+     <definition value="Materials attached such as images, documents and resources."></definition>
+    </concept>
+    <concept>
+     <code value="missingtooth"></code>
+     <display value="Missing Tooth"></display>
+     <definition value="Teeth which are missing for any reason, for example: prior extraction, never developed."></definition>
+    </concept>
+    <concept>
+     <code value="prosthesis"></code>
+     <display value="Prosthesis"></display>
+     <definition value="The type of prosthesis and date of supply if a previously supplied prosthesis."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other information identified by the type.system."></definition>
+    </concept>
+    <concept>
+     <code value="hospitalized"></code>
+     <display value="Hospitalized"></display>
+     <definition value="An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean)."></definition>
+    </concept>
+    <concept>
+     <code value="employmentimpacted"></code>
+     <display value="EmploymentImpacted"></display>
+     <definition value="An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean)."></definition>
+    </concept>
+    <concept>
+     <code value="externalcause"></code>
+     <display value="External Caause"></display>
+     <definition value="The external cause of an illness or injury."></definition>
+    </concept>
+    <concept>
+     <code value="patientreasonforvisit"></code>
+     <display value="Patient Reason for Visit"></display>
+     <definition value="The reason for the patient visit."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-payee-resource-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-payee-resource-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-payee-resource-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1164"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ClaimPayeeResourceType"></name>
+    <title value="ClaimPayeeResourceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of Claim payee Resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-payee-resource-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="organization"></code>
+     <display value="Organization"></display>
+     <definition value="Organization resource."></definition>
+    </concept>
+    <concept>
+     <code value="patient"></code>
+     <display value="Patient"></display>
+     <definition value="Patient resource."></definition>
+    </concept>
+    <concept>
+     <code value="practitioner"></code>
+     <display value="Practitioner"></display>
+     <definition value="Practitioner resource."></definition>
+    </concept>
+    <concept>
+     <code value="relatedperson"></code>
+     <display value="RelatedPerson"></display>
+     <definition value="RelatedPerson resource."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-careteamrole"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="claim-careteamrole"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/claimcareteamrole"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1165"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ClaimCareTeamRoleCodes"></name>
+    <title value="Claim Care Team Role Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Claim Care Team Role codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/claim-careteamrole"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="primary"></code>
+     <display value="Primary provider"></display>
+     <definition value="The primary care provider."></definition>
+    </concept>
+    <concept>
+     <code value="assist"></code>
+     <display value="Assisting Provider"></display>
+     <definition value="Assisting care provider."></definition>
+    </concept>
+    <concept>
+     <code value="supervisor"></code>
+     <display value="Supervising Provider"></display>
+     <definition value="Supervising care provider."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other role on the care team."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-diagnosisrelatedgroup"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-diagnosisrelatedgroup"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1166"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleDiagnosisRelatedGroupCodes"></name>
+    <title value="Example Diagnosis Related Group Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes example Diagnosis Related Group codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="100"></code>
+     <display value="Normal Vaginal Delivery"></display>
+     <definition value="Normal Vaginal Delivery."></definition>
+    </concept>
+    <concept>
+     <code value="101"></code>
+     <display value="Appendectomy - uncomplicated"></display>
+     <definition value="Appendectomy without rupture or other complications."></definition>
+    </concept>
+    <concept>
+     <code value="300"></code>
+     <display value="Tooth abscess"></display>
+     <definition value="Emergency department treatment of a tooth abscess."></definition>
+    </concept>
+    <concept>
+     <code value="400"></code>
+     <display value="Head trauma - concussion"></display>
+     <definition value="Head trauma - concussion."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-diagnosistype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-diagnosistype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1167"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleDiagnosisTypeCodes"></name>
+    <title value="Example Diagnosis Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes example Diagnosis Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosistype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="admitting"></code>
+     <display value="Admitting Diagnosis"></display>
+     <definition value="The diagnosis given as the reason why the patient was admitted to the hospital."></definition>
+    </concept>
+    <concept>
+     <code value="clinical"></code>
+     <display value="Clinical Diagnosis"></display>
+     <definition value="A diagnosis made on the basis of medical signs and patient-reported symptoms, rather than diagnostic tests."></definition>
+    </concept>
+    <concept>
+     <code value="differential"></code>
+     <display value="Differential Diagnosis"></display>
+     <definition value="One of a set of the possible diagnoses that could be connected to the signs, symptoms, and lab findings."></definition>
+    </concept>
+    <concept>
+     <code value="discharge"></code>
+     <display value="Discharge Diagnosis"></display>
+     <definition value="The diagnosis given when the patient is discharged from the hospital."></definition>
+    </concept>
+    <concept>
+     <code value="laboratory"></code>
+     <display value="Laboratory Diagnosis"></display>
+     <definition value="A diagnosis based significantly on laboratory reports or test results, rather than the physical examination of the patient."></definition>
+    </concept>
+    <concept>
+     <code value="nursing"></code>
+     <display value="Nursing Diagnosis"></display>
+     <definition value="A diagnosis which identifies people's responses to situations in their lives, such as a readiness to change or a willingness to accept assistance."></definition>
+    </concept>
+    <concept>
+     <code value="prenatal"></code>
+     <display value="Prenatal Diagnosis"></display>
+     <definition value="A diagnosis determined prior to birth."></definition>
+    </concept>
+    <concept>
+     <code value="principal"></code>
+     <display value="Principal Diagnosis"></display>
+     <definition value="The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment."></definition>
+    </concept>
+    <concept>
+     <code value="radiology"></code>
+     <display value="Radiology Diagnosis"></display>
+     <definition value="A diagnosis based primarily on the results from medical imaging studies."></definition>
+    </concept>
+    <concept>
+     <code value="remote"></code>
+     <display value="Remote Diagnosis"></display>
+     <definition value="A diagnosis determined using telemedicine techniques."></definition>
+    </concept>
+    <concept>
+     <code value="retrospective"></code>
+     <display value="Retrospective Diagnosis"></display>
+     <definition value="The labeling of an illness in a specific historical event using modern knowledge, methods and disease classifications."></definition>
+    </concept>
+    <concept>
+     <code value="self"></code>
+     <display value="Self Diagnosis"></display>
+     <definition value="A diagnosis determined by the patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/fm-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="fm-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/fm-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.593"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FinancialResourceStatusCodes"></name>
+    <title value="Financial Resource Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Status codes."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/fm-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The instance is currently in-force."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The instance is withdrawn, rescinded or reversed."></definition>
+    </concept>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="A new instance the contents of which is not complete."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The instance was entered in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-revenue-center"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-revenue-center"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-revenue-center"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1168"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleRevenueCenterCodes"></name>
+    <title value="Example Revenue Center Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Revenue Center codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="0010"></code>
+     <display value="Vision Clinic"></display>
+     <definition value="Vision Office or Clinic."></definition>
+    </concept>
+    <concept>
+     <code value="0011"></code>
+     <display value="Dental Clinic"></display>
+     <definition value="Dental Office or Clinic."></definition>
+    </concept>
+    <concept>
+     <code value="1001"></code>
+     <display value="Emergency"></display>
+     <definition value="Emergency Department."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-diagnosis-on-admission"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-diagnosis-on-admission"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1170"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleDiagnosisOnAdmissionCodes"></name>
+    <title value="Example Diagnosis on Admission Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes example Diagnosis on Admission codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="yes"></code>
+     <display value="Yes"></display>
+     <definition value="Diagnosis was present at time of inpatient admission."></definition>
+    </concept>
+    <concept>
+     <code value="no"></code>
+     <display value="No"></display>
+     <definition value="Diagnosis was not present at time of inpatient admission."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="Not known if condition was present at the time of inpatient admission."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-procedure-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-procedure-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-procedure-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1388"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleProcedureTypeCodes"></name>
+    <title value="Example Procedure Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes example Procedure Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-procedure-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="primary"></code>
+     <display value="Primary procedure"></display>
+     <definition value="The first procedure in a series required to produce and overall patient outcome."></definition>
+    </concept>
+    <concept>
+     <code value="secondary"></code>
+     <display value="Secondary procedure"></display>
+     <definition value="The second procedure in a series required to produce and overall patient outcome."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/financial-taskcode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="financial-taskcode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/financialtaskcode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1390"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FinancialTaskCodes"></name>
+    <title value="Financial Task Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Financial Task codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/financial-taskcode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="cancel"></code>
+     <display value="Cancel"></display>
+     <definition value="Cancel or reverse a resource, such as a claim or preauthorization, which is in-process or complete."></definition>
+    </concept>
+    <concept>
+     <code value="poll"></code>
+     <display value="Poll"></display>
+     <definition value="Retrieve selected or all queued resources or messages."></definition>
+    </concept>
+    <concept>
+     <code value="release"></code>
+     <display value="Release"></display>
+     <definition value="Release any reserved funds or material obligations associated with a resource. For example, any unused but reserved funds or treatment allowance associated with a preauthorization once treatment is complete."></definition>
+    </concept>
+    <concept>
+     <code value="reprocess"></code>
+     <display value="Reprocess"></display>
+     <definition value="Indication that the processing of a resource, such as a claim, for some or all of the required work is now being requested."></definition>
+    </concept>
+    <concept>
+     <code value="status"></code>
+     <display value="Status check"></display>
+     <definition value="Check on the processing status of a resource such as the adjudication of a claim."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/financial-taskinputtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="financial-taskinputtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1392"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FinancialTaskInputTypeCodes"></name>
+    <title value="Financial Task Input Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes Financial Task Input Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/financial-taskinputtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="include"></code>
+     <display value="Include"></display>
+     <definition value="The name of a resource to include in a selection."></definition>
+    </concept>
+    <concept>
+     <code value="exclude"></code>
+     <display value="Exclude"></display>
+     <definition value="The name of a resource to not include in a selection."></definition>
+    </concept>
+    <concept>
+     <code value="origresponse"></code>
+     <display value="Original Response"></display>
+     <definition value="A reference to the response resource to the original processing of a resource."></definition>
+    </concept>
+    <concept>
+     <code value="reference"></code>
+     <display value="Reference Number"></display>
+     <definition value="A reference value which must be quoted to authorize an action."></definition>
+    </concept>
+    <concept>
+     <code value="item"></code>
+     <display value="Item Number"></display>
+     <definition value="The sequence number associated with an item for reprocessing."></definition>
+    </concept>
+    <concept>
+     <code value="period"></code>
+     <display value="Period"></display>
+     <definition value="The reference period for the action being requested."></definition>
+    </concept>
+    <concept>
+     <code value="status"></code>
+     <display value="Status code"></display>
+     <definition value="The processing status from a check on the processing status of a resource such as the adjudication of a claim."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adjudication"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adjudication"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adjudication"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1171"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdjudicationValueCodes"></name>
+    <title value="Adjudication Value Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adjudication"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="submitted"></code>
+     <display value="Submitted Amount"></display>
+     <definition value="The total submitted amount for the claim or group or line item."></definition>
+    </concept>
+    <concept>
+     <code value="copay"></code>
+     <display value="CoPay"></display>
+     <definition value="Patient Co-Payment"></definition>
+    </concept>
+    <concept>
+     <code value="eligible"></code>
+     <display value="Eligible Amount"></display>
+     <definition value="Amount of the change which is considered for adjudication."></definition>
+    </concept>
+    <concept>
+     <code value="deductible"></code>
+     <display value="Deductible"></display>
+     <definition value="Amount deducted from the eligible amount prior to adjudication."></definition>
+    </concept>
+    <concept>
+     <code value="unallocdeduct"></code>
+     <display value="Unallocated Deductible"></display>
+     <definition value="The amount of deductible which could not allocated to other line items."></definition>
+    </concept>
+    <concept>
+     <code value="eligpercent"></code>
+     <display value="Eligible %"></display>
+     <definition value="Eligible Percentage."></definition>
+    </concept>
+    <concept>
+     <code value="tax"></code>
+     <display value="Tax"></display>
+     <definition value="The amount of tax."></definition>
+    </concept>
+    <concept>
+     <code value="benefit"></code>
+     <display value="Benefit Amount"></display>
+     <definition value="Amount payable under the coverage"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adjudication-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adjudication-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adjudication-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1172"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdjudicationReasonCodes"></name>
+    <title value="Adjudication Reason Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes smattering of Adjudication Reason codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adjudication-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ar001"></code>
+     <display value="Not covered"></display>
+     <definition value="Not covered"></definition>
+    </concept>
+    <concept>
+     <code value="ar002"></code>
+     <display value="Plan Limit Reached"></display>
+     <definition value="Plan Limit Reached"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/payment-adjustment-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="payment-adjustment-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/payment-adjustment-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1173"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PaymentAdjustmentReasonCodes"></name>
+    <title value="Payment Adjustment Reason Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes smattering of Payment Adjustment Reason codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/payment-adjustment-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="a001"></code>
+     <display value="Prior Payment Reversal"></display>
+     <definition value="Prior Payment Reversal"></definition>
+    </concept>
+    <concept>
+     <code value="a002"></code>
+     <display value="Prior Overpayment"></display>
+     <definition value="Prior Overpayment"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-benefitcategory"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-benefitcategory"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1175"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BenefitCategoryCodes"></name>
+    <title value="Benefit Category Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes examples of Benefit Category codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1"></code>
+     <display value="Medical Care"></display>
+     <definition value="Medical Care."></definition>
+    </concept>
+    <concept>
+     <code value="2"></code>
+     <display value="Surgical"></display>
+     <definition value="Surgical."></definition>
+    </concept>
+    <concept>
+     <code value="3"></code>
+     <display value="Consultation"></display>
+     <definition value="Consultation."></definition>
+    </concept>
+    <concept>
+     <code value="4"></code>
+     <display value="Diagnostic XRay"></display>
+     <definition value="Diagnostic XRay."></definition>
+    </concept>
+    <concept>
+     <code value="5"></code>
+     <display value="Diagnostic Lab"></display>
+     <definition value="Diagnostic Lab."></definition>
+    </concept>
+    <concept>
+     <code value="14"></code>
+     <display value="Renal Supplies"></display>
+     <definition value="Renal Supplies excluding Dialysis."></definition>
+    </concept>
+    <concept>
+     <code value="23"></code>
+     <display value="Diagnostic Dental"></display>
+     <definition value="Diagnostic Dental."></definition>
+    </concept>
+    <concept>
+     <code value="24"></code>
+     <display value="Periodontics"></display>
+     <definition value="Periodontics."></definition>
+    </concept>
+    <concept>
+     <code value="25"></code>
+     <display value="Restorative"></display>
+     <definition value="Restorative."></definition>
+    </concept>
+    <concept>
+     <code value="26"></code>
+     <display value="Endodontics"></display>
+     <definition value="Endodontics."></definition>
+    </concept>
+    <concept>
+     <code value="27"></code>
+     <display value="Maxillofacial Prosthetics"></display>
+     <definition value="Maxillofacial Prosthetics."></definition>
+    </concept>
+    <concept>
+     <code value="28"></code>
+     <display value="Adjunctive Dental Services"></display>
+     <definition value="Adjunctive Dental Services."></definition>
+    </concept>
+    <concept>
+     <code value="30"></code>
+     <display value="Health Benefit Plan Coverage"></display>
+     <definition value="Health Benefit Plan Coverage."></definition>
+    </concept>
+    <concept>
+     <code value="35"></code>
+     <display value="Dental Care"></display>
+     <definition value="Dental Care."></definition>
+    </concept>
+    <concept>
+     <code value="36"></code>
+     <display value="Dental Crowns"></display>
+     <definition value="Dental Crowns."></definition>
+    </concept>
+    <concept>
+     <code value="37"></code>
+     <display value="Dental Accident"></display>
+     <definition value="Dental Accident."></definition>
+    </concept>
+    <concept>
+     <code value="49"></code>
+     <display value="Hospital Room and Board"></display>
+     <definition value="Hospital Room and Board."></definition>
+    </concept>
+    <concept>
+     <code value="55"></code>
+     <display value="Major Medical"></display>
+     <definition value="Major Medical."></definition>
+    </concept>
+    <concept>
+     <code value="56"></code>
+     <display value="Medically Related Transportation"></display>
+     <definition value="Medically Related Transportation."></definition>
+    </concept>
+    <concept>
+     <code value="61"></code>
+     <display value="In-vitro Fertilization"></display>
+     <definition value="In-vitro Fertilization."></definition>
+    </concept>
+    <concept>
+     <code value="62"></code>
+     <display value="MRI Scan"></display>
+     <definition value="MRI Scan."></definition>
+    </concept>
+    <concept>
+     <code value="63"></code>
+     <display value="Donor Procedures"></display>
+     <definition value="Donor Procedures such as organ harvest."></definition>
+    </concept>
+    <concept>
+     <code value="69"></code>
+     <display value="Maternity"></display>
+     <definition value="Maternity."></definition>
+    </concept>
+    <concept>
+     <code value="76"></code>
+     <display value="Renal Dialysis"></display>
+     <definition value="Renal dialysis."></definition>
+    </concept>
+    <concept>
+     <code value="F1"></code>
+     <display value="Medical Coverage"></display>
+     <definition value="Medical Coverage."></definition>
+    </concept>
+    <concept>
+     <code value="F3"></code>
+     <display value="Dental Coverage"></display>
+     <definition value="Dental Coverage."></definition>
+    </concept>
+    <concept>
+     <code value="F4"></code>
+     <display value="Hearing Coverage"></display>
+     <definition value="Hearing Coverage."></definition>
+    </concept>
+    <concept>
+     <code value="F6"></code>
+     <display value="Vision Coverage"></display>
+     <definition value="Vision Coverage."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="benefit-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/benefit-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1176"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BenefitTypeCodes"></name>
+    <title value="Benefit Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Benefit type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="benefit"></code>
+     <display value="Benefit"></display>
+     <definition value="Maximum benefit allowable."></definition>
+    </concept>
+    <concept>
+     <code value="deductible"></code>
+     <display value="Deductible"></display>
+     <definition value="Cost to be incurred before benefits are applied"></definition>
+    </concept>
+    <concept>
+     <code value="visit"></code>
+     <display value="Visit"></display>
+     <definition value="Service visit"></definition>
+    </concept>
+    <concept>
+     <code value="room"></code>
+     <display value="Room"></display>
+     <definition value="Type of room"></definition>
+    </concept>
+    <concept>
+     <code value="copay"></code>
+     <display value="Copayment per service"></display>
+     <definition value="Copayment per service"></definition>
+    </concept>
+    <concept>
+     <code value="copay-percent"></code>
+     <display value="Copayment Percent per service"></display>
+     <definition value="Copayment percentage per service"></definition>
+    </concept>
+    <concept>
+     <code value="copay-maximum"></code>
+     <display value="Copayment maximum per service"></display>
+     <definition value="Copayment maximum per service"></definition>
+    </concept>
+    <concept>
+     <code value="vision-exam"></code>
+     <display value="Vision Exam"></display>
+     <definition value="Vision Exam"></definition>
+    </concept>
+    <concept>
+     <code value="vision-glasses"></code>
+     <display value="Vision Glasses"></display>
+     <definition value="Frames and lenses"></definition>
+    </concept>
+    <concept>
+     <code value="vision-contacts"></code>
+     <display value="Vision Contacts Coverage"></display>
+     <definition value="Contact Lenses"></definition>
+    </concept>
+    <concept>
+     <code value="medical-primarycare"></code>
+     <display value="Medical Primary Health Coverage"></display>
+     <definition value="Medical Primary Health Coverage"></definition>
+    </concept>
+    <concept>
+     <code value="pharmacy-dispense"></code>
+     <display value="Pharmacy Dispense Coverage"></display>
+     <definition value="Pharmacy Dispense Coverage"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-network"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="benefit-network"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/benefit-network"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1177"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="NetworkTypeCodes"></name>
+    <title value="Network Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Network type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-network"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="in"></code>
+     <display value="In Network"></display>
+     <definition value="Services rendered by a Network provider"></definition>
+    </concept>
+    <concept>
+     <code value="out"></code>
+     <display value="Out of Network"></display>
+     <definition value="Services rendered by a provider who is not in the Network"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-unit"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="benefit-unit"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/benefit-unit"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1178"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="UnitTypeCodes"></name>
+    <title value="Unit Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Unit type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-unit"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="individual"></code>
+     <display value="Individual"></display>
+     <definition value="A single individual"></definition>
+    </concept>
+    <concept>
+     <code value="family"></code>
+     <display value="Family"></display>
+     <definition value="A family, typically includes self, spouse(s) and children to a defined age"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-term"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="benefit-term"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/benefit-term"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1179"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BenefitTermCodes"></name>
+    <title value="Benefit Term Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Benefit Term codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-term"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="annual"></code>
+     <display value="Annual"></display>
+     <definition value="Annual, renewing on the anniversary"></definition>
+    </concept>
+    <concept>
+     <code value="day"></code>
+     <display value="Day"></display>
+     <definition value="Per day"></definition>
+    </concept>
+    <concept>
+     <code value="lifetime"></code>
+     <display value="Lifetime"></display>
+     <definition value="For the total term, lifetime, of the policy or coverage"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-type-link"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="resource-type-link"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/resource-type-link"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1180"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PayeeResourceType"></name>
+    <title value="PayeeResourceType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of payee Resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/resource-type-link"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="organization"></code>
+     <display value="Organization"></display>
+     <definition value="Organization resource."></definition>
+    </concept>
+    <concept>
+     <code value="patient"></code>
+     <display value="Patient"></display>
+     <definition value="Patient resource."></definition>
+    </concept>
+    <concept>
+     <code value="practitioner"></code>
+     <display value="Practitioner"></display>
+     <definition value="Practitioner resource."></definition>
+    </concept>
+    <concept>
+     <code value="relatedperson"></code>
+     <display value="RelatedPerson"></display>
+     <definition value="RelatedPerson resource."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-paymenttype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="ex-paymenttype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1181"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExamplePaymentTypeCodes"></name>
+    <title value="Example Payment Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes example Payment Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/ex-paymenttype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="complete"></code>
+     <display value="Complete"></display>
+     <definition value="Complete (final) payment of the benefit under the Claim less any adjustments."></definition>
+    </concept>
+    <concept>
+     <code value="partial"></code>
+     <display value="Partial"></display>
+     <definition value="Partial payment of the benefit under the Claim less any adjustments."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/explanationofbenefit-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="explanationofbenefit-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/explanationofbenefit-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.619"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExplanationOfBenefitStatus"></name>
+    <title value="ExplanationOfBenefitStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code specifying the state of the resource instance."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/explanationofbenefit-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The resource instance is currently in-force."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The resource instance is withdrawn, rescinded or reversed."></definition>
+    </concept>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="A new resource instance the contents of which is not complete."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered In Error"></display>
+     <definition value="The resource instance was entered in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/eligibilityrequest-purpose"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="eligibilityrequest-purpose"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/eligibilityrequest-purpose"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1183"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EligibilityRequestPurpose"></name>
+    <title value="EligibilityRequestPurpose"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A code specifying the types of information being requested."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="auth-requirements"></code>
+     <display value="Coverage auth-requirements"></display>
+     <definition value="The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."></definition>
+    </concept>
+    <concept>
+     <code value="benefits"></code>
+     <display value="Coverage benefits"></display>
+     <definition value="The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."></definition>
+    </concept>
+    <concept>
+     <code value="discovery"></code>
+     <display value="Coverage Discovery"></display>
+     <definition value="The insurer is requested to report on any coverages which they are aware of in addition to any specifed."></definition>
+    </concept>
+    <concept>
+     <code value="validation"></code>
+     <display value="Coverage Validation"></display>
+     <definition value="A check that the specified coverages are in-force is requested."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/bundle-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="bundle-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/bundle-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.621"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BundleType"></name>
+    <title value="BundleType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the purpose of a bundle - how it is intended to be used."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/bundle-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="document"></code>
+     <display value="Document"></display>
+     <definition value="The bundle is a document. The first resource is a Composition."></definition>
+    </concept>
+    <concept>
+     <code value="message"></code>
+     <display value="Message"></display>
+     <definition value="The bundle is a message. The first resource is a MessageHeader."></definition>
+    </concept>
+    <concept>
+     <code value="transaction"></code>
+     <display value="Transaction"></display>
+     <definition value="The bundle is a transaction - intended to be processed by a server as an atomic commit."></definition>
+    </concept>
+    <concept>
+     <code value="transaction-response"></code>
+     <display value="Transaction Response"></display>
+     <definition value="The bundle is a transaction response. Because the response is a transaction response, the transaction has succeeded, and all responses are error free."></definition>
+    </concept>
+    <concept>
+     <code value="batch"></code>
+     <display value="Batch"></display>
+     <definition value="The bundle is a set of actions - intended to be processed by a server as a group of independent actions."></definition>
+    </concept>
+    <concept>
+     <code value="batch-response"></code>
+     <display value="Batch Response"></display>
+     <definition value="The bundle is a batch response. Note that as a batch, some responses may indicate failure and others success."></definition>
+    </concept>
+    <concept>
+     <code value="history"></code>
+     <display value="History List"></display>
+     <definition value="The bundle is a list of resources from a history interaction on a server."></definition>
+    </concept>
+    <concept>
+     <code value="searchset"></code>
+     <display value="Search Results"></display>
+     <definition value="The bundle is a list of resources returned as a result of a search/query interaction, operation, or message."></definition>
+    </concept>
+    <concept>
+     <code value="collection"></code>
+     <display value="Collection"></display>
+     <definition value="The bundle is a set of resources collected into a single package for ease of distribution that imposes no processing obligations or behavioral rules beyond persistence."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-entry-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="search-entry-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/search-entry-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.623"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SearchEntryMode"></name>
+    <title value="SearchEntryMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/search-entry-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="match"></code>
+     <display value="Match"></display>
+     <definition value="This resource matched the search specification."></definition>
+    </concept>
+    <concept>
+     <code value="include"></code>
+     <display value="Include"></display>
+     <definition value="This resource is returned because it is referred to from another resource in the search set."></definition>
+    </concept>
+    <concept>
+     <code value="outcome"></code>
+     <display value="Outcome"></display>
+     <definition value="An OperationOutcome that provides additional information about the processing of a search."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/http-verb"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="http-verb"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/http-verb"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.625"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="HTTPVerb"></name>
+    <title value="HTTPVerb"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/http-verb"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="GET"></code>
+     <display value="GET"></display>
+     <definition value="HTTP GET Command."></definition>
+    </concept>
+    <concept>
+     <code value="HEAD"></code>
+     <display value="HEAD"></display>
+     <definition value="HTTP HEAD Command."></definition>
+    </concept>
+    <concept>
+     <code value="POST"></code>
+     <display value="POST"></display>
+     <definition value="HTTP POST Command."></definition>
+    </concept>
+    <concept>
+     <code value="PUT"></code>
+     <display value="PUT"></display>
+     <definition value="HTTP PUT Command."></definition>
+    </concept>
+    <concept>
+     <code value="DELETE"></code>
+     <display value="DELETE"></display>
+     <definition value="HTTP DELETE Command."></definition>
+    </concept>
+    <concept>
+     <code value="PATCH"></code>
+     <display value="PATCH"></display>
+     <definition value="HTTP PATCH Command."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-xpath-usage"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="search-xpath-usage"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/search-xpath-usage"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.636"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="XPathUsageType"></name>
+    <title value="XPathUsageType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a search parameter relates to the set of elements returned by evaluating its xpath query."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/search-xpath-usage"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="normal"></code>
+     <display value="Normal"></display>
+     <definition value="The search parameter is derived directly from the selected nodes based on the type definitions."></definition>
+    </concept>
+    <concept>
+     <code value="phonetic"></code>
+     <display value="Phonetic"></display>
+     <definition value="The search parameter is derived by a phonetic transform from the selected nodes."></definition>
+    </concept>
+    <concept>
+     <code value="nearby"></code>
+     <display value="Nearby"></display>
+     <definition value="The search parameter is based on a spatial transform of the selected nodes."></definition>
+    </concept>
+    <concept>
+     <code value="distance"></code>
+     <display value="Distance"></display>
+     <definition value="The search parameter is based on a spatial transform of the selected nodes, using physical distance from the middle."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="The interpretation of the xpath statement is unknown (and can't be automated)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-comparator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="search-comparator"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/search-comparator"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.638"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SearchComparator"></name>
+    <title value="SearchComparator"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="What Search Comparator Codes are supported in search."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/search-comparator"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="eq"></code>
+     <display value="Equals"></display>
+     <definition value="the value for the parameter in the resource is equal to the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="ne"></code>
+     <display value="Not Equals"></display>
+     <definition value="the value for the parameter in the resource is not equal to the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="gt"></code>
+     <display value="Greater Than"></display>
+     <definition value="the value for the parameter in the resource is greater than the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="lt"></code>
+     <display value="Less Than"></display>
+     <definition value="the value for the parameter in the resource is less than the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="ge"></code>
+     <display value="Greater or Equals"></display>
+     <definition value="the value for the parameter in the resource is greater or equal to the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="le"></code>
+     <display value="Less of Equal"></display>
+     <definition value="the value for the parameter in the resource is less or equal to the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="sa"></code>
+     <display value="Starts After"></display>
+     <definition value="the value for the parameter in the resource starts after the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="eb"></code>
+     <display value="Ends Before"></display>
+     <definition value="the value for the parameter in the resource ends before the provided value."></definition>
+    </concept>
+    <concept>
+     <code value="ap"></code>
+     <display value="Approximately"></display>
+     <definition value="the value for the parameter in the resource is approximately the same to the provided value."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-modifier-code"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="search-modifier-code"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="3"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/search-modifier-code"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.640"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SearchModifierCode"></name>
+    <title value="SearchModifierCode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A supported modifier for a search parameter."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="missing"></code>
+     <display value="Missing"></display>
+     <definition value="The search parameter returns resources that have a value or not."></definition>
+    </concept>
+    <concept>
+     <code value="exact"></code>
+     <display value="Exact"></display>
+     <definition value="The search parameter returns resources that have a value that exactly matches the supplied parameter (the whole string, including casing and accents)."></definition>
+    </concept>
+    <concept>
+     <code value="contains"></code>
+     <display value="Contains"></display>
+     <definition value="The search parameter returns resources that include the supplied parameter value anywhere within the field being searched."></definition>
+    </concept>
+    <concept>
+     <code value="not"></code>
+     <display value="Not"></display>
+     <definition value="The search parameter returns resources that do not contain a match."></definition>
+    </concept>
+    <concept>
+     <code value="text"></code>
+     <display value="Text"></display>
+     <definition value="The search parameter is processed as a string that searches text associated with the code/value - either CodeableConcept.text, Coding.display, or Identifier.type.text."></definition>
+    </concept>
+    <concept>
+     <code value="in"></code>
+     <display value="In"></display>
+     <definition value="The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is in the specified value set."></definition>
+    </concept>
+    <concept>
+     <code value="not-in"></code>
+     <display value="Not In"></display>
+     <definition value="The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is not in the specified value set."></definition>
+    </concept>
+    <concept>
+     <code value="below"></code>
+     <display value="Below"></display>
+     <definition value="The search parameter tests whether the value in a resource is subsumed by the specified value (is-a, or hierarchical relationships)."></definition>
+    </concept>
+    <concept>
+     <code value="above"></code>
+     <display value="Above"></display>
+     <definition value="The search parameter tests whether the value in a resource subsumes the specified value (is-a, or hierarchical relationships)."></definition>
+    </concept>
+    <concept>
+     <code value="type"></code>
+     <display value="Type"></display>
+     <definition value="The search parameter only applies to the Resource Type specified as a modifier (e.g. the modifier is not actually :type, but :Patient etc.)."></definition>
+    </concept>
+    <concept>
+     <code value="identifier"></code>
+     <display value="Identifier"></display>
+     <definition value="The search parameter applies to the identifier on the resource, not the reference."></definition>
+    </concept>
+    <concept>
+     <code value="ofType"></code>
+     <display value="Of Type"></display>
+     <definition value="The search parameter has the format system|code|value, where the system and code refer to an Identifier.type.coding.system and .code, and match if any of the type codes match. All 3 parts must be present."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/eligibilityresponse-purpose"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="eligibilityresponse-purpose"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fm"></valueCode>
@@ -7667,12 +29806,12 @@ Future versions of FHIR may make significant changes to Trial Use content that a
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.1185"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EligibilityResponsePurpose"></name>
     <title value="EligibilityResponsePurpose"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -7712,64 +29851,12 @@ Future versions of FHIR may make significant changes to Trial Use content that a
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/copy-number-event"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverageeligibilityresponse-ex-auth-support"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="copy-number-event"></id>
+    <id value="coverageeligibilityresponse-ex-auth-support"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/copy-number-event"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1087"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CopyNumberEvent"></name>
-    <title value="CopyNumberEvent"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Copy Number Event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/copy-number-event"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="amp"></code>
-     <display value="amplification"></display>
-     <definition value="amplification."></definition>
-    </concept>
-    <concept>
-     <code value="del"></code>
-     <display value="deletion"></display>
-     <definition value="deletion."></definition>
-    </concept>
-    <concept>
-     <code value="lof"></code>
-     <display value="loss of function"></display>
-     <definition value="loss of function."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-diagnosis-on-admission"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-diagnosis-on-admission"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -7781,14 +29868,14 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1170"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1394"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleDiagnosisOnAdmissionCodes"></name>
-    <title value="Example Diagnosis on Admission Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="CoverageEligibilityResponseAuthSupportCodes"></name>
+    <title value="CoverageEligibilityResponse Auth Support Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
     <publisher value="Financial Management"></publisher>
@@ -7798,25 +29885,6966 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This value set includes example Diagnosis on Admission codes."></description>
-    <copyright value="This is an example set."></copyright>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes CoverageEligibilityResponse Auth Support codes."></description>
+    <copyright value="HL7 Inc."></copyright>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/coverageeligibilityresponse-ex-auth-support"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="yes"></code>
-     <display value="Yes"></display>
-     <definition value="Diagnosis was present at time of inpatient admission."></definition>
+     <code value="laborder"></code>
+     <display value="Lab Order"></display>
+     <definition value="A request or authorization for laboratory diagnostic tests."></definition>
     </concept>
     <concept>
-     <code value="no"></code>
-     <display value="No"></display>
-     <definition value="Diagnosis was not present at time of inpatient admission."></definition>
+     <code value="labreport"></code>
+     <display value="Lab Report"></display>
+     <definition value="A report on laboratory diagnostic test(s)."></definition>
+    </concept>
+    <concept>
+     <code value="diagnosticimageorder"></code>
+     <display value="Diagnostic Image Order"></display>
+     <definition value="A request or authorization for diagnostic imaging."></definition>
+    </concept>
+    <concept>
+     <code value="diagnosticimagereport"></code>
+     <display value="Diagnostic Image Report"></display>
+     <definition value="A report on diagnostic image(s)."></definition>
+    </concept>
+    <concept>
+     <code value="professionalreport"></code>
+     <display value="Professional Report"></display>
+     <definition value="A report from a licensed professional regarding the siutation, condition or proposed treatment."></definition>
+    </concept>
+    <concept>
+     <code value="accidentreport"></code>
+     <display value="Accident Report"></display>
+     <definition value="A formal accident report as would be filed with police or a simlar official body."></definition>
+    </concept>
+    <concept>
+     <code value="model"></code>
+     <display value="Model"></display>
+     <definition value="A physical model of the affected area."></definition>
+    </concept>
+    <concept>
+     <code value="picture"></code>
+     <display value="Picture"></display>
+     <definition value="A photograph of the affected area."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/payment-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="payment-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/payment-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1186"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PaymentTypeCodes"></name>
+    <title value="Payment Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Payment Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/payment-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="payment"></code>
+     <display value="Payment"></display>
+     <definition value="The amount is partial or complete settlement of the amounts due."></definition>
+    </concept>
+    <concept>
+     <code value="adjustment"></code>
+     <display value="Adjustment"></display>
+     <definition value="The amount is an adjustment regarding claims already paid."></definition>
+    </concept>
+    <concept>
+     <code value="advance"></code>
+     <display value="Advance"></display>
+     <definition value="The amount is an advance against future claims."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/payment-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="payment-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/paymentstatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1187"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PaymentStatusCodes"></name>
+    <title value="Payment Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a sample set of Payment Status codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/payment-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="paid"></code>
+     <display value="Paid"></display>
+     <definition value="The payment has been sent physically or electronically."></definition>
+    </concept>
+    <concept>
+     <code value="cleared"></code>
+     <display value="Cleared"></display>
+     <definition value="The payment has been received by the payee."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-operational-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="metric-operational-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="dev"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/metric-operational-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.647"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceMetricOperationalStatus"></name>
+    <title value="DeviceMetricOperationalStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the operational status of the DeviceMetric."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/metric-operational-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="on"></code>
+     <display value="On"></display>
+     <definition value="The DeviceMetric is operating and will generate DeviceObservations."></definition>
+    </concept>
+    <concept>
+     <code value="off"></code>
+     <display value="Off"></display>
+     <definition value="The DeviceMetric is not operating."></definition>
+    </concept>
+    <concept>
+     <code value="standby"></code>
+     <display value="Standby"></display>
+     <definition value="The DeviceMetric is operating, but will not generate any DeviceObservations."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered In Error"></display>
+     <definition value="The DeviceMetric was entered in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="metric-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="dev"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/metric-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.649"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceMetricCategory"></name>
+    <title value="DeviceMetricCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the category of the metric."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/metric-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="measurement"></code>
+     <display value="Measurement"></display>
+     <definition value="DeviceObservations generated for this DeviceMetric are measured."></definition>
+    </concept>
+    <concept>
+     <code value="setting"></code>
+     <display value="Setting"></display>
+     <definition value="DeviceObservations generated for this DeviceMetric is a setting that will influence the behavior of the Device."></definition>
+    </concept>
+    <concept>
+     <code value="calculation"></code>
+     <display value="Calculation"></display>
+     <definition value="DeviceObservations generated for this DeviceMetric are calculated."></definition>
+    </concept>
+    <concept>
+     <code value="unspecified"></code>
+     <display value="Unspecified"></display>
+     <definition value="The category of this DeviceMetric is unspecified."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-calibration-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="metric-calibration-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="dev"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/metric-calibration-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.651"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceMetricCalibrationType"></name>
+    <title value="DeviceMetricCalibrationType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the type of a metric calibration."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="unspecified"></code>
+     <display value="Unspecified"></display>
+     <definition value="Metric calibration method has not been identified."></definition>
+    </concept>
+    <concept>
+     <code value="offset"></code>
+     <display value="Offset"></display>
+     <definition value="Offset metric calibration method."></definition>
+    </concept>
+    <concept>
+     <code value="gain"></code>
+     <display value="Gain"></display>
+     <definition value="Gain metric calibration method."></definition>
+    </concept>
+    <concept>
+     <code value="two-point"></code>
+     <display value="Two Point"></display>
+     <definition value="Two-point metric calibration method."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-calibration-state"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="metric-calibration-state"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="dev"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/metric-calibration-state"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.653"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceMetricCalibrationState"></name>
+    <title value="DeviceMetricCalibrationState"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the state of a metric calibration."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-state"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-calibrated"></code>
+     <display value="Not Calibrated"></display>
+     <definition value="The metric has not been calibrated."></definition>
+    </concept>
+    <concept>
+     <code value="calibration-required"></code>
+     <display value="Calibration Required"></display>
+     <definition value="The metric needs to be calibrated."></definition>
+    </concept>
+    <concept>
+     <code value="calibrated"></code>
+     <display value="Calibrated"></display>
+     <definition value="The metric has been calibrated."></definition>
+    </concept>
+    <concept>
+     <code value="unspecified"></code>
+     <display value="Unspecified"></display>
+     <definition value="The state of calibration of this metric is unspecified."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-color"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="metric-color"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="dev"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/metric-color"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.655"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceMetricColor"></name>
+    <title value="DeviceMetricColor"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Describes the typical color of representation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/metric-color"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="black"></code>
+     <display value="Color Black"></display>
+     <definition value="Color for representation - black."></definition>
+    </concept>
+    <concept>
+     <code value="red"></code>
+     <display value="Color Red"></display>
+     <definition value="Color for representation - red."></definition>
+    </concept>
+    <concept>
+     <code value="green"></code>
+     <display value="Color Green"></display>
+     <definition value="Color for representation - green."></definition>
+    </concept>
+    <concept>
+     <code value="yellow"></code>
+     <display value="Color Yellow"></display>
+     <definition value="Color for representation - yellow."></definition>
+    </concept>
+    <concept>
+     <code value="blue"></code>
+     <display value="Color Blue"></display>
+     <definition value="Color for representation - blue."></definition>
+    </concept>
+    <concept>
+     <code value="magenta"></code>
+     <display value="Color Magenta"></display>
+     <definition value="Color for representation - magenta."></definition>
+    </concept>
+    <concept>
+     <code value="cyan"></code>
+     <display value="Color Cyan"></display>
+     <definition value="Color for representation - cyan."></definition>
+    </concept>
+    <concept>
+     <code value="white"></code>
+     <display value="Color White"></display>
+     <definition value="Color for representation - white."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/identity-assuranceLevel"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="identity-assuranceLevel"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/identity-assuranceLevel"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.657"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="IdentityAssuranceLevel"></name>
+    <title value="IdentityAssuranceLevel"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The level of confidence that this link represents the same actual person, based on NIST Authentication Levels."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/identity-assuranceLevel"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="level1"></code>
+     <display value="Level 1"></display>
+     <definition value="Little or no confidence in the asserted identity's accuracy."></definition>
+    </concept>
+    <concept>
+     <code value="level2"></code>
+     <display value="Level 2"></display>
+     <definition value="Some confidence in the asserted identity's accuracy."></definition>
+    </concept>
+    <concept>
+     <code value="level3"></code>
+     <display value="Level 3"></display>
+     <definition value="High confidence in the asserted identity's accuracy."></definition>
+    </concept>
+    <concept>
+     <code value="level4"></code>
+     <display value="Level 4"></display>
+     <definition value="Very high confidence in the asserted identity's accuracy."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/vision-product"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="vision-product"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/ex-visionprescriptionproduct"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1188"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExampleVisionPrescriptionProductCodes"></name>
+    <title value="Example Vision Prescription Product Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes a smattering of Prescription Product codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/vision-product"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="lens"></code>
+     <display value="Lens"></display>
+     <definition value="A lens to be fitted to a frame to comprise a pair of glasses."></definition>
+    </concept>
+    <concept>
+     <code value="contact"></code>
+     <display value="Contact Lens"></display>
+     <definition value="A lens to be fitted for wearing directly on an eye."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/vision-eye-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="vision-eye-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/vision-eye-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.661"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="VisionEyes"></name>
+    <title value="VisionEyes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A coded concept listing the eye codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/vision-eye-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="right"></code>
+     <display value="Right Eye"></display>
+     <definition value="Right Eye."></definition>
+    </concept>
+    <concept>
+     <code value="left"></code>
+     <display value="Left Eye"></display>
+     <definition value="Left Eye."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/vision-base-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="vision-base-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/vision-base-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.663"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="VisionBase"></name>
+    <title value="VisionBase"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A coded concept listing the base codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/vision-base-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="up"></code>
+     <display value="Up"></display>
+     <definition value="top."></definition>
+    </concept>
+    <concept>
+     <code value="down"></code>
+     <display value="Down"></display>
+     <definition value="bottom."></definition>
+    </concept>
+    <concept>
+     <code value="in"></code>
+     <display value="In"></display>
+     <definition value="inner edge."></definition>
+    </concept>
+    <concept>
+     <code value="out"></code>
+     <display value="Out"></display>
+     <definition value="outer edge."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/episode-of-care-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="episode-of-care-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/episode-of-care-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.665"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EpisodeOfCareStatus"></name>
+    <title value="EpisodeOfCareStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of the episode of care."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="planned"></code>
+     <display value="Planned"></display>
+     <definition value="This episode of care is planned to start at the date specified in the period.start. During this status, an organization may perform assessments to determine if the patient is eligible to receive services, or be organizing to make resources available to provide care services."></definition>
+    </concept>
+    <concept>
+     <code value="waitlist"></code>
+     <display value="Waitlist"></display>
+     <definition value="This episode has been placed on a waitlist, pending the episode being made active (or cancelled)."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="This episode of care is current."></definition>
+    </concept>
+    <concept>
+     <code value="onhold"></code>
+     <display value="On Hold"></display>
+     <definition value="This episode of care is on hold; the organization has limited responsibility for the patient (such as while on respite)."></definition>
+    </concept>
+    <concept>
+     <code value="finished"></code>
+     <display value="Finished"></display>
+     <definition value="This episode of care is finished and the organization is not expecting to be providing further care to the patient. Can also be known as &quot;closed&quot;, &quot;completed&quot; or other similar terms."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The episode of care was cancelled, or withdrawn from service, often selected during the planned stage as the patient may have gone elsewhere, or the circumstances have changed and the organization is unable to provide the care. It indicates that services terminated outside the planned/expected workflow."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This instance should not have been part of this patient's medical record."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/episodeofcare-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="episodeofcare-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/episodeofcare-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1189"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EpisodeOfCareType"></name>
+    <title value="Episode of care type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This example value set defines a set of codes that can be used to express the usage type of an EpisodeOfCare record."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/episodeofcare-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="hacc"></code>
+     <display value="Home and Community Care"></display>
+    </concept>
+    <concept>
+     <code value="pac"></code>
+     <display value="Post Acute Care"></display>
+    </concept>
+    <concept>
+     <code value="diab"></code>
+     <display value="Post coordinated diabetes program"></display>
+    </concept>
+    <concept>
+     <code value="da"></code>
+     <display value="Drug and alcohol rehabilitation"></display>
+    </concept>
+    <concept>
+     <code value="cacp"></code>
+     <display value="Community-based aged care"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/structure-definition-kind"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="structure-definition-kind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/structure-definition-kind"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.669"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureDefinitionKind"></name>
+    <title value="StructureDefinitionKind"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines the type of structure that a definition is describing."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="primitive-type"></code>
+     <display value="Primitive Data Type"></display>
+     <definition value="A primitive type that has a value and an extension. These can be used throughout complex datatype, Resource and extension definitions. Only the base specification can define primitive types."></definition>
+    </concept>
+    <concept>
+     <code value="complex-type"></code>
+     <display value="Complex Data Type"></display>
+     <definition value="A  complex structure that defines a set of data elements that is suitable for use in 'resources'. The base specification defines a number of complex types, and other specifications can define additional types. These structures do not have a maintained identity."></definition>
+    </concept>
+    <concept>
+     <code value="resource"></code>
+     <display value="Resource"></display>
+     <definition value="A 'resource' - a directed acyclic graph of elements that aggregrates other types into an identifiable entity. The base FHIR resources are defined by the FHIR specification itself but other 'resources' can be defined in additional specifications (though these will not be recognised as 'resources' by the FHIR specification (i.e. they do not get end-points etc, or act as the targets of references in FHIR defined resources - though other specificatiosn can treat them this way)."></definition>
+    </concept>
+    <concept>
+     <code value="logical"></code>
+     <display value="Logical"></display>
+     <definition value="A pattern or a template that is not intended to be a real resource or complex type."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/extension-context-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="extension-context-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/extension-context-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1013"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExtensionContextType"></name>
+    <title value="ExtensionContextType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How an extension context is interpreted."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="fhirpath"></code>
+     <display value="FHIRPath"></display>
+     <definition value="The context is all elements that match the FHIRPath query found in the expression."></definition>
+    </concept>
+    <concept>
+     <code value="element"></code>
+     <display value="Element ID"></display>
+     <definition value="The context is any element that has an ElementDefinition.id that matches that found in the expression. This includes ElementDefinition Ids that have slicing identifiers. The full path for the element is [url]#[elementid]. If there is no #, the Element id is one defined in the base specification."></definition>
+    </concept>
+    <concept>
+     <code value="extension"></code>
+     <display value="Extension URL"></display>
+     <definition value="The context is a particular extension from a particular StructureDefinition, and the expression is just a uri that identifies the extension."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-use"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="definition-use"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/definition-use"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1191"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DefinitionUseCodes"></name>
+    <title value="Structure Definition Use Codes / Keywords"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Structure Definition Use Codes / Keywords"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/definition-use"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="fhir-structure"></code>
+     <display value="FHIR Structure"></display>
+     <definition value="This structure is defined as part of the base FHIR Specification"></definition>
+    </concept>
+    <concept>
+     <code value="custom-resource"></code>
+     <display value="Custom Resource"></display>
+     <definition value="This structure is intended to be treated like a FHIR resource (e.g. on the FHIR API)"></definition>
+    </concept>
+    <concept>
+     <code value="dam"></code>
+     <display value="Domain Analysis Model"></display>
+     <definition value="This structure captures an analysis of a domain"></definition>
+    </concept>
+    <concept>
+     <code value="wire-format"></code>
+     <display value="Wire Format"></display>
+     <definition value="This structure represents and existing structure (e.g. CDA, HL7 v2)"></definition>
+    </concept>
+    <concept>
+     <code value="archetype"></code>
+     <display value="Domain Analysis Model"></display>
+     <definition value="This structure captures an analysis of a domain"></definition>
+    </concept>
+    <concept>
+     <code value="template"></code>
+     <display value="Template"></display>
+     <definition value="This structure is a template (n.b: 'template' has many meanings)"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/type-derivation-rule"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="type-derivation-rule"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/type-derivation-rule"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.674"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TypeDerivationRule"></name>
+    <title value="TypeDerivationRule"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a type relates to its baseDefinition."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="specialization"></code>
+     <display value="Specialization"></display>
+     <definition value="This definition defines a new type that adds additional elements to the base type."></definition>
+    </concept>
+    <concept>
+     <code value="constraint"></code>
+     <display value="Constraint"></display>
+     <definition value="This definition adds additional rules to an existing concrete type."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-model-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-model-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-model-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.676"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapModelMode"></name>
+    <title value="StructureMapModelMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How the referenced structure is used in this mapping."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-model-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="source"></code>
+     <display value="Source Structure Definition"></display>
+     <definition value="This structure describes an instance passed to the mapping engine that is used a source of data."></definition>
+    </concept>
+    <concept>
+     <code value="queried"></code>
+     <display value="Queried Structure Definition"></display>
+     <definition value="This structure describes an instance that the mapping engine may ask for that is used a source of data."></definition>
+    </concept>
+    <concept>
+     <code value="target"></code>
+     <display value="Target Structure Definition"></display>
+     <definition value="This structure describes an instance passed to the mapping engine that is used a target of data."></definition>
+    </concept>
+    <concept>
+     <code value="produced"></code>
+     <display value="Produced Structure Definition"></display>
+     <definition value="This structure describes an instance that the mapping engine may ask to create that is used a target of data."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-input-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-input-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-input-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.678"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapInputMode"></name>
+    <title value="StructureMapInputMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Mode for this instance of data."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-input-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="source"></code>
+     <display value="Source Instance"></display>
+     <definition value="Names an input instance used a source for mapping."></definition>
+    </concept>
+    <concept>
+     <code value="target"></code>
+     <display value="Target Instance"></display>
+     <definition value="Names an instance that is being populated."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-context-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-context-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-context-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.680"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapContextType"></name>
+    <title value="StructureMapContextType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How to interpret the context."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-context-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="type"></code>
+     <display value="Type"></display>
+     <definition value="The context specifies a type."></definition>
+    </concept>
+    <concept>
+     <code value="variable"></code>
+     <display value="Variable"></display>
+     <definition value="The context specifies a variable."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-transform"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-transform"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-transform"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.682"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapTransform"></name>
+    <title value="StructureMapTransform"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How data is copied/created."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-transform"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="create"></code>
+     <display value="create"></display>
+     <definition value="create(type : string) - type is passed through to the application on the standard API, and must be known by it."></definition>
+    </concept>
+    <concept>
+     <code value="copy"></code>
+     <display value="copy"></display>
+     <definition value="copy(source)."></definition>
+    </concept>
+    <concept>
+     <code value="truncate"></code>
+     <display value="truncate"></display>
+     <definition value="truncate(source, length) - source must be stringy type."></definition>
+    </concept>
+    <concept>
+     <code value="escape"></code>
+     <display value="escape"></display>
+     <definition value="escape(source, fmt1, fmt2) - change source from one kind of escaping to another (plain, java, xml, json). note that this is for when the string itself is escaped."></definition>
+    </concept>
+    <concept>
+     <code value="cast"></code>
+     <display value="cast"></display>
+     <definition value="cast(source, type?) - case source from one type to another. target type can be left as implicit if there is one and only one target type known."></definition>
+    </concept>
+    <concept>
+     <code value="append"></code>
+     <display value="append"></display>
+     <definition value="append(source...) - source is element or string."></definition>
+    </concept>
+    <concept>
+     <code value="translate"></code>
+     <display value="translate"></display>
+     <definition value="translate(source, uri_of_map) - use the translate operation."></definition>
+    </concept>
+    <concept>
+     <code value="reference"></code>
+     <display value="reference"></display>
+     <definition value="reference(source : object) - return a string that references the provided tree properly."></definition>
+    </concept>
+    <concept>
+     <code value="dateOp"></code>
+     <display value="dateOp"></display>
+     <definition value="Perform a date operation. *Parameters to be documented*."></definition>
+    </concept>
+    <concept>
+     <code value="uuid"></code>
+     <display value="uuid"></display>
+     <definition value="Generate a random UUID (in lowercase). No Parameters."></definition>
+    </concept>
+    <concept>
+     <code value="pointer"></code>
+     <display value="pointer"></display>
+     <definition value="Return the appropriate string to put in a reference that refers to the resource provided as a parameter."></definition>
+    </concept>
+    <concept>
+     <code value="evaluate"></code>
+     <display value="evaluate"></display>
+     <definition value="Execute the supplied FHIRPath expression and use the value returned by that."></definition>
+    </concept>
+    <concept>
+     <code value="cc"></code>
+     <display value="cc"></display>
+     <definition value="Create a CodeableConcept. Parameters = (text) or (system. Code[, display])."></definition>
+    </concept>
+    <concept>
+     <code value="c"></code>
+     <display value="c"></display>
+     <definition value="Create a Coding. Parameters = (system. Code[, display])."></definition>
+    </concept>
+    <concept>
+     <code value="qty"></code>
+     <display value="qty"></display>
+     <definition value="Create a quantity. Parameters = (text) or (value, unit, [system, code]) where text is the natural representation e.g. [comparator]value[space]unit."></definition>
+    </concept>
+    <concept>
+     <code value="id"></code>
+     <display value="id"></display>
+     <definition value="Create an identifier. Parameters = (system, value[, type]) where type is a code from the identifier type value set."></definition>
+    </concept>
+    <concept>
+     <code value="cp"></code>
+     <display value="cp"></display>
+     <definition value="Create a contact details. Parameters = (value) or (system, value). If no system is provided, the system should be inferred from the content of the value."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-source-list-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-source-list-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-source-list-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.684"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapSourceListMode"></name>
+    <title value="StructureMapSourceListMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="If field is a list, how to manage the source."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-source-list-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="first"></code>
+     <display value="First"></display>
+     <definition value="Only process this rule for the first in the list."></definition>
+    </concept>
+    <concept>
+     <code value="not_first"></code>
+     <display value="All but the first"></display>
+     <definition value="Process this rule for all but the first."></definition>
+    </concept>
+    <concept>
+     <code value="last"></code>
+     <display value="Last"></display>
+     <definition value="Only process this rule for the last in the list."></definition>
+    </concept>
+    <concept>
+     <code value="not_last"></code>
+     <display value="All but the last"></display>
+     <definition value="Process this rule for all but the last."></definition>
+    </concept>
+    <concept>
+     <code value="only_one"></code>
+     <display value="Enforce only one"></display>
+     <definition value="Only process this rule is there is only item."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-target-list-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-target-list-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-target-list-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.686"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapTargetListMode"></name>
+    <title value="StructureMapTargetListMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="If field is a list, how to manage the production."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-target-list-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="first"></code>
+     <display value="First"></display>
+     <definition value="when the target list is being assembled, the items for this rule go first. If more than one rule defines a first item (for a given instance of mapping) then this is an error."></definition>
+    </concept>
+    <concept>
+     <code value="share"></code>
+     <display value="Share"></display>
+     <definition value="the target instance is shared with the target instances generated by another rule (up to the first common n items, then create new ones)."></definition>
+    </concept>
+    <concept>
+     <code value="last"></code>
+     <display value="Last"></display>
+     <definition value="when the target list is being assembled, the items for this rule go last. If more than one rule defines a last item (for a given instance of mapping) then this is an error."></definition>
+    </concept>
+    <concept>
+     <code value="collate"></code>
+     <display value="Collate"></display>
+     <definition value="re-use the first item in the list, and keep adding content to it."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-group-type-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="map-group-type-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/map-group-type-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.688"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StructureMapGroupTypeMode"></name>
+    <title value="StructureMapGroupTypeMode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="If this is the default rule set to apply for the source type, or this combination of types."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/map-group-type-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="none"></code>
+     <display value="Not a Default"></display>
+     <definition value="This group is not a default group for the types."></definition>
+    </concept>
+    <concept>
+     <code value="types"></code>
+     <display value="Default for Type Combination"></display>
+     <definition value="This group is a default mapping group for the specified types and for the primary source type."></definition>
+    </concept>
+    <concept>
+     <code value="type-and-types"></code>
+     <display value="Default for type + combination"></display>
+     <definition value="This group is a default mapping group for the specified types."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplyrequest-kind"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="supplyrequest-kind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/supply-kind"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1192"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SupplyType"></name>
+    <title value="Supply Type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value sets refers to a Category of supply."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-kind"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="central"></code>
+     <display value="Central Supply"></display>
+     <definition value="Supply is stored and requested from central supply."></definition>
+    </concept>
+    <concept>
+     <code value="nonstock"></code>
+     <display value="Non-Stock"></display>
+     <definition value="Supply is not onsite and must be requested from an outside vendor using a non-stock requisition."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplyrequest-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="supplyrequest-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/supplyrequest-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.696"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SupplyRequestStatus"></name>
+    <title value="SupplyRequestStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Status of the supply request."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+     <definition value="The request has been created but is not yet complete or ready for action."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The request is ready to be acted upon."></definition>
+    </concept>
+    <concept>
+     <code value="suspended"></code>
+     <display value="Suspended"></display>
+     <definition value="The authorization/request to act has been temporarily withdrawn but is expected to resume in the future."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="The authorization/request to act has been terminated prior to the full completion of the intended actions.  No further activity should occur."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="Activity against the request has been sufficiently completed to the satisfaction of the requester."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it.  (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
     </concept>
     <concept>
      <code value="unknown"></code>
      <display value="Unknown"></display>
-     <definition value="Not known if condition was present at the time of inpatient admission."></definition>
+     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplyrequest-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="supplyrequest-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/supplyrequest-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1193"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SupplyRequestReason"></name>
+    <title value="SupplyRequestReason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The reason why the supply item was requested."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="patient-care"></code>
+     <display value="Patient Care"></display>
+     <definition value="The supply has been requested for use in direct patient care."></definition>
+    </concept>
+    <concept>
+     <code value="ward-stock"></code>
+     <display value="Ward Stock"></display>
+     <definition value="The supply has been requested for creating or replenishing ward stock."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplydelivery-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="supplydelivery-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/supplydelivery-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.701"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SupplyDeliveryStatus"></name>
+    <title value="SupplyDeliveryStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Status of the supply delivery."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="Supply has been requested, but not delivered."></definition>
+    </concept>
+    <concept>
+     <code value="completed"></code>
+     <display value="Delivered"></display>
+     <definition value="Supply has been delivered (&quot;completed&quot;)."></definition>
+    </concept>
+    <concept>
+     <code value="abandoned"></code>
+     <display value="Abandoned"></display>
+     <definition value="Delivery was not completed."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered In Error"></display>
+     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;abandoned&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplydelivery-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="supplydelivery-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/supply-item-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1194"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SupplyItemType"></name>
+    <title value="Supply Item Type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value sets refers to a specific supply item."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="medication"></code>
+     <display value="Medication"></display>
+     <definition value="Supply is a kind of medication."></definition>
+    </concept>
+    <concept>
+     <code value="device"></code>
+     <display value="Device"></display>
+     <definition value="What is supplied (or requested) is a device."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/testscript-operation-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="testscript-operation-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/testscript-operation-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1195"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestScriptOperationCode"></name>
+    <title value="Test script operation code"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that are used to indicate the supported operations of a testing engine or tool."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/testscript-operation-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="read"></code>
+     <display value="Read"></display>
+     <definition value="Read the current state of the resource."></definition>
+    </concept>
+    <concept>
+     <code value="vread"></code>
+     <display value="Version Read"></display>
+     <definition value="Read the state of a specific version of the resource."></definition>
+    </concept>
+    <concept>
+     <code value="update"></code>
+     <display value="Update"></display>
+     <definition value="Update an existing resource by its id."></definition>
+    </concept>
+    <concept>
+     <code value="updateCreate"></code>
+     <display value="Create using Update"></display>
+     <definition value="Update an existing resource by its id (or create it if it is new)."></definition>
+    </concept>
+    <concept>
+     <code value="patch"></code>
+     <display value="Patch"></display>
+     <definition value="Patch an existing resource by its id."></definition>
+    </concept>
+    <concept>
+     <code value="delete"></code>
+     <display value="Delete"></display>
+     <definition value="Delete a resource."></definition>
+    </concept>
+    <concept>
+     <code value="deleteCondSingle"></code>
+     <display value="Conditional Delete Single"></display>
+     <definition value="Conditionally delete a single resource based on search parameters."></definition>
+    </concept>
+    <concept>
+     <code value="deleteCondMultiple"></code>
+     <display value="Conditional Delete Multiple"></display>
+     <definition value="Conditionally delete one or more resources based on search parameters."></definition>
+    </concept>
+    <concept>
+     <code value="history"></code>
+     <display value="History"></display>
+     <definition value="Retrieve the change history for a particular resource or resource type."></definition>
+    </concept>
+    <concept>
+     <code value="create"></code>
+     <display value="Create"></display>
+     <definition value="Create a new resource with a server assigned id."></definition>
+    </concept>
+    <concept>
+     <code value="search"></code>
+     <display value="Search"></display>
+     <definition value="Search based on some filter criteria."></definition>
+    </concept>
+    <concept>
+     <code value="batch"></code>
+     <display value="Batch"></display>
+     <definition value="Update, create or delete a set of resources as independent actions."></definition>
+    </concept>
+    <concept>
+     <code value="transaction"></code>
+     <display value="Transaction"></display>
+     <definition value="Update, create or delete a set of resources as a single transaction."></definition>
+    </concept>
+    <concept>
+     <code value="capabilities"></code>
+     <display value="Capabilities"></display>
+     <definition value="Get a capability statement for the system."></definition>
+    </concept>
+    <concept>
+     <code value="apply"></code>
+     <display value="$apply"></display>
+     <definition value="Realizes an ActivityDefinition in a specific context"></definition>
+    </concept>
+    <concept>
+     <code value="closure"></code>
+     <display value="$closure"></display>
+     <definition value="Closure Table Maintenance"></definition>
+    </concept>
+    <concept>
+     <code value="find-matches"></code>
+     <display value="$find-matches"></display>
+     <definition value="Finding Codes based on supplied properties"></definition>
+    </concept>
+    <concept>
+     <code value="conforms"></code>
+     <display value="$conforms"></display>
+     <definition value="Compare two systems CapabilityStatements"></definition>
+    </concept>
+    <concept>
+     <code value="data-requirements"></code>
+     <display value="$data-requirements"></display>
+     <definition value="Aggregates and returns the parameters and data requirements for a resource and all its dependencies as a single module definition"></definition>
+    </concept>
+    <concept>
+     <code value="document"></code>
+     <display value="$document"></display>
+     <definition value="Generate a Document"></definition>
+    </concept>
+    <concept>
+     <code value="evaluate"></code>
+     <display value="$evaluate"></display>
+     <definition value="Request clinical decision support guidance based on a specific decision support module"></definition>
+    </concept>
+    <concept>
+     <code value="evaluate-measure"></code>
+     <display value="$evaluate-measure"></display>
+     <definition value="Invoke an eMeasure and obtain the results"></definition>
+    </concept>
+    <concept>
+     <code value="everything"></code>
+     <display value="$everything"></display>
+     <definition value="Return all the related information as described in the Encounter or Patient"></definition>
+    </concept>
+    <concept>
+     <code value="expand"></code>
+     <display value="$expand"></display>
+     <definition value="Value Set Expansion"></definition>
+    </concept>
+    <concept>
+     <code value="find"></code>
+     <display value="$find"></display>
+     <definition value="Find a functional list"></definition>
+    </concept>
+    <concept>
+     <code value="graphql"></code>
+     <display value="$graphql"></display>
+     <definition value="Invoke a GraphQL query"></definition>
+    </concept>
+    <concept>
+     <code value="implements"></code>
+     <display value="$implements"></display>
+     <definition value="Test if a server implements a client's required operations"></definition>
+    </concept>
+    <concept>
+     <code value="lastn"></code>
+     <display value="$lastn"></display>
+     <definition value="Last N Observations Query"></definition>
+    </concept>
+    <concept>
+     <code value="lookup"></code>
+     <display value="$lookup"></display>
+     <definition value="Concept Look Up and Decomposition"></definition>
+    </concept>
+    <concept>
+     <code value="match"></code>
+     <display value="$match"></display>
+     <definition value="Find patient matches using MPI based logic"></definition>
+    </concept>
+    <concept>
+     <code value="meta"></code>
+     <display value="$meta"></display>
+     <definition value="Access a list of profiles, tags, and security labels"></definition>
+    </concept>
+    <concept>
+     <code value="meta-add"></code>
+     <display value="$meta-add"></display>
+     <definition value="Add profiles, tags, and security labels to a resource"></definition>
+    </concept>
+    <concept>
+     <code value="meta-delete"></code>
+     <display value="$meta-delete"></display>
+     <definition value="Delete profiles, tags, and security labels for a resource"></definition>
+    </concept>
+    <concept>
+     <code value="populate"></code>
+     <display value="$populate"></display>
+     <definition value="Populate Questionnaire"></definition>
+    </concept>
+    <concept>
+     <code value="populatehtml"></code>
+     <display value="$populatehtml"></display>
+     <definition value="Generate HTML for Questionnaire"></definition>
+    </concept>
+    <concept>
+     <code value="populatelink"></code>
+     <display value="$populatelink"></display>
+     <definition value="Generate a link to a Questionnaire completion webpage"></definition>
+    </concept>
+    <concept>
+     <code value="process-message"></code>
+     <display value="$process-message"></display>
+     <definition value="Process a message according to the defined event"></definition>
+    </concept>
+    <concept>
+     <code value="questionnaire"></code>
+     <display value="$questionnaire"></display>
+     <definition value="Build Questionnaire"></definition>
+    </concept>
+    <concept>
+     <code value="stats"></code>
+     <display value="$stats"></display>
+     <definition value="Observation Statistics"></definition>
+    </concept>
+    <concept>
+     <code value="subset"></code>
+     <display value="$subset"></display>
+     <definition value="Fetch a subset of the CapabilityStatement resource"></definition>
+    </concept>
+    <concept>
+     <code value="subsumes"></code>
+     <display value="$subsumes"></display>
+     <definition value="CodeSystem Subsumption Testing"></definition>
+    </concept>
+    <concept>
+     <code value="transform"></code>
+     <display value="$transform"></display>
+     <definition value="Model Instance Transformation"></definition>
+    </concept>
+    <concept>
+     <code value="translate"></code>
+     <display value="$translate"></display>
+     <definition value="Concept Translation"></definition>
+    </concept>
+    <concept>
+     <code value="validate"></code>
+     <display value="$validate"></display>
+     <definition value="Validate a resource"></definition>
+    </concept>
+    <concept>
+     <code value="validate-code"></code>
+     <display value="$validate-code"></display>
+     <definition value="ValueSet based Validation"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/assert-direction-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="assert-direction-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/assert-direction-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.707"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AssertionDirectionType"></name>
+    <title value="AssertionDirectionType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of direction to use for assertion."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/assert-direction-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="response"></code>
+     <display value="response"></display>
+     <definition value="The assertion is evaluated on the response. This is the default value."></definition>
+    </concept>
+    <concept>
+     <code value="request"></code>
+     <display value="request"></display>
+     <definition value="The assertion is evaluated on the request."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/assert-operator-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="assert-operator-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/assert-operator-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.709"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AssertionOperatorType"></name>
+    <title value="AssertionOperatorType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of operator to use for assertion."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/assert-operator-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="equals"></code>
+     <display value="equals"></display>
+     <definition value="Default value. Equals comparison."></definition>
+    </concept>
+    <concept>
+     <code value="notEquals"></code>
+     <display value="notEquals"></display>
+     <definition value="Not equals comparison."></definition>
+    </concept>
+    <concept>
+     <code value="in"></code>
+     <display value="in"></display>
+     <definition value="Compare value within a known set of values."></definition>
+    </concept>
+    <concept>
+     <code value="notIn"></code>
+     <display value="notIn"></display>
+     <definition value="Compare value not within a known set of values."></definition>
+    </concept>
+    <concept>
+     <code value="greaterThan"></code>
+     <display value="greaterThan"></display>
+     <definition value="Compare value to be greater than a known value."></definition>
+    </concept>
+    <concept>
+     <code value="lessThan"></code>
+     <display value="lessThan"></display>
+     <definition value="Compare value to be less than a known value."></definition>
+    </concept>
+    <concept>
+     <code value="empty"></code>
+     <display value="empty"></display>
+     <definition value="Compare value is empty."></definition>
+    </concept>
+    <concept>
+     <code value="notEmpty"></code>
+     <display value="notEmpty"></display>
+     <definition value="Compare value is not empty."></definition>
+    </concept>
+    <concept>
+     <code value="contains"></code>
+     <display value="contains"></display>
+     <definition value="Compare value string contains a known value."></definition>
+    </concept>
+    <concept>
+     <code value="notContains"></code>
+     <display value="notContains"></display>
+     <definition value="Compare value string does not contain a known value."></definition>
+    </concept>
+    <concept>
+     <code value="eval"></code>
+     <display value="evaluate"></display>
+     <definition value="Evaluate the FHIRPath expression as a boolean condition."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/assert-response-code-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="assert-response-code-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/assert-response-code-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.711"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AssertionResponseTypes"></name>
+    <title value="AssertionResponseTypes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of response code to use for assertion."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/assert-response-code-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="okay"></code>
+     <display value="okay"></display>
+     <definition value="Response code is 200."></definition>
+    </concept>
+    <concept>
+     <code value="created"></code>
+     <display value="created"></display>
+     <definition value="Response code is 201."></definition>
+    </concept>
+    <concept>
+     <code value="noContent"></code>
+     <display value="noContent"></display>
+     <definition value="Response code is 204."></definition>
+    </concept>
+    <concept>
+     <code value="notModified"></code>
+     <display value="notModified"></display>
+     <definition value="Response code is 304."></definition>
+    </concept>
+    <concept>
+     <code value="bad"></code>
+     <display value="bad"></display>
+     <definition value="Response code is 400."></definition>
+    </concept>
+    <concept>
+     <code value="forbidden"></code>
+     <display value="forbidden"></display>
+     <definition value="Response code is 403."></definition>
+    </concept>
+    <concept>
+     <code value="notFound"></code>
+     <display value="notFound"></display>
+     <definition value="Response code is 404."></definition>
+    </concept>
+    <concept>
+     <code value="methodNotAllowed"></code>
+     <display value="methodNotAllowed"></display>
+     <definition value="Response code is 405."></definition>
+    </concept>
+    <concept>
+     <code value="conflict"></code>
+     <display value="conflict"></display>
+     <definition value="Response code is 409."></definition>
+    </concept>
+    <concept>
+     <code value="gone"></code>
+     <display value="gone"></display>
+     <definition value="Response code is 410."></definition>
+    </concept>
+    <concept>
+     <code value="preconditionFailed"></code>
+     <display value="preconditionFailed"></display>
+     <definition value="Response code is 412."></definition>
+    </concept>
+    <concept>
+     <code value="unprocessable"></code>
+     <display value="unprocessable"></display>
+     <definition value="Response code is 422."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/testscript-profile-origin-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="testscript-profile-origin-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/testscript-profile-origin-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1196"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestScriptProfileOriginType"></name>
+    <title value="Test script profile origin type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that are used to indicate the profile type of a test system when acting as the origin within a TestScript."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/testscript-profile-origin-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="FHIR-Client"></code>
+     <display value="FHIR Client"></display>
+     <definition value="General FHIR client used to initiate operations against a FHIR server."></definition>
+    </concept>
+    <concept>
+     <code value="FHIR-SDC-FormFiller"></code>
+     <display value="FHIR SDC FormFiller"></display>
+     <definition value="A FHIR client acting as a Structured Data Capture Form Filler."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/testscript-profile-destination-types"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="testscript-profile-destination-types"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/testscript-profile-destination-types"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1197"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestScriptProfileDestinationType"></name>
+    <title value="Test script profile destination type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines a set of codes that are used to indicate the profile type of a test system when acting as the destination within a TestScript."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/testscript-profile-destination-types"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="FHIR-Server"></code>
+     <display value="FHIR Server"></display>
+     <definition value="General FHIR server used to respond to operations sent from a FHIR client."></definition>
+    </concept>
+    <concept>
+     <code value="FHIR-SDC-FormManager"></code>
+     <display value="FHIR SDC FormManager"></display>
+     <definition value="A FHIR server acting as a Structured Data Capture Form Manager."></definition>
+    </concept>
+    <concept>
+     <code value="FHIR-SDC-FormProcessor"></code>
+     <display value="FHIR SDC FormProcessor"></display>
+     <definition value="A FHIR server acting as a Structured Data Capture Form Processor."></definition>
+    </concept>
+    <concept>
+     <code value="FHIR-SDC-FormReceiver"></code>
+     <display value="FHIR SDC FormReceiver"></display>
+     <definition value="A FHIR server acting as a Structured Data Capture Form Receiver."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/http-operations"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="http-operations"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/http-operations"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.717"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestScriptRequestMethodCode"></name>
+    <title value="TestScriptRequestMethodCode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The allowable request method or HTTP operation codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/http-operations"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="delete"></code>
+     <display value="DELETE"></display>
+     <definition value="HTTP DELETE operation."></definition>
+    </concept>
+    <concept>
+     <code value="get"></code>
+     <display value="GET"></display>
+     <definition value="HTTP GET operation."></definition>
+    </concept>
+    <concept>
+     <code value="options"></code>
+     <display value="OPTIONS"></display>
+     <definition value="HTTP OPTIONS operation."></definition>
+    </concept>
+    <concept>
+     <code value="patch"></code>
+     <display value="PATCH"></display>
+     <definition value="HTTP PATCH operation."></definition>
+    </concept>
+    <concept>
+     <code value="post"></code>
+     <display value="POST"></display>
+     <definition value="HTTP POST operation."></definition>
+    </concept>
+    <concept>
+     <code value="put"></code>
+     <display value="PUT"></display>
+     <definition value="HTTP PUT operation."></definition>
+    </concept>
+    <concept>
+     <code value="head"></code>
+     <display value="HEAD"></display>
+     <definition value="HTTP HEAD operation."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-result-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="report-result-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/report-result-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.719"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestReportResult"></name>
+    <title value="TestReportResult"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The reported execution result."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/report-result-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="pass"></code>
+     <display value="Pass"></display>
+     <definition value="All test operations successfully passed all asserts."></definition>
+    </concept>
+    <concept>
+     <code value="fail"></code>
+     <display value="Fail"></display>
+     <definition value="One or more test operations failed one or more asserts."></definition>
+    </concept>
+    <concept>
+     <code value="pending"></code>
+     <display value="Pending"></display>
+     <definition value="One or more test operations is pending execution completion."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-action-result-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="report-action-result-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/report-action-result-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.721"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestReportActionResult"></name>
+    <title value="TestReportActionResult"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The results of executing an action."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="pass"></code>
+     <display value="Pass"></display>
+     <definition value="The action was successful."></definition>
+    </concept>
+    <concept>
+     <code value="skip"></code>
+     <display value="Skip"></display>
+     <definition value="The action was skipped."></definition>
+    </concept>
+    <concept>
+     <code value="fail"></code>
+     <display value="Fail"></display>
+     <definition value="The action failed."></definition>
+    </concept>
+    <concept>
+     <code value="warning"></code>
+     <display value="Warning"></display>
+     <definition value="The action passed but with warnings."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="The action encountered a fatal error and the engine was unable to process."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-participant-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="report-participant-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/report-participant-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.723"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestReportParticipantType"></name>
+    <title value="TestReportParticipantType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of participant."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/report-participant-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="test-engine"></code>
+     <display value="Test Engine"></display>
+     <definition value="The test execution engine."></definition>
+    </concept>
+    <concept>
+     <code value="client"></code>
+     <display value="Client"></display>
+     <definition value="A FHIR Client."></definition>
+    </concept>
+    <concept>
+     <code value="server"></code>
+     <display value="Server"></display>
+     <definition value="A FHIR Server."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-status-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="report-status-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/report-status-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.725"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TestReportStatus"></name>
+    <title value="TestReportStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The current status of the test report."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/report-status-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="All test operations have completed."></definition>
+    </concept>
+    <concept>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="A test operations is currently executing."></definition>
+    </concept>
+    <concept>
+     <code value="waiting"></code>
+     <display value="Waiting"></display>
+     <definition value="A test operation is waiting for an external client request."></definition>
+    </concept>
+    <concept>
+     <code value="stopped"></code>
+     <display value="Stopped"></display>
+     <definition value="The test script execution was manually stopped."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered In Error"></display>
+     <definition value="This test report was entered or created in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/account-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="account-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/account-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.727"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AccountStatus"></name>
+    <title value="AccountStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates whether the account is available to be used."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/account-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="This account is active and may be used."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="This account is inactive and should not be used to track financial information."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in error"></display>
+     <definition value="This instance should not have been part of this patient's medical record."></definition>
+    </concept>
+    <concept>
+     <code value="on-hold"></code>
+     <display value="On Hold"></display>
+     <definition value="This account is on hold."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The account status is unknown."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-precondition-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="condition-precondition-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/condition-precondition-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1440"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionPreconditionType"></name>
+    <title value="ConditionPreconditionType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Kind of precondition for the condition."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/condition-precondition-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="sensitive"></code>
+     <display value="Sensitive"></display>
+     <definition value="The observation is very sensitive for the condition, but may also indicate other conditions."></definition>
+    </concept>
+    <concept>
+     <code value="specific"></code>
+     <display value="Specific"></display>
+     <definition value="The observation is very specific for this condition, but not particularly sensitive."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-questionnaire-purpose"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="condition-questionnaire-purpose"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/condition-questionnaire-purpose"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1442"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionQuestionnairePurpose"></name>
+    <title value="ConditionQuestionnairePurpose"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The use of a questionnaire."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/condition-questionnaire-purpose"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="preadmit"></code>
+     <display value="Pre-admit"></display>
+     <definition value="A pre-admit questionnaire."></definition>
+    </concept>
+    <concept>
+     <code value="diff-diagnosis"></code>
+     <display value="Diff Diagnosis"></display>
+     <definition value="A questionnaire that helps with diferential diagnosis."></definition>
+    </concept>
+    <concept>
+     <code value="outcome"></code>
+     <display value="Outcome"></display>
+     <definition value="A questionnaire to check on outcomes for the patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contract-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1330"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractTypeCodes"></name>
+    <title value="Contract Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Contract Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="privacy"></code>
+     <display value="Privacy"></display>
+     <definition value="Privacy policy."></definition>
+    </concept>
+    <concept>
+     <code value="disclosure"></code>
+     <display value="Disclosure"></display>
+     <definition value="Information disclosure policy."></definition>
+    </concept>
+    <concept>
+     <code value="healthinsurance"></code>
+     <display value="Health Insurance"></display>
+     <definition value="Health Insurance policy."></definition>
+    </concept>
+    <concept>
+     <code value="supply"></code>
+     <display value="Supply Contract"></display>
+     <definition value="Contract to supply goods or services."></definition>
+    </concept>
+    <concept>
+     <code value="consent"></code>
+     <display value="Consent"></display>
+     <definition value="Consent Directive."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-subtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-subtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contractsubtypecodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1198"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractSubtypeCodes"></name>
+    <title value="Contract Subtype Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Contract Subtype codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-subtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="disclosure-ca"></code>
+     <display value="Disclosure-CA"></display>
+     <definition value="Canadian health information disclosure policy."></definition>
+    </concept>
+    <concept>
+     <code value="disclosure-us"></code>
+     <display value="Disclosure-US"></display>
+     <definition value="United States health information disclosure policy."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-term-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-term-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contracttermtypecodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1199"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractTermTypeCodes"></name>
+    <title value="Contract Term Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Contract Term Type codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-term-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="statutory"></code>
+     <display value="Statutory"></display>
+     <definition value="Based on specialized statutes that deal with particular subjects."></definition>
+    </concept>
+    <concept>
+     <code value="subject-to"></code>
+     <display value="Subject To"></display>
+     <definition value="Execution of the term in the contract is conditional on the execution of other actions."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-term-subtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-term-subtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contracttermsubtypecodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1200"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractTermSubtypeCodes"></name>
+    <title value="Contract Term Subtype Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Contract Term SubType codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-term-subtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="condition"></code>
+     <display value="Condition"></display>
+     <definition value="Terms that go to the very root of a contract."></definition>
+    </concept>
+    <concept>
+     <code value="warranty"></code>
+     <display value="Warranty"></display>
+     <definition value="Less imperative than a condition, so the contract will survive a breach"></definition>
+    </concept>
+    <concept>
+     <code value="innominate"></code>
+     <display value="Innominate"></display>
+     <definition value="Breach of which might or might not go to the root of the contract depending upon the nature of the breach"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-signer-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-signer-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1201"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractSignerTypeCodes"></name>
+    <title value="Contract Signer Type Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <description value="This value set includes sample Contract Signer Type codes."></description>
+    <copyright value="This is an example set based on ASTM Standard, E1762-95 (2013) HL7 RoleClass OID 2.16.840.1.113883.5.110, HL7 Role Code 2.16.840.1.113883.5.111, HL7 ParticipationType OID: 2.16.840.1.113883.5.90, HL7 ParticipationFunction codes at OID: 2.16.840.1.113883.5.88, and HL7 Security and Privacy Domain Analysis Model roles classes."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-signer-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="AMENDER"></code>
+     <display value="Amender"></display>
+     <definition value="A person who has corrected, edited, or amended pre-existing information."></definition>
+    </concept>
+    <concept>
+     <code value="AUTHN"></code>
+     <display value="Authenticator"></display>
+     <definition value="A person in the role of verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate information content. An example would be a resident physician who sees a patient and dictates a note, then later signs it. The resident's signature constitutes an authentication."></definition>
+    </concept>
+    <concept>
+     <code value="AUT"></code>
+     <display value="Author"></display>
+     <definition value="An entity that authored specific content. There can be multiple authors of content, which may take such forms as a contract, a healthcare record entry or document, a policy, or a consent directive."></definition>
+    </concept>
+    <concept>
+     <code value="AFFL"></code>
+     <display value="Affiliate"></display>
+     <definition value="An entity that has a business or professional relationship with another entity in accordance with an agreement."></definition>
+    </concept>
+    <concept>
+     <code value="AGNT"></code>
+     <display value="Agent"></display>
+     <definition value="An entity that acts or is authorized to act on behalf of another entity in accordance with an agreement."></definition>
+    </concept>
+    <concept>
+     <code value="ASSIGNED"></code>
+     <display value="Assigned Entity"></display>
+     <definition value="An agent role in which the agent is an Entity acting in the employ of an organization. The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization."></definition>
+    </concept>
+    <concept>
+     <code value="CIT"></code>
+     <display value="Citizen"></display>
+     <definition value="The member of a jurisdiction afforded certain rights and encumbered with certain obligation in accordance with jurisdictional policy."></definition>
+    </concept>
+    <concept>
+     <code value="CLAIMANT"></code>
+     <display value="Claimant"></display>
+     <definition value="A party that makes a claim for coverage under a policy."></definition>
+    </concept>
+    <concept>
+     <code value="COAUTH"></code>
+     <display value="Co-Author"></display>
+     <definition value="The entity that co-authored content. There can be multiple co-authors of content, which may take such forms as a contract, a healthcare record entry or document, a policy, or a consent directive."></definition>
+    </concept>
+    <concept>
+     <code value="CONSENTER"></code>
+     <display value="Consenter"></display>
+     <definition value="A patient or patient representative who is the grantee in a healthcare related agreement such as a consent for healthcare services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy."></definition>
+    </concept>
+    <concept>
+     <code value="CONSWIT"></code>
+     <display value="Consent Witness"></display>
+     <definition value="A person who has witnessed and attests to observing a patient being counseled about a healthcare related agreement such as a consent for healthcare services, advanced directive, or a privacy consent directive."></definition>
+    </concept>
+    <concept>
+     <code value="CONT"></code>
+     <display value="Contact"></display>
+     <definition value="A person or an organization that provides or receives information regarding another entity. Examples; patient NOK and emergency contacts; guarantor contact; employer contact."></definition>
+    </concept>
+    <concept>
+     <code value="COPART"></code>
+     <display value="Co-Participant"></display>
+     <definition value="A person who participates in the generation of and attest to veracity of content but is not an author or co-author. For example, a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report."></definition>
+    </concept>
+    <concept>
+     <code value="COVPTY"></code>
+     <display value="Covered Party"></display>
+     <definition value="An entity, which is the insured, that receives benefits such as healthcare services, reimbursement for out-of-pocket expenses, or compensation for losses through coverage under the terms of an insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy. Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder."></definition>
+    </concept>
+    <concept>
+     <code value="DELEGATEE"></code>
+     <display value="Delegatee"></display>
+     <definition value="A party to whom some right or authority is delegated by a delegator."></definition>
+    </concept>
+    <concept>
+     <code value="delegator"></code>
+     <display value="Delegator"></display>
+     <definition value="A party that delegates a right or authority to another party."></definition>
+    </concept>
+    <concept>
+     <code value="DEPEND"></code>
+     <display value="Dependent"></display>
+     <definition value="A person covered under an insurance policy or program based on an association with a subscriber, which is recognized by the policy holder. The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child. The policy holder may be required by law to recognize certain associations or may have discretion about the associations. For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents. Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently-abled or deceased, a guardian ad lidem or estate executor may be appointed to assume the subscriber's legal standing in the relationship with the dependent."></definition>
+    </concept>
+    <concept>
+     <code value="DPOWATT"></code>
+     <display value="Durable Power of Attorney"></display>
+     <definition value="A person who has been granted the authority to represent or act on another's behalf generally in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency."></definition>
+    </concept>
+    <concept>
+     <code value="EMGCON"></code>
+     <display value="Emergency Contact"></display>
+     <definition value="An entity to be contacted in the event of an emergency"></definition>
+    </concept>
+    <concept>
+     <code value="EVTWIT"></code>
+     <display value="Event Witness"></display>
+     <definition value="A person who attests to observing an occurrence.  For example, the witness has observed a procedure and is attesting to this fact."></definition>
+    </concept>
+    <concept>
+     <code value="EXCEST"></code>
+     <display value="Executor of Estate"></display>
+     <definition value="A person who has been granted the authority to act as an estate executor for a deceased person who was the responsible party."></definition>
+    </concept>
+    <concept>
+     <code value="GRANTEE"></code>
+     <display value="Grantee"></display>
+     <definition value="A person who grants to another person the authority to represent or act on that person's behalf.  Examples include (1) exercising specific rights belonging to the grantee; (2) performing specific duties on behalf of a grantee; and (3) making specific decisions concerning a grantee."></definition>
+    </concept>
+    <concept>
+     <code value="GRANTOR"></code>
+     <display value="Grantor"></display>
+     <definition value="A person who has been granted the authority to represent or act on another's behalf. Examples include (1) exercising specific rights belonging to the grantee; (2) performing specific duties on behalf of a grantee; and (3) making specific decisions concerning a grantee."></definition>
+    </concept>
+    <concept>
+     <code value="GUAR"></code>
+     <display value="Guarantor"></display>
+     <definition value="A person or organization contractually recognized by the issuer as an entity that has assumed fiscal responsibility (e.g., by making or giving a promise, assurance, or pledge) for another entity's financial obligations by guaranteeing to pay for amounts owed to a particular account.  In a healthcare context, the account may be a patient's billing account for services rendered by a provider or a health plan premium account."></definition>
+    </concept>
+    <concept>
+     <code value="GUARD"></code>
+     <display value="Guardian"></display>
+     <definition value="A person or organization legally empowered with responsibility for the care of a ward."></definition>
+    </concept>
+    <concept>
+     <code value="GUADLTM"></code>
+     <display value="Guardian ad lidem"></display>
+     <definition value="A person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings."></definition>
+    </concept>
+    <concept>
+     <code value="INF"></code>
+     <display value="Informant"></display>
+     <definition value="An entity that is the source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject."></definition>
+    </concept>
+    <concept>
+     <code value="INTPRT"></code>
+     <display value="Interpreter"></display>
+     <definition value="A person who converts spoken or written language into the language of key participants in an event such as when a provider is obtaining a patient's consent to treatment or permission to disclose information."></definition>
+    </concept>
+    <concept>
+     <code value="INSBJ"></code>
+     <display value="Investigation Subject"></display>
+     <definition value="An entity that is the subject of an investigation. This role is scoped by the party responsible for the investigation."></definition>
+    </concept>
+    <concept>
+     <code value="HPOWATT"></code>
+     <display value="Healthcare Power of Attorney"></display>
+     <definition value="A person who has been granted the authority to represent or act on another's behalf for healthcare related matters in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Examples include (1) exercising specific healthcare legal rights belonging to the grantee such as signing a consent directive; (2) performing specific healthcare related legal duties on behalf of a grantee such as claims payment; and (3) making specific healthcare legal decisions concerning a grantee such as consenting to healthcare services."></definition>
+    </concept>
+    <concept>
+     <code value="HPROV"></code>
+     <display value="Healthcare Provider"></display>
+     <definition value="An entity that is authorized to provide health care services by an authorizing organization or jurisdiction."></definition>
+    </concept>
+    <concept>
+     <code value="LEGAUTHN"></code>
+     <display value="Legal Authenticator"></display>
+     <definition value="A person in the role of verifier who attests to the accuracy of information content, and who has privileges to certify the legal authenticity of that content with a signature that constitutes a legal authentication.  For example, a licensed physician who signs a consult authored by a resident physician who authenticated it."></definition>
+    </concept>
+    <concept>
+     <code value="NMDINS"></code>
+     <display value="Named Insured"></display>
+     <definition value="A party to an insurance policy under which the insurer agrees to indemnify for losses, provides benefits for, or renders services. A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subject that is the named insured under a comprehensive automobile, disability, or property and casualty policy.  The named insured and might or might not be the policy holder."></definition>
+    </concept>
+    <concept>
+     <code value="NOK"></code>
+     <display value="Next of Kin"></display>
+     <definition value="A person, who is a type of contact, designated to receive notifications on behalf of another person who is a relative."></definition>
+    </concept>
+    <concept>
+     <code value="NOTARY"></code>
+     <display value="Notary"></display>
+     <definition value="The party credentialed to legally attest to the contract binding by verifying the identity and capacity of the grantor and grantee, and witnessing their signing of the contract or agreement such as a real estate transaction, pre-nuptial agreement, or a will."></definition>
+    </concept>
+    <concept>
+     <code value="PAT"></code>
+     <display value="Patient"></display>
+     <definition value="A person, animal, or other living subject that is the actual or potential recipient of health care services."></definition>
+    </concept>
+    <concept>
+     <code value="POWATT"></code>
+     <display value="Power of Attorney"></display>
+     <definition value="A person who has been granted the authority to represent or act on another's behalf generally in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Examples include (1) exercising specific legal rights belonging to the grantee such as signing a contract; (2) performing specific legal duties on behalf of a grantee such as making loan payments; and (3) making specific legal decisions concerning a grantee such as financial investment decisions."></definition>
+    </concept>
+    <concept>
+     <code value="PRIMAUTH"></code>
+     <display value="Primary Author"></display>
+     <definition value="An entity that is the primary or sole author of information content.  In the healthcare context, there can be only one primary author of health information content in a record entry or document."></definition>
+    </concept>
+    <concept>
+     <code value="PRIRECIP"></code>
+     <display value="Primary Responsible Party "></display>
+     <definition value="An entity that may, should receive, or has received information or an object to which it was primarily addressed."></definition>
+    </concept>
+    <concept>
+     <code value="RECIP"></code>
+     <display value="Recipient"></display>
+     <definition value="An entity that may, should receive, or has received information or an object, which might not have been primarily addressed to it. For example, the staff of a provider, a clearinghouse, or other intermediary."></definition>
+    </concept>
+    <concept>
+     <code value="RESPRSN"></code>
+     <display value="Responsible Party"></display>
+     <definition value="An entity that has legal responsibility for another party."></definition>
+    </concept>
+    <concept>
+     <code value="REVIEWER"></code>
+     <display value="Reviewer"></display>
+     <definition value="A person, device, or algorithm that has used approved criteria for filtered data for inclusion into the patient record.  Examples: (1) a medical records clerk who scans a document for inclusion in the medical record, enters header information, or catalogues and classifies the data, or a combination thereof; (2) a gateway that receives data from another computer system and interprets that data or changes its format, or both, before entering it into the patient record."></definition>
+    </concept>
+    <concept>
+     <code value="TRANS"></code>
+     <display value="Transcriber"></display>
+     <definition value="An entity entering the data into the originating system. This includes the transcriptionist for dictated text transcribed into electronic form."></definition>
+    </concept>
+    <concept>
+     <code value="SOURCE"></code>
+     <display value="Source"></display>
+     <definition value="An automated data source that generates a signature along with content. Examples: (1) the signature for an image that is generated by a device for inclusion in the patient record; (2) the signature for an ECG derived by an ECG system for inclusion in the patient record; (3) the data from a biomedical monitoring device or system that is for inclusion in the patient record."></definition>
+    </concept>
+    <concept>
+     <code value="SPOWATT"></code>
+     <display value="Special Power of Attorney"></display>
+     <definition value="A person who has been granted the authority to represent or act on another's behalf for a limited set of specific matters in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Examples include (1) exercising specific legal rights belonging to the grantee such as drafting a will; (2) performing specific legal duties on behalf of a grantee such as making a reversible mortgage to pay for end of life expenses; and (3) making specific legal decisions concerning a grantee such as managing a trust."></definition>
+    </concept>
+    <concept>
+     <code value="VALID"></code>
+     <display value="Validator"></display>
+     <definition value="A person who validates a health information document for inclusion in the patient record. For example, a medical student or resident is credentialed to perform history or physical examinations and to write progress notes. The attending physician signs the history and physical examination to validate the entry for inclusion in the patient's medical record."></definition>
+    </concept>
+    <concept>
+     <code value="VERF"></code>
+     <display value="Verifier"></display>
+     <definition value="A person who asserts the correctness and appropriateness of an act or the recording of the act, and is accountable for the assertion that the act or the recording of the act complies with jurisdictional or organizational policy. For example, a physician is required to countersign a verbal order that has previously been recorded in the medical record by a registered nurse who has carried out the verbal order."></definition>
+    </concept>
+    <concept>
+     <code value="WIT"></code>
+     <display value="Witness"></display>
+     <definition value="A person witnessing the signature of another party. A witness is not knowledgeable about the content being signed, much less approves of anything stated in the content. For example, an advanced directive witness or a witness that a party to a contract signed that certain demographic or financial information is truthful."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-action"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-action"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contractaction"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1202"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractActionCodes"></name>
+    <title value="Contract Action Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Contract Action codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-action"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="action-a"></code>
+     <display value="Action A"></display>
+     <definition value="Definition for Action A"></definition>
+    </concept>
+    <concept>
+     <code value="action-b"></code>
+     <display value="Action B"></display>
+     <definition value="Definition for Action B"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-actorrole"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-actorrole"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contractactorrole"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1203"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractActorRoleCodes"></name>
+    <title value="Contract Actor Role Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="CBCC"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Contract Actor Role codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-actorrole"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="practitioner"></code>
+     <display value="Practitioner"></display>
+     <definition value="Someone who provides health care related services to people or animals including both clinical and support services."></definition>
+    </concept>
+    <concept>
+     <code value="patient"></code>
+     <display value="Patient"></display>
+     <definition value="A receiver, human or animal, of health care related goods and services."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.744"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceStatusCodes"></name>
+    <title value="Contract Resource Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="Contract is augmented with additional information to correct errors in a predecessor or to updated values in a predecessor. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: revised; replaced."></definition>
+    </concept>
+    <concept>
+     <code value="appended"></code>
+     <display value="Appended"></display>
+     <definition value="Contract is augmented with additional information that was missing from a predecessor Contract. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: updated, replaced."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="Contract is terminated due to failure of the Grantor and/or the Grantee to fulfil one or more contract provisions. Usage: Abnormal contract termination. Precedence Order = 10. Comparable FHIR and v.3 status codes: stopped; failed; aborted."></definition>
+    </concept>
+    <concept>
+     <code value="disputed"></code>
+     <display value="Disputed"></display>
+     <definition value="Contract is pended to rectify failure of the Grantor or the Grantee to fulfil contract provision(s). E.g., Grantee complaint about Grantor's failure to comply with contract provisions. Usage: Contract pended. Precedence Order = 7. Comparable FHIR and v.3 status codes: on hold; pended; suspended."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Contract was created in error. No Precedence Order.  Status may be applied to a Contract with any status."></definition>
+    </concept>
+    <concept>
+     <code value="executable"></code>
+     <display value="Executable"></display>
+     <definition value="Contract execution pending; may be executed when either the Grantor or the Grantee accepts the contract provisions by signing. I.e., where either the Grantor or the Grantee has signed, but not both. E.g., when an insurance applicant signs the insurers application, which references the policy. Usage: Optional first step of contract execution activity.  May be skipped and contracting activity moves directly to executed state. Precedence Order = 3. Comparable FHIR and v.3 status codes: draft; preliminary; planned; intended; active."></definition>
+    </concept>
+    <concept>
+     <code value="executed"></code>
+     <display value="Executed"></display>
+     <definition value="Contract is activated for period stipulated when both the Grantor and Grantee have signed it. Usage: Required state for normal completion of contracting activity.  Precedence Order = 6. Comparable FHIR and v.3 status codes: accepted; completed."></definition>
+    </concept>
+    <concept>
+     <code value="negotiable"></code>
+     <display value="Negotiable"></display>
+     <definition value="Contract execution is suspended while either or both the Grantor and Grantee propose and consider new or revised contract provisions. I.e., where the party which has not signed proposes changes to the terms.  E .g., a life insurer declines to agree to the signed application because the life insurer has evidence that the applicant, who asserted to being younger or a non-smoker to get a lower premium rate - but offers instead to agree to a higher premium based on the applicants actual age or smoking status. Usage: Optional contract activity between executable and executed state. Precedence Order = 4. Comparable FHIR and v.3 status codes: in progress; review; held."></definition>
+    </concept>
+    <concept>
+     <code value="offered"></code>
+     <display value="Offered"></display>
+     <definition value="Contract is a proposal by either the Grantor or the Grantee. Aka - A Contract hard copy or electronic 'template', 'form' or 'application'. E.g., health insurance application; consent directive form. Usage: Beginning of contract negotiation, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 2. Comparable FHIR and v.3 status codes: requested; new."></definition>
+    </concept>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="Contract template is available as the basis for an application or offer by the Grantor or Grantee. E.g., health insurance policy; consent directive policy.  Usage: Required initial contract activity, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 1. Comparable FHIR and v.3 status codes: proposed; intended."></definition>
+    </concept>
+    <concept>
+     <code value="rejected"></code>
+     <display value="Rejected"></display>
+     <definition value=" Execution of the Contract is not completed because either or both the Grantor and Grantee decline to accept some or all of the contract provisions. Usage: Optional contract activity between executable and abnormal termination. Precedence Order = 5. Comparable FHIR and v.3 status codes:  stopped; cancelled."></definition>
+    </concept>
+    <concept>
+     <code value="renewed"></code>
+     <display value="Renewed"></display>
+     <definition value="Beginning of a successor Contract at the termination of predecessor Contract lifecycle. Usage: Follows termination of a preceding Contract that has reached its expiry date. Precedence Order = 13. Comparable FHIR and v.3 status codes: superseded."></definition>
+    </concept>
+    <concept>
+     <code value="revoked"></code>
+     <display value="Revoked"></display>
+     <definition value="A Contract that is rescinded.  May be required prior to replacing with an updated Contract. Comparable FHIR and v.3 status codes: nullified."></definition>
+    </concept>
+    <concept>
+     <code value="resolved"></code>
+     <display value="Resolved"></display>
+     <definition value="Contract is reactivated after being pended because of faulty execution. *E.g., competency of the signer(s), or where the policy is substantially different from and did not accompany the application/form so that the applicant could not compare them. Aka - ''reactivated''. Usage: Optional stage where a pended contract is reactivated. Precedence Order = 8. Comparable FHIR and v.3 status codes: reactivated."></definition>
+    </concept>
+    <concept>
+     <code value="terminated"></code>
+     <display value="Terminated"></display>
+     <definition value="Contract reaches its expiry date. It might or might not be renewed or renegotiated. Usage: Normal end of contract period. Precedence Order = 12. Comparable FHIR and v.3 status codes: Obsoleted."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-content-derivative"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-content-derivative"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/contract-content-derivative"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1204"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractContentDerivationCodes"></name>
+    <title value="Contract Content Derivation Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source at a specific stage in its lifecycle, which is sufficient to manage that source information, for example, in a repository, registry, processes and workflows, for making access control decisions, and providing query responses."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-content-derivative"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="registration"></code>
+     <display value="Content Registration"></display>
+     <definition value="Content derivative that conveys sufficient information needed to register the source basal content from which it is derived.  This derivative content may be used to register the basal content as it changes status in its lifecycle.  For example, content registration may occur when the basal content is created, updated, inactive, or deleted."></definition>
+    </concept>
+    <concept>
+     <code value="retrieval"></code>
+     <display value="Content Retrieval"></display>
+     <definition value="A content derivative that conveys sufficient information to locate and retrieve the content."></definition>
+    </concept>
+    <concept>
+     <code value="statement"></code>
+     <display value="Content Statement"></display>
+     <definition value="Content derivative that has less than full fidelity to the basal information source from which it was 'transcribed'. It provides recipients with the full content representation they may require for compliance purposes, and typically include a reference to or an attached unstructured representation for recipients needing an exact copy of the legal agreement."></definition>
+    </concept>
+    <concept>
+     <code value="shareable"></code>
+     <display value="Shareable Content"></display>
+     <definition value="A Content Derivative that conveys sufficient information to determine the authorized entities with which the content may be shared."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-data-meaning"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-data-meaning"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/contract-data-meaning"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1205"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractDataMeaning"></name>
+    <title value="ContractDataMeaning"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a resource reference is interpreted when evaluating contract offers."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-data-meaning"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="instance"></code>
+     <display value="Instance"></display>
+     <definition value="The consent applies directly to the instance of the resource."></definition>
+    </concept>
+    <concept>
+     <code value="related"></code>
+     <display value="Related"></display>
+     <definition value="The consent applies directly to the instance of the resource and instances it refers to."></definition>
+    </concept>
+    <concept>
+     <code value="dependents"></code>
+     <display value="Dependents"></display>
+     <definition value="The consent applies directly to the instance of the resource and instances that refer to it."></definition>
+    </concept>
+    <concept>
+     <code value="authoredby"></code>
+     <display value="AuthoredBy"></display>
+     <definition value="The consent applies to instances of resources that are authored by."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-legalstate"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-legalstate"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-legalstate"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1207"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceLegalStateCodes"></name>
+    <title value="Contract Resource Legal State codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-legalstate"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="Contract is augmented with additional information to correct errors in a predecessor or to updated values in a predecessor. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: revised; replaced."></definition>
+    </concept>
+    <concept>
+     <code value="appended"></code>
+     <display value="Appended"></display>
+     <definition value="Contract is augmented with additional information that was missing from a predecessor Contract. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: updated, replaced."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="Contract is terminated due to failure of the Grantor and/or the Grantee to fulfil one or more contract provisions. Usage: Abnormal contract termination. Precedence Order = 10. Comparable FHIR and v.3 status codes: stopped; failed; aborted."></definition>
+    </concept>
+    <concept>
+     <code value="disputed"></code>
+     <display value="Disputed"></display>
+     <definition value="Contract is pended to rectify failure of the Grantor or the Grantee to fulfil contract provision(s). E.g., Grantee complaint about Grantor's failure to comply with contract provisions. Usage: Contract pended. Precedence Order = 7. Comparable FHIR and v.3 status codes: on hold; pended; suspended."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Contract was created in error. No Precedence Order.  Status may be applied to a Contract with any status."></definition>
+    </concept>
+    <concept>
+     <code value="executable"></code>
+     <display value="Executable"></display>
+     <definition value="Contract execution pending; may be executed when either the Grantor or the Grantee accepts the contract provisions by signing. I.e., where either the Grantor or the Grantee has signed, but not both. E.g., when an insurance applicant signs the insurers application, which references the policy. Usage: Optional first step of contract execution activity.  May be skipped and contracting activity moves directly to executed state. Precedence Order = 3. Comparable FHIR and v.3 status codes: draft; preliminary; planned; intended; active."></definition>
+    </concept>
+    <concept>
+     <code value="executed"></code>
+     <display value="Executed"></display>
+     <definition value="Contract is activated for period stipulated when both the Grantor and Grantee have signed it. Usage: Required state for normal completion of contracting activity.  Precedence Order = 6. Comparable FHIR and v.3 status codes: accepted; completed."></definition>
+    </concept>
+    <concept>
+     <code value="negotiable"></code>
+     <display value="Negotiable"></display>
+     <definition value="Contract execution is suspended while either or both the Grantor and Grantee propose and consider new or revised contract provisions. I.e., where the party which has not signed proposes changes to the terms.  E .g., a life insurer declines to agree to the signed application because the life insurer has evidence that the applicant, who asserted to being younger or a non-smoker to get a lower premium rate - but offers instead to agree to a higher premium based on the applicants actual age or smoking status. Usage: Optional contract activity between executable and executed state. Precedence Order = 4. Comparable FHIR and v.3 status codes: in progress; review; held."></definition>
+    </concept>
+    <concept>
+     <code value="offered"></code>
+     <display value="Offered"></display>
+     <definition value="Contract is a proposal by either the Grantor or the Grantee. Aka - A Contract hard copy or electronic 'template', 'form' or 'application'. E.g., health insurance application; consent directive form. Usage: Beginning of contract negotiation, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 2. Comparable FHIR and v.3 status codes: requested; new."></definition>
+    </concept>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="Contract template is available as the basis for an application or offer by the Grantor or Grantee. E.g., health insurance policy; consent directive policy.  Usage: Required initial contract activity, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 1. Comparable FHIR and v.3 status codes: proposed; intended."></definition>
+    </concept>
+    <concept>
+     <code value="rejected"></code>
+     <display value="Rejected"></display>
+     <definition value=" Execution of the Contract is not completed because either or both the Grantor and Grantee decline to accept some or all of the contract provisions. Usage: Optional contract activity between executable and abnormal termination. Precedence Order = 5. Comparable FHIR and v.3 status codes:  stopped; cancelled."></definition>
+    </concept>
+    <concept>
+     <code value="renewed"></code>
+     <display value="Renewed"></display>
+     <definition value="Beginning of a successor Contract at the termination of predecessor Contract lifecycle. Usage: Follows termination of a preceding Contract that has reached its expiry date. Precedence Order = 13. Comparable FHIR and v.3 status codes: superseded."></definition>
+    </concept>
+    <concept>
+     <code value="revoked"></code>
+     <display value="Revoked"></display>
+     <definition value="A Contract that is rescinded.  May be required prior to replacing with an updated Contract. Comparable FHIR and v.3 status codes: nullified."></definition>
+    </concept>
+    <concept>
+     <code value="resolved"></code>
+     <display value="Resolved"></display>
+     <definition value="Contract is reactivated after being pended because of faulty execution. *E.g., competency of the signer(s), or where the policy is substantially different from and did not accompany the application/form so that the applicant could not compare them. Aka - ''reactivated''. Usage: Optional stage where a pended contract is reactivated. Precedence Order = 8. Comparable FHIR and v.3 status codes: reactivated."></definition>
+    </concept>
+    <concept>
+     <code value="terminated"></code>
+     <display value="Terminated"></display>
+     <definition value="Contract reaches its expiry date. It might or might not be renewed or renegotiated. Usage: Normal end of contract period. Precedence Order = 12. Comparable FHIR and v.3 status codes: Obsoleted."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-publicationstatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-publicationstatus"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-publicationstatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1209"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourcePublicationStatusCodes"></name>
+    <title value="Contract Resource Publication Status codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-publicationstatus"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="amended"></code>
+     <display value="Amended"></display>
+     <definition value="Contract is augmented with additional information to correct errors in a predecessor or to updated values in a predecessor. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: revised; replaced."></definition>
+    </concept>
+    <concept>
+     <code value="appended"></code>
+     <display value="Appended"></display>
+     <definition value="Contract is augmented with additional information that was missing from a predecessor Contract. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: updated, replaced."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="Cancelled"></display>
+     <definition value="Contract is terminated due to failure of the Grantor and/or the Grantee to fulfil one or more contract provisions. Usage: Abnormal contract termination. Precedence Order = 10. Comparable FHIR and v.3 status codes: stopped; failed; aborted."></definition>
+    </concept>
+    <concept>
+     <code value="disputed"></code>
+     <display value="Disputed"></display>
+     <definition value="Contract is pended to rectify failure of the Grantor or the Grantee to fulfil contract provision(s). E.g., Grantee complaint about Grantor's failure to comply with contract provisions. Usage: Contract pended. Precedence Order = 7. Comparable FHIR and v.3 status codes: on hold; pended; suspended."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="Contract was created in error. No Precedence Order.  Status may be applied to a Contract with any status."></definition>
+    </concept>
+    <concept>
+     <code value="executable"></code>
+     <display value="Executable"></display>
+     <definition value="Contract execution pending; may be executed when either the Grantor or the Grantee accepts the contract provisions by signing. I.e., where either the Grantor or the Grantee has signed, but not both. E.g., when an insurance applicant signs the insurers application, which references the policy. Usage: Optional first step of contract execution activity.  May be skipped and contracting activity moves directly to executed state. Precedence Order = 3. Comparable FHIR and v.3 status codes: draft; preliminary; planned; intended; active."></definition>
+    </concept>
+    <concept>
+     <code value="executed"></code>
+     <display value="Executed"></display>
+     <definition value="Contract is activated for period stipulated when both the Grantor and Grantee have signed it. Usage: Required state for normal completion of contracting activity.  Precedence Order = 6. Comparable FHIR and v.3 status codes: accepted; completed."></definition>
+    </concept>
+    <concept>
+     <code value="negotiable"></code>
+     <display value="Negotiable"></display>
+     <definition value="Contract execution is suspended while either or both the Grantor and Grantee propose and consider new or revised contract provisions. I.e., where the party which has not signed proposes changes to the terms.  E .g., a life insurer declines to agree to the signed application because the life insurer has evidence that the applicant, who asserted to being younger or a non-smoker to get a lower premium rate - but offers instead to agree to a higher premium based on the applicants actual age or smoking status. Usage: Optional contract activity between executable and executed state. Precedence Order = 4. Comparable FHIR and v.3 status codes: in progress; review; held."></definition>
+    </concept>
+    <concept>
+     <code value="offered"></code>
+     <display value="Offered"></display>
+     <definition value="Contract is a proposal by either the Grantor or the Grantee. Aka - A Contract hard copy or electronic 'template', 'form' or 'application'. E.g., health insurance application; consent directive form. Usage: Beginning of contract negotiation, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 2. Comparable FHIR and v.3 status codes: requested; new."></definition>
+    </concept>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="Contract template is available as the basis for an application or offer by the Grantor or Grantee. E.g., health insurance policy; consent directive policy.  Usage: Required initial contract activity, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 1. Comparable FHIR and v.3 status codes: proposed; intended."></definition>
+    </concept>
+    <concept>
+     <code value="rejected"></code>
+     <display value="Rejected"></display>
+     <definition value=" Execution of the Contract is not completed because either or both the Grantor and Grantee decline to accept some or all of the contract provisions. Usage: Optional contract activity between executable and abnormal termination. Precedence Order = 5. Comparable FHIR and v.3 status codes:  stopped; cancelled."></definition>
+    </concept>
+    <concept>
+     <code value="renewed"></code>
+     <display value="Renewed"></display>
+     <definition value="Beginning of a successor Contract at the termination of predecessor Contract lifecycle. Usage: Follows termination of a preceding Contract that has reached its expiry date. Precedence Order = 13. Comparable FHIR and v.3 status codes: superseded."></definition>
+    </concept>
+    <concept>
+     <code value="revoked"></code>
+     <display value="Revoked"></display>
+     <definition value="A Contract that is rescinded.  May be required prior to replacing with an updated Contract. Comparable FHIR and v.3 status codes: nullified."></definition>
+    </concept>
+    <concept>
+     <code value="resolved"></code>
+     <display value="Resolved"></display>
+     <definition value="Contract is reactivated after being pended because of faulty execution. *E.g., competency of the signer(s), or where the policy is substantially different from and did not accompany the application/form so that the applicant could not compare them. Aka - ''reactivated''. Usage: Optional stage where a pended contract is reactivated. Precedence Order = 8. Comparable FHIR and v.3 status codes: reactivated."></definition>
+    </concept>
+    <concept>
+     <code value="terminated"></code>
+     <display value="Terminated"></display>
+     <definition value="Contract reaches its expiry date. It might or might not be renewed or renegotiated. Usage: Normal end of contract period. Precedence Order = 12. Comparable FHIR and v.3 status codes: Obsoleted."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-definition-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-definition-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-definition-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1211"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceDefinitionTypeCodes"></name>
+    <title value="Contract Resource Definition Type codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-definition-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="temp"></code>
+     <display value="Temporary Value"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-definition-subtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-definition-subtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-definition-subtype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1213"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceDefinitionSubtypeCodes"></name>
+    <title value="Contract Resource Definition Subtype codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-definition-subtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="temp"></code>
+     <display value="Temporary Value"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-expiration-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-expiration-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-expiration-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1215"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceExpirationTypeCodes"></name>
+    <title value="Contract Resource Expiration Type codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-expiration-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="breach"></code>
+     <display value="Breach"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-scope"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-scope"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-scope"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1217"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceScopeCodes"></name>
+    <title value="Contract Resource Scope codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for scope."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-scope"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-security-classification"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-security-classification"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-security-classification"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1219"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceScopeCodes"></name>
+    <title value="Contract Resource Scope codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for security classification."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-security-classification"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-security-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-security-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-security-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1221"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceScopeCodes"></name>
+    <title value="Contract Resource Scope codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for security category."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-security-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-security-control"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-security-control"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-security-control"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1223"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceSecurityControlCodes"></name>
+    <title value="Contract Resource Security Control codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for security control."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-security-control"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-party-role"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-party-role"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-party-role"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1225"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourcePartyRoleCodes"></name>
+    <title value="Contract Resource Party Role codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for offer party participation."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-party-role"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="flunky"></code>
+     <display value="FLunky"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-decision-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-decision-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-decision-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1292"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceDecisionModeCodes"></name>
+    <title value="Contract Resource Decision Mode codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for decision modes."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-decision-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="policy"></code>
+     <display value="Policy"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assetscope"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-assetscope"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-asset-scope"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1294"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceAssetScopeCodes"></name>
+    <title value="Contract Resource Asset Scope codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for asset scope."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assetscope"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="thing"></code>
+     <display value="Thing"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/asset-availability"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="asset-availability"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/asset-availability"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1296"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceAssetAvailiabilityCodes"></name>
+    <title value="Contract Resource Asset Availiability codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set has asset availability codes."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/asset-availability"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="lease"></code>
+     <display value="Lease"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assetcontext"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-assetcontext"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-asset-context"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1298"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceAssetContextCodes"></name>
+    <title value="Contract Resource Asset Context codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for asset context."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assetcontext"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="custodian"></code>
+     <display value="Custodian"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assettype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-assettype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-asset-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1300"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceAssetTypeCodes"></name>
+    <title value="Contract Resource Asset Type codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for asset type."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assettype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="participation"></code>
+     <display value="Participation"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assetsubtype"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-assetsubtype"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-asset-subtype"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1302"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceAssetSub-TypeCodes"></name>
+    <title value="Contract Resource Asset Sub-Type codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for asset subtype."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assetsubtype"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="participation"></code>
+     <display value="Participation"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-actionstatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="contract-actionstatus"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/contract-action-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1304"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContractResourceActionStatusCodes"></name>
+    <title value="Contract Resource Action Status codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="Financial Management"></publisher>
+    <contact>
+     <name value="FHIR project team"></name>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set contract specific codes for action status."></description>
+    <copyright value="HL7 International."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/contract-actionstatus"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="complete"></code>
+     <display value="Complete"></display>
+     <definition value="To be completed"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/provenance-agent-role"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="provenance-agent-role"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/provenance-participant-role"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1306"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProvenanceParticipantRole"></name>
+    <title value="Provenance participant role"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2023-05-12T10:00:00+10:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The role that a provenance participant played"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/provenance-agent-role"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="enterer"></code>
+     <display value="Enterer"></display>
+     <definition value="A person entering the data into the originating system"></definition>
+    </concept>
+    <concept>
+     <code value="performer"></code>
+     <display value="Performer"></display>
+     <definition value="A person, animal, organization or device that who actually and principally carries out the activity"></definition>
+    </concept>
+    <concept>
+     <code value="author"></code>
+     <display value="Author"></display>
+     <definition value="A party that originates the resource and therefore has responsibility for the information given in the resource and ownership of this resource"></definition>
+    </concept>
+    <concept>
+     <code value="verifier"></code>
+     <display value="Verifier"></display>
+     <definition value="A person who verifies the correctness and appropriateness of activity"></definition>
+     <concept>
+      <code value="legal"></code>
+      <display value="Legal Authenticator"></display>
+      <definition value="The person authenticated the content and accepted legal responsibility for its content"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="attester"></code>
+     <display value="Attester"></display>
+     <definition value="A verifier who attests to the accuracy of the resource"></definition>
+    </concept>
+    <concept>
+     <code value="informant"></code>
+     <display value="Informant"></display>
+     <definition value="A person who reported information that contributed to the resource"></definition>
+    </concept>
+    <concept>
+     <code value="custodian"></code>
+     <display value="Custodian"></display>
+     <definition value="The entity that is accountable for maintaining a true an accurate copy of the original record"></definition>
+    </concept>
+    <concept>
+     <code value="assembler"></code>
+     <display value="Assembler"></display>
+     <definition value="A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact."></definition>
+    </concept>
+    <concept>
+     <code value="composer"></code>
+     <display value="Composer"></display>
+     <definition value="A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1226"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentCategoryCodes"></name>
+    <title value="Consent Category Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project (CBCC)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Consent Directive Type codes, including several consent directive related LOINC codes; HL7 VALUE SET: ActConsentType(2.16.840.1.113883.1.11.19897); examples of US realm consent directive legal descriptions and references to online and/or downloadable forms such as the SSA-827 Authorization to Disclose Information to the Social Security Administration; and other anticipated consent directives related to participation in a clinical trial, medical procedures, reproductive procedures; health care directive (Living Will); advance directive, do not resuscitate (DNR); Physician Orders for Life-Sustaining Treatment (POLST)"></description>
+    <copyright value="This value set includes content from LOINC® which is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="acd"></code>
+     <display value="Advance Directive"></display>
+     <definition value="Any instructions, written or given verbally by a patient to a health care provider in anticipation of potential need for medical treatment. [2005 Honor My Wishes]"></definition>
+    </concept>
+    <concept>
+     <code value="dnr"></code>
+     <display value="Do Not Resuscitate"></display>
+     <definition value="A legal document, signed by both the patient and their provider, stating a desire not to have CPR initiated in case of a cardiac event. Note: This form was replaced in 2003 with the Physician Orders for Life-Sustaining Treatment [POLST]."></definition>
+    </concept>
+    <concept>
+     <code value="emrgonly"></code>
+     <display value="Emergency Only"></display>
+     <definition value="Opt-in to disclosure of health information for emergency only consent directive. Comment: This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. [ActConsentDirective (2.16.840.1.113883.1.11.20425)]"></definition>
+    </concept>
+    <concept>
+     <code value="hcd"></code>
+     <display value="Health Care Directive"></display>
+     <definition value="Patient's document telling patient's health care provider what the patient wants or does not want if the patient is diagnosed as being terminally ill and in a persistent vegetative state or in a permanently unconscious condition.[2005 Honor My Wishes]"></definition>
+    </concept>
+    <concept>
+     <code value="npp"></code>
+     <display value="Notice of Privacy Practices"></display>
+     <definition value="Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified. [ActConsentDirective (2.16.840.1.113883.1.11.20425)]"></definition>
+    </concept>
+    <concept>
+     <code value="polst"></code>
+     <display value="POLST"></display>
+     <definition value="The Physician Order for Life-Sustaining Treatment form records a person's health care wishes for end of life emergency treatment and translates them into an order by the physician. It must be reviewed and signed by both the patient and the physician, Advanced Registered Nurse Practitioner or Physician Assistant. [2005 Honor My Wishes] Comment: Opt-in Consent Directive with restrictions."></definition>
+    </concept>
+    <concept>
+     <code value="research"></code>
+     <display value="Research Information Access"></display>
+     <definition value="Consent to have healthcare information in an electronic health record accessed for research purposes. [VALUE SET: ActConsentType (2.16.840.1.113883.1.11.19897)]"></definition>
+    </concept>
+    <concept>
+     <code value="rsdid"></code>
+     <display value="De-identified Information Access"></display>
+     <definition value="Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance. [VALUE SET: ActConsentType (2.16.840.1.113883.1.11.19897)"></definition>
+    </concept>
+    <concept>
+     <code value="rsreid"></code>
+     <display value="Re-identifiable Information Access"></display>
+     <definition value="Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. [VALUE SET: ActConsentType (2.16.840.1.113883.1.11.19897)]"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-action"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-action"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/consentaction"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1227"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentActionCodes"></name>
+    <title value="Consent Action Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="CBCC"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Consent Action codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-action"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="collect"></code>
+     <display value="Collect"></display>
+     <definition value="Gather retrieved information for storage"></definition>
+    </concept>
+    <concept>
+     <code value="access"></code>
+     <display value="Access"></display>
+     <definition value="Retrieval without permitting collection, use or disclosure. e.g., no screen-scraping for collection, use or disclosure (view-only access)"></definition>
+    </concept>
+    <concept>
+     <code value="use"></code>
+     <display value="Use"></display>
+     <definition value="Utilize the retrieved information"></definition>
+    </concept>
+    <concept>
+     <code value="disclose"></code>
+     <display value="Disclose"></display>
+     <definition value="Transfer retrieved information"></definition>
+    </concept>
+    <concept>
+     <code value="correct"></code>
+     <display value="Access and Correct"></display>
+     <definition value="Allow retrieval of a patient's information for the purpose of update or rectify"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-state-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-state-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/consent-state-codes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.756"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentState"></name>
+    <title value="ConsentState"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the state of the consent."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-state-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="Pending"></display>
+     <definition value="The consent is in development or awaiting use but is not yet intended to be acted upon."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The consent is to be followed and enforced."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The consent is terminated or replaced."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The consent was created wrongly (e.g. wrong patient) and should be ignored."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The resource is in an indeterminate state."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-provision-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-provision-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/consent-provision-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.758"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentProvisionType"></name>
+    <title value="ConsentProvisionType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a rule statement is applied, such as adding additional consent or removing consent."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-provision-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="deny"></code>
+     <display value="Opt Out"></display>
+     <definition value="Consent is denied for actions meeting these rules."></definition>
+    </concept>
+    <concept>
+     <code value="permit"></code>
+     <display value="Opt In"></display>
+     <definition value="Consent is provided for actions meeting these rules."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-data-meaning"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-data-meaning"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/consent-data-meaning"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.760"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentDataMeaning"></name>
+    <title value="ConsentDataMeaning"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="How a resource reference is interpreted when testing consent restrictions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-data-meaning"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="instance"></code>
+     <display value="Instance"></display>
+     <definition value="The consent applies directly to the instance of the resource."></definition>
+    </concept>
+    <concept>
+     <code value="related"></code>
+     <display value="Related"></display>
+     <definition value="The consent applies directly to the instance of the resource and instances it refers to."></definition>
+    </concept>
+    <concept>
+     <code value="dependents"></code>
+     <display value="Dependents"></display>
+     <definition value="The consent applies directly to the instance of the resource and instances that refer to it."></definition>
+    </concept>
+    <concept>
+     <code value="authoredby"></code>
+     <display value="AuthoredBy"></display>
+     <definition value="The consent applies to instances of resources that are authored by."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-scope"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-scope"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/consentscope"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1228"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentScopeCodes"></name>
+    <title value="Consent Scope Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="CBCC"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes the four Consent scope codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-scope"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="research"></code>
+     <display value="Research"></display>
+     <definition value="Consent to participate in research protocol and information sharing required"></definition>
+    </concept>
+    <concept>
+     <code value="patient-privacy"></code>
+     <display value="Privacy Consent"></display>
+     <definition value="Agreement to collect, access, use or disclose (share) information"></definition>
+    </concept>
+    <concept>
+     <code value="treatment"></code>
+     <display value="Treatment"></display>
+     <definition value="Consent to undergo a specific treatment"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-policy"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-policy"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1229"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentPolicyRuleCodes"></name>
+    <title value="Consent PolicyRule Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project (CBCC)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Regulatory consent policy types from the US and other regions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-policy"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <content value="complete"></content>
+    <concept>
+     <code value="cric"></code>
+     <display value="Common Rule Informed Consent"></display>
+     <definition value="45 CFR part 46 §46.116 General requirements for informed consent; and §46.117 Documentation of informed consent. https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-01058.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="illinois-minor-procedure"></code>
+     <display value="Illinois Consent by Minors to Medical Procedures"></display>
+     <definition value="The consent to the performance of a medical or surgical procedure by a physician licensed to practice medicine and surgery, a licensed advanced practice nurse, or a licensed physician assistant executed by a married person who is a minor, by a parent who is a minor, by a pregnant woman who is a minor, or by any person 18 years of age or older, is not voidable because of such minority, and, for such purpose, a married person who is a minor, a parent who is a minor, a pregnant woman who is a minor, or any person 18 years of age or older, is deemed to have the same legal capacity to act and has the same powers and obligations as has a person of legal age. Consent by Minors to Medical Procedures Act. (410 ILCS 210/0.01) (from Ch. 111, par. 4500) Sec. 0.01. Short title. This Act may be cited as the Consent by Minors to Medical Procedures Act. (Source: P.A. 86-1324.) http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1539&amp;ChapterID=35"></definition>
+    </concept>
+    <concept>
+     <code value="hipaa-auth"></code>
+     <display value="HIPAA Authorization"></display>
+     <definition value="HIPAA 45 CFR Section 164.508 Uses and disclosures for which an authorization is required. (a) Standard: Authorizations for uses and disclosures. (1) Authorization required: General rule. Except as otherwise permitted or required by this subchapter, a covered entity SHALL not use or disclose protected health information without an authorization that is valid under this section. When a covered entity obtains or receives a valid authorization for its use or disclosure of protected health information, such use or disclosure must be consistent with such authorization. Usage Note: Authorizations governed under this regulation meet the definition of an opt in class of consent directive."></definition>
+    </concept>
+    <concept>
+     <code value="hipaa-npp"></code>
+     <display value="HIPAA Notice of Privacy Practices"></display>
+     <definition value="164.520  Notice of privacy practices for protected health information. (1) Right to notice. Except as provided by paragraph (a)(2) or (3) of this section, an individual has a right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Usage Note: Restrictions governed under this regulation meet the definition of an implied with an opportunity to dissent class of consent directive."></definition>
+    </concept>
+    <concept>
+     <code value="hipaa-restrictions"></code>
+     <display value="HIPAA Restrictions"></display>
+     <definition value="HIPAA 45 CFR 164.510 - Uses and disclosures requiring an opportunity for the individual to agree or to object. A covered entity may use or disclose protected health information, provided that the individual is informed in advance of the use or disclosure and has the opportunity to agree to or prohibit or restrict the use or disclosure, in accordance with the applicable requirements of this section. The covered entity may orally inform the individual of and obtain the individual's oral agreement or objection to a use or disclosure permitted by this section. Usage Note: Restrictions governed under this regulation meet the definition of an opt out with exception class of consent directive."></definition>
+    </concept>
+    <concept>
+     <code value="hipaa-research"></code>
+     <display value="HIPAA Research Authorization"></display>
+     <definition value="HIPAA 45 CFR 164.508 - Uses and disclosures for which an authorization is required. (a) Standard: Authorizations for uses and disclosures. (3) Compound authorizations. An authorization for use or disclosure of protected health information SHALL NOT be combined with any other document to create a compound authorization, except as follows: (i) An authorization for the use or disclosure of protected health information for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of protected health information for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. Where a covered health care provider has conditioned the provision of research-related treatment on the provision of one of the authorizations, as permitted under paragraph (b)(4)(i) of this section, any compound authorization created under this paragraph must clearly differentiate between the conditioned and unconditioned components and provide the individual with an opportunity to opt in to the research activities described in the unconditioned authorization. Usage Notes: See HHS http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html and OCR http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html"></definition>
+    </concept>
+    <concept>
+     <code value="hipaa-self-pay"></code>
+     <display value="HIPAA Self-Pay Restriction"></display>
+     <definition value="HIPAA 45 CFR 164.522(a) Right To Request a Restriction of Uses and Disclosures. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full. Usage Note: Restrictions governed under this regulation meet the definition of an opt out with exception class of consent directive. Opt out is limited to disclosures to a payer for payment and operations purpose of use. See HL7 HIPAA Self-Pay code in ActPrivacyLaw (2.16.840.1.113883.1.11.20426)."></definition>
+    </concept>
+    <concept>
+     <code value="mdhhs-5515"></code>
+     <display value="Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes"></display>
+     <definition value="On January 1, 2015, the Michigan Department of Health and Human Services (MDHHS) released a standard consent form for the sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it. Note: Form is available at http://www.michigan.gov/documents/mdhhs/Consent_to_Share_Behavioral_Health_Information_for_Care_Coordination_Purposes_548835_7.docx For more information see http://www.michigan.gov/documents/mdhhs/Behavioral_Health_Consent_Form_Background_Information_548864_7.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="nyssipp"></code>
+     <display value="New York State Surgical and Invasive Procedure Protocol"></display>
+     <definition value="The New York State Surgical and Invasive Procedure Protocol (NYSSIPP) applies to all operative and invasive procedures including endoscopy, general surgery or interventional radiology. Other procedures that involve puncture or incision of the skin, or insertion of an instrument or foreign material into the body are within the scope of the protocol. This protocol also applies to those anesthesia procedures either prior to a surgical procedure or independent of a surgical procedure such as spinal facet blocks. Example: Certain 'minor' procedures such as venipuncture, peripheral IV placement, insertion of nasogastric tube and foley catheter insertion are not within the scope of the protocol. From http://www.health.ny.gov/professionals/protocols_and_guidelines/surgical_and_invasive_procedure/nyssipp_faq.htm Note: HHC 100B-1 Form is available at http://www.downstate.edu/emergency_medicine/documents/Consent_CT_with_contrast.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="va-10-0484"></code>
+     <display value="VA Form 10-0484"></display>
+     <definition value="VA Form 10-0484 Revocation for Release of Individually-Identifiable Health Information enables a veteran to revoke authorization for the VA to release specified copies of individually-identifiable health information with the non-VA health care provider organizations participating in the eHealth Exchange and partnering with VA. Comment: Opt-in Consent Directive with status = rescinded (aka 'revoked'). Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-0484-fill.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="va-10-0485"></code>
+     <display value="VA Form 10-0485"></display>
+     <definition value="VA Form 10-0485 Request for and Authorization to Release Protected Health Information to eHealth Exchange enables a veteran to request and authorize a VA health care facility to release protected health information (PHI) for treatment purposes only to the communities that are participating in the eHealth Exchange, VLER Directive, and other Health Information Exchanges with who VA has an agreement. This information may consist of the diagnosis of Sickle Cell Anemia, the treatment of or referral for Drug Abuse, treatment of or referral for Alcohol Abuse or the treatment of or testing for infection with Human Immunodeficiency Virus. This authorization covers the diagnoses that I may have upon signing of the authorization and the diagnoses that I may acquire in the future including those protected by 38 U.S.C. 7332. Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/10-0485-fill.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="va-10-5345"></code>
+     <display value="VA Form 10-5345"></display>
+     <definition value="VA Form 10-5345 Request for and Authorization to Release Medical Records or Health Information enables a veteran to request and authorize the VA to release specified copies of protected health information (PHI), such as hospital summary or outpatient treatment notes, which may include information about conditions governed under Title 38 Section 7332 (drug abuse, alcoholism or alcohol abuse, testing for or infection with HIV, and sickle cell anemia). Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="va-10-5345a"></code>
+     <display value="VA Form 10-5345a"></display>
+     <definition value="VA Form 10-5345a Individuals' Request for a Copy of Their Own Health Information enables a veteran to request and authorize the VA to release specified copies of protected health information (PHI), such as hospital summary or outpatient treatment notes. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-fill.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="va-10-5345a-mhv"></code>
+     <display value="VA Form 10-5345a-MHV"></display>
+     <definition value="VA Form 10-5345a-MHV Individual's Request for a Copy of their own health information from MyHealtheVet enables a veteran to receive a copy of all available personal health information to be delivered through the veteran's My HealtheVet account. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-MHV-fill.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="va-10-10116"></code>
+     <display value="VA Form 10-10-10116"></display>
+     <definition value="VA Form 10-10116 Revocation of Authorization for Use and Release of Individually Identifiable Health Information for Veterans Health Administration Research. Comment: Opt-in with Restriction Consent Directive with status = 'completed'. Note: Form is available at http://www.northerncalifornia.va.gov/northerncalifornia/services/rnd/docs/vha-10-10116.pdf "></definition>
+    </concept>
+    <concept>
+     <code value="va-21-4142"></code>
+     <display value="VA Form 21-4142"></display>
+     <definition value="VA Form 21-4142 (Authorization and Consent to Release Information to the Department of Veterans Affairs (VA) enables a veteran to authorize the US Veterans Administration [VA] to request veteran's health information from non-VA providers. Aka VA Compensation Application Note: Form is available at http://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf . For additional information regarding VA Form 21-4142, refer to the following website: www.benefits.va.gov/compensation/consent_privateproviders"></definition>
+    </concept>
+    <concept>
+     <code value="ssa-827"></code>
+     <display value="SSA Authorization to Disclose"></display>
+     <definition value="SA Form SSA-827 (Authorization to Disclose Information to the Social Security Administration (SSA)). Form is available at https://www.socialsecurity.gov/forms/ssa-827-inst-sp.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="dch-3927"></code>
+     <display value="Michigan behavior and mental health consent"></display>
+     <definition value="Michigan DCH-3927 Consent to Share Behavioral Health Information for Care Coordination Purposes, which combines 42 CFR Part 2 and Michigan Mental Health Code, Act 258 of 1974. Form is available at http://www.michigan.gov/documents/mdch/DCH-3927_Consent_to_Share_Health_Information_477005_7.docx"></definition>
+    </concept>
+    <concept>
+     <code value="squaxin"></code>
+     <display value="Squaxin Indian behavioral health and HIPAA consent"></display>
+     <definition value="Squaxin Indian HIPAA and 42 CFR Part 2 Consent for Release and Exchange of Confidential Information, which permits consenter to select healthcare record type and types of treatment purposes.  This consent requires disclosers and recipients to comply with 42 C.F.R. Part 2, and HIPAA 45 C.F.R. parts 160 and 164. It includes patient notice of the refrain policy not to disclose without consent, and revocation rights. https://www.ncsacw.samhsa.gov/files/SI_ConsentForReleaseAndExchange.PDF"></definition>
+    </concept>
+    <concept>
+     <code value="nl-lsp"></code>
+     <display value="NL LSP Permission"></display>
+     <definition value="LSP (National Exchange Point) requires that providers, hospitals and pharmacy obtain explicit permission [opt-in] from healthcare consumers to submit and retrieve all or only some of a subject of care’s health information collected by the LSP for purpose of treatment, which can be revoked.  Without permission, a provider cannot access LSP information even in an emergency. The LSP provides healthcare consumers with accountings of disclosures. https://www.vzvz.nl/uploaded/FILES/htmlcontent/Formulieren/TOESTEMMINGSFORMULIER.pdf, https://www.ikgeeftoestemming.nl/en, https://www.ikgeeftoestemming.nl/en/registration/find-healthcare-provider"></definition>
+    </concept>
+    <concept>
+     <code value="at-elga"></code>
+     <display value="AT ELGA Opt-in Consent"></display>
+     <definition value="Pursuant to Sec. 2 no. 9 Health Telematics Act 2012, ELGA Health Data ( “ELGA-Gesundheitsdaten”) = Medical documents. Austria opted for an opt-out approach. This means that a person is by default ‘ELGA participant’ unless he/she objects. ELGA participants have the following options: General opt out: No participation in ELGA, Partial opt-out: No participation in a particular ELGA application, e.g. eMedication and Case-specific opt-out: No participation in ELGA only regarding a particular case/treatment. There is the possibility to opt-in again. ELGA participants can also exclude the access of a particular ELGA healthcare provider to a particular piece of or all of their ELGA data. http://ec.europa.eu/health/ehealth/docs/laws_austria_en.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="nih-hipaa"></code>
+     <display value="HHS NIH HIPAA Research Authorization"></display>
+     <definition value="Guidance and template form https://privacyruleandresearch.nih.gov/pdf/authorization.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="nci"></code>
+     <display value="NCI Cancer Clinical Trial consent"></display>
+     <definition value="see http://ctep.cancer.gov/protocolDevelopment/docs/Informed_Consent_Template.docx"></definition>
+    </concept>
+    <concept>
+     <code value="nih-grdr"></code>
+     <display value="NIH Global Rare Disease Patient Registry and Data Repository consent"></display>
+     <definition value="Global Rare Disease Patient Registry and Data Repository (GRDR) consent is an agreement of a healthcare consumer to permit collection, access, use and disclosure of de-identified rare disease information and collection of bio-specimens, medical information, family history and other related information from patients to permit the registry collection of health and genetic information, and specimens for pseudonymized disclosure for research purpose of use. https://rarediseases.info.nih.gov/files/informed_consent_template.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="nih-527"></code>
+     <display value="NIH Authorization for the Release of Medical Information"></display>
+     <definition value="NIH Authorization for the Release of Medical Information is a patient’s consent for the National Institutes of Health Clinical Center to release medical information to care providers, which can be revoked. Note: Consent Form available @ http://cc.nih.gov/participate/_pdf/NIH-527.pdf"></definition>
+    </concept>
+    <concept>
+     <code value="ga4gh"></code>
+     <display value="Population origins and ancestry research consent"></display>
+     <definition value="Global Alliance for Genomic Health Data Sharing Consent Form is an example of the GA4GH Population origins and ancestry research consent form. Consenters agree to permitting a specified research project to collect ancestry and genetic information in controlled-access databases, and to allow other researchers to use deidentified information from those databases. http://www.commonaccord.org/index.php?action=doc&amp;file=Wx/org/genomicsandhealth/REWG/Demo/Roberta_Robinson_US"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-performer"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-performer"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/consentperformer"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1017"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PerformerRoleCodes"></name>
+    <title value="Performer Role Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="CBCC"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes sample Performer Role codes."></description>
+    <copyright value="This is an example set."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-performer"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="consenter"></code>
+     <display value="Consenter"></display>
+     <definition value="An entity or an entity's delegatee who is the grantee in an agreement such as a consent for services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy."></definition>
+    </concept>
+    <concept>
+     <code value="grantee"></code>
+     <display value="Grantee"></display>
+     <definition value="An entity which accepts certain rights or authority from a grantor."></definition>
+    </concept>
+    <concept>
+     <code value="grantor"></code>
+     <display value="Grantor"></display>
+     <definition value="An entity which agrees to confer certain rights or authority to a grantee."></definition>
+    </concept>
+    <concept>
+     <code value="delegatee"></code>
+     <display value="Delegatee"></display>
+     <definition value="A party to whom some right or authority is granted by a delegator."></definition>
+    </concept>
+    <concept>
+     <code value="delegator"></code>
+     <display value="Delegator"></display>
+     <definition value="A party that grants all or some portion its right or authority to another party."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-verification"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="consent-verification"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/consentverification"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentVerificationCodes"></name>
+    <title value="Consent Vefication Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="CBCC"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes base Consent Verification codes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/consent-verification"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="family"></code>
+     <display value="FamilyVerified"></display>
+     <definition value="Verification by Family/RelatedPerson"></definition>
+    </concept>
+    <concept>
+     <code value="validation"></code>
+     <display value="Validation"></display>
+     <definition value="Periodic Re-validation of Grantee decision"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/library-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="library-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/library-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1230"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LibraryType"></name>
+    <title value="LibraryType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of knowledge asset this library contains."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/library-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="logic-library"></code>
+     <display value="Logic Library"></display>
+     <definition value="The resource is a shareable library of formalized knowledge."></definition>
+    </concept>
+    <concept>
+     <code value="model-definition"></code>
+     <display value="Model Definition"></display>
+     <definition value="The resource is a definition of an information model."></definition>
+    </concept>
+    <concept>
+     <code value="asset-collection"></code>
+     <display value="Asset Collection"></display>
+     <definition value="The resource is a collection of knowledge assets."></definition>
+    </concept>
+    <concept>
+     <code value="module-definition"></code>
+     <display value="Module Definition"></display>
+     <definition value="The resource defines the dependencies, parameters, and data requirements for a particular module or evaluation context."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-population"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-population"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/measure-population"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1231"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasurePopulationType"></name>
+    <title value="MeasurePopulationType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of population."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-population"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="initial-population"></code>
+     <display value="Initial Population"></display>
+     <definition value="The initial population refers to all patients or events to be evaluated by a quality measure involving patients who share a common set of specified characterstics. All patients or events counted (for example, as numerator, as denominator) are drawn from the initial population."></definition>
+    </concept>
+    <concept>
+     <code value="numerator"></code>
+     <display value="Numerator"></display>
+     <definition value="The upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. Numerator criteria are the processes or outcomes expected for each patient, or event defined in the denominator. A numerator statement describes the clinical action that satisfies the conditions of the measure."></definition>
+    </concept>
+    <concept>
+     <code value="numerator-exclusion"></code>
+     <display value="Numerator Exclusion"></display>
+     <definition value="Numerator exclusion criteria define patients or events to be removed from the numerator. Numerator exclusions are used in proportion and ratio measures to help narrow the numerator (for inverted measures)."></definition>
+    </concept>
+    <concept>
+     <code value="denominator"></code>
+     <display value="Denominator"></display>
+     <definition value="The lower portion of a fraction used to calculate a rate, proportion, or ratio. The denominator can be the same as the initial population, or a subset of the initial population to further constrain the population for the purpose of the measure."></definition>
+    </concept>
+    <concept>
+     <code value="denominator-exclusion"></code>
+     <display value="Denominator Exclusion"></display>
+     <definition value="Denominator exclusion criteria define patients or events that should be removed from the denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator. For example, patients with bilateral lower extremity amputations would be listed as a denominator exclusion for a measure requiring foot exams."></definition>
+    </concept>
+    <concept>
+     <code value="denominator-exception"></code>
+     <display value="Denominator Exception"></display>
+     <definition value="Denominator exceptions are conditions that should remove a patient or event from the denominator of a measure only if the numerator criteria are not met. Denominator exception allows for adjustment of the calculated score for those providers with higher risk populations. Denominator exception criteria are only used in proportion measures."></definition>
+    </concept>
+    <concept>
+     <code value="measure-population"></code>
+     <display value="Measure Population"></display>
+     <definition value="Measure population criteria define the patients or events for which the individual observation for the measure should be taken. Measure populations are used for continuous variable measures rather than numerator and denominator criteria."></definition>
+    </concept>
+    <concept>
+     <code value="measure-population-exclusion"></code>
+     <display value="Measure Population Exclusion"></display>
+     <definition value="Measure population criteria define the patients or events that should be removed from the measure population before determining the outcome of one or more continuous variables defined for the measure observation. Measure population exclusion criteria are used within continuous variable measures to help narrow the measure population."></definition>
+    </concept>
+    <concept>
+     <code value="measure-observation"></code>
+     <display value="Measure Observation"></display>
+     <definition value="Defines the individual observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-scoring"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-scoring"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/measure-scoring"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1232"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasureScoring"></name>
+    <title value="MeasureScoring"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The scoring type of the measure."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="proportion"></code>
+     <display value="Proportion"></display>
+     <definition value="The measure score is defined using a proportion."></definition>
+    </concept>
+    <concept>
+     <code value="ratio"></code>
+     <display value="Ratio"></display>
+     <definition value="The measure score is defined using a ratio."></definition>
+    </concept>
+    <concept>
+     <code value="continuous-variable"></code>
+     <display value="Continuous Variable"></display>
+     <definition value="The score is defined by a calculation of some quantity."></definition>
+    </concept>
+    <concept>
+     <code value="cohort"></code>
+     <display value="Cohort"></display>
+     <definition value="The measure is a cohort definition."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/measure-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1233"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasureType"></name>
+    <title value="MeasureType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="process"></code>
+     <display value="Process"></display>
+     <definition value="A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome."></definition>
+    </concept>
+    <concept>
+     <code value="outcome"></code>
+     <display value="Outcome"></display>
+     <definition value="A measure that indicates the result of the performance (or non-performance) of a function or process."></definition>
+    </concept>
+    <concept>
+     <code value="structure"></code>
+     <display value="Structure"></display>
+     <definition value="A measure that focuses on a health care provider's capacity, systems, and processes to provide high-quality care."></definition>
+    </concept>
+    <concept>
+     <code value="patient-reported-outcome"></code>
+     <display value="Patient Reported Outcome"></display>
+     <definition value="A measure that focuses on patient-reported information such as patient engagement or patient experience measures."></definition>
+    </concept>
+    <concept>
+     <code value="composite"></code>
+     <display value="Composite"></display>
+     <definition value="A measure that combines multiple component measures in to a single quality measure."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-data-usage"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-data-usage"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/measure-data-usage"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1234"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasureDataUsage"></name>
+    <title value="MeasureDataUsage"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The intended usage for supplemental data elements in the measure."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-data-usage"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="supplemental-data"></code>
+     <display value="Supplemental Data"></display>
+     <definition value="The data is intended to be provided as additional information alongside the measure results."></definition>
+    </concept>
+    <concept>
+     <code value="risk-adjustment-factor"></code>
+     <display value="Risk Adjustment Factor"></display>
+     <definition value="The data is intended to be used to calculate and apply a risk adjustment model for the measure."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/composite-measure-scoring"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="composite-measure-scoring"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/composite-measure-scoring"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1235"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CompositeMeasureScoring"></name>
+    <title value="CompositeMeasureScoring"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The composite scoring method of the measure."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/composite-measure-scoring"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="opportunity"></code>
+     <display value="Opportunity"></display>
+     <definition value="Opportunity scoring combines the scores from component measures by combining the numerators and denominators for each component."></definition>
+    </concept>
+    <concept>
+     <code value="all-or-nothing"></code>
+     <display value="All-or-nothing"></display>
+     <definition value="All-or-nothing scoring includes an individual in the numerator of the composite measure if they are in the numerators of all of the component measures in which they are in the denominator."></definition>
+    </concept>
+    <concept>
+     <code value="linear"></code>
+     <display value="Linear"></display>
+     <definition value="Linear scoring gives an individual a score based on the number of numerators in which they appear."></definition>
+    </concept>
+    <concept>
+     <code value="weighted"></code>
+     <display value="Weighted"></display>
+     <definition value="Weighted scoring gives an individual a score based on a weighted factor for each component numerator in which they appear."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-improvement-notation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-improvement-notation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1395"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasureImprovementNotation"></name>
+    <title value="MeasureImprovementNotation"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="increase"></code>
+     <display value="Increased score indicates improvement"></display>
+     <definition value="Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)."></definition>
+    </concept>
+    <concept>
+     <code value="decrease"></code>
+     <display value="Decreased score indicates improvement"></display>
+     <definition value="Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-report-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-report-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/measure-report-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.777"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasureReportStatus"></name>
+    <title value="MeasureReportStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of the measure report."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="complete"></code>
+     <display value="Complete"></display>
+     <definition value="The report is complete and ready for use."></definition>
+    </concept>
+    <concept>
+     <code value="pending"></code>
+     <display value="Pending"></display>
+     <definition value="The report is currently being generated."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="An error occurred attempting to generate the report."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-report-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="measure-report-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cqi"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/measure-report-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.779"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MeasureReportType"></name>
+    <title value="MeasureReportType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of the measure report."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="individual"></code>
+     <display value="Individual"></display>
+     <definition value="An individual report that provides information on the performance for a given measure with respect to a single subject."></definition>
+    </concept>
+    <concept>
+     <code value="subject-list"></code>
+     <display value="Subject List"></display>
+     <definition value="A subject list report that includes a listing of subjects that satisfied each population criteria in the measure."></definition>
+    </concept>
+    <concept>
+     <code value="summary"></code>
+     <display value="Summary"></display>
+     <definition value="A summary report that returns the number of members in each population criteria for the measure."></definition>
+    </concept>
+    <concept>
+     <code value="data-collection"></code>
+     <display value="Data Collection"></display>
+     <definition value="A data collection report that contains data-of-interest for the measure."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-property-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="concept-property-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/concept-property-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.781"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PropertyType"></name>
+    <title value="PropertyType"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of a property value."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/concept-property-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="code"></code>
+     <display value="code (internal reference)"></display>
+     <definition value="The property value is a code that identifies a concept defined in the code system."></definition>
+    </concept>
+    <concept>
+     <code value="Coding"></code>
+     <display value="Coding (external reference)"></display>
+     <definition value="The property  value is a code defined in an external code system. This may be used for translations, but is not the intent."></definition>
+    </concept>
+    <concept>
+     <code value="string"></code>
+     <display value="string"></display>
+     <definition value="The property value is a string."></definition>
+    </concept>
+    <concept>
+     <code value="integer"></code>
+     <display value="integer"></display>
+     <definition value="The property value is a string (often used to assign ranking values to concepts for supporting score assessments)."></definition>
+    </concept>
+    <concept>
+     <code value="boolean"></code>
+     <display value="boolean"></display>
+     <definition value="The property value is a boolean true | false."></definition>
+    </concept>
+    <concept>
+     <code value="dateTime"></code>
+     <display value="dateTime"></display>
+     <definition value="The property is a date or a date + time."></definition>
+    </concept>
+    <concept>
+     <code value="decimal"></code>
+     <display value="decimal"></display>
+     <definition value="The property value is a decimal number."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/codesystem-content-mode"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="codesystem-content-mode"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/codesystem-content-mode"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.783"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CodeSystemContentMode"></name>
+    <title value="CodeSystemContentMode"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="not-present"></code>
+     <display value="Not Present"></display>
+     <definition value="None of the concepts defined by the code system are included in the code system resource."></definition>
+    </concept>
+    <concept>
+     <code value="example"></code>
+     <display value="Example"></display>
+     <definition value="A few representative concepts are included in the code system resource. There is no useful intent in the subset choice and there's no process to make it workable: it's not intended to be workable."></definition>
+    </concept>
+    <concept>
+     <code value="fragment"></code>
+     <display value="Fragment"></display>
+     <definition value="A subset of the code system concepts are included in the code system resource. This is a curated subset released for a specific purpose under the governance of the code system steward, and that the intent, bounds and consequences of the fragmentation are clearly defined in the fragment or the code system documentation. Fragments are also known as partitions."></definition>
+    </concept>
+    <concept>
+     <code value="complete"></code>
+     <display value="Complete"></display>
+     <definition value="All the concepts defined by the code system are included in the code system resource."></definition>
+    </concept>
+    <concept>
+     <code value="supplement"></code>
+     <display value="Supplement"></display>
+     <definition value="The resource doesn't define any new concepts; it just provides additional designations and properties to another code system."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/codesystem-hierarchy-meaning"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="codesystem-hierarchy-meaning"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
+     <valueCode value="4.0.0"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="5"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/codesystem-hierarchy-meaning"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.785"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CodeSystemHierarchyMeaning"></name>
+    <title value="CodeSystemHierarchyMeaning"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The meaning of the hierarchy of concepts in a code system."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="grouped-by"></code>
+     <display value="Grouped By"></display>
+     <definition value="No particular relationship between the concepts can be assumed, except what can be determined by inspection of the definitions of the elements (possible reasons to use this: importing from a source where this is not defined, or where various parts of the hierarchy have different meanings)."></definition>
+    </concept>
+    <concept>
+     <code value="is-a"></code>
+     <display value="Is-A"></display>
+     <definition value="A hierarchy where the child concepts have an IS-A relationship with the parents - that is, all the properties of the parent are also true for its child concepts. Not that is-a is a property of the concepts, so additional subsumption relationships may be defined using properties or the [subsumes](extension-codesystem-subsumes.html) extension."></definition>
+    </concept>
+    <concept>
+     <code value="part-of"></code>
+     <display value="Part Of"></display>
+     <definition value="Child elements list the individual parts of a composite whole (e.g. body site)."></definition>
+    </concept>
+    <concept>
+     <code value="classified-with"></code>
+     <display value="Classified With"></display>
+     <definition value="Child concepts in the hierarchy may have only one parent, and there is a presumption that the code system is a &quot;closed world&quot; meaning all things must be in the hierarchy. This results in concepts such as &quot;not otherwise classified.&quot;."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-subsumption-outcome"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="concept-subsumption-outcome"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/concept-subsumption-outcome"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1239"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConceptSubsumptionOutcome"></name>
+    <title value="ConceptSubsumptionOutcome"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The subsumption relationship between code/Coding &quot;A&quot; and code/Coding &quot;B&quot;. There are 4 possible codes to be returned: equivalent, subsumes, subsumed-by, and not-subsumed. If the server is unable to determine the relationship between the codes/Codings, then it returns an error (i.e. an OperationOutcome)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/concept-subsumption-outcome"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="equivalent"></code>
+     <display value="Equivalent"></display>
+     <definition value="The two concepts are equivalent (have the same properties)."></definition>
+    </concept>
+    <concept>
+     <code value="subsumes"></code>
+     <display value="Subsumes"></display>
+     <definition value="Coding/code &quot;A&quot; subsumes Coding/code &quot;B&quot; (e.g. B has all the properties A has, and some of it's own)."></definition>
+    </concept>
+    <concept>
+     <code value="subsumed-by"></code>
+     <display value="Subsumed-By"></display>
+     <definition value="Coding/code &quot;A&quot; is subsumed by Coding/code &quot;B&quot; (e.g. A has all the properties B has, and some of it's own)."></definition>
+    </concept>
+    <concept>
+     <code value="not-subsumed"></code>
+     <display value="Not-Subsumed"></display>
+     <definition value="Coding/code &quot;A&quot; and Coding/code &quot;B&quot; are disjoint (e.g. each has propeties that the other doesn't have)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/compartment-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="compartment-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/compartment-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.787"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CompartmentType"></name>
+    <title value="CompartmentType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Which type a compartment definition describes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="Patient"></code>
+     <display value="Patient"></display>
+     <definition value="The compartment definition is for the patient compartment."></definition>
+    </concept>
+    <concept>
+     <code value="Encounter"></code>
+     <display value="Encounter"></display>
+     <definition value="The compartment definition is for the encounter compartment."></definition>
+    </concept>
+    <concept>
+     <code value="RelatedPerson"></code>
+     <display value="RelatedPerson"></display>
+     <definition value="The compartment definition is for the related-person compartment."></definition>
+    </concept>
+    <concept>
+     <code value="Practitioner"></code>
+     <display value="Practitioner"></display>
+     <definition value="The compartment definition is for the practitioner compartment."></definition>
+    </concept>
+    <concept>
+     <code value="Device"></code>
+     <display value="Device"></display>
+     <definition value="The compartment definition is for the device compartment."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/task-code"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="task-code"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/task-code"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1397"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TaskCode"></name>
+    <title value="Task Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Codes indicating the type of action that is expected to be performed"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/task-code"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="approve"></code>
+     <display value="Activate/approve the focal resource"></display>
+     <definition value="Take what actions are needed to transition the focus resource from 'draft' to 'active' or 'in-progress', as appropriate for the resource type.  This may involve additing additional content, approval, validation, etc."></definition>
+    </concept>
+    <concept>
+     <code value="fulfill"></code>
+     <display value="Fulfill the focal request"></display>
+     <definition value="Act to perform the actions defined in the focus request.  This might result in a 'more assertive' request (order for a plan or proposal, filler order for a placer order), but is intend to eventually result in events.  The degree of fulfillment requested might be limited by Task.restriction."></definition>
+    </concept>
+    <concept>
+     <code value="abort"></code>
+     <display value="Mark the focal resource as no longer active"></display>
+     <definition value="Abort, cancel or withdraw the focal resource, as appropriate for the type of resource."></definition>
+    </concept>
+    <concept>
+     <code value="replace"></code>
+     <display value="Replace the focal resource with the input resource"></display>
+     <definition value="Replace the focal resource with the specified input resource"></definition>
+    </concept>
+    <concept>
+     <code value="change"></code>
+     <display value="Change the focal resource"></display>
+     <definition value="Update the focal resource of the owning system to reflect the content specified as the Task.focus"></definition>
+    </concept>
+    <concept>
+     <code value="suspend"></code>
+     <display value="Suspend the focal resource"></display>
+     <definition value="Transition the focal resource from 'active' or 'in-progress' to 'suspended'"></definition>
+    </concept>
+    <concept>
+     <code value="resume"></code>
+     <display value="Re-activate the focal resource"></display>
+     <definition value="Transition the focal resource from 'suspended' to 'active' or 'in-progress' as appropriate for the resource type."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/task-intent"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="task-intent"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/task-intent"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1241"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="TaskIntent"></name>
+    <title value="TaskIntent"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Distinguishes whether the task is a proposal, plan or full order."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The intent is not known.  When dealing with Task, it's not always known (or relevant) how the task was initiated - i.e. whether it was proposed, planned, ordered or just done spontaneously."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -7827,7 +36855,7 @@ Future versions of FHIR may make significant changes to Trial Use content that a
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="task-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="oo"></valueCode>
@@ -7843,12 +36871,12 @@ Future versions of FHIR may make significant changes to Trial Use content that a
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.791"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TaskStatus"></name>
     <title value="TaskStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -7928,32 +36956,24 @@ Future versions of FHIR may make significant changes to Trial Use content that a
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/operation-outcome"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/activity-definition-category"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="operation-outcome"></id>
+    <id value="activity-definition-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/operation-outcome"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/activity-definition-category"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1127"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1243"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="OperationOutcomeCodes"></name>
-    <title value="Operation Outcome Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="ActivityDefinitionCategory"></name>
+    <title value="ActivityDefinitionCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -7965,2585 +36985,2864 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Operation Outcome codes used by FHIR test servers (see Implementation file translations.xml)"></description>
+    <description value="High-level categorization of the type of activity."></description>
     <caseSensitive value="true"></caseSensitive>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <valueSet value="http://hl7.org/fhir/ValueSet/activity-definition-category"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="DELETE_MULTIPLE_MATCHES"></code>
-     <display value="Error: Multiple matches exist for the conditional delete"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fout: er is meer dan één resultaat voor de conditionele delete"></value>
-     </designation>
+     <code value="treatment"></code>
+     <display value="Treatment"></display>
+     <definition value="The activity is intended to provide or is related to treatment of the patient."></definition>
     </concept>
     <concept>
-     <code value="MSG_AUTH_REQUIRED"></code>
-     <display value="You must authenticate before you can use this service"></display>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Autenticazione richiesta prima di usare questo servizio"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Wymagana autentykacja przed użyciem tego serwisu"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Vous devez être authentifié avant de pouvoir utiliser ce service"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="U moet zich authenticeren voor gebruik van deze service"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="使用此服务前需认证"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Debe autenticarse antes de poder usar este servicio"></value>
-     </designation>
+     <code value="education"></code>
+     <display value="Education"></display>
+     <definition value="The activity is intended to provide or is related to education of the patient."></definition>
     </concept>
     <concept>
-     <code value="MSG_BAD_FORMAT"></code>
-     <display value="Bad Syntax: &quot;%s&quot; must be a %s'"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Неверный синтакс: &quot;%s&quot; должен быть %s"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sintassi Errata: &quot;%s&quot; deve essere un %s'"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd składni: &quot;%s&quot; powinno być %s'"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Erreur de Syntaxe : &quot;%s&quot; doit être un %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verkeerde syntax: &quot;%s&quot; moet een %s zijn"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="句法错误: &quot;%s&quot; 必须是一个 %s'"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sintaxis Incorrecta: &quot;%s&quot; debe de ser un %s'"></value>
-     </designation>
+     <code value="assessment"></code>
+     <display value="Assessment"></display>
+     <definition value="The activity is intended to perform or is related to assessment of the patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-topic"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="definition-topic"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/definition-topic"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1244"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DefinitionTopic"></name>
+    <title value="DefinitionTopic"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="High-level categorization of the definition, used for searching, sorting, and filtering."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="treatment"></code>
+     <display value="Treatment"></display>
+     <definition value="The definition is related to treatment of the patient."></definition>
     </concept>
     <concept>
-     <code value="MSG_BAD_SYNTAX"></code>
-     <display value="Bad Syntax in %s"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Неверный синтакс: %s"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sintassi errata in %s"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd składni w %s"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Erreur de Syntaxe dans %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verkeerde syntax in %s"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="%s 中句法错误"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Sintaxis Incorrecta en %s"></value>
-     </designation>
+     <code value="education"></code>
+     <display value="Education"></display>
+     <definition value="The definition is related to education of the patient."></definition>
     </concept>
     <concept>
-     <code value="MSG_CANT_PARSE_CONTENT"></code>
-     <display value="Unable to parse feed (entry content type = &quot;%s&quot;)"></display>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossibile effettuare il parsing del feed (tipo del contenuto della entry = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd parsowania (typ zawartości wejściowej = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossible d'analyser le flux (type de contenu de l'entrée = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kan feed niet verwerken (contenttype inhoud = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="无法解析feed (条目的内容类型 = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="No se pudo parsear el feed (el tipo de contenido de la entry = &quot;%s&quot;)"></value>
-     </designation>
+     <code value="assessment"></code>
+     <display value="Assessment"></display>
+     <definition value="The definition is related to assessment of the patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/plan-definition-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="plan-definition-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/plan-definition-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1245"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="PlanDefinitionType"></name>
+    <title value="PlanDefinitionType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of PlanDefinition."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/plan-definition-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="order-set"></code>
+     <display value="Order Set"></display>
+     <definition value="A pre-defined and approved group of orders related to a particular clinical condition (e.g. hypertension treatment and monitoring) or stage of care (e.g. hospital admission to Coronary Care Unit). An order set is used as a checklist for the clinician when managing a patient with a specific condition. It is a structured collection of orders relevant to that condition and presented to the clinician in a computerized provider order entry (CPOE) system."></definition>
     </concept>
     <concept>
-     <code value="MSG_CANT_PARSE_ROOT"></code>
-     <display value="Unable to parse feed (root element name = &quot;%s&quot;)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Не удалось разобрать данные (корневой элемент = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossibile effettuare il parsing del feed (nome elemento root = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd parsowania (nazwa elementu root = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossible d'analyser le flux (nom de l'élément racine = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kan feed niet verwerken (rootelementnaam = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="无法解析feed (根元素名 = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="No se pudo parsear el feed (nombre del elemento raiz = &quot;%s&quot;)"></value>
-     </designation>
+     <code value="clinical-protocol"></code>
+     <display value="Clinical Protocol"></display>
+     <definition value="Defines a desired/typical sequence of clinical activities including preconditions, triggers and temporal relationships."></definition>
     </concept>
     <concept>
-     <code value="MSG_CREATED"></code>
-     <display value="New resource created"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieuwe resource gemaakt"></value>
-     </designation>
+     <code value="eca-rule"></code>
+     <display value="ECA Rule"></display>
+     <definition value="A decision support rule of the form [on Event] if Condition then Action. It is intended to be a shareable, computable definition of actions that should be taken whenever some condition is met in response to a particular event or events."></definition>
     </concept>
     <concept>
-     <code value="MSG_DATE_FORMAT"></code>
-     <display value="The Date value %s is not in the correct format (Xml Date Format required)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Значение Date %s в неверном формате (требуется Xml Date формат)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Il valore %s per la data non è nel formato corretto (richiesto il Formato Data Xml)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niepoprawny format wartości daty %s (wymagany format XML)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Le format de la date %s est incorrect (format Date Xml attendu)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De Datum-waarde %s heeft niet de juiste structuur (Xml Date vereist)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="日期的值 %s 格式不正确 (要求是Xml Date格式)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="El valor de la fecha %s no está en el formato correcto (se requiere un formato de fecha Xml)"></value>
-     </designation>
+     <code value="workflow-definition"></code>
+     <display value="Workflow Definition"></display>
+     <definition value="Defines the steps for a group of one or more systems in an event flow process along with the step constraints, sequence, pre-conditions and decision points to complete a particular objective."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-grouping-behavior"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-grouping-behavior"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-grouping-behavior"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.800"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionGroupingBehavior"></name>
+    <title value="ActionGroupingBehavior"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines organization behavior of a group."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="visual-group"></code>
+     <display value="Visual Group"></display>
+     <definition value="Any group marked with this behavior should be displayed as a visual group to the end user."></definition>
     </concept>
     <concept>
-     <code value="MSG_DELETED"></code>
-     <display value="This resource has been deleted"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Данный ресурс был удалён"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Questa risorsa è stata cancellata"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ten zasób został usunięty"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La ressource a été supprimée"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Deze resource is verwijderd"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="该资源已删除"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Este recurso ha sido borrado"></value>
-     </designation>
+     <code value="logical-group"></code>
+     <display value="Logical Group"></display>
+     <definition value="A group with this behavior logically groups its sub-elements, and may be shown as a visual group to the end user, but it is not required to do so."></definition>
     </concept>
     <concept>
-     <code value="MSG_DELETED_DONE"></code>
-     <display value="Resource deleted"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ресурс удалён"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Risorsa cancellata"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zasób usunięto"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ressource supprimée"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resource verwijderd"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="资源已删除"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Recurso borrado"></value>
-     </designation>
+     <code value="sentence-group"></code>
+     <display value="Sentence Group"></display>
+     <definition value="A group of related alternative actions is a sentence group if the target referenced by the action is the same in all the actions and each action simply constitutes a different variation on how to specify the details for the target. For example, two actions that could be in a SentenceGroup are &quot;aspirin, 500 mg, 2 times per day&quot; and &quot;aspirin, 300 mg, 3 times per day&quot;. In both cases, aspirin is the target referenced by the action, and the two actions represent different options for how aspirin might be ordered for the patient. Note that a SentenceGroup would almost always have an associated selection behavior of &quot;AtMostOne&quot;, unless it's a required action, in which case, it would be &quot;ExactlyOne&quot;."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-selection-behavior"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-selection-behavior"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-selection-behavior"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.802"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionSelectionBehavior"></name>
+    <title value="ActionSelectionBehavior"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines selection behavior of a group."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-selection-behavior"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="any"></code>
+     <display value="Any"></display>
+     <definition value="Any number of the actions in the group may be chosen, from zero to all."></definition>
     </concept>
     <concept>
-     <code value="MSG_DELETED_ID"></code>
-     <display value="The resource &quot;%s&quot; has been deleted"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ресурс &quot;%s&quot; был удалён"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La risorsa &quot;%s&quot; è stata eliminata"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zasób &quot;%s&quot; został usunięty"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La ressource &quot;%s&quot; a été supprimée"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De resource &quot;%s&quot; is verwijderd"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="资源 &quot;%s&quot; 已被删除"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="El recurso &quot;%s&quot; ha sido borrado"></value>
-     </designation>
+     <code value="all"></code>
+     <display value="All"></display>
+     <definition value="All the actions in the group must be selected as a single unit."></definition>
     </concept>
     <concept>
-     <code value="MSG_DUPLICATE_ID"></code>
-     <display value="Duplicate Id %s for resource type %s"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Дублирующий Id %s для типа ресурса %s"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id %s duplicato per il tipo di risorsa %s"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zdublowany identyfikator %s dla zasobu typu %s"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id %s en double pour le type de ressource %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Duplicaat-id %s voor resourcetype %s"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ID %s 重复（资源类型 %s）"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id %s duplicada para el recurso de tipo %s"></value>
-     </designation>
+     <code value="all-or-none"></code>
+     <display value="All Or None"></display>
+     <definition value="All the actions in the group are meant to be chosen as a single unit: either all must be selected by the end user, or none may be selected."></definition>
     </concept>
     <concept>
-     <code value="MSG_ERROR_PARSING"></code>
-     <display value="Error parsing resource Xml (%s)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ошибка синтаксического разбора ресурса Xml (%s)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Errore nel parsing della risorsa Xml (%s)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd w trakcie parsowania zasobu XML (%s)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Erreur d'analyse de la ressource Xml (%s)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fout in verwerking resource Xml (%s)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="解析资源Xml时出错 (%s)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Error parseando el recurso Xml (%s)"></value>
-     </designation>
+     <code value="exactly-one"></code>
+     <display value="Exactly One"></display>
+     <definition value="The end user must choose one and only one of the selectable actions in the group. The user SHALL NOT choose none of the actions in the group."></definition>
     </concept>
     <concept>
-     <code value="MSG_ID_INVALID"></code>
-     <display value="Id &quot;%s&quot; has an invalid character &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; содержит недопустимые символы &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="L''Id &quot;%s&quot; ha un carattere non valido: &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identyfikator &quot;%s&quot; zawiera niepoprawny znak &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; possède un caractère invalide &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; heeft een ongeldig teken &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ID &quot;%s&quot; 带有非法字符: &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="El Id &quot;%s&quot; contiene el caracter inválido &quot;%s&quot;"></value>
-     </designation>
+     <code value="at-most-one"></code>
+     <display value="At Most One"></display>
+     <definition value="The end user may choose zero or at most one of the actions in the group."></definition>
     </concept>
     <concept>
-     <code value="MSG_ID_TOO_LONG"></code>
-     <display value="Id &quot;%s&quot; too long (length limit 36)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Недопустимая длина Id &quot;%s&quot; (ограничение 36)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; troppo lunga (limite di lunghezza: 36)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identyfikator &quot;%s&quot; jest zbyt długi (limit długości 36)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; trop long (la longueur limite est 36)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; te lang (max lengte 36)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id &quot;%s&quot; 过长 (长度限制: 36)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="El Id &quot;%s&quot; es demasiado largo (limite de longitud: 36)"></value>
-     </designation>
+     <code value="one-or-more"></code>
+     <display value="One Or More"></display>
+     <definition value="The end user must choose a minimum of one, and as many additional as desired."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-required-behavior"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-required-behavior"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-required-behavior"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.804"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionRequiredBehavior"></name>
+    <title value="ActionRequiredBehavior"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines expectations around whether an action or action group is required."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-required-behavior"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="must"></code>
+     <display value="Must"></display>
+     <definition value="An action with this behavior must be included in the actions processed by the end user; the end user SHALL NOT choose not to include this action."></definition>
     </concept>
     <concept>
-     <code value="MSG_INVALID_ID"></code>
-     <display value="Id not accepted"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id не принято"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id non accettato"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identyfikator nie zaakceptowany"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id non accepté"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id niet geaccepteerd"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id不被接受"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id no aceptada"></value>
-     </designation>
+     <code value="could"></code>
+     <display value="Could"></display>
+     <definition value="An action with this behavior may be included in the set of actions processed by the end user."></definition>
     </concept>
     <concept>
-     <code value="MSG_JSON_OBJECT"></code>
-     <display value="Json Source for a resource should start with an object"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Json Source для ресурса должен начинаться с объекта"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Il sorgente Json di una risorsa dovrebbe iniziare con un oggetto"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Źródło json dla zasobu powinno rozpoczynać się od obiektu"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La source Json pour une ressource doit commencer par un objet"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Json Source van een resource moeten beginnen met een object"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="资源的Json源应以一个object开始"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La fuente Json para un recurso debería empezar con un objeto"></value>
-     </designation>
+     <code value="must-unless-documented"></code>
+     <display value="Must Unless Documented"></display>
+     <definition value="An action with this behavior must be included in the set of actions processed by the end user, unless the end user provides documentation as to why the action was not included."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-precheck-behavior"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-precheck-behavior"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-precheck-behavior"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.806"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionPrecheckBehavior"></name>
+    <title value="ActionPrecheckBehavior"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines selection frequency behavior for an action or group."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="yes"></code>
+     <display value="Yes"></display>
+     <definition value="An action with this behavior is one of the most frequent action that is, or should be, included by an end user, for the particular context in which the action occurs. The system displaying the action to the end user should consider &quot;pre-checking&quot; such an action as a convenience for the user."></definition>
     </concept>
     <concept>
-     <code value="MSG_LOCAL_FAIL"></code>
-     <display value="Unable to resolve local reference to resource %s"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Невозможно определить локальную ссылку на ресурс %s"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossibile risolvere il riferimento locale alla risorsa %s"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zasób wskazywany przez loklaną referencję %s nie został odnaleziony"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossible de résourdre la référence locale à la ressource %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="De resource met lokale referentie %s is niet gevonden"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="无法解析对资源 %s 的本地引用"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Imposible resolver la referencia al recurso %s"></value>
-     </designation>
+     <code value="no"></code>
+     <display value="No"></display>
+     <definition value="An action with this behavior is one of the less frequent actions included by the end user, for the particular context in which the action occurs. The system displaying the actions to the end user would typically not &quot;pre-check&quot; such an action."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-cardinality-behavior"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-cardinality-behavior"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-cardinality-behavior"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.808"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionCardinalityBehavior"></name>
+    <title value="ActionCardinalityBehavior"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="single"></code>
+     <display value="Single"></display>
+     <definition value="The action may only be selected one time."></definition>
     </concept>
     <concept>
-     <code value="MSG_NO_EXIST"></code>
-     <display value="Resource Id &quot;%s&quot; does not exist"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ресурс Id &quot;%s&quot; не существует"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La risorsa con Id &quot;%s&quot; non esiste"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zasób o identyfikatorze &quot;%s&quot; nie istnieje"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="La ressource avec l'Id &quot;%s&quot; n'existe pas"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resource-id &quot;%s&quot; bestaat niet"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="资源Id &quot;%s&quot;不存在"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="El recurso con Id &quot;%s&quot; no existe"></value>
-     </designation>
+     <code value="multiple"></code>
+     <display value="Multiple"></display>
+     <definition value="The action may be selected multiple times."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/action-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1246"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionType"></name>
+    <title value="ActionType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of action to be performed."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="create"></code>
+     <display value="Create"></display>
+     <definition value="The action is to create a new resource."></definition>
     </concept>
     <concept>
-     <code value="MSG_NO_MATCH"></code>
-     <display value="No Resource found matching the query &quot;%s&quot;"></display>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nessuna Risorsa soddisfa la query &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen resource gevonden met query &quot;%s&quot;"></value>
-     </designation>
+     <code value="update"></code>
+     <display value="Update"></display>
+     <definition value="The action is to update an existing resource."></definition>
     </concept>
     <concept>
-     <code value="MSG_NO_MODULE"></code>
-     <display value="No module could be found to handle the request &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Модуль для обработки запроса &quot;%s&quot; не найден"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Impossibile trovare un modulo per gestire la richiesta &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nie można odnaleźć modułu, aby obsłużyć żądanie &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aucun module disponible pour traiter la requête &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Er kon geen module worden gevonden om verzoek &quot;%s&quot; te verwerken"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="无法找到处理请求&quot;%s&quot;的模块"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="No se encontró un modulo que gestione la petición &quot;%s&quot;"></value>
-     </designation>
+     <code value="remove"></code>
+     <display value="Remove"></display>
+     <definition value="The action is to remove an existing resource."></definition>
     </concept>
     <concept>
-     <code value="MSG_NO_SUMMARY"></code>
-     <display value="No Summary for this resource"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Отсутствует Summary для данного ресурса"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nessun riepilogo per questa risorsa"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Brak podsumowania (Summary) dla tego zasobu"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Aucun résumé disponible pour cette ressource"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Geen samenvatting voor deze resource"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="该资源无summary"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="No existe un resumen para este recurso"></value>
-     </designation>
+     <code value="fire-event"></code>
+     <display value="Fire Event"></display>
+     <definition value="The action is to fire a specific event."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-participant-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-participant-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-participant-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.812"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionParticipantType"></name>
+    <title value="ActionParticipantType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The type of participant for the action."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="patient"></code>
+     <display value="Patient"></display>
+     <definition value="The participant is the patient under evaluation."></definition>
     </concept>
     <concept>
-     <code value="MSG_OP_NOT_ALLOWED"></code>
-     <display value="Operation %s not allowed for resource %s (due to local configuration)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Операция %s недопустима для ресурса %s (по причине локальной конфигурации)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Operazione %s non consentita per la risorsa %s (a causa di configurazioni locali)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niedozwolona operacja %s dla zasobu %s (ze względu na lokalną konfigurację)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="L'opération %s n'est pas permise pour la ressource %s (à cause de la configuration locale)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Bewerking %s niet toegestaan voor resource %s (vanwege lokale configuratie)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="操作 %s 不允许，对于资源 %s (由于本地配置)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Operación %s no permitida para el recurso %s (debido a la configuración local)"></value>
-     </designation>
+     <code value="practitioner"></code>
+     <display value="Practitioner"></display>
+     <definition value="The participant is a practitioner involved in the patient's care."></definition>
     </concept>
     <concept>
-     <code value="MSG_PARAM_CHAINED"></code>
-     <display value="Unknown chained parameter name &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Неизвестое вложенное наименование параметра &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nome di parametro concatenato sconosciuto: &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieznana nazwa parametru powiązanego &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nom du paramètre chainé inconnu : &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekende geschakelde parameternaam &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="未知的链式参数名: &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nombre de parametro encadenado desconocido: &quot;%s&quot;"></value>
-     </designation>
+     <code value="related-person"></code>
+     <display value="Related Person"></display>
+     <definition value="The participant is a person related to the patient."></definition>
     </concept>
     <concept>
-     <code value="MSG_PARAM_INVALID"></code>
-     <display value="Parameter &quot;%s&quot; content is invalid"></display>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Il contenuto del Parametro &quot;%s&quot; non è valido"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Waarde van parameter &quot;%s&quot; is ongeldig"></value>
-     </designation>
+     <code value="device"></code>
+     <display value="Device"></display>
+     <definition value="The participant is a system or device used in the care of the patient."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-relationship-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-relationship-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-relationship-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.814"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionRelationshipType"></name>
+    <title value="ActionRelationshipType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines the types of relationships between actions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="before-start"></code>
+     <display value="Before Start"></display>
+     <definition value="The action must be performed before the start of the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_PARAM_MODIFIER_INVALID"></code>
-     <display value="Parameter &quot;%s&quot; modifier is invalid"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Modifier van parameter &quot;%s&quot; is ongeldig"></value>
-     </designation>
+     <code value="before"></code>
+     <display value="Before"></display>
+     <definition value="The action must be performed before the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_PARAM_NO_REPEAT"></code>
-     <display value="Parameter &quot;%s&quot; is not allowed to repeat"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Параметр &quot;%s&quot; не может быть повторён"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Non � consentito ripetere il parametro &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parametr &quot;%s&quot; nie może zostać powtórzony"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Le paramètre &quot;%s&quot; ne peut pas être répété"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parameter &quot;%s&quot; mag niet herhalen"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="参数&quot;%s&quot;不可重复"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="No se permite la repetición del parámetro &quot;%s&quot;"></value>
-     </designation>
+     <code value="before-end"></code>
+     <display value="Before End"></display>
+     <definition value="The action must be performed before the end of the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_PARAM_UNKNOWN"></code>
-     <display value="Parameter &quot;%s&quot; not understood"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Параметр &quot;%s&quot; не понят"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parametro &quot;%s&quot; non riconosciuto"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niezrozumiały parametr &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Paramètre &quot;%s&quot; non reconnu"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parameter &quot;%s&quot; onbekend"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="无法理解参数&quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Parámetro &quot;%s&quot; no reconocido"></value>
-     </designation>
+     <code value="concurrent-with-start"></code>
+     <display value="Concurrent With Start"></display>
+     <definition value="The action must be performed concurrent with the start of the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_EXAMPLE_PROTECTED"></code>
-     <display value="Resources with identity &quot;example&quot; cannot be deleted (for testing/training purposes)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ресурс с идентификатором &quot;example&quot; не может быть удалён (для случаев тестирования/обучения)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Le Risorse aventi l'identità &quot;example&quot; non possono essere cancellate (per finalità di test/formazione)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zasoby oznaczone jako &quot;example&quot; nie mogą zostać usunięte (dla celów testów/szkoleń)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Les ressources ayant l'identité &quot;example&quot; ne peuvent pas être supprimées (utilisées pour les tests/formations)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resources met identiteit &quot;voorbeeld&quot; kunnen niet worden verwijderd (ten behoeve van testen/training)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="以&quot;example&quot; 为ID的资源不能被删除 (用于测试/培训)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Recursos con la identidad &quot;example&quot; no pueden ser borrados (son usados para pruebas/entrenamiento)"></value>
-     </designation>
+     <code value="concurrent"></code>
+     <display value="Concurrent"></display>
+     <definition value="The action must be performed concurrent with the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_ID_FAIL"></code>
-     <display value="unable to allocate resource id"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="невозможно выделить идентификатор ресурса"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="impossibile allocare l''id della risorsa"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nie można nadać identyfikatora zasobu"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="impossible d'allouer l'id de la ressource"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="kan geen resource-id reserveren"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="无法分配资源ID"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="imposible encontrar el id del recurso"></value>
-     </designation>
+     <code value="concurrent-with-end"></code>
+     <display value="Concurrent With End"></display>
+     <definition value="The action must be performed concurrent with the end of the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_ID_MISMATCH"></code>
-     <display value="Resource Id Mismatch"></display>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Problème de correspondance d'Id de la Ressource"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resource ID's komen niet overeen"></value>
-     </designation>
+     <code value="after-start"></code>
+     <display value="After Start"></display>
+     <definition value="The action must be performed after the start of the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_ID_MISSING"></code>
-     <display value="Resource Id Missing"></display>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id della Risorsa mancante"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Id de la Ressource manquante"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resource ID ontbreekt"></value>
-     </designation>
+     <code value="after"></code>
+     <display value="After"></display>
+     <definition value="The action must be performed after the related action."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_NOT_ALLOWED"></code>
-     <display value="Not allowed to submit a resource for this operation"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Для данной операции отправка ресурса недопустима"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Non è consentito sottomettere una risorsa per questa operazione"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nie można zgłosić zasobu dla tej operacji"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Non autorisé à soumettre une ressource pour cette opération"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niet toegestaan om een resource in te dienen voor deze bewerking"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="该操作不允许提交资源"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="No se permite el envío de un recurso para esta operación"></value>
-     </designation>
+     <code value="after-end"></code>
+     <display value="After End"></display>
+     <definition value="The action must be performed after the end of the related action."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-condition-kind"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="action-condition-kind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/action-condition-kind"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.816"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ActionConditionKind"></name>
+    <title value="ActionConditionKind"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines the kinds of conditions that can appear on actions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="applicability"></code>
+     <display value="Applicability"></display>
+     <definition value="The condition describes whether or not a given action is applicable."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_REQUIRED"></code>
-     <display value="A resource is required"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Требуется ресурс"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="E'' richiesta una risorsa"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zasób jest wymagany"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Une ressource est requise"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Een resource is verplicht"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="必须提供一个资源"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Se requiere un recurso"></value>
-     </designation>
+     <code value="start"></code>
+     <display value="Start"></display>
+     <definition value="The condition is a starting condition for the action."></definition>
     </concept>
     <concept>
-     <code value="MSG_RESOURCE_TYPE_MISMATCH"></code>
-     <display value="Resource Type Mismatch"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Несоответствие типа ресурса"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tipo Risorsa non corrispondente"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Niepoprawny typ zasobu"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Type de ressource incorrect"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Verkeerd resourcetype"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="资源类型不匹配"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Los Tipos de los recursos no coinciden"></value>
-     </designation>
+     <code value="stop"></code>
+     <display value="Stop"></display>
+     <definition value="The condition is a stop, or exit condition for the action."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/guidance-response-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="guidance-response-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/guidance-response-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.818"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GuidanceResponseStatus"></name>
+    <title value="GuidanceResponseStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The status of a guidance response."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="success"></code>
+     <display value="Success"></display>
+     <definition value="The request was processed successfully."></definition>
     </concept>
     <concept>
-     <code value="MSG_SORT_UNKNOWN"></code>
-     <display value="Unknown sort parameter name &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Неизвестное имя параметра сортировки &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nome del parametro di ordinamento &quot;%s&quot; non riconosciuto"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieznany parametr sortowania &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nom du paramètre de tri inconnu &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekende parameternaam &quot;%s&quot; voor sortering"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="未知的排序参数名称&quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nombre del parámetro de ordenación &quot;%s&quot; desconocido"></value>
-     </designation>
+     <code value="data-requested"></code>
+     <display value="Data Requested"></display>
+     <definition value="The request was processed successfully, but more data may result in a more complete evaluation."></definition>
     </concept>
     <concept>
-     <code value="MSG_TRANSACTION_DUPLICATE_ID"></code>
-     <display value="Duplicate Identifier in transaction: %s"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Дублирующий идентификатор в транзакции: %s"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Zdublowany identyfikator w transakcji: %s"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identifiant en double dans la transaction : %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dubbele identificatie in transactie: %s"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="事务中存在重复Id: %s"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identificador duplicado en la transacción: %s"></value>
-     </designation>
+     <code value="data-required"></code>
+     <display value="Data Required"></display>
+     <definition value="The request was processed, but more data is required to complete the evaluation."></definition>
     </concept>
     <concept>
-     <code value="MSG_TRANSACTION_MISSING_ID"></code>
-     <display value="Missing Identifier in transaction - an entry.id must be provided"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Отсутствует идентификатор в транзакции - требуется entry.id"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Brak identyfikatora w transakcji - należy podać entry.id"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identifiant manquant dans la transaction - un élément entry.id doit être fourni"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ontbrekende identificatie in transactie - entry.id is verplicht"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="事务中缺少Id - 必须提供一个entry.id"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Identificador de la transacción no encontrado - se debe proporcionar un entry.id"></value>
-     </designation>
+     <code value="in-progress"></code>
+     <display value="In Progress"></display>
+     <definition value="The request is currently being processed."></definition>
     </concept>
     <concept>
-     <code value="MSG_UNHANDLED_NODE_TYPE"></code>
-     <display value="Unhandled xml node type &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Не обработанный xml узел &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tipo di nodo Xml non gestito &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieobsługiwany typ węzła XML &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Type de noeud xml &quot;%s&quot; non traité"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Kan xml nodetype &quot;%s&quot; niet verwerken"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="未处理的XML节点类型&quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tipo de nodo Xml no soportado &quot;%s&quot;"></value>
-     </designation>
+     <code value="failure"></code>
+     <display value="Failure"></display>
+     <definition value="The request was not processed successfully."></definition>
     </concept>
     <concept>
-     <code value="MSG_UNKNOWN_CONTENT"></code>
-     <display value="Unknown Content (%s) at %s"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Неизвестный контент (%s) в %s"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contenuto Sconosciuto (%s) at %s"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nieznana zawartość (%s) dla %s"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contenu inconnu (%s) à %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Onbekende content (%s) at %s"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="未知内容 (%s) 位于 %s"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Contenido desconocido (%s) en %s"></value>
-     </designation>
+     <code value="entered-in-error"></code>
+     <display value="Entered In Error"></display>
+     <definition value="The response was entered in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-study-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/research-study-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.820"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchStudyStatus"></name>
+    <title value="ResearchStudyStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes that convey the current status of the research study."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="Study is opened for accrual."></definition>
     </concept>
     <concept>
-     <code value="MSG_UNKNOWN_OPERATION"></code>
-     <display value="unknown FHIR http operation"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="неизвестная операция FHIR http"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="operazione http FHIR sconosciuta"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="nieznana operacja FHIR http"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="operation http FHIR inconnue"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="onbekende FHIR http operation"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="未知的FHIR HTTP操作"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Operación http FHIR desconocida"></value>
-     </designation>
+     <code value="administratively-completed"></code>
+     <display value="Administratively Completed"></display>
+     <definition value="Study is completed prematurely and will not resume; patients are no longer examined nor treated."></definition>
     </concept>
     <concept>
-     <code value="MSG_UNKNOWN_TYPE"></code>
-     <display value="Resource Type &quot;%s&quot; not recognised"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Тип ресурса &quot;%s&quot; не распознан"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tipo di Risorsa &quot;%s&quot; non riconosciuto"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nie rozpoznany typ zasobu: &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Type de ressource &quot;%s&quot; non reconnu"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Resourcetype &quot;%s&quot; niet herkend"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="资源类型&quot;%s&quot;未识别"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Tipo de Recurso &quot;%s&quot; no reconocido"></value>
-     </designation>
+     <code value="approved"></code>
+     <display value="Approved"></display>
+     <definition value="Protocol is approved by the review board."></definition>
     </concept>
     <concept>
-     <code value="MSG_UPDATED"></code>
-     <display value="existing resource updated"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="существующий ресурс обновлён"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="risorsa esistente aggiornata"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="uaktualniono istniejący zasób"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="ressource existante mise à jour"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="bestaande resource updated"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="已有资源被更新"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Recurso existente actualizado"></value>
-     </designation>
+     <code value="closed-to-accrual"></code>
+     <display value="Closed to Accrual"></display>
+     <definition value="Study is closed for accrual; patients can be examined and treated."></definition>
     </concept>
     <concept>
-     <code value="MSG_VERSION_AWARE"></code>
-     <display value="Version aware updates are required for this resource"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Для данного ресурса необходимы обновления с учётом версии"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Questa risorsa richiede aggiornamenti per versione"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Uaktualnienia zakładające wersjonowanie są wymagane dla tego zasobu"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Des mises à jour en relation avec la version sont requises pour cette ressource"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie-bewuste updates zijn vereist voor deze resource"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="该资源的更新必须针对版本"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Este recurso requiere actualizaciones en base a versiones"></value>
-     </designation>
+     <code value="closed-to-accrual-and-intervention"></code>
+     <display value="Closed to Accrual and Intervention"></display>
+     <definition value="Study is closed to accrual and intervention, i.e. the study is closed to enrollment, all study subjects have completed treatment or intervention but are still being followed according to the primary objective of the study."></definition>
     </concept>
     <concept>
-     <code value="MSG_VERSION_AWARE_CONFLICT"></code>
-     <display value="Update Conflict (server current version = &quot;%s&quot;, client version referenced = &quot;%s&quot;)"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Конфликт обновления (текущая версия сервера = &quot;%s&quot;, указанная версия клиента = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Conflitto nell''aggiornamento (attuale = &quot;%s&quot;, quotato = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Konflikt podczas uaktualnienia (obecna wersja na serwerze = &quot;%s&quot;, wersja wskazana przez klienta = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Conflit de mise à jour (version courante du serveur = &quot;%s&quot;, version référencée du client = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Updateconflict (huidige serverversie = &quot;%s&quot;, opgegeven clientversie = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="更新冲突 (服务器当前版本 = &quot;%s&quot;, 客户端引用的版本 = &quot;%s&quot;)"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Conflicto de actualizaciones (versión actual del servidor = &quot;%s&quot;, versión del cliente referenciada = &quot;%s&quot;)"></value>
-     </designation>
+     <code value="completed"></code>
+     <display value="Completed"></display>
+     <definition value="Study is closed to accrual and intervention, i.e. the study is closed to enrollment, all study subjects have completed treatment
+or intervention but are still being followed according to the primary objective of the study."></definition>
     </concept>
     <concept>
-     <code value="MSG_VERSION_AWARE_URL"></code>
-     <display value="Version specific URL not recognised"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="URL для указанной версии не распознан"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="URL specifico alla versione non riconosciuto"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Nie rozpoznany URL specyficzny dla wersji"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="URL spécifique à une version non reconnue"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Versie-specifieke URL niet herkend"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="未识别特定版本的URL"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="URL especifica de la versión no reconocida"></value>
-     </designation>
+     <code value="disapproved"></code>
+     <display value="Disapproved"></display>
+     <definition value="Protocol was disapproved by the review board."></definition>
     </concept>
     <concept>
-     <code value="MSG_WRONG_NS"></code>
-     <display value="This does not appear to be a FHIR element or resource (wrong namespace &quot;%s&quot;)"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Dit lijkt geen FHIR element of resource te zijn (verkeerde namespace &quot;%s&quot;)"></value>
-     </designation>
+     <code value="in-review"></code>
+     <display value="In Review"></display>
+     <definition value="Protocol is submitted to the review board for approval."></definition>
     </concept>
     <concept>
-     <code value="SEARCH_MULTIPLE"></code>
-     <display value="Error: Multiple matches exist for %s search parameters &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ошибка: множественные совпадения для %s с параметрами поиска &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Errore: Trovate corrispondenze multiple per %s parametri di ricerca &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd: Istnieją wielokrotne dopasowania dla %s parametrów wyszukiwania &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Erreur : Plusieurs correspondances existent pour ce paramètre de recherche %s"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fout: er is meer dan één resultaat voor %s zoekparameters &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="错误: 对于 %s 搜索的参数 &quot;%s&quot;存在多个匹配"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Error: Multiples ocurrencias existen para %s parametros de búsqueda &quot;%s&quot;"></value>
-     </designation>
+     <code value="temporarily-closed-to-accrual"></code>
+     <display value="Temporarily Closed to Accrual"></display>
+     <definition value="Study is temporarily closed for accrual; can be potentially resumed in the future; patients can be examined and treated."></definition>
     </concept>
     <concept>
-     <code value="SEARCH_NONE"></code>
-     <display value="Error: no processable search found for %s search parameters &quot;%s&quot;"></display>
-     <designation>
-      <language value="ru"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Ошибка: обрабатываемых результатов поиска для %s с параметрами поиска &quot;%s&quot; не найдено"></value>
-     </designation>
-     <designation>
-      <language value="it"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Errore: non è stato trovato alcun parametro di ricerca processabile per %s parametri di ricerca &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="pl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Błąd: Niewykonalne wyszukiwanie dla %s parametrów wyszukiwania &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="fr"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Erreur : aucune recherche trouvée pour les paramètres %s &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fout: geen verwerkbare zoekactie gevonden voor %s zoekparameters &quot;%s&quot;"></value>
-     </designation>
-     <designation>
-      <language value="zh"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="错误: 对%s搜索参数&quot;%s&quot;未找到可处理的搜索"></value>
-     </designation>
-     <designation>
-      <language value="es"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Error: no se encontro una búsqueda apropiada para %s parametros de búsqueda &quot;%s&quot;"></value>
-     </designation>
+     <code value="temporarily-closed-to-accrual-and-intervention"></code>
+     <display value="Temporarily Closed to Accrual and Intervention"></display>
+     <definition value="Study is temporarily closed for accrual and intervention and potentially can be resumed in the future."></definition>
     </concept>
     <concept>
-     <code value="UPDATE_MULTIPLE_MATCHES"></code>
-     <display value="Error: Multiple matches exist for the conditional update"></display>
-     <designation>
-      <language value="nl"></language>
-      <use>
-       <system value="http://terminology.hl7.org/CodeSystem/designation-usage"></system>
-       <code value="display"></code>
-      </use>
-      <value value="Fout: er is meer dan één resultaat voor de conditionele update"></value>
-     </designation>
+     <code value="withdrawn"></code>
+     <display value="Withdrawn"></display>
+     <definition value="Protocol was withdrawn by the lead organization."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-phase"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-study-phase"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-study-phase"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1247"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchStudyPhase"></name>
+    <title value="ResearchStudyPhase"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for the stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-phase"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="n-a"></code>
+     <display value="N/A"></display>
+     <definition value="Trials without phases (for example, studies of devices or behavioral interventions)."></definition>
+    </concept>
+    <concept>
+     <code value="early-phase-1"></code>
+     <display value="Early Phase 1"></display>
+     <definition value="Designation for optional exploratory trials conducted in accordance with the United States Food and Drug Administration's (FDA) 2006 Guidance on Exploratory Investigational New Drug (IND) Studies. Formerly called Phase 0."></definition>
+    </concept>
+    <concept>
+     <code value="phase-1"></code>
+     <display value="Phase 1"></display>
+     <definition value="Includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients."></definition>
+    </concept>
+    <concept>
+     <code value="phase-1-phase-2"></code>
+     <display value="Phase 1/Phase 2"></display>
+     <definition value="Trials that are a combination of phases 1 and 2."></definition>
+    </concept>
+    <concept>
+     <code value="phase-2"></code>
+     <display value="Phase 2"></display>
+     <definition value="Includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in participants with the disease or condition under study and to determine the common short-term side effects and risks."></definition>
+    </concept>
+    <concept>
+     <code value="phase-2-phase-3"></code>
+     <display value="Phase 2/Phase 3"></display>
+     <definition value="Trials that are a combination of phases 2 and 3."></definition>
+    </concept>
+    <concept>
+     <code value="phase-3"></code>
+     <display value="Phase 3"></display>
+     <definition value="Includes trials conducted after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug."></definition>
+    </concept>
+    <concept>
+     <code value="phase-4"></code>
+     <display value="Phase 4"></display>
+     <definition value="Studies of FDA-approved drugs to delineate additional information including the drug's risks, benefits, and optimal use."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-objective-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-study-objective-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-study-objective-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1248"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchStudyObjectiveType"></name>
+    <title value="ResearchStudyObjectiveType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for the kind of study objective."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-objective-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="primary"></code>
+     <display value="Primary"></display>
+     <definition value="The main question to be answered, and the one that drives any statistical planning for the study—e.g., calculation of the sample size to provide the appropriate power for statistical testing."></definition>
+    </concept>
+    <concept>
+     <code value="secondary"></code>
+     <display value="Secondary"></display>
+     <definition value="Question to be answered in the study that is of lesser importance than the primary objective."></definition>
+    </concept>
+    <concept>
+     <code value="exploratory"></code>
+     <display value="Exploratory"></display>
+     <definition value="Exploratory questions to be answered in the study."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-reason-stopped"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-study-reason-stopped"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-study-reason-stopped"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1249"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchStudyReasonStopped"></name>
+    <title value="ResearchStudyReasonStopped"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for why the study ended prematurely."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-reason-stopped"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="accrual-goal-met"></code>
+     <display value="Accrual Goal Met"></display>
+     <definition value="The study prematurely ended because the accrual goal was met."></definition>
+    </concept>
+    <concept>
+     <code value="closed-due-to-toxicity"></code>
+     <display value="Closed due to toxicity"></display>
+     <definition value="The study prematurely ended due to toxicity."></definition>
+    </concept>
+    <concept>
+     <code value="closed-due-to-lack-of-study-progress"></code>
+     <display value="Closed due to lack of study progress"></display>
+     <definition value="The study prematurely ended due to lack of study progress."></definition>
+    </concept>
+    <concept>
+     <code value="temporarily-closed-per-study-design"></code>
+     <display value="Temporarily closed per study design"></display>
+     <definition value="The study prematurely ended temporarily per study design."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-prim-purp-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-study-prim-purp-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-study-prim-purp-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1250"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchStudyPrimaryPurposeType"></name>
+    <title value="ResearchStudyPrimaryPurposeType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for the main intent of the study."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-prim-purp-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="treatment"></code>
+     <display value="Treatment"></display>
+     <definition value="One or more interventions are being evaluated for treating a disease, syndrome, or condition."></definition>
+    </concept>
+    <concept>
+     <code value="prevention"></code>
+     <display value="Prevention"></display>
+     <definition value="One or more interventions are being assessed for preventing the development of a specific disease or health condition."></definition>
+    </concept>
+    <concept>
+     <code value="diagnostic"></code>
+     <display value="Diagnostic"></display>
+     <definition value="One or more interventions are being evaluated for identifying a disease or health condition."></definition>
+    </concept>
+    <concept>
+     <code value="supportive-care"></code>
+     <display value="Supportive Care"></display>
+     <definition value="One or more interventions are evaluated for maximizing comfort, minimizing side effects, or mitigating against a decline in the participant's health or function."></definition>
+    </concept>
+    <concept>
+     <code value="screening"></code>
+     <display value="Screening"></display>
+     <definition value="One or more interventions are assessed or examined for identifying a condition, or risk factors for a condition, in people who are not yet known to have the condition or risk factor."></definition>
+    </concept>
+    <concept>
+     <code value="health-services-research"></code>
+     <display value="Health Services Research"></display>
+     <definition value="One or more interventions for evaluating the delivery, processes, management, organization, or financing of healthcare."></definition>
+    </concept>
+    <concept>
+     <code value="basic-science"></code>
+     <display value="Basic Science"></display>
+     <definition value="One or more interventions for examining the basic mechanism of action (for example, physiology or biomechanics of an intervention)."></definition>
+    </concept>
+    <concept>
+     <code value="device-feasibility"></code>
+     <display value="Device Feasibility"></display>
+     <definition value="An intervention of a device product is being evaluated to determine the feasibility of the product or to test a prototype device and not health outcomes. Such studies are conducted to confirm the design and operating specifications of a device before beginning a full clinical trial."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-subject-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/research-subject-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.830"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchSubjectStatus"></name>
+    <title value="ResearchSubjectStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the progression of a study subject through a study."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="candidate"></code>
+     <display value="Candidate"></display>
+     <definition value="An identified person that can be considered for inclusion in a study."></definition>
+    </concept>
+    <concept>
+     <code value="eligible"></code>
+     <display value="Eligible"></display>
+     <definition value="A person that has met the eligibility criteria for inclusion in a study."></definition>
+    </concept>
+    <concept>
+     <code value="follow-up"></code>
+     <display value="Follow-up"></display>
+     <definition value="A person is no longer receiving study intervention and/or being evaluated with tests and procedures according to the protocol, but they are being monitored on a protocol-prescribed schedule."></definition>
+    </concept>
+    <concept>
+     <code value="ineligible"></code>
+     <display value="Ineligible"></display>
+     <definition value="A person who did not meet one or more criteria required for participation in a study is considered to have failed screening or
+is ineligible for the study."></definition>
+    </concept>
+    <concept>
+     <code value="not-registered"></code>
+     <display value="Not Registered"></display>
+     <definition value="A person for whom registration was not completed."></definition>
+    </concept>
+    <concept>
+     <code value="off-study"></code>
+     <display value="Off-study"></display>
+     <definition value="A person that has ended their participation on a study either because their treatment/observation is complete or through not
+responding, withdrawal, non-compliance and/or adverse event."></definition>
+    </concept>
+    <concept>
+     <code value="on-study"></code>
+     <display value="On-study"></display>
+     <definition value="A person that is enrolled or registered on a study."></definition>
+    </concept>
+    <concept>
+     <code value="on-study-intervention"></code>
+     <display value="On-study-intervention"></display>
+     <definition value="The person is receiving the treatment or participating in an activity (e.g. yoga, diet, etc.) that the study is evaluating."></definition>
+    </concept>
+    <concept>
+     <code value="on-study-observation"></code>
+     <display value="On-study-observation"></display>
+     <definition value="The subject is being evaluated via tests and assessments according to the study calendar, but is not receiving any intervention. Note that this state is study-dependent and might not exist in all studies.  A synonym for this is &quot;short-term follow-up&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="pending-on-study"></code>
+     <display value="Pending on-study"></display>
+     <definition value="A person is pre-registered for a study."></definition>
+    </concept>
+    <concept>
+     <code value="potential-candidate"></code>
+     <display value="Potential Candidate"></display>
+     <definition value="A person that is potentially eligible for participation in the study."></definition>
+    </concept>
+    <concept>
+     <code value="screening"></code>
+     <display value="Screening"></display>
+     <definition value="A person who is being evaluated for eligibility for a study."></definition>
+    </concept>
+    <concept>
+     <code value="withdrawn"></code>
+     <display value="Withdrawn"></display>
+     <definition value="The person has withdrawn their participation in the study before registration."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-state-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-subject-state-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-subject-state-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchSubjectStateType"></name>
+    <title value="ResearchSubjectStateType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Identifies the kind of state being refered to."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-state-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="Milestone"></code>
+     <display value="Milestone status"></display>
+     <definition value="One of a set of milestone events that once they have occurred remain true thereafter.  For example once a subject has reached the &quot;Signed Informed Consent&quot; milestone they achieve a status of &quot;Consented&quot; that will be true thereafter, even when they have left the study.  For a subject a number of these states can be simulataneously true and should be recorded."></definition>
+    </concept>
+    <concept>
+     <code value="Enrollment"></code>
+     <display value="Enrollment status"></display>
+     <definition value="This is a status that can only have a single value at a given point in time.  The subject is either on-study or off-study."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-state"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-subject-state"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-subject-state"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchSubjectState"></name>
+    <title value="ResearchSubjectState"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the progression of a study subject through a study."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-state"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="candidate"></code>
+     <display value="Candidate"></display>
+     <definition value="An identified person that can be considered for inclusion in a study."></definition>
+    </concept>
+    <concept>
+     <code value="eligible"></code>
+     <display value="Eligible"></display>
+     <definition value="A person that has met the eligibility criteria for inclusion in a study."></definition>
+    </concept>
+    <concept>
+     <code value="follow-up"></code>
+     <display value="Follow-up"></display>
+     <definition value="A person is no longer receiving study intervention and/or being evaluated with tests and procedures according to the protocol, but they are being monitored on a protocol-prescribed schedule."></definition>
+    </concept>
+    <concept>
+     <code value="ineligible"></code>
+     <display value="Ineligible"></display>
+     <definition value="A person who did not meet one or more criteria required for participation in a study is considered to have failed screening or
+is ineligible for the study."></definition>
+    </concept>
+    <concept>
+     <code value="not-registered"></code>
+     <display value="Not Registered"></display>
+     <definition value="A person for whom registration was not completed."></definition>
+    </concept>
+    <concept>
+     <code value="off-study"></code>
+     <display value="Off-study"></display>
+     <definition value="A person that has ended their participation on a study either because their treatment/observation is complete or through not
+responding, withdrawal, non-compliance and/or adverse event."></definition>
+    </concept>
+    <concept>
+     <code value="on-study"></code>
+     <display value="On-study"></display>
+     <definition value="A person that is enrolled or registered on a study."></definition>
+    </concept>
+    <concept>
+     <code value="on-study-intervention"></code>
+     <display value="On-study-intervention"></display>
+     <definition value="The person is receiving the treatment or participating in an activity (e.g. yoga, diet, etc.) that the study is evaluating."></definition>
+    </concept>
+    <concept>
+     <code value="on-study-observation"></code>
+     <display value="On-study-observation"></display>
+     <definition value="The subject is being evaluated via tests and assessments according to the study calendar, but is not receiving any intervention. Note that this state is study-dependent and might not exist in all studies.  A synonym for this is &quot;short-term follow-up&quot;."></definition>
+    </concept>
+    <concept>
+     <code value="pending-on-study"></code>
+     <display value="Pending on-study"></display>
+     <definition value="A person is pre-registered for a study."></definition>
+    </concept>
+    <concept>
+     <code value="potential-candidate"></code>
+     <display value="Potential Candidate"></display>
+     <definition value="A person that is potentially eligible for participation in the study."></definition>
+    </concept>
+    <concept>
+     <code value="screening"></code>
+     <display value="Screening"></display>
+     <definition value="A person who is being evaluated for eligibility for a study."></definition>
+    </concept>
+    <concept>
+     <code value="withdrawn"></code>
+     <display value="Withdrawn"></display>
+     <definition value="The person has withdrawn their participation in the study before registration."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-milestone"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="research-subject-milestone"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/research-subject-milestone"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResearchSubjectMilestone"></name>
+    <title value="ResearchSubjectMilestone"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the progression of a study subject through the study milestones."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-milestone"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="SignedUp"></code>
+     <display value="Signed up"></display>
+     <definition value="A person has expressed an interest in being in a study but has not yet been through any assessment or consent processes."></definition>
+    </concept>
+    <concept>
+     <code value="Screened"></code>
+     <display value="Screened"></display>
+     <definition value="A potential subject has been screened for suitability."></definition>
+    </concept>
+    <concept>
+     <code value="Randomized"></code>
+     <display value="Randomized"></display>
+     <definition value="A subject has been allocated to an arm of the study."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/state-change-reason"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="state-change-reason"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="brr"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/state-change-reason"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="StateChangeReason"></name>
+    <title value="StateChangeReason"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates why the state of the subject changed."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/state-change-reason"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="adverseEvent"></code>
+     <display value="adverse event"></display>
+     <definition value="adverse event."></definition>
+    </concept>
+    <concept>
+     <code value="death"></code>
+     <display value="death (adverse event)"></display>
+     <definition value="death (adverse event)."></definition>
+    </concept>
+    <concept>
+     <code value="notEligible"></code>
+     <display value="did not meet eligibility criteria"></display>
+     <definition value="did not meet eligibility criteria."></definition>
+    </concept>
+    <concept>
+     <code value="eligibleButNo"></code>
+     <display value="eligible but unwilling or unable to participate"></display>
+     <definition value="eligible but unwilling or unable to participate."></definition>
+    </concept>
+    <concept>
+     <code value="enrolled"></code>
+     <display value="enrolled or registered"></display>
+     <definition value="enrolled or registered."></definition>
+    </concept>
+    <concept>
+     <code value="exclusion"></code>
+     <display value="exclusion"></display>
+     <definition value="exclusion."></definition>
+    </concept>
+    <concept>
+     <code value="followUpComplete"></code>
+     <display value="follow-up complete"></display>
+     <definition value="follow-up complete."></definition>
+    </concept>
+    <concept>
+     <code value="inclusion"></code>
+     <display value="inclusion"></display>
+     <definition value="inclusion."></definition>
+    </concept>
+    <concept>
+     <code value="informedConsentSigned"></code>
+     <display value="Informed consent signed"></display>
+     <definition value="Informed consent signed."></definition>
+    </concept>
+    <concept>
+     <code value="intOrObsComplete"></code>
+     <display value="intervention or observation complete"></display>
+     <definition value="intervention or observation complete."></definition>
+    </concept>
+    <concept>
+     <code value="nonCompliance"></code>
+     <display value="non-compliance"></display>
+     <definition value="non-compliance."></definition>
+    </concept>
+    <concept>
+     <code value="preReg"></code>
+     <display value="pre-registered or slot reserved"></display>
+     <definition value="pre-registered or slot reserved."></definition>
+    </concept>
+    <concept>
+     <code value="refuseConsent"></code>
+     <display value="refuse consent"></display>
+     <definition value="refuse consent."></definition>
+    </concept>
+    <concept>
+     <code value="screenFailure"></code>
+     <display value="screen failure"></display>
+     <definition value="screen failure."></definition>
+    </concept>
+    <concept>
+     <code value="studyClosed"></code>
+     <display value="study permanently closed to accrual"></display>
+     <definition value="study permanently closed to accrual."></definition>
+    </concept>
+    <concept>
+     <code value="studyTerminated"></code>
+     <display value="study terminated"></display>
+     <definition value="study terminated."></definition>
+    </concept>
+    <concept>
+     <code value="subjectRefusal"></code>
+     <display value="subject refusal"></display>
+     <definition value="subject refusal."></definition>
+    </concept>
+    <concept>
+     <code value="unwillingOrUnable"></code>
+     <display value="unwilling or unable to participate"></display>
+     <definition value="unwilling or unable to participate."></definition>
+    </concept>
+    <concept>
+     <code value="withdrawnConsent"></code>
+     <display value="withdrawn consent"></display>
+     <definition value="withdrawn consent."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-significance-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="message-significance-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="inm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/message-significance-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.189"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MessageSignificanceCategory"></name>
+    <title value="MessageSignificanceCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The impact of the content of a message."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/message-significance-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="consequence"></code>
+     <display value="Consequence"></display>
+     <definition value="The message represents/requests a change that should not be processed more than once; e.g., making a booking for an appointment."></definition>
+    </concept>
+    <concept>
+     <code value="currency"></code>
+     <display value="Currency"></display>
+     <definition value="The message represents a response to query for current information. Retrospective processing is wrong and/or wasteful."></definition>
+    </concept>
+    <concept>
+     <code value="notification"></code>
+     <display value="Notification"></display>
+     <definition value="The content is not necessarily intended to be current, and it can be reprocessed, though there may be version issues created by processing old notifications."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/messageheader-response-request"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="messageheader-response-request"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="inm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/messageheader-response-request"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.925"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="messageheader-response-request"></name>
+    <title value="messageheader-response-request"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="always"></code>
+     <display value="Always"></display>
+     <definition value="initiator expects a response for this message."></definition>
+    </concept>
+    <concept>
+     <code value="on-error"></code>
+     <display value="Error/reject conditions only"></display>
+     <definition value="initiator expects a response only if in error."></definition>
+    </concept>
+    <concept>
+     <code value="never"></code>
+     <display value="Never"></display>
+     <definition value="initiator does not expect a response."></definition>
+    </concept>
+    <concept>
+     <code value="on-success"></code>
+     <display value="Successful completion only"></display>
+     <definition value="initiator expects a response only if successful."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-actuality"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adverse-event-actuality"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/adverse-event-actuality"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.832"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdverseEventActuality"></name>
+    <title value="AdverseEventActuality"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Overall nature of the adverse event, e.g. real or potential."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="actual"></code>
+     <display value="Adverse Event"></display>
+     <definition value="The adverse event actually happened regardless of whether anyone was affected or harmed."></definition>
+    </concept>
+    <concept>
+     <code value="potential"></code>
+     <display value="Potential Adverse Event"></display>
+     <definition value="A potential adverse event."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adverse-event-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1251"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdverseEventCategory"></name>
+    <title value="AdverseEventCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Overall categorization of the event, e.g. product-related or situational."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="wrong-patient"></code>
+     <display value="Wrong Patient"></display>
+     <definition value="The adverse event pertains to an event involving the wrong patient, who was not the intended subject."></definition>
+    </concept>
+    <concept>
+     <code value="procedure-mishap"></code>
+     <display value="Procedure Mishap"></display>
+     <definition value="The adverse event pertains to a procedure mishap."></definition>
+    </concept>
+    <concept>
+     <code value="medication-mishap"></code>
+     <display value="Medication Mishap"></display>
+     <definition value="The adverse event pertains to a medication mishap, such as wrong dose, route, rate, or duration of administration."></definition>
+    </concept>
+    <concept>
+     <code value="device"></code>
+     <display value="Device"></display>
+     <definition value="The adverse event pertains to a device."></definition>
+    </concept>
+    <concept>
+     <code value="unsafe-physical-environment"></code>
+     <display value="Unsafe Physical Environment"></display>
+     <definition value="The adverse event pertains to an unsafe physical environment."></definition>
+    </concept>
+    <concept>
+     <code value="hospital-aquired-infection"></code>
+     <display value="Hospital Acquired Infection"></display>
+     <definition value="The adverse event pertains to a hospital acquired infection."></definition>
+    </concept>
+    <concept>
+     <code value="wrong-body-site"></code>
+     <display value="Wrong Body Site"></display>
+     <definition value="The adverse event pertains to the wrong body site."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-seriousness"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adverse-event-seriousness"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-seriousness"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1253"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdverseEventSeriousness"></name>
+    <title value="AdverseEventSeriousness"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Overall seriousness of this event for the patient."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-seriousness"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="non-serious"></code>
+     <display value="Non-serious"></display>
+     <definition value="This event is considered not to have the potential for persistent or costly injury or consequence."></definition>
+    </concept>
+    <concept>
+     <code value="serious"></code>
+     <display value="Serious"></display>
+     <definition value="This event is considered to have the potential for persistent or costly injury or consequence."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-causality-assess"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adverse-event-causality-assess"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-causality-assess"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1254"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdverseEventCausalityAssessment"></name>
+    <title value="AdverseEventCausalityAssessment"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes for the assessment of whether the entity caused the event."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="certain"></code>
+     <display value="Certain"></display>
+     <definition value="i) Event or laboratory test abnormality, with plausible time relationship to drug intake; ii) Cannot be explained by disease or other drugs; iii) Response to withdrawal plausible (pharmacologically, pathologically); iv) Event definitive pharmacologically or phenomenologically (i.e. an objective and specific medical disorder or a recognized pharmacological phenomenon); or v) Re-challenge satisfactory, if necessary."></definition>
+    </concept>
+    <concept>
+     <code value="probably-likely"></code>
+     <display value="Probably/Likely"></display>
+     <definition value="i) Event or laboratory test abnormality, with reasonable time relationship to drug intake; ii) Unlikely to be attributed to disease or other drugs; iii) Response to withdrawal clinically reasonable; or iv) Re-challenge not required."></definition>
+    </concept>
+    <concept>
+     <code value="possible"></code>
+     <display value="Possible"></display>
+     <definition value="i) Event or laboratory test abnormality, with reasonable time relationship to drug intake; ii) Could also be explained by disease or other drugs; or iii) Information on drug withdrawal may be lacking or unclear."></definition>
+    </concept>
+    <concept>
+     <code value="unlikely"></code>
+     <display value="Unlikely"></display>
+     <definition value="i) Event or laboratory test abnormality, with a time to drug intake that makes a relationship improbable (but not impossible); or ii) Disease or other drugs provide plausible explanations."></definition>
+    </concept>
+    <concept>
+     <code value="conditional-classified"></code>
+     <display value="Conditional/Classified"></display>
+     <definition value="i) Event or laboratory test abnormality; ii) More data for proper assessment needed; or iii) Additional data under examination."></definition>
+    </concept>
+    <concept>
+     <code value="unassessable-unclassifiable"></code>
+     <display value="Unassessable/Unclassifiable"></display>
+     <definition value="i) Report suggesting an adverse reaction; ii) Cannot be judged because information is insufficient or contradictory; or iii) Data cannot be supplemented or verified."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-causality-method"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adverse-event-causality-method"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-causality-method"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1255"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdverseEventCausalityMethod"></name>
+    <title value="AdverseEventCausalityMethod"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="TODO."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-method"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="probability-scale"></code>
+     <display value="Probability Scale"></display>
+    </concept>
+    <concept>
+     <code value="bayesian"></code>
+     <display value="Bayesian"></display>
+    </concept>
+    <concept>
+     <code value="checklist"></code>
+     <display value="Checklist"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-severity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="adverse-event-severity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-severity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1256"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AdverseEventSeverity"></name>
+    <title value="AdverseEventSeverity"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The severity of the adverse event itself, in direct relation to the subject."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-severity"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="mild"></code>
+     <display value="Mild"></display>
+    </concept>
+    <concept>
+     <code value="moderate"></code>
+     <display value="Moderate"></display>
+    </concept>
+    <concept>
+     <code value="severe"></code>
+     <display value="Severe"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/chargeitem-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="chargeitem-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/chargeitem-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.847"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ChargeItemStatus"></name>
+    <title value="ChargeItemStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying the lifecycle stage of a ChargeItem."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="planned"></code>
+     <display value="Planned"></display>
+     <definition value="The charge item has been entered, but the charged service is not  yet complete, so it shall not be billed yet but might be used in the context of pre-authorization."></definition>
+    </concept>
+    <concept>
+     <code value="billable"></code>
+     <display value="Billable"></display>
+     <definition value="The charge item is ready for billing."></definition>
+    </concept>
+    <concept>
+     <code value="not-billable"></code>
+     <display value="Not billable"></display>
+     <definition value="The charge item has been determined to be not billable (e.g. due to rules associated with the billing code)."></definition>
+    </concept>
+    <concept>
+     <code value="aborted"></code>
+     <display value="Aborted"></display>
+     <definition value="The processing of the charge was aborted."></definition>
+    </concept>
+    <concept>
+     <code value="billed"></code>
+     <display value="Billed"></display>
+     <definition value="The charge item has been billed (e.g. a billing engine has generated financial transactions by applying the associated ruled for the charge item to the context of the Encounter, and placed them into Claims/Invoices."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The charge item has been entered in error and should not be processed for billing."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The authoring system does not know which of the status values currently applies for this charge item  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/chargeitem-billingcodes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="chargeitem-billingcodes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/chargeitem-billingcodes"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1257"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ChargeItemCode"></name>
+    <title value="ChargeItemCode"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Example set of codes that can be used for billing purposes."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="1100"></code>
+     <display value="Unvorhergesehene Inanspruchnahme"></display>
+     <definition value="From German EBM billing system:
+Unvorhergesehene Inanspruchnahme des Vertragsarztes durch einen Patienten;zwischen 19:00 und 22:00 Uhr;an Samstagen, Sonntagen und gesetzlichen Feiertagen, am 24.12. und 31.12. zwischen 07:00 und 19:00 Uhr."></definition>
+    </concept>
+    <concept>
+     <code value="1210"></code>
+     <display value="Notfallpauschale"></display>
+     <definition value="From German EBM billing system:
+Notfallpauschale im organisierten Not(-fall)dienst und für nicht an der vertragsärztlichen Versorgung teilnehmende Ärzte, Institute und Krankenhäuser bei Inanspruchnahme;zwischen 07:00 und 19:00 Uhr."></definition>
+    </concept>
+    <concept>
+     <code value="1320"></code>
+     <display value="Grundpauschale"></display>
+     <definition value="From German EBM billing system:
+Grundpauschale für Ärzte, Institute und Krankenhäuser, die zur Erbringung von Leistungen innerhalb mindestens eines der Fachgebiete Anästhesiologie, Frauenheilkunde und Geburtshilfe, Haut- und Geschlechtskrankheiten, Mund-, Kiefer- und Gesichtschirurgie und Humangenetik ermächtigt sind."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogentry-relation-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="catalogentry-relation-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/catalogentry-relation-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1446"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CatalogEntryRelationType"></name>
+    <title value="CatalogEntryRelationType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Types of relationships between entries."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-relation-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="triggers"></code>
+     <display value="Triggers"></display>
+     <definition value="Depending on the context, the item of the related catalog entry may be added by the performer."></definition>
+    </concept>
+    <concept>
+     <code value="is-replaced-by"></code>
+     <display value="Is replaced by"></display>
+     <definition value="the related catalog entry supersedes this one when it is not active."></definition>
+    </concept>
+    <concept>
+     <code value="excludes"></code>
+     <display value="Excludes"></display>
+     <definition value="The related catalog entry is excluded by this one."></definition>
+    </concept>
+    <concept>
+     <code value="includes"></code>
+     <display value="Includes"></display>
+     <definition value="The item of the related catalog entry  will be part of the orders containing the current item."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogentry-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="catalogentry-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/catalogentry-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1448"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CatalogEntryType"></name>
+    <title value="CatalogEntryType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Types of resources that can be attached to catalog entries."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="ActivityDefinition"></code>
+     <display value="ActivityDefinition"></display>
+    </concept>
+    <concept>
+     <code value="PlanDefinition"></code>
+     <display value="PlanDefinition"></display>
+    </concept>
+    <concept>
+     <code value="SpecimenDefinition"></code>
+     <display value="SpecimenDefinition"></display>
+    </concept>
+    <concept>
+     <code value="ObservationDefinition"></code>
+     <display value="ObservationDefinition"></display>
+    </concept>
+    <concept>
+     <code value="DeviceDefinition"></code>
+     <display value="DeviceDefinition"></display>
+    </concept>
+    <concept>
+     <code value="Organization"></code>
+     <display value="Organization"></display>
+    </concept>
+    <concept>
+     <code value="Practitioner"></code>
+     <display value="Practitioner"></display>
+    </concept>
+    <concept>
+     <code value="PractitionerRole"></code>
+     <display value="PractitionerRole"></display>
+    </concept>
+    <concept>
+     <code value="HealthcareService"></code>
+     <display value="HealthcareService"></display>
+    </concept>
+    <concept>
+     <code value="MedicationKnowledge"></code>
+     <display value="MedicationKnowledge"></display>
+    </concept>
+    <concept>
+     <code value="Medication"></code>
+     <display value="Medication"></display>
+    </concept>
+    <concept>
+     <code value="Substance"></code>
+     <display value="Substance"></display>
+    </concept>
+    <concept>
+     <code value="Location"></code>
+     <display value="Location"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogentry-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="catalogentry-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/catalogentry-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1450"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CatalogEntryStatus"></name>
+    <title value="CatalogEntryStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Public usability statuses for catalog entries."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="Draft"></display>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+    </concept>
+    <concept>
+     <code value="retired"></code>
+     <display value="Retired"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/container-cap"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="container-cap"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/container-cap"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1258"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ContainerCap"></name>
+    <title value="ContainerCap"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Color of the container cap."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/container-cap"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="red"></code>
+     <display value="red cap"></display>
+     <definition value="red cap."></definition>
+    </concept>
+    <concept>
+     <code value="yellow"></code>
+     <display value="yellow cap"></display>
+     <definition value="yellow cap."></definition>
+    </concept>
+    <concept>
+     <code value="dark-yellow"></code>
+     <display value="dark yellow cap"></display>
+     <definition value="dark yellow cap."></definition>
+    </concept>
+    <concept>
+     <code value="grey"></code>
+     <display value="grey cap"></display>
+     <definition value="grey cap."></definition>
+    </concept>
+    <concept>
+     <code value="light-blue"></code>
+     <display value="light blue cap"></display>
+     <definition value="light blue cap."></definition>
+    </concept>
+    <concept>
+     <code value="black"></code>
+     <display value="black cap"></display>
+     <definition value="black cap."></definition>
+    </concept>
+    <concept>
+     <code value="green"></code>
+     <display value="green cap"></display>
+     <definition value="green cap."></definition>
+    </concept>
+    <concept>
+     <code value="light-green"></code>
+     <display value="light green cap"></display>
+     <definition value="light green cap."></definition>
+    </concept>
+    <concept>
+     <code value="lavender"></code>
+     <display value="lavender cap"></display>
+     <definition value="lavender cap."></definition>
+    </concept>
+    <concept>
+     <code value="brown"></code>
+     <display value="brown cap"></display>
+     <definition value="brown cap."></definition>
+    </concept>
+    <concept>
+     <code value="white"></code>
+     <display value="white cap"></display>
+     <definition value="white cap."></definition>
+    </concept>
+    <concept>
+     <code value="pink"></code>
+     <display value="pink cap"></display>
+     <definition value="pink cap."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/specimen-contained-preference"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="specimen-contained-preference"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/specimen-contained-preference"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.853"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SpecimenContainedPreference"></name>
+    <title value="SpecimenContainedPreference"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Degree of preference of a type of conditioned specimen."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/specimen-contained-preference"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="preferred"></code>
+     <display value="Preferred"></display>
+     <definition value="This type of contained specimen is preferred to collect this kind of specimen."></definition>
+    </concept>
+    <concept>
+     <code value="alternate"></code>
+     <display value="Alternate"></display>
+     <definition value="This type of conditioned specimen is an alternate."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/handling-condition"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="handling-condition"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/handling-condition"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1259"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="HandlingConditionSet"></name>
+    <title value="HandlingConditionSet"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Set of handling instructions prior testing of the specimen."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/handling-condition"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="room"></code>
+     <display value="room temperature"></display>
+     <definition value="room temperature."></definition>
+    </concept>
+    <concept>
+     <code value="refrigerated"></code>
+     <display value="refrigerated"></display>
+     <definition value="refrigerated temperature."></definition>
+    </concept>
+    <concept>
+     <code value="frozen"></code>
+     <display value="frozen"></display>
+     <definition value="frozen temperature."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/rejection-criteria"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="rejection-criteria"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/rejection-criteria"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1260"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="RejectionCriterion"></name>
+    <title value="RejectionCriterion"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Criterion for rejection of the specimen by laboratory."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/rejection-criteria"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="hemolized"></code>
+     <display value="hemolized specimen"></display>
+     <definition value="blood specimen hemolized."></definition>
+    </concept>
+    <concept>
+     <code value="insufficient"></code>
+     <display value="insufficient specimen volume"></display>
+     <definition value="insufficient quantity of specimen."></definition>
+    </concept>
+    <concept>
+     <code value="broken"></code>
+     <display value="broken specimen container"></display>
+     <definition value="specimen container broken."></definition>
+    </concept>
+    <concept>
+     <code value="clotted"></code>
+     <display value="specimen clotted"></display>
+     <definition value="specimen clotted."></definition>
+    </concept>
+    <concept>
+     <code value="wrong-temperature"></code>
+     <display value="specimen temperature inappropriate"></display>
+     <definition value="specimen temperature inappropriate."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -10554,7 +39853,7 @@ Future versions of FHIR may make significant changes to Trial Use content that a
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="permitted-data-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="oo"></valueCode>
@@ -10570,12 +39869,12 @@ Future versions of FHIR may make significant changes to Trial Use content that a
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.1332"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationDataType"></name>
     <title value="ObservationDataType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -10650,76 +39949,33 @@ Future versions of FHIR may make significant changes to Trial Use content that a
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/testscript-profile-origin-types"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-range-category"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="testscript-profile-origin-types"></id>
+    <id value="observation-range-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
+     <valueCode value="oo"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/testscript-profile-origin-types"></url>
+    <url value="http://hl7.org/fhir/observation-range-category"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1196"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1334"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestScriptProfileOriginType"></name>
-    <title value="Test script profile origin type"></title>
+    <version value="4.2.0"></version>
+    <name value="ObservationRangeCategory"></name>
+    <title value="ObservationRangeCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that are used to indicate the profile type of a test system when acting as the origin within a TestScript."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/testscript-profile-origin-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="FHIR-Client"></code>
-     <display value="FHIR Client"></display>
-     <definition value="General FHIR client used to initiate operations against a FHIR server."></definition>
-    </concept>
-    <concept>
-     <code value="FHIR-SDC-FormFiller"></code>
-     <display value="FHIR SDC FormFiller"></display>
-     <definition value="A FHIR client acting as a Structured Data Capture Form Filler."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-tag"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-tag"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/subscription-tag"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1141"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionTag"></name>
-    <title value="SubscriptionTag"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -10731,145 +39987,35 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Tags to put on a resource after subscriptions have been sent."></description>
+    <description value="Codes identifying the category of observation range."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-tag"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/observation-range-category"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="queued"></code>
-     <display value="Queued"></display>
-     <definition value="The message has been queued for processing on a destination systems."></definition>
+     <code value="reference"></code>
+     <display value="reference range"></display>
+     <definition value="Reference (Normal) Range for Ordinal and Continuous Observations."></definition>
     </concept>
     <concept>
-     <code value="delivered"></code>
-     <display value="Delivered"></display>
-     <definition value="The message has been delivered to its intended recipient."></definition>
+     <code value="critical"></code>
+     <display value="critical range"></display>
+     <definition value="Critical Range for Ordinal and Continuous Observations. Results outside this range are critical."></definition>
+    </concept>
+    <concept>
+     <code value="absolute"></code>
+     <display value="absolute range"></display>
+     <definition value="Absolute Range for Ordinal and Continuous Observations. Results outside this range are not possible."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-usage-mode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/examplescenario-actor-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="questionnaire-usage-mode"></id>
+    <id value="examplescenario-actor-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/questionnaire-usage-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1274"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuestionnaireItemUsageMode"></name>
-    <title value="QuestionnaireItemUsageMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-usage-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="capture-display"></code>
-     <display value="Capture &amp; Display"></display>
-     <definition value="Render the item regardless of usage mode."></definition>
-    </concept>
-    <concept>
-     <code value="capture"></code>
-     <display value="Capture Only"></display>
-     <definition value="Render the item only when capturing data."></definition>
-    </concept>
-    <concept>
-     <code value="display"></code>
-     <display value="Display Only"></display>
-     <definition value="Render the item only when displaying a completed form."></definition>
-    </concept>
-    <concept>
-     <code value="display-non-empty"></code>
-     <display value="Display when Answered"></display>
-     <definition value="Render the item only when displaying a completed form and the item has been answered (or has child items that have been answered)."></definition>
-    </concept>
-    <concept>
-     <code value="capture-display-non-empty"></code>
-     <display value="Capture or, if answered, Display"></display>
-     <definition value="Render the item when capturing data or when displaying a completed form and the item has been answered (or has child items that have been answered)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/payment-adjustment-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="payment-adjustment-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/payment-adjustment-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1173"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PaymentAdjustmentReasonCodes"></name>
-    <title value="Payment Adjustment Reason Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes smattering of Payment Adjustment Reason codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/payment-adjustment-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="a001"></code>
-     <display value="Prior Payment Reversal"></display>
-     <definition value="Prior Payment Reversal"></definition>
-    </concept>
-    <concept>
-     <code value="a002"></code>
-     <display value="Prior Overpayment"></display>
-     <definition value="Prior Overpayment"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-status-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="report-status-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
@@ -10880,17 +40026,17 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/report-status-codes"></url>
+    <url value="http://hl7.org/fhir/examplescenario-actor-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.725"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.859"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestReportStatus"></name>
-    <title value="TestReportStatus"></title>
+    <version value="4.2.0"></version>
+    <name value="ExampleScenarioActorType"></name>
+    <title value="ExampleScenarioActorType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -10902,69 +40048,178 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The current status of the test report."></description>
+    <description value="The type of actor - system or human."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/report-status-codes"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/examplescenario-actor-type"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="All test operations have completed."></definition>
+     <code value="person"></code>
+     <display value="Person"></display>
+     <definition value="A person."></definition>
     </concept>
     <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="A test operations is currently executing."></definition>
+     <code value="entity"></code>
+     <display value="System"></display>
+     <definition value="A system."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/code-search-support"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="code-search-support"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/code-search-support"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.861"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="CodeSearchSupport"></name>
+    <title value="CodeSearchSupport"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The degree to which the server supports the code search parameter on ValueSet, if it is supported."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/code-search-support"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="explicit"></code>
+     <display value="Explicit Codes"></display>
+     <definition value="The search for code on ValueSet only includes codes explicitly detailed on includes or expansions."></definition>
     </concept>
     <concept>
-     <code value="waiting"></code>
-     <display value="Waiting"></display>
-     <definition value="A test operation is waiting for an external client request."></definition>
+     <code value="all"></code>
+     <display value="Implicit Codes"></display>
+     <definition value="The search for code on ValueSet only includes all codes based on the expansion of the value set."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/invoice-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="invoice-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fm"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/invoice-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.867"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="InvoiceStatus"></name>
+    <title value="InvoiceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying the lifecycle stage of an Invoice."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/invoice-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="draft"></code>
+     <display value="draft"></display>
+     <definition value="the invoice has been prepared but not yet finalized."></definition>
     </concept>
     <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="The test script execution was manually stopped."></definition>
+     <code value="issued"></code>
+     <display value="issued"></display>
+     <definition value="the invoice has been finalized and sent to the recipient."></definition>
+    </concept>
+    <concept>
+     <code value="balanced"></code>
+     <display value="balanced"></display>
+     <definition value="the invoice has been balaced / completely paid."></definition>
+    </concept>
+    <concept>
+     <code value="cancelled"></code>
+     <display value="cancelled"></display>
+     <definition value="the invoice was cancelled."></definition>
     </concept>
     <concept>
      <code value="entered-in-error"></code>
-     <display value="Entered In Error"></display>
-     <definition value="This test report was entered or created in error."></definition>
+     <display value="entered in error"></display>
+     <definition value="the invoice was determined as entered in error before it was issued."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/versioning-policy"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/invoice-priceComponentType"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="versioning-policy"></id>
+    <id value="invoice-priceComponentType"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
+     <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
+     <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/versioning-policy"></url>
+    <url value="http://hl7.org/fhir/invoice-priceComponentType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.191"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.869"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResourceVersionPolicy"></name>
-    <title value="ResourceVersionPolicy"></title>
-    <status value="active"></status>
+    <version value="4.2.0"></version>
+    <name value="InvoicePriceComponentType"></name>
+    <title value="InvoicePriceComponentType"></title>
+    <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -10976,45 +40231,69 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="How the system supports versioning for a resource."></description>
+    <description value="Codes indicating the kind of the price component."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/versioning-policy"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/invoice-priceComponentType"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="no-version"></code>
-     <display value="No VersionId Support"></display>
-     <definition value="VersionId meta-property is not supported (server) or used (client)."></definition>
+     <code value="base"></code>
+     <display value="base price"></display>
+     <definition value="the amount is the base price used for calculating the total price before applying surcharges, discount or taxes."></definition>
     </concept>
     <concept>
-     <code value="versioned"></code>
-     <display value="Versioned"></display>
-     <definition value="VersionId meta-property is supported (server) or used (client)."></definition>
+     <code value="surcharge"></code>
+     <display value="surcharge"></display>
+     <definition value="the amount is a surcharge applied on the base price."></definition>
     </concept>
     <concept>
-     <code value="versioned-update"></code>
-     <display value="VersionId tracked fully"></display>
-     <definition value="VersionId must be correct for updates (server) or will be specified (If-match header) for updates (client)."></definition>
+     <code value="deduction"></code>
+     <display value="deduction"></display>
+     <definition value="the amount is a deduction applied on the base price."></definition>
+    </concept>
+    <concept>
+     <code value="discount"></code>
+     <display value="discount"></display>
+     <definition value="the amount is a discount applied on the base price."></definition>
+    </concept>
+    <concept>
+     <code value="tax"></code>
+     <display value="tax"></display>
+     <definition value="the amount is the tax component of the total price."></definition>
+    </concept>
+    <concept>
+     <code value="informational"></code>
+     <display value="informational"></display>
+     <definition value="the amount is of informational character, it has not been applied in the calculation of the total price."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/animal-genderstatus"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/insuranceplan-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="animal-genderstatus"></id>
+    <id value="insuranceplan-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <url value="http://hl7.org/fhir/animal-genderstatus"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/insurance-plan-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.419"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1261"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="GenderStatus"></name>
-    <title value="Gender status"></title>
+    <version value="4.2.0"></version>
+    <name value="InsurancePlanType"></name>
+    <title value="Insurance plan type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
     <publisher value="FHIR Project team"></publisher>
@@ -11024,155 +40303,136 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the current state of the animal's reproductive organs."></description>
+    <description value="This example value set defines a set of codes that can be used to indicate a type of insurance plan."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus"></valueSet>
-    <content value="complete"></content>
+    <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-type"></valueSet>
+    <content value="fragment"></content>
     <concept>
-     <code value="neutered"></code>
-     <display value="Neutered"></display>
-     <definition value="The animal has been sterilized, castrated or otherwise made infertile."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="gesteriliseerd"></value>
-     </designation>
+     <code value="medical"></code>
+     <display value="Medical"></display>
     </concept>
     <concept>
-     <code value="intact"></code>
-     <display value="Intact"></display>
-     <definition value="The animal's reproductive organs are intact."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="intact"></value>
-     </designation>
+     <code value="dental"></code>
+     <display value="Dental"></display>
     </concept>
     <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="Unable to determine whether the animal has been neutered."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="onbekend"></value>
-     </designation>
+     <code value="mental"></code>
+     <display value="Mental Health"></display>
+    </concept>
+    <concept>
+     <code value="subst-ab"></code>
+     <display value="Substance Abuse"></display>
+    </concept>
+    <concept>
+     <code value="vision"></code>
+     <display value="Vision"></display>
+    </concept>
+    <concept>
+     <code value="Drug"></code>
+     <display value="Drug"></display>
+    </concept>
+    <concept>
+     <code value="short-term"></code>
+     <display value="Short Term"></display>
+    </concept>
+    <concept>
+     <code value="long-term"></code>
+     <display value="Long Term Care"></display>
+    </concept>
+    <concept>
+     <code value="hospice"></code>
+     <display value="Hospice"></display>
+    </concept>
+    <concept>
+     <code value="home"></code>
+     <display value="Home Health"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-modifiers"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/insuranceplan-applicability"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-modifiers"></id>
+    <id value="insuranceplan-applicability"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <url value="http://hl7.org/fhir/ex-servicemodifier"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.573"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleServiceModifierCodes"></name>
-    <title value="Example Service Modifier Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Service Modifier codes which may support differential payment."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-modifiers"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="sr"></code>
-     <display value="Side of the Road"></display>
-     <definition value="Services provided on the side of the road or such other non-conventional setting."></definition>
-    </concept>
-    <concept>
-     <code value="ah"></code>
-     <display value="After hours"></display>
-     <definition value="Services provided outside or normal business hours."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-map-relationship"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="concept-map-relationship"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
+     <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/concept-map-relationship"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/applicability"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1409"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConceptMapRelationship"></name>
-    <title value="ConceptMapRelationship"></title>
+    <version value="4.2.0"></version>
+    <name value="BenefitCostApplicability"></name>
+    <title value="Benefit cost applicability"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="The relationship between concepts."></description>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Whether the cost applies to in-network or out-of-network providers."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-relationship"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-applicability"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="related-to"></code>
-     <display value="Related To"></display>
-     <definition value="The concepts are related to each other, but the exact relationship is not known."></definition>
-     <concept>
-      <code value="equivalent"></code>
-      <display value="Equivalent"></display>
-      <definition value="The definitions of the concepts mean the same thing."></definition>
-     </concept>
-     <concept>
-      <code value="broader"></code>
-      <display value="Broader"></display>
-      <definition value="The target concept is broader in meaning than the source concept."></definition>
-     </concept>
-     <concept>
-      <code value="narrower"></code>
-      <display value="Narrower"></display>
-      <definition value="The target concept is narrower in meaning than the source concept."></definition>
-     </concept>
+     <code value="in-network"></code>
+     <display value="In Network"></display>
+     <definition value="Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"></definition>
     </concept>
     <concept>
-     <code value="not-related-to"></code>
-     <display value="Not Related To"></display>
-     <definition value="This is an explicit assertion that the target concept is not related to the source concept."></definition>
+     <code value="out-of-network"></code>
+     <display value="Out of Network"></display>
+     <definition value="Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other applicability"></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/payment-status"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/organization-role"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="payment-status"></id>
+    <id value="organization-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
+     <valueCode value="pa"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
@@ -11180,48 +40440,981 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/paymentstatus"></url>
+    <url value="http://hl7.org/fhir/organization-role"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1187"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.881"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="PaymentStatusCodes"></name>
-    <title value="Payment Status Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="OrganizationAffiliationRole"></name>
+    <title value="Organization Affiliation Role"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
+    <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This value set includes a sample set of Payment Status codes."></description>
-    <copyright value="This is an example set."></copyright>
+    <description value="This example value set defines a set of codes that can be used to indicate the role of one Organization in relation to another."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/payment-status"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/organization-role"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="paid"></code>
-     <display value="Paid"></display>
-     <definition value="The payment has been sent physically or electronically."></definition>
+     <code value="provider"></code>
+     <display value="Provider"></display>
     </concept>
     <concept>
-     <code value="cleared"></code>
-     <display value="Cleared"></display>
-     <definition value="The payment has been received by the payee."></definition>
+     <code value="agency"></code>
+     <display value="Agency"></display>
+     <definition value="An organization such as a public health agency, community/social services provider, etc."></definition>
+    </concept>
+    <concept>
+     <code value="research"></code>
+     <display value="Research"></display>
+     <definition value="An organization providing research-related services such as conducting research, recruiting research participants, analyzing data, etc."></definition>
+    </concept>
+    <concept>
+     <code value="payer"></code>
+     <display value="Payer"></display>
+     <definition value="An organization providing reimbursement, payment, or related services"></definition>
+    </concept>
+    <concept>
+     <code value="diagnostics"></code>
+     <display value="Diagnostics"></display>
+     <definition value="An organization providing diagnostic testing/laboratory services"></definition>
+    </concept>
+    <concept>
+     <code value="supplier"></code>
+     <display value="Supplier"></display>
+     <definition value="An organization that provides medical supplies (e.g. medical devices, equipment, pharmaceutical products, etc.)"></definition>
+    </concept>
+    <concept>
+     <code value="HIE/HIO"></code>
+     <display value="HIE/HIO"></display>
+     <definition value="An organization that facilitates electronic clinical data exchange between entities"></definition>
+    </concept>
+    <concept>
+     <code value="member"></code>
+     <display value="Member"></display>
+     <definition value="A type of non-ownership relationship between entities (encompasses partnerships, collaboration, joint ventures, etc.)"></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/med-admin-perform-function"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-need"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="med-admin-perform-function"></id>
+    <id value="verificationresult-need"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/need"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.883"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="need"></name>
+    <title value="Need"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The frequency with which the target must be validated"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-need"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="none"></code>
+     <display value="None"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="initial"></code>
+     <display value="Initial"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="periodic"></code>
+     <display value="Periodic"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/CodeSystem/status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.885"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="status"></name>
+    <title value="Status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The validation status of the target"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="attested"></code>
+     <display value="Attested"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="validated"></code>
+     <display value="Validated"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="in-process"></code>
+     <display value="In process"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="req-revalid"></code>
+     <display value="Requires revalidation"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="val-fail"></code>
+     <display value="Validation failed"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+    <concept>
+     <code value="reval-fail"></code>
+     <display value="Re-Validation failed"></display>
+     <definition value="***TODO***"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-validation-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-validation-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/validation-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.887"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="validation-type"></name>
+    <title value="Validation-type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="What the target is validated against"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-validation-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="nothing"></code>
+     <display value="Nothing"></display>
+    </concept>
+    <concept>
+     <code value="primary"></code>
+     <display value="Primary Source"></display>
+    </concept>
+    <concept>
+     <code value="multiple"></code>
+     <display value="Multiple Sources"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-validation-process"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-validation-process"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/validation-process"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.889"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="validation-process"></name>
+    <title value="Validation-process"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The primary process by which the target is validated"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-validation-process"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="edit-check"></code>
+     <display value="edit check"></display>
+    </concept>
+    <concept>
+     <code value="valueset"></code>
+     <display value="value set"></display>
+    </concept>
+    <concept>
+     <code value="primary"></code>
+     <display value="primary source"></display>
+    </concept>
+    <concept>
+     <code value="multi"></code>
+     <display value="multiple sources"></display>
+    </concept>
+    <concept>
+     <code value="standalone"></code>
+     <display value="standalone"></display>
+    </concept>
+    <concept>
+     <code value="in-context"></code>
+     <display value="in context"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-failure-action"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-failure-action"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/failure-action"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.891"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="failure-action"></name>
+    <title value="Failure-action"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The result if validation fails"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-failure-action"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="fatal"></code>
+     <display value="Fatal"></display>
+    </concept>
+    <concept>
+     <code value="warn"></code>
+     <display value="Warning"></display>
+    </concept>
+    <concept>
+     <code value="rec-only"></code>
+     <display value="Record only"></display>
+    </concept>
+    <concept>
+     <code value="none"></code>
+     <display value="None"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-primary-source-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-primary-source-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/primary-source-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.893"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="primary-source-type"></name>
+    <title value="Primary-source-type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type of the validation primary source"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="lic-board"></code>
+     <display value="License Board"></display>
+    </concept>
+    <concept>
+     <code value="prim"></code>
+     <display value="Primary Education"></display>
+    </concept>
+    <concept>
+     <code value="cont-ed"></code>
+     <display value="Continuing Education"></display>
+    </concept>
+    <concept>
+     <code value="post-serv"></code>
+     <display value="Postal Service"></display>
+    </concept>
+    <concept>
+     <code value="rel-own"></code>
+     <display value="Relationship owner"></display>
+    </concept>
+    <concept>
+     <code value="reg-auth"></code>
+     <display value="Registration Authority"></display>
+    </concept>
+    <concept>
+     <code value="legal"></code>
+     <display value="Legal source"></display>
+    </concept>
+    <concept>
+     <code value="issuer"></code>
+     <display value="Issuing source"></display>
+    </concept>
+    <concept>
+     <code value="auth-source"></code>
+     <display value="Authoritative source"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-validation-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-validation-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/validation-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.895"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="validation-status"></name>
+    <title value="Validation-status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Status of the validation of the target against the primary source"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-validation-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="successful"></code>
+     <display value="Successful"></display>
+    </concept>
+    <concept>
+     <code value="failed"></code>
+     <display value="Failed"></display>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The validations status has not been determined yet"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-can-push-updates"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-can-push-updates"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/can-push-updates"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.897"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="can-push-updates"></name>
+    <title value="Can-push-updates"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Ability of the primary source to push updates/alerts"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="yes"></code>
+     <display value="Yes"></display>
+    </concept>
+    <concept>
+     <code value="no"></code>
+     <display value="No"></display>
+    </concept>
+    <concept>
+     <code value="undetermined"></code>
+     <display value="Undetermined"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-push-type-available"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-push-type-available"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/push-type-available"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.899"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="push-type-available"></name>
+    <title value="Push-type-available"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-06-05T14:06:02+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Type of alerts/updates the primary source can send"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-push-type-available"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="specific"></code>
+     <display value="Specific requested changes"></display>
+    </concept>
+    <concept>
+     <code value="any"></code>
+     <display value="Any changes"></display>
+    </concept>
+    <concept>
+     <code value="source"></code>
+     <display value="As defined by source"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-communication-method"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="verificationresult-communication-method"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="pa"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/verificationresult-communication-method"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1402"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="verificationresult-communication-method"></name>
+    <title value="VerificationResult Communication Method"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <date value="2018-10-31"></date>
+    <publisher value="HL7 International"></publisher>
+    <contact>
+     <telecom>
+      <system value="other"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <contact>
+     <telecom>
+      <system value="other"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Attested information may be validated by process that are manual or automated. For automated processes it may accomplished by the system of record reaching out through another system's API or information may be sent to the system of record. This value set defines a set of codes to describing the process, the how, a resource or data element is validated."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-communication-method"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="manual"></code>
+     <display value="Manual"></display>
+     <definition value="The information is submitted/retrieved manually (e.g. by phone, fax, paper-based)"></definition>
+    </concept>
+    <concept>
+     <code value="portal"></code>
+     <display value="Portal"></display>
+     <definition value="The information is submitted/retrieved via a portal"></definition>
+    </concept>
+    <concept>
+     <code value="pull"></code>
+     <display value="Pull"></display>
+     <definition value="The information is retrieved (i.e. pulled) from a source (e.g. over an API)"></definition>
+    </concept>
+    <concept>
+     <code value="push"></code>
+     <display value="Push"></display>
+     <definition value="The information is sent (i.e. pushed) from a source (e.g. over an API, asynchronously, secure messaging)"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/product-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="product-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/product-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.901"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BiologicallyDerivedProductCategory"></name>
+    <title value="BiologicallyDerivedProductCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Biologically Derived Product Category."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/product-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="organ"></code>
+     <display value="Organ"></display>
+     <definition value="A collection of tissues joined in a structural unit to serve a common function."></definition>
+    </concept>
+    <concept>
+     <code value="tissue"></code>
+     <display value="Tissue"></display>
+     <definition value="An ensemble of similar cells and their extracellular matrix from the same origin that together carry out a specific function."></definition>
+    </concept>
+    <concept>
+     <code value="fluid"></code>
+     <display value="Fluid"></display>
+     <definition value="Body fluid."></definition>
+    </concept>
+    <concept>
+     <code value="cells"></code>
+     <display value="Cells"></display>
+     <definition value="Collection of cells."></definition>
+    </concept>
+    <concept>
+     <code value="biologicalAgent"></code>
+     <display value="BiologicalAgent"></display>
+     <definition value="Biological agent of unspecified type."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/product-storage-scale"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="product-storage-scale"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="oo"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/product-storage-scale"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.905"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="BiologicallyDerivedProductStorageScale"></name>
+    <title value="BiologicallyDerivedProductStorageScale"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="BiologicallyDerived Product Storage Scale."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/product-storage-scale"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="farenheit"></code>
+     <display value="Fahrenheit"></display>
+     <definition value="Fahrenheit temperature scale."></definition>
+    </concept>
+    <concept>
+     <code value="celsius"></code>
+     <display value="Celsius"></display>
+     <definition value="Celsius or centigrade temperature scale."></definition>
+    </concept>
+    <concept>
+     <code value="kelvin"></code>
+     <display value="Kelvin"></display>
+     <definition value="Kelvin absolute thermodynamic temperature scale."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationknowledge-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationknowledge-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationknowledge-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1336"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MedicationKnowledge Status Codes"></name>
+    <title value="Medication knowledge  status  codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationKnowledge Status Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The medication is available for use."></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The medication is not available for use."></definition>
+    </concept>
+    <concept>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The medication was entered in error."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationknowledge-characteristic"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="medicationknowledge-characteristic"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -11233,14 +41426,14 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/med-admin-perform-function"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationknowledge-characteristic"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1112"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1338"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationAdministration Performer Function Codes"></name>
-    <title value="Medication administration  performer  function  codes"></title>
+    <version value="4.2.0"></version>
+    <name value="medicationKnowledge Characteristic Codes"></name>
+    <title value="Medication knowledge  characteristic  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
     <publisher value="FHIR Project team"></publisher>
@@ -11250,47 +41443,202 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="MedicationAdministration Performer Function Codes"></description>
+    <description value="MedicationKnowledge Characteristic Codes"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/med-admin-perform-function"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="performer"></code>
-     <display value="Performer"></display>
-     <definition value="A person, non-person living subject, organization or device that who actually and principally carries out the action"></definition>
+     <code value="imprintcd"></code>
+     <display value="Imprint Code"></display>
+     <definition value="Identyifying marks on product"></definition>
     </concept>
     <concept>
-     <code value="verifier"></code>
-     <display value="Verifier"></display>
-     <definition value="A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability."></definition>
+     <code value="size"></code>
+     <display value="Size"></display>
+     <definition value="Description of size of the product"></definition>
     </concept>
     <concept>
-     <code value="witness"></code>
-     <display value="Witness"></display>
-     <definition value="A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness."></definition>
+     <code value="shape"></code>
+     <display value="Shape"></display>
+     <definition value="Description of the shape of the product"></definition>
+    </concept>
+    <concept>
+     <code value="color"></code>
+     <display value="Color"></display>
+     <definition value="Description of the color of the product"></definition>
+    </concept>
+    <concept>
+     <code value="coating"></code>
+     <display value="Coating"></display>
+     <definition value="Description of the coating of the product"></definition>
+    </concept>
+    <concept>
+     <code value="scoring"></code>
+     <display value="Scoring"></display>
+     <definition value="Description of the scoring of the product"></definition>
+    </concept>
+    <concept>
+     <code value="logo"></code>
+     <display value="Logo"></display>
+     <definition value="Description of the Logo of the product"></definition>
+    </concept>
+    <concept>
+     <code value="image"></code>
+     <display value="Image"></display>
+     <definition value="Description of the Image of the product"></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-state"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationknowledge-package-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="condition-state"></id>
+    <id value="medicationknowledge-package-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/condition-state"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="phx"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="draft"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="1"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/medicationknowledge-package-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1287"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1340"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionState"></name>
-    <title value="ConditionState"></title>
+    <version value="4.2.0"></version>
+    <name value="medicationKnowledge Package Type Codes"></name>
+    <title value="Medication knowledge  package  type  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="MedicationKnowledge Package Type Codes"></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-package-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="amp"></code>
+     <display value="Ampule"></display>
+    </concept>
+    <concept>
+     <code value="bag"></code>
+     <display value="Bag"></display>
+    </concept>
+    <concept>
+     <code value="blstrpk"></code>
+     <display value="Blister Pack"></display>
+    </concept>
+    <concept>
+     <code value="bot"></code>
+     <display value="Bottle"></display>
+    </concept>
+    <concept>
+     <code value="box"></code>
+     <display value="Box"></display>
+    </concept>
+    <concept>
+     <code value="can"></code>
+     <display value="Can"></display>
+    </concept>
+    <concept>
+     <code value="cart"></code>
+     <display value="Cartridge"></display>
+    </concept>
+    <concept>
+     <code value="disk"></code>
+     <display value="Disk"></display>
+    </concept>
+    <concept>
+     <code value="doset"></code>
+     <display value="Dosette"></display>
+    </concept>
+    <concept>
+     <code value="jar"></code>
+     <display value="Jar"></display>
+    </concept>
+    <concept>
+     <code value="jug"></code>
+     <display value="Jug"></display>
+    </concept>
+    <concept>
+     <code value="minim"></code>
+     <display value="Minim"></display>
+    </concept>
+    <concept>
+     <code value="nebamp"></code>
+     <display value="Nebule Amp"></display>
+    </concept>
+    <concept>
+     <code value="ovul"></code>
+     <display value="Ovule"></display>
+    </concept>
+    <concept>
+     <code value="pch"></code>
+     <display value="Pouch"></display>
+    </concept>
+    <concept>
+     <code value="pkt"></code>
+     <display value="Packet"></display>
+    </concept>
+    <concept>
+     <code value="sash"></code>
+     <display value="Sashet"></display>
+    </concept>
+    <concept>
+     <code value="strip"></code>
+     <display value="Strip"></display>
+    </concept>
+    <concept>
+     <code value="tin"></code>
+     <display value="Tin"></display>
+    </concept>
+    <concept>
+     <code value="tub"></code>
+     <display value="Tub"></display>
+    </concept>
+    <concept>
+     <code value="tube"></code>
+     <display value="Tube"></display>
+    </concept>
+    <concept>
+     <code value="vial"></code>
+     <display value="Vial"></display>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-definition-status"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="device-definition-status"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://hl7.org/fhir/device-definition-status"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1308"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FHIRDeviceStatus"></name>
+    <title value="FHIRDeviceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -11302,39 +41650,262 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Enumeration indicating whether the condition is currently active, inactive, or has been resolved."></description>
+    <description value="Codes representing the current status of the device - on, off, suspended, etc."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/condition-state"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/device-definition-status"></valueSet>
     <content value="complete"></content>
     <concept>
      <code value="active"></code>
      <display value="Active"></display>
-     <definition value="The condition is active."></definition>
+     <definition value="The device is available for use.  Note: For *implanted devices*  this means that the device is implanted in the patient."></definition>
     </concept>
     <concept>
      <code value="inactive"></code>
      <display value="Inactive"></display>
-     <definition value="The condition is inactive, but not resolved."></definition>
+     <definition value="The device is no longer available for use (e.g. lost, expired, damaged).  Note: For *implanted devices*  this means that the device has been removed from the patient."></definition>
     </concept>
     <concept>
-     <code value="resolved"></code>
-     <display value="Resolved"></display>
-     <definition value="The condition is resolved."></definition>
+     <code value="entered-in-error"></code>
+     <display value="Entered in Error"></display>
+     <definition value="The device was entered in error and voided."></definition>
+    </concept>
+    <concept>
+     <code value="unknown"></code>
+     <display value="Unknown"></display>
+     <definition value="The status of the device has not been determined."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/common-tags"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/parameter-group"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="common-tags"></id>
+    <id value="parameter-group"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/parameter-group"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1264"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="DeviceDefinitionParameterGroup"></name>
+    <title value="DeviceDefinitionParameterGroup"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes identifying groupings of parameters; e.g. Cardiovascular."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/parameter-group"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="haemodynamic"></code>
+     <display value="Haemodynamic Parameter Group"></display>
+     <definition value="Haemodynamic Parameter Group - MDC_PGRP_HEMO."></definition>
+    </concept>
+    <concept>
+     <code value="ecg"></code>
+     <display value="ECG Parameter Group"></display>
+     <definition value="ECG Parameter Group - MDC_PGRP_ECG."></definition>
+    </concept>
+    <concept>
+     <code value="respiratory"></code>
+     <display value="Respiratory Parameter Group"></display>
+     <definition value="Respiratory Parameter Group - MDC_PGRP_RESP."></definition>
+    </concept>
+    <concept>
+     <code value="ventilation"></code>
+     <display value="Ventilation Parameter Group"></display>
+     <definition value="Ventilation Parameter Group - MDC_PGRP_VENT."></definition>
+    </concept>
+    <concept>
+     <code value="neurological"></code>
+     <display value="Neurological Parameter Group"></display>
+     <definition value="Neurological Parameter Group - MDC_PGRP_NEURO."></definition>
+    </concept>
+    <concept>
+     <code value="drug-delivery"></code>
+     <display value="Drug Delivery Parameter Group"></display>
+     <definition value="Drug Delivery Parameter Group - MDC_PGRP_DRUG."></definition>
+    </concept>
+    <concept>
+     <code value="fluid-chemistry"></code>
+     <display value="Fluid Chemistry Parameter Group"></display>
+     <definition value="Fluid Chemistry Parameter Group - MDC_PGRP_FLUID."></definition>
+    </concept>
+    <concept>
+     <code value="blood-chemistry"></code>
+     <display value="Blood Chemistry Parameter Group"></display>
+     <definition value="Blood Chemistry Parameter Group - MDC_PGRP_BLOOD_CHEM."></definition>
+    </concept>
+    <concept>
+     <code value="miscellaneous"></code>
+     <display value="Miscellaneous Parameter Group"></display>
+     <definition value="Miscellaneous Parameter Group - MDC_PGRP_MISC."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/variable-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="variable-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/variable-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1344"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EvidenceVariableType"></name>
+    <title value="EvidenceVariableType"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/variable-type"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="dichotomous"></code>
+     <display value="Dichotomous"></display>
+     <definition value="The variable is dichotomous, such as present or absent."></definition>
+    </concept>
+    <concept>
+     <code value="continuous"></code>
+     <display value="Continuous"></display>
+     <definition value="The variable is a continuous result such as a quantity."></definition>
+    </concept>
+    <concept>
+     <code value="descriptive"></code>
+     <display value="Descriptive"></display>
+     <definition value="The variable is described narratively rather than quantitatively."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/group-measure"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="group-measure"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/group-measure"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1346"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GroupMeasure"></name>
+    <title value="GroupMeasure"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Possible group measure aggregates (E.g. Mean, Median)."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/group-measure"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="mean"></code>
+     <display value="Mean"></display>
+     <definition value="Aggregated using Mean of participant values."></definition>
+    </concept>
+    <concept>
+     <code value="median"></code>
+     <display value="Median"></display>
+     <definition value="Aggregated using Median of participant values."></definition>
+    </concept>
+    <concept>
+     <code value="mean-of-mean"></code>
+     <display value="Mean of Study Means"></display>
+     <definition value="Aggregated using Mean of study mean values."></definition>
+    </concept>
+    <concept>
+     <code value="mean-of-median"></code>
+     <display value="Mean of Study Medins"></display>
+     <definition value="Aggregated using Mean of study median values."></definition>
+    </concept>
+    <concept>
+     <code value="median-of-mean"></code>
+     <display value="Median of Study Means"></display>
+     <definition value="Aggregated using Median of study mean values."></definition>
+    </concept>
+    <concept>
+     <code value="median-of-median"></code>
+     <display value="Median of Study Medians"></display>
+     <definition value="Aggregated using Median of study median values."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/characteristic-method"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="characteristic-method"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
@@ -11342,63 +41913,68 @@ Future versions of FHIR may make significant changes to Trial Use content that a
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/common-tags"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/characteristic-method"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1067"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1453"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="CommonTags"></name>
-    <title value="Common Tags"></title>
+    <version value="4.2.0"></version>
+    <name value="CharacteristicMethod"></name>
+    <title value="CharacteristicMethod"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
     </contact>
-    <description value="Common Tag Codes defined by FHIR project"></description>
+    <description value="The method used to determine the characteristic(s) of the variable."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/common-tags"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/characteristic-method"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="actionable"></code>
-     <display value="Actionable"></display>
-     <definition value="This request is intended to be acted upon, not merely stored"></definition>
+     <code value="Default"></code>
+     <display value="Default"></display>
+     <definition value="Default."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-scoring"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/clinical-use-issue-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-scoring"></id>
+    <id value="clinical-use-issue-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
+     <valueCode value="brr"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/measure-scoring"></url>
+    <url value="http://hl7.org/fhir/clinical-use-issue-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1232"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1455"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasureScoring"></name>
-    <title value="MeasureScoring"></title>
+    <version value="4.2.0"></version>
+    <name value="ClinicalUseIssueType"></name>
+    <title value="ClinicalUseIssueType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -11410,52 +41986,66 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The scoring type of the measure."></description>
+    <description value="Overall defining type of this clinical use issue."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/clinical-use-issue-type"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="proportion"></code>
-     <display value="Proportion"></display>
-     <definition value="The measure score is defined using a proportion."></definition>
+     <code value="indication"></code>
+     <display value="Indication"></display>
+     <definition value="A reason for giving the medicaton."></definition>
     </concept>
     <concept>
-     <code value="ratio"></code>
-     <display value="Ratio"></display>
-     <definition value="The measure score is defined using a ratio."></definition>
+     <code value="contraindication"></code>
+     <display value="Contraindication"></display>
+     <definition value="A reason for not giving the medicaition."></definition>
     </concept>
     <concept>
-     <code value="continuous-variable"></code>
-     <display value="Continuous Variable"></display>
-     <definition value="The score is defined by a calculation of some quantity."></definition>
+     <code value="interaction"></code>
+     <display value="Interaction"></display>
+     <definition value="Interactions between the medication and other substances."></definition>
     </concept>
     <concept>
-     <code value="cohort"></code>
-     <display value="Cohort"></display>
-     <definition value="The measure is a cohort definition."></definition>
+     <code value="undesirable-effect"></code>
+     <display value="Undesirable Effect"></display>
+     <definition value="Side effects or adverse effects associated with the medication."></definition>
+    </concept>
+    <concept>
+     <code value="other"></code>
+     <display value="Other"></display>
+     <definition value="Other."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/question-max-occurs"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/variable-role"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="question-max-occurs"></id>
+    <id value="variable-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/question-max-occurs"></url>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/variable-role"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1272"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1457"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="MaxOccurs"></name>
-    <title value="MaxOccurs"></title>
+    <version value="4.2.0"></version>
+    <name value="EvidenceVariableRole"></name>
+    <title value="EvidenceVariableRole"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -11467,25 +42057,106 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Flags an element as having unlimited repetitions."></description>
+    <description value="The role that the assertion variable plays."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/question-max-occurs"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/variable-role"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="*"></code>
-     <display value="Repeating"></display>
-     <definition value="Element can repeat an unlimited number of times."></definition>
+     <code value="exposure"></code>
+     <display value="exposure"></display>
+     <definition value="variable represents an exposure."></definition>
+    </concept>
+    <concept>
+     <code value="referenceExposure"></code>
+     <display value="reference exposure"></display>
+     <definition value="variable represents a reference exposure."></definition>
+    </concept>
+    <concept>
+     <code value="measuredVariable"></code>
+     <display value="measured variable"></display>
+     <definition value="variable represents a measured variable."></definition>
+    </concept>
+    <concept>
+     <code value="confounder"></code>
+     <display value="confounder"></display>
+     <definition value="variable represents a confounder."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/spdx-license"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/directness"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="spdx-license"></id>
+    <id value="directness"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cds"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="0"></valueInteger>
+    </extension>
+    <url value="http://terminology.hl7.org/CodeSystem/directness"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1459"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="EvidenceDirectness"></name>
+    <title value="EvidenceDirectness"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="The quality of how direct the match is."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/directness"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="low"></code>
+     <display value="Low quality match"></display>
+     <definition value="Low level of directness."></definition>
+    </concept>
+    <concept>
+     <code value="moderate"></code>
+     <display value="Moderate quality match"></display>
+     <definition value="Moderate level of directness."></definition>
+    </concept>
+    <concept>
+     <code value="high"></code>
+     <display value="High quality match"></display>
+     <definition value="High level of directness."></definition>
+    </concept>
+    <concept>
+     <code value="exact"></code>
+     <display value="Exact match"></display>
+     <definition value="Exact directness."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/topic-match-operator"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="topic-match-operator"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
@@ -11494,19 +42165,19 @@ Future versions of FHIR may make significant changes to Trial Use content that a
      <valueCode value="trial-use"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
+     <valueInteger value="0"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/spdx-license"></url>
+    <url value="http://hl7.org/fhir/topic-match-operator"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1027"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1462"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="SPDXLicense"></name>
-    <title value="SPDXLicense"></title>
+    <version value="4.2.0"></version>
+    <name value="TopicFilterByMatchType"></name>
+    <title value="TopicFilterByMatchType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -11518,1794 +42189,34 @@ Future versions of FHIR may make significant changes to Trial Use content that a
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/)."></description>
+    <description value="Operator to apply to filter label."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/spdx-license"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/topic-match-operator"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="not-open-source"></code>
-     <display value="Not open source"></display>
-     <definition value="Not an open source license."></definition>
+     <code value="="></code>
+     <display value="="></display>
+     <definition value="Used to match a value according to FHIR Search rules (e.g., Patient/123, Encounter/2002)."></definition>
     </concept>
     <concept>
-     <code value="0BSD"></code>
-     <display value="BSD Zero Clause License"></display>
-     <definition value="BSD Zero Clause License."></definition>
+     <code value="in"></code>
+     <display value="in"></display>
+     <definition value="The key value in the topic stream is an active members of the reference set identified by the concept provided as the filter value."></definition>
     </concept>
     <concept>
-     <code value="AAL"></code>
-     <display value="Attribution Assurance License"></display>
-     <definition value="Attribution Assurance License."></definition>
+     <code value="not-in"></code>
+     <display value="not-in"></display>
+     <definition value="The key value in the topic stream is NOT an active members of the reference set identified by the concept provided as the filter value."></definition>
     </concept>
     <concept>
-     <code value="Abstyles"></code>
-     <display value="Abstyles License"></display>
-     <definition value="Abstyles License."></definition>
+     <code value="above"></code>
+     <display value="above"></display>
+     <definition value="The key value is subsumes the value in the filter value."></definition>
     </concept>
     <concept>
-     <code value="Adobe-2006"></code>
-     <display value="Adobe Systems Incorporated Source Code License Agreement"></display>
-     <definition value="Adobe Systems Incorporated Source Code License Agreement."></definition>
-    </concept>
-    <concept>
-     <code value="Adobe-Glyph"></code>
-     <display value="Adobe Glyph List License"></display>
-     <definition value="Adobe Glyph List License."></definition>
-    </concept>
-    <concept>
-     <code value="ADSL"></code>
-     <display value="Amazon Digital Services License"></display>
-     <definition value="Amazon Digital Services License."></definition>
-    </concept>
-    <concept>
-     <code value="AFL-1.1"></code>
-     <display value="Academic Free License v1.1"></display>
-     <definition value="Academic Free License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="AFL-1.2"></code>
-     <display value="Academic Free License v1.2"></display>
-     <definition value="Academic Free License v1.2."></definition>
-    </concept>
-    <concept>
-     <code value="AFL-2.0"></code>
-     <display value="Academic Free License v2.0"></display>
-     <definition value="Academic Free License v2.0."></definition>
-    </concept>
-    <concept>
-     <code value="AFL-2.1"></code>
-     <display value="Academic Free License v2.1"></display>
-     <definition value="Academic Free License v2.1."></definition>
-    </concept>
-    <concept>
-     <code value="AFL-3.0"></code>
-     <display value="Academic Free License v3.0"></display>
-     <definition value="Academic Free License v3.0."></definition>
-    </concept>
-    <concept>
-     <code value="Afmparse"></code>
-     <display value="Afmparse License"></display>
-     <definition value="Afmparse License."></definition>
-    </concept>
-    <concept>
-     <code value="AGPL-1.0-only"></code>
-     <display value="Affero General Public License v1.0 only"></display>
-     <definition value="Affero General Public License v1.0 only."></definition>
-    </concept>
-    <concept>
-     <code value="AGPL-1.0-or-later"></code>
-     <display value="Affero General Public License v1.0 or later"></display>
-     <definition value="Affero General Public License v1.0 or later."></definition>
-    </concept>
-    <concept>
-     <code value="AGPL-3.0-only"></code>
-     <display value="GNU Affero General Public License v3.0 only"></display>
-     <definition value="GNU Affero General Public License v3.0 only."></definition>
-    </concept>
-    <concept>
-     <code value="AGPL-3.0-or-later"></code>
-     <display value="GNU Affero General Public License v3.0 or later"></display>
-     <definition value="GNU Affero General Public License v3.0 or later."></definition>
-    </concept>
-    <concept>
-     <code value="Aladdin"></code>
-     <display value="Aladdin Free Public License"></display>
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-     <display value="Adobe Postscript AFM License"></display>
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-     <display value="Apple Public Source License 1.0"></display>
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-     <display value="Bahyph License"></display>
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-     <display value="Barr License"></display>
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-     <display value="Beerware License"></display>
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-     <display value="Creative Commons Attribution Non Commercial Share Alike 2.5 Generic"></display>
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-     <display value="Creative Commons Attribution No Derivatives 2.0 Generic"></display>
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-     <display value="Creative Commons Attribution No Derivatives 2.5 Generic"></display>
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-     <display value="Creative Commons Attribution Share Alike 2.0 Generic"></display>
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-     <display value="Creative Commons Attribution Share Alike 2.5 Generic"></display>
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-     <code value="DOC"></code>
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-     <code value="dvipdfm"></code>
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-     <display value="Educational Community License v1.0"></display>
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-     <code value="EPL-1.0"></code>
-     <display value="Eclipse Public License 1.0"></display>
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-     <code value="EPL-2.0"></code>
-     <display value="Eclipse Public License 2.0"></display>
-     <definition value="Eclipse Public License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="ErlPL-1.1"></code>
-     <display value="Erlang Public License v1.1"></display>
-     <definition value="Erlang Public License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="EUDatagrid"></code>
-     <display value="EU DataGrid Software License"></display>
-     <definition value="EU DataGrid Software License."></definition>
-    </concept>
-    <concept>
-     <code value="EUPL-1.0"></code>
-     <display value="European Union Public License 1.0"></display>
-     <definition value="European Union Public License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="EUPL-1.1"></code>
-     <display value="European Union Public License 1.1"></display>
-     <definition value="European Union Public License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="EUPL-1.2"></code>
-     <display value="European Union Public License 1.2"></display>
-     <definition value="European Union Public License 1.2."></definition>
-    </concept>
-    <concept>
-     <code value="Eurosym"></code>
-     <display value="Eurosym License"></display>
-     <definition value="Eurosym License."></definition>
-    </concept>
-    <concept>
-     <code value="Fair"></code>
-     <display value="Fair License"></display>
-     <definition value="Fair License."></definition>
-    </concept>
-    <concept>
-     <code value="Frameworx-1.0"></code>
-     <display value="Frameworx Open License 1.0"></display>
-     <definition value="Frameworx Open License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="FreeImage"></code>
-     <display value="FreeImage Public License v1.0"></display>
-     <definition value="FreeImage Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="FSFAP"></code>
-     <display value="FSF All Permissive License"></display>
-     <definition value="FSF All Permissive License."></definition>
-    </concept>
-    <concept>
-     <code value="FSFUL"></code>
-     <display value="FSF Unlimited License"></display>
-     <definition value="FSF Unlimited License."></definition>
-    </concept>
-    <concept>
-     <code value="FSFULLR"></code>
-     <display value="FSF Unlimited License (with License Retention)"></display>
-     <definition value="FSF Unlimited License (with License Retention)."></definition>
-    </concept>
-    <concept>
-     <code value="FTL"></code>
-     <display value="Freetype Project License"></display>
-     <definition value="Freetype Project License."></definition>
-    </concept>
-    <concept>
-     <code value="GFDL-1.1-only"></code>
-     <display value="GNU Free Documentation License v1.1 only"></display>
-     <definition value="GNU Free Documentation License v1.1 only."></definition>
-    </concept>
-    <concept>
-     <code value="GFDL-1.1-or-later"></code>
-     <display value="GNU Free Documentation License v1.1 or later"></display>
-     <definition value="GNU Free Documentation License v1.1 or later."></definition>
-    </concept>
-    <concept>
-     <code value="GFDL-1.2-only"></code>
-     <display value="GNU Free Documentation License v1.2 only"></display>
-     <definition value="GNU Free Documentation License v1.2 only."></definition>
-    </concept>
-    <concept>
-     <code value="GFDL-1.2-or-later"></code>
-     <display value="GNU Free Documentation License v1.2 or later"></display>
-     <definition value="GNU Free Documentation License v1.2 or later."></definition>
-    </concept>
-    <concept>
-     <code value="GFDL-1.3-only"></code>
-     <display value="GNU Free Documentation License v1.3 only"></display>
-     <definition value="GNU Free Documentation License v1.3 only."></definition>
-    </concept>
-    <concept>
-     <code value="GFDL-1.3-or-later"></code>
-     <display value="GNU Free Documentation License v1.3 or later"></display>
-     <definition value="GNU Free Documentation License v1.3 or later."></definition>
-    </concept>
-    <concept>
-     <code value="Giftware"></code>
-     <display value="Giftware License"></display>
-     <definition value="Giftware License."></definition>
-    </concept>
-    <concept>
-     <code value="GL2PS"></code>
-     <display value="GL2PS License"></display>
-     <definition value="GL2PS License."></definition>
-    </concept>
-    <concept>
-     <code value="Glide"></code>
-     <display value="3dfx Glide License"></display>
-     <definition value="3dfx Glide License."></definition>
-    </concept>
-    <concept>
-     <code value="Glulxe"></code>
-     <display value="Glulxe License"></display>
-     <definition value="Glulxe License."></definition>
-    </concept>
-    <concept>
-     <code value="gnuplot"></code>
-     <display value="gnuplot License"></display>
-     <definition value="gnuplot License."></definition>
-    </concept>
-    <concept>
-     <code value="GPL-1.0-only"></code>
-     <display value="GNU General Public License v1.0 only"></display>
-     <definition value="GNU General Public License v1.0 only."></definition>
-    </concept>
-    <concept>
-     <code value="GPL-1.0-or-later"></code>
-     <display value="GNU General Public License v1.0 or later"></display>
-     <definition value="GNU General Public License v1.0 or later."></definition>
-    </concept>
-    <concept>
-     <code value="GPL-2.0-only"></code>
-     <display value="GNU General Public License v2.0 only"></display>
-     <definition value="GNU General Public License v2.0 only."></definition>
-    </concept>
-    <concept>
-     <code value="GPL-2.0-or-later"></code>
-     <display value="GNU General Public License v2.0 or later"></display>
-     <definition value="GNU General Public License v2.0 or later."></definition>
-    </concept>
-    <concept>
-     <code value="GPL-3.0-only"></code>
-     <display value="GNU General Public License v3.0 only"></display>
-     <definition value="GNU General Public License v3.0 only."></definition>
-    </concept>
-    <concept>
-     <code value="GPL-3.0-or-later"></code>
-     <display value="GNU General Public License v3.0 or later"></display>
-     <definition value="GNU General Public License v3.0 or later."></definition>
-    </concept>
-    <concept>
-     <code value="gSOAP-1.3b"></code>
-     <display value="gSOAP Public License v1.3b"></display>
-     <definition value="gSOAP Public License v1.3b."></definition>
-    </concept>
-    <concept>
-     <code value="HaskellReport"></code>
-     <display value="Haskell Language Report License"></display>
-     <definition value="Haskell Language Report License."></definition>
-    </concept>
-    <concept>
-     <code value="HPND"></code>
-     <display value="Historical Permission Notice and Disclaimer"></display>
-     <definition value="Historical Permission Notice and Disclaimer."></definition>
-    </concept>
-    <concept>
-     <code value="IBM-pibs"></code>
-     <display value="IBM PowerPC Initialization and Boot Software"></display>
-     <definition value="IBM PowerPC Initialization and Boot Software."></definition>
-    </concept>
-    <concept>
-     <code value="ICU"></code>
-     <display value="ICU License"></display>
-     <definition value="ICU License."></definition>
-    </concept>
-    <concept>
-     <code value="IJG"></code>
-     <display value="Independent JPEG Group License"></display>
-     <definition value="Independent JPEG Group License."></definition>
-    </concept>
-    <concept>
-     <code value="ImageMagick"></code>
-     <display value="ImageMagick License"></display>
-     <definition value="ImageMagick License."></definition>
-    </concept>
-    <concept>
-     <code value="iMatix"></code>
-     <display value="iMatix Standard Function Library Agreement"></display>
-     <definition value="iMatix Standard Function Library Agreement."></definition>
-    </concept>
-    <concept>
-     <code value="Imlib2"></code>
-     <display value="Imlib2 License"></display>
-     <definition value="Imlib2 License."></definition>
-    </concept>
-    <concept>
-     <code value="Info-ZIP"></code>
-     <display value="Info-ZIP License"></display>
-     <definition value="Info-ZIP License."></definition>
-    </concept>
-    <concept>
-     <code value="Intel-ACPI"></code>
-     <display value="Intel ACPI Software License Agreement"></display>
-     <definition value="Intel ACPI Software License Agreement."></definition>
-    </concept>
-    <concept>
-     <code value="Intel"></code>
-     <display value="Intel Open Source License"></display>
-     <definition value="Intel Open Source License."></definition>
-    </concept>
-    <concept>
-     <code value="Interbase-1.0"></code>
-     <display value="Interbase Public License v1.0"></display>
-     <definition value="Interbase Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="IPA"></code>
-     <display value="IPA Font License"></display>
-     <definition value="IPA Font License."></definition>
-    </concept>
-    <concept>
-     <code value="IPL-1.0"></code>
-     <display value="IBM Public License v1.0"></display>
-     <definition value="IBM Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="ISC"></code>
-     <display value="ISC License"></display>
-     <definition value="ISC License."></definition>
-    </concept>
-    <concept>
-     <code value="JasPer-2.0"></code>
-     <display value="JasPer License"></display>
-     <definition value="JasPer License."></definition>
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-    <concept>
-     <code value="JSON"></code>
-     <display value="JSON License"></display>
-     <definition value="JSON License."></definition>
-    </concept>
-    <concept>
-     <code value="LAL-1.2"></code>
-     <display value="Licence Art Libre 1.2"></display>
-     <definition value="Licence Art Libre 1.2."></definition>
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-    <concept>
-     <code value="LAL-1.3"></code>
-     <display value="Licence Art Libre 1.3"></display>
-     <definition value="Licence Art Libre 1.3."></definition>
-    </concept>
-    <concept>
-     <code value="Latex2e"></code>
-     <display value="Latex2e License"></display>
-     <definition value="Latex2e License."></definition>
-    </concept>
-    <concept>
-     <code value="Leptonica"></code>
-     <display value="Leptonica License"></display>
-     <definition value="Leptonica License."></definition>
-    </concept>
-    <concept>
-     <code value="LGPL-2.0-only"></code>
-     <display value="GNU Library General Public License v2 only"></display>
-     <definition value="GNU Library General Public License v2 only."></definition>
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-    <concept>
-     <code value="LGPL-2.0-or-later"></code>
-     <display value="GNU Library General Public License v2 or later"></display>
-     <definition value="GNU Library General Public License v2 or later."></definition>
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-    <concept>
-     <code value="LGPL-2.1-only"></code>
-     <display value="GNU Lesser General Public License v2.1 only"></display>
-     <definition value="GNU Lesser General Public License v2.1 only."></definition>
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-    <concept>
-     <code value="LGPL-2.1-or-later"></code>
-     <display value="GNU Lesser General Public License v2.1 or later"></display>
-     <definition value="GNU Lesser General Public License v2.1 or later."></definition>
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-    <concept>
-     <code value="LGPL-3.0-only"></code>
-     <display value="GNU Lesser General Public License v3.0 only"></display>
-     <definition value="GNU Lesser General Public License v3.0 only."></definition>
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-    <concept>
-     <code value="LGPL-3.0-or-later"></code>
-     <display value="GNU Lesser General Public License v3.0 or later"></display>
-     <definition value="GNU Lesser General Public License v3.0 or later."></definition>
-    </concept>
-    <concept>
-     <code value="LGPLLR"></code>
-     <display value="Lesser General Public License For Linguistic Resources"></display>
-     <definition value="Lesser General Public License For Linguistic Resources."></definition>
-    </concept>
-    <concept>
-     <code value="Libpng"></code>
-     <display value="libpng License"></display>
-     <definition value="libpng License."></definition>
-    </concept>
-    <concept>
-     <code value="libtiff"></code>
-     <display value="libtiff License"></display>
-     <definition value="libtiff License."></definition>
-    </concept>
-    <concept>
-     <code value="LiLiQ-P-1.1"></code>
-     <display value="Licence Libre du Québec – Permissive version 1.1"></display>
-     <definition value="Licence Libre du Québec – Permissive version 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="LiLiQ-R-1.1"></code>
-     <display value="Licence Libre du Québec – Réciprocité version 1.1"></display>
-     <definition value="Licence Libre du Québec – Réciprocité version 1.1."></definition>
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-    <concept>
-     <code value="LiLiQ-Rplus-1.1"></code>
-     <display value="Licence Libre du Québec – Réciprocité forte version 1.1"></display>
-     <definition value="Licence Libre du Québec – Réciprocité forte version 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="Linux-OpenIB"></code>
-     <display value="Linux Kernel Variant of OpenIB.org license"></display>
-     <definition value="Linux Kernel Variant of OpenIB.org license."></definition>
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-    <concept>
-     <code value="LPL-1.0"></code>
-     <display value="Lucent Public License Version 1.0"></display>
-     <definition value="Lucent Public License Version 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="LPL-1.02"></code>
-     <display value="Lucent Public License v1.02"></display>
-     <definition value="Lucent Public License v1.02."></definition>
-    </concept>
-    <concept>
-     <code value="LPPL-1.0"></code>
-     <display value="LaTeX Project Public License v1.0"></display>
-     <definition value="LaTeX Project Public License v1.0."></definition>
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-    <concept>
-     <code value="LPPL-1.1"></code>
-     <display value="LaTeX Project Public License v1.1"></display>
-     <definition value="LaTeX Project Public License v1.1."></definition>
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-    <concept>
-     <code value="LPPL-1.2"></code>
-     <display value="LaTeX Project Public License v1.2"></display>
-     <definition value="LaTeX Project Public License v1.2."></definition>
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-    <concept>
-     <code value="LPPL-1.3a"></code>
-     <display value="LaTeX Project Public License v1.3a"></display>
-     <definition value="LaTeX Project Public License v1.3a."></definition>
-    </concept>
-    <concept>
-     <code value="LPPL-1.3c"></code>
-     <display value="LaTeX Project Public License v1.3c"></display>
-     <definition value="LaTeX Project Public License v1.3c."></definition>
-    </concept>
-    <concept>
-     <code value="MakeIndex"></code>
-     <display value="MakeIndex License"></display>
-     <definition value="MakeIndex License."></definition>
-    </concept>
-    <concept>
-     <code value="MirOS"></code>
-     <display value="MirOS License"></display>
-     <definition value="MirOS License."></definition>
-    </concept>
-    <concept>
-     <code value="MIT-0"></code>
-     <display value="MIT No Attribution"></display>
-     <definition value="MIT No Attribution."></definition>
-    </concept>
-    <concept>
-     <code value="MIT-advertising"></code>
-     <display value="Enlightenment License (e16)"></display>
-     <definition value="Enlightenment License (e16)."></definition>
-    </concept>
-    <concept>
-     <code value="MIT-CMU"></code>
-     <display value="CMU License"></display>
-     <definition value="CMU License."></definition>
-    </concept>
-    <concept>
-     <code value="MIT-enna"></code>
-     <display value="enna License"></display>
-     <definition value="enna License."></definition>
-    </concept>
-    <concept>
-     <code value="MIT-feh"></code>
-     <display value="feh License"></display>
-     <definition value="feh License."></definition>
-    </concept>
-    <concept>
-     <code value="MIT"></code>
-     <display value="MIT License"></display>
-     <definition value="MIT License."></definition>
-    </concept>
-    <concept>
-     <code value="MITNFA"></code>
-     <display value="MIT +no-false-attribs license"></display>
-     <definition value="MIT +no-false-attribs license."></definition>
-    </concept>
-    <concept>
-     <code value="Motosoto"></code>
-     <display value="Motosoto License"></display>
-     <definition value="Motosoto License."></definition>
-    </concept>
-    <concept>
-     <code value="mpich2"></code>
-     <display value="mpich2 License"></display>
-     <definition value="mpich2 License."></definition>
-    </concept>
-    <concept>
-     <code value="MPL-1.0"></code>
-     <display value="Mozilla Public License 1.0"></display>
-     <definition value="Mozilla Public License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="MPL-1.1"></code>
-     <display value="Mozilla Public License 1.1"></display>
-     <definition value="Mozilla Public License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="MPL-2.0-no-copyleft-exception"></code>
-     <display value="Mozilla Public License 2.0 (no copyleft exception)"></display>
-     <definition value="Mozilla Public License 2.0 (no copyleft exception)."></definition>
-    </concept>
-    <concept>
-     <code value="MPL-2.0"></code>
-     <display value="Mozilla Public License 2.0"></display>
-     <definition value="Mozilla Public License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="MS-PL"></code>
-     <display value="Microsoft Public License"></display>
-     <definition value="Microsoft Public License."></definition>
-    </concept>
-    <concept>
-     <code value="MS-RL"></code>
-     <display value="Microsoft Reciprocal License"></display>
-     <definition value="Microsoft Reciprocal License."></definition>
-    </concept>
-    <concept>
-     <code value="MTLL"></code>
-     <display value="Matrix Template Library License"></display>
-     <definition value="Matrix Template Library License."></definition>
-    </concept>
-    <concept>
-     <code value="Multics"></code>
-     <display value="Multics License"></display>
-     <definition value="Multics License."></definition>
-    </concept>
-    <concept>
-     <code value="Mup"></code>
-     <display value="Mup License"></display>
-     <definition value="Mup License."></definition>
-    </concept>
-    <concept>
-     <code value="NASA-1.3"></code>
-     <display value="NASA Open Source Agreement 1.3"></display>
-     <definition value="NASA Open Source Agreement 1.3."></definition>
-    </concept>
-    <concept>
-     <code value="Naumen"></code>
-     <display value="Naumen Public License"></display>
-     <definition value="Naumen Public License."></definition>
-    </concept>
-    <concept>
-     <code value="NBPL-1.0"></code>
-     <display value="Net Boolean Public License v1"></display>
-     <definition value="Net Boolean Public License v1."></definition>
-    </concept>
-    <concept>
-     <code value="NCSA"></code>
-     <display value="University of Illinois/NCSA Open Source License"></display>
-     <definition value="University of Illinois/NCSA Open Source License."></definition>
-    </concept>
-    <concept>
-     <code value="Net-SNMP"></code>
-     <display value="Net-SNMP License"></display>
-     <definition value="Net-SNMP License."></definition>
-    </concept>
-    <concept>
-     <code value="NetCDF"></code>
-     <display value="NetCDF license"></display>
-     <definition value="NetCDF license."></definition>
-    </concept>
-    <concept>
-     <code value="Newsletr"></code>
-     <display value="Newsletr License"></display>
-     <definition value="Newsletr License."></definition>
-    </concept>
-    <concept>
-     <code value="NGPL"></code>
-     <display value="Nethack General Public License"></display>
-     <definition value="Nethack General Public License."></definition>
-    </concept>
-    <concept>
-     <code value="NLOD-1.0"></code>
-     <display value="Norwegian Licence for Open Government Data"></display>
-     <definition value="Norwegian Licence for Open Government Data."></definition>
-    </concept>
-    <concept>
-     <code value="NLPL"></code>
-     <display value="No Limit Public License"></display>
-     <definition value="No Limit Public License."></definition>
-    </concept>
-    <concept>
-     <code value="Nokia"></code>
-     <display value="Nokia Open Source License"></display>
-     <definition value="Nokia Open Source License."></definition>
-    </concept>
-    <concept>
-     <code value="NOSL"></code>
-     <display value="Netizen Open Source License"></display>
-     <definition value="Netizen Open Source License."></definition>
-    </concept>
-    <concept>
-     <code value="Noweb"></code>
-     <display value="Noweb License"></display>
-     <definition value="Noweb License."></definition>
-    </concept>
-    <concept>
-     <code value="NPL-1.0"></code>
-     <display value="Netscape Public License v1.0"></display>
-     <definition value="Netscape Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="NPL-1.1"></code>
-     <display value="Netscape Public License v1.1"></display>
-     <definition value="Netscape Public License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="NPOSL-3.0"></code>
-     <display value="Non-Profit Open Software License 3.0"></display>
-     <definition value="Non-Profit Open Software License 3.0."></definition>
-    </concept>
-    <concept>
-     <code value="NRL"></code>
-     <display value="NRL License"></display>
-     <definition value="NRL License."></definition>
-    </concept>
-    <concept>
-     <code value="NTP"></code>
-     <display value="NTP License"></display>
-     <definition value="NTP License."></definition>
-    </concept>
-    <concept>
-     <code value="OCCT-PL"></code>
-     <display value="Open CASCADE Technology Public License"></display>
-     <definition value="Open CASCADE Technology Public License."></definition>
-    </concept>
-    <concept>
-     <code value="OCLC-2.0"></code>
-     <display value="OCLC Research Public License 2.0"></display>
-     <definition value="OCLC Research Public License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="ODbL-1.0"></code>
-     <display value="ODC Open Database License v1.0"></display>
-     <definition value="ODC Open Database License v1.0."></definition>
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-    <concept>
-     <code value="OFL-1.0"></code>
-     <display value="SIL Open Font License 1.0"></display>
-     <definition value="SIL Open Font License 1.0."></definition>
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-    <concept>
-     <code value="OFL-1.1"></code>
-     <display value="SIL Open Font License 1.1"></display>
-     <definition value="SIL Open Font License 1.1."></definition>
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-    <concept>
-     <code value="OGTSL"></code>
-     <display value="Open Group Test Suite License"></display>
-     <definition value="Open Group Test Suite License."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-1.1"></code>
-     <display value="Open LDAP Public License v1.1"></display>
-     <definition value="Open LDAP Public License v1.1."></definition>
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-    <concept>
-     <code value="OLDAP-1.2"></code>
-     <display value="Open LDAP Public License v1.2"></display>
-     <definition value="Open LDAP Public License v1.2."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-1.3"></code>
-     <display value="Open LDAP Public License v1.3"></display>
-     <definition value="Open LDAP Public License v1.3."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-1.4"></code>
-     <display value="Open LDAP Public License v1.4"></display>
-     <definition value="Open LDAP Public License v1.4."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.0.1"></code>
-     <display value="Open LDAP Public License v2.0.1"></display>
-     <definition value="Open LDAP Public License v2.0.1."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.0"></code>
-     <display value="Open LDAP Public License v2.0 (or possibly 2.0A and 2.0B)"></display>
-     <definition value="Open LDAP Public License v2.0 (or possibly 2.0A and 2.0B)."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.1"></code>
-     <display value="Open LDAP Public License v2.1"></display>
-     <definition value="Open LDAP Public License v2.1."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.2.1"></code>
-     <display value="Open LDAP Public License v2.2.1"></display>
-     <definition value="Open LDAP Public License v2.2.1."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.2.2"></code>
-     <display value="Open LDAP Public License 2.2.2"></display>
-     <definition value="Open LDAP Public License 2.2.2."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.2"></code>
-     <display value="Open LDAP Public License v2.2"></display>
-     <definition value="Open LDAP Public License v2.2."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.3"></code>
-     <display value="Open LDAP Public License v2.3"></display>
-     <definition value="Open LDAP Public License v2.3."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.4"></code>
-     <display value="Open LDAP Public License v2.4"></display>
-     <definition value="Open LDAP Public License v2.4."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.5"></code>
-     <display value="Open LDAP Public License v2.5"></display>
-     <definition value="Open LDAP Public License v2.5."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.6"></code>
-     <display value="Open LDAP Public License v2.6"></display>
-     <definition value="Open LDAP Public License v2.6."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.7"></code>
-     <display value="Open LDAP Public License v2.7"></display>
-     <definition value="Open LDAP Public License v2.7."></definition>
-    </concept>
-    <concept>
-     <code value="OLDAP-2.8"></code>
-     <display value="Open LDAP Public License v2.8"></display>
-     <definition value="Open LDAP Public License v2.8."></definition>
-    </concept>
-    <concept>
-     <code value="OML"></code>
-     <display value="Open Market License"></display>
-     <definition value="Open Market License."></definition>
-    </concept>
-    <concept>
-     <code value="OpenSSL"></code>
-     <display value="OpenSSL License"></display>
-     <definition value="OpenSSL License."></definition>
-    </concept>
-    <concept>
-     <code value="OPL-1.0"></code>
-     <display value="Open Public License v1.0"></display>
-     <definition value="Open Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="OSET-PL-2.1"></code>
-     <display value="OSET Public License version 2.1"></display>
-     <definition value="OSET Public License version 2.1."></definition>
-    </concept>
-    <concept>
-     <code value="OSL-1.0"></code>
-     <display value="Open Software License 1.0"></display>
-     <definition value="Open Software License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="OSL-1.1"></code>
-     <display value="Open Software License 1.1"></display>
-     <definition value="Open Software License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="OSL-2.0"></code>
-     <display value="Open Software License 2.0"></display>
-     <definition value="Open Software License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="OSL-2.1"></code>
-     <display value="Open Software License 2.1"></display>
-     <definition value="Open Software License 2.1."></definition>
-    </concept>
-    <concept>
-     <code value="OSL-3.0"></code>
-     <display value="Open Software License 3.0"></display>
-     <definition value="Open Software License 3.0."></definition>
-    </concept>
-    <concept>
-     <code value="PDDL-1.0"></code>
-     <display value="ODC Public Domain Dedication &amp; License 1.0"></display>
-     <definition value="ODC Public Domain Dedication &amp; License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="PHP-3.0"></code>
-     <display value="PHP License v3.0"></display>
-     <definition value="PHP License v3.0."></definition>
-    </concept>
-    <concept>
-     <code value="PHP-3.01"></code>
-     <display value="PHP License v3.01"></display>
-     <definition value="PHP License v3.01."></definition>
-    </concept>
-    <concept>
-     <code value="Plexus"></code>
-     <display value="Plexus Classworlds License"></display>
-     <definition value="Plexus Classworlds License."></definition>
-    </concept>
-    <concept>
-     <code value="PostgreSQL"></code>
-     <display value="PostgreSQL License"></display>
-     <definition value="PostgreSQL License."></definition>
-    </concept>
-    <concept>
-     <code value="psfrag"></code>
-     <display value="psfrag License"></display>
-     <definition value="psfrag License."></definition>
-    </concept>
-    <concept>
-     <code value="psutils"></code>
-     <display value="psutils License"></display>
-     <definition value="psutils License."></definition>
-    </concept>
-    <concept>
-     <code value="Python-2.0"></code>
-     <display value="Python License 2.0"></display>
-     <definition value="Python License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="Qhull"></code>
-     <display value="Qhull License"></display>
-     <definition value="Qhull License."></definition>
-    </concept>
-    <concept>
-     <code value="QPL-1.0"></code>
-     <display value="Q Public License 1.0"></display>
-     <definition value="Q Public License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="Rdisc"></code>
-     <display value="Rdisc License"></display>
-     <definition value="Rdisc License."></definition>
-    </concept>
-    <concept>
-     <code value="RHeCos-1.1"></code>
-     <display value="Red Hat eCos Public License v1.1"></display>
-     <definition value="Red Hat eCos Public License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="RPL-1.1"></code>
-     <display value="Reciprocal Public License 1.1"></display>
-     <definition value="Reciprocal Public License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="RPL-1.5"></code>
-     <display value="Reciprocal Public License 1.5"></display>
-     <definition value="Reciprocal Public License 1.5."></definition>
-    </concept>
-    <concept>
-     <code value="RPSL-1.0"></code>
-     <display value="RealNetworks Public Source License v1.0"></display>
-     <definition value="RealNetworks Public Source License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="RSA-MD"></code>
-     <display value="RSA Message-Digest License"></display>
-     <definition value="RSA Message-Digest License."></definition>
-    </concept>
-    <concept>
-     <code value="RSCPL"></code>
-     <display value="Ricoh Source Code Public License"></display>
-     <definition value="Ricoh Source Code Public License."></definition>
-    </concept>
-    <concept>
-     <code value="Ruby"></code>
-     <display value="Ruby License"></display>
-     <definition value="Ruby License."></definition>
-    </concept>
-    <concept>
-     <code value="SAX-PD"></code>
-     <display value="Sax Public Domain Notice"></display>
-     <definition value="Sax Public Domain Notice."></definition>
-    </concept>
-    <concept>
-     <code value="Saxpath"></code>
-     <display value="Saxpath License"></display>
-     <definition value="Saxpath License."></definition>
-    </concept>
-    <concept>
-     <code value="SCEA"></code>
-     <display value="SCEA Shared Source License"></display>
-     <definition value="SCEA Shared Source License."></definition>
-    </concept>
-    <concept>
-     <code value="Sendmail"></code>
-     <display value="Sendmail License"></display>
-     <definition value="Sendmail License."></definition>
-    </concept>
-    <concept>
-     <code value="SGI-B-1.0"></code>
-     <display value="SGI Free Software License B v1.0"></display>
-     <definition value="SGI Free Software License B v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="SGI-B-1.1"></code>
-     <display value="SGI Free Software License B v1.1"></display>
-     <definition value="SGI Free Software License B v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="SGI-B-2.0"></code>
-     <display value="SGI Free Software License B v2.0"></display>
-     <definition value="SGI Free Software License B v2.0."></definition>
-    </concept>
-    <concept>
-     <code value="SimPL-2.0"></code>
-     <display value="Simple Public License 2.0"></display>
-     <definition value="Simple Public License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="SISSL-1.2"></code>
-     <display value="Sun Industry Standards Source License v1.2"></display>
-     <definition value="Sun Industry Standards Source License v1.2."></definition>
-    </concept>
-    <concept>
-     <code value="SISSL"></code>
-     <display value="Sun Industry Standards Source License v1.1"></display>
-     <definition value="Sun Industry Standards Source License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="Sleepycat"></code>
-     <display value="Sleepycat License"></display>
-     <definition value="Sleepycat License."></definition>
-    </concept>
-    <concept>
-     <code value="SMLNJ"></code>
-     <display value="Standard ML of New Jersey License"></display>
-     <definition value="Standard ML of New Jersey License."></definition>
-    </concept>
-    <concept>
-     <code value="SMPPL"></code>
-     <display value="Secure Messaging Protocol Public License"></display>
-     <definition value="Secure Messaging Protocol Public License."></definition>
-    </concept>
-    <concept>
-     <code value="SNIA"></code>
-     <display value="SNIA Public License 1.1"></display>
-     <definition value="SNIA Public License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="Spencer-86"></code>
-     <display value="Spencer License 86"></display>
-     <definition value="Spencer License 86."></definition>
-    </concept>
-    <concept>
-     <code value="Spencer-94"></code>
-     <display value="Spencer License 94"></display>
-     <definition value="Spencer License 94."></definition>
-    </concept>
-    <concept>
-     <code value="Spencer-99"></code>
-     <display value="Spencer License 99"></display>
-     <definition value="Spencer License 99."></definition>
-    </concept>
-    <concept>
-     <code value="SPL-1.0"></code>
-     <display value="Sun Public License v1.0"></display>
-     <definition value="Sun Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="SugarCRM-1.1.3"></code>
-     <display value="SugarCRM Public License v1.1.3"></display>
-     <definition value="SugarCRM Public License v1.1.3."></definition>
-    </concept>
-    <concept>
-     <code value="SWL"></code>
-     <display value="Scheme Widget Library (SWL) Software License Agreement"></display>
-     <definition value="Scheme Widget Library (SWL) Software License Agreement."></definition>
-    </concept>
-    <concept>
-     <code value="TCL"></code>
-     <display value="TCL/TK License"></display>
-     <definition value="TCL/TK License."></definition>
-    </concept>
-    <concept>
-     <code value="TCP-wrappers"></code>
-     <display value="TCP Wrappers License"></display>
-     <definition value="TCP Wrappers License."></definition>
-    </concept>
-    <concept>
-     <code value="TMate"></code>
-     <display value="TMate Open Source License"></display>
-     <definition value="TMate Open Source License."></definition>
-    </concept>
-    <concept>
-     <code value="TORQUE-1.1"></code>
-     <display value="TORQUE v2.5+ Software License v1.1"></display>
-     <definition value="TORQUE v2.5+ Software License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="TOSL"></code>
-     <display value="Trusster Open Source License"></display>
-     <definition value="Trusster Open Source License."></definition>
-    </concept>
-    <concept>
-     <code value="Unicode-DFS-2015"></code>
-     <display value="Unicode License Agreement - Data Files and Software (2015)"></display>
-     <definition value="Unicode License Agreement - Data Files and Software (2015)."></definition>
-    </concept>
-    <concept>
-     <code value="Unicode-DFS-2016"></code>
-     <display value="Unicode License Agreement - Data Files and Software (2016)"></display>
-     <definition value="Unicode License Agreement - Data Files and Software (2016)."></definition>
-    </concept>
-    <concept>
-     <code value="Unicode-TOU"></code>
-     <display value="Unicode Terms of Use"></display>
-     <definition value="Unicode Terms of Use."></definition>
-    </concept>
-    <concept>
-     <code value="Unlicense"></code>
-     <display value="The Unlicense"></display>
-     <definition value="The Unlicense."></definition>
-    </concept>
-    <concept>
-     <code value="UPL-1.0"></code>
-     <display value="Universal Permissive License v1.0"></display>
-     <definition value="Universal Permissive License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="Vim"></code>
-     <display value="Vim License"></display>
-     <definition value="Vim License."></definition>
-    </concept>
-    <concept>
-     <code value="VOSTROM"></code>
-     <display value="VOSTROM Public License for Open Source"></display>
-     <definition value="VOSTROM Public License for Open Source."></definition>
-    </concept>
-    <concept>
-     <code value="VSL-1.0"></code>
-     <display value="Vovida Software License v1.0"></display>
-     <definition value="Vovida Software License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="W3C-19980720"></code>
-     <display value="W3C Software Notice and License (1998-07-20)"></display>
-     <definition value="W3C Software Notice and License (1998-07-20)."></definition>
-    </concept>
-    <concept>
-     <code value="W3C-20150513"></code>
-     <display value="W3C Software Notice and Document License (2015-05-13)"></display>
-     <definition value="W3C Software Notice and Document License (2015-05-13)."></definition>
-    </concept>
-    <concept>
-     <code value="W3C"></code>
-     <display value="W3C Software Notice and License (2002-12-31)"></display>
-     <definition value="W3C Software Notice and License (2002-12-31)."></definition>
-    </concept>
-    <concept>
-     <code value="Watcom-1.0"></code>
-     <display value="Sybase Open Watcom Public License 1.0"></display>
-     <definition value="Sybase Open Watcom Public License 1.0."></definition>
-    </concept>
-    <concept>
-     <code value="Wsuipa"></code>
-     <display value="Wsuipa License"></display>
-     <definition value="Wsuipa License."></definition>
-    </concept>
-    <concept>
-     <code value="WTFPL"></code>
-     <display value="Do What The F*ck You Want To Public License"></display>
-     <definition value="Do What The F*ck You Want To Public License."></definition>
-    </concept>
-    <concept>
-     <code value="X11"></code>
-     <display value="X11 License"></display>
-     <definition value="X11 License."></definition>
-    </concept>
-    <concept>
-     <code value="Xerox"></code>
-     <display value="Xerox License"></display>
-     <definition value="Xerox License."></definition>
-    </concept>
-    <concept>
-     <code value="XFree86-1.1"></code>
-     <display value="XFree86 License 1.1"></display>
-     <definition value="XFree86 License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="xinetd"></code>
-     <display value="xinetd License"></display>
-     <definition value="xinetd License."></definition>
-    </concept>
-    <concept>
-     <code value="Xnet"></code>
-     <display value="X.Net License"></display>
-     <definition value="X.Net License."></definition>
-    </concept>
-    <concept>
-     <code value="xpp"></code>
-     <display value="XPP License"></display>
-     <definition value="XPP License."></definition>
-    </concept>
-    <concept>
-     <code value="XSkat"></code>
-     <display value="XSkat License"></display>
-     <definition value="XSkat License."></definition>
-    </concept>
-    <concept>
-     <code value="YPL-1.0"></code>
-     <display value="Yahoo! Public License v1.0"></display>
-     <definition value="Yahoo! Public License v1.0."></definition>
-    </concept>
-    <concept>
-     <code value="YPL-1.1"></code>
-     <display value="Yahoo! Public License v1.1"></display>
-     <definition value="Yahoo! Public License v1.1."></definition>
-    </concept>
-    <concept>
-     <code value="Zed"></code>
-     <display value="Zed License"></display>
-     <definition value="Zed License."></definition>
-    </concept>
-    <concept>
-     <code value="Zend-2.0"></code>
-     <display value="Zend License v2.0"></display>
-     <definition value="Zend License v2.0."></definition>
-    </concept>
-    <concept>
-     <code value="Zimbra-1.3"></code>
-     <display value="Zimbra Public License v1.3"></display>
-     <definition value="Zimbra Public License v1.3."></definition>
-    </concept>
-    <concept>
-     <code value="Zimbra-1.4"></code>
-     <display value="Zimbra Public License v1.4"></display>
-     <definition value="Zimbra Public License v1.4."></definition>
-    </concept>
-    <concept>
-     <code value="zlib-acknowledgement"></code>
-     <display value="zlib/libpng License with Acknowledgement"></display>
-     <definition value="zlib/libpng License with Acknowledgement."></definition>
-    </concept>
-    <concept>
-     <code value="Zlib"></code>
-     <display value="zlib License"></display>
-     <definition value="zlib License."></definition>
-    </concept>
-    <concept>
-     <code value="ZPL-1.1"></code>
-     <display value="Zope Public License 1.1"></display>
-     <definition value="Zope Public License 1.1."></definition>
-    </concept>
-    <concept>
-     <code value="ZPL-2.0"></code>
-     <display value="Zope Public License 2.0"></display>
-     <definition value="Zope Public License 2.0."></definition>
-    </concept>
-    <concept>
-     <code value="ZPL-2.1"></code>
-     <display value="Zope Public License 2.1"></display>
-     <definition value="Zope Public License 2.1."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assetscope"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-assetscope"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-asset-scope"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1294"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceAssetScopeCodes"></name>
-    <title value="Contract Resource Asset Scope codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for asset scope."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assetscope"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="thing"></code>
-     <display value="Thing"></display>
-     <definition value="To be completed"></definition>
+     <code value="below"></code>
+     <display value="below"></display>
+     <definition value="The key value is subsumed by the value in the filter value."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -13316,7 +42227,7 @@ Future versions of FHIR may make significant changes to Trial Use content that a
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
      <valueString value="This Code System is normative - it is generated based on the information defined in this specification. The definition will remain fixed  across versions, but the actual contents will change from version to version"></valueString>
@@ -13334,12 +42245,12 @@ Future versions of FHIR may make significant changes to Trial Use content that a
      <valueCode value="inm"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/resource-types"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResourceType"></name>
     <title value="ResourceType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -18169,1175 +47080,15 @@ The primary difference between a medicationusage and a medicationadministration
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplyrequest-reason"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/abstract-types"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="supplyrequest-reason"></id>
+    <id value="abstract-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/supplyrequest-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1193"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SupplyRequestReason"></name>
-    <title value="SupplyRequestReason"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The reason why the supply item was requested."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="patient-care"></code>
-     <display value="Patient Care"></display>
-     <definition value="The supply has been requested for use in direct patient care."></definition>
-    </concept>
-    <concept>
-     <code value="ward-stock"></code>
-     <display value="Ward Stock"></display>
-     <definition value="The supply has been requested for creating or replenishing ward stock."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/practitioner-role"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="practitioner-role"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/practitioner-role"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1132"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PractitionerRole"></name>
-    <title value="Practitioner role"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the role of a Practitioner."></description>
-    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="doctor"></code>
-     <display value="Doctor"></display>
-     <definition value="A qualified/registered medical practitioner"></definition>
-    </concept>
-    <concept>
-     <code value="nurse"></code>
-     <display value="Nurse"></display>
-     <definition value="A practitioner with nursing experience that may be qualified/registered"></definition>
-    </concept>
-    <concept>
-     <code value="pharmacist"></code>
-     <display value="Pharmacist"></display>
-     <definition value="A qualified/registered/licensed pharmacist"></definition>
-    </concept>
-    <concept>
-     <code value="researcher"></code>
-     <display value="Researcher"></display>
-     <definition value="A practitioner that may perform research"></definition>
-    </concept>
-    <concept>
-     <code value="teacher"></code>
-     <display value="Teacher/educator"></display>
-     <definition value="Someone who is able to provide educational services"></definition>
-    </concept>
-    <concept>
-     <code value="ict"></code>
-     <display value="ICT professional"></display>
-     <definition value="Someone who is qualified in Information and Communication Technologies"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/assert-direction-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="assert-direction-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/assert-direction-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.707"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AssertionDirectionType"></name>
-    <title value="AssertionDirectionType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of direction to use for assertion."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/assert-direction-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="response"></code>
-     <display value="response"></display>
-     <definition value="The assertion is evaluated on the response. This is the default value."></definition>
-    </concept>
-    <concept>
-     <code value="request"></code>
-     <display value="request"></display>
-     <definition value="The assertion is evaluated on the request."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-validation-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="resource-validation-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/resource-validation-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.119"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResourceValidationMode"></name>
-    <title value="ResourceValidationMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes indicating the type of validation to perform."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/resource-validation-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="create"></code>
-     <display value="Validate for Create"></display>
-     <definition value="The server checks the content, and then checks that the content would be acceptable as a create (e.g. that the content would not violate any uniqueness constraints)."></definition>
-    </concept>
-    <concept>
-     <code value="update"></code>
-     <display value="Validate for Update"></display>
-     <definition value="The server checks the content, and then checks that it would accept it as an update against the nominated specific resource (e.g. that there are no changes to immutable fields the server does not allow to change and checking version integrity if appropriate)."></definition>
-    </concept>
-    <concept>
-     <code value="delete"></code>
-     <display value="Validate for Delete"></display>
-     <definition value="The server ignores the content and checks that the nominated resource is allowed to be deleted (e.g. checking referential integrity rules)."></definition>
-    </concept>
-    <concept>
-     <code value="profile"></code>
-     <display value="Validate Against a Profile"></display>
-     <definition value="The server checks an existing resource (must be nominated by id, not provided as a parameter) as valid against the nominated profile."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/conceptmap-unmapped-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="conceptmap-unmapped-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/conceptmap-unmapped-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.481"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConceptMapGroupUnmappedMode"></name>
-    <title value="ConceptMapGroupUnmappedMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines which action to take if there is no match in the group."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="provided"></code>
-     <display value="Provided Code"></display>
-     <definition value="Use the code as provided in the $translate request."></definition>
-    </concept>
-    <concept>
-     <code value="fixed"></code>
-     <display value="Fixed Code"></display>
-     <definition value="Use the code explicitly provided in the group.unmapped."></definition>
-    </concept>
-    <concept>
-     <code value="other-map"></code>
-     <display value="Other Map"></display>
-     <definition value="Use the map identified by the canonical URL in the url element."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/administrative-gender"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="administrative-gender"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/administrative-gender"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.2"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdministrativeGender"></name>
-    <title value="AdministrativeGender"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="The gender of a person used for administrative purposes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Male"></valueString>
-     </extension>
-     <code value="male"></code>
-     <display value="Male"></display>
-     <definition value="Male."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Female"></valueString>
-     </extension>
-     <code value="female"></code>
-     <display value="Female"></display>
-     <definition value="Female."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The administrative gender is a value other than male/female/unknown. Where this value is selected, systems may often choose to include an extension with the localized more specific value."></valueString>
-     </extension>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="A proper value is applicable, but not known.  Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:  Those properties themselves directly translate to a semantic of &quot;unknown&quot;. (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of &quot;H&quot; and a URL prefix of &quot;tel:&quot; to convey that it is the home phone number that is unknown.)"></valueString>
-     </extension>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="Unknown."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/certainty-rating"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="certainty-rating"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/certainty-rating"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1415"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticCertaintyRating"></name>
-    <title value="StatisticCertaintyRating"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The relative quality of the statistic."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/certainty-rating"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="high"></code>
-     <display value="High quality"></display>
-     <definition value="High quality evidence."></definition>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate quality"></display>
-     <definition value="Moderate quality evidence."></definition>
-    </concept>
-    <concept>
-     <code value="low"></code>
-     <display value="Low quality"></display>
-     <definition value="Low quality evidence."></definition>
-    </concept>
-    <concept>
-     <code value="very-low"></code>
-     <display value="Very low quality"></display>
-     <definition value="Very low quality evidence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/extra-activity-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="extra-activity-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/extra-activity-type"></url>
-    <version value="4.1.0"></version>
-    <name value="ExtraActivityType"></name>
-    <status value="draft"></status>
-    <experimental value="true"></experimental>
-    <description value="This value set includes coded concepts not well covered in any of the included valuesets."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="aggregate"></code>
-     <display value="aggregate"></display>
-     <definition value="Activity resulting in a structured collection of preexisting content that does not necessarily result in an integral object with semantic context making it more than the sum of component parts, from which components could be disaggregated without loss of semantic context, e.g., the assembly of multiple stand-alone documents."></definition>
-    </concept>
-    <concept>
-     <code value="compose"></code>
-     <display value="compose"></display>
-     <definition value="Activity resulting in the structured compilation of new and preexisting content for the purposes of forming an integral object with  semantic context making it more than the sum of component parts, which would be lost if decomposed. For example, the composition of a document that includes in whole or part other documents along with new content that result in a new document that has unique semantic meaning."></definition>
-    </concept>
-    <concept>
-     <code value="label"></code>
-     <display value="label"></display>
-     <definition value="The means used to associate a set of security attributes with a specific information object as part of the data structure for that object. [ISO-10181-3 Access Control]"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assetsubtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-assetsubtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-asset-subtype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1302"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceAssetSub-TypeCodes"></name>
-    <title value="Contract Resource Asset Sub-Type codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for asset subtype."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assetsubtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="participation"></code>
-     <display value="Participation"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-target-list-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-target-list-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-target-list-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.686"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapTargetListMode"></name>
-    <title value="StructureMapTargetListMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="If field is a list, how to manage the production."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-target-list-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="first"></code>
-     <display value="First"></display>
-     <definition value="when the target list is being assembled, the items for this rule go first. If more than one rule defines a first item (for a given instance of mapping) then this is an error."></definition>
-    </concept>
-    <concept>
-     <code value="share"></code>
-     <display value="Share"></display>
-     <definition value="the target instance is shared with the target instances generated by another rule (up to the first common n items, then create new ones)."></definition>
-    </concept>
-    <concept>
-     <code value="last"></code>
-     <display value="Last"></display>
-     <definition value="when the target list is being assembled, the items for this rule go last. If more than one rule defines a last item (for a given instance of mapping) then this is an error."></definition>
-    </concept>
-    <concept>
-     <code value="collate"></code>
-     <display value="Collate"></display>
-     <definition value="re-use the first item in the list, and keep adding content to it."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="request-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/request-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.112"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RequestStatus"></name>
-    <title value="RequestStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying the lifecycle stage of a request."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/request-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="The request has been created but is not yet complete or ready for action."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The request is in force and ready to be acted upon."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="The request (and any implicit authorization to act) has been temporarily withdrawn but is expected to resume in the future."></definition>
-    </concept>
-    <concept>
-     <code value="revoked"></code>
-     <display value="Revoked"></display>
-     <definition value="The request (and any implicit authorization to act) has been terminated prior to the known full completion of the intended actions.  No further activity should occur."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The activity described by the request has been fully performed.  No further activity will occur."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This request should never have existed and should be considered 'void'.  (It is possible that real-world decisions were based on it.  If real-world activity has occurred, the status should be &quot;revoked&quot; rather than &quot;entered-in-error&quot;.)."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this request.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply,  but the authoring/source system does not know which."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-source-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="audit-source-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/security-source-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1137"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventSourceType"></name>
-    <title value="Audit Event Source Type"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2010-08-26T10:00:00+10:00"></date>
-    <publisher value="NEMA/DICOM"></publisher>
-    <description value="The type of process where the audit event originated from."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/audit-source-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="User Device"></display>
-     <definition value="End-user display device, diagnostic device."></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Data Interface"></display>
-     <definition value="Data acquisition device or instrument."></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Web Server"></display>
-     <definition value="Web Server process or thread."></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Application Server"></display>
-     <definition value="Application Server process or thread."></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Database Server"></display>
-     <definition value="Database Server process or thread."></definition>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="Security Server"></display>
-     <definition value="Security server, e.g. a domain controller."></definition>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="Network Device"></display>
-     <definition value="ISO level 1-3 network component."></definition>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="Network Router"></display>
-     <definition value="ISO level 4-6 operating software."></definition>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="Other"></display>
-     <definition value="Other kind of device (defined by DICOM, but some other code/system can be used)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/organization-role"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="organization-role"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/organization-role"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.881"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="OrganizationAffiliationRole"></name>
-    <title value="Organization Affiliation Role"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the role of one Organization in relation to another."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/organization-role"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="provider"></code>
-     <display value="Provider"></display>
-    </concept>
-    <concept>
-     <code value="agency"></code>
-     <display value="Agency"></display>
-     <definition value="An organization such as a public health agency, community/social services provider, etc."></definition>
-    </concept>
-    <concept>
-     <code value="research"></code>
-     <display value="Research"></display>
-     <definition value="An organization providing research-related services such as conducting research, recruiting research participants, analyzing data, etc."></definition>
-    </concept>
-    <concept>
-     <code value="payer"></code>
-     <display value="Payer"></display>
-     <definition value="An organization providing reimbursement, payment, or related services"></definition>
-    </concept>
-    <concept>
-     <code value="diagnostics"></code>
-     <display value="Diagnostics"></display>
-     <definition value="An organization providing diagnostic testing/laboratory services"></definition>
-    </concept>
-    <concept>
-     <code value="supplier"></code>
-     <display value="Supplier"></display>
-     <definition value="An organization that provides medical supplies (e.g. medical devices, equipment, pharmaceutical products, etc.)"></definition>
-    </concept>
-    <concept>
-     <code value="HIE/HIO"></code>
-     <display value="HIE/HIO"></display>
-     <definition value="An organization that facilitates electronic clinical data exchange between entities"></definition>
-    </concept>
-    <concept>
-     <code value="member"></code>
-     <display value="Member"></display>
-     <definition value="A type of non-ownership relationship between entities (encompasses partnerships, collaboration, joint ventures, etc.)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/invoice-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="invoice-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/invoice-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.867"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="InvoiceStatus"></name>
-    <title value="InvoiceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying the lifecycle stage of an Invoice."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/invoice-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="draft"></display>
-     <definition value="the invoice has been prepared but not yet finalized."></definition>
-    </concept>
-    <concept>
-     <code value="issued"></code>
-     <display value="issued"></display>
-     <definition value="the invoice has been finalized and sent to the recipient."></definition>
-    </concept>
-    <concept>
-     <code value="balanced"></code>
-     <display value="balanced"></display>
-     <definition value="the invoice has been balaced / completely paid."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="cancelled"></display>
-     <definition value="the invoice was cancelled."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="entered in error"></display>
-     <definition value="the invoice was determined as entered in error before it was issued."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-display-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="questionnaire-display-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/questionnaire-display-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.936"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuestionnaireTextCategories"></name>
-    <title value="Questionnaire Text Categories"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare"></value>
-     </telecom>
-    </contact>
-    <description value="Codes defining the purpose of a Questionnaire item of type 'text'."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-display-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="instructions"></code>
-     <display value="Instructions"></display>
-     <definition value="The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole)."></definition>
-    </concept>
-    <concept>
-     <code value="security"></code>
-     <display value="Security"></display>
-     <definition value="The text provides guidance on how the information should be or will be handled from a security/confidentiality/access control perspective when completed"></definition>
-    </concept>
-    <concept>
-     <code value="help"></code>
-     <display value="Help"></display>
-     <definition value="The text provides additional guidance on populating the containing item.  Help text isn't necessarily expected to be rendered as part of the form, but may instead be made available through fly-over, pop-up button, link to a &quot;help&quot; page, etc."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/flag-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="flag-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/flag-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.121"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FlagStatus"></name>
-    <title value="FlagStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/flag-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="A current flag that should be displayed to a user. A system may use the category to determine which user roles should view the flag."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The flag no longer needs to be displayed."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The flag was added in error and should no longer be displayed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-status-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-status-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/goal-status-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.278"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalStatusReason"></name>
-    <title value="Goal status reason"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
-     </telecom>
-    </contact>
-    <description value="Example codes indicating the reason for a current status.  Note that these are in no way complete and might not even be appropriate for some uses."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-status-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="surgery"></code>
-     <display value="Surgery"></display>
-     <definition value="Goal suspended or ended because of a surgical procedure."></definition>
-    </concept>
-    <concept>
-     <code value="life-event"></code>
-     <display value="Life Event"></display>
-     <definition value="Goal suspended or ended because of a significant life event (marital change, bereavement, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="replaced"></code>
-     <display value="Replaced"></display>
-     <definition value="Goal has been superseded by a new goal."></definition>
-    </concept>
-    <concept>
-     <code value="patient-request"></code>
-     <display value="Patient Request"></display>
-     <definition value="Patient wishes the goal to be set aside, at least temporarily."></definition>
-    </concept>
-    <concept>
-     <code value="temp-not-attainable"></code>
-     <display value="Goal Not Attainable Temporarily"></display>
-     <definition value="Goal cannot be reached temporarily."></definition>
-    </concept>
-    <concept>
-     <code value="permanent-not-attainable"></code>
-     <display value="Goal Not Attainable Permanently"></display>
-     <definition value="Goal cannot be reached permanently."></definition>
-    </concept>
-    <concept>
-     <code value="financial-barrier"></code>
-     <display value="Financial Reason"></display>
-     <definition value="Goal cannot be reached due to financial barrier or reason."></definition>
-    </concept>
-    <concept>
-     <code value="lack-of-transportation"></code>
-     <display value="Lack Of Transportation"></display>
-     <definition value="Goal cannot be reached due to a lack of transportation."></definition>
-    </concept>
-    <concept>
-     <code value="lack-of-social-support"></code>
-     <display value="Lack Of Social Support"></display>
-     <definition value="Goal cannot be reached due to a lack of social support."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/special-values"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="special-values"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/special-values"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1049"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SpecialValues"></name>
-    <title value="SpecialValues"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="A set of generally useful codes defined so they can be included in value sets."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/special-values"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="true"></code>
-     <display value="true"></display>
-     <definition value="Boolean true."></definition>
-    </concept>
-    <concept>
-     <code value="false"></code>
-     <display value="false"></display>
-     <definition value="Boolean false."></definition>
-    </concept>
-    <concept>
-     <code value="trace"></code>
-     <display value="Trace Amount Detected"></display>
-     <definition value="The content is greater than zero, but too small to be quantified."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="used in formulations (e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' This code would be used to express the quantity of water. )"></valueString>
-     </extension>
-     <code value="sufficient"></code>
-     <display value="Sufficient Quantity"></display>
-     <definition value="The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material."></definition>
-    </concept>
-    <concept>
-     <code value="withdrawn"></code>
-     <display value="Value Withdrawn"></display>
-     <definition value="The value is no longer available."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The existence of this subject to review"></valueString>
-     </extension>
-     <code value="nil-known"></code>
-     <display value="Nil Known"></display>
-     <definition value="The are no known applicable values in this context."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/link-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="link-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
+    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
+     <valueString value="This Code System is normative - it is generated based on the information defined in this specification. The definition will remain fixed  across versions, but the actual contents will change from version to version"></valueString>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="normative"></valueCode>
@@ -19348,17 +47099,16 @@ The primary difference between a medicationusage and a medicationadministration
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="5"></valueInteger>
     </extension>
-    <url value="http://hl7.org/fhir/link-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.424"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LinkType"></name>
-    <title value="LinkType"></title>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="fhir"></valueCode>
+    </extension>
+    <url value="http://hl7.org/fhir/abstract-types"></url>
+    <version value="4.2.0"></version>
+    <name value="AbstractType"></name>
+    <title value="AbstractType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -19370,4718 +47120,49 @@ The primary difference between a medicationusage and a medicationadministration
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The type of link between this patient resource and another patient resource."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/link-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="replaced-by"></code>
-     <display value="Replaced-by"></display>
-     <definition value="The patient resource containing this link must no longer be used. The link points forward to another patient resource that must be used in lieu of the patient resource that contains this link."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="Vervangen door"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="replaces"></code>
-     <display value="Replaces"></display>
-     <definition value="The patient resource containing this link is the current active patient record. The link points back to an inactive patient resource that has been merged into this resource, and should be consulted to retrieve additional referenced information."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="Vervangt"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="refer"></code>
-     <display value="Refer"></display>
-     <definition value="The patient resource containing this link is in use and valid but not considered the main source of information about a patient. The link points forward to another patient resource that should be consulted to retrieve additional patient information."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="Verwijzing"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="seealso"></code>
-     <display value="See also"></display>
-     <definition value="The patient resource containing this link is in use and valid, but points to another patient resource that is known to contain data about the same person. Data in this resource might overlap or contradict information found in the other patient resource. This link does not indicate any relative importance of the resources concerned, and both should be regarded as equally valid."></definition>
-     <designation>
-      <language value="nl"></language>
-      <value value="Zie ook"></value>
-     </designation>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/library-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="library-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/library-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1230"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LibraryType"></name>
-    <title value="LibraryType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of knowledge asset this library contains."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/library-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="logic-library"></code>
-     <display value="Logic Library"></display>
-     <definition value="The resource is a shareable library of formalized knowledge."></definition>
-    </concept>
-    <concept>
-     <code value="model-definition"></code>
-     <display value="Model Definition"></display>
-     <definition value="The resource is a definition of an information model."></definition>
-    </concept>
-    <concept>
-     <code value="asset-collection"></code>
-     <display value="Asset Collection"></display>
-     <definition value="The resource is a collection of knowledge assets."></definition>
-    </concept>
-    <concept>
-     <code value="module-definition"></code>
-     <display value="Module Definition"></display>
-     <definition value="The resource defines the dependencies, parameters, and data requirements for a particular module or evaluation context."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/service-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1144"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ServiceCategory"></name>
-    <title value="Service category"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines an example set of codes that can be used to classify groupings of service-types/specialties."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-category"></valueSet>
-    <content value="example"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Adoption"></display>
-     <definition value="Adoption"></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Aged Care"></display>
-     <definition value="Aged Care"></definition>
-    </concept>
-    <concept>
-     <code value="34"></code>
-     <display value="Allied Health"></display>
-     <definition value="Allied Health"></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Alternative/Complementary Therapies"></display>
-     <definition value="Alternative &amp; Complementary Therapies"></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Child Care /Kindergarten"></display>
-     <definition value="Child Care and/or Kindergarten"></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Child Development"></display>
-     <definition value="Child Development"></definition>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="Child Protection &amp; Family Services"></display>
-     <definition value="Child Protection &amp; Family Services"></definition>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="Community Health Care"></display>
-     <definition value="Community Health Care"></definition>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="Counselling"></display>
-     <definition value="Counselling"></definition>
-    </concept>
-    <concept>
-     <code value="36"></code>
-     <display value="Crisis Line (GPAH use only)"></display>
-     <definition value="Crisis Line (GPAH use only)"></definition>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="Death Services"></display>
-     <definition value="Death Services"></definition>
-    </concept>
-    <concept>
-     <code value="10"></code>
-     <display value="Dental"></display>
-     <definition value="Dental"></definition>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="Disability Support"></display>
-     <definition value="Disability Support"></definition>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="Drug/Alcohol"></display>
-     <definition value="Drug/Alcohol"></definition>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="Education &amp; Learning"></display>
-     <definition value="Education &amp; Learning"></definition>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="Emergency Department"></display>
-     <definition value="Emergency Department"></definition>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="Employment"></display>
-     <definition value="Employment"></definition>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="Financial &amp; Material Aid"></display>
-     <definition value="Financial &amp; Material aid"></definition>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="General Practice"></display>
-     <definition value="General Practice/GP (doctor)"></definition>
-    </concept>
-    <concept>
-     <code value="35"></code>
-     <display value="Hospital"></display>
-     <definition value="Hospital"></definition>
-    </concept>
-    <concept>
-     <code value="18"></code>
-     <display value="Housing/Homelessness"></display>
-     <definition value="Housing/Homelessness"></definition>
-    </concept>
-    <concept>
-     <code value="19"></code>
-     <display value="Interpreting"></display>
-     <definition value="Interpreting"></definition>
-    </concept>
-    <concept>
-     <code value="20"></code>
-     <display value="Justice"></display>
-     <definition value="Justice"></definition>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="Legal"></display>
-     <definition value="Legal"></definition>
-    </concept>
-    <concept>
-     <code value="22"></code>
-     <display value="Mental Health"></display>
-     <definition value="Mental Health"></definition>
-    </concept>
-    <concept>
-     <code value="38"></code>
-     <display value="NDIA"></display>
-     <definition value="NDIA"></definition>
-    </concept>
-    <concept>
-     <code value="23"></code>
-     <display value="Physical Activity &amp; Recreation"></display>
-     <definition value="Physical Activity &amp; Recreation"></definition>
-    </concept>
-    <concept>
-     <code value="24"></code>
-     <display value="Regulation"></display>
-     <definition value="Regulation"></definition>
-    </concept>
-    <concept>
-     <code value="25"></code>
-     <display value="Respite/Carer Support"></display>
-     <definition value="Respite/Carer Support"></definition>
-    </concept>
-    <concept>
-     <code value="26"></code>
-     <display value="Specialist Clinical Pathology"></display>
-     <definition value="Specialist Clinical Pathology - requires referral"></definition>
-    </concept>
-    <concept>
-     <code value="27"></code>
-     <display value="Specialist Medical"></display>
-     <definition value="Specialist Medical - requires referral"></definition>
-    </concept>
-    <concept>
-     <code value="28"></code>
-     <display value="Specialist Obstetrics &amp; Gynecology"></display>
-     <definition value="Specialist Obstetrics &amp; Gynecology - requires referral"></definition>
-    </concept>
-    <concept>
-     <code value="29"></code>
-     <display value="Specialist Paediatric"></display>
-     <definition value="Specialist Paediatric - requires referral"></definition>
-    </concept>
-    <concept>
-     <code value="30"></code>
-     <display value="Specialist Radiology/Imaging"></display>
-     <definition value="Specialist Radiology/Imaging - requires referral"></definition>
-    </concept>
-    <concept>
-     <code value="31"></code>
-     <display value="Specialist Surgical"></display>
-     <definition value="Specialist Surgical - requires referral"></definition>
-    </concept>
-    <concept>
-     <code value="32"></code>
-     <display value="Support Group/s"></display>
-     <definition value="Support group/s"></definition>
-    </concept>
-    <concept>
-     <code value="37"></code>
-     <display value="Test Message (HSD admin)"></display>
-     <definition value="Test Message (HSD admin use only)"></definition>
-    </concept>
-    <concept>
-     <code value="33"></code>
-     <display value="Transport"></display>
-     <definition value="Transport"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/operation-parameter-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="operation-parameter-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/operation-parameter-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.509"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="OperationParameterUse"></name>
-    <title value="OperationParameterUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Whether an operation parameter is an input or an output parameter."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/operation-parameter-use"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in"></code>
-     <display value="In"></display>
-     <definition value="This is an input parameter."></definition>
-    </concept>
-    <concept>
-     <code value="out"></code>
-     <display value="Out"></display>
-     <definition value="This is an output parameter."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-entry-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="search-entry-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/search-entry-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.623"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SearchEntryMode"></name>
-    <title value="SearchEntryMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/search-entry-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="match"></code>
-     <display value="Match"></display>
-     <definition value="This resource matched the search specification."></definition>
-    </concept>
-    <concept>
-     <code value="include"></code>
-     <display value="Include"></display>
-     <definition value="This resource is returned because it is referred to from another resource in the search set."></definition>
-    </concept>
-    <concept>
-     <code value="outcome"></code>
-     <display value="Outcome"></display>
-     <definition value="An OperationOutcome that provides additional information about the processing of a search."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assetcontext"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-assetcontext"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-asset-context"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1298"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceAssetContextCodes"></name>
-    <title value="Contract Resource Asset Context codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for asset context."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assetcontext"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="custodian"></code>
-     <display value="Custodian"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="event-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/event-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.110"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EventStatus"></name>
-    <title value="EventStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying the lifecycle stage of an event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/event-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="preparation"></code>
-     <display value="Preparation"></display>
-     <definition value="The core event has not started yet, but some staging activities have begun (e.g. surgical suite preparation).  Preparation stages may be tracked for billing purposes."></definition>
-    </concept>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="The event is currently occurring."></definition>
-    </concept>
-    <concept>
-     <code value="not-done"></code>
-     <display value="Not Done"></display>
-     <definition value="The event was terminated prior to any activity beyond preparation.  I.e. The 'main' activity has not yet begun.  The boundary between preparatory and the 'main' activity is context-specific."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="The event has been temporarily stopped but is expected to resume in the future."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="The event was terminated prior to the full completion of the intended activity but after at least some of the 'main' activity (beyond preparation) has occurred."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The event has now concluded."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it.  (If real-world activity has occurred, the status should be &quot;stopped&quot; rather than &quot;entered-in-error&quot;.)."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this event.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply,  but the authoring/source system does not know which."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-statement-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="device-statement-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/device-statement-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.215"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceUseStatementStatus"></name>
-    <title value="DeviceUseStatementStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A coded concept indicating the current status of the Device Usage."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/device-statement-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The device is still being used."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The device is no longer being used."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The statement was recorded incorrectly."></definition>
-    </concept>
-    <concept>
-     <code value="intended"></code>
-     <display value="Intended"></display>
-     <definition value="The device may be used at some time in the future."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="Actions implied by the statement have been permanently halted, before all of them occurred."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="Actions implied by the statement have been temporarily halted, but are expected to continue later. May also be called &quot;suspended&quot;."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-data-meaning"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-data-meaning"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/consent-data-meaning"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.760"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentDataMeaning"></name>
-    <title value="ConsentDataMeaning"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a resource reference is interpreted when testing consent restrictions."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-data-meaning"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="instance"></code>
-     <display value="Instance"></display>
-     <definition value="The consent applies directly to the instance of the resource."></definition>
-    </concept>
-    <concept>
-     <code value="related"></code>
-     <display value="Related"></display>
-     <definition value="The consent applies directly to the instance of the resource and instances it refers to."></definition>
-    </concept>
-    <concept>
-     <code value="dependents"></code>
-     <display value="Dependents"></display>
-     <definition value="The consent applies directly to the instance of the resource and instances that refer to it."></definition>
-    </concept>
-    <concept>
-     <code value="authoredby"></code>
-     <display value="AuthoredBy"></display>
-     <definition value="The consent applies to instances of resources that are authored by."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-term-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-term-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contracttermtypecodes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1199"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractTermTypeCodes"></name>
-    <title value="Contract Term Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Contract Term Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-term-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="statutory"></code>
-     <display value="Statutory"></display>
-     <definition value="Based on specialized statutes that deal with particular subjects."></definition>
-    </concept>
-    <concept>
-     <code value="subject-to"></code>
-     <display value="Subject To"></display>
-     <definition value="Execution of the term in the contract is conditional on the execution of other actions."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplyrequest-kind"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="supplyrequest-kind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/supply-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1192"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SupplyType"></name>
-    <title value="Supply Type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value sets refers to a Category of supply."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-kind"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="central"></code>
-     <display value="Central Supply"></display>
-     <definition value="Supply is stored and requested from central supply."></definition>
-    </concept>
-    <concept>
-     <code value="nonstock"></code>
-     <display value="Non-Stock"></display>
-     <definition value="Supply is not onsite and must be requested from an outside vendor using a non-stock requisition."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/testscript-profile-destination-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="testscript-profile-destination-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/testscript-profile-destination-types"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1197"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestScriptProfileDestinationType"></name>
-    <title value="Test script profile destination type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that are used to indicate the profile type of a test system when acting as the destination within a TestScript."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/testscript-profile-destination-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="FHIR-Server"></code>
-     <display value="FHIR Server"></display>
-     <definition value="General FHIR server used to respond to operations sent from a FHIR client."></definition>
-    </concept>
-    <concept>
-     <code value="FHIR-SDC-FormManager"></code>
-     <display value="FHIR SDC FormManager"></display>
-     <definition value="A FHIR server acting as a Structured Data Capture Form Manager."></definition>
-    </concept>
-    <concept>
-     <code value="FHIR-SDC-FormProcessor"></code>
-     <display value="FHIR SDC FormProcessor"></display>
-     <definition value="A FHIR server acting as a Structured Data Capture Form Processor."></definition>
-    </concept>
-    <concept>
-     <code value="FHIR-SDC-FormReceiver"></code>
-     <display value="FHIR SDC FormReceiver"></display>
-     <definition value="A FHIR server acting as a Structured Data Capture Form Receiver."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-status-at-event"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-status-at-event"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/subscription-status-at-event"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1465"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionStatusAtEvent"></name>
-    <title value="SubscriptionStatusAtEvent"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A status code for the state of the Subscription."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status-at-event"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="requested"></code>
-     <display value="Requested"></display>
-     <definition value="The client has requested the subscription, and the server has not yet set it up."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The subscription is active."></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="The server has an error executing the notification."></definition>
-    </concept>
-    <concept>
-     <code value="off"></code>
-     <display value="Off"></display>
-     <definition value="Too many errors have occurred or the subscription has expired."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/binding-strength"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="binding-strength"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/binding-strength"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.44"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BindingStrength"></name>
-    <title value="BindingStrength"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="Indication of the degree of conformance expectations associated with a binding."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/binding-strength"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="required"></code>
-     <display value="Required"></display>
-     <definition value="To be conformant, the concept in this element SHALL be from the specified value set."></definition>
-    </concept>
-    <concept>
-     <code value="extensible"></code>
-     <display value="Extensible"></display>
-     <definition value="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead."></definition>
-    </concept>
-    <concept>
-     <code value="preferred"></code>
-     <display value="Preferred"></display>
-     <definition value="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant."></definition>
-    </concept>
-    <concept>
-     <code value="example"></code>
-     <display value="Example"></display>
-     <definition value="Instances are not expected or even encouraged to draw from the specified value set.  The value set merely provides examples of the types of concepts intended to be included."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/property-representation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="property-representation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/property-representation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.88"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PropertyRepresentation"></name>
-    <title value="PropertyRepresentation"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a property is represented when serialized."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/property-representation"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="xmlAttr"></code>
-     <display value="XML Attribute"></display>
-     <definition value="In XML, this property is represented as an attribute not an element."></definition>
-    </concept>
-    <concept>
-     <code value="xmlText"></code>
-     <display value="XML Text"></display>
-     <definition value="This element is represented using the XML text attribute (primitives only)."></definition>
-    </concept>
-    <concept>
-     <code value="typeAttr"></code>
-     <display value="Type Attribute"></display>
-     <definition value="The type of this element is indicated using xsi:type."></definition>
-    </concept>
-    <concept>
-     <code value="cdaText"></code>
-     <display value="CDA Text Format"></display>
-     <definition value="Use CDA narrative instead of XHTML."></definition>
-    </concept>
-    <concept>
-     <code value="xhtml"></code>
-     <display value="XHTML"></display>
-     <definition value="The property is represented using XHTML."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/namingsystem-identifier-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="namingsystem-identifier-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/namingsystem-identifier-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.493"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NamingSystemIdentifierType"></name>
-    <title value="NamingSystemIdentifierType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Identifies the style of unique identifier used to identify a namespace."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="oid"></code>
-     <display value="OID"></display>
-     <definition value="An ISO object identifier; e.g. 1.2.3.4.5."></definition>
-    </concept>
-    <concept>
-     <code value="uuid"></code>
-     <display value="UUID"></display>
-     <definition value="A universally unique identifier of the form a5afddf4-e880-459b-876e-e4591b0acc11."></definition>
-    </concept>
-    <concept>
-     <code value="uri"></code>
-     <display value="URI"></display>
-     <definition value="A uniform resource identifier (ideally a URL - uniform resource locator); e.g. http://unitsofmeasure.org."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Some other type of unique identifier; e.g. HL7-assigned reserved string such as LN for LOINC."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-status-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationdispense-status-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-status-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1317"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationDispense Status Reason Codes"></name>
-    <title value="Medication dispense  status  reason  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationDispense Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="frr01"></code>
-     <display value="Order Stopped"></display>
-     <definition value="The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example: A verbal stop, a fax, etc."></definition>
-    </concept>
-    <concept>
-     <code value="frr02"></code>
-     <display value="Stale-dated Order"></display>
-     <definition value="Order has not been fulfilled within a reasonable amount of time, and might not be current."></definition>
-    </concept>
-    <concept>
-     <code value="frr03"></code>
-     <display value="Incomplete data"></display>
-     <definition value="Data needed to safely act on the order which was expected to become available independent of the order is not yet available. Example: Lab results, diagnostic imaging, etc."></definition>
-    </concept>
-    <concept>
-     <code value="frr04"></code>
-     <display value="Product unavailable"></display>
-     <definition value="Product not available or manufactured. Cannot supply."></definition>
-    </concept>
-    <concept>
-     <code value="frr05"></code>
-     <display value="Ethical/religious"></display>
-     <definition value="The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product."></definition>
-    </concept>
-    <concept>
-     <code value="frr06"></code>
-     <display value="Unable to provide care"></display>
-     <definition value="Fulfiller not able to provide appropriate care associated with fulfilling the order. Example: Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc."></definition>
-    </concept>
-    <concept>
-     <code value="altchoice"></code>
-     <display value="Try another treatment first"></display>
-     <definition value="This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful."></definition>
-    </concept>
-    <concept>
-     <code value="clarif"></code>
-     <display value="Prescription/Request requires clarification"></display>
-     <definition value="Clarification is required before the order can be acted upon."></definition>
-    </concept>
-    <concept>
-     <code value="drughigh"></code>
-     <display value="Drug level too high"></display>
-     <definition value="The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level."></definition>
-    </concept>
-    <concept>
-     <code value="hospadm"></code>
-     <display value="Admission to hospital"></display>
-     <definition value="The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."></definition>
-    </concept>
-    <concept>
-     <code value="labint"></code>
-     <display value="Lab interference issues"></display>
-     <definition value="The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."></definition>
-    </concept>
-    <concept>
-     <code value="non-avail"></code>
-     <display value="Patient not available"></display>
-     <definition value="Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."></definition>
-    </concept>
-    <concept>
-     <code value="preg"></code>
-     <display value="Patient is pregnant or breastfeeding"></display>
-     <definition value="The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."></definition>
-    </concept>
-    <concept>
-     <code value="saig"></code>
-     <display value="Allergy"></display>
-     <definition value="The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
-    </concept>
-    <concept>
-     <code value="sddi"></code>
-     <display value="Drug interacts with another drug"></display>
-     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
-    </concept>
-    <concept>
-     <code value="sdupther"></code>
-     <display value="Duplicate therapy"></display>
-     <definition value="Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete."></definition>
-    </concept>
-    <concept>
-     <code value="sintol"></code>
-     <display value="Suspected intolerance"></display>
-     <definition value="The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
-    </concept>
-    <concept>
-     <code value="surg"></code>
-     <display value="Patient scheduled for surgery"></display>
-     <definition value="The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery."></definition>
-    </concept>
-    <concept>
-     <code value="washout"></code>
-     <display value="Washout"></display>
-     <definition value="The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system."></definition>
-    </concept>
-    <concept>
-     <code value="outofstock"></code>
-     <display value="Drug not available - out of stock"></display>
-     <definition value="Drug out of stock. Cannot supply."></definition>
-    </concept>
-    <concept>
-     <code value="offmarket"></code>
-     <display value="Drug not available - off market"></display>
-     <definition value="Drug no longer marketed Cannot supply."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/measure-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1233"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasureType"></name>
-    <title value="MeasureType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="process"></code>
-     <display value="Process"></display>
-     <definition value="A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome."></definition>
-    </concept>
-    <concept>
-     <code value="outcome"></code>
-     <display value="Outcome"></display>
-     <definition value="A measure that indicates the result of the performance (or non-performance) of a function or process."></definition>
-    </concept>
-    <concept>
-     <code value="structure"></code>
-     <display value="Structure"></display>
-     <definition value="A measure that focuses on a health care provider's capacity, systems, and processes to provide high-quality care."></definition>
-    </concept>
-    <concept>
-     <code value="patient-reported-outcome"></code>
-     <display value="Patient Reported Outcome"></display>
-     <definition value="A measure that focuses on patient-reported information such as patient engagement or patient experience measures."></definition>
-    </concept>
-    <concept>
-     <code value="composite"></code>
-     <display value="Composite"></display>
-     <definition value="A measure that combines multiple component measures in to a single quality measure."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-precondition-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="condition-precondition-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/condition-precondition-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1440"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionPreconditionType"></name>
-    <title value="ConditionPreconditionType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Kind of precondition for the condition."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/condition-precondition-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="sensitive"></code>
-     <display value="Sensitive"></display>
-     <definition value="The observation is very sensitive for the condition, but may also indicate other conditions."></definition>
-    </concept>
-    <concept>
-     <code value="specific"></code>
-     <display value="Specific"></display>
-     <definition value="The observation is very specific for this condition, but not particularly sensitive."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/composition-attestation-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="composition-attestation-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/composition-attestation-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.239"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CompositionAttestationMode"></name>
-    <title value="CompositionAttestationMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The way in which a person authenticated a composition."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/composition-attestation-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="personal"></code>
-     <display value="Personal"></display>
-     <definition value="The person authenticated the content in their personal capacity."></definition>
-    </concept>
-    <concept>
-     <code value="professional"></code>
-     <display value="Professional"></display>
-     <definition value="The person authenticated the content in their professional capacity."></definition>
-    </concept>
-    <concept>
-     <code value="legal"></code>
-     <display value="Legal"></display>
-     <definition value="The person authenticated the content and accepted legal responsibility for its content."></definition>
-    </concept>
-    <concept>
-     <code value="official"></code>
-     <display value="Official"></display>
-     <definition value="The organization authenticated the content as consistent with their policies and procedures."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-ver-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="condition-ver-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/condition-ver-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1075"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionVerificationStatus"></name>
-    <title value="ConditionVerificationStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The verification status to support or decline the clinical status of the condition or diagnosis."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="unconfirmed"></code>
-     <display value="Unconfirmed"></display>
-     <definition value="There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition."></definition>
-     <concept>
-      <code value="provisional"></code>
-      <display value="Provisional"></display>
-      <definition value="This is a tentative diagnosis - still a candidate that is under consideration."></definition>
-     </concept>
-     <concept>
-      <code value="differential"></code>
-      <display value="Differential"></display>
-      <definition value="One of a set of potential (and typically mutually exclusive) diagnoses asserted to further guide the diagnostic process and preliminary treatment."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="confirmed"></code>
-     <display value="Confirmed"></display>
-     <definition value="There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition."></definition>
-    </concept>
-    <concept>
-     <code value="refuted"></code>
-     <display value="Refuted"></display>
-     <definition value="This condition has been ruled out by diagnostic and clinical evidence."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The statement was entered in error and is not valid."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/reason-medication-given-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="reason-medication-given-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/reason-medication-given"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1110"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ReasonMedicationGivenCodes"></name>
-    <title value="Reason Medication Given Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the medication process."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="a"></code>
-     <display value="None"></display>
-     <definition value="No reason known."></definition>
-    </concept>
-    <concept>
-     <code value="b"></code>
-     <display value="Given as Ordered"></display>
-     <definition value="The administration was following an ordered protocol."></definition>
-    </concept>
-    <concept>
-     <code value="c"></code>
-     <display value="Emergency"></display>
-     <definition value="The administration was needed to treat an emergency."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationdispense-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationdispense-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1313"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationDispense Status Codes"></name>
-    <title value="Medication dispense  status  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationDispense Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="preparation"></code>
-     <display value="Preparation"></display>
-     <definition value="The core event has not started yet, but some staging activities have begun (e.g. initial compounding or packaging of medication). Preparation stages may be tracked for billing purposes."></definition>
-    </concept>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="The dispensed product is ready for pickup."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The dispensed product was not and will never be picked up by the patient."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="The dispense process is paused while waiting for an external event to reactivate the dispense.  For example, new stock has arrived or the prescriber has called."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The dispensed product has been picked up."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The dispense was entered in error and therefore nullified."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="Actions implied by the dispense have been permanently halted, before all of them occurred."></definition>
-    </concept>
-    <concept>
-     <code value="declined"></code>
-     <display value="Declined"></display>
-     <definition value="The dispense was declined and not performed."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring system does not know which of the status values applies for this medication dispense.  Note: this concept is not to be used for other - one of the listed statuses is presumed to apply, it's just now known which one."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/insuranceplan-applicability"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="insuranceplan-applicability"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/applicability"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BenefitCostApplicability"></name>
-    <title value="Benefit cost applicability"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Whether the cost applies to in-network or out-of-network providers."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/insuranceplan-applicability"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in-network"></code>
-     <display value="In Network"></display>
-     <definition value="Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"></definition>
-    </concept>
-    <concept>
-     <code value="out-of-network"></code>
-     <display value="Out of Network"></display>
-     <definition value="Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other applicability"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-scope"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-scope"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/consentscope"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1228"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentScopeCodes"></name>
-    <title value="Consent Scope Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="CBCC"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes the four Consent scope codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-scope"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="research"></code>
-     <display value="Research"></display>
-     <definition value="Consent to participate in research protocol and information sharing required"></definition>
-    </concept>
-    <concept>
-     <code value="patient-privacy"></code>
-     <display value="Privacy Consent"></display>
-     <definition value="Agreement to collect, access, use or disclose (share) information"></definition>
-    </concept>
-    <concept>
-     <code value="treatment"></code>
-     <display value="Treatment"></display>
-     <definition value="Consent to undergo a specific treatment"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/guide-parameter-code"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="guide-parameter-code"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/guide-parameter-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1421"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GuideParameterCode"></name>
-    <title value="GuideParameterCode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Code of parameter that is input to the guide."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/guide-parameter-code"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="apply"></code>
-     <display value="Apply Metadata Value"></display>
-     <definition value="If the value of this string 0..* parameter is one of the metadata fields then all conformance resources will have any specified [Resource].[field] overwritten with the ImplementationGuide.[field], where field is one of: version, date, status, publisher, contact, copyright, experimental, jurisdiction, useContext."></definition>
-    </concept>
-    <concept>
-     <code value="path-resource"></code>
-     <display value="Resource Path"></display>
-     <definition value="The value of this string 0..* parameter is a subfolder of the build context's location that is to be scanned to load resources. Scope is (if present) a particular resource type."></definition>
-    </concept>
-    <concept>
-     <code value="path-pages"></code>
-     <display value="Pages Path"></display>
-     <definition value="The value of this string 0..1 parameter is a subfolder of the build context's location that contains files that are part of the html content processed by the builder."></definition>
-    </concept>
-    <concept>
-     <code value="path-tx-cache"></code>
-     <display value="Terminology Cache Path"></display>
-     <definition value="The value of this string 0..1 parameter is a subfolder of the build context's location that is used as the terminology cache. If this is not present, the terminology cache is on the local system, not under version control."></definition>
-    </concept>
-    <concept>
-     <code value="expansion-parameter"></code>
-     <display value="Expansion Profile"></display>
-     <definition value="The value of this string 0..* parameter is a parameter (name=value) when expanding value sets for this implementation guide. This is particularly used to specify the versions of published terminologies such as SNOMED CT."></definition>
-    </concept>
-    <concept>
-     <code value="rule-broken-links"></code>
-     <display value="Broken Links Rule"></display>
-     <definition value="The value of this string 0..1 parameter is either &quot;warning&quot; or &quot;error&quot; (default = &quot;error&quot;). If the value is &quot;warning&quot; then IG build tools allow the IG to be considered successfully build even when there is no internal broken links."></definition>
-    </concept>
-    <concept>
-     <code value="generate-xml"></code>
-     <display value="Generate XML"></display>
-     <definition value="The value of this boolean 0..1 parameter specifies whether the IG publisher creates examples in XML format. If not present, the Publication Tool decides whether to generate XML."></definition>
-    </concept>
-    <concept>
-     <code value="generate-json"></code>
-     <display value="Generate JSON"></display>
-     <definition value="The value of this boolean 0..1 parameter specifies whether the IG publisher creates examples in JSON format. If not present, the Publication Tool decides whether to generate JSON."></definition>
-    </concept>
-    <concept>
-     <code value="generate-turtle"></code>
-     <display value="Generate Turtle"></display>
-     <definition value="The value of this boolean 0..1 parameter specifies whether the IG publisher creates examples in Turtle format. If not present, the Publication Tool decides whether to generate Turtle."></definition>
-    </concept>
-    <concept>
-     <code value="html-template"></code>
-     <display value="HTML Template"></display>
-     <definition value="The value of this string singleton parameter is the name of the file to use as the builder template for each generated page (see templating)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adverse-event-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1251"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdverseEventCategory"></name>
-    <title value="AdverseEventCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Overall categorization of the event, e.g. product-related or situational."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="product-problem"></code>
-     <display value="Product Problem"></display>
-     <definition value="The adverse event pertains to a product problem."></definition>
-    </concept>
-    <concept>
-     <code value="product-quality"></code>
-     <display value="Product Quality"></display>
-     <definition value="The adverse event pertains to product quality."></definition>
-    </concept>
-    <concept>
-     <code value="product-use-error"></code>
-     <display value="Product Use Error"></display>
-     <definition value="The adverse event pertains to a product use error."></definition>
-     <concept>
-      <code value="wrong-dose"></code>
-      <display value="Wrong Dose"></display>
-      <definition value="The adverse event pertains to a wrong dose."></definition>
-     </concept>
-     <concept>
-      <code value="incorrect-prescribing-information"></code>
-      <display value="Incorrect Prescribing Information"></display>
-      <definition value="The adverse event pertains to incorrect perscribing information."></definition>
-     </concept>
-     <concept>
-      <code value="wrong-technique"></code>
-      <display value="Wrong Technique"></display>
-      <definition value="The adverse event pertains to a wrong technique."></definition>
-     </concept>
-     <concept>
-      <code value="wrong-route-of-administration"></code>
-      <display value="Wrong Route of Administration"></display>
-      <definition value="The adverse event pertains to a wrong route of administration."></definition>
-     </concept>
-     <concept>
-      <code value="wrong-rate"></code>
-      <display value="Wrong Rate"></display>
-      <definition value="The adverse event pertains to a wrong rate."></definition>
-     </concept>
-     <concept>
-      <code value="wrong-duration"></code>
-      <display value="Wrong Duration"></display>
-      <definition value="The adverse event pertains to a wrong duration."></definition>
-     </concept>
-     <concept>
-      <code value="wrong-time"></code>
-      <display value="Wrong Time"></display>
-      <definition value="The adverse event pertains to a wrong time."></definition>
-     </concept>
-     <concept>
-      <code value="expired-drug"></code>
-      <display value="Expired Drug"></display>
-      <definition value="The adverse event pertains to an expired drug."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="medical-device-use-error"></code>
-     <display value="Medical Device Use Error"></display>
-     <definition value="The adverse event pertains to a medical device use error."></definition>
-    </concept>
-    <concept>
-     <code value="problem-different-manufacturer"></code>
-     <display value="Problem with Different Manufacturer of Same Medicine"></display>
-     <definition value="The adverse event pertains to a problem with a different manufacturer of the same medication."></definition>
-    </concept>
-    <concept>
-     <code value="unsafe-physical-environment"></code>
-     <display value="Unsafe Physical Environment"></display>
-     <definition value="The adverse event pertains to an unsafe physical environment."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-performer"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-performer"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/consentperformer"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1017"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PerformerRoleCodes"></name>
-    <title value="Performer Role Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="CBCC"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Performer Role codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-performer"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="consenter"></code>
-     <display value="Consenter"></display>
-     <definition value="An entity or an entity's delegatee who is the grantee in an agreement such as a consent for services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy."></definition>
-    </concept>
-    <concept>
-     <code value="grantee"></code>
-     <display value="Grantee"></display>
-     <definition value="An entity which accepts certain rights or authority from a grantor."></definition>
-    </concept>
-    <concept>
-     <code value="grantor"></code>
-     <display value="Grantor"></display>
-     <definition value="An entity which agrees to confer certain rights or authority to a grantee."></definition>
-    </concept>
-    <concept>
-     <code value="delegatee"></code>
-     <display value="Delegatee"></display>
-     <definition value="A party to whom some right or authority is granted by a delegator."></definition>
-    </concept>
-    <concept>
-     <code value="delegator"></code>
-     <display value="Delegator"></display>
-     <definition value="A party that grants all or some portion its right or authority to another party."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/fm-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="fm-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/fm-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.593"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FinancialResourceStatusCodes"></name>
-    <title value="Financial Resource Status Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Status codes."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/fm-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The instance is currently in-force."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The instance is withdrawn, rescinded or reversed."></definition>
-    </concept>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="A new instance the contents of which is not complete."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The instance was entered in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-priority"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="request-priority"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/request-priority"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.116"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RequestPriority"></name>
-    <title value="RequestPriority"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Identifies the level of importance to be assigned to actioning the request."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/request-priority"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="routine"></code>
-     <display value="Routine"></display>
-     <definition value="The request has normal priority."></definition>
-    </concept>
-    <concept>
-     <code value="urgent"></code>
-     <display value="Urgent"></display>
-     <definition value="The request should be actioned promptly - higher priority than routine."></definition>
-    </concept>
-    <concept>
-     <code value="asap"></code>
-     <display value="ASAP"></display>
-     <definition value="The request should be actioned as soon as possible - higher priority than urgent."></definition>
-    </concept>
-    <concept>
-     <code value="stat"></code>
-     <display value="STAT"></display>
-     <definition value="The request should be actioned immediately - highest possible priority.  E.g. an emergency."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-financial-exception"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="coverage-financial-exception"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1329"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleCoverageFinancialExceptionCodes"></name>
-    <title value="Example Coverage Financial Exception Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Example Coverage Financial Exception Codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-financial-exception"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="retired"></code>
-     <display value="Retired"></display>
-     <definition value="Retired persons have all copays and deductibles reduced."></definition>
-    </concept>
-    <concept>
-     <code value="foster"></code>
-     <display value="Foster child"></display>
-     <definition value="Children in the foster care have all copays and deductibles waived."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/tooth"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="tooth"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-tooth"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1152"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="OralSiteCodes"></name>
-    <title value="Oral Site Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of FDI oral site codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/tooth"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Oral cavity"></display>
-     <definition value="Oral cavity."></definition>
-    </concept>
-    <concept>
-     <code value="1"></code>
-     <display value="1"></display>
-     <definition value="Permanent teeth Maxillary right."></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="2"></display>
-     <definition value="Permanent teeth Maxillary left."></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="3"></display>
-     <definition value="Permanent teeth Mandibular right."></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="4"></display>
-     <definition value="Permanent teeth Mandibular left."></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="5"></display>
-     <definition value="Deciduous teeth Maxillary right."></definition>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="6"></display>
-     <definition value="Deciduous teeth Maxillary left."></definition>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="7"></display>
-     <definition value="Deciduous teeth Mandibular right."></definition>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="8"></display>
-     <definition value="Deciduous teeth Mandibular left."></definition>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="11"></display>
-     <definition value="Upper Right Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="12"></display>
-     <definition value="Upper Right Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="13"></display>
-     <definition value="Upper Right Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="14"></display>
-     <definition value="Upper Right Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="15"></display>
-     <definition value="Upper Right Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="16"></display>
-     <definition value="Upper Right Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="17"></display>
-     <definition value="Upper Right Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="18"></code>
-     <display value="18"></display>
-     <definition value="Upper Right Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="21"></display>
-     <definition value="Upper Left Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="22"></code>
-     <display value="22"></display>
-     <definition value="Upper Left Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="23"></code>
-     <display value="23"></display>
-     <definition value="Upper Left Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="24"></code>
-     <display value="24"></display>
-     <definition value="Upper Left Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="25"></code>
-     <display value="25"></display>
-     <definition value="Upper Left Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="26"></code>
-     <display value="26"></display>
-     <definition value="Upper Left Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="27"></code>
-     <display value="27"></display>
-     <definition value="Upper Left Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="28"></code>
-     <display value="28"></display>
-     <definition value="Upper Left Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="31"></code>
-     <display value="31"></display>
-     <definition value="Lower Left Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="32"></code>
-     <display value="32"></display>
-     <definition value="Lower Left Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="33"></code>
-     <display value="33"></display>
-     <definition value="Lower Left Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="34"></code>
-     <display value="34"></display>
-     <definition value="Lower Left Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="35"></code>
-     <display value="35"></display>
-     <definition value="Lower Left Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="36"></code>
-     <display value="36"></display>
-     <definition value="Lower Left Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="37"></code>
-     <display value="37"></display>
-     <definition value="Lower Left Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="38"></code>
-     <display value="38"></display>
-     <definition value="Lower Left Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="41"></code>
-     <display value="41"></display>
-     <definition value="Lower Right Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="42"></code>
-     <display value="42"></display>
-     <definition value="Lower Right Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="43"></code>
-     <display value="43"></display>
-     <definition value="Lower Right Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="44"></code>
-     <display value="44"></display>
-     <definition value="Lower Right Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="45"></code>
-     <display value="45"></display>
-     <definition value="Lower Right Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="46"></code>
-     <display value="46"></display>
-     <definition value="Lower Right Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="47"></code>
-     <display value="47"></display>
-     <definition value="Lower Right Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="48"></code>
-     <display value="48"></display>
-     <definition value="Lower Right Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-relationship-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-relationship-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-relationship-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.814"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionRelationshipType"></name>
-    <title value="ActionRelationshipType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines the types of relationships between actions."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-relationship-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="before-start"></code>
-     <display value="Before Start"></display>
-     <definition value="The action must be performed before the start of the related action."></definition>
-    </concept>
-    <concept>
-     <code value="before"></code>
-     <display value="Before"></display>
-     <definition value="The action must be performed before the related action."></definition>
-    </concept>
-    <concept>
-     <code value="before-end"></code>
-     <display value="Before End"></display>
-     <definition value="The action must be performed before the end of the related action."></definition>
-    </concept>
-    <concept>
-     <code value="concurrent-with-start"></code>
-     <display value="Concurrent With Start"></display>
-     <definition value="The action must be performed concurrent with the start of the related action."></definition>
-    </concept>
-    <concept>
-     <code value="concurrent"></code>
-     <display value="Concurrent"></display>
-     <definition value="The action must be performed concurrent with the related action."></definition>
-    </concept>
-    <concept>
-     <code value="concurrent-with-end"></code>
-     <display value="Concurrent With End"></display>
-     <definition value="The action must be performed concurrent with the end of the related action."></definition>
-    </concept>
-    <concept>
-     <code value="after-start"></code>
-     <display value="After Start"></display>
-     <definition value="The action must be performed after the start of the related action."></definition>
-    </concept>
-    <concept>
-     <code value="after"></code>
-     <display value="After"></display>
-     <definition value="The action must be performed after the related action."></definition>
-    </concept>
-    <concept>
-     <code value="after-end"></code>
-     <display value="After End"></display>
-     <definition value="The action must be performed after the end of the related action."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/tldc"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="tldc"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="urn:oid:2.16.840.1.113883.3.1937.98.5.8"></url>
-    <name value="TemplateStatusCodeLifeCycle"></name>
-    <title value="TemplateStatusCode LifeCycle"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2013-12-05"></date>
-    <publisher value="Art-Decor"></publisher>
-    <description value="Life cycle of the Status Code of a Template Design (Version)"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="urn:oid:2.16.840.1.113883.3.1937.98.11.8"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="Design is under development (nascent)."></definition>
-    </concept>
-    <concept>
-     <code value="pending"></code>
-     <display value="Under pre-publication review"></display>
-     <definition value="Design is completed and is being reviewed."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="active"></display>
-     <definition value="Design has been deemed fit for the intended purpose and is published by the governance group."></definition>
-    </concept>
-    <concept>
-     <code value="review"></code>
-     <display value="In Review"></display>
-     <definition value="Design is active, but is under review. The review may result in a change to the design. The change may necessitate a new version to be created. This in turn may result in the prior version of the template to be retired. Alternatively, the review may result in a change to the design that does not require a new version to be created, or it may result in no change to the design at all."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="A drafted design is determined to be erroneous or not fit for intended purpose and is discontinued before ever being published in an active state."></definition>
-    </concept>
-    <concept>
-     <code value="rejected"></code>
-     <display value="Rejected"></display>
-     <definition value="A previously drafted design is determined to be erroneous or not fit for intended purpose and is discontinued before ever being published for consideration in a pending state."></definition>
-    </concept>
-    <concept>
-     <code value="retired"></code>
-     <display value="retired"></display>
-     <definition value="A previously active design is discontinued from use. It should no longer be used for future designs, but for historical purposes may be used to process data previously recorded using this design. A newer design may or may not exist. The design is published in the retired state."></definition>
-    </concept>
-    <concept>
-     <code value="terminated"></code>
-     <display value="Terminated"></display>
-     <definition value="A design is determined to be erroneous or not fit for the intended purpose and should no longer be used, even for historical purposes. No new designs can be developed for this template. The associated template no longer needs to be published, but if published, is shown in the terminated state."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-participant-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-participant-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-participant-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.812"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionParticipantType"></name>
-    <title value="ActionParticipantType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of participant for the action."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-participant-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="patient"></code>
-     <display value="Patient"></display>
-     <definition value="The participant is the patient under evaluation."></definition>
-    </concept>
-    <concept>
-     <code value="practitioner"></code>
-     <display value="Practitioner"></display>
-     <definition value="The participant is a practitioner involved in the patient's care."></definition>
-    </concept>
-    <concept>
-     <code value="related-person"></code>
-     <display value="Related Person"></display>
-     <definition value="The participant is a person related to the patient."></definition>
-    </concept>
-    <concept>
-     <code value="device"></code>
-     <display value="Device"></display>
-     <definition value="The participant is a system or device used in the care of the patient."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/animal-species"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="animal-species"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/animal-species"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.421"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AnimalSpecies"></name>
-    <title value="Animal species"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate species of animal patients."></description>
-    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
+    <description value="A list of the base types defined by this version of the FHIR specification - types that are defined, but for which only specializations actually are created."></description>
     <caseSensitive value="true"></caseSensitive>
     <content value="complete"></content>
     <concept>
-     <code value="canislf"></code>
-     <display value="Dog"></display>
-     <definition value="Canis lupus familiaris"></definition>
+     <code value="Type"></code>
+     <display value="Type"></display>
+     <definition value="A place holder that means any kind of data type"></definition>
     </concept>
     <concept>
-     <code value="ovisa"></code>
-     <display value="Sheep"></display>
-     <definition value="Ovis aries"></definition>
-    </concept>
-    <concept>
-     <code value="serinuscd"></code>
-     <display value="Domestic Canary"></display>
-     <definition value="Serinus canaria domestica"></definition>
+     <code value="Any"></code>
+     <display value="Any"></display>
+     <definition value="A place holder that means any kind of resource"></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-condition-kind"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-events"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-condition-kind"></id>
+    <id value="message-events"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
+    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
+     <valueString value="This Code System is normative - it is generated based on the information defined in this specification. The definition will remain fixed  across versions, but the actual contents will change from version to version"></valueString>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-condition-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.816"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionConditionKind"></name>
-    <title value="ActionConditionKind"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines the kinds of conditions that can appear on actions."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-condition-kind"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="applicability"></code>
-     <display value="Applicability"></display>
-     <definition value="The condition describes whether or not a given action is applicable."></definition>
-    </concept>
-    <concept>
-     <code value="start"></code>
-     <display value="Start"></display>
-     <definition value="The condition is a starting condition for the action."></definition>
-    </concept>
-    <concept>
-     <code value="stop"></code>
-     <display value="Stop"></display>
-     <definition value="The condition is a stop, or exit condition for the action."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/structure-definition-kind"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="structure-definition-kind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/structure-definition-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.669"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureDefinitionKind"></name>
-    <title value="StructureDefinitionKind"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines the type of structure that a definition is describing."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/structure-definition-kind"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="primitive-type"></code>
-     <display value="Primitive Data Type"></display>
-     <definition value="A primitive type that has a value and an extension. These can be used throughout complex datatype, Resource and extension definitions. Only the base specification can define primitive types."></definition>
-    </concept>
-    <concept>
-     <code value="complex-type"></code>
-     <display value="Complex Data Type"></display>
-     <definition value="A  complex structure that defines a set of data elements that is suitable for use in 'resources'. The base specification defines a number of complex types, and other specifications can define additional types. These structures do not have a maintained identity."></definition>
-    </concept>
-    <concept>
-     <code value="resource"></code>
-     <display value="Resource"></display>
-     <definition value="A 'resource' - a directed acyclic graph of elements that aggregrates other types into an identifiable entity. The base FHIR resources are defined by the FHIR specification itself but other 'resources' can be defined in additional specifications (though these will not be recognised as 'resources' by the FHIR specification (i.e. they do not get end-points etc, or act as the targets of references in FHIR defined resources - though other specificatiosn can treat them this way)."></definition>
-    </concept>
-    <concept>
-     <code value="logical"></code>
-     <display value="Logical"></display>
-     <definition value="A pattern or a template that is not intended to be a real resource or complex type."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-security-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-security-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-security-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1221"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceScopeCodes"></name>
-    <title value="Contract Resource Scope codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for security category."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-security-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/related-claim-relationship"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="related-claim-relationship"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1159"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleRelatedClaimRelationshipCodes"></name>
-    <title value="Example Related Claim Relationship Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Related Claim Relationship codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/related-claim-relationship"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="prior"></code>
-     <display value="Prior Claim"></display>
-     <definition value="A prior claim instance for the same intended suite of services."></definition>
-    </concept>
-    <concept>
-     <code value="associated"></code>
-     <display value="Associated Claim"></display>
-     <definition value="A claim for a different suite of services which is related the suite claimed here."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-range-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="observation-range-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/observation-range-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1334"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ObservationRangeCategory"></name>
-    <title value="ObservationRangeCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying the category of observation range."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/observation-range-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="reference"></code>
-     <display value="reference range"></display>
-     <definition value="Reference (Normal) Range for Ordinal and Continuous Observations."></definition>
-    </concept>
-    <concept>
-     <code value="critical"></code>
-     <display value="critical range"></display>
-     <definition value="Critical Range for Ordinal and Continuous Observations. Results outside this range are critical."></definition>
-    </concept>
-    <concept>
-     <code value="absolute"></code>
-     <display value="absolute range"></display>
-     <definition value="Absolute Range for Ordinal and Continuous Observations. Results outside this range are not possible."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/data-absent-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="data-absent-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/data-absent-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1048"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DataAbsentReason"></name>
-    <title value="DataAbsentReason"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="Used to specify why the normally expected content of the data element is missing."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The value is expected to exist but is not known."></definition>
-     <concept>
-      <code value="asked-unknown"></code>
-      <display value="Asked But Unknown"></display>
-      <definition value="The source was asked but does not know the value."></definition>
-     </concept>
-     <concept>
-      <code value="temp-unknown"></code>
-      <display value="Temporarily Unknown"></display>
-      <definition value="There is reason to expect (from the workflow) that the value may become known."></definition>
-     </concept>
-     <concept>
-      <code value="not-asked"></code>
-      <display value="Not Asked"></display>
-      <definition value="The workflow didn't lead to this value being known."></definition>
-     </concept>
-     <concept>
-      <code value="asked-declined"></code>
-      <display value="Asked But Declined"></display>
-      <definition value="The source was asked but declined to answer."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Using &quot;masked&quot; may be breach of security or confidentiality, but there are times when its use is required to support alternate workflows for gaining access to denied information."></valueString>
-     </extension>
-     <code value="masked"></code>
-     <display value="Masked"></display>
-     <definition value="The information is not available due to security, privacy or related reasons."></definition>
-    </concept>
-    <concept>
-     <code value="not-applicable"></code>
-     <display value="Not Applicable"></display>
-     <definition value="There is no proper value for this element (e.g. last menstrual period for a male)."></definition>
-    </concept>
-    <concept>
-     <code value="unsupported"></code>
-     <display value="Unsupported"></display>
-     <definition value="The source system wasn't capable of supporting this element."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="It may be linked by internal references (e.g. xml:id). This usually implies that the value could not be represented in the correct format - this may be due to system limitations, or this particular data value."></valueString>
-     </extension>
-     <code value="as-text"></code>
-     <display value="As Text"></display>
-     <definition value="The content of the data is represented in the resource narrative."></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="Some system or workflow process error means that the information is not available."></definition>
-     <concept>
-      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-       <valueString value="This is sometimes an output value from measuring devices."></valueString>
-      </extension>
-      <code value="not-a-number"></code>
-      <display value="Not a Number (NaN)"></display>
-      <definition value="The numeric value is undefined or unrepresentable due to a floating point processing error."></definition>
-     </concept>
-     <concept>
-      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-       <valueString value="This is sometimes an output value from measuring devices."></valueString>
-      </extension>
-      <code value="negative-infinity"></code>
-      <display value="Negative Infinity (NINF)"></display>
-      <definition value="The numeric value is excessively low and unrepresentable due to a floating point processing error."></definition>
-     </concept>
-     <concept>
-      <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-       <valueString value="This is sometimes an output value from measuring devices."></valueString>
-      </extension>
-      <code value="positive-infinity"></code>
-      <display value="Positive Infinity (PINF)"></display>
-      <definition value="The numeric value is excessively high and unrepresentable due to a floating point processing error."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="not-performed"></code>
-     <display value="Not Performed"></display>
-     <definition value="The value is not available because the observation procedure (test, etc.) was not performed."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="This is most often associated with required bindings that do not include the actual code used, but may be used with other data types."></valueString>
-     </extension>
-     <code value="not-permitted"></code>
-     <display value="Not Permitted"></display>
-     <definition value="The value is not permitted in this context (e.g. due to profiles, or the base data types)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/subscription-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.503"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionStatus"></name>
-    <title value="SubscriptionStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of a subscription."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="requested"></code>
-     <display value="Requested"></display>
-     <definition value="The client has requested the subscription, and the server has not yet set it up."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The subscription is active."></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="The server has an error executing the notification."></definition>
-    </concept>
-    <concept>
-     <code value="off"></code>
-     <display value="Off"></display>
-     <definition value="Too many errors have occurred or the subscription has expired."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/additionalmaterials"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="additionalmaterials"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/additionalmaterials"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.530"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdditionalMaterialCodes"></name>
-    <title value="Additional Material Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample additional material type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/additionalmaterials"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="xray"></code>
-     <display value="XRay"></display>
-     <definition value="XRay"></definition>
-    </concept>
-    <concept>
-     <code value="image"></code>
-     <display value="Image"></display>
-     <definition value="Image"></definition>
-    </concept>
-    <concept>
-     <code value="email"></code>
-     <display value="Email"></display>
-     <definition value="Email"></definition>
-    </concept>
-    <concept>
-     <code value="model"></code>
-     <display value="Model"></display>
-     <definition value="Model"></definition>
-    </concept>
-    <concept>
-     <code value="document"></code>
-     <display value="Document"></display>
-     <definition value="Document"></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/appointment-cancellation-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="appointment-cancellation-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/appointment-cancellation-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1382"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AppointmentCancellationReason"></name>
-    <title value="Appointment cancellation reason"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of reasons for the cancellation of an appointment."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/appointment-cancellation-reason"></valueSet>
-    <content value="example"></content>
-    <concept>
-     <code value="pat"></code>
-     <display value="Patient"></display>
-     <concept>
-      <code value="pat-crs"></code>
-      <display value="Patient: Canceled via automated reminder system"></display>
-     </concept>
-     <concept>
-      <code value="pat-cpp"></code>
-      <display value="Patient: Canceled via Patient Portal"></display>
-     </concept>
-     <concept>
-      <code value="pat-dec"></code>
-      <display value="Patient: Deceased"></display>
-     </concept>
-     <concept>
-      <code value="pat-fb"></code>
-      <display value="Patient: Feeling Better"></display>
-     </concept>
-     <concept>
-      <code value="pat-lt"></code>
-      <display value="Patient: Lack of Transportation"></display>
-     </concept>
-     <concept>
-      <code value="pat-mt"></code>
-      <display value="Patient: Member Terminated"></display>
-     </concept>
-     <concept>
-      <code value="pat-mv"></code>
-      <display value="Patient: Moved"></display>
-     </concept>
-     <concept>
-      <code value="pat-preg"></code>
-      <display value="Patient: Pregnant"></display>
-     </concept>
-     <concept>
-      <code value="pat-swl"></code>
-      <display value="Patient: Scheduled from Wait List"></display>
-     </concept>
-     <concept>
-      <code value="pat-ucp"></code>
-      <display value="Patient: Unhappy/Changed Provider"></display>
-     </concept>
-    </concept>
-    <concept>
-     <code value="prov"></code>
-     <display value="Provider"></display>
-     <concept>
-      <code value="prov-pers"></code>
-      <display value="Provider: Personal"></display>
-     </concept>
-     <concept>
-      <code value="prov-dch"></code>
-      <display value="Provider: Discharged"></display>
-     </concept>
-     <concept>
-      <code value="prov-edu"></code>
-      <display value="Provider: Edu/Meeting"></display>
-     </concept>
-     <concept>
-      <code value="prov-hosp"></code>
-      <display value="Provider: Hospitalized"></display>
-     </concept>
-     <concept>
-      <code value="prov-labs"></code>
-      <display value="Provider: Labs Out of Acceptable Range"></display>
-     </concept>
-     <concept>
-      <code value="prov-mri"></code>
-      <display value="Provider: MRI Screening Form Marked Do Not Proceed"></display>
-     </concept>
-     <concept>
-      <code value="prov-onc"></code>
-      <display value="Provider: Oncology Treatment Plan Changes"></display>
-     </concept>
-    </concept>
-    <concept>
-     <code value="maint"></code>
-     <display value="Equipment Maintenance/Repair"></display>
-    </concept>
-    <concept>
-     <code value="meds-inc"></code>
-     <display value="Prep/Med Incomplete"></display>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <concept>
-      <code value="oth-cms"></code>
-      <display value="Other: CMS Therapy Cap Service Not Authorized"></display>
-     </concept>
-     <concept>
-      <code value="oth-err"></code>
-      <display value="Other: Error"></display>
-     </concept>
-     <concept>
-      <code value="oth-fin"></code>
-      <display value="Other: Financial"></display>
-     </concept>
-     <concept>
-      <code value="oth-iv"></code>
-      <display value="Other: Improper IV Access/Infiltrate IV"></display>
-     </concept>
-     <concept>
-      <code value="oth-int"></code>
-      <display value="Other: No Interpreter Available"></display>
-     </concept>
-     <concept>
-      <code value="oth-mu"></code>
-      <display value="Other: Prep/Med/Results Unavailable"></display>
-     </concept>
-     <concept>
-      <code value="oth-room"></code>
-      <display value="Other: Room/Resource Maintenance"></display>
-     </concept>
-     <concept>
-      <code value="oth-oerr"></code>
-      <display value="Other: Schedule Order Error"></display>
-     </concept>
-     <concept>
-      <code value="oth-swie"></code>
-      <display value="Other: Silent Walk In Error"></display>
-     </concept>
-     <concept>
-      <code value="oth-weath"></code>
-      <display value="Other: Weather"></display>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/usage-context-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="usage-context-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/usage-context-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1068"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="UsageContextType"></name>
-    <title value="UsageContextType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that specifies a type of context being specified by a usage context."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/usage-context-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="gender"></code>
-     <display value="Gender"></display>
-     <definition value="The gender of the patient. For this context type, appropriate values can be found in the http://hl7.org/fhir/ValueSet/administrative-gender value set."></definition>
-    </concept>
-    <concept>
-     <code value="age"></code>
-     <display value="Age Range"></display>
-     <definition value="The age of the patient. For this context type, the value could be a range that specifies the applicable ages or a code from an appropriate value set such as the MeSH value set http://terminology.hl7.org/ValueSet/v3-AgeGroupObservationValue."></definition>
-    </concept>
-    <concept>
-     <code value="focus"></code>
-     <display value="Clinical Focus"></display>
-     <definition value="The clinical concept(s) addressed by the artifact. For example, disease, diagnostic test interpretation, medication ordering as in http://hl7.org/fhir/ValueSet/condition-code."></definition>
-    </concept>
-    <concept>
-     <code value="user"></code>
-     <display value="User Type"></display>
-     <definition value="The clinical specialty of the context in which the patient is being treated - For example, PCP, Patient, Cardiologist, Behavioral Professional, Oral Health Professional, Prescriber, etc... taken from a specialty value set such as the NUCC Health Care provider taxonomy value set http://hl7.org/fhir/ValueSet/provider-taxonomy."></definition>
-    </concept>
-    <concept>
-     <code value="workflow"></code>
-     <display value="Workflow Setting"></display>
-     <definition value="The settings in which the artifact is intended for use. For example, admission, pre-op, etc. For example, the ActEncounterCode value set http://terminology.hl7.org/ValueSet/v3-ActEncounterCode."></definition>
-    </concept>
-    <concept>
-     <code value="task"></code>
-     <display value="Workflow Task"></display>
-     <definition value="The context for the clinical task(s) represented by this artifact. For example, this could be any task context represented by the HL7 ActTaskCode value set http://terminology.hl7.org/ValueSet/v3-ActTaskCode. General categories include: order entry, patient documentation and patient information review."></definition>
-    </concept>
-    <concept>
-     <code value="venue"></code>
-     <display value="Clinical Venue"></display>
-     <definition value="The venue in which an artifact could be used. For example, Outpatient, Inpatient, Home, Nursing home. The code value may originate from the HL7 ServiceDeliveryLocationRoleType value set (http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)."></definition>
-    </concept>
-    <concept>
-     <code value="species"></code>
-     <display value="Species"></display>
-     <definition value="The species to which an artifact applies. For example, SNOMED - 387961004 | Kingdom Animalia (organism)."></definition>
-    </concept>
-    <concept>
-     <code value="program"></code>
-     <display value="Program"></display>
-     <definition value="A program/project of work for which this artifact is applicable."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/code-search-support"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="code-search-support"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/code-search-support"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.861"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CodeSearchSupport"></name>
-    <title value="CodeSearchSupport"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The degree to which the server supports the code search parameter on ValueSet, if it is supported."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/code-search-support"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="explicit"></code>
-     <display value="Explicit Codes"></display>
-     <definition value="The search for code on ValueSet only includes codes explicitly detailed on includes or expansions."></definition>
-    </concept>
-    <concept>
-     <code value="all"></code>
-     <display value="Implicit Codes"></display>
-     <definition value="The search for code on ValueSet only includes all codes based on the expansion of the value set."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-data-meaning"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-data-meaning"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/contract-data-meaning"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1205"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractDataMeaning"></name>
-    <title value="ContractDataMeaning"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a resource reference is interpreted when evaluating contract offers."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-data-meaning"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="instance"></code>
-     <display value="Instance"></display>
-     <definition value="The consent applies directly to the instance of the resource."></definition>
-    </concept>
-    <concept>
-     <code value="related"></code>
-     <display value="Related"></display>
-     <definition value="The consent applies directly to the instance of the resource and instances it refers to."></definition>
-    </concept>
-    <concept>
-     <code value="dependents"></code>
-     <display value="Dependents"></display>
-     <definition value="The consent applies directly to the instance of the resource and instances that refer to it."></definition>
-    </concept>
-    <concept>
-     <code value="authoredby"></code>
-     <display value="AuthoredBy"></display>
-     <definition value="The consent applies to instances of resources that are authored by."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-program-code"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-program-code"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-programcode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1161"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleProgramReasonCodes"></name>
-    <title value="Example Program Reason Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Program Reason Span codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-program-code"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="as"></code>
-     <display value="Child Asthma"></display>
-     <definition value="Child Asthma Program"></definition>
-    </concept>
-    <concept>
-     <code value="hd"></code>
-     <display value="Hemodialysis"></display>
-     <definition value="Hemodialysis Program."></definition>
-    </concept>
-    <concept>
-     <code value="auscr"></code>
-     <display value="Autism Screening"></display>
-     <definition value="Autism Screening Program."></definition>
-    </concept>
-    <concept>
-     <code value="none"></code>
-     <display value="None"></display>
-     <definition value="No program code applies."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/remittance-outcome"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="remittance-outcome"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/remittance-outcome"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.14"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClaimProcessingCodes"></name>
-    <title value="Claim Processing Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Claim Processing Outcome codes."></description>
-    <copyright value="HL7 Inc."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/remittance-outcome"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="queued"></code>
-     <display value="Queued"></display>
-     <definition value="The Claim/Pre-authorization/Pre-determination has been received but processing has not begun."></definition>
-    </concept>
-    <concept>
-     <code value="complete"></code>
-     <display value="Processing Complete"></display>
-     <definition value="The processing has completed without errors"></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="One or more errors have been detected in the Claim"></definition>
-    </concept>
-    <concept>
-     <code value="partial"></code>
-     <display value="Partial Processing"></display>
-     <definition value="No errors have been detected in the Claim and some of the adjudication has been performed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-subject-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-subject-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/encounter-subject-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1420"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EncounterSubjectStatus"></name>
-    <title value="Encounter subject status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the status of the subject within the encounter"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-subject-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="arrived"></code>
-     <display value="Arrived"></display>
-    </concept>
-    <concept>
-     <code value="triaged"></code>
-     <display value="Triaged"></display>
-    </concept>
-    <concept>
-     <code value="on-leave"></code>
-     <display value="On Leave"></display>
-    </concept>
-    <concept>
-     <code value="departed"></code>
-     <display value="Departed"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-item-flag"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="list-item-flag"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="urn:oid:1.2.36.1.2001.1001.101.104.16592"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.321"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PatientMedicineChangeTypes"></name>
-    <title value="Patient Medicine Change Types"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="National E-Health Transition Authority Ltd (NEHTA)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.nehta.gov.au"></value>
-     </telecom>
-    </contact>
-    <description value="Example Item Flags for the List Resource. In this case, these are the kind of flags that would be used on a medication list at the end of a consultation."></description>
-    <copyright value=" Copyright © 2012-2013 National E-Health Transition Authority Ltd : This document contains information which is protected by copyright. All Rights Reserved. No part of this work may be reproduced or used in any form or by any means--graphic, electronic, or mechanical, including photocopying,  recording, taping, or information storage and retrieval systems--without the permission of NEHTA. All copies of this  document must include the copyright and other information contained on this page.  Revision 1  Telephone: 1300 901 001 or email: servicedesk@nehta.gov.au  Disclaimer: The National E-Health Transition Authority Ltd (NEHTA) makes the information and other material ('Information') in  this document available in good faith but without any representation or warranty as to its accuracy or completeness.  NEHTA cannot accept any responsibility for the consequences of any use of the Information. As the Information is of a  general nature only, it is up to any person using or relying on the Information to ensure that it is accurate, complete  and suitable for the circumstances of its use."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/list-item-flag"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="01"></code>
-     <display value="Unchanged"></display>
-     <definition value="No change has been made to the status of this medicine item."></definition>
-    </concept>
-    <concept>
-     <code value="02"></code>
-     <display value="Changed"></display>
-     <definition value="The medicine item has changed. The change may be described in an extension (not defined yet)"></definition>
-    </concept>
-    <concept>
-     <code value="03"></code>
-     <display value="Cancelled"></display>
-     <definition value="The prescription for this medicine item was cancelled by an authorized health care provider. The patient may be advised to complete the course of the prescribed medicine. This advice is a clinical decision made based on assessment of the patient's clinical condition."></definition>
-    </concept>
-    <concept>
-     <code value="04"></code>
-     <display value="Prescribed"></display>
-     <definition value="A new medicine item has been prescribed"></definition>
-    </concept>
-    <concept>
-     <code value="05"></code>
-     <display value="Ceased"></display>
-     <definition value="Administration of this medication item that the patient is currently taking is stopped or recommended to be stopped (i.e. instructed to be ceased by a health care provider). This cessation is anticipated to be permanent. The Change Description should describe the reason for cessation. Example uses: the medication in question is considered ineffective or has caused serious adverse effects. This value applies both to the cessation of a medication that is prescribed by another healthcare provider or patient self-administration of OTC medicines."></definition>
-    </concept>
-    <concept>
-     <code value="06"></code>
-     <display value="Suspended"></display>
-     <definition value="Administration of this medication item that the patient is currently taking is on hold, or instructed or recommended by a health care provider to be temporarily stopped, or subject to clinical review (i.e. the stop may be temporary or permanent depending on the outcome of clinical review), or temporarily suspended as a pre-requisite to certain surgical or diagnostic procedures."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-resource-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="definition-resource-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/definition-resource-types"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1057"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DefinitionResourceType"></name>
-    <title value="DefinitionResourceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="A list of all the definition resource types defined in this version of the FHIR specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/definition-resource-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ActivityDefinition"></code>
-     <display value="ActivityDefinition"></display>
-     <definition value="This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context."></definition>
-    </concept>
-    <concept>
-     <code value="EventDefinition"></code>
-     <display value="EventDefinition"></display>
-     <definition value="The EventDefinition resource provides a reusable description of when a particular event can occur."></definition>
-    </concept>
-    <concept>
-     <code value="Measure"></code>
-     <display value="Measure"></display>
-     <definition value="The Measure resource provides the definition of a quality measure."></definition>
-    </concept>
-    <concept>
-     <code value="OperationDefinition"></code>
-     <display value="OperationDefinition"></display>
-     <definition value="A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction)."></definition>
-    </concept>
-    <concept>
-     <code value="PlanDefinition"></code>
-     <display value="PlanDefinition"></display>
-     <definition value="This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols."></definition>
-    </concept>
-    <concept>
-     <code value="Questionnaire"></code>
-     <display value="Questionnaire"></display>
-     <definition value="A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/response-code"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="response-code"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="inm"></valueCode>
     </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="4"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/response-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.381"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResponseType"></name>
-    <title value="ResponseType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The kind of response to a message."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/response-code"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ok"></code>
-     <display value="OK"></display>
-     <definition value="The message was accepted and processed without error."></definition>
-    </concept>
-    <concept>
-     <code value="transient-error"></code>
-     <display value="Transient Error"></display>
-     <definition value="Some internal unexpected error occurred - wait and try again. Note - this is usually used for things like database unavailable, which may be expected to resolve, though human intervention may be required."></definition>
-    </concept>
-    <concept>
-     <code value="fatal-error"></code>
-     <display value="Fatal Error"></display>
-     <definition value="The message was rejected because of a problem with the content. There is no point in re-sending without change. The response narrative SHALL describe the issue."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/unknown-content-code"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="unknown-content-code"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/unknown-content-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.197"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="UnknownContentCode"></name>
-    <title value="UnknownContentCode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that indicates whether an application accepts unknown elements or extensions when reading resources."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/unknown-content-code"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="no"></code>
-     <display value="Neither Elements or Extensions"></display>
-     <definition value="The application does not accept either unknown elements or extensions."></definition>
-    </concept>
-    <concept>
-     <code value="extensions"></code>
-     <display value="Unknown Extensions"></display>
-     <definition value="The application accepts unknown extensions, but not unknown elements."></definition>
-    </concept>
-    <concept>
-     <code value="elements"></code>
-     <display value="Unknown Elements"></display>
-     <definition value="The application accepts unknown elements, but not unknown extensions."></definition>
-    </concept>
-    <concept>
-     <code value="both"></code>
-     <display value="Unknown Elements and Extensions"></display>
-     <definition value="The application accepts unknown elements and extensions."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-admin-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medication-admin-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medication-admin-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1311"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationAdministration Status Codes"></name>
-    <title value="Medication administration  status  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationAdministration Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="The administration has started but has not yet completed."></definition>
-    </concept>
-    <concept>
-     <code value="not-done"></code>
-     <display value="Not Done"></display>
-     <definition value="The administration was terminated prior to any impact on the subject (though preparatory actions may have been taken)"></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="Actions implied by the administration have been temporarily halted, but are expected to continue later. May also be called 'suspended'."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="All actions that are implied by the administration have occurred."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The administration was entered in error and therefore nullified."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="Actions implied by the administration have been permanently halted, before all of them occurred."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring system does not know which of the status values currently applies for this request. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/variant-state"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="variant-state"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/variant-state"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1085"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="sequenceStatus"></name>
-    <title value="sequenceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes providing the status of the variant test result."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/variant-state"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="positive"></code>
-     <display value="positive"></display>
-     <definition value="the variant is detected."></definition>
-    </concept>
-    <concept>
-     <code value="negative"></code>
-     <display value="negative"></display>
-     <definition value="no variant is detected."></definition>
-    </concept>
-    <concept>
-     <code value="absent"></code>
-     <display value="absent"></display>
-     <definition value="result of the variant is missing."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/conditional-read-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="conditional-read-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/conditional-read-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.201"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionalReadStatus"></name>
-    <title value="ConditionalReadStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that indicates how the server supports conditional read."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/conditional-read-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="not-supported"></code>
-     <display value="Not Supported"></display>
-     <definition value="No support for conditional reads."></definition>
-    </concept>
-    <concept>
-     <code value="modified-since"></code>
-     <display value="If-Modified-Since"></display>
-     <definition value="Conditional reads are supported, but only with the If-Modified-Since HTTP Header."></definition>
-    </concept>
-    <concept>
-     <code value="not-match"></code>
-     <display value="If-None-Match"></display>
-     <definition value="Conditional reads are supported, but only with the If-None-Match HTTP Header."></definition>
-    </concept>
-    <concept>
-     <code value="full-support"></code>
-     <display value="Full Support"></display>
-     <definition value="Conditional reads are supported, with both If-Modified-Since and If-None-Match HTTP Headers."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="definition-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/definition-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1191"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DefinitionUseCodes"></name>
-    <title value="Structure Definition Use Codes / Keywords"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Structure Definition Use Codes / Keywords"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/definition-use"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="fhir-structure"></code>
-     <display value="FHIR Structure"></display>
-     <definition value="This structure is defined as part of the base FHIR Specification"></definition>
-    </concept>
-    <concept>
-     <code value="custom-resource"></code>
-     <display value="Custom Resource"></display>
-     <definition value="This structure is intended to be treated like a FHIR resource (e.g. on the FHIR API)"></definition>
-    </concept>
-    <concept>
-     <code value="dam"></code>
-     <display value="Domain Analysis Model"></display>
-     <definition value="This structure captures an analysis of a domain"></definition>
-    </concept>
-    <concept>
-     <code value="wire-format"></code>
-     <display value="Wire Format"></display>
-     <definition value="This structure represents and existing structure (e.g. CDA, HL7 v2)"></definition>
-    </concept>
-    <concept>
-     <code value="archetype"></code>
-     <display value="Domain Analysis Model"></display>
-     <definition value="This structure captures an analysis of a domain"></definition>
-    </concept>
-    <concept>
-     <code value="template"></code>
-     <display value="Template"></display>
-     <definition value="This structure is a template (n.b: 'template' has many meanings)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/product-storage-scale"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="product-storage-scale"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/product-storage-scale"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.905"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BiologicallyDerivedProductStorageScale"></name>
-    <title value="BiologicallyDerivedProductStorageScale"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="BiologicallyDerived Product Storage Scale."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/product-storage-scale"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="farenheit"></code>
-     <display value="Fahrenheit"></display>
-     <definition value="Fahrenheit temperature scale."></definition>
-    </concept>
-    <concept>
-     <code value="celsius"></code>
-     <display value="Celsius"></display>
-     <definition value="Celsius or centigrade temperature scale."></definition>
-    </concept>
-    <concept>
-     <code value="kelvin"></code>
-     <display value="Kelvin"></display>
-     <definition value="Kelvin absolute thermodynamic temperature scale."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/udi"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="udi"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/ex-udi"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.555"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="UDICodes"></name>
-    <title value="UDI Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample UDI codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/udi"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="gudid"></code>
-     <display value="GUDID (FDA)"></display>
-     <definition value="GUDID (FDA) US Repository"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/account-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="account-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/account-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.727"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AccountStatus"></name>
-    <title value="AccountStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates whether the account is available to be used."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/account-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="This account is active and may be used."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="This account is inactive and should not be used to track financial information."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in error"></display>
-     <definition value="This instance should not have been part of this patient's medical record."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="This account is on hold."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The account status is unknown."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-term"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="benefit-term"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="draft"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
      <valueInteger value="1"></valueInteger>
     </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/benefit-term"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1179"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BenefitTermCodes"></name>
-    <title value="Benefit Term Codes"></title>
-    <status value="draft"></status>
+    <url value="http://hl7.org/fhir/message-events"></url>
+    <version value="4.2.0"></version>
+    <name value="MessageEvent"></name>
+    <title value="MessageEvent"></title>
+    <status value="active"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Benefit Term codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-term"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="annual"></code>
-     <display value="Annual"></display>
-     <definition value="Annual, renewing on the anniversary"></definition>
-    </concept>
-    <concept>
-     <code value="day"></code>
-     <display value="Day"></display>
-     <definition value="Per day"></definition>
-    </concept>
-    <concept>
-     <code value="lifetime"></code>
-     <display value="Lifetime"></display>
-     <definition value="For the total term, lifetime, of the policy or coverage"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-payload-content"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-payload-content"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/subscription-payload-content"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1436"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionPayloadContent"></name>
-    <title value="SubscriptionPayloadContent"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24093,25 +47174,9 @@ The primary difference between a medicationusage and a medicationadministration
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Codes to represent how much resource content to send in the notification payload."></description>
+    <description value="One of the message events defined as part of this version of FHIR."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-payload-content"></valueSet>
     <content value="complete"></content>
-    <concept>
-     <code value="empty"></code>
-     <display value="empty"></display>
-     <definition value="No resource content is transacted in the notification payload."></definition>
-    </concept>
-    <concept>
-     <code value="id-only"></code>
-     <display value="id-only"></display>
-     <definition value="Only the resource id is transacted in the notification payload."></definition>
-    </concept>
-    <concept>
-     <code value="full-resource"></code>
-     <display value="full-resource"></display>
-     <definition value="The entire resource is transacted in the notification payload."></definition>
-    </concept>
    </CodeSystem>
   </resource>
  </entry>
@@ -24121,7 +47186,7 @@ The primary difference between a medicationusage and a medicationadministration
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="data-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
      <valueString value="This Code System is normative - it is generated based on the information defined in this specification. The definition will remain fixed  across versions, but the actual contents will change from version to version"></valueString>
@@ -24139,12 +47204,12 @@ The primary difference between a medicationusage and a medicationadministration
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/data-types"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataType"></name>
     <title value="DataType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -24184,11 +47249,26 @@ The primary difference between a medicationusage and a medicationadministration
      <display value="BackboneElement"></display>
      <definition value="Base definition for all elements that are defined inside a resource - but not those in a data type."></definition>
     </concept>
+    <concept>
+     <code value="BackboneType"></code>
+     <display value="BackboneType"></display>
+     <definition value="Base definition for the few data types that are allowed to carry modifier extensions."></definition>
+    </concept>
+    <concept>
+     <code value="Base"></code>
+     <display value="Base"></display>
+     <definition value="Base definition for all types defined in FHIR type system."></definition>
+    </concept>
     <concept>
      <code value="CodeableConcept"></code>
      <display value="CodeableConcept"></display>
      <definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."></definition>
     </concept>
+    <concept>
+     <code value="CodeableReference"></code>
+     <display value="CodeableReference"></display>
+     <definition value="A reference to a resource (by instance), or instead, a reference to a cencept defined in a terminology or ontology (by class)."></definition>
+    </concept>
     <concept>
      <code value="Coding"></code>
      <display value="Coding"></display>
@@ -24219,6 +47299,11 @@ The primary difference between a medicationusage and a medicationadministration
      <display value="DataRequirement"></display>
      <definition value="Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data."></definition>
     </concept>
+    <concept>
+     <code value="DataType"></code>
+     <display value="DataType"></display>
+     <definition value="The base class for all re-useable types defined as part of the FHIR Specification."></definition>
+    </concept>
     <concept>
      <code value="Distance"></code>
      <display value="Distance"></display>
@@ -24308,6 +47393,11 @@ The primary difference between a medicationusage and a medicationadministration
      <display value="Population"></display>
      <definition value="A populatioof people with some set of grouping criteria."></definition>
     </concept>
+    <concept>
+     <code value="PrimitiveType"></code>
+     <display value="PrimitiveType"></display>
+     <definition value="The base type for all re-useable types defined that have a simple property."></definition>
+    </concept>
     <concept>
      <code value="ProdCharacteristic"></code>
      <display value="ProdCharacteristic"></display>
@@ -24432,6 +47522,11 @@ The primary difference between a medicationusage and a medicationadministration
      <display value="integer"></display>
      <definition value="A whole number"></definition>
     </concept>
+    <concept>
+     <code value="integer64"></code>
+     <display value="integer64"></display>
+     <definition value="A very large whole number"></definition>
+    </concept>
     <concept>
      <code value="markdown"></code>
      <display value="markdown"></display>
@@ -24488,1747 +47583,13 @@ The primary difference between a medicationusage and a medicationadministration
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-answers-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="questionnaire-answers-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/questionnaire-answers-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.448"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuestionnaireResponseStatus"></name>
-    <title value="QuestionnaireResponseStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Lifecycle status of the questionnaire response."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="This QuestionnaireResponse has been partially filled out with answers but changes or additions are still expected to be made to it."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="This QuestionnaireResponse has been filled out with answers and the current content is regarded as definitive."></definition>
-    </concept>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="This QuestionnaireResponse has been filled out with answers, then marked as complete, yet changes or additions have been made to it afterwards."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This QuestionnaireResponse was entered in error and voided."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="This QuestionnaireResponse has been partially filled out with answers but has been abandoned. It is unknown whether changes or additions are expected to be made to it."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-study-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/research-study-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.820"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchStudyStatus"></name>
-    <title value="ResearchStudyStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes that convey the current status of the research study."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="Study is opened for accrual."></definition>
-    </concept>
-    <concept>
-     <code value="administratively-completed"></code>
-     <display value="Administratively Completed"></display>
-     <definition value="Study is completed prematurely and will not resume; patients are no longer examined nor treated."></definition>
-    </concept>
-    <concept>
-     <code value="approved"></code>
-     <display value="Approved"></display>
-     <definition value="Protocol is approved by the review board."></definition>
-    </concept>
-    <concept>
-     <code value="closed-to-accrual"></code>
-     <display value="Closed to Accrual"></display>
-     <definition value="Study is closed for accrual; patients can be examined and treated."></definition>
-    </concept>
-    <concept>
-     <code value="closed-to-accrual-and-intervention"></code>
-     <display value="Closed to Accrual and Intervention"></display>
-     <definition value="Study is closed to accrual and intervention, i.e. the study is closed to enrollment, all study subjects have completed treatment or intervention but are still being followed according to the primary objective of the study."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="Study is closed to accrual and intervention, i.e. the study is closed to enrollment, all study subjects have completed treatment
-or intervention but are still being followed according to the primary objective of the study."></definition>
-    </concept>
-    <concept>
-     <code value="disapproved"></code>
-     <display value="Disapproved"></display>
-     <definition value="Protocol was disapproved by the review board."></definition>
-    </concept>
-    <concept>
-     <code value="in-review"></code>
-     <display value="In Review"></display>
-     <definition value="Protocol is submitted to the review board for approval."></definition>
-    </concept>
-    <concept>
-     <code value="temporarily-closed-to-accrual"></code>
-     <display value="Temporarily Closed to Accrual"></display>
-     <definition value="Study is temporarily closed for accrual; can be potentially resumed in the future; patients can be examined and treated."></definition>
-    </concept>
-    <concept>
-     <code value="temporarily-closed-to-accrual-and-intervention"></code>
-     <display value="Temporarily Closed to Accrual and Intervention"></display>
-     <definition value="Study is temporarily closed for accrual and intervention and potentially can be resumed in the future."></definition>
-    </concept>
-    <concept>
-     <code value="withdrawn"></code>
-     <display value="Withdrawn"></display>
-     <definition value="Protocol was withdrawn by the lead organization."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/address-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="address-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/address-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.68"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AddressUse"></name>
-    <title value="AddressUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The use of an address."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/address-use"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="home"></code>
-     <display value="Home"></display>
-     <definition value="A communication address at a home."></definition>
-    </concept>
-    <concept>
-     <code value="work"></code>
-     <display value="Work"></display>
-     <definition value="An office address. First choice for business related contacts during business hours."></definition>
-    </concept>
-    <concept>
-     <code value="temp"></code>
-     <display value="Temporary"></display>
-     <definition value="A temporary address. The period can provide more detailed information."></definition>
-    </concept>
-    <concept>
-     <code value="old"></code>
-     <display value="Old / Incorrect"></display>
-     <definition value="This address is no longer in use (or was never correct but retained for records)."></definition>
-    </concept>
-    <concept>
-     <code value="billing"></code>
-     <display value="Billing"></display>
-     <definition value="An address to be used to send bills, invoices, receipts etc."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationrequest-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/medicationrequest-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1377"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationrequest Status"></name>
-    <title value="Medicationrequest  status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationRequest Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The prescription is 'actionable', but not all actions that are implied by it have occurred yet."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="Actions implied by the prescription are to be temporarily halted. The prescription might or might not be resumed. May also be called 'suspended'."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The prescription has been withdrawn before any administrations have occurred"></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="All actions that are implied by the prescription have occurred."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Some of the actions that are implied by the medication request may have occurred.  For example, the medication may have been dispensed and the patient may have taken some of the medication.  Clinical decision support systems should take this status into account"></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="Actions implied by the prescription are to be permanently halted, before all of the administrations occurred. This should not be used if the original order was entered in error"></definition>
-    </concept>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="The prescription is not yet 'actionable', e.g. it is a work in progress, requires sign-off, verification or needs to be run through decision support process."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-participant-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-participant-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/participant-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1089"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ParticipantType"></name>
-    <title value="Participant type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to indicate how an individual participates in an encounter."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="translator"></code>
-     <display value="Translator"></display>
-     <definition value="A translator who is facilitating communication with the patient during the encounter."></definition>
-    </concept>
-    <concept>
-     <code value="emergency"></code>
-     <display value="Emergency"></display>
-     <definition value="A person to be contacted in case of an emergency during the encounter."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/history-absent-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="history-absent-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/history-absent-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1094"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FamilyHistoryAbsentReason"></name>
-    <title value="FamilyHistoryAbsentReason"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes describing the reason why a family member's history is not available."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/history-absent-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="subject-unknown"></code>
-     <display value="Subject Unknown"></display>
-     <definition value="Patient does not know the subject, e.g. the biological parent of an adopted patient."></definition>
-    </concept>
-    <concept>
-     <code value="withheld"></code>
-     <display value="Information Withheld"></display>
-     <definition value="The patient withheld or refused to share the information."></definition>
-    </concept>
-    <concept>
-     <code value="unable-to-obtain"></code>
-     <display value="Unable To Obtain"></display>
-     <definition value="Information cannot be obtained; e.g. unconscious patient."></definition>
-    </concept>
-    <concept>
-     <code value="deferred"></code>
-     <display value="Deferred"></display>
-     <definition value="Patient does not have the information now, but can provide the information at a later date."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/trigger-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="trigger-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/trigger-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.104"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TriggerType"></name>
-    <title value="TriggerType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of trigger."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/trigger-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="named-event"></code>
-     <display value="Named Event"></display>
-     <definition value="The trigger occurs in response to a specific named event, and no other information about the trigger is specified. Named events are completely pre-coordinated, and the formal semantics of the trigger are not provided."></definition>
-    </concept>
-    <concept>
-     <code value="periodic"></code>
-     <display value="Periodic"></display>
-     <definition value="The trigger occurs at a specific time or periodically as described by a timing or schedule. A periodic event cannot have any data elements, but may have a name assigned as a shorthand for the event."></definition>
-    </concept>
-    <concept>
-     <code value="data-changed"></code>
-     <display value="Data Changed"></display>
-     <definition value="The trigger occurs whenever data of a particular type is changed in any way, either added, modified, or removed."></definition>
-     <concept>
-      <code value="data-added"></code>
-      <display value="Data Added"></display>
-      <definition value="The trigger occurs whenever data of a particular type is added."></definition>
-     </concept>
-     <concept>
-      <code value="data-modified"></code>
-      <display value="Data Updated"></display>
-      <definition value="The trigger occurs whenever data of a particular type is modified."></definition>
-     </concept>
-     <concept>
-      <code value="data-removed"></code>
-      <display value="Data Removed"></display>
-      <definition value="The trigger occurs whenever data of a particular type is removed."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="data-accessed"></code>
-     <display value="Data Accessed"></display>
-     <definition value="The trigger occurs whenever data of a particular type is accessed."></definition>
-    </concept>
-    <concept>
-     <code value="data-access-ended"></code>
-     <display value="Data Access Ended"></display>
-     <definition value="The trigger occurs whenever access to data of a particular type is completed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-diagnosistype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-diagnosistype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1167"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleDiagnosisTypeCodes"></name>
-    <title value="Example Diagnosis Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes example Diagnosis Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosistype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="admitting"></code>
-     <display value="Admitting Diagnosis"></display>
-     <definition value="The diagnosis given as the reason why the patient was admitted to the hospital."></definition>
-    </concept>
-    <concept>
-     <code value="clinical"></code>
-     <display value="Clinical Diagnosis"></display>
-     <definition value="A diagnosis made on the basis of medical signs and patient-reported symptoms, rather than diagnostic tests."></definition>
-    </concept>
-    <concept>
-     <code value="differential"></code>
-     <display value="Differential Diagnosis"></display>
-     <definition value="One of a set of the possible diagnoses that could be connected to the signs, symptoms, and lab findings."></definition>
-    </concept>
-    <concept>
-     <code value="discharge"></code>
-     <display value="Discharge Diagnosis"></display>
-     <definition value="The diagnosis given when the patient is discharged from the hospital."></definition>
-    </concept>
-    <concept>
-     <code value="laboratory"></code>
-     <display value="Laboratory Diagnosis"></display>
-     <definition value="A diagnosis based significantly on laboratory reports or test results, rather than the physical examination of the patient."></definition>
-    </concept>
-    <concept>
-     <code value="nursing"></code>
-     <display value="Nursing Diagnosis"></display>
-     <definition value="A diagnosis which identifies people's responses to situations in their lives, such as a readiness to change or a willingness to accept assistance."></definition>
-    </concept>
-    <concept>
-     <code value="prenatal"></code>
-     <display value="Prenatal Diagnosis"></display>
-     <definition value="A diagnosis determined prior to birth."></definition>
-    </concept>
-    <concept>
-     <code value="principal"></code>
-     <display value="Principal Diagnosis"></display>
-     <definition value="The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment."></definition>
-    </concept>
-    <concept>
-     <code value="radiology"></code>
-     <display value="Radiology Diagnosis"></display>
-     <definition value="A diagnosis based primarily on the results from medical imaging studies."></definition>
-    </concept>
-    <concept>
-     <code value="remote"></code>
-     <display value="Remote Diagnosis"></display>
-     <definition value="A diagnosis determined using telemedicine techniques."></definition>
-    </concept>
-    <concept>
-     <code value="retrospective"></code>
-     <display value="Retrospective Diagnosis"></display>
-     <definition value="The labeling of an illness in a specific historical event using modern knowledge, methods and disease classifications."></definition>
-    </concept>
-    <concept>
-     <code value="self"></code>
-     <display value="Self Diagnosis"></display>
-     <definition value="A diagnosis determined by the patient."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/expression-language"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="expression-language"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/expression-language"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.106"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExpressionLanguage"></name>
-    <title value="ExpressionLanguage"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The media type of the expression language."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/expression-language"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="text/cql"></code>
-     <display value="CQL"></display>
-     <definition value="Clinical Quality Language."></definition>
-    </concept>
-    <concept>
-     <code value="text/fhirpath"></code>
-     <display value="FHIRPath"></display>
-     <definition value="FHIRPath."></definition>
-    </concept>
-    <concept>
-     <code value="application/x-fhir-query"></code>
-     <display value="FHIR Query"></display>
-     <definition value="FHIR's RESTful query syntax - typically independent of base URL."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/care-plan-activity-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="care-plan-activity-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/care-plan-activity-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.147"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CarePlanActivityStatus"></name>
-    <title value="CarePlanActivityStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes that reflect the current state of a care plan activity within its overall life cycle."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/care-plan-activity-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="not-started"></code>
-     <display value="Not Started"></display>
-     <definition value="Care plan activity is planned but no action has yet been taken."></definition>
-    </concept>
-    <concept>
-     <code value="scheduled"></code>
-     <display value="Scheduled"></display>
-     <definition value="Appointment or other booking has occurred but activity has not yet begun."></definition>
-    </concept>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="Care plan activity has been started but is not yet complete."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="Care plan activity was started but has temporarily ceased with an expectation of resumption at a future time."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="Care plan activity has been completed (more or less) as planned."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The planned care plan activity has been withdrawn."></definition>
-     <concept>
-      <code value="stopped"></code>
-      <display value="Stopped"></display>
-      <definition value="The planned care plan activity has been ended prior to completion after the activity was started."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The current state of the care plan activity is not known.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which one."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Care plan activity was entered in error and voided."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/surface"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="surface"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/FDI-surface"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1154"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SurfaceCodes"></name>
-    <title value="Surface Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of FDI tooth surface codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/surface"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="M"></code>
-     <display value="Mesial"></display>
-     <definition value="The surface of a tooth that is closest to the midline (middle) of the face."></definition>
-    </concept>
-    <concept>
-     <code value="O"></code>
-     <display value="Occlusal"></display>
-     <definition value="The chewing surface of posterior teeth."></definition>
-    </concept>
-    <concept>
-     <code value="I"></code>
-     <display value="Incisal"></display>
-     <definition value="The biting edge of anterior teeth."></definition>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Distal"></display>
-     <definition value="The surface of a tooth that faces away from the midline of the face."></definition>
-    </concept>
-    <concept>
-     <code value="B"></code>
-     <display value="Buccal"></display>
-     <definition value="The surface of a posterior tooth facing the cheeks."></definition>
-    </concept>
-    <concept>
-     <code value="V"></code>
-     <display value="Ventral"></display>
-     <definition value="The surface of a tooth facing the lips."></definition>
-    </concept>
-    <concept>
-     <code value="L"></code>
-     <display value="Lingual"></display>
-     <definition value="The surface of a tooth facing the tongue."></definition>
-    </concept>
-    <concept>
-     <code value="MO"></code>
-     <display value="Mesioclusal"></display>
-     <definition value="The Mesioclusal surfaces of a tooth."></definition>
-    </concept>
-    <concept>
-     <code value="DO"></code>
-     <display value="Distoclusal"></display>
-     <definition value="The Distoclusal surfaces of a tooth."></definition>
-    </concept>
-    <concept>
-     <code value="DI"></code>
-     <display value="Distoincisal"></display>
-     <definition value="The Distoincisal surfaces of a tooth."></definition>
-    </concept>
-    <concept>
-     <code value="MOD"></code>
-     <display value="Mesioclusodistal"></display>
-     <definition value="The Mesioclusodistal surfaces of a tooth."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/location-physical-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="location-physical-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/location-physical-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1108"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LocationType"></name>
-    <title value="Location type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the physical form of the Location."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/location-physical-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="si"></code>
-     <display value="Site"></display>
-     <definition value="A collection of buildings or other locations such as a site or a campus."></definition>
-    </concept>
-    <concept>
-     <code value="bu"></code>
-     <display value="Building"></display>
-     <definition value="Any Building or structure. This may contain rooms, corridors, wings, etc. It might not have walls, or a roof, but is considered a defined/allocated space."></definition>
-    </concept>
-    <concept>
-     <code value="wi"></code>
-     <display value="Wing"></display>
-     <definition value="A Wing within a Building, this often contains levels, rooms and corridors."></definition>
-    </concept>
-    <concept>
-     <code value="wa"></code>
-     <display value="Ward"></display>
-     <definition value="A Ward is a section of a medical facility that may contain rooms and other types of location."></definition>
-    </concept>
-    <concept>
-     <code value="lvl"></code>
-     <display value="Level"></display>
-     <definition value="A Level in a multi-level Building/Structure."></definition>
-    </concept>
-    <concept>
-     <code value="co"></code>
-     <display value="Corridor"></display>
-     <definition value="Any corridor within a Building, that may connect rooms."></definition>
-    </concept>
-    <concept>
-     <code value="ro"></code>
-     <display value="Room"></display>
-     <definition value="A space that is allocated as a room, it may have walls/roof etc., but does not require these."></definition>
-    </concept>
-    <concept>
-     <code value="bd"></code>
-     <display value="Bed"></display>
-     <definition value="A space that is allocated for sleeping/laying on. This is not the physical bed/trolley that may be moved about, but the space it may occupy."></definition>
-    </concept>
-    <concept>
-     <code value="ve"></code>
-     <display value="Vehicle"></display>
-     <definition value="A means of transportation."></definition>
-    </concept>
-    <concept>
-     <code value="ho"></code>
-     <display value="House"></display>
-     <definition value="A residential dwelling. Usually used to reference a location that a person/patient may reside."></definition>
-    </concept>
-    <concept>
-     <code value="ca"></code>
-     <display value="Cabinet"></display>
-     <definition value="A container that can store goods, equipment, medications or other items."></definition>
-    </concept>
-    <concept>
-     <code value="rd"></code>
-     <display value="Road"></display>
-     <definition value="A defined path to travel between 2 points that has a known name."></definition>
-    </concept>
-    <concept>
-     <code value="area"></code>
-     <display value="Area"></display>
-     <definition value="A defined physical boundary of something, such as a flood risk zone, region, postcode"></definition>
-    </concept>
-    <concept>
-     <code value="jdn"></code>
-     <display value="Jurisdiction"></display>
-     <definition value="A wide scope that covers a conceptual domain, such as a Nation (Country wide community or Federal Government - e.g. Ministry of Health),  Province or State (community or Government), Business (throughout the enterprise), Nation with a business scope of an agency (e.g. CDC, FDA etc.) or a Business segment (UK Pharmacy), not just an physical boundary"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/fundsreserve"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="fundsreserve"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/fundsreserve"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1051"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Funds Reservation Codes"></name>
-    <status value="draft"></status>
-    <experimental value="true"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample funds reservation type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/fundsreserve"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="patient"></code>
-     <display value="Patient"></display>
-     <definition value="The payor is requested to reserve funds for the provision of the named services by any provider for settlement of future claims related to this request."></definition>
-    </concept>
-    <concept>
-     <code value="provider"></code>
-     <display value="Provider"></display>
-     <definition value="The payor is requested to reserve funds solely for the named provider for settlement of future claims related to this request."></definition>
-    </concept>
-    <concept>
-     <code value="none"></code>
-     <display value="None"></display>
-     <definition value="The payor is not being requested to reserve any funds for the settlement of future claims."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/teeth"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="teeth"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/ex-fdi"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.551"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TeethCodes"></name>
-    <title value="Teeth Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes the FDI Teeth codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/teeth"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="11"></code>
-     <display value="11"></display>
-     <definition value="Upper Right Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="12"></display>
-     <definition value="Upper Right Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="13"></display>
-     <definition value="Upper Right Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="14"></display>
-     <definition value="Upper Right Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="15"></display>
-     <definition value="Upper Right Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="16"></display>
-     <definition value="Upper Right Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="17"></display>
-     <definition value="Upper Right Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="18"></code>
-     <display value="18"></display>
-     <definition value="Upper Right Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="21"></display>
-     <definition value="Upper Left Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="22"></code>
-     <display value="22"></display>
-     <definition value="Upper Left Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="23"></code>
-     <display value="23"></display>
-     <definition value="Upper Left Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="24"></code>
-     <display value="24"></display>
-     <definition value="Upper Left Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="25"></code>
-     <display value="25"></display>
-     <definition value="Upper Left Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="26"></code>
-     <display value="26"></display>
-     <definition value="Upper Left Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="27"></code>
-     <display value="27"></display>
-     <definition value="Upper Left Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="28"></code>
-     <display value="28"></display>
-     <definition value="Upper Left Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="31"></code>
-     <display value="31"></display>
-     <definition value="Lower Left Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="32"></code>
-     <display value="32"></display>
-     <definition value="Lower Left Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="33"></code>
-     <display value="33"></display>
-     <definition value="Lower Left Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="34"></code>
-     <display value="34"></display>
-     <definition value="Lower Left Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="35"></code>
-     <display value="35"></display>
-     <definition value="Lower Left Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="36"></code>
-     <display value="36"></display>
-     <definition value="Lower Left Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="37"></code>
-     <display value="37"></display>
-     <definition value="Lower Left Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="38"></code>
-     <display value="38"></display>
-     <definition value="Lower Left Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="41"></code>
-     <display value="41"></display>
-     <definition value="Lower Right Tooth 1 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="42"></code>
-     <display value="42"></display>
-     <definition value="Lower Right Tooth 2 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="43"></code>
-     <display value="43"></display>
-     <definition value="Lower Right Tooth 3 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="44"></code>
-     <display value="44"></display>
-     <definition value="Lower Right Tooth 4 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="45"></code>
-     <display value="45"></display>
-     <definition value="Lower Right Tooth 5 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="46"></code>
-     <display value="46"></display>
-     <definition value="Lower Right Tooth 6 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="47"></code>
-     <display value="47"></display>
-     <definition value="Lower Right Tooth 7 from the central axis, permanent dentition."></definition>
-    </concept>
-    <concept>
-     <code value="48"></code>
-     <display value="48"></display>
-     <definition value="Lower Right Tooth 8 from the central axis, permanent dentition."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-achievement"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-achievement"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/goal-achievement"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1375"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalAchievementStatus"></name>
-    <title value="Goal achievement status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
-     </telecom>
-    </contact>
-    <description value="Describes the progression, or lack thereof, towards the goal against the target."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-achievement"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="The goal is being sought but has not yet been reached. (Also applies if the goal was reached in the past but there has been regression and the goal is again being sought)."></definition>
-     <concept>
-      <code value="improving"></code>
-      <display value="Improving"></display>
-      <definition value="The goal is being sought, and is progressing."></definition>
-     </concept>
-     <concept>
-      <code value="worsening"></code>
-      <display value="Worsening"></display>
-      <definition value="The goal is being sought, but is regressing."></definition>
-     </concept>
-     <concept>
-      <code value="no-change"></code>
-      <display value="No Change"></display>
-      <definition value="The goal is being sought, but the trend is flat."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="achieved"></code>
-     <display value="Achieved"></display>
-     <definition value="The goal has been met."></definition>
-     <concept>
-      <code value="sustaining"></code>
-      <display value="Sustaining"></display>
-      <definition value="The goal has been met, but ongoing activity is needed to sustain the goal objective."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="not-achieved"></code>
-     <display value="Not Achieved"></display>
-     <definition value="The goal has not been met and there might or might not have been progress towards target."></definition>
-     <concept>
-      <code value="no-progress"></code>
-      <display value="No Progress"></display>
-      <definition value="The goal has not been met and little to no progress towards target."></definition>
-     </concept>
-     <concept>
-      <code value="not-attainable"></code>
-      <display value="Not Attainable"></display>
-      <definition value="The goal is not possible to be met."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-severity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adverse-event-severity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-severity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1256"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdverseEventSeverity"></name>
-    <title value="AdverseEventSeverity"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The severity of the adverse event itself, in direct relation to the subject."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-severity"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="mild"></code>
-     <display value="Mild"></display>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate"></display>
-    </concept>
-    <concept>
-     <code value="severe"></code>
-     <display value="Severe"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/program"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="program"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/program"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1384"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Program"></name>
-    <title value="Program"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines an example set of codes that could be can be used to classify groupings of service-types/specialties."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/program"></valueSet>
-    <content value="example"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Acquired Brain Injury (ABI) Program "></display>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="ABI Slow To Recover (ABI STR) Program"></display>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Access Programs"></display>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Adult and Further Education (ACFE) Program"></display>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Adult Day Activity and Support Services (ADASS) Program"></display>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="Adult Day Care Program"></display>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="ATSS (Adult Training Support Service)"></display>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="Community Aged Care Packages (CACP)"></display>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="Care Coordination &amp; Supplementary Services (CCSS)"></display>
-    </concept>
-    <concept>
-     <code value="10"></code>
-     <display value="Cognitive Dementia Memory Service (CDAMS)"></display>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="ChildFIRST"></display>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="Children's Contact Services"></display>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="Community Visitors Scheme"></display>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="CPP (Community Partners Program)"></display>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="Closing the Gap (CTG)"></display>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="Coordinated Veterans' Care (CVC) Program"></display>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="Day Program"></display>
-    </concept>
-    <concept>
-     <code value="18"></code>
-     <display value="Drop In Program"></display>
-    </concept>
-    <concept>
-     <code value="19"></code>
-     <display value="Early Years Program"></display>
-    </concept>
-    <concept>
-     <code value="20"></code>
-     <display value="Employee Assistance Program"></display>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="Home And Community Care (HACC)"></display>
-    </concept>
-    <concept>
-     <code value="22"></code>
-     <display value="Hospital Admission Risk Program (HARP)"></display>
-    </concept>
-    <concept>
-     <code value="23"></code>
-     <display value="Hospital in the Home (HITH) Program"></display>
-    </concept>
-    <concept>
-     <code value="24"></code>
-     <display value="ICTP (Intensive Community Treatment Program)"></display>
-    </concept>
-    <concept>
-     <code value="25"></code>
-     <display value="IFSS (Intensive Family Support Program)"></display>
-    </concept>
-    <concept>
-     <code value="26"></code>
-     <display value="JPET (Job Placement, Education and Training)"></display>
-    </concept>
-    <concept>
-     <code value="27"></code>
-     <display value="Koori Juvenile Justice Program"></display>
-    </concept>
-    <concept>
-     <code value="28"></code>
-     <display value="Language Literacy and Numeracy Program"></display>
-    </concept>
-    <concept>
-     <code value="29"></code>
-     <display value="Life Skills Program"></display>
-    </concept>
-    <concept>
-     <code value="30"></code>
-     <display value="LMP (Lifestyle Modification Program)"></display>
-    </concept>
-    <concept>
-     <code value="31"></code>
-     <display value="MedsCheck Program"></display>
-    </concept>
-    <concept>
-     <code value="32"></code>
-     <display value="Methadone/Buprenorphine Program"></display>
-    </concept>
-    <concept>
-     <code value="33"></code>
-     <display value="National Disabilities Insurance Scheme (NDIS)"></display>
-    </concept>
-    <concept>
-     <code value="34"></code>
-     <display value="National Diabetes Services Scheme (NDSS)"></display>
-    </concept>
-    <concept>
-     <code value="35"></code>
-     <display value="Needle/Syringe Program"></display>
-    </concept>
-    <concept>
-     <code value="36"></code>
-     <display value="nPEP Program"></display>
-    </concept>
-    <concept>
-     <code value="37"></code>
-     <display value="Personal Support Program"></display>
-    </concept>
-    <concept>
-     <code value="38"></code>
-     <display value="Partners in Recovery (PIR) Program"></display>
-    </concept>
-    <concept>
-     <code value="39"></code>
-     <display value="Pre-employment Program"></display>
-    </concept>
-    <concept>
-     <code value="40"></code>
-     <display value="Reconnect Program"></display>
-    </concept>
-    <concept>
-     <code value="41"></code>
-     <display value="Sexual Abuse Counselling and Prevention Program (SACPP)"></display>
-    </concept>
-    <concept>
-     <code value="42"></code>
-     <display value="Social Support Programs"></display>
-    </concept>
-    <concept>
-     <code value="43"></code>
-     <display value="Supported Residential Service (SRS)"></display>
-    </concept>
-    <concept>
-     <code value="44"></code>
-     <display value="Tasmanian Aboriginal Centre (TAC)"></display>
-    </concept>
-    <concept>
-     <code value="45"></code>
-     <display value="Victim's Assistance Program"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/product-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="product-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/product-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.901"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BiologicallyDerivedProductCategory"></name>
-    <title value="BiologicallyDerivedProductCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Biologically Derived Product Category."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/product-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="organ"></code>
-     <display value="Organ"></display>
-     <definition value="A collection of tissues joined in a structural unit to serve a common function."></definition>
-    </concept>
-    <concept>
-     <code value="tissue"></code>
-     <display value="Tissue"></display>
-     <definition value="An ensemble of similar cells and their extracellular matrix from the same origin that together carry out a specific function."></definition>
-    </concept>
-    <concept>
-     <code value="fluid"></code>
-     <display value="Fluid"></display>
-     <definition value="Body fluid."></definition>
-    </concept>
-    <concept>
-     <code value="cells"></code>
-     <display value="Cells"></display>
-     <definition value="Collection of cells."></definition>
-    </concept>
-    <concept>
-     <code value="biologicalAgent"></code>
-     <display value="BiologicalAgent"></display>
-     <definition value="Biological agent of unspecified type."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-push-type-available"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-push-type-available"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/push-type-available"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.899"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="push-type-available"></name>
-    <title value="Push-type-available"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Type of alerts/updates the primary source can send"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-push-type-available"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="specific"></code>
-     <display value="Specific requested changes"></display>
-    </concept>
-    <concept>
-     <code value="any"></code>
-     <display value="Any changes"></display>
-    </concept>
-    <concept>
-     <code value="source"></code>
-     <display value="As defined by source"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/restful-interaction"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="restful-interaction"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
@@ -26243,7 +47604,7 @@ or intervention but are still being followed according to the primary objective
      <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/restful-interaction"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIR Restful Interactions"></name>
     <status value="active"></status>
     <experimental value="false"></experimental>
@@ -26341,6238 +47702,19 @@ or intervention but are still being followed according to the primary objective
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-timing"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="event-timing"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/event-timing"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.76"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EventTiming"></name>
-    <title value="EventTiming"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Real world event relating to the schedule."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="MORN"></code>
-     <display value="Morning"></display>
-     <definition value="Event occurs during the morning. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="MORN.early"></code>
-     <display value="Early Morning"></display>
-     <definition value="Event occurs during the early morning. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="MORN.late"></code>
-     <display value="Late Morning"></display>
-     <definition value="Event occurs during the late morning. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="NOON"></code>
-     <display value="Noon"></display>
-     <definition value="Event occurs around 12:00pm. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="AFT"></code>
-     <display value="Afternoon"></display>
-     <definition value="Event occurs during the afternoon. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="AFT.early"></code>
-     <display value="Early Afternoon"></display>
-     <definition value="Event occurs during the early afternoon. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="AFT.late"></code>
-     <display value="Late Afternoon"></display>
-     <definition value="Event occurs during the late afternoon. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="EVE"></code>
-     <display value="Evening"></display>
-     <definition value="Event occurs during the evening. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="EVE.early"></code>
-     <display value="Early Evening"></display>
-     <definition value="Event occurs during the early evening. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="EVE.late"></code>
-     <display value="Late Evening"></display>
-     <definition value="Event occurs during the late evening. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="NIGHT"></code>
-     <display value="Night"></display>
-     <definition value="Event occurs during the night. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-    <concept>
-     <code value="PHS"></code>
-     <display value="After Sleep"></display>
-     <definition value="Event occurs [offset] after subject goes to sleep. The exact time is unspecified and established by institution convention or patient interpretation."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/testscript-operation-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="testscript-operation-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/testscript-operation-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1195"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestScriptOperationCode"></name>
-    <title value="Test script operation code"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that are used to indicate the supported operations of a testing engine or tool."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/testscript-operation-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="read"></code>
-     <display value="Read"></display>
-     <definition value="Read the current state of the resource."></definition>
-    </concept>
-    <concept>
-     <code value="vread"></code>
-     <display value="Version Read"></display>
-     <definition value="Read the state of a specific version of the resource."></definition>
-    </concept>
-    <concept>
-     <code value="update"></code>
-     <display value="Update"></display>
-     <definition value="Update an existing resource by its id."></definition>
-    </concept>
-    <concept>
-     <code value="updateCreate"></code>
-     <display value="Create using Update"></display>
-     <definition value="Update an existing resource by its id (or create it if it is new)."></definition>
-    </concept>
-    <concept>
-     <code value="patch"></code>
-     <display value="Patch"></display>
-     <definition value="Patch an existing resource by its id."></definition>
-    </concept>
-    <concept>
-     <code value="delete"></code>
-     <display value="Delete"></display>
-     <definition value="Delete a resource."></definition>
-    </concept>
-    <concept>
-     <code value="deleteCondSingle"></code>
-     <display value="Conditional Delete Single"></display>
-     <definition value="Conditionally delete a single resource based on search parameters."></definition>
-    </concept>
-    <concept>
-     <code value="deleteCondMultiple"></code>
-     <display value="Conditional Delete Multiple"></display>
-     <definition value="Conditionally delete one or more resources based on search parameters."></definition>
-    </concept>
-    <concept>
-     <code value="history"></code>
-     <display value="History"></display>
-     <definition value="Retrieve the change history for a particular resource or resource type."></definition>
-    </concept>
-    <concept>
-     <code value="create"></code>
-     <display value="Create"></display>
-     <definition value="Create a new resource with a server assigned id."></definition>
-    </concept>
-    <concept>
-     <code value="search"></code>
-     <display value="Search"></display>
-     <definition value="Search based on some filter criteria."></definition>
-    </concept>
-    <concept>
-     <code value="batch"></code>
-     <display value="Batch"></display>
-     <definition value="Update, create or delete a set of resources as independent actions."></definition>
-    </concept>
-    <concept>
-     <code value="transaction"></code>
-     <display value="Transaction"></display>
-     <definition value="Update, create or delete a set of resources as a single transaction."></definition>
-    </concept>
-    <concept>
-     <code value="capabilities"></code>
-     <display value="Capabilities"></display>
-     <definition value="Get a capability statement for the system."></definition>
-    </concept>
-    <concept>
-     <code value="apply"></code>
-     <display value="$apply"></display>
-     <definition value="Realizes an ActivityDefinition in a specific context"></definition>
-    </concept>
-    <concept>
-     <code value="closure"></code>
-     <display value="$closure"></display>
-     <definition value="Closure Table Maintenance"></definition>
-    </concept>
-    <concept>
-     <code value="find-matches"></code>
-     <display value="$find-matches"></display>
-     <definition value="Finding Codes based on supplied properties"></definition>
-    </concept>
-    <concept>
-     <code value="conforms"></code>
-     <display value="$conforms"></display>
-     <definition value="Compare two systems CapabilityStatements"></definition>
-    </concept>
-    <concept>
-     <code value="data-requirements"></code>
-     <display value="$data-requirements"></display>
-     <definition value="Aggregates and returns the parameters and data requirements for a resource and all its dependencies as a single module definition"></definition>
-    </concept>
-    <concept>
-     <code value="document"></code>
-     <display value="$document"></display>
-     <definition value="Generate a Document"></definition>
-    </concept>
-    <concept>
-     <code value="evaluate"></code>
-     <display value="$evaluate"></display>
-     <definition value="Request clinical decision support guidance based on a specific decision support module"></definition>
-    </concept>
-    <concept>
-     <code value="evaluate-measure"></code>
-     <display value="$evaluate-measure"></display>
-     <definition value="Invoke an eMeasure and obtain the results"></definition>
-    </concept>
-    <concept>
-     <code value="everything"></code>
-     <display value="$everything"></display>
-     <definition value="Return all the related information as described in the Encounter or Patient"></definition>
-    </concept>
-    <concept>
-     <code value="expand"></code>
-     <display value="$expand"></display>
-     <definition value="Value Set Expansion"></definition>
-    </concept>
-    <concept>
-     <code value="find"></code>
-     <display value="$find"></display>
-     <definition value="Find a functional list"></definition>
-    </concept>
-    <concept>
-     <code value="graphql"></code>
-     <display value="$graphql"></display>
-     <definition value="Invoke a GraphQL query"></definition>
-    </concept>
-    <concept>
-     <code value="implements"></code>
-     <display value="$implements"></display>
-     <definition value="Test if a server implements a client's required operations"></definition>
-    </concept>
-    <concept>
-     <code value="lastn"></code>
-     <display value="$lastn"></display>
-     <definition value="Last N Observations Query"></definition>
-    </concept>
-    <concept>
-     <code value="lookup"></code>
-     <display value="$lookup"></display>
-     <definition value="Concept Look Up and Decomposition"></definition>
-    </concept>
-    <concept>
-     <code value="match"></code>
-     <display value="$match"></display>
-     <definition value="Find patient matches using MPI based logic"></definition>
-    </concept>
-    <concept>
-     <code value="meta"></code>
-     <display value="$meta"></display>
-     <definition value="Access a list of profiles, tags, and security labels"></definition>
-    </concept>
-    <concept>
-     <code value="meta-add"></code>
-     <display value="$meta-add"></display>
-     <definition value="Add profiles, tags, and security labels to a resource"></definition>
-    </concept>
-    <concept>
-     <code value="meta-delete"></code>
-     <display value="$meta-delete"></display>
-     <definition value="Delete profiles, tags, and security labels for a resource"></definition>
-    </concept>
-    <concept>
-     <code value="populate"></code>
-     <display value="$populate"></display>
-     <definition value="Populate Questionnaire"></definition>
-    </concept>
-    <concept>
-     <code value="populatehtml"></code>
-     <display value="$populatehtml"></display>
-     <definition value="Generate HTML for Questionnaire"></definition>
-    </concept>
-    <concept>
-     <code value="populatelink"></code>
-     <display value="$populatelink"></display>
-     <definition value="Generate a link to a Questionnaire completion webpage"></definition>
-    </concept>
-    <concept>
-     <code value="process-message"></code>
-     <display value="$process-message"></display>
-     <definition value="Process a message according to the defined event"></definition>
-    </concept>
-    <concept>
-     <code value="questionnaire"></code>
-     <display value="$questionnaire"></display>
-     <definition value="Build Questionnaire"></definition>
-    </concept>
-    <concept>
-     <code value="stats"></code>
-     <display value="$stats"></display>
-     <definition value="Observation Statistics"></definition>
-    </concept>
-    <concept>
-     <code value="subset"></code>
-     <display value="$subset"></display>
-     <definition value="Fetch a subset of the CapabilityStatement resource"></definition>
-    </concept>
-    <concept>
-     <code value="subsumes"></code>
-     <display value="$subsumes"></display>
-     <definition value="CodeSystem Subsumption Testing"></definition>
-    </concept>
-    <concept>
-     <code value="transform"></code>
-     <display value="$transform"></display>
-     <definition value="Model Instance Transformation"></definition>
-    </concept>
-    <concept>
-     <code value="translate"></code>
-     <display value="$translate"></display>
-     <definition value="Concept Translation"></definition>
-    </concept>
-    <concept>
-     <code value="validate"></code>
-     <display value="$validate"></display>
-     <definition value="Validate a resource"></definition>
-    </concept>
-    <concept>
-     <code value="validate-code"></code>
-     <display value="$validate-code"></display>
-     <definition value="ValueSet based Validation"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-report-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-report-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/measure-report-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.777"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasureReportStatus"></name>
-    <title value="MeasureReportStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of the measure report."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-report-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="complete"></code>
-     <display value="Complete"></display>
-     <definition value="The report is complete and ready for use."></definition>
-    </concept>
-    <concept>
-     <code value="pending"></code>
-     <display value="Pending"></display>
-     <definition value="The report is currently being generated."></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="An error occurred attempting to generate the report."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/namingsystem-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="namingsystem-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/namingsystem-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.491"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NamingSystemType"></name>
-    <title value="NamingSystemType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Identifies the purpose of the naming system."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/namingsystem-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="codesystem"></code>
-     <display value="Code System"></display>
-     <definition value="The naming system is used to define concepts and symbols to represent those concepts; e.g. UCUM, LOINC, NDC code, local lab codes, etc."></definition>
-    </concept>
-    <concept>
-     <code value="identifier"></code>
-     <display value="Identifier"></display>
-     <definition value="The naming system is used to manage identifiers (e.g. license numbers, order numbers, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="root"></code>
-     <display value="Root"></display>
-     <definition value="The naming system is used as the root for other identifiers and naming systems."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/asset-availability"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="asset-availability"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/asset-availability"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1296"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceAssetAvailiabilityCodes"></name>
-    <title value="Contract Resource Asset Availiability codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set has asset availability codes."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/asset-availability"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="lease"></code>
-     <display value="Lease"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-course-of-therapy"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationrequest-course-of-therapy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1327"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationRequest Course of Therapy Codes"></name>
-    <title value="Medication request  course of  therapy  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationRequest Course of Therapy Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="continuous"></code>
-     <display value="Continuous long term therapy"></display>
-     <definition value="A medication which is expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped."></definition>
-    </concept>
-    <concept>
-     <code value="acute"></code>
-     <display value="Short course (acute) therapy"></display>
-     <definition value="A medication which the patient is only expected to consume for the duration of the current order and which is not expected to be renewed."></definition>
-    </concept>
-    <concept>
-     <code value="seasonal"></code>
-     <display value="Seasonal"></display>
-     <definition value="A medication which is expected to be used on a part time basis at certain times of the year"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/orientation-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="orientation-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cg"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/orientation-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.988"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="orientationType"></name>
-    <title value="orientationType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Type for orientation."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/orientation-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="sense"></code>
-     <display value="Sense orientation of referenceSeq"></display>
-     <definition value="Sense orientation of reference sequence."></definition>
-    </concept>
-    <concept>
-     <code value="antisense"></code>
-     <display value="Antisense orientation of referenceSeq"></display>
-     <definition value="Antisense orientation of reference sequence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/referencerange-meaning"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="referencerange-meaning"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1124"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ObservationReferenceRangeMeaningCodes"></name>
-    <title value="Observation Reference Range Meaning Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to indicate the meaning/use of a reference range for a particular target population."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/referencerange-meaning"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="abstract"></code>
-     <description value="True if an element is considered 'abstract' - in otherwords, the code is not for use as a real concept"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="type"></code>
-     <display value="Type"></display>
-     <definition value="General types of reference range."></definition>
-     <property>
-      <code value="abstract"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="normal"></code>
-      <display value="Normal Range"></display>
-      <definition value="Values expected for a normal member of the relevant control population being measured. Typically each results producer such as a laboratory has specific normal ranges and they are usually defined as within two standard deviations from the mean and account for 95.45% of this population."></definition>
-     </concept>
-     <concept>
-      <code value="recommended"></code>
-      <display value="Recommended Range"></display>
-      <definition value="The range that is recommended by a relevant professional body."></definition>
-     </concept>
-     <concept>
-      <code value="treatment"></code>
-      <display value="Treatment Range"></display>
-      <definition value="The range at which treatment would/should be considered."></definition>
-     </concept>
-     <concept>
-      <code value="therapeutic"></code>
-      <display value="Therapeutic Desired Level"></display>
-      <definition value="The optimal range for best therapeutic outcomes."></definition>
-      <concept>
-       <code value="pre"></code>
-       <display value="Pre Therapeutic Desired Level"></display>
-       <definition value="The optimal range for best therapeutic outcomes for a specimen taken immediately before administration."></definition>
-      </concept>
-      <concept>
-       <code value="post"></code>
-       <display value="Post Therapeutic Desired Level"></display>
-       <definition value="The optimal range for best therapeutic outcomes for a specimen taken immediately after administration."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="endocrine"></code>
-     <display value="Endocrine"></display>
-     <definition value="Endocrine related states that change the expected value."></definition>
-     <property>
-      <code value="abstract"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="pre-puberty"></code>
-      <display value="Pre-Puberty"></display>
-      <definition value="An expected range in an individual prior to puberty."></definition>
-     </concept>
-     <concept>
-      <code value="follicular"></code>
-      <display value="Follicular Stage"></display>
-      <definition value="An expected range in an individual during the follicular stage of the cycle."></definition>
-     </concept>
-     <concept>
-      <code value="midcycle"></code>
-      <display value="MidCycle"></display>
-      <definition value="An expected range in an individual during the midcycle stage of the cycle."></definition>
-     </concept>
-     <concept>
-      <code value="luteal"></code>
-      <display value="Luteal"></display>
-      <definition value="An expected range in an individual during the luteal stage of the cycle."></definition>
-     </concept>
-     <concept>
-      <code value="postmenopausal"></code>
-      <display value="Post-Menopause"></display>
-      <definition value="An expected range in an individual post-menopause."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-security-classification"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-security-classification"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-security-classification"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1219"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceScopeCodes"></name>
-    <title value="Contract Resource Scope codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for security classification."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-security-classification"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-modifiers"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-modifiers"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/modifiers"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1151"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ModifierTypeCodes"></name>
-    <title value="Modifier type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Modifier type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-modifiers"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="a"></code>
-     <display value="Repair of prior service or installation"></display>
-     <definition value="Repair of prior service or installation."></definition>
-    </concept>
-    <concept>
-     <code value="b"></code>
-     <display value="Temporary service or installation"></display>
-     <definition value="Temporary service or installation."></definition>
-    </concept>
-    <concept>
-     <code value="c"></code>
-     <display value="TMJ treatment"></display>
-     <definition value="Treatment associated with TMJ."></definition>
-    </concept>
-    <concept>
-     <code value="e"></code>
-     <display value="Implant or associated with an implant"></display>
-     <definition value="Implant or associated with an implant."></definition>
-    </concept>
-    <concept>
-     <code value="rooh"></code>
-     <display value="Rush or Outside of office hours"></display>
-     <definition value="A Rush service or service performed outside of normal office hours."></definition>
-    </concept>
-    <concept>
-     <code value="x"></code>
-     <display value="None"></display>
-     <definition value="None."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-calibration-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="metric-calibration-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="dev"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/metric-calibration-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.651"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceMetricCalibrationType"></name>
-    <title value="DeviceMetricCalibrationType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Describes the type of a metric calibration."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="unspecified"></code>
-     <display value="Unspecified"></display>
-     <definition value="Metric calibration method has not been identified."></definition>
-    </concept>
-    <concept>
-     <code value="offset"></code>
-     <display value="Offset"></display>
-     <definition value="Offset metric calibration method."></definition>
-    </concept>
-    <concept>
-     <code value="gain"></code>
-     <display value="Gain"></display>
-     <definition value="Gain metric calibration method."></definition>
-    </concept>
-    <concept>
-     <code value="two-point"></code>
-     <display value="Two Point"></display>
-     <definition value="Two-point metric calibration method."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adjudication"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adjudication"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adjudication"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1171"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdjudicationValueCodes"></name>
-    <title value="Adjudication Value Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adjudication"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="submitted"></code>
-     <display value="Submitted Amount"></display>
-     <definition value="The total submitted amount for the claim or group or line item."></definition>
-    </concept>
-    <concept>
-     <code value="copay"></code>
-     <display value="CoPay"></display>
-     <definition value="Patient Co-Payment"></definition>
-    </concept>
-    <concept>
-     <code value="eligible"></code>
-     <display value="Eligible Amount"></display>
-     <definition value="Amount of the change which is considered for adjudication."></definition>
-    </concept>
-    <concept>
-     <code value="deductible"></code>
-     <display value="Deductible"></display>
-     <definition value="Amount deducted from the eligible amount prior to adjudication."></definition>
-    </concept>
-    <concept>
-     <code value="unallocdeduct"></code>
-     <display value="Unallocated Deductible"></display>
-     <definition value="The amount of deductible which could not allocated to other line items."></definition>
-    </concept>
-    <concept>
-     <code value="eligpercent"></code>
-     <display value="Eligible %"></display>
-     <definition value="Eligible Percentage."></definition>
-    </concept>
-    <concept>
-     <code value="tax"></code>
-     <display value="Tax"></display>
-     <definition value="The amount of tax."></definition>
-    </concept>
-    <concept>
-     <code value="benefit"></code>
-     <display value="Benefit Amount"></display>
-     <definition value="Amount payable under the coverage"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/risk-probability"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="risk-probability"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/risk-probability"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1133"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RiskProbability"></name>
-    <title value="Risk Probability"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Codes representing the likelihood of a particular outcome in a risk assessment."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/risk-probability"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="negligible"></code>
-     <display value="Negligible likelihood"></display>
-     <definition value="The specified outcome is exceptionally unlikely."></definition>
-    </concept>
-    <concept>
-     <code value="low"></code>
-     <display value="Low likelihood"></display>
-     <definition value="The specified outcome is possible but unlikely."></definition>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate likelihood"></display>
-     <definition value="The specified outcome has a reasonable likelihood of occurrence."></definition>
-    </concept>
-    <concept>
-     <code value="high"></code>
-     <display value="High likelihood"></display>
-     <definition value="The specified outcome is more likely to occur than not."></definition>
-    </concept>
-    <concept>
-     <code value="certain"></code>
-     <display value="Certain"></display>
-     <definition value="The specified outcome is effectively guaranteed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-discharge-disposition"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-discharge-disposition"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/discharge-disposition"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1093"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DischargeDisposition"></name>
-    <title value="Discharge disposition"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to where the patient left the hospital."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="home"></code>
-     <display value="Home"></display>
-     <definition value="The patient was dicharged and has indicated that they are going to return home afterwards."></definition>
-    </concept>
-    <concept>
-     <code value="alt-home"></code>
-     <display value="Alternative home"></display>
-     <definition value="The patient was discharged and has indicated that they are going to return home afterwards, but not the patient's home - e.g. a family member's home."></definition>
-    </concept>
-    <concept>
-     <code value="other-hcf"></code>
-     <display value="Other healthcare facility"></display>
-     <definition value="The patient was transferred to another healthcare facility."></definition>
-    </concept>
-    <concept>
-     <code value="hosp"></code>
-     <display value="Hospice"></display>
-     <definition value="The patient has been discharged into palliative care."></definition>
-    </concept>
-    <concept>
-     <code value="long"></code>
-     <display value="Long-term care"></display>
-     <definition value="The patient has been discharged into long-term care where is likely to be monitored through an ongoing episode-of-care."></definition>
-    </concept>
-    <concept>
-     <code value="aadvice"></code>
-     <display value="Left against advice"></display>
-     <definition value="The patient self discharged against medical advice."></definition>
-    </concept>
-    <concept>
-     <code value="exp"></code>
-     <display value="Expired"></display>
-     <definition value="The patient has deceased during this encounter."></definition>
-    </concept>
-    <concept>
-     <code value="psy"></code>
-     <display value="Psychiatric hospital"></display>
-     <definition value="The patient has been transferred to a psychiatric facility."></definition>
-    </concept>
-    <concept>
-     <code value="rehab"></code>
-     <display value="Rehabilitation"></display>
-     <definition value="The patient was discharged and is to receive post acute care rehabilitation services."></definition>
-    </concept>
-    <concept>
-     <code value="snf"></code>
-     <display value="Skilled nursing facility"></display>
-     <definition value="The patient has been discharged to a skilled nursing facility for the patient to receive additional care."></definition>
-    </concept>
-    <concept>
-     <code value="oth"></code>
-     <display value="Other"></display>
-     <definition value="The discharge disposition has not otherwise defined."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/location-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="location-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/location-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.333"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LocationStatus"></name>
-    <title value="LocationStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates whether the location is still in use."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/location-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The location is operational."></definition>
-    </concept>
-    <concept>
-     <code value="suspended"></code>
-     <display value="Suspended"></display>
-     <definition value="The location is temporarily closed."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The location is no longer used."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-definition-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="device-definition-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/device-definition-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1308"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FHIRDeviceStatus"></name>
-    <title value="FHIRDeviceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes representing the current status of the device - on, off, suspended, etc."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/device-definition-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The device is available for use.  Note: For *implanted devices*  this means that the device is implanted in the patient."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The device is no longer available for use (e.g. lost, expired, damaged).  Note: For *implanted devices*  this means that the device has been removed from the patient."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The device was entered in error and voided."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The status of the device has not been determined."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/nutrition-intake-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="nutrition-intake-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/nutrition-intake-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1431"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NutritionIntake Category Codes"></name>
-    <title value="Nutrition intake  category  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="NutritionIntake Category Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="inpatient"></code>
-     <display value="Inpatient"></display>
-     <definition value="Includes orders for nutrition to be administered or consumed in an inpatient or acute care setting"></definition>
-    </concept>
-    <concept>
-     <code value="outpatient"></code>
-     <display value="Outpatient"></display>
-     <definition value="Includes orders for nutrition to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
-    </concept>
-    <concept>
-     <code value="community"></code>
-     <display value="Community"></display>
-     <definition value="Includes orders for nutrition to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="patientspecified"></code>
-     <display value="Patient Specified"></display>
-     <definition value="Includes statements about nutrition use, including over the counter medication, provided by the patient, agent or another provider"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-acceptance-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-acceptance-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/goal-acceptance-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1270"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalAcceptanceStatus"></name>
-    <title value="GoalAcceptanceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes indicating whether the goal has been accepted by a stakeholder."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-acceptance-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="agree"></code>
-     <display value="Agree"></display>
-     <definition value="Stakeholder supports pursuit of the goal."></definition>
-    </concept>
-    <concept>
-     <code value="disagree"></code>
-     <display value="Disagree"></display>
-     <definition value="Stakeholder is not in support of the pursuit of the goal."></definition>
-    </concept>
-    <concept>
-     <code value="pending"></code>
-     <display value="Pending"></display>
-     <definition value="Stakeholder has not yet made a decision on whether they support the goal."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/composite-measure-scoring"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="composite-measure-scoring"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/composite-measure-scoring"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1235"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CompositeMeasureScoring"></name>
-    <title value="CompositeMeasureScoring"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The composite scoring method of the measure."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/composite-measure-scoring"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="opportunity"></code>
-     <display value="Opportunity"></display>
-     <definition value="Opportunity scoring combines the scores from component measures by combining the numerators and denominators for each component."></definition>
-    </concept>
-    <concept>
-     <code value="all-or-nothing"></code>
-     <display value="All-or-nothing"></display>
-     <definition value="All-or-nothing scoring includes an individual in the numerator of the composite measure if they are in the numerators of all of the component measures in which they are in the denominator."></definition>
-    </concept>
-    <concept>
-     <code value="linear"></code>
-     <display value="Linear"></display>
-     <definition value="Linear scoring gives an individual a score based on the number of numerators in which they appear."></definition>
-    </concept>
-    <concept>
-     <code value="weighted"></code>
-     <display value="Weighted"></display>
-     <definition value="Weighted scoring gives an individual a score based on a weighted factor for each component numerator in which they appear."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergy-intolerance-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="allergy-intolerance-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/allergy-intolerance-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.132"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceType"></name>
-    <title value="AllergyIntoleranceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Identification of the underlying physiological mechanism for a Reaction Risk."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="allergy"></code>
-     <display value="Allergy"></display>
-     <definition value="A propensity for hypersensitive reaction(s) to a substance.  These reactions are most typically type I hypersensitivity, plus other &quot;allergy-like&quot; reactions, including pseudoallergy."></definition>
-    </concept>
-    <concept>
-     <code value="intolerance"></code>
-     <display value="Intolerance"></display>
-     <definition value="A propensity for adverse reactions to a substance that is not judged to be allergic or &quot;allergy-like&quot;.  These reactions are typically (but not necessarily) non-immune.  They are to some degree idiosyncratic and/or patient-specific (i.e. are not a reaction that is expected to occur with most or all patients given similar circumstances)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/note-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="note-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/note-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.16"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NoteType"></name>
-    <title value="NoteType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="The presentation types of notes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/note-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="display"></code>
-     <display value="Display"></display>
-     <definition value="Display the note."></definition>
-    </concept>
-    <concept>
-     <code value="print"></code>
-     <display value="Print (Form)"></display>
-     <definition value="Print the note on the form."></definition>
-    </concept>
-    <concept>
-     <code value="printoper"></code>
-     <display value="Print (Operator)"></display>
-     <definition value="Print the note for the operator."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-provision-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-provision-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/consent-provision-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.758"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentProvisionType"></name>
-    <title value="ConsentProvisionType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a rule statement is applied, such as adding additional consent or removing consent."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-provision-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="deny"></code>
-     <display value="Opt Out"></display>
-     <definition value="Consent is denied for actions meeting these rules."></definition>
-    </concept>
-    <concept>
-     <code value="permit"></code>
-     <display value="Opt In"></display>
-     <definition value="Consent is provided for actions meeting these rules."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/constraint-severity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="constraint-severity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/constraint-severity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.82"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConstraintSeverity"></name>
-    <title value="ConstraintSeverity"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="SHALL applications comply with this constraint?"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/constraint-severity"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="If the constraint is violated, the resource is not conformant."></definition>
-    </concept>
-    <concept>
-     <code value="warning"></code>
-     <display value="Warning"></display>
-     <definition value="If the constraint is violated, the resource is conformant, but it is not necessarily following best practice."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-informationcategory"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-informationcategory"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1163"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClaimInformationCategoryCodes"></name>
-    <title value="Claim Information Category Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Information Category codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-informationcategory"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="info"></code>
-     <display value="Information"></display>
-     <definition value="Codes conveying additional situation and condition information."></definition>
-    </concept>
-    <concept>
-     <code value="discharge"></code>
-     <display value="Discharge"></display>
-     <definition value="Discharge status and discharge to locations."></definition>
-    </concept>
-    <concept>
-     <code value="onset"></code>
-     <display value="Onset"></display>
-     <definition value="Period, start or end dates of aspects of the Condition."></definition>
-    </concept>
-    <concept>
-     <code value="related"></code>
-     <display value="Related Services"></display>
-     <definition value="Nature and date of the related event e.g. Last exam, service, X-ray etc."></definition>
-    </concept>
-    <concept>
-     <code value="exception"></code>
-     <display value="Exception"></display>
-     <definition value="Insurance policy exceptions."></definition>
-    </concept>
-    <concept>
-     <code value="material"></code>
-     <display value="Materials Forwarded"></display>
-     <definition value="Materials being forwarded, e.g. Models, molds, images, documents."></definition>
-    </concept>
-    <concept>
-     <code value="attachment"></code>
-     <display value="Attachment"></display>
-     <definition value="Materials attached such as images, documents and resources."></definition>
-    </concept>
-    <concept>
-     <code value="missingtooth"></code>
-     <display value="Missing Tooth"></display>
-     <definition value="Teeth which are missing for any reason, for example: prior extraction, never developed."></definition>
-    </concept>
-    <concept>
-     <code value="prosthesis"></code>
-     <display value="Prosthesis"></display>
-     <definition value="The type of prosthesis and date of supply if a previously supplied prosthesis."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other information identified by the type.system."></definition>
-    </concept>
-    <concept>
-     <code value="hospitalized"></code>
-     <display value="Hospitalized"></display>
-     <definition value="An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean)."></definition>
-    </concept>
-    <concept>
-     <code value="employmentimpacted"></code>
-     <display value="EmploymentImpacted"></display>
-     <definition value="An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean)."></definition>
-    </concept>
-    <concept>
-     <code value="externalcause"></code>
-     <display value="External Caause"></display>
-     <definition value="The external cause of an illness or injury."></definition>
-    </concept>
-    <concept>
-     <code value="patientreasonforvisit"></code>
-     <display value="Patient Reason for Visit"></display>
-     <definition value="The reason for the patient visit."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplyrequest-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="supplyrequest-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/supplyrequest-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.696"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SupplyRequestStatus"></name>
-    <title value="SupplyRequestStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Status of the supply request."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/supplyrequest-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="The request has been created but is not yet complete or ready for action."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The request is ready to be acted upon."></definition>
-    </concept>
-    <concept>
-     <code value="suspended"></code>
-     <display value="Suspended"></display>
-     <definition value="The authorization/request to act has been temporarily withdrawn but is expected to resume in the future."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The authorization/request to act has been terminated prior to the full completion of the intended actions.  No further activity should occur."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="Activity against the request has been sufficiently completed to the satisfaction of the requester."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it.  (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/quality-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="quality-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cg"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/quality-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.229"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="qualityType"></name>
-    <title value="qualityType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Type for quality report."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/quality-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="indel"></code>
-     <display value="INDEL Comparison"></display>
-     <definition value="INDEL Comparison."></definition>
-    </concept>
-    <concept>
-     <code value="snp"></code>
-     <display value="SNP Comparison"></display>
-     <definition value="SNP Comparison."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="UNKNOWN Comparison"></display>
-     <definition value="UNKNOWN Comparison."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-validation-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-validation-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/validation-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.887"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="validation-type"></name>
-    <title value="Validation-type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="What the target is validated against"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-validation-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="nothing"></code>
-     <display value="Nothing"></display>
-    </concept>
-    <concept>
-     <code value="primary"></code>
-     <display value="Primary Source"></display>
-    </concept>
-    <concept>
-     <code value="multiple"></code>
-     <display value="Multiple Sources"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/reaction-event-severity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="reaction-event-severity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/reaction-event-severity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.136"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceSeverity"></name>
-    <title value="AllergyIntoleranceSeverity"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="mild"></code>
-     <display value="Mild"></display>
-     <definition value="Causes mild physiological effects."></definition>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate"></display>
-     <definition value="Causes moderate physiological effects."></definition>
-    </concept>
-    <concept>
-     <code value="severe"></code>
-     <display value="Severe"></display>
-     <definition value="Causes severe physiological effects."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/basic-resource-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="basic-resource-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/basic-resource-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1072"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BasicResourceTypes"></name>
-    <title value="Basic Resource Types"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines codes for resources not yet supported by (or which will never be supported by) FHIR.  Many of the codes listed here will eventually be turned into official resources.  However, there is no guarantee that any particular resource will be created nor that the scope will be exactly as defined by the codes presented here.  Codes in this set will be deprecated if/when formal resources are defined that encompass these concepts."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/basic-resource-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="consent"></code>
-     <display value="Consent"></display>
-     <definition value="An assertion of permission for an activity or set of activities to occur, possibly subject to particular limitations; e.g. surgical consent, information disclosure consent, etc."></definition>
-    </concept>
-    <concept>
-     <code value="referral"></code>
-     <display value="Referral"></display>
-     <definition value="A request that care of a particular type be provided to a patient.  Could involve the transfer of care, a consult, etc."></definition>
-    </concept>
-    <concept>
-     <code value="advevent"></code>
-     <display value="Adverse Event"></display>
-     <definition value="An undesired reaction caused by exposure to some agent (e.g. a medication, immunization, food, or environmental agent)."></definition>
-    </concept>
-    <concept>
-     <code value="aptmtreq"></code>
-     <display value="Appointment Request"></display>
-     <definition value="A request that a time be scheduled for a type of service for a specified patient, potentially subject to other constraints"></definition>
-    </concept>
-    <concept>
-     <code value="transfer"></code>
-     <display value="Transfer"></display>
-     <definition value="The transition of a patient or set of material from one location to another"></definition>
-    </concept>
-    <concept>
-     <code value="diet"></code>
-     <display value="Diet"></display>
-     <definition value="The specification of a set of food and/or other nutritional material to be delivered to a patient."></definition>
-    </concept>
-    <concept>
-     <code value="adminact"></code>
-     <display value="Administrative Activity"></display>
-     <definition value="An occurrence of a non-care-related event in the healthcare domain, such as approvals, reviews, etc."></definition>
-    </concept>
-    <concept>
-     <code value="exposure"></code>
-     <display value="Exposure"></display>
-     <definition value="Record of a situation where a subject was exposed to a substance.  Usually of interest to public health."></definition>
-    </concept>
-    <concept>
-     <code value="investigation"></code>
-     <display value="Investigation"></display>
-     <definition value="A formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event"></definition>
-    </concept>
-    <concept>
-     <code value="account"></code>
-     <display value="Account"></display>
-     <definition value="A financial instrument used to track costs, charges or other amounts."></definition>
-    </concept>
-    <concept>
-     <code value="invoice"></code>
-     <display value="Invoice"></display>
-     <definition value="A request for payment for goods and/or services.  Includes the idea of a healthcare insurance claim."></definition>
-    </concept>
-    <concept>
-     <code value="adjudicat"></code>
-     <display value="Invoice Adjudication"></display>
-     <definition value="The determination of what will be paid against a particular invoice based on coverage, plan rules, etc."></definition>
-    </concept>
-    <concept>
-     <code value="predetreq"></code>
-     <display value="Pre-determination Request"></display>
-     <definition value="A request for a pre-determination of the cost that would be paid under an insurance plan for a hypothetical claim for goods or services"></definition>
-    </concept>
-    <concept>
-     <code value="predetermine"></code>
-     <display value="Predetermination"></display>
-     <definition value="An adjudication of what would be paid under an insurance plan for a hypothetical claim for goods or services"></definition>
-    </concept>
-    <concept>
-     <code value="study"></code>
-     <display value="Study"></display>
-     <definition value="An investigation to determine information about a particular therapy or product"></definition>
-    </concept>
-    <concept>
-     <code value="protocol"></code>
-     <display value="Protocol"></display>
-     <definition value="A set of (possibly conditional) steps to be taken to achieve some aim.  Includes study protocols, treatment protocols, emergency protocols, etc."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/capability-statement-kind"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="capability-statement-kind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/capability-statement-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.199"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CapabilityStatementKind"></name>
-    <title value="CapabilityStatementKind"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a capability statement is intended to be used."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/capability-statement-kind"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="instance"></code>
-     <display value="Instance"></display>
-     <definition value="The CapabilityStatement instance represents the present capabilities of a specific system instance.  This is the kind returned by /metadata for a FHIR server end-point."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="Elements marked as 'optional' represent configurable capabilities"></valueString>
-     </extension>
-     <code value="capability"></code>
-     <display value="Capability"></display>
-     <definition value="The CapabilityStatement instance represents the capabilities of a system or piece of software, independent of a particular installation."></definition>
-    </concept>
-    <concept>
-     <code value="requirements"></code>
-     <display value="Requirements"></display>
-     <definition value="The CapabilityStatement instance represents a set of requirements for other systems to meet; e.g. as part of an implementation guide or 'request for proposal'."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/communication-not-done-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="communication-not-done-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/communication-not-done-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1077"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CommunicationNotDoneReason"></name>
-    <title value="CommunicationNotDoneReason"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for the reason why a communication did not happen."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/communication-not-done-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The communication was not done due to an unknown reason."></definition>
-    </concept>
-    <concept>
-     <code value="system-error"></code>
-     <display value="System Error"></display>
-     <definition value="The communication was not done due to a system error."></definition>
-    </concept>
-    <concept>
-     <code value="invalid-phone-number"></code>
-     <display value="Invalid Phone Number"></display>
-     <definition value="The communication was not done due to an invalid phone number."></definition>
-    </concept>
-    <concept>
-     <code value="recipient-unavailable"></code>
-     <display value="Recipient Unavailable"></display>
-     <definition value="The communication was not done due to the recipient being unavailable."></definition>
-    </concept>
-    <concept>
-     <code value="family-objection"></code>
-     <display value="Family Objection"></display>
-     <definition value="The communication was not done due to a family objection."></definition>
-    </concept>
-    <concept>
-     <code value="patient-objection"></code>
-     <display value="Patient Objection"></display>
-     <definition value="The communication was not done due to a patient objection."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-action-result-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="report-action-result-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/report-action-result-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.721"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestReportActionResult"></name>
-    <title value="TestReportActionResult"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The results of executing an action."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/report-action-result-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="pass"></code>
-     <display value="Pass"></display>
-     <definition value="The action was successful."></definition>
-    </concept>
-    <concept>
-     <code value="skip"></code>
-     <display value="Skip"></display>
-     <definition value="The action was skipped."></definition>
-    </concept>
-    <concept>
-     <code value="fail"></code>
-     <display value="Fail"></display>
-     <definition value="The action failed."></definition>
-    </concept>
-    <concept>
-     <code value="warning"></code>
-     <display value="Warning"></display>
-     <definition value="The action passed but with warnings."></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="The action encountered a fatal error and the engine was unable to process."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/goal-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1097"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalCategory"></name>
-    <title value="Goal category"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
-     </telecom>
-    </contact>
-    <description value="Example codes for grouping goals to use for filtering or presentation."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="dietary"></code>
-     <display value="Dietary"></display>
-     <definition value="Goals related to the consumption of food and/or beverages."></definition>
-    </concept>
-    <concept>
-     <code value="safety"></code>
-     <display value="Safety"></display>
-     <definition value="Goals related to the personal protection of the subject."></definition>
-    </concept>
-    <concept>
-     <code value="behavioral"></code>
-     <display value="Behavioral"></display>
-     <definition value="Goals related to the manner in which the subject acts."></definition>
-    </concept>
-    <concept>
-     <code value="nursing"></code>
-     <display value="Nursing"></display>
-     <definition value="Goals related to the practice of nursing or established by nurses."></definition>
-    </concept>
-    <concept>
-     <code value="physiotherapy"></code>
-     <display value="Physiotherapy"></display>
-     <definition value="Goals related to the mobility and/or motor capability of the subject."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-enable-behavior"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="questionnaire-enable-behavior"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/questionnaire-enable-behavior"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1008"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EnableWhenBehavior"></name>
-    <title value="EnableWhenBehavior"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Controls how multiple enableWhen values are interpreted -  whether all or any must be true."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="all"></code>
-     <display value="All"></display>
-     <definition value="Enable the question when all the enableWhen criteria are satisfied."></definition>
-    </concept>
-    <concept>
-     <code value="any"></code>
-     <display value="Any"></display>
-     <definition value="Enable the question when any of the enableWhen criteria are satisfied."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/compartment-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="compartment-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/compartment-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.787"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CompartmentType"></name>
-    <title value="CompartmentType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Which type a compartment definition describes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/compartment-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="Patient"></code>
-     <display value="Patient"></display>
-     <definition value="The compartment definition is for the patient compartment."></definition>
-    </concept>
-    <concept>
-     <code value="Encounter"></code>
-     <display value="Encounter"></display>
-     <definition value="The compartment definition is for the encounter compartment."></definition>
-    </concept>
-    <concept>
-     <code value="RelatedPerson"></code>
-     <display value="RelatedPerson"></display>
-     <definition value="The compartment definition is for the related-person compartment."></definition>
-    </concept>
-    <concept>
-     <code value="Practitioner"></code>
-     <display value="Practitioner"></display>
-     <definition value="The compartment definition is for the practitioner compartment."></definition>
-    </concept>
-    <concept>
-     <code value="Device"></code>
-     <display value="Device"></display>
-     <definition value="The compartment definition is for the device compartment."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-topic"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="definition-topic"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/definition-topic"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1244"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DefinitionTopic"></name>
-    <title value="DefinitionTopic"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="High-level categorization of the definition, used for searching, sorting, and filtering."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="treatment"></code>
-     <display value="Treatment"></display>
-     <definition value="The definition is related to treatment of the patient."></definition>
-    </concept>
-    <concept>
-     <code value="education"></code>
-     <display value="Education"></display>
-     <definition value="The definition is related to education of the patient."></definition>
-    </concept>
-    <concept>
-     <code value="assessment"></code>
-     <display value="Assessment"></display>
-     <definition value="The definition is related to assessment of the patient."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-class"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="coverage-class"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/coverage-class"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1147"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CoverageClassCodes"></name>
-    <title value="Coverage Class Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Coverage Class codes."></description>
-    <copyright value="HL7 Inc."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-class"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="group"></code>
-     <display value="Group"></display>
-     <definition value="An employee group"></definition>
-    </concept>
-    <concept>
-     <code value="subgroup"></code>
-     <display value="SubGroup"></display>
-     <definition value="A sub-group of an employee group"></definition>
-    </concept>
-    <concept>
-     <code value="plan"></code>
-     <display value="Plan"></display>
-     <definition value="A specific suite of benefits."></definition>
-    </concept>
-    <concept>
-     <code value="subplan"></code>
-     <display value="SubPlan"></display>
-     <definition value="A subset of a specific suite of benefits."></definition>
-    </concept>
-    <concept>
-     <code value="class"></code>
-     <display value="Class"></display>
-     <definition value="A class of benefits."></definition>
-    </concept>
-    <concept>
-     <code value="subclass"></code>
-     <display value="SubClass"></display>
-     <definition value="A subset of a class of benefits."></definition>
-    </concept>
-    <concept>
-     <code value="sequence"></code>
-     <display value="Sequence"></display>
-     <definition value="A sequence number associated with a short-term continuance of the coverage."></definition>
-    </concept>
-    <concept>
-     <code value="rxbin"></code>
-     <display value="RX BIN"></display>
-     <definition value="Pharmacy benefit manager's Business Identification Number."></definition>
-    </concept>
-    <concept>
-     <code value="rxpcn"></code>
-     <display value="RX PCN"></display>
-     <definition value="A Pharmacy Benefit Manager specified Processor Control Number."></definition>
-    </concept>
-    <concept>
-     <code value="rxid"></code>
-     <display value="RX Id"></display>
-     <definition value="A Pharmacy Benefit Manager specified Member ID."></definition>
-    </concept>
-    <concept>
-     <code value="rxgroup"></code>
-     <display value="RX Group"></display>
-     <definition value="A Pharmacy Benefit Manager specified Group number."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergy-intolerance-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="allergy-intolerance-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/allergy-intolerance-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.134"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceCategory"></name>
-    <title value="AllergyIntoleranceCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Category of an identified substance associated with allergies or intolerances."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="food"></code>
-     <display value="Food"></display>
-     <definition value="Any substance consumed to provide nutritional support for the body."></definition>
-    </concept>
-    <concept>
-     <code value="medication"></code>
-     <display value="Medication"></display>
-     <definition value="Substances administered to achieve a physiological effect."></definition>
-    </concept>
-    <concept>
-     <code value="environment"></code>
-     <display value="Environment"></display>
-     <definition value="Any substances that are encountered in the environment, including any substance not already classified as food, medication, or biologic."></definition>
-    </concept>
-    <concept>
-     <code value="biologic"></code>
-     <display value="Biologic"></display>
-     <definition value="A preparation that is synthesized from living organisms or their products, especially a human or animal protein, such as a hormone or antitoxin, that is used as a diagnostic, preventive, or therapeutic agent. Examples of biologic medications include: vaccines; allergenic extracts, which are used for both diagnosis and treatment (for example, allergy shots); gene therapies; cellular therapies.  There are other biologic products, such as tissues, which are not typically associated with allergies."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverage-copay-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="coverage-copay-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1149"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CoverageCopayTypeCodes"></name>
-    <title value="Coverage Copay Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Coverage Copayment Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/coverage-copay-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="gpvisit"></code>
-     <display value="GP Office Visit"></display>
-     <definition value="An office visit for a general practitioner of a discipline."></definition>
-    </concept>
-    <concept>
-     <code value="spvisit"></code>
-     <display value="Specialist Office Visit"></display>
-     <definition value="An office visit for a specialist practitioner of a discipline"></definition>
-    </concept>
-    <concept>
-     <code value="emergency"></code>
-     <display value="Emergency"></display>
-     <definition value="An episode in an emergency department."></definition>
-    </concept>
-    <concept>
-     <code value="inpthosp"></code>
-     <display value="Inpatient Hospital"></display>
-     <definition value="An episode of an Inpatient hospital stay."></definition>
-    </concept>
-    <concept>
-     <code value="televisit"></code>
-     <display value="Tele-visit"></display>
-     <definition value="A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."></definition>
-    </concept>
-    <concept>
-     <code value="urgentcare"></code>
-     <display value="Urgent Care"></display>
-     <definition value="A visit to an urgent care facility - typically a community care clinic."></definition>
-    </concept>
-    <concept>
-     <code value="copaypct"></code>
-     <display value="Copay Percentage"></display>
-     <definition value="A standard percentage applied to all classes or service or product not otherwise specified."></definition>
-    </concept>
-    <concept>
-     <code value="copay"></code>
-     <display value="Copay Amount"></display>
-     <definition value="A standard fixed currency amount applied to all classes or service or product not otherwise specified."></definition>
-    </concept>
-    <concept>
-     <code value="deductible"></code>
-     <display value="Deductible"></display>
-     <definition value="The accumulated amount of patient payment before the coverage begins to pay for services."></definition>
-    </concept>
-    <concept>
-     <code value="maxoutofpocket"></code>
-     <display value="Maximum out of pocket"></display>
-     <definition value="The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-actuality"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adverse-event-actuality"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/adverse-event-actuality"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.832"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdverseEventActuality"></name>
-    <title value="AdverseEventActuality"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Overall nature of the adverse event, e.g. real or potential."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-actuality"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="actual"></code>
-     <display value="Adverse Event"></display>
-     <definition value="The adverse event actually happened regardless of whether anyone was affected or harmed."></definition>
-    </concept>
-    <concept>
-     <code value="potential"></code>
-     <display value="Potential Adverse Event"></display>
-     <definition value="A potential adverse event."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="observation-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/observation-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.401"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ObservationStatus"></name>
-    <title value="ObservationStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes providing the status of an observation."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/observation-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="registered"></code>
-     <display value="Registered"></display>
-     <definition value="The existence of the observation is registered, but there is no result yet available."></definition>
-    </concept>
-    <concept>
-     <code value="preliminary"></code>
-     <display value="Preliminary"></display>
-     <definition value="This is an initial or interim observation: data may be incomplete or unverified."></definition>
-    </concept>
-    <concept>
-     <code value="final"></code>
-     <display value="Final"></display>
-     <definition value="The observation is complete and there are no further actions needed. Additional information such &quot;released&quot;, &quot;signed&quot;, etc would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied."></definition>
-    </concept>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="Subsequent to being Final, the observation has been modified subsequent.  This includes updates/new information and corrections."></definition>
-     <concept>
-      <code value="corrected"></code>
-      <display value="Corrected"></display>
-      <definition value="Subsequent to being Final, the observation has been modified to correct an error in the test result."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The observation is unavailable because the measurement was not started or not completed (also sometimes called &quot;aborted&quot;)."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/item-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="item-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/item-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.445"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuestionnaireItemType"></name>
-    <title value="QuestionnaireItemType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Distinguishes groups from questions and display text and indicates data type for questions."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/item-type"></valueSet>
-    <content value="complete"></content>
-    <property>
-     <code value="notSelectable"></code>
-     <uri value="http://hl7.org/fhir/concept-properties#notSelectable"></uri>
-     <description value="Indicates that the code is abstract - only intended to be used as a selector for other concepts"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="group"></code>
-     <display value="Group"></display>
-     <definition value="An item with no direct answer but should have at least one child item."></definition>
-    </concept>
-    <concept>
-     <code value="display"></code>
-     <display value="Display"></display>
-     <definition value="Text for display that will not capture an answer or have child items."></definition>
-    </concept>
-    <concept>
-     <code value="question"></code>
-     <display value="Question"></display>
-     <definition value="An item that defines a specific answer to be captured, and which may have child items. (the answer provided in the QuestionnaireResponse should be of the defined datatype)."></definition>
-     <property>
-      <code value="notSelectable"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="boolean"></code>
-      <display value="Boolean"></display>
-      <definition value="Question with a yes/no answer (valueBoolean)."></definition>
-     </concept>
-     <concept>
-      <code value="decimal"></code>
-      <display value="Decimal"></display>
-      <definition value="Question with is a real number answer (valueDecimal)."></definition>
-     </concept>
-     <concept>
-      <code value="integer"></code>
-      <display value="Integer"></display>
-      <definition value="Question with an integer answer (valueInteger)."></definition>
-     </concept>
-     <concept>
-      <code value="date"></code>
-      <display value="Date"></display>
-      <definition value="Question with a date answer (valueDate)."></definition>
-     </concept>
-     <concept>
-      <code value="dateTime"></code>
-      <display value="Date Time"></display>
-      <definition value="Question with a date and time answer (valueDateTime)."></definition>
-     </concept>
-     <concept>
-      <code value="time"></code>
-      <display value="Time"></display>
-      <definition value="Question with a time (hour:minute:second) answer independent of date. (valueTime)."></definition>
-     </concept>
-     <concept>
-      <code value="string"></code>
-      <display value="String"></display>
-      <definition value="Question with a short (few words to short sentence) free-text entry answer (valueString)."></definition>
-     </concept>
-     <concept>
-      <code value="text"></code>
-      <display value="Text"></display>
-      <definition value="Question with a long (potentially multi-paragraph) free-text entry answer (valueString)."></definition>
-     </concept>
-     <concept>
-      <code value="url"></code>
-      <display value="Url"></display>
-      <definition value="Question with a URL (website, FTP site, etc.) answer (valueUri)."></definition>
-     </concept>
-     <concept>
-      <code value="choice"></code>
-      <display value="Choice"></display>
-      <definition value="Question with a Coding drawn from a list of possible answers (specified in either the answerOption property, or via the valueset referenced in the answerValueSet property) as an answer (valueCoding)."></definition>
-     </concept>
-     <concept>
-      <code value="open-choice"></code>
-      <display value="Open Choice"></display>
-      <definition value="Answer is a Coding drawn from a list of possible answers (as with the choice type) or a free-text entry in a string (valueCoding or valueString)."></definition>
-     </concept>
-     <concept>
-      <code value="attachment"></code>
-      <display value="Attachment"></display>
-      <definition value="Question with binary content such as an image, PDF, etc. as an answer (valueAttachment)."></definition>
-     </concept>
-     <concept>
-      <code value="reference"></code>
-      <display value="Reference"></display>
-      <definition value="Question with a reference to another resource (practitioner, organization, etc.) as an answer (valueReference)."></definition>
-     </concept>
-     <concept>
-      <code value="quantity"></code>
-      <display value="Quantity"></display>
-      <definition value="Question with a combination of a numeric value and unit, potentially with a comparator (&lt;, &gt;, etc.) as an answer. (valueQuantity) There is an extension 'http://hl7.org/fhir/StructureDefinition/questionnaire-unit' that can be used to define what unit should be captured (or the unit that has a ucum conversion from the provided unit)."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/sequence-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="sequence-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cg"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/sequence-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.220"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="sequenceType"></name>
-    <title value="sequenceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Type if a sequence -- DNA, RNA, or amino acid sequence."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/sequence-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="aa"></code>
-     <display value="AA Sequence"></display>
-     <definition value="Amino acid sequence."></definition>
-    </concept>
-    <concept>
-     <code value="dna"></code>
-     <display value="DNA Sequence"></display>
-     <definition value="DNA Sequence."></definition>
-    </concept>
-    <concept>
-     <code value="rna"></code>
-     <display value="RNA Sequence"></display>
-     <definition value="RNA Sequence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.885"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="status"></name>
-    <title value="Status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The validation status of the target"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="attested"></code>
-     <display value="Attested"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="validated"></code>
-     <display value="Validated"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="in-process"></code>
-     <display value="In process"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="req-revalid"></code>
-     <display value="Requires revalidation"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="val-fail"></code>
-     <display value="Validation failed"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-    <concept>
-     <code value="reval-fail"></code>
-     <display value="Re-Validation failed"></display>
-     <definition value="***TODO***"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-transform"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-transform"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-transform"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.682"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapTransform"></name>
-    <title value="StructureMapTransform"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How data is copied/created."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-transform"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="create"></code>
-     <display value="create"></display>
-     <definition value="create(type : string) - type is passed through to the application on the standard API, and must be known by it."></definition>
-    </concept>
-    <concept>
-     <code value="copy"></code>
-     <display value="copy"></display>
-     <definition value="copy(source)."></definition>
-    </concept>
-    <concept>
-     <code value="truncate"></code>
-     <display value="truncate"></display>
-     <definition value="truncate(source, length) - source must be stringy type."></definition>
-    </concept>
-    <concept>
-     <code value="escape"></code>
-     <display value="escape"></display>
-     <definition value="escape(source, fmt1, fmt2) - change source from one kind of escaping to another (plain, java, xml, json). note that this is for when the string itself is escaped."></definition>
-    </concept>
-    <concept>
-     <code value="cast"></code>
-     <display value="cast"></display>
-     <definition value="cast(source, type?) - case source from one type to another. target type can be left as implicit if there is one and only one target type known."></definition>
-    </concept>
-    <concept>
-     <code value="append"></code>
-     <display value="append"></display>
-     <definition value="append(source...) - source is element or string."></definition>
-    </concept>
-    <concept>
-     <code value="translate"></code>
-     <display value="translate"></display>
-     <definition value="translate(source, uri_of_map) - use the translate operation."></definition>
-    </concept>
-    <concept>
-     <code value="reference"></code>
-     <display value="reference"></display>
-     <definition value="reference(source : object) - return a string that references the provided tree properly."></definition>
-    </concept>
-    <concept>
-     <code value="dateOp"></code>
-     <display value="dateOp"></display>
-     <definition value="Perform a date operation. *Parameters to be documented*."></definition>
-    </concept>
-    <concept>
-     <code value="uuid"></code>
-     <display value="uuid"></display>
-     <definition value="Generate a random UUID (in lowercase). No Parameters."></definition>
-    </concept>
-    <concept>
-     <code value="pointer"></code>
-     <display value="pointer"></display>
-     <definition value="Return the appropriate string to put in a reference that refers to the resource provided as a parameter."></definition>
-    </concept>
-    <concept>
-     <code value="evaluate"></code>
-     <display value="evaluate"></display>
-     <definition value="Execute the supplied FHIRPath expression and use the value returned by that."></definition>
-    </concept>
-    <concept>
-     <code value="cc"></code>
-     <display value="cc"></display>
-     <definition value="Create a CodeableConcept. Parameters = (text) or (system. Code[, display])."></definition>
-    </concept>
-    <concept>
-     <code value="c"></code>
-     <display value="c"></display>
-     <definition value="Create a Coding. Parameters = (system. Code[, display])."></definition>
-    </concept>
-    <concept>
-     <code value="qty"></code>
-     <display value="qty"></display>
-     <definition value="Create a quantity. Parameters = (text) or (value, unit, [system, code]) where text is the natural representation e.g. [comparator]value[space]unit."></definition>
-    </concept>
-    <concept>
-     <code value="id"></code>
-     <display value="id"></display>
-     <definition value="Create an identifier. Parameters = (system, value[, type]) where type is a code from the identifier type value set."></definition>
-    </concept>
-    <concept>
-     <code value="cp"></code>
-     <display value="cp"></display>
-     <definition value="Create a contact details. Parameters = (value) or (system, value). If no system is provided, the system should be inferred from the content of the value."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="list-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/list-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.327"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ListStatus"></name>
-    <title value="ListStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The current state of the list."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/list-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="current"></code>
-     <display value="Current"></display>
-     <definition value="The list is considered to be an active part of the patient's record."></definition>
-    </concept>
-    <concept>
-     <code value="retired"></code>
-     <display value="Retired"></display>
-     <definition value="The list is &quot;old&quot; and should no longer be considered accurate or relevant."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered In Error"></display>
-     <definition value="The list was never accurate.  It is retained for medico-legal purposes only."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/codesystem-content-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="codesystem-content-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/codesystem-content-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.783"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CodeSystemContentMode"></name>
-    <title value="CodeSystemContentMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-content-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="not-present"></code>
-     <display value="Not Present"></display>
-     <definition value="None of the concepts defined by the code system are included in the code system resource."></definition>
-    </concept>
-    <concept>
-     <code value="example"></code>
-     <display value="Example"></display>
-     <definition value="A few representative concepts are included in the code system resource. There is no useful intent in the subset choice and there's no process to make it workable: it's not intended to be workable."></definition>
-    </concept>
-    <concept>
-     <code value="fragment"></code>
-     <display value="Fragment"></display>
-     <definition value="A subset of the code system concepts are included in the code system resource. This is a curated subset released for a specific purpose under the governance of the code system steward, and that the intent, bounds and consequences of the fragmentation are clearly defined in the fragment or the code system documentation. Fragments are also known as partitions."></definition>
-    </concept>
-    <concept>
-     <code value="complete"></code>
-     <display value="Complete"></display>
-     <definition value="All the concepts defined by the code system are included in the code system resource."></definition>
-    </concept>
-    <concept>
-     <code value="supplement"></code>
-     <display value="Supplement"></display>
-     <definition value="The resource doesn't define any new concepts; it just provides additional designations and properties to another code system."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-intent"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="request-intent"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/request-intent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.114"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RequestIntent"></name>
-    <title value="RequestIntent"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes indicating the degree of authority/intentionality associated with a request."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/request-intent"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="proposal"></code>
-     <display value="Proposal"></display>
-     <definition value="The request is a suggestion made by someone/something that does not have an intention to ensure it occurs and without providing an authorization to act."></definition>
-    </concept>
-    <concept>
-     <code value="plan"></code>
-     <display value="Plan"></display>
-     <definition value="The request represents an intention to ensure something occurs without providing an authorization for others to act."></definition>
-    </concept>
-    <concept>
-     <code value="directive"></code>
-     <display value="Directive"></display>
-     <definition value="The request represents a legally binding instruction authored by a Patient or RelatedPerson."></definition>
-    </concept>
-    <concept>
-     <code value="order"></code>
-     <display value="Order"></display>
-     <definition value="The request represents a request/demand and authorization for action by a Practitioner."></definition>
-     <concept>
-      <code value="original-order"></code>
-      <display value="Original Order"></display>
-      <definition value="The request represents an original authorization for action."></definition>
-     </concept>
-     <concept>
-      <code value="reflex-order"></code>
-      <display value="Reflex Order"></display>
-      <definition value="The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization."></definition>
-     </concept>
-     <concept>
-      <code value="filler-order"></code>
-      <display value="Filler Order"></display>
-      <definition value="The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order."></definition>
-      <concept>
-       <code value="instance-order"></code>
-       <display value="Instance Order"></display>
-       <definition value="An order created in fulfillment of a broader order that represents the authorization for a single activity occurrence.  E.g. The administration of a single dose of a drug."></definition>
-      </concept>
-     </concept>
-    </concept>
-    <concept>
-     <code value="option"></code>
-     <display value="Option"></display>
-     <definition value="The request represents a component or option for a RequestGroup that establishes timing, conditionality and/or other constraints among a set of requests.  Refer to [[[RequestGroup]]] for additional information on how this status is used."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-location-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-location-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/encounter-location-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.263"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EncounterLocationStatus"></name>
-    <title value="EncounterLocationStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of the location."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-location-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="planned"></code>
-     <display value="Planned"></display>
-     <definition value="The patient is planned to be moved to this location at some point in the future."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The patient is currently at this location, or was between the period specified.

A system may update these records when the patient leaves the location to either reserved, or completed."></definition>
-    </concept>
-    <concept>
-     <code value="reserved"></code>
-     <display value="Reserved"></display>
-     <definition value="This location is held empty for this patient."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The patient was at this location during the period specified.

Not to be used when the patient is currently at the location."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contact-point-system"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contact-point-system"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contact-point-system"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.72"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContactPointSystem"></name>
-    <title value="ContactPointSystem"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Telecommunications form for contact point."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="phone"></code>
-     <display value="Phone"></display>
-     <definition value="The value is a telephone number used for voice calls. Use of full international numbers starting with + is recommended to enable automatic dialing support but not required."></definition>
-    </concept>
-    <concept>
-     <code value="fax"></code>
-     <display value="Fax"></display>
-     <definition value="The value is a fax machine. Use of full international numbers starting with + is recommended to enable automatic dialing support but not required."></definition>
-    </concept>
-    <concept>
-     <code value="email"></code>
-     <display value="Email"></display>
-     <definition value="The value is an email address."></definition>
-    </concept>
-    <concept>
-     <code value="pager"></code>
-     <display value="Pager"></display>
-     <definition value="The value is a pager number. These may be local pager numbers that are only usable on a particular pager system."></definition>
-    </concept>
-    <concept>
-     <code value="url"></code>
-     <display value="URL"></display>
-     <definition value="A contact that is not a phone, fax, pager or email address and is expressed as a URL.  This is intended for various institutional or personal contacts including web sites, blogs, Skype, Twitter, Facebook, etc. Do not use for email addresses."></definition>
-    </concept>
-    <concept>
-     <code value="sms"></code>
-     <display value="SMS"></display>
-     <definition value="A contact that can be used for sending an sms message (e.g. mobile phones, some landlines)."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="A contact that is not a phone, fax, page or email address and is not expressible as a URL.  E.g. Internal mail address.  This SHOULD NOT be used for contacts that are expressible as a URL (e.g. Skype, Twitter, Facebook, etc.)  Extensions may be used to distinguish &quot;other&quot; contact types."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-input-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-input-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-input-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.678"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapInputMode"></name>
-    <title value="StructureMapInputMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Mode for this instance of data."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-input-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="source"></code>
-     <display value="Source Instance"></display>
-     <definition value="Names an input instance used a source for mapping."></definition>
-    </concept>
-    <concept>
-     <code value="target"></code>
-     <display value="Target Instance"></display>
-     <definition value="Names an instance that is being populated."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogType"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="catalogType"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/catalogType"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1288"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CatalogType"></name>
-    <title value="CatalogType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of catalog."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/catalogType"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="medication"></code>
-     <display value="Medication Catalog"></display>
-     <definition value="Medication Catalog."></definition>
-    </concept>
-    <concept>
-     <code value="device"></code>
-     <display value="Device Catalog"></display>
-     <definition value="Device Catalog."></definition>
-    </concept>
-    <concept>
-     <code value="protocol"></code>
-     <display value="Protocol List"></display>
-     <definition value="Protocol List."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-action"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="audit-event-action"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/audit-event-action"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.453"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventAction"></name>
-    <title value="AuditEventAction"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicator for type of action performed during the event that generated the event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-action"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="C"></code>
-     <display value="Create"></display>
-     <definition value="Create a new database object, such as placing an order."></definition>
-    </concept>
-    <concept>
-     <code value="R"></code>
-     <display value="Read/View/Print"></display>
-     <definition value="Display or print data, such as a doctor census."></definition>
-    </concept>
-    <concept>
-     <code value="U"></code>
-     <display value="Update"></display>
-     <definition value="Update data, such as revise patient information."></definition>
-    </concept>
-    <concept>
-     <code value="D"></code>
-     <display value="Delete"></display>
-     <definition value="Delete items, such as a doctor master file record."></definition>
-    </concept>
-    <concept>
-     <code value="E"></code>
-     <display value="Execute"></display>
-     <definition value="Perform a system or application function such as log-on, program execution or use of an object's method, or perform a query/search operation."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="observation-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/observation-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1125"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ObservationCategoryCodes"></name>
-    <title value="Observation Category Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Observation Category codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/observation-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="social-history"></code>
-     <display value="Social History"></display>
-     <definition value="Social History Observations define the patient's occupational, personal (e.g., lifestyle), social, familial, and environmental history and health risk factors that may impact the patient's health."></definition>
-    </concept>
-    <concept>
-     <code value="vital-signs"></code>
-     <display value="Vital Signs"></display>
-     <definition value=" Clinical observations measure the body's basic functions such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse oximetry, temperature, and body surface area."></definition>
-    </concept>
-    <concept>
-     <code value="imaging"></code>
-     <display value="Imaging"></display>
-     <definition value="Observations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine."></definition>
-    </concept>
-    <concept>
-     <code value="laboratory"></code>
-     <display value="Laboratory"></display>
-     <definition value="The results of observations generated by laboratories.  Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology (including digital pathology), microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory."></definition>
-    </concept>
-    <concept>
-     <code value="procedure"></code>
-     <display value="Procedure"></display>
-     <definition value="Observations generated by other procedures.  This category includes observations resulting from interventional and non-interventional procedures excluding laboratory and imaging (e.g., cardiology catheterization, endoscopy, electrodiagnostics, etc.).  Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure.  An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy."></definition>
-    </concept>
-    <concept>
-     <code value="survey"></code>
-     <display value="Survey"></display>
-     <definition value="Assessment tool/survey instrument observations (e.g., Apgar Scores, Montreal Cognitive Assessment (MoCA))."></definition>
-    </concept>
-    <concept>
-     <code value="exam"></code>
-     <display value="Exam"></display>
-     <definition value="Observations generated by physical exam findings including direct observations made by a clinician and use of simple instruments and the result of simple maneuvers performed directly on the patient's body."></definition>
-    </concept>
-    <concept>
-     <code value="therapy"></code>
-     <display value="Therapy"></display>
-     <definition value="Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)"></definition>
-    </concept>
-    <concept>
-     <code value="activity"></code>
-     <display value="Activity"></display>
-     <definition value="Observations that measure or record any bodily activity that enhances or maintains physical fitness and overall health and wellness.  Not under direct supervision of practitioner such as a physical therapist. (e.g., laps swum, steps, sleep data)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/chargeitem-billingcodes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="chargeitem-billingcodes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/chargeitem-billingcodes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1257"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ChargeItemCode"></name>
-    <title value="ChargeItemCode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Example set of codes that can be used for billing purposes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1100"></code>
-     <display value="Unvorhergesehene Inanspruchnahme"></display>
-     <definition value="From German EBM billing system:
-Unvorhergesehene Inanspruchnahme des Vertragsarztes durch einen Patienten;zwischen 19:00 und 22:00 Uhr;an Samstagen, Sonntagen und gesetzlichen Feiertagen, am 24.12. und 31.12. zwischen 07:00 und 19:00 Uhr."></definition>
-    </concept>
-    <concept>
-     <code value="1210"></code>
-     <display value="Notfallpauschale"></display>
-     <definition value="From German EBM billing system:
-Notfallpauschale im organisierten Not(-fall)dienst und für nicht an der vertragsärztlichen Versorgung teilnehmende Ärzte, Institute und Krankenhäuser bei Inanspruchnahme;zwischen 07:00 und 19:00 Uhr."></definition>
-    </concept>
-    <concept>
-     <code value="1320"></code>
-     <display value="Grundpauschale"></display>
-     <definition value="From German EBM billing system:
-Grundpauschale für Ärzte, Institute und Krankenhäuser, die zur Erbringung von Leistungen innerhalb mindestens eines der Fachgebiete Anästhesiologie, Frauenheilkunde und Geburtshilfe, Haut- und Geschlechtskrankheiten, Mund-, Kiefer- und Gesichtschirurgie und Humangenetik ermächtigt sind."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationknowledge-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationknowledge-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationknowledge-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1336"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationKnowledge Status Codes"></name>
-    <title value="Medication knowledge  status  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationKnowledge Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The medication is available for use."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The medication is not available for use."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The medication was entered in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-precheck-behavior"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-precheck-behavior"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-precheck-behavior"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.806"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionPrecheckBehavior"></name>
-    <title value="ActionPrecheckBehavior"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines selection frequency behavior for an action or group."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-precheck-behavior"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="yes"></code>
-     <display value="Yes"></display>
-     <definition value="An action with this behavior is one of the most frequent action that is, or should be, included by an end user, for the particular context in which the action occurs. The system displaying the action to the end user should consider &quot;pre-checking&quot; such an action as a convenience for the user."></definition>
-    </concept>
-    <concept>
-     <code value="no"></code>
-     <display value="No"></display>
-     <definition value="An action with this behavior is one of the less frequent actions included by the end user, for the particular context in which the action occurs. The system displaying the actions to the end user would typically not &quot;pre-check&quot; such an action."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-subject-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/research-subject-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.830"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchSubjectStatus"></name>
-    <title value="ResearchSubjectStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the progression of a study subject through a study."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="candidate"></code>
-     <display value="Candidate"></display>
-     <definition value="An identified person that can be considered for inclusion in a study."></definition>
-    </concept>
-    <concept>
-     <code value="eligible"></code>
-     <display value="Eligible"></display>
-     <definition value="A person that has met the eligibility criteria for inclusion in a study."></definition>
-    </concept>
-    <concept>
-     <code value="follow-up"></code>
-     <display value="Follow-up"></display>
-     <definition value="A person is no longer receiving study intervention and/or being evaluated with tests and procedures according to the protocol, but they are being monitored on a protocol-prescribed schedule."></definition>
-    </concept>
-    <concept>
-     <code value="ineligible"></code>
-     <display value="Ineligible"></display>
-     <definition value="A person who did not meet one or more criteria required for participation in a study is considered to have failed screening or
-is ineligible for the study."></definition>
-    </concept>
-    <concept>
-     <code value="not-registered"></code>
-     <display value="Not Registered"></display>
-     <definition value="A person for whom registration was not completed."></definition>
-    </concept>
-    <concept>
-     <code value="off-study"></code>
-     <display value="Off-study"></display>
-     <definition value="A person that has ended their participation on a study either because their treatment/observation is complete or through not
-responding, withdrawal, non-compliance and/or adverse event."></definition>
-    </concept>
-    <concept>
-     <code value="on-study"></code>
-     <display value="On-study"></display>
-     <definition value="A person that is enrolled or registered on a study."></definition>
-    </concept>
-    <concept>
-     <code value="on-study-intervention"></code>
-     <display value="On-study-intervention"></display>
-     <definition value="The person is receiving the treatment or participating in an activity (e.g. yoga, diet, etc.) that the study is evaluating."></definition>
-    </concept>
-    <concept>
-     <code value="on-study-observation"></code>
-     <display value="On-study-observation"></display>
-     <definition value="The subject is being evaluated via tests and assessments according to the study calendar, but is not receiving any intervention. Note that this state is study-dependent and might not exist in all studies.  A synonym for this is &quot;short-term follow-up&quot;."></definition>
-    </concept>
-    <concept>
-     <code value="pending-on-study"></code>
-     <display value="Pending on-study"></display>
-     <definition value="A person is pre-registered for a study."></definition>
-    </concept>
-    <concept>
-     <code value="potential-candidate"></code>
-     <display value="Potential Candidate"></display>
-     <definition value="A person that is potentially eligible for participation in the study."></definition>
-    </concept>
-    <concept>
-     <code value="screening"></code>
-     <display value="Screening"></display>
-     <definition value="A person who is being evaluated for eligibility for a study."></definition>
-    </concept>
-    <concept>
-     <code value="withdrawn"></code>
-     <display value="Withdrawn"></display>
-     <definition value="The person has withdrawn their participation in the study before registration."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/participationstatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="participationstatus"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/participationstatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.487"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ParticipationStatus"></name>
-    <title value="ParticipationStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The Participation status of an appointment."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/participationstatus"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="accepted"></code>
-     <display value="Accepted"></display>
-     <definition value="The participant has accepted the appointment."></definition>
-    </concept>
-    <concept>
-     <code value="declined"></code>
-     <display value="Declined"></display>
-     <definition value="The participant has declined the appointment and will not participate in the appointment."></definition>
-    </concept>
-    <concept>
-     <code value="tentative"></code>
-     <display value="Tentative"></display>
-     <definition value="The participant has  tentatively accepted the appointment. This could be automatically created by a system and requires further processing before it can be accepted. There is no commitment that attendance will occur."></definition>
-    </concept>
-    <concept>
-     <code value="needs-action"></code>
-     <display value="Needs Action"></display>
-     <definition value="The participant needs to indicate if they accept the appointment by changing this status to one of the other statuses."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/certainty-subcomponent-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="certainty-subcomponent-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1360"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticCertaintySubcomponentType"></name>
-    <title value="StatisticCertaintySubcomponentType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The subcomponent classification of quality of evidence rating systems."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/certainty-subcomponent-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="RiskOfBias"></code>
-     <display value="Risk of bias"></display>
-     <definition value="methodologic concerns reducing internal validity."></definition>
-    </concept>
-    <concept>
-     <code value="Inconsistency"></code>
-     <display value="Inconsistency"></display>
-     <definition value="concerns that findings are not similar enough to support certainty."></definition>
-    </concept>
-    <concept>
-     <code value="Indirectness"></code>
-     <display value="Indirectness"></display>
-     <definition value="concerns reducing external validity."></definition>
-    </concept>
-    <concept>
-     <code value="Imprecision"></code>
-     <display value="Imprecision"></display>
-     <definition value="fuzzy or wide variability."></definition>
-    </concept>
-    <concept>
-     <code value="PublicationBias"></code>
-     <display value="Publication bias"></display>
-     <definition value="likelihood that what is published misrepresents what is available to publish."></definition>
-    </concept>
-    <concept>
-     <code value="DoseResponseGradient"></code>
-     <display value="Dose response gradient"></display>
-     <definition value="higher certainty due to dose response relationship."></definition>
-    </concept>
-    <concept>
-     <code value="PlausibleConfounding"></code>
-     <display value="Plausible confounding"></display>
-     <definition value="higher certainty due to risk of bias in opposite direction."></definition>
-    </concept>
-    <concept>
-     <code value="LargeEffect"></code>
-     <display value="Large effect"></display>
-     <definition value="higher certainty due to large effect size."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationrequest-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1323"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationRequest Category Codes"></name>
-    <title value="Medication request  category  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationRequest Category Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="inpatient"></code>
-     <display value="Inpatient"></display>
-     <definition value="Includes requests for medications to be administered or consumed in an inpatient or acute care setting"></definition>
-    </concept>
-    <concept>
-     <code value="outpatient"></code>
-     <display value="Outpatient"></display>
-     <definition value="Includes requests for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
-    </concept>
-    <concept>
-     <code value="community"></code>
-     <display value="Community"></display>
-     <definition value="Includes requests for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)"></definition>
-    </concept>
-    <concept>
-     <code value="discharge"></code>
-     <display value="Discharge"></display>
-     <definition value="Includes requests for medications created when the patient is being released from a facility"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-ingredientstrength"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medication-ingredientstrength"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/medication-ingredientstrength"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1427"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Medication Ingredient Strength Codes"></name>
-    <title value="Medication  ingredient  strength  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Medication Ingredient Strength Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medication-ingredientstrength"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="qs"></code>
-     <display value="QS"></display>
-     <definition value="As much as is sufficient."></definition>
-    </concept>
-    <concept>
-     <code value="trace"></code>
-     <display value="Trace"></display>
-     <definition value="Very small amount."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-events"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="message-events"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
-     <valueString value="This Code System is normative - it is generated based on the information defined in this specification. The definition will remain fixed  across versions, but the actual contents will change from version to version"></valueString>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="inm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/message-events"></url>
-    <version value="4.1.0"></version>
-    <name value="MessageEvent"></name>
-    <title value="MessageEvent"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="One of the message events defined as part of this version of FHIR."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/related-artifact-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="related-artifact-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/related-artifact-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.100"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RelatedArtifactType"></name>
-    <title value="RelatedArtifactType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of relationship to the related artifact."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/related-artifact-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="documentation"></code>
-     <display value="Documentation"></display>
-     <definition value="Additional documentation for the knowledge resource. This would include additional instructions on usage as well as additional information on clinical context or appropriateness."></definition>
-    </concept>
-    <concept>
-     <code value="justification"></code>
-     <display value="Justification"></display>
-     <definition value="A summary of the justification for the knowledge resource including supporting evidence, relevant guidelines, or other clinically important information. This information is intended to provide a way to make the justification for the knowledge resource available to the consumer of interventions or results produced by the knowledge resource."></definition>
-    </concept>
-    <concept>
-     <code value="citation"></code>
-     <display value="Citation"></display>
-     <definition value="Bibliographic citation for papers, references, or other relevant material for the knowledge resource. This is intended to allow for citation of related material, but that was not necessarily specifically prepared in connection with this knowledge resource."></definition>
-    </concept>
-    <concept>
-     <code value="predecessor"></code>
-     <display value="Predecessor"></display>
-     <definition value="The previous version of the knowledge resource."></definition>
-    </concept>
-    <concept>
-     <code value="successor"></code>
-     <display value="Successor"></display>
-     <definition value="The next version of the knowledge resource."></definition>
-    </concept>
-    <concept>
-     <code value="derived-from"></code>
-     <display value="Derived From"></display>
-     <definition value="The knowledge resource is derived from the related artifact. This is intended to capture the relationship in which a particular knowledge resource is based on the content of another artifact, but is modified to capture either a different set of overall requirements, or a more specific set of requirements such as those involved in a particular institution or clinical setting."></definition>
-    </concept>
-    <concept>
-     <code value="depends-on"></code>
-     <display value="Depends On"></display>
-     <definition value="The knowledge resource depends on the given related artifact."></definition>
-    </concept>
-    <concept>
-     <code value="composed-of"></code>
-     <display value="Composed Of"></display>
-     <definition value="The knowledge resource is composed of the given related artifact."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/gender-identity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="gender-identity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/gender-identity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.973"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GenderIdentity"></name>
-    <title value="Gender identity"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate a patient's gender identity."></description>
-    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="transgender-female"></code>
-     <display value="transgender female"></display>
-     <definition value="the patient identifies as transgender male-to-female"></definition>
-    </concept>
-    <concept>
-     <code value="transgender-male"></code>
-     <display value="transgender male"></display>
-     <definition value="the patient identifies as transgender female-to-male"></definition>
-    </concept>
-    <concept>
-     <code value="non-binary"></code>
-     <display value="non-binary"></display>
-     <definition value="the patient identifies with neither/both female and male"></definition>
-    </concept>
-    <concept>
-     <code value="male"></code>
-     <display value="male"></display>
-     <definition value="the patient identifies as male"></definition>
-    </concept>
-    <concept>
-     <code value="female"></code>
-     <display value="female"></display>
-     <definition value="the patient identifies as female"></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="other"></display>
-     <definition value="other gender identity"></definition>
-    </concept>
-    <concept>
-     <code value="non-disclose"></code>
-     <display value="does not wish to disclose"></display>
-     <definition value="the patient does not wish to disclose his gender identity"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-properties"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="concept-properties"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="4"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/concept-properties"></url>
-    <version value="4.1.0"></version>
-    <name value="FHIR Defined Concept Properties"></name>
-    <status value="draft"></status>
-    <publisher value="FHIR Project"></publisher>
-    <description value="A set of common concept properties for use on coded systems throughout the FHIR eco-system."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/concept-properties"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="True if the concept is not considered active - e.g. not a valid concept any more. Property type is boolean, default value is false"></definition>
-    </concept>
-    <concept>
-     <code value="deprecated"></code>
-     <display value="Deprecated"></display>
-     <definition value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged, and they should be expected to be made inactive in a future release. Property type is dateTime"></definition>
-    </concept>
-    <concept>
-     <code value="notSelectable"></code>
-     <display value="Not Selectable"></display>
-     <definition value="The concept is not intended to be chosen by the user - only intended to be used as a selector for other concepts. Note, though, that the interpretation of this is highly contextual; all concepts are selectable in some context. Property type is boolean"></definition>
-    </concept>
-    <concept>
-     <code value="parent"></code>
-     <display value="Parent"></display>
-     <definition value="The concept identified in this property is a parent of the concept on which it is a property. The property type will be 'code'. The meaning of 'parent' is defined by the hierarchyMeaning attribute"></definition>
-    </concept>
-    <concept>
-     <code value="child"></code>
-     <display value="Child"></display>
-     <definition value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of 'child' is defined by the hierarchyMeaning attribute"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/goal-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.272"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalLifecycleStatus"></name>
-    <title value="GoalLifecycleStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes that reflect the current state of a goal and whether the goal is still being targeted."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="proposed"></code>
-     <display value="Proposed"></display>
-     <definition value="A goal is proposed for this patient."></definition>
-    </concept>
-    <concept>
-     <code value="planned"></code>
-     <display value="Planned"></display>
-     <definition value="A goal is planned for this patient."></definition>
-    </concept>
-    <concept>
-     <code value="accepted"></code>
-     <display value="Accepted"></display>
-     <definition value="A proposed goal was accepted or acknowledged."></definition>
-     <concept>
-      <code value="active"></code>
-      <display value="Active"></display>
-      <definition value="The goal is being sought actively."></definition>
-     </concept>
-     <concept>
-      <code value="on-hold"></code>
-      <display value="On Hold"></display>
-      <definition value="The goal remains a long term objective but is no longer being actively pursued for a temporary period of time."></definition>
-     </concept>
-     <concept>
-      <code value="completed"></code>
-      <display value="Completed"></display>
-      <definition value="The goal is no longer being sought."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The goal has been abandoned."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The goal was entered in error and voided."></definition>
-    </concept>
-    <concept>
-     <code value="rejected"></code>
-     <display value="Rejected"></display>
-     <definition value="A proposed goal was rejected."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/icd-10-procedures"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="icd-10-procedures"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/sid/ex-icd-10-procedures"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.575"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ICD-10ProcedureCodes"></name>
-    <title value="ICD-10 Procedure Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample ICD-10 Procedure codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/icd-10-procedures"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="123001"></code>
-     <display value="PROC-1"></display>
-     <definition value="Procedure 1"></definition>
-    </concept>
-    <concept>
-     <code value="123002"></code>
-     <display value="PROC-2"></display>
-     <definition value="Procedure 2"></definition>
-    </concept>
-    <concept>
-     <code value="123003"></code>
-     <display value="PROC-3"></display>
-     <definition value="Procedure 3"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/recommendation-strength"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="recommendation-strength"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/recommendation-strength"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1268"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StrengthOfRecommendationRating"></name>
-    <title value="StrengthOfRecommendationRating"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/recommendation-strength"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="strong"></code>
-     <display value="Strong"></display>
-     <definition value="Strong recommendation."></definition>
-    </concept>
-    <concept>
-     <code value="weak"></code>
-     <display value="Weak"></display>
-     <definition value="Weak recommendation."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-channel-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-channel-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/subscription-channel-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1432"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionChannelTypeCodes"></name>
-    <title value="SubscriptionChannel Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes to represent subscription error details"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-channel-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="rest-hook"></code>
-     <display value="Rest Hook"></display>
-     <definition value="The channel is executed by making a post to the URI. If a payload is included, the URL is interpreted as the service base, and an update (PUT) is made."></definition>
-    </concept>
-    <concept>
-     <code value="websocket"></code>
-     <display value="Websocket"></display>
-     <definition value="The channel is executed by sending a packet across a web socket connection maintained by the client. The URL identifies the websocket, and the client binds to this URL."></definition>
-    </concept>
-    <concept>
-     <code value="email"></code>
-     <display value="Email"></display>
-     <definition value="The channel is executed by sending an email to the email addressed in the URI (which must be a mailto:)."></definition>
-    </concept>
-    <concept>
-     <code value="sms"></code>
-     <display value="SMS"></display>
-     <definition value="The channel is executed by sending an SMS message to the phone number identified in the URL (tel:)."></definition>
-    </concept>
-    <concept>
-     <code value="message"></code>
-     <display value="Message"></display>
-     <definition value="The channel is executed by sending a message (e.g. a Bundle with a MessageHeader resource etc.) to the application identified in the URI."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/media-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="media-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/media-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.326"></value>
-    </identifier>
-    <version value="3.0.1"></version>
-    <name value="DigitalMediaCategory"></name>
-    <title value="Digital Media Category"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-05-17"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for high level media types - whether the media is an image, video, or audio."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="image"></code>
-     <display value="Image"></display>
-     <definition value="The media consists of one or more unmoving images, including photographs, computer-generated graphs and charts, and scanned documents"></definition>
-    </concept>
-    <concept>
-     <code value="video"></code>
-     <display value="Video"></display>
-     <definition value="The media consists of a series of frames that capture a moving image"></definition>
-    </concept>
-    <concept>
-     <code value="audio"></code>
-     <display value="Audio"></display>
-     <definition value="The media consists of a sound recording"></definition>
-    </concept>
-    <concept>
-     <code value="STYLESHEET"></code>
-     <display value="Stylesheet"></display>
-     <definition value="The stylesheet for use"></definition>
-    </concept>
-    <concept>
-     <code value="WORKFLOW_DEFINITION"></code>
-     <display value="Workflow Definitions"></display>
-     <definition value="The workflow definition"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/graph-compartment-rule"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="graph-compartment-rule"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/graph-compartment-rule"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.281"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GraphCompartmentRule"></name>
-    <title value="GraphCompartmentRule"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a compartment must be linked."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/graph-compartment-rule"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="identical"></code>
-     <display value="Identical"></display>
-     <definition value="The compartment must be identical (the same literal reference)."></definition>
-    </concept>
-    <concept>
-     <code value="matching"></code>
-     <display value="Matching"></display>
-     <definition value="The compartment must be the same - the record must be about the same patient, but the reference may be different."></definition>
-    </concept>
-    <concept>
-     <code value="different"></code>
-     <display value="Different"></display>
-     <definition value="The compartment must be different."></definition>
-    </concept>
-    <concept>
-     <code value="custom"></code>
-     <display value="Custom"></display>
-     <definition value="The compartment rule is defined in the accompanying FHIRPath expression."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergyintolerance-verification"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="allergyintolerance-verification"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1371"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceVerificationStatus"></name>
-    <title value="AllergyIntolerance Verification Status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="The verification status to support or decline the clinical status of the allergy or intolerance."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-verification"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="unconfirmed"></code>
-     <display value="Unconfirmed"></display>
-     <definition value="The propensity for a reaction to the identified substance has not been objectively verified."></definition>
-     <concept>
-      <code value="presumed"></code>
-      <display value="Presumed"></display>
-      <definition value="The available clinical information supports a high liklihood of the propensity for a reaction to the identified substance."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="confirmed"></code>
-     <display value="Confirmed"></display>
-     <definition value="The propensity for a reaction to the identified substance has been objectively verified (which may include clinical evidence by testing, rechallenge, or observation)."></definition>
-    </concept>
-    <concept>
-     <code value="refuted"></code>
-     <display value="Refuted"></display>
-     <definition value="A propensity for a reaction to the identified substance has been disputed or disproven with a sufficient level of clinical certainty to justify invalidating the assertion. This might or might not include testing or rechallenge."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The statement was entered in error and is not valid."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/activity-definition-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="activity-definition-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/activity-definition-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1243"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActivityDefinitionCategory"></name>
-    <title value="ActivityDefinitionCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="High-level categorization of the type of activity."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/activity-definition-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="treatment"></code>
-     <display value="Treatment"></display>
-     <definition value="The activity is intended to provide or is related to treatment of the patient."></definition>
-    </concept>
-    <concept>
-     <code value="education"></code>
-     <display value="Education"></display>
-     <definition value="The activity is intended to provide or is related to education of the patient."></definition>
-    </concept>
-    <concept>
-     <code value="assessment"></code>
-     <display value="Assessment"></display>
-     <definition value="The activity is intended to perform or is related to assessment of the patient."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-order"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="list-order"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/list-order"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1107"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ListOrderCodes"></name>
-    <title value="List Order Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Base values for the order of the items in a list resource."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/list-order"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="user"></code>
-     <display value="Sorted by User"></display>
-     <definition value="The list was sorted by a user. The criteria the user used are not specified."></definition>
-    </concept>
-    <concept>
-     <code value="system"></code>
-     <display value="Sorted by System"></display>
-     <definition value="The list was sorted by the system. The criteria the user used are not specified; define additional codes to specify a particular order (or use other defined codes)."></definition>
-    </concept>
-    <concept>
-     <code value="event-date"></code>
-     <display value="Sorted by Event Date"></display>
-     <definition value="The list is sorted by the data of the event. This can be used when the list has items which are dates with past or future events."></definition>
-    </concept>
-    <concept>
-     <code value="entry-date"></code>
-     <display value="Sorted by Item Date"></display>
-     <definition value="The list is sorted by the date the item was added to the list. Note that the date added to the list is not explicit in the list itself."></definition>
-    </concept>
-    <concept>
-     <code value="priority"></code>
-     <display value="Sorted by Priority"></display>
-     <definition value="The list is sorted by priority. The exact method in which priority has been determined is not specified."></definition>
-    </concept>
-    <concept>
-     <code value="alphabetic"></code>
-     <display value="Sorted Alphabetically"></display>
-     <definition value="The list is sorted alphabetically by an unspecified property of the items in the list."></definition>
-    </concept>
-    <concept>
-     <code value="category"></code>
-     <display value="Sorted by Category"></display>
-     <definition value="The list is sorted categorically by an unspecified property of the items in the list."></definition>
-    </concept>
-    <concept>
-     <code value="patient"></code>
-     <display value="Sorted by Patient"></display>
-     <definition value="The list is sorted by patient, with items for each patient grouped together."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/issue-severity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="issue-severity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/issue-severity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.409"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="IssueSeverity"></name>
-    <title value="IssueSeverity"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How the issue affects the success of the action."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/issue-severity"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="fatal"></code>
-     <display value="Fatal"></display>
-     <definition value="The issue caused the action to fail and no further checking could be performed."></definition>
-    </concept>
-    <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="The issue is sufficiently important to cause the action to fail."></definition>
-    </concept>
-    <concept>
-     <code value="warning"></code>
-     <display value="Warning"></display>
-     <definition value="The issue is not important enough to cause the action to fail but may cause it to be performed suboptimally or in a way that is not as desired."></definition>
-    </concept>
-    <concept>
-     <code value="information"></code>
-     <display value="Information"></display>
-     <definition value="The issue has no relation to the degree of success of the action."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/diagnostic-report-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="diagnostic-report-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/diagnostic-report-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.236"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DiagnosticReportStatus"></name>
-    <title value="DiagnosticReportStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of the diagnostic report."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="registered"></code>
-     <display value="Registered"></display>
-     <definition value="The existence of the report is registered, but there is nothing yet available."></definition>
-    </concept>
-    <concept>
-     <code value="partial"></code>
-     <display value="Partial"></display>
-     <definition value="This is a partial (e.g. initial, interim or preliminary) report: data in the report may be incomplete or unverified."></definition>
-     <concept>
-      <code value="preliminary"></code>
-      <display value="Preliminary"></display>
-      <definition value="Verified early results are available, but not all  results are final."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="final"></code>
-     <display value="Final"></display>
-     <definition value="The report is complete and verified by an authorized person."></definition>
-    </concept>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="Subsequent to being final, the report has been modified.  This includes any change in the results, diagnosis, narrative text, or other content of a report that has been issued."></definition>
-     <concept>
-      <code value="corrected"></code>
-      <display value="Corrected"></display>
-      <definition value="Subsequent to being final, the report has been modified  to correct an error in the report or referenced results."></definition>
-     </concept>
-     <concept>
-      <code value="appended"></code>
-      <display value="Appended"></display>
-      <definition value="Subsequent to being final, the report has been modified by adding new content. The existing content is unchanged."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The report is unavailable because the measurement was not started or not completed (also sometimes called &quot;aborted&quot;)."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The report has been withdrawn following a previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationdispense-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1315"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationDispense Category Codes"></name>
-    <title value="Medication dispense  category  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationDispense Category Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="inpatient"></code>
-     <display value="Inpatient"></display>
-     <definition value="Includes dispenses for medications to be administered or consumed in an inpatient or acute care setting."></definition>
-    </concept>
-    <concept>
-     <code value="outpatient"></code>
-     <display value="Outpatient"></display>
-     <definition value="Includes dispenses for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)."></definition>
-    </concept>
-    <concept>
-     <code value="community"></code>
-     <display value="Community"></display>
-     <definition value="Includes dispenses for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="discharge"></code>
-     <display value="Discharge"></display>
-     <definition value="Includes dispenses for medications created when the patient is being released from a facility."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/appointmentstatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="appointmentstatus"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/appointmentstatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.485"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AppointmentStatus"></name>
-    <title value="AppointmentStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The free/busy status of an appointment."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/appointmentstatus"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="proposed"></code>
-     <display value="Proposed"></display>
-     <definition value="None of the participant(s) have finalized their acceptance of the appointment request, and the start/end time might not be set yet."></definition>
-    </concept>
-    <concept>
-     <code value="pending"></code>
-     <display value="Pending"></display>
-     <definition value="Some or all of the participant(s) have not finalized their acceptance of the appointment request."></definition>
-    </concept>
-    <concept>
-     <code value="booked"></code>
-     <display value="Booked"></display>
-     <definition value="All participant(s) have been considered and the appointment is confirmed to go ahead at the date/times specified."></definition>
-    </concept>
-    <concept>
-     <code value="arrived"></code>
-     <display value="Arrived"></display>
-     <definition value="The patient/patients has/have arrived and is/are waiting to be seen."></definition>
-    </concept>
-    <concept>
-     <code value="fulfilled"></code>
-     <display value="Fulfilled"></display>
-     <definition value="The planning stages of the appointment are now complete, the encounter resource will exist and will track further status changes. Note that an encounter may exist before the appointment status is fulfilled for many reasons."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The appointment has been cancelled."></definition>
-    </concept>
-    <concept>
-     <code value="noshow"></code>
-     <display value="No Show"></display>
-     <definition value="Some or all of the participant(s) have not/did not appear for the appointment (usually the patient)."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in error"></display>
-     <definition value="This instance should not have been part of this patient's medical record."></definition>
-    </concept>
-    <concept>
-     <code value="checked-in"></code>
-     <display value="Checked In"></display>
-     <definition value="When checked in, all pre-encounter administrative work is complete, and the encounter may begin. (where multiple patients are involved, they are all present)."></definition>
-    </concept>
-    <concept>
-     <code value="waitlist"></code>
-     <display value="Waitlisted"></display>
-     <definition value="The appointment has been placed on a waitlist, to be scheduled/confirmed in the future when a slot/service is available.
-A specific time might or might not be pre-allocated."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/product-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="product-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/product-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.903"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BiologicallyDerivedProductStatus"></name>
-    <title value="BiologicallyDerivedProductStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Biologically Derived Product Status."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/product-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="available"></code>
-     <display value="Available"></display>
-     <definition value="Product is currently available for use."></definition>
-    </concept>
-    <concept>
-     <code value="unavailable"></code>
-     <display value="Unavailable"></display>
-     <definition value="Product is not currently available for use."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/communication-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="communication-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/communication-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1076"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CommunicationCategory"></name>
-    <title value="CommunicationCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for general categories of communications such as alerts, instructions, etc."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/communication-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="alert"></code>
-     <display value="Alert"></display>
-     <definition value="The communication conveys an alert."></definition>
-    </concept>
-    <concept>
-     <code value="notification"></code>
-     <display value="Notification"></display>
-     <definition value="The communication conveys a notification."></definition>
-    </concept>
-    <concept>
-     <code value="reminder"></code>
-     <display value="Reminder"></display>
-     <definition value="The communication conveys a reminder."></definition>
-    </concept>
-    <concept>
-     <code value="instruction"></code>
-     <display value="Instruction"></display>
-     <definition value="The communication conveys an instruction."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-content-derivative"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-content-derivative"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contract-content-derivative"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1204"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractContentDerivationCodes"></name>
-    <title value="Contract Content Derivation Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source at a specific stage in its lifecycle, which is sufficient to manage that source information, for example, in a repository, registry, processes and workflows, for making access control decisions, and providing query responses."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-content-derivative"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="registration"></code>
-     <display value="Content Registration"></display>
-     <definition value="Content derivative that conveys sufficient information needed to register the source basal content from which it is derived.  This derivative content may be used to register the basal content as it changes status in its lifecycle.  For example, content registration may occur when the basal content is created, updated, inactive, or deleted."></definition>
-    </concept>
-    <concept>
-     <code value="retrieval"></code>
-     <display value="Content Retrieval"></display>
-     <definition value="A content derivative that conveys sufficient information to locate and retrieve the content."></definition>
-    </concept>
-    <concept>
-     <code value="statement"></code>
-     <display value="Content Statement"></display>
-     <definition value="Content derivative that has less than full fidelity to the basal information source from which it was 'transcribed'. It provides recipients with the full content representation they may require for compliance purposes, and typically include a reference to or an attached unstructured representation for recipients needing an exact copy of the legal agreement."></definition>
-    </concept>
-    <concept>
-     <code value="shareable"></code>
-     <display value="Shareable Content"></display>
-     <definition value="A Content Derivative that conveys sufficient information to determine the authorized entities with which the content may be shared."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-place"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-place"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-serviceplace"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1157"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleServicePlaceCodes"></name>
-    <title value="Example Service Place Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Service Place codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-place"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="01"></code>
-     <display value="Pharmacy"></display>
-     <definition value="A facility or location where drugs and other medically related items and services are sold, dispensed, or otherwise provided directly to patients."></definition>
-    </concept>
-    <concept>
-     <code value="03"></code>
-     <display value="School"></display>
-     <definition value="A facility whose primary purpose is education."></definition>
-    </concept>
-    <concept>
-     <code value="04"></code>
-     <display value="Homeless Shelter"></display>
-     <definition value="A facility or location whose primary purpose is to provide temporary housing to homeless individuals (e.g., emergency shelters, individual or family shelters)."></definition>
-    </concept>
-    <concept>
-     <code value="05"></code>
-     <display value="Indian Health Service Free-standing Facility"></display>
-     <definition value="A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization."></definition>
-    </concept>
-    <concept>
-     <code value="06"></code>
-     <display value="Indian Health Service Provider-based Facility"></display>
-     <definition value="A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients."></definition>
-    </concept>
-    <concept>
-     <code value="07"></code>
-     <display value="Tribal 638 Free-Standing Facility"></display>
-     <definition value="A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members who do not require hospitalization."></definition>
-    </concept>
-    <concept>
-     <code value="08"></code>
-     <display value="Tribal 638 Provider-Based Facility"></display>
-     <definition value="A facility or location owned and operated by a federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and nonsurgical), and rehabilitation services to tribal members admitted as inpatients or outpatients."></definition>
-    </concept>
-    <concept>
-     <code value="09"></code>
-     <display value="Prison/Correctional Facility"></display>
-     <definition value="A prison, jail, reformatory, work farm, detention center, or any other similar facility maintained by either Federal, State or local authorities for the purpose of confinement or rehabilitation of adult or juvenile criminal offenders."></definition>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="Office"></display>
-     <definition value="Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis."></definition>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="Home"></display>
-     <definition value="Location, other than a hospital or other facility, where the patient receives care in a private residence."></definition>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="Assisted Living Fa"></display>
-     <definition value="Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services."></definition>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="Group Home"></display>
-     <definition value="A residence, with shared living areas, where clients receive supervision and other services such as social and/or behavioral services, custodial service, and minimal services (e.g., medication administration)."></definition>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="Mobile Unit"></display>
-     <definition value="A facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services."></definition>
-    </concept>
-    <concept>
-     <code value="19"></code>
-     <display value="Off Campus-Outpatient Hospital"></display>
-     <definition value="portion of an off-campus hospital provider-based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization."></definition>
-    </concept>
-    <concept>
-     <code value="20"></code>
-     <display value="Urgent Care Facility"></display>
-     <definition value="Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention."></definition>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="Inpatient Hospital"></display>
-     <definition value="A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions."></definition>
-    </concept>
-    <concept>
-     <code value="41"></code>
-     <display value="Ambulance—Land"></display>
-     <definition value="A land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/safety-entries"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="safety-entries"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-use-markdown">
      <valueBoolean value="true"></valueBoolean>
     </extension>
     <url value="http://hl7.org/fhir/safety-entries"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRSafetyCheckListEntries"></name>
     <title value="FHIR Safety CheckList Entries"></title>
     <status value="draft"></status>
@@ -32750,301 +47892,95 @@ A specific time might or might not be pre-allocated."></definition>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-entity-type"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-properties"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="audit-entity-type"></id>
+    <id value="concept-properties"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="vocab"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="normative"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="4"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/concept-properties"></url>
+    <version value="4.2.0"></version>
+    <name value="FHIR Defined Concept Properties"></name>
+    <status value="draft"></status>
+    <publisher value="FHIR Project"></publisher>
+    <description value="A set of common concept properties for use on coded systems throughout the FHIR eco-system."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/concept-properties"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="status"></code>
+     <display value="Status"></display>
+     <definition value="A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired"></definition>
+    </concept>
+    <concept>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="True if the concept is not considered active - e.g. not a valid concept any more. Property type is boolean, default value is false. Note that the status property may also be used to indicate that a concept is inactive"></definition>
+    </concept>
+    <concept>
+     <code value="deprecated"></code>
+     <display value="Deprecated"></display>
+     <definition value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged, and they should be expected to be made inactive in a future release. Property type is dateTime. Note that the status property may also be used to indicate that a concept is deprecated"></definition>
+    </concept>
+    <concept>
+     <code value="notSelectable"></code>
+     <display value="Not Selectable"></display>
+     <definition value="The concept is not intended to be chosen by the user - only intended to be used as a selector for other concepts. Note, though, that the interpretation of this is highly contextual; all concepts are selectable in some context. Property type is boolean"></definition>
+    </concept>
+    <concept>
+     <code value="parent"></code>
+     <display value="Parent"></display>
+     <definition value="The concept identified in this property is a parent of the concept on which it is a property. The property type will be 'code'. The meaning of 'parent' is defined by the hierarchyMeaning attribute"></definition>
+    </concept>
+    <concept>
+     <code value="child"></code>
+     <display value="Child"></display>
+     <definition value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of 'child' is defined by the hierarchyMeaning attribute"></definition>
+    </concept>
+    <concept>
+     <code value="partOf"></code>
+     <display value="Part Of"></display>
+     <definition value="The concept identified in this property (by it's code) contains this concept as a component (i.e.. a part-of relationship rather than a subsumption relationship such as elbow is part-of arm"></definition>
+    </concept>
+    <concept>
+     <code value="synonym"></code>
+     <display value="Synonym"></display>
+     <definition value="This property contains an alternative code that may be used to identify this concept instead of the primary code"></definition>
+    </concept>
+    <concept>
+     <code value="comment"></code>
+     <display value="Comment"></display>
+     <definition value="A strng that provides additional detail pertinent to the use or understanding of the concept"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/extra-security-role-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="extra-security-role-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/audit-entity-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1134"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventEntityType"></name>
-    <title value="Audit event entity type"></title>
+    <url value="http://terminology.hl7.org/CodeSystem/extra-security-role-type"></url>
+    <version value="4.2.0"></version>
+    <name value="SecurityRoleType"></name>
     <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2017-03-10T09:44:54+11:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Code for the entity type involved in the audit event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Person"></display>
-     <definition value="Person"></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="System Object"></display>
-     <definition value="System Object"></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Organization"></display>
-     <definition value="Organization"></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Other"></display>
-     <definition value="Other"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-source-list-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-source-list-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-source-list-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.684"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapSourceListMode"></name>
-    <title value="StructureMapSourceListMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="If field is a list, how to manage the source."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-source-list-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="first"></code>
-     <display value="First"></display>
-     <definition value="Only process this rule for the first in the list."></definition>
-    </concept>
-    <concept>
-     <code value="not_first"></code>
-     <display value="All but the first"></display>
-     <definition value="Process this rule for all but the first."></definition>
-    </concept>
-    <concept>
-     <code value="last"></code>
-     <display value="Last"></display>
-     <definition value="Only process this rule for the last in the list."></definition>
-    </concept>
-    <concept>
-     <code value="not_last"></code>
-     <display value="All but the last"></display>
-     <definition value="Process this rule for all but the last."></definition>
-    </concept>
-    <concept>
-     <code value="only_one"></code>
-     <display value="Enforce only one"></display>
-     <definition value="Only process this rule is there is only item."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-relationship-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-relationship-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/goal-relationship-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1269"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalRelationshipType"></name>
-    <title value="GoalRelationshipType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Types of relationships between two goals."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-relationship-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="predecessor"></code>
-     <display value="Predecessor"></display>
-     <definition value="Indicates that the target goal is one which must be met before striving for the current goal."></definition>
-    </concept>
-    <concept>
-     <code value="successor"></code>
-     <display value="Successor"></display>
-     <definition value="Indicates that the target goal is a desired objective once the current goal is met."></definition>
-    </concept>
-    <concept>
-     <code value="replacement"></code>
-     <display value="Replacement"></display>
-     <definition value="Indicates that this goal has been replaced by the target goal."></definition>
-    </concept>
-    <concept>
-     <code value="milestone"></code>
-     <display value="Milestone"></display>
-     <definition value="Indicates that the target goal is considered to be a &quot;piece&quot; of attaining this goal."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Indicates that the relationship is not covered by one of the pre-defined codes.  (An extension may convey more information about the meaning of the relationship.)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-term-subtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-term-subtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contracttermsubtypecodes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1200"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractTermSubtypeCodes"></name>
-    <title value="Contract Term Subtype Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Contract Term SubType codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-term-subtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="condition"></code>
-     <display value="Condition"></display>
-     <definition value="Terms that go to the very root of a contract."></definition>
-    </concept>
-    <concept>
-     <code value="warranty"></code>
-     <display value="Warranty"></display>
-     <definition value="Less imperative than a condition, so the contract will survive a breach"></definition>
-    </concept>
-    <concept>
-     <code value="innominate"></code>
-     <display value="Innominate"></display>
-     <definition value="Breach of which might or might not go to the root of the contract depending upon the nature of the breach"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-actionstatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-actionstatus"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-action-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1304"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceActionStatusCodes"></name>
-    <title value="Contract Resource Action Status codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
+    <experimental value="true"></experimental>
+    <date value="2017-02-13"></date>
+    <publisher value="HL7 International"></publisher>
     <contact>
      <name value="FHIR project team"></name>
      <telecom>
@@ -33052,4471 +47988,33 @@ A specific time might or might not be pre-allocated."></definition>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for action status."></description>
-    <copyright value="HL7 International."></copyright>
+    <description value="This CodeSystem contains Additional FHIR-defined Security Role types not defined elsewhere"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-actionstatus"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="complete"></code>
-     <display value="Complete"></display>
-     <definition value="To be completed"></definition>
+     <code value="authserver"></code>
+     <display value="authorization server"></display>
+     <definition value="An entity providing authorization services to enable the electronic sharing of health-related information based on resource owner's preapproved permissions. For example, an UMA Authorization Server[UMA]"></definition>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-program-eligibility"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-program-eligibility"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-program-eligibility"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1099"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationProgramEligibility"></name>
-    <title value="Immunization Program Eligibility"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
-     </telecom>
-    </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the patient's eligibility for a vaccination program. This value set is provided as a suggestive example."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-program-eligibility"></valueSet>
-    <content value="complete"></content>
     <concept>
-     <code value="ineligible"></code>
-     <display value="Not Eligible"></display>
-     <definition value="The patient is not eligible for the funding program."></definition>
+     <code value="datacollector"></code>
+     <display value="data collector"></display>
+     <definition value="An entity that collects information over which the data subject may have certain rights under policy or law to control that information's management and distribution by data collectors, including the right to access, retrieve, distribute, or delete that information. "></definition>
     </concept>
     <concept>
-     <code value="uninsured"></code>
-     <display value="Uninsured"></display>
-     <definition value="The patient is eligible for the funding program because they are uninsured."></definition>
+     <code value="dataprocessor"></code>
+     <display value="data processor"></display>
+     <definition value="An entity that processes collected information over which the data subject may have certain rights under policy or law to control that information's management and distribution by data processors, including the right to access, retrieve, distribute, or delete that information."></definition>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/udi-entry-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="udi-entry-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/udi-entry-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.212"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="UDIEntryType"></name>
-    <title value="UDIEntryType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes to identify how UDI data was entered."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/udi-entry-type"></valueSet>
-    <content value="complete"></content>
     <concept>
-     <code value="barcode"></code>
-     <display value="Barcode"></display>
-     <definition value="a barcodescanner captured the data from the device label."></definition>
+     <code value="datasubject"></code>
+     <display value="data subject"></display>
+     <definition value="A person whose personal information is collected or processed, and who may have certain rights under policy or law to control that information's management and distribution by data collectors or processors, including the right to access, retrieve, distribute, or delete that information."></definition>
     </concept>
     <concept>
-     <code value="rfid"></code>
-     <display value="RFID"></display>
-     <definition value="An RFID chip reader captured the data from the device label."></definition>
-    </concept>
-    <concept>
-     <code value="manual"></code>
-     <display value="Manual"></display>
-     <definition value="The data was read from the label by a person and manually entered. (e.g.  via a keyboard)."></definition>
-    </concept>
-    <concept>
-     <code value="card"></code>
-     <display value="Card"></display>
-     <definition value="The data originated from a patient's implant card and was read by an operator."></definition>
-    </concept>
-    <concept>
-     <code value="self-reported"></code>
-     <display value="Self Reported"></display>
-     <definition value="The data originated from a patient source and was not directly scanned or read from a label or card."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The method of data capture has not been determined."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/fm-itemtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="fm-itemtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/ex-claimitemtype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.549"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClaimItemTypeCodes"></name>
-    <title value="Claim Item Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Item Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/fm-itemtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="group"></code>
-     <display value="Group"></display>
-     <definition value="A group of products and/or Services, amount ar the summary or detail level products and services."></definition>
-    </concept>
-    <concept>
-     <code value="product"></code>
-     <display value="Product"></display>
-     <definition value="A billed product line item."></definition>
-    </concept>
-    <concept>
-     <code value="service"></code>
-     <display value="Service"></display>
-     <definition value="A billed service line item."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-state-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-state-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/consent-state-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.756"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentState"></name>
-    <title value="ConsentState"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the state of the consent."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-state-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="Pending"></display>
-     <definition value="The consent is in development or awaiting use but is not yet intended to be acted upon."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The consent is to be followed and enforced."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The consent is terminated or replaced."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The consent was created wrongly (e.g. wrong patient) and should be ignored."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The resource is in an indeterminate state."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/address-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="address-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/address-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.70"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AddressType"></name>
-    <title value="AddressType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of an address (physical / postal)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/address-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="postal"></code>
-     <display value="Postal"></display>
-     <definition value="Mailing addresses - PO Boxes and care-of addresses."></definition>
-    </concept>
-    <concept>
-     <code value="physical"></code>
-     <display value="Physical"></display>
-     <definition value="A physical address that can be visited."></definition>
-    </concept>
-    <concept>
-     <code value="both"></code>
-     <display value="Postal &amp; Physical"></display>
-     <definition value="An address that is both physical and postal."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-state"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-subject-state"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-subject-state"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchSubjectState"></name>
-    <title value="ResearchSubjectState"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the progression of a study subject through a study."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-state"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="candidate"></code>
-     <display value="Candidate"></display>
-     <definition value="An identified person that can be considered for inclusion in a study."></definition>
-    </concept>
-    <concept>
-     <code value="eligible"></code>
-     <display value="Eligible"></display>
-     <definition value="A person that has met the eligibility criteria for inclusion in a study."></definition>
-    </concept>
-    <concept>
-     <code value="follow-up"></code>
-     <display value="Follow-up"></display>
-     <definition value="A person is no longer receiving study intervention and/or being evaluated with tests and procedures according to the protocol, but they are being monitored on a protocol-prescribed schedule."></definition>
-    </concept>
-    <concept>
-     <code value="ineligible"></code>
-     <display value="Ineligible"></display>
-     <definition value="A person who did not meet one or more criteria required for participation in a study is considered to have failed screening or
-is ineligible for the study."></definition>
-    </concept>
-    <concept>
-     <code value="not-registered"></code>
-     <display value="Not Registered"></display>
-     <definition value="A person for whom registration was not completed."></definition>
-    </concept>
-    <concept>
-     <code value="off-study"></code>
-     <display value="Off-study"></display>
-     <definition value="A person that has ended their participation on a study either because their treatment/observation is complete or through not
-responding, withdrawal, non-compliance and/or adverse event."></definition>
-    </concept>
-    <concept>
-     <code value="on-study"></code>
-     <display value="On-study"></display>
-     <definition value="A person that is enrolled or registered on a study."></definition>
-    </concept>
-    <concept>
-     <code value="on-study-intervention"></code>
-     <display value="On-study-intervention"></display>
-     <definition value="The person is receiving the treatment or participating in an activity (e.g. yoga, diet, etc.) that the study is evaluating."></definition>
-    </concept>
-    <concept>
-     <code value="on-study-observation"></code>
-     <display value="On-study-observation"></display>
-     <definition value="The subject is being evaluated via tests and assessments according to the study calendar, but is not receiving any intervention. Note that this state is study-dependent and might not exist in all studies.  A synonym for this is &quot;short-term follow-up&quot;."></definition>
-    </concept>
-    <concept>
-     <code value="pending-on-study"></code>
-     <display value="Pending on-study"></display>
-     <definition value="A person is pre-registered for a study."></definition>
-    </concept>
-    <concept>
-     <code value="potential-candidate"></code>
-     <display value="Potential Candidate"></display>
-     <definition value="A person that is potentially eligible for participation in the study."></definition>
-    </concept>
-    <concept>
-     <code value="screening"></code>
-     <display value="Screening"></display>
-     <definition value="A person who is being evaluated for eligibility for a study."></definition>
-    </concept>
-    <concept>
-     <code value="withdrawn"></code>
-     <display value="Withdrawn"></display>
-     <definition value="The person has withdrawn their participation in the study before registration."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/document-reference-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="document-reference-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/document-reference-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.8"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DocumentReferenceStatus"></name>
-    <title value="DocumentReferenceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="The status of the document reference."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="current"></code>
-     <display value="Current"></display>
-     <definition value="This is the current reference for this document."></definition>
-    </concept>
-    <concept>
-     <code value="superseded"></code>
-     <display value="Superseded"></display>
-     <definition value="This reference has been superseded by another reference."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This reference was created in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/eligibilityrequest-purpose"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="eligibilityrequest-purpose"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/eligibilityrequest-purpose"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1183"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EligibilityRequestPurpose"></name>
-    <title value="EligibilityRequestPurpose"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code specifying the types of information being requested."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="auth-requirements"></code>
-     <display value="Coverage auth-requirements"></display>
-     <definition value="The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."></definition>
-    </concept>
-    <concept>
-     <code value="benefits"></code>
-     <display value="Coverage benefits"></display>
-     <definition value="The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."></definition>
-    </concept>
-    <concept>
-     <code value="discovery"></code>
-     <display value="Coverage Discovery"></display>
-     <definition value="The insurer is requested to report on any coverages which they are aware of in addition to any specifed."></definition>
-    </concept>
-    <concept>
-     <code value="validation"></code>
-     <display value="Coverage Validation"></display>
-     <definition value="A check that the specified coverages are in-force is requested."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/type-derivation-rule"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="type-derivation-rule"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/type-derivation-rule"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.674"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TypeDerivationRule"></name>
-    <title value="TypeDerivationRule"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a type relates to its baseDefinition."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/type-derivation-rule"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="specialization"></code>
-     <display value="Specialization"></display>
-     <definition value="This definition defines a new type that adds additional elements to the base type."></definition>
-    </concept>
-    <concept>
-     <code value="constraint"></code>
-     <display value="Constraint"></display>
-     <definition value="This definition adds additional rules to an existing concrete type."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-revenue-center"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-revenue-center"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-revenue-center"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1168"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleRevenueCenterCodes"></name>
-    <title value="Example Revenue Center Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Revenue Center codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-revenue-center"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="0010"></code>
-     <display value="Vision Clinic"></display>
-     <definition value="Vision Office or Clinic."></definition>
-    </concept>
-    <concept>
-     <code value="0011"></code>
-     <display value="Dental Clinic"></display>
-     <definition value="Dental Office or Clinic."></definition>
-    </concept>
-    <concept>
-     <code value="1001"></code>
-     <display value="Emergency"></display>
-     <definition value="Emergency Department."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-status-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="device-status-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/device-status-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1082"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FHIRDeviceStatusReason"></name>
-    <title value="FHIRDeviceStatusReason"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The availability status reason of the device."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/device-status-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="online"></code>
-     <display value="Online"></display>
-     <definition value="The device is off."></definition>
-    </concept>
-    <concept>
-     <code value="paused"></code>
-     <display value="Paused"></display>
-     <definition value="The device is paused."></definition>
-    </concept>
-    <concept>
-     <code value="standby"></code>
-     <display value="Standby"></display>
-     <definition value="The device is ready but not actively operating."></definition>
-    </concept>
-    <concept>
-     <code value="offline"></code>
-     <display value="Offline"></display>
-     <definition value="The device is offline."></definition>
-    </concept>
-    <concept>
-     <code value="not-ready"></code>
-     <display value="Not Ready"></display>
-     <definition value="The device is not ready."></definition>
-    </concept>
-    <concept>
-     <code value="transduc-discon"></code>
-     <display value="Transducer Disconnected"></display>
-     <definition value="The device transducer is disconnected."></definition>
-    </concept>
-    <concept>
-     <code value="hw-discon"></code>
-     <display value="Hardware Disconnected"></display>
-     <definition value="The device hardware is disconnected."></definition>
-    </concept>
-    <concept>
-     <code value="off"></code>
-     <display value="Off"></display>
-     <definition value="The device is off."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/assert-response-code-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="assert-response-code-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/assert-response-code-types"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.711"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AssertionResponseTypes"></name>
-    <title value="AssertionResponseTypes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of response code to use for assertion."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/assert-response-code-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="okay"></code>
-     <display value="okay"></display>
-     <definition value="Response code is 200."></definition>
-    </concept>
-    <concept>
-     <code value="created"></code>
-     <display value="created"></display>
-     <definition value="Response code is 201."></definition>
-    </concept>
-    <concept>
-     <code value="noContent"></code>
-     <display value="noContent"></display>
-     <definition value="Response code is 204."></definition>
-    </concept>
-    <concept>
-     <code value="notModified"></code>
-     <display value="notModified"></display>
-     <definition value="Response code is 304."></definition>
-    </concept>
-    <concept>
-     <code value="bad"></code>
-     <display value="bad"></display>
-     <definition value="Response code is 400."></definition>
-    </concept>
-    <concept>
-     <code value="forbidden"></code>
-     <display value="forbidden"></display>
-     <definition value="Response code is 403."></definition>
-    </concept>
-    <concept>
-     <code value="notFound"></code>
-     <display value="notFound"></display>
-     <definition value="Response code is 404."></definition>
-    </concept>
-    <concept>
-     <code value="methodNotAllowed"></code>
-     <display value="methodNotAllowed"></display>
-     <definition value="Response code is 405."></definition>
-    </concept>
-    <concept>
-     <code value="conflict"></code>
-     <display value="conflict"></display>
-     <definition value="Response code is 409."></definition>
-    </concept>
-    <concept>
-     <code value="gone"></code>
-     <display value="gone"></display>
-     <definition value="Response code is 410."></definition>
-    </concept>
-    <concept>
-     <code value="preconditionFailed"></code>
-     <display value="preconditionFailed"></display>
-     <definition value="Response code is 412."></definition>
-    </concept>
-    <concept>
-     <code value="unprocessable"></code>
-     <display value="unprocessable"></display>
-     <definition value="Response code is 422."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/allerg-intol-substance-exp-risk"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="allerg-intol-substance-exp-risk"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/allerg-intol-substance-exp-risk"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1275"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceSubstanceExposureRisk"></name>
-    <title value="AllergyIntoleranceSubstanceExposureRisk"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="known-reaction-risk"></code>
-     <display value="Known Reaction Risk"></display>
-     <definition value="Known risk of allergy or intolerance reaction upon exposure to the specified substance."></definition>
-    </concept>
-    <concept>
-     <code value="no-known-reaction-risk"></code>
-     <display value="No Known Reaction Risk"></display>
-     <definition value="No known risk of allergy or intolerance reaction upon exposure to the specified substance."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-expiration-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-expiration-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-expiration-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1215"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceExpirationTypeCodes"></name>
-    <title value="Contract Resource Expiration Type codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for status."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-expiration-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="breach"></code>
-     <display value="Breach"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-participant-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="report-participant-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/report-participant-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.723"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestReportParticipantType"></name>
-    <title value="TestReportParticipantType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of participant."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/report-participant-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="test-engine"></code>
-     <display value="Test Engine"></display>
-     <definition value="The test execution engine."></definition>
-    </concept>
-    <concept>
-     <code value="client"></code>
-     <display value="Client"></display>
-     <definition value="A FHIR Client."></definition>
-    </concept>
-    <concept>
-     <code value="server"></code>
-     <display value="Server"></display>
-     <definition value="A FHIR Server."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/identifier-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="identifier-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/identifier-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.58"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="IdentifierUse"></name>
-    <title value="IdentifierUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Identifies the purpose for this identifier, if known ."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="usual"></code>
-     <display value="Usual"></display>
-     <definition value="The identifier recommended for display and use in real-world interactions."></definition>
-    </concept>
-    <concept>
-     <code value="official"></code>
-     <display value="Official"></display>
-     <definition value="The identifier considered to be most trusted for the identification of this item. Sometimes also known as &quot;primary&quot; and &quot;main&quot;. The determination of &quot;official&quot; is subjective and implementation guides often provide additional guidelines for use."></definition>
-    </concept>
-    <concept>
-     <code value="temp"></code>
-     <display value="Temp"></display>
-     <definition value="A temporary identifier."></definition>
-    </concept>
-    <concept>
-     <code value="secondary"></code>
-     <display value="Secondary"></display>
-     <definition value="An identifier that was assigned in secondary use - it serves to identify the object in a relative context, but cannot be consistently assigned to the same object again in a different context."></definition>
-    </concept>
-    <concept>
-     <code value="old"></code>
-     <display value="Old"></display>
-     <definition value="The identifier id no longer considered valid, but may be relevant for search purposes.  E.g. Changes to identifier schemes, account merges, etc."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="benefit-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/benefit-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1176"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BenefitTypeCodes"></name>
-    <title value="Benefit Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Benefit type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="benefit"></code>
-     <display value="Benefit"></display>
-     <definition value="Maximum benefit allowable."></definition>
-    </concept>
-    <concept>
-     <code value="deductible"></code>
-     <display value="Deductible"></display>
-     <definition value="Cost to be incurred before benefits are applied"></definition>
-    </concept>
-    <concept>
-     <code value="visit"></code>
-     <display value="Visit"></display>
-     <definition value="Service visit"></definition>
-    </concept>
-    <concept>
-     <code value="room"></code>
-     <display value="Room"></display>
-     <definition value="Type of room"></definition>
-    </concept>
-    <concept>
-     <code value="copay"></code>
-     <display value="Copayment per service"></display>
-     <definition value="Copayment per service"></definition>
-    </concept>
-    <concept>
-     <code value="copay-percent"></code>
-     <display value="Copayment Percent per service"></display>
-     <definition value="Copayment percentage per service"></definition>
-    </concept>
-    <concept>
-     <code value="copay-maximum"></code>
-     <display value="Copayment maximum per service"></display>
-     <definition value="Copayment maximum per service"></definition>
-    </concept>
-    <concept>
-     <code value="vision-exam"></code>
-     <display value="Vision Exam"></display>
-     <definition value="Vision Exam"></definition>
-    </concept>
-    <concept>
-     <code value="vision-glasses"></code>
-     <display value="Vision Glasses"></display>
-     <definition value="Frames and lenses"></definition>
-    </concept>
-    <concept>
-     <code value="vision-contacts"></code>
-     <display value="Vision Contacts Coverage"></display>
-     <definition value="Contact Lenses"></definition>
-    </concept>
-    <concept>
-     <code value="medical-primarycare"></code>
-     <display value="Medical Primary Health Coverage"></display>
-     <definition value="Medical Primary Health Coverage"></definition>
-    </concept>
-    <concept>
-     <code value="pharmacy-dispense"></code>
-     <display value="Pharmacy Dispense Coverage"></display>
-     <definition value="Pharmacy Dispense Coverage"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-comparator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="search-comparator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/search-comparator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.638"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SearchComparator"></name>
-    <title value="SearchComparator"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="What Search Comparator Codes are supported in search."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/search-comparator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="eq"></code>
-     <display value="Equals"></display>
-     <definition value="the value for the parameter in the resource is equal to the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="ne"></code>
-     <display value="Not Equals"></display>
-     <definition value="the value for the parameter in the resource is not equal to the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="gt"></code>
-     <display value="Greater Than"></display>
-     <definition value="the value for the parameter in the resource is greater than the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="lt"></code>
-     <display value="Less Than"></display>
-     <definition value="the value for the parameter in the resource is less than the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="ge"></code>
-     <display value="Greater or Equals"></display>
-     <definition value="the value for the parameter in the resource is greater or equal to the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="le"></code>
-     <display value="Less of Equal"></display>
-     <definition value="the value for the parameter in the resource is less or equal to the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="sa"></code>
-     <display value="Starts After"></display>
-     <definition value="the value for the parameter in the resource starts after the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="eb"></code>
-     <display value="Ends Before"></display>
-     <definition value="the value for the parameter in the resource ends before the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="ap"></code>
-     <display value="Approximately"></display>
-     <definition value="the value for the parameter in the resource is approximately the same to the provided value."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/strand-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="strand-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cg"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/strand-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.986"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="strandType"></name>
-    <title value="strandType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Type for strand."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/strand-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="watson"></code>
-     <display value="Watson strand of referenceSeq"></display>
-     <definition value="Watson strand of reference sequence."></definition>
-    </concept>
-    <concept>
-     <code value="crick"></code>
-     <display value="Crick strand of referenceSeq"></display>
-     <definition value="Crick strand of reference sequence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/rejection-criteria"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="rejection-criteria"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/rejection-criteria"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1260"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RejectionCriterion"></name>
-    <title value="RejectionCriterion"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Criterion for rejection of the specimen by laboratory."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/rejection-criteria"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="hemolized"></code>
-     <display value="hemolized specimen"></display>
-     <definition value="blood specimen hemolized."></definition>
-    </concept>
-    <concept>
-     <code value="insufficient"></code>
-     <display value="insufficient specimen volume"></display>
-     <definition value="insufficient quantity of specimen."></definition>
-    </concept>
-    <concept>
-     <code value="broken"></code>
-     <display value="broken specimen container"></display>
-     <definition value="specimen container broken."></definition>
-    </concept>
-    <concept>
-     <code value="clotted"></code>
-     <display value="specimen clotted"></display>
-     <definition value="specimen clotted."></definition>
-    </concept>
-    <concept>
-     <code value="wrong-temperature"></code>
-     <display value="specimen temperature inappropriate"></display>
-     <definition value="specimen temperature inappropriate."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/detectedissue-severity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="detectedissue-severity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/detectedissue-severity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.207"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DetectedIssueSeverity"></name>
-    <title value="DetectedIssueSeverity"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the potential degree of impact of the identified issue on the patient."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/detectedissue-severity"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="high"></code>
-     <display value="High"></display>
-     <definition value="Indicates the issue may be life-threatening or has the potential to cause permanent injury."></definition>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate"></display>
-     <definition value="Indicates the issue may result in noticeable adverse consequences but is unlikely to be life-threatening or cause permanent injury."></definition>
-    </concept>
-    <concept>
-     <code value="low"></code>
-     <display value="Low"></display>
-     <definition value="Indicates the issue may result in some adverse consequences but is unlikely to substantially affect the situation of the subject."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/hl7-work-group"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="hl7-work-group"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/hl7-work-group"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1277"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="HL7Workgroup"></name>
-    <title value="HL7Workgroup"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="An HL7 administrative unit that owns artifacts in the FHIR specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/hl7-work-group"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="cbcc"></code>
-     <display value="Community Based Collaborative Care"></display>
-     <definition value="Community Based Collaborative Care (http://www.hl7.org/Special/committees/cbcc/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="cds"></code>
-     <display value="Clinical Decision Support"></display>
-     <definition value="Clinical Decision Support (http://www.hl7.org/Special/committees/dss/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="cqi"></code>
-     <display value="Clinical Quality Information"></display>
-     <definition value="Clinical Quality Information (http://www.hl7.org/Special/committees/cqi/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="cg"></code>
-     <display value="Clinical Genomics"></display>
-     <definition value="Clinical Genomics (http://www.hl7.org/Special/committees/clingenomics/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="dev"></code>
-     <display value="Health Care Devices"></display>
-     <definition value="Health Care Devices (http://www.hl7.org/Special/committees/healthcaredevices/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="ehr"></code>
-     <display value="Electronic Health Records"></display>
-     <definition value="Electronic Health Records (http://www.hl7.org/special/committees/ehr/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="fhir"></code>
-     <display value="FHIR Infrastructure"></display>
-     <definition value="FHIR Infrastructure (http://www.hl7.org/Special/committees/fiwg/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="fm"></code>
-     <display value="Financial Management"></display>
-     <definition value="Financial Management (http://www.hl7.org/Special/committees/fm/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="hsi"></code>
-     <display value="Health Standards Integration"></display>
-     <definition value="Health Standards Integration (http://www.hl7.org/Special/committees/hsi/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="ii"></code>
-     <display value="Imaging Integration"></display>
-     <definition value="Imaging Integration (http://www.hl7.org/Special/committees/imagemgt/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="inm"></code>
-     <display value="Infrastructure And Messaging"></display>
-     <definition value="Infrastructure And Messaging (http://www.hl7.org/special/committees/inm/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="its"></code>
-     <display value="Implementable Technology Specifications"></display>
-     <definition value="Implementable Technology Specifications (http://www.hl7.org/special/committees/xml/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="mnm"></code>
-     <display value="Modeling and Methodology"></display>
-     <definition value="Modeling and Methodology (http://www.hl7.org/Special/committees/mnm/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="oo"></code>
-     <display value="Orders and Observations"></display>
-     <definition value="Orders and Observations (http://www.hl7.org/Special/committees/orders/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="pa"></code>
-     <display value="Patient Administration"></display>
-     <definition value="Patient Administration (http://www.hl7.org/Special/committees/pafm/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="pc"></code>
-     <display value="Patient Care"></display>
-     <definition value="Patient Care (http://www.hl7.org/Special/committees/patientcare/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="pher"></code>
-     <display value="Public Health and Emergency Response"></display>
-     <definition value="Public Health and Emergency Response (http://www.hl7.org/Special/committees/pher/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="phx"></code>
-     <display value="Pharmacy"></display>
-     <definition value="Pharmacy (http://www.hl7.org/Special/committees/medication/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="brr"></code>
-     <display value="Biomedical Research and Regulation"></display>
-     <definition value="Biomedical Research and Regulation (http://www.hl7.org/Special/committees/rcrim/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="sd"></code>
-     <display value="Structured Documents"></display>
-     <definition value="Structured Documents (http://www.hl7.org/Special/committees/structure/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="sec"></code>
-     <display value="Security"></display>
-     <definition value="Security (http://www.hl7.org/Special/committees/secure/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="us"></code>
-     <display value="US Realm Taskforce"></display>
-     <definition value="US Realm Taskforce (http://www.hl7.org/Special/committees/usrealm/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="vocab"></code>
-     <display value="Vocabulary"></display>
-     <definition value="Vocabulary (http://www.hl7.org/Special/committees/Vocab/index.cfm)."></definition>
-    </concept>
-    <concept>
-     <code value="aid"></code>
-     <display value="Application Implementation and Design"></display>
-     <definition value="Application Implementation and Design (http://www.hl7.org/Special/committees/java/index.cfm)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/endpoint-connection-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="endpoint-connection-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/endpoint-connection-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1140"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EndpointConnectionType"></name>
-    <title value="Endpoint Connection Type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 Patient Administration"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This is an example value set defined by the FHIR project, that could be used to represent possible connection type profile values."></description>
-    <copyright value="Some content from IHE® Copyright © 2015 IHE International, Inc.    This content is from the IHE Technical Frameworks and Supplements,    available for free download and use at http://www.ihe.net/Technical_Frameworks/"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-connection-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ihe-xcpd"></code>
-     <display value="IHE XCPD"></display>
-     <definition value="IHE Cross Community Patient Discovery Profile (XCPD) - http://wiki.ihe.net/index.php/Cross-Community_Patient_Discovery"></definition>
-    </concept>
-    <concept>
-     <code value="ihe-xca"></code>
-     <display value="IHE XCA"></display>
-     <definition value="IHE Cross Community Access Profile (XCA) - http://wiki.ihe.net/index.php/Cross-Community_Access"></definition>
-    </concept>
-    <concept>
-     <code value="ihe-xdr"></code>
-     <display value="IHE XDR"></display>
-     <definition value="IHE Cross-Enterprise Document Reliable Exchange (XDR) - http://wiki.ihe.net/index.php/Cross-enterprise_Document_Reliable_Interchange"></definition>
-    </concept>
-    <concept>
-     <code value="ihe-xds"></code>
-     <display value="IHE XDS"></display>
-     <definition value="IHE Cross-Enterprise Document Sharing (XDS) - http://wiki.ihe.net/index.php/Cross-Enterprise_Document_Sharing"></definition>
-    </concept>
-    <concept>
-     <code value="ihe-iid"></code>
-     <display value="IHE IID"></display>
-     <definition value="IHE Invoke Image Display (IID) - http://wiki.ihe.net/index.php/Invoke_Image_Display"></definition>
-    </concept>
-    <concept>
-     <code value="dicom-wado-rs"></code>
-     <display value="DICOM WADO-RS"></display>
-     <definition value="DICOMweb RESTful Image Retrieve - http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.5.html"></definition>
-    </concept>
-    <concept>
-     <code value="dicom-qido-rs"></code>
-     <display value="DICOM QIDO-RS"></display>
-     <definition value="DICOMweb RESTful Image query - http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.7.html"></definition>
-    </concept>
-    <concept>
-     <code value="dicom-stow-rs"></code>
-     <display value="DICOM STOW-RS"></display>
-     <definition value="DICOMweb RESTful image sending and storage - http://dicom.nema.org/medical/dicom/current/output/chtml/part18/sect_6.6.html"></definition>
-    </concept>
-    <concept>
-     <code value="dicom-wado-uri"></code>
-     <display value="DICOM WADO-URI"></display>
-     <definition value="DICOMweb Image Retrieve - http://dicom.nema.org/dicom/2013/output/chtml/part18/sect_6.3.html"></definition>
-    </concept>
-    <concept>
-     <code value="hl7-fhir-rest"></code>
-     <display value="HL7 FHIR"></display>
-     <definition value="Interact with the server interface using FHIR's RESTful interface. For details on its version/capabilities you should connect the value in Endpoint.address and retrieve the FHIR CapabilityStatement."></definition>
-    </concept>
-    <concept>
-     <code value="hl7-fhir-msg"></code>
-     <display value="HL7 FHIR Messaging"></display>
-     <definition value="Use the servers FHIR Messaging interface. Details can be found on the messaging.html page in the FHIR Specification. The FHIR server's base address is specified in the Endpoint.address property."></definition>
-    </concept>
-    <concept>
-     <code value="hl7v2-mllp"></code>
-     <display value="HL7 v2 MLLP"></display>
-     <definition value="HL7v2 messages over an LLP TCP connection"></definition>
-    </concept>
-    <concept>
-     <code value="secure-email"></code>
-     <display value="Secure email"></display>
-     <definition value="Email delivery using a digital certificate to encrypt the content using the public key, receiver must have the private key to decrypt the content"></definition>
-    </concept>
-    <concept>
-     <code value="direct-project"></code>
-     <display value="Direct Project"></display>
-     <definition value="Direct Project information - http://wiki.directproject.org/"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/chargeitem-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="chargeitem-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/chargeitem-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.847"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ChargeItemStatus"></name>
-    <title value="ChargeItemStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying the lifecycle stage of a ChargeItem."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="planned"></code>
-     <display value="Planned"></display>
-     <definition value="The charge item has been entered, but the charged service is not  yet complete, so it shall not be billed yet but might be used in the context of pre-authorization."></definition>
-    </concept>
-    <concept>
-     <code value="billable"></code>
-     <display value="Billable"></display>
-     <definition value="The charge item is ready for billing."></definition>
-    </concept>
-    <concept>
-     <code value="not-billable"></code>
-     <display value="Not billable"></display>
-     <definition value="The charge item has been determined to be not billable (e.g. due to rules associated with the billing code)."></definition>
-    </concept>
-    <concept>
-     <code value="aborted"></code>
-     <display value="Aborted"></display>
-     <definition value="The processing of the charge was aborted."></definition>
-    </concept>
-    <concept>
-     <code value="billed"></code>
-     <display value="Billed"></display>
-     <definition value="The charge item has been billed (e.g. a billing engine has generated financial transactions by applying the associated ruled for the charge item to the context of the Encounter, and placed them into Claims/Invoices."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The charge item has been entered in error and should not be processed for billing."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring system does not know which of the status values currently applies for this charge item  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-prim-purp-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-study-prim-purp-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-study-prim-purp-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1250"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchStudyPrimaryPurposeType"></name>
-    <title value="ResearchStudyPrimaryPurposeType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for the main intent of the study."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-prim-purp-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="treatment"></code>
-     <display value="Treatment"></display>
-     <definition value="One or more interventions are being evaluated for treating a disease, syndrome, or condition."></definition>
-    </concept>
-    <concept>
-     <code value="prevention"></code>
-     <display value="Prevention"></display>
-     <definition value="One or more interventions are being assessed for preventing the development of a specific disease or health condition."></definition>
-    </concept>
-    <concept>
-     <code value="diagnostic"></code>
-     <display value="Diagnostic"></display>
-     <definition value="One or more interventions are being evaluated for identifying a disease or health condition."></definition>
-    </concept>
-    <concept>
-     <code value="supportive-care"></code>
-     <display value="Supportive Care"></display>
-     <definition value="One or more interventions are evaluated for maximizing comfort, minimizing side effects, or mitigating against a decline in the participant's health or function."></definition>
-    </concept>
-    <concept>
-     <code value="screening"></code>
-     <display value="Screening"></display>
-     <definition value="One or more interventions are assessed or examined for identifying a condition, or risk factors for a condition, in people who are not yet known to have the condition or risk factor."></definition>
-    </concept>
-    <concept>
-     <code value="health-services-research"></code>
-     <display value="Health Services Research"></display>
-     <definition value="One or more interventions for evaluating the delivery, processes, management, organization, or financing of healthcare."></definition>
-    </concept>
-    <concept>
-     <code value="basic-science"></code>
-     <display value="Basic Science"></display>
-     <definition value="One or more interventions for examining the basic mechanism of action (for example, physiology or biomechanics of an intervention)."></definition>
-    </concept>
-    <concept>
-     <code value="device-feasibility"></code>
-     <display value="Device Feasibility"></display>
-     <definition value="An intervention of a device product is being evaluated to determine the feasibility of the product or to test a prototype device and not health outcomes. Such studies are conducted to confirm the design and operating specifications of a device before beginning a full clinical trial."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/flag-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="flag-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/flag-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1071"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FlagCategory"></name>
-    <title value="Flag Category"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare"></value>
-     </telecom>
-    </contact>
-    <description value="Example list of general categories for flagged issues. (Not complete or necessarily appropriate.)"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/flag-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="diet"></code>
-     <display value="Diet"></display>
-     <definition value="Flags related to the subject's dietary needs."></definition>
-    </concept>
-    <concept>
-     <code value="drug"></code>
-     <display value="Drug"></display>
-     <definition value="Flags related to the subject's medications."></definition>
-    </concept>
-    <concept>
-     <code value="lab"></code>
-     <display value="Lab"></display>
-     <definition value="Flags related to performing laboratory tests and related processes (e.g. phlebotomy)."></definition>
-    </concept>
-    <concept>
-     <code value="admin"></code>
-     <display value="Administrative"></display>
-     <definition value="Flags related to administrative and financial processes."></definition>
-    </concept>
-    <concept>
-     <code value="contact"></code>
-     <display value="Subject Contact"></display>
-     <definition value="Flags related to coming into contact with the patient."></definition>
-    </concept>
-    <concept>
-     <code value="clinical"></code>
-     <display value="Clinical"></display>
-     <definition value="Flags related to the subject's clinical data."></definition>
-    </concept>
-    <concept>
-     <code value="behavioral"></code>
-     <display value="Behavioral"></display>
-     <definition value="Flags related to behavior."></definition>
-    </concept>
-    <concept>
-     <code value="research"></code>
-     <display value="Research"></display>
-     <definition value="Flags related to research."></definition>
-    </concept>
-    <concept>
-     <code value="advance-directive"></code>
-     <display value="Advance Directive"></display>
-     <definition value="Flags related to subject's advance directives."></definition>
-    </concept>
-    <concept>
-     <code value="safety"></code>
-     <display value="Safety"></display>
-     <definition value="Flags related to safety precautions."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="device-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/device-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.210"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FHIRDeviceStatus"></name>
-    <title value="FHIRDeviceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The availability status of the device."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/device-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The device is available for use.  Note: For *implanted devices*  this means that the device is implanted in the patient."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The device is no longer available for use (e.g. lost, expired, damaged).  Note: For *implanted devices*  this means that the device has been removed from the patient."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The device was entered in error and voided."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The status of the device has not been determined."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-careteamrole"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-careteamrole"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/claimcareteamrole"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1165"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClaimCareTeamRoleCodes"></name>
-    <title value="Claim Care Team Role Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Claim Care Team Role codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-careteamrole"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="primary"></code>
-     <display value="Primary provider"></display>
-     <definition value="The primary care provider."></definition>
-    </concept>
-    <concept>
-     <code value="assist"></code>
-     <display value="Assisting Provider"></display>
-     <definition value="Assisting care provider."></definition>
-    </concept>
-    <concept>
-     <code value="supervisor"></code>
-     <display value="Supervising Provider"></display>
-     <definition value="Supervising care provider."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other role on the care team."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/expansion-parameter-source"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="expansion-parameter-source"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/expansion-parameter-source"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1279"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExpansionParameterSource"></name>
-    <title value="ExpansionParameterSource"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Declares what the source of a parameter is."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/expansion-parameter-source"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="input"></code>
-     <display value="Client Input"></display>
-     <definition value="The parameter was supplied by the client in the $expand request."></definition>
-    </concept>
-    <concept>
-     <code value="server"></code>
-     <display value="Server Engine"></display>
-     <definition value="The parameter was added by the expansion engine on the server."></definition>
-    </concept>
-    <concept>
-     <code value="codesystem"></code>
-     <display value="Code System"></display>
-     <definition value="The parameter was added from one the code systems used in the $expand operation."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/action-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1246"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionType"></name>
-    <title value="ActionType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of action to be performed."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="create"></code>
-     <display value="Create"></display>
-     <definition value="The action is to create a new resource."></definition>
-    </concept>
-    <concept>
-     <code value="update"></code>
-     <display value="Update"></display>
-     <definition value="The action is to update an existing resource."></definition>
-    </concept>
-    <concept>
-     <code value="remove"></code>
-     <display value="Remove"></display>
-     <definition value="The action is to remove an existing resource."></definition>
-    </concept>
-    <concept>
-     <code value="fire-event"></code>
-     <display value="Fire Event"></display>
-     <definition value="The action is to fire a specific event."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-diet"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-diet"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/diet"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1091"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Diet"></name>
-    <title value="Diet"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to indicate dietary preferences or restrictions a patient may have."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-diet"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="vegetarian"></code>
-     <display value="Vegetarian"></display>
-     <definition value="Food without meat, poultry or seafood."></definition>
-    </concept>
-    <concept>
-     <code value="dairy-free"></code>
-     <display value="Dairy Free"></display>
-     <definition value="Excludes dairy products."></definition>
-    </concept>
-    <concept>
-     <code value="nut-free"></code>
-     <display value="Nut Free"></display>
-     <definition value="Excludes ingredients containing nuts."></definition>
-    </concept>
-    <concept>
-     <code value="gluten-free"></code>
-     <display value="Gluten Free"></display>
-     <definition value="Excludes ingredients containing gluten."></definition>
-    </concept>
-    <concept>
-     <code value="vegan"></code>
-     <display value="Vegan"></display>
-     <definition value="Food without meat, poultry, seafood, eggs, dairy products and other animal-derived substances."></definition>
-    </concept>
-    <concept>
-     <code value="halal"></code>
-     <display value="Halal"></display>
-     <definition value="Foods that conform to Islamic law."></definition>
-    </concept>
-    <concept>
-     <code value="kosher"></code>
-     <display value="Kosher"></display>
-     <definition value="Foods that conform to Jewish dietary law."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/linkage-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="linkage-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/linkage-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.315"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LinkageType"></name>
-    <title value="LinkageType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Used to distinguish different roles a resource can play within a set of linked resources."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/linkage-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="source"></code>
-     <display value="Source of Truth"></display>
-     <definition value="The resource represents the &quot;source of truth&quot; (from the perspective of this Linkage resource) for the underlying event/condition/etc."></definition>
-    </concept>
-    <concept>
-     <code value="alternate"></code>
-     <display value="Alternate Record"></display>
-     <definition value="The resource represents an alternative view of the underlying event/condition/etc.  The resource may still be actively maintained, even though it is not considered to be the source of truth."></definition>
-    </concept>
-    <concept>
-     <code value="historical"></code>
-     <display value="Historical/Obsolete Record"></display>
-     <definition value="The resource represents an obsolete record of the underlying event/condition/etc.  It is not expected to be actively maintained."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-population"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-population"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/measure-population"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1231"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasurePopulationType"></name>
-    <title value="MeasurePopulationType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of population."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-population"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="initial-population"></code>
-     <display value="Initial Population"></display>
-     <definition value="The initial population refers to all patients or events to be evaluated by a quality measure involving patients who share a common set of specified characterstics. All patients or events counted (for example, as numerator, as denominator) are drawn from the initial population."></definition>
-    </concept>
-    <concept>
-     <code value="numerator"></code>
-     <display value="Numerator"></display>
-     <definition value="The upper portion of a fraction used to calculate a rate, proportion, or ratio. Also called the measure focus, it is the target process, condition, event, or outcome. Numerator criteria are the processes or outcomes expected for each patient, or event defined in the denominator. A numerator statement describes the clinical action that satisfies the conditions of the measure."></definition>
-    </concept>
-    <concept>
-     <code value="numerator-exclusion"></code>
-     <display value="Numerator Exclusion"></display>
-     <definition value="Numerator exclusion criteria define patients or events to be removed from the numerator. Numerator exclusions are used in proportion and ratio measures to help narrow the numerator (for inverted measures)."></definition>
-    </concept>
-    <concept>
-     <code value="denominator"></code>
-     <display value="Denominator"></display>
-     <definition value="The lower portion of a fraction used to calculate a rate, proportion, or ratio. The denominator can be the same as the initial population, or a subset of the initial population to further constrain the population for the purpose of the measure."></definition>
-    </concept>
-    <concept>
-     <code value="denominator-exclusion"></code>
-     <display value="Denominator Exclusion"></display>
-     <definition value="Denominator exclusion criteria define patients or events that should be removed from the denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator. For example, patients with bilateral lower extremity amputations would be listed as a denominator exclusion for a measure requiring foot exams."></definition>
-    </concept>
-    <concept>
-     <code value="denominator-exception"></code>
-     <display value="Denominator Exception"></display>
-     <definition value="Denominator exceptions are conditions that should remove a patient or event from the denominator of a measure only if the numerator criteria are not met. Denominator exception allows for adjustment of the calculated score for those providers with higher risk populations. Denominator exception criteria are only used in proportion measures."></definition>
-    </concept>
-    <concept>
-     <code value="measure-population"></code>
-     <display value="Measure Population"></display>
-     <definition value="Measure population criteria define the patients or events for which the individual observation for the measure should be taken. Measure populations are used for continuous variable measures rather than numerator and denominator criteria."></definition>
-    </concept>
-    <concept>
-     <code value="measure-population-exclusion"></code>
-     <display value="Measure Population Exclusion"></display>
-     <definition value="Measure population criteria define the patients or events that should be removed from the measure population before determining the outcome of one or more continuous variables defined for the measure observation. Measure population exclusion criteria are used within continuous variable measures to help narrow the measure population."></definition>
-    </concept>
-    <concept>
-     <code value="measure-observation"></code>
-     <display value="Measure Observation"></display>
-     <definition value="Defines the individual observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/handling-condition"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="handling-condition"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/handling-condition"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1259"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="HandlingConditionSet"></name>
-    <title value="HandlingConditionSet"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Set of handling instructions prior testing of the specimen."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/handling-condition"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="room"></code>
-     <display value="room temperature"></display>
-     <definition value="room temperature."></definition>
-    </concept>
-    <concept>
-     <code value="refrigerated"></code>
-     <display value="refrigerated"></display>
-     <definition value="refrigerated temperature."></definition>
-    </concept>
-    <concept>
-     <code value="frozen"></code>
-     <display value="frozen"></display>
-     <definition value="frozen temperature."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/plan-definition-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="plan-definition-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/plan-definition-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1245"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PlanDefinitionType"></name>
-    <title value="PlanDefinitionType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of PlanDefinition."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/plan-definition-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="order-set"></code>
-     <display value="Order Set"></display>
-     <definition value="A pre-defined and approved group of orders related to a particular clinical condition (e.g. hypertension treatment and monitoring) or stage of care (e.g. hospital admission to Coronary Care Unit). An order set is used as a checklist for the clinician when managing a patient with a specific condition. It is a structured collection of orders relevant to that condition and presented to the clinician in a computerized provider order entry (CPOE) system."></definition>
-    </concept>
-    <concept>
-     <code value="clinical-protocol"></code>
-     <display value="Clinical Protocol"></display>
-     <definition value="Defines a desired/typical sequence of clinical activities including preconditions, triggers and temporal relationships."></definition>
-    </concept>
-    <concept>
-     <code value="eca-rule"></code>
-     <display value="ECA Rule"></display>
-     <definition value="A decision support rule of the form [on Event] if Condition then Action. It is intended to be a shareable, computable definition of actions that should be taken whenever some condition is met in response to a particular event or events."></definition>
-    </concept>
-    <concept>
-     <code value="workflow-definition"></code>
-     <display value="Workflow Definition"></display>
-     <definition value="Defines the steps for a group of one or more systems in an event flow process along with the step constraints, sequence, pre-conditions and decision points to complete a particular objective."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/missing-tooth-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="missing-tooth-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/missingtoothreason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1150"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MissingToothReasonCodes"></name>
-    <title value="Missing Tooth Reason Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Missing Tooth Reason codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/missing-tooth-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="e"></code>
-     <display value="E"></display>
-     <definition value="Extraction"></definition>
-    </concept>
-    <concept>
-     <code value="c"></code>
-     <display value="C"></display>
-     <definition value="Congenital"></definition>
-    </concept>
-    <concept>
-     <code value="u"></code>
-     <display value="U"></display>
-     <definition value="Unknown"></definition>
-    </concept>
-    <concept>
-     <code value="o"></code>
-     <display value="O"></display>
-     <definition value="Other"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-xpath-usage"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="search-xpath-usage"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/search-xpath-usage"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.636"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="XPathUsageType"></name>
-    <title value="XPathUsageType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How a search parameter relates to the set of elements returned by evaluating its xpath query."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/search-xpath-usage"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="normal"></code>
-     <display value="Normal"></display>
-     <definition value="The search parameter is derived directly from the selected nodes based on the type definitions."></definition>
-    </concept>
-    <concept>
-     <code value="phonetic"></code>
-     <display value="Phonetic"></display>
-     <definition value="The search parameter is derived by a phonetic transform from the selected nodes."></definition>
-    </concept>
-    <concept>
-     <code value="nearby"></code>
-     <display value="Nearby"></display>
-     <definition value="The search parameter is based on a spatial transform of the selected nodes."></definition>
-    </concept>
-    <concept>
-     <code value="distance"></code>
-     <display value="Distance"></display>
-     <definition value="The search parameter is based on a spatial transform of the selected nodes, using physical distance from the middle."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="The interpretation of the xpath statement is unknown (and can't be automated)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-operator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-operator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/subscription-operator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1434"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionFilterByMatchType"></name>
-    <title value="SubscriptionFilterByMatchType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Operator to apply to filter label."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-operator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="="></code>
-     <display value="="></display>
-     <definition value="Used to match a value according to FHIR Search rules (e.g., Patient/123, Encounter/2002)."></definition>
-    </concept>
-    <concept>
-     <code value="in"></code>
-     <display value="in"></display>
-     <definition value="The key value in the topic stream is an active members of the reference set identified by the concept provided as the filter value."></definition>
-    </concept>
-    <concept>
-     <code value="not-in"></code>
-     <display value="not-in"></display>
-     <definition value="The key value in the topic stream is NOT an active members of the reference set identified by the concept provided as the filter value."></definition>
-    </concept>
-    <concept>
-     <code value="above"></code>
-     <display value="above"></display>
-     <definition value="The key value is subsumes the value in the filter value."></definition>
-    </concept>
-    <concept>
-     <code value="below"></code>
-     <display value="below"></display>
-     <definition value="The key value is subsumed by the value in the filter value."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-diagnosisrelatedgroup"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-diagnosisrelatedgroup"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1166"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleDiagnosisRelatedGroupCodes"></name>
-    <title value="Example Diagnosis Related Group Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes example Diagnosis Related Group codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="100"></code>
-     <display value="Normal Vaginal Delivery"></display>
-     <definition value="Normal Vaginal Delivery."></definition>
-    </concept>
-    <concept>
-     <code value="101"></code>
-     <display value="Appendectomy - uncomplicated"></display>
-     <definition value="Appendectomy without rupture or other complications."></definition>
-    </concept>
-    <concept>
-     <code value="300"></code>
-     <display value="Tooth abscess"></display>
-     <definition value="Emergency department treatment of a tooth abscess."></definition>
-    </concept>
-    <concept>
-     <code value="400"></code>
-     <display value="Head trauma - concussion"></display>
-     <definition value="Head trauma - concussion."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-pharmacy"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-pharmacy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/ex-pharmaservice"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.563"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExamplePharmacyServiceCodes"></name>
-    <title value="Example Pharmacy Service Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Pharmacy Service codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-pharmacy"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="smokecess"></code>
-     <display value="Smoking cessation"></display>
-     <definition value="Smoking cessation"></definition>
-    </concept>
-    <concept>
-     <code value="flushot"></code>
-     <display value="Flu Shot"></display>
-     <definition value="Flu Shot"></definition>
-    </concept>
-    <concept>
-     <code value="drugcost"></code>
-     <display value="Drug Cost"></display>
-     <definition value="The wholesale price of the medication."></definition>
-    </concept>
-    <concept>
-     <code value="markup"></code>
-     <display value="Markup"></display>
-     <definition value="The additional cost assessed on the drug."></definition>
-    </concept>
-    <concept>
-     <code value="dispensefee"></code>
-     <display value="Dispense Fee"></display>
-     <definition value="The professional fee charged for dispensing the product or service."></definition>
-    </concept>
-    <concept>
-     <code value="compoundfee"></code>
-     <display value="Compounding Fee"></display>
-     <definition value="The professional fee charged for compounding the medication."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/bundle-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="bundle-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/bundle-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.621"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="BundleType"></name>
-    <title value="BundleType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the purpose of a bundle - how it is intended to be used."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/bundle-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="document"></code>
-     <display value="Document"></display>
-     <definition value="The bundle is a document. The first resource is a Composition."></definition>
-    </concept>
-    <concept>
-     <code value="message"></code>
-     <display value="Message"></display>
-     <definition value="The bundle is a message. The first resource is a MessageHeader."></definition>
-    </concept>
-    <concept>
-     <code value="transaction"></code>
-     <display value="Transaction"></display>
-     <definition value="The bundle is a transaction - intended to be processed by a server as an atomic commit."></definition>
-    </concept>
-    <concept>
-     <code value="transaction-response"></code>
-     <display value="Transaction Response"></display>
-     <definition value="The bundle is a transaction response. Because the response is a transaction response, the transaction has succeeded, and all responses are error free."></definition>
-    </concept>
-    <concept>
-     <code value="batch"></code>
-     <display value="Batch"></display>
-     <definition value="The bundle is a set of actions - intended to be processed by a server as a group of independent actions."></definition>
-    </concept>
-    <concept>
-     <code value="batch-response"></code>
-     <display value="Batch Response"></display>
-     <definition value="The bundle is a batch response. Note that as a batch, some responses may indicate failure and others success."></definition>
-    </concept>
-    <concept>
-     <code value="history"></code>
-     <display value="History List"></display>
-     <definition value="The bundle is a list of resources from a history interaction on a server."></definition>
-    </concept>
-    <concept>
-     <code value="searchset"></code>
-     <display value="Search Results"></display>
-     <definition value="The bundle is a list of resources returned as a result of a search/query interaction, operation, or message."></definition>
-    </concept>
-    <concept>
-     <code value="collection"></code>
-     <display value="Collection"></display>
-     <definition value="The bundle is a set of resources collected into a single package for ease of distribution that imposes no processing obligations or behavioral rules beyond persistence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-actorrole"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-actorrole"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contractactorrole"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1203"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractActorRoleCodes"></name>
-    <title value="Contract Actor Role Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="CBCC"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Contract Actor Role codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-actorrole"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="practitioner"></code>
-     <display value="Practitioner"></display>
-     <definition value="Someone who provides health care related services to people or animals including both clinical and support services."></definition>
-    </concept>
-    <concept>
-     <code value="patient"></code>
-     <display value="Patient"></display>
-     <definition value="A receiver, human or animal, of health care related goods and services."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-action"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-action"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/consentaction"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1227"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentActionCodes"></name>
-    <title value="Consent Action Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="CBCC"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Consent Action codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-action"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="collect"></code>
-     <display value="Collect"></display>
-     <definition value="Gather retrieved information for storage"></definition>
-    </concept>
-    <concept>
-     <code value="access"></code>
-     <display value="Access"></display>
-     <definition value="Retrieval without permitting collection, use or disclosure. e.g., no screen-scraping for collection, use or disclosure (view-only access)"></definition>
-    </concept>
-    <concept>
-     <code value="use"></code>
-     <display value="Use"></display>
-     <definition value="Utilize the retrieved information"></definition>
-    </concept>
-    <concept>
-     <code value="disclose"></code>
-     <display value="Disclose"></display>
-     <definition value="Transfer retrieved information"></definition>
-    </concept>
-    <concept>
-     <code value="correct"></code>
-     <display value="Access and Correct"></display>
-     <definition value="Allow retrieval of a patient's information for the purpose of update or rectify"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-admin-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medication-admin-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medication-admin-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1111"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationAdministration Category Codes"></name>
-    <title value="Medication administration  category  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationAdministration Category Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="inpatient"></code>
-     <display value="Inpatient"></display>
-     <definition value="Includes administrations in an inpatient or acute care setting"></definition>
-    </concept>
-    <concept>
-     <code value="outpatient"></code>
-     <display value="Outpatient"></display>
-     <definition value="Includes administrations in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
-    </concept>
-    <concept>
-     <code value="community"></code>
-     <display value="Community"></display>
-     <definition value="Includes administrations by the patient in their home (this would include long term care or nursing homes, hospices, etc.)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-grouping-behavior"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-grouping-behavior"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-grouping-behavior"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.800"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionGroupingBehavior"></name>
-    <title value="ActionGroupingBehavior"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines organization behavior of a group."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-grouping-behavior"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="visual-group"></code>
-     <display value="Visual Group"></display>
-     <definition value="Any group marked with this behavior should be displayed as a visual group to the end user."></definition>
-    </concept>
-    <concept>
-     <code value="logical-group"></code>
-     <display value="Logical Group"></display>
-     <definition value="A group with this behavior logically groups its sub-elements, and may be shown as a visual group to the end user, but it is not required to do so."></definition>
-    </concept>
-    <concept>
-     <code value="sentence-group"></code>
-     <display value="Sentence Group"></display>
-     <definition value="A group of related alternative actions is a sentence group if the target referenced by the action is the same in all the actions and each action simply constitutes a different variation on how to specify the details for the target. For example, two actions that could be in a SentenceGroup are &quot;aspirin, 500 mg, 2 times per day&quot; and &quot;aspirin, 300 mg, 3 times per day&quot;. In both cases, aspirin is the target referenced by the action, and the two actions represent different options for how aspirin might be ordered for the patient. Note that a SentenceGroup would almost always have an associated selection behavior of &quot;AtMostOne&quot;, unless it's a required action, in which case, it would be &quot;ExactlyOne&quot;."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogentry-relation-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="catalogentry-relation-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/catalogentry-relation-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1446"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CatalogEntryRelationType"></name>
-    <title value="CatalogEntryRelationType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Types of relationships between entries."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-relation-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="triggers"></code>
-     <display value="Triggers"></display>
-     <definition value="Depending on the context, the item of the related catalog entry may be added by the performer."></definition>
-    </concept>
-    <concept>
-     <code value="is-replaced-by"></code>
-     <display value="Is replaced by"></display>
-     <definition value="the related catalog entry supersedes this one when it is not active."></definition>
-    </concept>
-    <concept>
-     <code value="excludes"></code>
-     <display value="Excludes"></display>
-     <definition value="The related catalog entry is excluded by this one."></definition>
-    </concept>
-    <concept>
-     <code value="includes"></code>
-     <display value="Includes"></display>
-     <definition value="The item of the related catalog entry  will be part of the orders containing the current item."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-exception"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-exception"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/claim-exception"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1162"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExceptionCodes"></name>
-    <title value="Exception Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Exception codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-exception"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="student"></code>
-     <display value="Student (Fulltime)"></display>
-     <definition value="Fulltime Student"></definition>
-    </concept>
-    <concept>
-     <code value="disabled"></code>
-     <display value="Disabled"></display>
-     <definition value="Disabled"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-model-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-model-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-model-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.676"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapModelMode"></name>
-    <title value="StructureMapModelMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How the referenced structure is used in this mapping."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-model-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="source"></code>
-     <display value="Source Structure Definition"></display>
-     <definition value="This structure describes an instance passed to the mapping engine that is used a source of data."></definition>
-    </concept>
-    <concept>
-     <code value="queried"></code>
-     <display value="Queried Structure Definition"></display>
-     <definition value="This structure describes an instance that the mapping engine may ask for that is used a source of data."></definition>
-    </concept>
-    <concept>
-     <code value="target"></code>
-     <display value="Target Structure Definition"></display>
-     <definition value="This structure describes an instance passed to the mapping engine that is used a target of data."></definition>
-    </concept>
-    <concept>
-     <code value="produced"></code>
-     <display value="Produced Structure Definition"></display>
-     <definition value="This structure describes an instance that the mapping engine may ask to create that is used a target of data."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-funding-source"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-funding-source"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-funding-source"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1100"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationFundingSource"></name>
-    <title value="Immunization Funding Source"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
-     </telecom>
-    </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the source of the vaccine administered. This value set is provided as a suggestive example."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-funding-source"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="private"></code>
-     <display value="Private"></display>
-     <definition value="The vaccine was purchased with private funds."></definition>
-    </concept>
-    <concept>
-     <code value="public"></code>
-     <display value="Public"></display>
-     <definition value="The vaccine was purchased with public funds."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/nutrition-intake-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="nutrition-intake-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/nutrition-intake-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1429"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NutritionIntake Status Codes"></name>
-    <title value="Nutrition intake  status  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="NutritionIntake Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/nutrition-intake-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The nutrition is still being taken."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The nutrition is no longer being taken."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Some of the actions that are implied by the nutrition usage may have occurred.  For example, the patient may have taken some of the nutrition.  Clinical decision support systems should take this status into account."></definition>
-    </concept>
-    <concept>
-     <code value="intended"></code>
-     <display value="Intended"></display>
-     <definition value="The nutrition may be taken at some time in the future."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="Actions implied by the usage have been permanently halted, before all of them occurred. This should not be used if the statement was entered in error."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="Actions implied by the usage have been temporarily halted, but are expected to continue later. May also be called 'suspended'."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The state of the nutrition use is not currently known."></definition>
-    </concept>
-    <concept>
-     <code value="not-taken"></code>
-     <display value="Not Taken"></display>
-     <definition value="The nutrition was not consumed by the patient"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/imagingstudy-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="imagingstudy-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="ii"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/imagingstudy-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.991"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImagingStudyStatus"></name>
-    <title value="ImagingStudyStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of the ImagingStudy."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="registered"></code>
-     <display value="Registered"></display>
-     <definition value="The existence of the imaging study is registered, but there is nothing yet available."></definition>
-    </concept>
-    <concept>
-     <code value="available"></code>
-     <display value="Available"></display>
-     <definition value="At least one instance has been associated with this imaging study."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The imaging study is unavailable because the imaging study was not started or not completed (also sometimes called &quot;aborted&quot;)."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The imaging study has been withdrawn following a previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.)."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The system does not know which of the status values currently applies for this request. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/observation-statistics"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="observation-statistics"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/observation-statistics"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1126"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticsCode"></name>
-    <title value="StatisticsCode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The statistical operation parameter -&quot;statistic&quot; codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/observation-statistics"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="average"></code>
-     <display value="Average"></display>
-     <definition value="The [mean](https://en.wikipedia.org/wiki/Arithmetic_mean) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="maximum"></code>
-     <display value="Maximum"></display>
-     <definition value="The [maximum](https://en.wikipedia.org/wiki/Maximal_element) value of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="minimum"></code>
-     <display value="Minimum"></display>
-     <definition value="The [minimum](https://en.wikipedia.org/wiki/Minimal_element) value of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="count"></code>
-     <display value="Count"></display>
-     <definition value="The [number] of valid measurements over the stated period that contributed to the other statistical outputs."></definition>
-    </concept>
-    <concept>
-     <code value="total-count"></code>
-     <display value="Total Count"></display>
-     <definition value="The total [number] of valid measurements over the stated period, including observations that were ignored because they did not contain valid result values."></definition>
-    </concept>
-    <concept>
-     <code value="median"></code>
-     <display value="Median"></display>
-     <definition value="The [median](https://en.wikipedia.org/wiki/Median) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="std-dev"></code>
-     <display value="Standard Deviation"></display>
-     <definition value="The [standard deviation](https://en.wikipedia.org/wiki/Standard_deviation) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="sum"></code>
-     <display value="Sum"></display>
-     <definition value="The [sum](https://en.wikipedia.org/wiki/Summation) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="variance"></code>
-     <display value="Variance"></display>
-     <definition value="The [variance](https://en.wikipedia.org/wiki/Variance) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="20-percent"></code>
-     <display value="20th Percentile"></display>
-     <definition value="The 20th [Percentile](https://en.wikipedia.org/wiki/Percentile) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="80-percent"></code>
-     <display value="80th Percentile"></display>
-     <definition value="The 80th [Percentile](https://en.wikipedia.org/wiki/Percentile) of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="4-lower"></code>
-     <display value="Lower Quartile"></display>
-     <definition value="The lower [Quartile](https://en.wikipedia.org/wiki/Quartile) Boundary of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="4-upper"></code>
-     <display value="Upper Quartile"></display>
-     <definition value="The upper [Quartile](https://en.wikipedia.org/wiki/Quartile) Boundary of N measurements over the stated period."></definition>
-    </concept>
-    <concept>
-     <code value="4-dev"></code>
-     <display value="Quartile Deviation"></display>
-     <definition value="The difference between the upper and lower [Quartiles](https://en.wikipedia.org/wiki/Quartile) is called the Interquartile range. (IQR = Q3-Q1) Quartile deviation or Semi-interquartile range is one-half the difference between the first and the third quartiles."></definition>
-    </concept>
-    <concept>
-     <code value="5-1"></code>
-     <display value="1st Quintile"></display>
-     <definition value="The lowest of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
-    </concept>
-    <concept>
-     <code value="5-2"></code>
-     <display value="2nd Quintile"></display>
-     <definition value="The second of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
-    </concept>
-    <concept>
-     <code value="5-3"></code>
-     <display value="3rd Quintile"></display>
-     <definition value="The third of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
-    </concept>
-    <concept>
-     <code value="5-4"></code>
-     <display value="4th Quintile"></display>
-     <definition value="The fourth of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population."></definition>
-    </concept>
-    <concept>
-     <code value="skew"></code>
-     <display value="Skew"></display>
-     <definition value="Skewness is a measure of the asymmetry of the probability distribution of a real-valued random variable about its mean. The skewness value can be positive or negative, or even undefined.  Source: [Wikipedia](https://en.wikipedia.org/wiki/Skewness)."></definition>
-    </concept>
-    <concept>
-     <code value="kurtosis"></code>
-     <display value="Kurtosis"></display>
-     <definition value="Kurtosis  is a measure of the &quot;tailedness&quot; of the probability distribution of a real-valued random variable.   Source: [Wikipedia](https://en.wikipedia.org/wiki/Kurtosis)."></definition>
-    </concept>
-    <concept>
-     <code value="regression"></code>
-     <display value="Regression"></display>
-     <definition value="Linear regression is an approach for modeling two-dimensional sample points with one independent variable and one dependent variable (conventionally, the x and y coordinates in a Cartesian coordinate system) and finds a linear function (a non-vertical straight line) that, as accurately as possible, predicts the dependent variable values as a function of the independent variables. Source: [Wikipedia](https://en.wikipedia.org/wiki/Simple_linear_regression)  This Statistic code will return both a gradient and an intercept value."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="condition-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/condition-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1073"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionCategoryCodes"></name>
-    <title value="Condition Category Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Preferred value set for Condition Categories."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="problem-list-item"></code>
-     <display value="Problem List Item"></display>
-     <definition value="An item on a problem list that can be managed over time and can be expressed by a practitioner (e.g. physician, nurse), patient, or related person."></definition>
-    </concept>
-    <concept>
-     <code value="encounter-diagnosis"></code>
-     <display value="Encounter Diagnosis"></display>
-     <definition value="A point in time diagnosis (e.g. from a physician or nurse) in context of an encounter."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-admit-source"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-admit-source"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/admit-source"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1092"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdmitSource"></name>
-    <title value="Admit source"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to indicate from where the patient came in."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-admit-source"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="hosp-trans"></code>
-     <display value="Transferred from other hospital"></display>
-     <definition value="The Patient has been transferred from another hospital for this encounter."></definition>
-    </concept>
-    <concept>
-     <code value="emd"></code>
-     <display value="From accident/emergency department"></display>
-     <definition value="The patient has been transferred from the emergency department within the hospital. This is typically used in the transition to an inpatient encounter"></definition>
-    </concept>
-    <concept>
-     <code value="outp"></code>
-     <display value="From outpatient department"></display>
-     <definition value="The patient has been transferred from an outpatient department within the hospital."></definition>
-    </concept>
-    <concept>
-     <code value="born"></code>
-     <display value="Born in hospital"></display>
-     <definition value="The patient is a newborn and the encounter will track the baby related activities (as opposed to the Mothers encounter - that may be associated using the newborn encounters partof property)"></definition>
-    </concept>
-    <concept>
-     <code value="gp"></code>
-     <display value="General Practitioner referral"></display>
-     <definition value="The patient has been admitted due to a referred from a General Practitioner."></definition>
-    </concept>
-    <concept>
-     <code value="mp"></code>
-     <display value="Medical Practitioner/physician referral"></display>
-     <definition value="The patient has been admitted due to a referred from a Specialist (as opposed to a General Practitioner)."></definition>
-    </concept>
-    <concept>
-     <code value="nursing"></code>
-     <display value="From nursing home"></display>
-     <definition value="The patient has been transferred from a nursing home."></definition>
-    </concept>
-    <concept>
-     <code value="psych"></code>
-     <display value="From psychiatric hospital"></display>
-     <definition value="The patient has been transferred from a psychiatric facility."></definition>
-    </concept>
-    <concept>
-     <code value="rehab"></code>
-     <display value="From rehabilitation facility"></display>
-     <definition value="The patient has been transferred from a rehabilitation facility or clinic."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="The patient has been admitted from a source otherwise not specified here."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/composition-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="composition-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/composition-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.242"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CompositionStatus"></name>
-    <title value="CompositionStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The workflow/clinical status of the composition."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/composition-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="preliminary"></code>
-     <display value="Preliminary"></display>
-     <definition value="This is a preliminary composition or document (also known as initial or interim). The content may be incomplete or unverified."></definition>
-    </concept>
-    <concept>
-     <code value="final"></code>
-     <display value="Final"></display>
-     <definition value="This version of the composition is complete and verified by an appropriate person and no further work is planned. Any subsequent updates would be on a new version of the composition."></definition>
-    </concept>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="The composition content or the referenced resources have been modified (edited or added to) subsequent to being released as &quot;final&quot; and the composition is complete and verified by an authorized person."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The composition or document was originally created/issued in error, and this is an amendment that marks that the entire series should not be considered as valid."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/procedure-progress-status-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="procedure-progress-status-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/procedure-progress-status-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.947"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ProcedureProgressStatusCodes"></name>
-    <title value="Procedure Progress Status Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the procedure performance process."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/procedure-progress-status-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in-operating-room"></code>
-     <display value="In Operating Room"></display>
-     <definition value="A patient is in the Operating Room."></definition>
-    </concept>
-    <concept>
-     <code value="prepared"></code>
-     <display value="Prepared"></display>
-     <definition value="The patient is prepared for a procedure."></definition>
-    </concept>
-    <concept>
-     <code value="anesthesia-induced"></code>
-     <display value="Anesthesia Induced"></display>
-     <definition value="The patient is under anesthesia."></definition>
-    </concept>
-    <concept>
-     <code value="open-incision"></code>
-     <display value="Open Incision"></display>
-     <definition value="The patient has open incision(s)."></definition>
-    </concept>
-    <concept>
-     <code value="closed-incision"></code>
-     <display value="Closed Incision"></display>
-     <definition value="The patient has incision(s) closed."></definition>
-    </concept>
-    <concept>
-     <code value="in-recovery-room"></code>
-     <display value="In Recovery Room"></display>
-     <definition value="The patient is in the recovery room."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/implantStatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="implantStatus"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/implantStatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1283"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Implant Status"></name>
-    <title value="Implant Status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A set codes that define the functional status of an implanted device."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/implantStatus"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="functional"></code>
-     <display value="Functional"></display>
-     <definition value="The implanted device is working normally."></definition>
-    </concept>
-    <concept>
-     <code value="non-functional"></code>
-     <display value="Non-Functional"></display>
-     <definition value="The implanted device is not working."></definition>
-    </concept>
-    <concept>
-     <code value="disabled"></code>
-     <display value="Disabled"></display>
-     <definition value="The implanted device has been turned off."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="the functional status of the implant has not been determined."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/study-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="study-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/study-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1350"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticStudyType"></name>
-    <title value="StatisticStudyType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of study a statistic was derived from."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/study-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="RCT"></code>
-     <display value="randomized trial"></display>
-     <definition value="randomized controlled trial."></definition>
-    </concept>
-    <concept>
-     <code value="CCT"></code>
-     <display value="controlled trial (non-randomized)"></display>
-     <definition value="controlled (but not randomized) trial."></definition>
-    </concept>
-    <concept>
-     <code value="cohort"></code>
-     <display value="comparative cohort study"></display>
-     <definition value="observational study comparing cohorts."></definition>
-    </concept>
-    <concept>
-     <code value="case-control"></code>
-     <display value="case-control study"></display>
-     <definition value="case-control study."></definition>
-    </concept>
-    <concept>
-     <code value="series"></code>
-     <display value="uncontrolled cohort or case series"></display>
-     <definition value="uncontrolled cohort or case series."></definition>
-    </concept>
-    <concept>
-     <code value="case-report"></code>
-     <display value="case report"></display>
-     <definition value="a single case report."></definition>
-    </concept>
-    <concept>
-     <code value="mixed"></code>
-     <display value="mixed methods"></display>
-     <definition value="a combination of 1 or more types of studies."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/concept-map-equivalence"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="concept-map-equivalence"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/concept-map-equivalence"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.18"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConceptMapEquivalence"></name>
-    <title value="ConceptMapEquivalence"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="The degree of equivalence between concepts."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/concept-map-equivalence"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="relatedto"></code>
-     <display value="Related To"></display>
-     <definition value="The concepts are related to each other, and have at least some overlap in meaning, but the exact relationship is not known."></definition>
-     <concept>
-      <code value="equivalent"></code>
-      <display value="Equivalent"></display>
-      <definition value="The definitions of the concepts mean the same thing (including when structural implications of meaning are considered) (i.e. extensionally identical)."></definition>
-      <concept>
-       <code value="equal"></code>
-       <display value="Equal"></display>
-       <definition value="The definitions of the concepts are exactly the same (i.e. only grammatical differences) and structural implications of meaning are identical or irrelevant (i.e. intentionally identical)."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="wider"></code>
-      <display value="Wider"></display>
-      <definition value="The target mapping is wider in meaning than the source concept."></definition>
-     </concept>
-     <concept>
-      <code value="subsumes"></code>
-      <display value="Subsumes"></display>
-      <definition value="The target mapping subsumes the meaning of the source concept (e.g. the source is-a target)."></definition>
-     </concept>
-     <concept>
-      <code value="narrower"></code>
-      <display value="Narrower"></display>
-      <definition value="The target mapping is narrower in meaning than the source concept. The sense in which the mapping is narrower SHALL be described in the comments in this case, and applications should be careful when attempting to use these mappings operationally."></definition>
-     </concept>
-     <concept>
-      <code value="specializes"></code>
-      <display value="Specializes"></display>
-      <definition value="The target mapping specializes the meaning of the source concept (e.g. the target is-a source)."></definition>
-     </concept>
-     <concept>
-      <code value="inexact"></code>
-      <display value="Inexact"></display>
-      <definition value="The target mapping overlaps with the source concept, but both source and target cover additional meaning, or the definitions are imprecise and it is uncertain whether they have the same boundaries to their meaning. The sense in which the mapping is inexact SHALL be described in the comments in this case, and applications should be careful when attempting to use these mappings operationally."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="unmatched"></code>
-     <display value="Unmatched"></display>
-     <definition value="There is no match for this concept in the target code system."></definition>
-     <concept>
-      <code value="disjoint"></code>
-      <display value="Disjoint"></display>
-      <definition value="This is an explicit assertion that there is no mapping between the source and target concept."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-status-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationrequest-status-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1325"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationRequest Status Reason Codes"></name>
-    <title value="Medication request  status  reason  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationRequest Status Reason Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="altchoice"></code>
-     <display value="Try another treatment first"></display>
-     <definition value="This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful."></definition>
-    </concept>
-    <concept>
-     <code value="clarif"></code>
-     <display value="Prescription requires clarification"></display>
-     <definition value="Clarification is required before the order can be acted upon."></definition>
-    </concept>
-    <concept>
-     <code value="drughigh"></code>
-     <display value="Drug level too high"></display>
-     <definition value="The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level."></definition>
-    </concept>
-    <concept>
-     <code value="hospadm"></code>
-     <display value="Admission to hospital"></display>
-     <definition value="The patient has been admitted to a care facility and their community medications are suspended until hospital discharge."></definition>
-    </concept>
-    <concept>
-     <code value="labint"></code>
-     <display value="Lab interference issues"></display>
-     <definition value="The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed."></definition>
-    </concept>
-    <concept>
-     <code value="non-avail"></code>
-     <display value="Patient not available"></display>
-     <definition value="Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason."></definition>
-    </concept>
-    <concept>
-     <code value="preg"></code>
-     <display value="Parent is pregnant/breast feeding"></display>
-     <definition value="The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding."></definition>
-    </concept>
-    <concept>
-     <code value="salg"></code>
-     <display value="Allergy"></display>
-     <definition value="The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm."></definition>
-    </concept>
-    <concept>
-     <code value="sddi"></code>
-     <display value="Drug interacts with another drug"></display>
-     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
-    </concept>
-    <concept>
-     <code value="sdupther"></code>
-     <display value="Duplicate therapy"></display>
-     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
-    </concept>
-    <concept>
-     <code value="sintol"></code>
-     <display value="Suspected intolerance"></display>
-     <definition value="The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete."></definition>
-    </concept>
-    <concept>
-     <code value="surg"></code>
-     <display value="Patient scheduled for surgery."></display>
-     <definition value="The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery."></definition>
-    </concept>
-    <concept>
-     <code value="washout"></code>
-     <display value="Waiting for old drug to wash out"></display>
-     <definition value="The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/entformula-additive"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="entformula-additive"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/entformula-additive"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1123"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EnteralFormulaAdditiveTypeCode"></name>
-    <title value="Enteral Formula Additive Type Code"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR NutritionOrder team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="EnteralFormulaAdditiveType: Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula. This value set is provided as a suggestive example."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/entformula-additive"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="lipid"></code>
-     <display value="Lipid"></display>
-     <definition value="Modular lipid enteral formula component"></definition>
-    </concept>
-    <concept>
-     <code value="protein"></code>
-     <display value="Protein"></display>
-     <definition value="Modular protein enteral formula component"></definition>
-    </concept>
-    <concept>
-     <code value="carbohydrate"></code>
-     <display value="Carbohydrate"></display>
-     <definition value="Modular carbohydrate enteral formula component"></definition>
-    </concept>
-    <concept>
-     <code value="fiber"></code>
-     <display value="Fiber"></display>
-     <definition value="Modular fiber enteral formula component"></definition>
-    </concept>
-    <concept>
-     <code value="water"></code>
-     <display value="Water"></display>
-     <definition value="Added water"></definition>
+     <code value="humanuser"></code>
+     <display value="human user"></display>
+     <definition value="The human user that has participated."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -37527,7 +48025,7 @@ responding, withdrawal, non-compliance and/or adverse event."></definition>
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="dicom-audit-lifecycle"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://terminology.hl7.org/CodeSystem/dicom-audit-lifecycle"></url>
     <version value="20100826"></version>
@@ -37601,1658 +48099,13 @@ responding, withdrawal, non-compliance and/or adverse event."></definition>
    </CodeSystem>
   </resource>
  </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/identity-assuranceLevel"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="identity-assuranceLevel"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/identity-assuranceLevel"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.657"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="IdentityAssuranceLevel"></name>
-    <title value="IdentityAssuranceLevel"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The level of confidence that this link represents the same actual person, based on NIST Authentication Levels."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/identity-assuranceLevel"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="level1"></code>
-     <display value="Level 1"></display>
-     <definition value="Little or no confidence in the asserted identity's accuracy."></definition>
-    </concept>
-    <concept>
-     <code value="level2"></code>
-     <display value="Level 2"></display>
-     <definition value="Some confidence in the asserted identity's accuracy."></definition>
-    </concept>
-    <concept>
-     <code value="level3"></code>
-     <display value="Level 3"></display>
-     <definition value="High confidence in the asserted identity's accuracy."></definition>
-    </concept>
-    <concept>
-     <code value="level4"></code>
-     <display value="Level 4"></display>
-     <definition value="Very high confidence in the asserted identity's accuracy."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-milestone"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-subject-milestone"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-subject-milestone"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchSubjectMilestone"></name>
-    <title value="ResearchSubjectMilestone"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the progression of a study subject through the study milestones."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-milestone"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="SignedUp"></code>
-     <display value="Signed up"></display>
-     <definition value="A person has expressed an interest in being in a study but has not yet been through any assessment or consent processes."></definition>
-    </concept>
-    <concept>
-     <code value="Screened"></code>
-     <display value="Screened"></display>
-     <definition value="A potential subject has been screened for suitability."></definition>
-    </concept>
-    <concept>
-     <code value="Randomized"></code>
-     <display value="Randomized"></display>
-     <definition value="A subject has been allocated to an arm of the study."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogentry-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="catalogentry-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/catalogentry-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1450"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CatalogEntryStatus"></name>
-    <title value="CatalogEntryStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Public usability statuses for catalog entries."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-    </concept>
-    <concept>
-     <code value="retired"></code>
-     <display value="Retired"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/flag-priority"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="flag-priority"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/flag-priority-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.951"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FlagPriorityCodes"></name>
-    <title value="Flag Priority Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set is provided as an exemplar. The value set is driven by IHE Table B.8-4: Abnormal Flags, Alert Priority."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/flag-priority"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="PN"></code>
-     <display value="No alarm"></display>
-     <definition value="No alarm."></definition>
-    </concept>
-    <concept>
-     <code value="PL"></code>
-     <display value="Low priority"></display>
-     <definition value="Low priority."></definition>
-    </concept>
-    <concept>
-     <code value="PM"></code>
-     <display value="Medium priority"></display>
-     <definition value="Medium priority."></definition>
-    </concept>
-    <concept>
-     <code value="PH"></code>
-     <display value="High priority"></display>
-     <definition value="High priority."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/request-resource-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="request-resource-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/request-resource-types"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1059"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RequestResourceType"></name>
-    <title value="RequestResourceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="A list of all the request resource types defined in this version of the FHIR specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/request-resource-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="Appointment"></code>
-     <display value="Appointment"></display>
-     <definition value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)."></definition>
-    </concept>
-    <concept>
-     <code value="AppointmentResponse"></code>
-     <display value="AppointmentResponse"></display>
-     <definition value="A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection."></definition>
-    </concept>
-    <concept>
-     <code value="CarePlan"></code>
-     <display value="CarePlan"></display>
-     <definition value="Healthcare plan for patient or group."></definition>
-    </concept>
-    <concept>
-     <code value="Claim"></code>
-     <display value="Claim"></display>
-     <definition value="Claim, Pre-determination or Pre-authorization."></definition>
-    </concept>
-    <concept>
-     <code value="CommunicationRequest"></code>
-     <display value="CommunicationRequest"></display>
-     <definition value="A request for information to be sent to a receiver."></definition>
-    </concept>
-    <concept>
-     <code value="Contract"></code>
-     <display value="Contract"></display>
-     <definition value="Legal Agreement."></definition>
-    </concept>
-    <concept>
-     <code value="DeviceRequest"></code>
-     <display value="DeviceRequest"></display>
-     <definition value="Medical device request."></definition>
-    </concept>
-    <concept>
-     <code value="EnrollmentRequest"></code>
-     <display value="EnrollmentRequest"></display>
-     <definition value="Enrollment request."></definition>
-    </concept>
-    <concept>
-     <code value="ImmunizationRecommendation"></code>
-     <display value="ImmunizationRecommendation"></display>
-     <definition value="Guidance or advice relating to an immunization."></definition>
-    </concept>
-    <concept>
-     <code value="MedicationRequest"></code>
-     <display value="MedicationRequest"></display>
-     <definition value="Ordering of medication for patient or group."></definition>
-    </concept>
-    <concept>
-     <code value="NutritionOrder"></code>
-     <display value="NutritionOrder"></display>
-     <definition value="Diet, formula or nutritional supplement request."></definition>
-    </concept>
-    <concept>
-     <code value="ServiceRequest"></code>
-     <display value="ServiceRequest"></display>
-     <definition value="A record of a request for service such as diagnostic investigations, treatments, or operations to be performed."></definition>
-    </concept>
-    <concept>
-     <code value="SupplyRequest"></code>
-     <display value="SupplyRequest"></display>
-     <definition value="Request for a medication, substance or device."></definition>
-    </concept>
-    <concept>
-     <code value="Task"></code>
-     <display value="Task"></display>
-     <definition value="A task to be performed."></definition>
-    </concept>
-    <concept>
-     <code value="VisionPrescription"></code>
-     <display value="VisionPrescription"></display>
-     <definition value="Prescription for vision correction products for a patient."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/choice-list-orientation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="choice-list-orientation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/choice-list-orientation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1273"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ChoiceListOrientation"></name>
-    <title value="ChoiceListOrientation"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Direction in which lists of possible answers should be displayed."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/choice-list-orientation"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="horizontal"></code>
-     <display value="Horizontal"></display>
-     <definition value="List choices along the horizontal axis."></definition>
-    </concept>
-    <concept>
-     <code value="vertical"></code>
-     <display value="Vertical"></display>
-     <definition value="List choices down the vertical axis."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/restful-security-service"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="restful-security-service"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/restful-security-service"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1079"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="RestfulSecurityService"></name>
-    <title value="RestfulSecurityService"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Types of security services used with FHIR."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/restful-security-service"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="OAuth"></code>
-     <display value="OAuth"></display>
-     <definition value="OAuth (unspecified version see oauth.net)."></definition>
-    </concept>
-    <concept>
-     <code value="SMART-on-FHIR"></code>
-     <display value="SMART-on-FHIR"></display>
-     <definition value="OAuth2 using SMART-on-FHIR profile (see http://docs.smarthealthit.org/)."></definition>
-    </concept>
-    <concept>
-     <code value="NTLM"></code>
-     <display value="NTLM"></display>
-     <definition value="Microsoft NTLM Authentication."></definition>
-    </concept>
-    <concept>
-     <code value="Basic"></code>
-     <display value="Basic"></display>
-     <definition value="Basic authentication defined in HTTP specification."></definition>
-    </concept>
-    <concept>
-     <code value="Kerberos"></code>
-     <display value="Kerberos"></display>
-     <definition value="see http://www.ietf.org/rfc/rfc4120.txt."></definition>
-    </concept>
-    <concept>
-     <code value="Certificates"></code>
-     <display value="Certificates"></display>
-     <definition value="SSL where client must have a certificate registered with the server."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/cdshooks-indicator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="cdshooks-indicator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://cds-hooks.hl7.org/CodeSystem/indicator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1066"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Indicator"></name>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set captures the set of indicator codes defined by the CDS Hooks specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/cdshooks-indicator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="info"></code>
-     <display value="The response is informational"></display>
-    </concept>
-    <concept>
-     <code value="warning"></code>
-     <display value="The response is a warning"></display>
-    </concept>
-    <concept>
-     <code value="critical"></code>
-     <display value="The response is critical and indicates the workflow should not be allowed to proceed"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/process-priority"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="process-priority"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/processpriority"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1155"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ProcessPriorityCodes"></name>
-    <title value="Process Priority Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes the financial processing priority codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/process-priority"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="stat"></code>
-     <display value="Immediate"></display>
-     <definition value="Immediately in real time."></definition>
-    </concept>
-    <concept>
-     <code value="normal"></code>
-     <display value="Normal"></display>
-     <definition value="With best effort."></definition>
-    </concept>
-    <concept>
-     <code value="deferred"></code>
-     <display value="Deferred"></display>
-     <definition value="Later, when possible."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergy-intolerance-criticality"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="allergy-intolerance-criticality"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/allergy-intolerance-criticality"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.130"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceCriticality"></name>
-    <title value="AllergyIntoleranceCriticality"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="low"></code>
-     <display value="Low Risk"></display>
-     <definition value="Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure."></definition>
-    </concept>
-    <concept>
-     <code value="high"></code>
-     <display value="High Risk"></display>
-     <definition value="Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure."></definition>
-    </concept>
-    <concept>
-     <code value="unable-to-assess"></code>
-     <display value="Unable to Assess Risk"></display>
-     <definition value="Unable to assess the worst case result of a future exposure."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-scope"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-scope"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-scope"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1217"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceScopeCodes"></name>
-    <title value="Contract Resource Scope codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for scope."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-scope"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/expansion-processing-rule"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="expansion-processing-rule"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/expansion-processing-rule"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1281"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExpansionProcessingRule"></name>
-    <title value="ExpansionProcessingRule"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines how concepts are processed into the expansion when it's for UI presentation."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/expansion-processing-rule"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="all-codes"></code>
-     <display value="All Codes"></display>
-     <definition value="The expansion (when in UI mode) includes all codes *and* any defined groups (in extensions)."></definition>
-    </concept>
-    <concept>
-     <code value="ungrouped"></code>
-     <display value="Groups + Ungrouped codes"></display>
-     <definition value="The expanion (when in UI mode) lists the groups, and then any codes that have not been included in a group."></definition>
-    </concept>
-    <concept>
-     <code value="groups-only"></code>
-     <display value="Groups Only"></display>
-     <definition value="The expansion (when in UI mode) only includes the defined groups."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contract-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1330"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractTypeCodes"></name>
-    <title value="Contract Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Contract Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="privacy"></code>
-     <display value="Privacy"></display>
-     <definition value="Privacy policy."></definition>
-    </concept>
-    <concept>
-     <code value="disclosure"></code>
-     <display value="Disclosure"></display>
-     <definition value="Information disclosure policy."></definition>
-    </concept>
-    <concept>
-     <code value="healthinsurance"></code>
-     <display value="Health Insurance"></display>
-     <definition value="Health Insurance policy."></definition>
-    </concept>
-    <concept>
-     <code value="supply"></code>
-     <display value="Supply Contract"></display>
-     <definition value="Contract to supply goods or services."></definition>
-    </concept>
-    <concept>
-     <code value="consent"></code>
-     <display value="Consent"></display>
-     <definition value="Consent Directive."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/characteristic-method"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="characteristic-method"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/characteristic-method"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1453"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CharacteristicMethod"></name>
-    <title value="CharacteristicMethod"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The method used to determine the characteristic(s) of the variable."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/characteristic-method"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="Default"></code>
-     <display value="Default"></display>
-     <definition value="Default."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/provenance-agent-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="provenance-agent-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1131"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ProvenanceParticipantType"></name>
-    <title value="Provenance participant type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2023-05-12T10:00:00+10:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of participation a provenance participant."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/provenance-agent-type"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="enterer"></code>
-     <display value="Enterer"></display>
-     <definition value="A person entering the data into the originating system"></definition>
-    </concept>
-    <concept>
-     <code value="performer"></code>
-     <display value="Performer"></display>
-     <definition value="A person, animal, organization or device that who actually and principally carries out the activity"></definition>
-    </concept>
-    <concept>
-     <code value="author"></code>
-     <display value="Author"></display>
-     <definition value="A party that originates the resource and therefore has responsibility for the information given in the resource and ownership of this resource"></definition>
-    </concept>
-    <concept>
-     <code value="verifier"></code>
-     <display value="Verifier"></display>
-     <definition value="A person who verifies the correctness and appropriateness of activity"></definition>
-     <concept>
-      <code value="legal"></code>
-      <display value="Legal Authenticator"></display>
-      <definition value="The person authenticated the content and accepted legal responsibility for its content"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="attester"></code>
-     <display value="Attester"></display>
-     <definition value="A verifier who attests to the accuracy of the resource"></definition>
-    </concept>
-    <concept>
-     <code value="informant"></code>
-     <display value="Informant"></display>
-     <definition value="A person who reported information that contributed to the resource"></definition>
-    </concept>
-    <concept>
-     <code value="custodian"></code>
-     <display value="Custodian"></display>
-     <definition value="The entity that is accountable for maintaining a true an accurate copy of the original record"></definition>
-    </concept>
-    <concept>
-     <code value="assembler"></code>
-     <display value="Assembler"></display>
-     <definition value="A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact."></definition>
-    </concept>
-    <concept>
-     <code value="composer"></code>
-     <display value="Composer"></display>
-     <definition value="A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-subtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-subtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-claimsubtype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1158"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleClaimSubTypeCodes"></name>
-    <title value="Example Claim SubType Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Claim SubType codes which are used to distinguish the claim types for example within type institutional there may be subtypes for emergency services, bed stay and transportation."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-subtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ortho"></code>
-     <display value="Orthodontic Claim"></display>
-     <definition value="A claim for Orthodontic Services."></definition>
-    </concept>
-    <concept>
-     <code value="emergency"></code>
-     <display value="Emergency Claim"></display>
-     <definition value="A claim for emergency services."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-usage-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medication-usage-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medication-usage-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1425"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationUsage Category Codes"></name>
-    <title value="Medication usage  category  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationUsage Category Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="inpatient"></code>
-     <display value="Inpatient"></display>
-     <definition value="Includes orders for medications to be administered or consumed in an inpatient or acute care setting"></definition>
-    </concept>
-    <concept>
-     <code value="outpatient"></code>
-     <display value="Outpatient"></display>
-     <definition value="Includes orders for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office)"></definition>
-    </concept>
-    <concept>
-     <code value="community"></code>
-     <display value="Community"></display>
-     <definition value="Includes orders for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="patientspecified"></code>
-     <display value="Patient Specified"></display>
-     <definition value="Includes statements about medication use, including over the counter medication, provided by the patient, agent or another provider"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/endpoint-payload-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="endpoint-payload-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/endpoint-payload-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1139"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EndpointPayloadType"></name>
-    <title value="Endpoint Payload Type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 Patient Administration"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This is an example value set defined by the FHIR project, that could be used to represent possible payload document types."></description>
-    <copyright value="Some content from IHE® Copyright © 2015 IHE International, Inc.    This content is from the IHE Technical Frameworks and Supplements,    available for free download and use at http://www.ihe.net/Technical_Frameworks/"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="any"></code>
-     <display value="Any"></display>
-     <definition value="Any payload type can be used with this endpoint, it is either a payload agnostic infrastructure (such as a storage repository), or some other type of endpoint where payload considerations are internally handled, and not available"></definition>
-    </concept>
-    <concept>
-     <code value="none"></code>
-     <display value="None"></display>
-     <definition value="This endpoint does not require any content to be sent; simply connecting to the endpoint is enough notification. This can be used as a 'ping' to wakeup a service to retrieve content, which could be to ensure security considerations are correctly handled"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/codesystem-altcode-kind"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="codesystem-altcode-kind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1284"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AlternativeCodeKind"></name>
-    <title value="AlternativeCodeKind"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the type of use for which the code is defined."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-altcode-kind"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="alternate"></code>
-     <display value="Alternate Code"></display>
-     <definition value="The code is an alternative code that can be used in any of the circumstances that the primary code can be used."></definition>
-    </concept>
-    <concept>
-     <code value="deprecated"></code>
-     <display value="Deprecated"></display>
-     <definition value="The code should no longer be used, but was used in the past."></definition>
-    </concept>
-    <concept>
-     <code value="case-insensitive"></code>
-     <display value="Case Insensitive"></display>
-     <definition value="The code is an alternative to be used when a case insensitive code is required (when the primary codes are case sensitive)."></definition>
-    </concept>
-    <concept>
-     <code value="case-sensitive"></code>
-     <display value="Case Sensitive"></display>
-     <definition value="The code is an alternative to be used when a case sensitive code is required (when the primary codes are case insensitive)."></definition>
-    </concept>
-    <concept>
-     <code value="expression"></code>
-     <display value="Expression"></display>
-     <definition value="The code is an alternative for the primary code that is built using the expression grammar defined by the code system."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/discriminator-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="discriminator-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/discriminator-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.92"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DiscriminatorType"></name>
-    <title value="DiscriminatorType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How an element value is interpreted when discrimination is evaluated."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/discriminator-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="value"></code>
-     <display value="Value"></display>
-     <definition value="The slices have different values in the nominated element."></definition>
-    </concept>
-    <concept>
-     <code value="exists"></code>
-     <display value="Exists"></display>
-     <definition value="The slices are differentiated by the presence or absence of the nominated element."></definition>
-    </concept>
-    <concept>
-     <code value="pattern"></code>
-     <display value="Pattern"></display>
-     <definition value="The slices have different values in the nominated element, as determined by testing them against the applicable ElementDefinition.pattern[x]."></definition>
-    </concept>
-    <concept>
-     <code value="type"></code>
-     <display value="Type"></display>
-     <definition value="The slices are differentiated by type of the nominated element."></definition>
-    </concept>
-    <concept>
-     <code value="profile"></code>
-     <display value="Profile"></display>
-     <definition value="The slices are differentiated by conformance of the nominated element to a specified profile. Note that if the path specifies .resolve() then the profile is the target profile on the reference. In this case, validation by the possible profiles is required to differentiate the slices."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/provenance-entity-role"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="provenance-entity-role"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/provenance-entity-role"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.437"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ProvenanceEntityRole"></name>
-    <title value="ProvenanceEntityRole"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How an entity was used in an activity."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="derivation"></code>
-     <display value="Derivation"></display>
-     <definition value="A transformation of an entity into another, an update of an entity resulting in a new one, or the construction of a new entity based on a pre-existing entity."></definition>
-     <concept>
-      <code value="revision"></code>
-      <display value="Revision"></display>
-      <definition value="A derivation for which the resulting entity is a revised version of some original."></definition>
-     </concept>
-     <concept>
-      <code value="quotation"></code>
-      <display value="Quotation"></display>
-      <definition value="The repeat of (some or all of) an entity, such as text or image, by someone who might or might not be its original author."></definition>
-     </concept>
-     <concept>
-      <code value="source"></code>
-      <display value="Source"></display>
-      <definition value="A primary source for a topic refers to something produced by some agent with direct experience and knowledge about the topic, at the time of the topic's study, without benefit from hindsight."></definition>
-     </concept>
-     <concept>
-      <code value="removal"></code>
-      <display value="Removal"></display>
-      <definition value="A derivation for which the entity is removed from accessibility usually through the use of the Delete operation."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/container-cap"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="container-cap"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/container-cap"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1258"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContainerCap"></name>
-    <title value="ContainerCap"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Color of the container cap."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/container-cap"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="red"></code>
-     <display value="red cap"></display>
-     <definition value="red cap."></definition>
-    </concept>
-    <concept>
-     <code value="yellow"></code>
-     <display value="yellow cap"></display>
-     <definition value="yellow cap."></definition>
-    </concept>
-    <concept>
-     <code value="dark-yellow"></code>
-     <display value="dark yellow cap"></display>
-     <definition value="dark yellow cap."></definition>
-    </concept>
-    <concept>
-     <code value="grey"></code>
-     <display value="grey cap"></display>
-     <definition value="grey cap."></definition>
-    </concept>
-    <concept>
-     <code value="light-blue"></code>
-     <display value="light blue cap"></display>
-     <definition value="light blue cap."></definition>
-    </concept>
-    <concept>
-     <code value="black"></code>
-     <display value="black cap"></display>
-     <definition value="black cap."></definition>
-    </concept>
-    <concept>
-     <code value="green"></code>
-     <display value="green cap"></display>
-     <definition value="green cap."></definition>
-    </concept>
-    <concept>
-     <code value="light-green"></code>
-     <display value="light green cap"></display>
-     <definition value="light green cap."></definition>
-    </concept>
-    <concept>
-     <code value="lavender"></code>
-     <display value="lavender cap"></display>
-     <definition value="lavender cap."></definition>
-    </concept>
-    <concept>
-     <code value="brown"></code>
-     <display value="brown cap"></display>
-     <definition value="brown cap."></definition>
-    </concept>
-    <concept>
-     <code value="white"></code>
-     <display value="white cap"></display>
-     <definition value="white cap."></definition>
-    </concept>
-    <concept>
-     <code value="pink"></code>
-     <display value="pink cap"></display>
-     <definition value="pink cap."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationdispense-performer-function"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationdispense-performer-function"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1319"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationDispense Performer Function Codes"></name>
-    <title value="Medication dispense  performer  function  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationDispense Performer Function Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="dataenterer"></code>
-     <display value="Data Enterer"></display>
-     <definition value="Recorded the details of the request"></definition>
-    </concept>
-    <concept>
-     <code value="packager"></code>
-     <display value="Packager"></display>
-     <definition value="Prepared the medication."></definition>
-    </concept>
-    <concept>
-     <code value="checker"></code>
-     <display value="Checker"></display>
-     <definition value="Performed initial quality assurance on the prepared medication"></definition>
-    </concept>
-    <concept>
-     <code value="finalchecker"></code>
-     <display value="Final Checker"></display>
-     <definition value="Performed the final quality assurance on the prepared medication against the request. Typically, this is a pharmacist function."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/feeding-device"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="feeding-device"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/feeding-device"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.962"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FeedingDeviceCodes"></name>
-    <title value="Feeding Device Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR NutritionOrder team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Materials used or needed to feed the patient."></description>
-    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright   of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers   of these specifications must have the appropriate SNOMED CT Affiliate license - for more   information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="standard-nipple"></code>
-     <display value="Standard nipple"></display>
-     <definition value="Standard nipple definition:"></definition>
-    </concept>
-    <concept>
-     <code value="preemie-nipple"></code>
-     <display value="Preemie nipple"></display>
-     <definition value="Preemie nipple definition:"></definition>
-    </concept>
-    <concept>
-     <code value="ortho-nipple"></code>
-     <display value="Orthodontic nipple"></display>
-     <definition value="Orthodontic nipple definition:"></definition>
-    </concept>
-    <concept>
-     <code value="sloflo-nipple"></code>
-     <display value="Slow flow nipple"></display>
-     <definition value="Slow flow nipple definition:"></definition>
-    </concept>
-    <concept>
-     <code value="midflo-nipple"></code>
-     <display value="Middle flow nipple"></display>
-     <definition value="Middle flow nipple definition:"></definition>
-    </concept>
-    <concept>
-     <code value="bigcut-nipple"></code>
-     <display value="Enlarged, cross-cut nipple"></display>
-     <definition value="Enlarged, cross-cut nipple definition:"></definition>
-    </concept>
-    <concept>
-     <code value="haberman-bottle"></code>
-     <display value="Haberman bottle"></display>
-     <definition value="Haberman bottle definition:"></definition>
-    </concept>
-    <concept>
-     <code value="sippy-valve"></code>
-     <display value="Sippy cup with valve"></display>
-     <definition value="Sippy cup with valve definition:"></definition>
-    </concept>
-    <concept>
-     <code value="sippy-no-valve"></code>
-     <display value="Sippy cup without valve"></display>
-     <definition value="Sippy cup without valve definition:"></definition>
-    </concept>
-    <concept>
-     <code value="provale-cup"></code>
-     <display value="Provale Cup"></display>
-     <definition value="Provale Cup definition:"></definition>
-    </concept>
-    <concept>
-     <code value="glass-lid"></code>
-     <display value="Glass with lid/sippy cup"></display>
-     <definition value="Glass with lid/sippy cup definition:"></definition>
-    </concept>
-    <concept>
-     <code value="handhold-cup"></code>
-     <display value="Double handhold on glass/cup"></display>
-     <definition value="Double handhold on glass/cup definition:"></definition>
-    </concept>
-    <concept>
-     <code value="rubber-mat"></code>
-     <display value="Rubber matting under tray"></display>
-     <definition value="Rubber matting under tray definition:"></definition>
-    </concept>
-    <concept>
-     <code value="straw"></code>
-     <display value="Straw"></display>
-     <definition value="Straw definition:"></definition>
-    </concept>
-    <concept>
-     <code value="nose-cup"></code>
-     <display value="Nose cup"></display>
-     <definition value="Nose cup definition:"></definition>
-    </concept>
-    <concept>
-     <code value="scoop-plate"></code>
-     <display value="Scoop plate"></display>
-     <definition value="Scoop plate definition:"></definition>
-    </concept>
-    <concept>
-     <code value="utensil-holder"></code>
-     <display value="Hand wrap utensil holder"></display>
-     <definition value="Hand wrap utensil holder definition:"></definition>
-    </concept>
-    <concept>
-     <code value="foam-handle"></code>
-     <display value="Foam handle utensils"></display>
-     <definition value="Foam handle utensils definition:"></definition>
-    </concept>
-    <concept>
-     <code value="angled-utensil"></code>
-     <display value="Angled utensils"></display>
-     <definition value="Angled utensils definition:"></definition>
-    </concept>
-    <concept>
-     <code value="spout-cup"></code>
-     <display value="Spout cup"></display>
-     <definition value="Spout cup definition:"></definition>
-    </concept>
-    <concept>
-     <code value="autofeeding-device"></code>
-     <display value="Automated feeding devices"></display>
-     <definition value="Automated feeding devices definition:"></definition>
-    </concept>
-    <concept>
-     <code value="rocker-knife"></code>
-     <display value="Rocker knife"></display>
-     <definition value="Rocker knife definition:"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/CodeSystem/iso-21089-lifecycle"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="iso-21089-lifecycle"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"></url>
     <name value="ISO 21089-2017 Health Record Lifecycle Events"></name>
@@ -39401,1673 +48254,20 @@ responding, withdrawal, non-compliance and/or adverse event."></definition>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/group-measure"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/w3c-provenance-activity-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="group-measure"></id>
+    <id value="w3c-provenance-activity-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/group-measure"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1346"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GroupMeasure"></name>
-    <title value="GroupMeasure"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Possible group measure aggregates (E.g. Mean, Median)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/group-measure"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="mean"></code>
-     <display value="Mean"></display>
-     <definition value="Aggregated using Mean of participant values."></definition>
-    </concept>
-    <concept>
-     <code value="median"></code>
-     <display value="Median"></display>
-     <definition value="Aggregated using Median of participant values."></definition>
-    </concept>
-    <concept>
-     <code value="mean-of-mean"></code>
-     <display value="Mean of Study Means"></display>
-     <definition value="Aggregated using Mean of study mean values."></definition>
-    </concept>
-    <concept>
-     <code value="mean-of-median"></code>
-     <display value="Mean of Study Medins"></display>
-     <definition value="Aggregated using Mean of study median values."></definition>
-    </concept>
-    <concept>
-     <code value="median-of-mean"></code>
-     <display value="Median of Study Means"></display>
-     <definition value="Aggregated using Median of study mean values."></definition>
-    </concept>
-    <concept>
-     <code value="median-of-median"></code>
-     <display value="Median of Study Medians"></display>
-     <definition value="Aggregated using Median of study median values."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-causality-method"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adverse-event-causality-method"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-causality-method"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1255"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdverseEventCausalityMethod"></name>
-    <title value="AdverseEventCausalityMethod"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="TODO."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-causality-method"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="probability-scale"></code>
-     <display value="Probability Scale"></display>
-    </concept>
-    <concept>
-     <code value="bayesian"></code>
-     <display value="Bayesian"></display>
-    </concept>
-    <concept>
-     <code value="checklist"></code>
-     <display value="Checklist"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-example-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="list-example-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/list-example-use-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1105"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleUseCodesForList"></name>
-    <title value="Example Use Codes for List"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Example use codes for the List resource - typical kinds of use."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/list-example-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="alerts"></code>
-     <display value="Alerts"></display>
-     <definition value="A list of alerts for the patient."></definition>
-    </concept>
-    <concept>
-     <code value="adverserxns"></code>
-     <display value="Adverse Reactions"></display>
-     <definition value="A list of part adverse reactions."></definition>
-    </concept>
-    <concept>
-     <code value="allergies"></code>
-     <display value="Allergies"></display>
-     <definition value="A list of Allergies for the patient."></definition>
-    </concept>
-    <concept>
-     <code value="medications"></code>
-     <display value="Medication List"></display>
-     <definition value="A list of medication statements for the patient."></definition>
-    </concept>
-    <concept>
-     <code value="problems"></code>
-     <display value="Problem List"></display>
-     <definition value="A list of problems that the patient is known of have (or have had in the past)."></definition>
-    </concept>
-    <concept>
-     <code value="worklist"></code>
-     <display value="Worklist"></display>
-     <definition value="A list of items that constitute a set of work to be performed (typically this code would be specialized for more specific uses, such as a ward round list)."></definition>
-    </concept>
-    <concept>
-     <code value="waiting"></code>
-     <display value="Waiting List"></display>
-     <definition value="A list of items waiting for an event (perhaps a surgical patient waiting list)."></definition>
-    </concept>
-    <concept>
-     <code value="protocols"></code>
-     <display value="Protocols"></display>
-     <definition value="A set of protocols to be followed."></definition>
-    </concept>
-    <concept>
-     <code value="plans"></code>
-     <display value="Care Plans"></display>
-     <definition value="A set of care plans that apply in a particular context of care."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-phase"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-study-phase"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-study-phase"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1247"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchStudyPhase"></name>
-    <title value="ResearchStudyPhase"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for the stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-phase"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="n-a"></code>
-     <display value="N/A"></display>
-     <definition value="Trials without phases (for example, studies of devices or behavioral interventions)."></definition>
-    </concept>
-    <concept>
-     <code value="early-phase-1"></code>
-     <display value="Early Phase 1"></display>
-     <definition value="Designation for optional exploratory trials conducted in accordance with the United States Food and Drug Administration's (FDA) 2006 Guidance on Exploratory Investigational New Drug (IND) Studies. Formerly called Phase 0."></definition>
-    </concept>
-    <concept>
-     <code value="phase-1"></code>
-     <display value="Phase 1"></display>
-     <definition value="Includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients."></definition>
-    </concept>
-    <concept>
-     <code value="phase-1-phase-2"></code>
-     <display value="Phase 1/Phase 2"></display>
-     <definition value="Trials that are a combination of phases 1 and 2."></definition>
-    </concept>
-    <concept>
-     <code value="phase-2"></code>
-     <display value="Phase 2"></display>
-     <definition value="Includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in participants with the disease or condition under study and to determine the common short-term side effects and risks."></definition>
-    </concept>
-    <concept>
-     <code value="phase-2-phase-3"></code>
-     <display value="Phase 2/Phase 3"></display>
-     <definition value="Trials that are a combination of phases 2 and 3."></definition>
-    </concept>
-    <concept>
-     <code value="phase-3"></code>
-     <display value="Phase 3"></display>
-     <definition value="Includes trials conducted after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug."></definition>
-    </concept>
-    <concept>
-     <code value="phase-4"></code>
-     <display value="Phase 4"></display>
-     <definition value="Studies of FDA-approved drugs to delineate additional information including the drug's risks, benefits, and optimal use."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-data-usage"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-data-usage"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/measure-data-usage"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1234"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasureDataUsage"></name>
-    <title value="MeasureDataUsage"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The intended usage for supplemental data elements in the measure."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-data-usage"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="supplemental-data"></code>
-     <display value="Supplemental Data"></display>
-     <definition value="The data is intended to be provided as additional information alongside the measure results."></definition>
-    </concept>
-    <concept>
-     <code value="risk-adjustment-factor"></code>
-     <display value="Risk Adjustment Factor"></display>
-     <definition value="The data is intended to be used to calculate and apply a risk adjustment model for the measure."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/conditional-delete-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="conditional-delete-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/conditional-delete-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.195"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionalDeleteStatus"></name>
-    <title value="ConditionalDeleteStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that indicates how the server supports conditional delete."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/conditional-delete-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="not-supported"></code>
-     <display value="Not Supported"></display>
-     <definition value="No support for conditional deletes."></definition>
-    </concept>
-    <concept>
-     <code value="single"></code>
-     <display value="Single Deletes Supported"></display>
-     <definition value="Conditional deletes are supported, but only single resources at a time."></definition>
-    </concept>
-    <concept>
-     <code value="multiple"></code>
-     <display value="Multiple Deletes Supported"></display>
-     <definition value="Conditional deletes are supported, and multiple resources can be deleted in a single interaction."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/clinical-use-issue-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="clinical-use-issue-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/clinical-use-issue-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1455"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClinicalUseIssueType"></name>
-    <title value="ClinicalUseIssueType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Overall defining type of this clinical use issue."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/clinical-use-issue-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="indication"></code>
-     <display value="Indication"></display>
-     <definition value="A reason for giving the medicaton."></definition>
-    </concept>
-    <concept>
-     <code value="contraindication"></code>
-     <display value="Contraindication"></display>
-     <definition value="A reason for not giving the medicaition."></definition>
-    </concept>
-    <concept>
-     <code value="interaction"></code>
-     <display value="Interaction"></display>
-     <definition value="Interactions between the medication and other substances."></definition>
-    </concept>
-    <concept>
-     <code value="undesirable-effect"></code>
-     <display value="Undesirable Effect"></display>
-     <definition value="Side effects or adverse effects associated with the medication."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/sort-direction"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="sort-direction"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/sort-direction"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.980"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SortDirection"></name>
-    <title value="SortDirection"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The possible sort directions, ascending or descending."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/sort-direction"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ascending"></code>
-     <display value="Ascending"></display>
-     <definition value="Sort by the value ascending, so that lower values appear first."></definition>
-    </concept>
-    <concept>
-     <code value="descending"></code>
-     <display value="Descending"></display>
-     <definition value="Sort by the value descending, so that lower values appear last."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medication-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/medication-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1380"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Medication Status Codes"></name>
-    <title value="Medication  status  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Medication Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medication-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The medication is available for use."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The medication is not available for use."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The medication was entered in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-questionnaire-purpose"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="condition-questionnaire-purpose"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/condition-questionnaire-purpose"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1442"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionQuestionnairePurpose"></name>
-    <title value="ConditionQuestionnairePurpose"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The use of a questionnaire."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/condition-questionnaire-purpose"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="preadmit"></code>
-     <display value="Pre-admit"></display>
-     <definition value="A pre-admit questionnaire."></definition>
-    </concept>
-    <concept>
-     <code value="diff-diagnosis"></code>
-     <display value="Diff Diagnosis"></display>
-     <definition value="A questionnaire that helps with diferential diagnosis."></definition>
-    </concept>
-    <concept>
-     <code value="outcome"></code>
-     <display value="Outcome"></display>
-     <definition value="A questionnaire to check on outcomes for the patient."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/episodeofcare-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="episodeofcare-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/episodeofcare-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1189"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EpisodeOfCareType"></name>
-    <title value="Episode of care type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to express the usage type of an EpisodeOfCare record."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/episodeofcare-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="hacc"></code>
-     <display value="Home and Community Care"></display>
-    </concept>
-    <concept>
-     <code value="pac"></code>
-     <display value="Post Acute Care"></display>
-    </concept>
-    <concept>
-     <code value="diab"></code>
-     <display value="Post coordinated diabetes program"></display>
-    </concept>
-    <concept>
-     <code value="da"></code>
-     <display value="Drug and alcohol rehabilitation"></display>
-    </concept>
-    <concept>
-     <code value="cacp"></code>
-     <display value="Community-based aged care"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="metric-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="dev"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/metric-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.649"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceMetricCategory"></name>
-    <title value="DeviceMetricCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Describes the category of the metric."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/metric-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="measurement"></code>
-     <display value="Measurement"></display>
-     <definition value="DeviceObservations generated for this DeviceMetric are measured."></definition>
-    </concept>
-    <concept>
-     <code value="setting"></code>
-     <display value="Setting"></display>
-     <definition value="DeviceObservations generated for this DeviceMetric is a setting that will influence the behavior of the Device."></definition>
-    </concept>
-    <concept>
-     <code value="calculation"></code>
-     <display value="Calculation"></display>
-     <definition value="DeviceObservations generated for this DeviceMetric are calculated."></definition>
-    </concept>
-    <concept>
-     <code value="unspecified"></code>
-     <display value="Unspecified"></display>
-     <definition value="The category of this DeviceMetric is unspecified."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/assert-operator-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="assert-operator-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/assert-operator-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.709"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AssertionOperatorType"></name>
-    <title value="AssertionOperatorType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of operator to use for assertion."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/assert-operator-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="equals"></code>
-     <display value="equals"></display>
-     <definition value="Default value. Equals comparison."></definition>
-    </concept>
-    <concept>
-     <code value="notEquals"></code>
-     <display value="notEquals"></display>
-     <definition value="Not equals comparison."></definition>
-    </concept>
-    <concept>
-     <code value="in"></code>
-     <display value="in"></display>
-     <definition value="Compare value within a known set of values."></definition>
-    </concept>
-    <concept>
-     <code value="notIn"></code>
-     <display value="notIn"></display>
-     <definition value="Compare value not within a known set of values."></definition>
-    </concept>
-    <concept>
-     <code value="greaterThan"></code>
-     <display value="greaterThan"></display>
-     <definition value="Compare value to be greater than a known value."></definition>
-    </concept>
-    <concept>
-     <code value="lessThan"></code>
-     <display value="lessThan"></display>
-     <definition value="Compare value to be less than a known value."></definition>
-    </concept>
-    <concept>
-     <code value="empty"></code>
-     <display value="empty"></display>
-     <definition value="Compare value is empty."></definition>
-    </concept>
-    <concept>
-     <code value="notEmpty"></code>
-     <display value="notEmpty"></display>
-     <definition value="Compare value is not empty."></definition>
-    </concept>
-    <concept>
-     <code value="contains"></code>
-     <display value="contains"></display>
-     <definition value="Compare value string contains a known value."></definition>
-    </concept>
-    <concept>
-     <code value="notContains"></code>
-     <display value="notContains"></display>
-     <definition value="Compare value string does not contain a known value."></definition>
-    </concept>
-    <concept>
-     <code value="eval"></code>
-     <display value="evaluate"></display>
-     <definition value="Evaluate the FHIRPath expression as a boolean condition."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/guide-page-generation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="guide-page-generation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/guide-page-generation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.999"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GuidePageGeneration"></name>
-    <title value="GuidePageGeneration"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code that indicates how the page is generated."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/guide-page-generation"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="html"></code>
-     <display value="HTML"></display>
-     <definition value="Page is proper xhtml with no templating.  Will be brought across unchanged for standard post-processing."></definition>
-    </concept>
-    <concept>
-     <code value="markdown"></code>
-     <display value="Markdown"></display>
-     <definition value="Page is markdown with templating.  Will use the template to create a file that imports the markdown file prior to post-processing."></definition>
-    </concept>
-    <concept>
-     <code value="xml"></code>
-     <display value="XML"></display>
-     <definition value="Page is xml with templating.  Will use the template to create a file that imports the source file and run the nominated XSLT transform (see parameters) if present prior to post-processing."></definition>
-    </concept>
-    <concept>
-     <code value="generated"></code>
-     <display value="Generated"></display>
-     <definition value="Page will be generated by the publication process - no source to bring across."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-subtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-subtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contractsubtypecodes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1198"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractSubtypeCodes"></name>
-    <title value="Contract Subtype Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Contract Subtype codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-subtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="disclosure-ca"></code>
-     <display value="Disclosure-CA"></display>
-     <definition value="Canadian health information disclosure policy."></definition>
-    </concept>
-    <concept>
-     <code value="disclosure-us"></code>
-     <display value="Disclosure-US"></display>
-     <definition value="United States health information disclosure policy."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/messageheader-response-request"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="messageheader-response-request"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="inm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/messageheader-response-request"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.925"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="messageheader-response-request"></name>
-    <title value="messageheader-response-request"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/messageheader-response-request"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="always"></code>
-     <display value="Always"></display>
-     <definition value="initiator expects a response for this message."></definition>
-    </concept>
-    <concept>
-     <code value="on-error"></code>
-     <display value="Error/reject conditions only"></display>
-     <definition value="initiator expects a response only if in error."></definition>
-    </concept>
-    <concept>
-     <code value="never"></code>
-     <display value="Never"></display>
-     <definition value="initiator does not expect a response."></definition>
-    </concept>
-    <concept>
-     <code value="on-success"></code>
-     <display value="Successful completion only"></display>
-     <definition value="initiator expects a response only if successful."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-nametype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="device-nametype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/device-nametype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1084"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceNameType"></name>
-    <title value="DeviceNameType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of name the device is referred by."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/device-nametype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="udi-label-name"></code>
-     <display value="UDI Label name"></display>
-     <definition value="UDI Label name."></definition>
-    </concept>
-    <concept>
-     <code value="user-friendly-name"></code>
-     <display value="User Friendly name"></display>
-     <definition value="User Friendly name."></definition>
-    </concept>
-    <concept>
-     <code value="patient-reported-name"></code>
-     <display value="Patient Reported name"></display>
-     <definition value="Patient Reported name."></definition>
-    </concept>
-    <concept>
-     <code value="manufacturer-name"></code>
-     <display value="Manufacturer name"></display>
-     <definition value="Manufacturer name."></definition>
-    </concept>
-    <concept>
-     <code value="model-name"></code>
-     <display value="Model name"></display>
-     <definition value="Model name."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="other"></display>
-     <definition value="other."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/payment-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="payment-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/payment-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1186"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PaymentTypeCodes"></name>
-    <title value="Payment Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Payment Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/payment-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="payment"></code>
-     <display value="Payment"></display>
-     <definition value="The amount is partial or complete settlement of the amounts due."></definition>
-    </concept>
-    <concept>
-     <code value="adjustment"></code>
-     <display value="Adjustment"></display>
-     <definition value="The amount is an adjustment regarding claims already paid."></definition>
-    </concept>
-    <concept>
-     <code value="advance"></code>
-     <display value="Advance"></display>
-     <definition value="The amount is an advance against future claims."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1226"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentCategoryCodes"></name>
-    <title value="Consent Category Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project (CBCC)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Consent Directive Type codes, including several consent directive related LOINC codes; HL7 VALUE SET: ActConsentType(2.16.840.1.113883.1.11.19897); examples of US realm consent directive legal descriptions and references to online and/or downloadable forms such as the SSA-827 Authorization to Disclose Information to the Social Security Administration; and other anticipated consent directives related to participation in a clinical trial, medical procedures, reproductive procedures; health care directive (Living Will); advance directive, do not resuscitate (DNR); Physician Orders for Life-Sustaining Treatment (POLST)"></description>
-    <copyright value="This value set includes content from LOINC® which is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="acd"></code>
-     <display value="Advance Directive"></display>
-     <definition value="Any instructions, written or given verbally by a patient to a health care provider in anticipation of potential need for medical treatment. [2005 Honor My Wishes]"></definition>
-    </concept>
-    <concept>
-     <code value="dnr"></code>
-     <display value="Do Not Resuscitate"></display>
-     <definition value="A legal document, signed by both the patient and their provider, stating a desire not to have CPR initiated in case of a cardiac event. Note: This form was replaced in 2003 with the Physician Orders for Life-Sustaining Treatment [POLST]."></definition>
-    </concept>
-    <concept>
-     <code value="emrgonly"></code>
-     <display value="Emergency Only"></display>
-     <definition value="Opt-in to disclosure of health information for emergency only consent directive. Comment: This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. [ActConsentDirective (2.16.840.1.113883.1.11.20425)]"></definition>
-    </concept>
-    <concept>
-     <code value="hcd"></code>
-     <display value="Health Care Directive"></display>
-     <definition value="Patient's document telling patient's health care provider what the patient wants or does not want if the patient is diagnosed as being terminally ill and in a persistent vegetative state or in a permanently unconscious condition.[2005 Honor My Wishes]"></definition>
-    </concept>
-    <concept>
-     <code value="npp"></code>
-     <display value="Notice of Privacy Practices"></display>
-     <definition value="Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified. [ActConsentDirective (2.16.840.1.113883.1.11.20425)]"></definition>
-    </concept>
-    <concept>
-     <code value="polst"></code>
-     <display value="POLST"></display>
-     <definition value="The Physician Order for Life-Sustaining Treatment form records a person's health care wishes for end of life emergency treatment and translates them into an order by the physician. It must be reviewed and signed by both the patient and the physician, Advanced Registered Nurse Practitioner or Physician Assistant. [2005 Honor My Wishes] Comment: Opt-in Consent Directive with restrictions."></definition>
-    </concept>
-    <concept>
-     <code value="research"></code>
-     <display value="Research Information Access"></display>
-     <definition value="Consent to have healthcare information in an electronic health record accessed for research purposes. [VALUE SET: ActConsentType (2.16.840.1.113883.1.11.19897)]"></definition>
-    </concept>
-    <concept>
-     <code value="rsdid"></code>
-     <display value="De-identified Information Access"></display>
-     <definition value="Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance. [VALUE SET: ActConsentType (2.16.840.1.113883.1.11.19897)"></definition>
-    </concept>
-    <concept>
-     <code value="rsreid"></code>
-     <display value="Re-identifiable Information Access"></display>
-     <definition value="Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. [VALUE SET: ActConsentType (2.16.840.1.113883.1.11.19897)]"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-referral-method"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-referral-method"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/service-referral-method"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1142"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ReferralMethod"></name>
-    <title value="ReferralMethod"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The methods of referral can be used when referring to a specific HealthCareService resource."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-referral-method"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="fax"></code>
-     <display value="Fax"></display>
-     <definition value="Referrals may be accepted by fax."></definition>
-    </concept>
-    <concept>
-     <code value="phone"></code>
-     <display value="Phone"></display>
-     <definition value="Referrals may be accepted over the phone from a practitioner."></definition>
-    </concept>
-    <concept>
-     <code value="elec"></code>
-     <display value="Secure Messaging"></display>
-     <definition value="Referrals may be accepted via a secure messaging system. To determine the types of secure messaging systems supported, refer to the identifiers collection. Callers will need to understand the specific identifier system used to know that they are able to transmit messages."></definition>
-    </concept>
-    <concept>
-     <code value="semail"></code>
-     <display value="Secure Email"></display>
-     <definition value="Referrals may be accepted via a secure email. To send please encrypt with the services public key."></definition>
-    </concept>
-    <concept>
-     <code value="mail"></code>
-     <display value="Mail"></display>
-     <definition value="Referrals may be accepted via regular postage (or hand delivered)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/attribute-estimate-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="attribute-estimate-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/attribute-estimate-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1413"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticAttributeEstimateType"></name>
-    <title value="StatisticAttributeEstimateType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/attribute-estimate-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="0000419"></code>
-     <display value="Cochran's Q statistic"></display>
-     <definition value="A measure of heterogeneity accros study computed by summing the squared deviations of each study's estimate from the overall meta-analytic estimate, weighting each study's contribution in the same manner as in the meta-analysis."></definition>
-    </concept>
-    <concept>
-     <code value="C53324"></code>
-     <display value="Confidence interval"></display>
-     <definition value="A range of values considered compatible with the observed data at the specified confidence level."></definition>
-    </concept>
-    <concept>
-     <code value="0000455"></code>
-     <display value="Credible interval"></display>
-     <definition value="An interval of a posterior distribution which is such that the density at any point inside the interval is greater than the density at any point outside and that the area under the curve for that interval is equal to a prespecified probability level. For any probability level there is generally only one such interval, which is also often known as the highest posterior density region. Unlike the usual confidence interval associated with frequentist inference, here the intervals specify the range within which parameters lie with a certain probability. The bayesian counterparts of the confidence interval used in frequentists statistics."></definition>
-    </concept>
-    <concept>
-     <code value="0000420"></code>
-     <display value="I-squared"></display>
-     <definition value="The percentage of total variation across studies that is due to heterogeneity rather than chance. I2 can be readily calculated from basic results obtained from a typical meta-analysis as i2 = 100%×(q - df)/q, where q is cochran's heterogeneity statistic and df the degrees of freedom. Negative values of i2 are put equal to zero so that i2 lies between 0% and 100%. A value of 0% indicates no observed heterogeneity, and larger values show increasing heterogeneity. Unlike cochran's q, it does not inherently depend upon the number of studies considered. A confidence interval for i² is constructed using either i) the iterative non-central chi-squared distribution method of hedges and piggott (2001); or ii) the test-based method of higgins and thompson (2002). The non-central chi-square method is currently the method of choice (higgins, personal communication, 2006) – it is computed if the 'exact' option is selected."></definition>
-    </concept>
-    <concept>
-     <code value="C53245"></code>
-     <display value="Interquartile range"></display>
-     <definition value="The difference between the 3d and 1st quartiles is called the interquartile range and it is used as a measure of variability (dispersion)."></definition>
-    </concept>
-    <concept>
-     <code value="C44185"></code>
-     <display value="P-value"></display>
-     <definition value="The probability of obtaining the results obtained, or more extreme results, if the hypothesis being tested and all other model assumptions are true."></definition>
-    </concept>
-    <concept>
-     <code value="C38013"></code>
-     <display value="Range"></display>
-     <definition value="The difference between the lowest and highest numerical values; the limits or scale of variation."></definition>
-    </concept>
-    <concept>
-     <code value="C53322"></code>
-     <display value="Standard deviation"></display>
-     <definition value="A measure of the range of values in a set of numbers. Standard deviation is a statistic used as a measure of the dispersion or variation in a distribution, equal to the square root of the arithmetic mean of the squares of the deviations from the arithmetic mean."></definition>
-    </concept>
-    <concept>
-     <code value="0000037"></code>
-     <display value="Standard error of the mean"></display>
-     <definition value="The standard deviation of the sample-mean's estimate of a population mean. It is calculated by dividing the sample standard deviation (i.e., the sample-based estimate of the standard deviation of the population) by the square root of n , the size (number of observations) of the sample."></definition>
-    </concept>
-    <concept>
-     <code value="0000421"></code>
-     <display value="Tau squared"></display>
-     <definition value="An estimate of the between-study variance in a random-effects meta-analysis. The square root of this number (i.e. Tau) is the estimated standard deviation of underlying effects across studies."></definition>
-    </concept>
-    <concept>
-     <code value="C48918"></code>
-     <display value="Variance"></display>
-     <definition value="A measure of the variability in a sample or population. It is calculated as the mean squared deviation (MSD) of the individual values from their common mean. In calculating the MSD, the divisor n is commonly used for a population variance and the divisor n-1 for a sample variance."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/allergyintolerance-clinical"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="allergyintolerance-clinical"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1373"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AllergyIntoleranceClinicalStatusCodes"></name>
-    <title value="AllergyIntolerance Clinical Status Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Preferred value set for AllergyIntolerance Clinical Status."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The subject is currently experiencing, or is at risk of, a reaction to the identified substance."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The subject is no longer at risk of a reaction to the identified substance."></definition>
-     <concept>
-      <code value="resolved"></code>
-      <display value="Resolved"></display>
-      <definition value="A reaction to the identified substance has been clinically reassessed by testing or re-exposure and is considered no longer to be present. Re-exposure could be accidental, unplanned, or outside of any clinical setting."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/reference-handling-policy"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="reference-handling-policy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/reference-handling-policy"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.203"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ReferenceHandlingPolicy"></name>
-    <title value="ReferenceHandlingPolicy"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A set of flags that defines how references are supported."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/reference-handling-policy"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="literal"></code>
-     <display value="Literal References"></display>
-     <definition value="The server supports and populates Literal references (i.e. using Reference.reference) where they are known (this code does not guarantee that all references are literal; see 'enforced')."></definition>
-    </concept>
-    <concept>
-     <code value="logical"></code>
-     <display value="Logical References"></display>
-     <definition value="The server allows logical references (i.e. using Reference.identifier)."></definition>
-    </concept>
-    <concept>
-     <code value="resolves"></code>
-     <display value="Resolves References"></display>
-     <definition value="The server will attempt to resolve logical references to literal references - i.e. converting Reference.identifier to Reference.reference (if resolution fails, the server may still accept resources; see logical)."></definition>
-    </concept>
-    <concept>
-     <code value="enforced"></code>
-     <display value="Reference Integrity Enforced"></display>
-     <definition value="The server enforces that references have integrity - e.g. it ensures that references can always be resolved. This is typically the case for clinical record systems, but often not the case for middleware/proxy systems."></definition>
-    </concept>
-    <concept>
-     <code value="local"></code>
-     <display value="Local References Only"></display>
-     <definition value="The server does not support references that point to other servers."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/language-preference-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="language-preference-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/language-preference-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1023"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LanguagePreferenceType"></name>
-    <title value="Language preference type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines the set of codes for describing the type or mode of the patient's preferred language."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="verbal"></code>
-     <display value="verbal"></display>
-     <definition value="The patient prefers to verbally communicate with the associated language."></definition>
-    </concept>
-    <concept>
-     <code value="written"></code>
-     <display value="written"></display>
-     <definition value="The patient prefers to communicate in writing with the associated language."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/extra-security-role-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="extra-security-role-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/extra-security-role-type"></url>
-    <version value="4.1.0"></version>
-    <name value="SecurityRoleType"></name>
+    <url value="http://hl7.org/fhir/w3c-provenance-activity-type"></url>
+    <version value="4.2.0"></version>
+    <name value="W3cProvenanceActivityType"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2017-02-13"></date>
+    <date value="2017-02-19"></date>
     <publisher value="HL7 International"></publisher>
     <contact>
      <name value="FHIR project team"></name>
@@ -41076,4910 +48276,102 @@ responding, withdrawal, non-compliance and/or adverse event."></definition>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This CodeSystem contains Additional FHIR-defined Security Role types not defined elsewhere"></description>
+    <description value="This value set includes W3C PROV Data Model Activity concepts, which are treated as codes in this valueset.  Some adaptations were made to make these concepts suitable values for the Provenance.activity element. Coded concepts are from PROV-DM and the display names are their counterparts in PROV-N (human readable notation syntax specification).[code system OID: http://www.w3.org/TR/2013/REC-prov-dm-20130430/ and http://www.w3.org/TR/2013/REC-prov-n-20130430/]"></description>
     <caseSensitive value="true"></caseSensitive>
     <content value="complete"></content>
     <concept>
-     <code value="authserver"></code>
-     <display value="authorization server"></display>
-     <definition value="An entity providing authorization services to enable the electronic sharing of health-related information based on resource owner's preapproved permissions. For example, an UMA Authorization Server[UMA]"></definition>
+     <code value="Generation"></code>
+     <display value="wasGeneratedBy"></display>
+     <definition value="The completion of production of a new entity by an activity. This entity did not exist before generation and becomes available for usage after this generation. Given that a generation is the completion of production of an entity, it is instantaneous."></definition>
     </concept>
     <concept>
-     <code value="datacollector"></code>
-     <display value="data collector"></display>
-     <definition value="An entity that collects information over which the data subject may have certain rights under policy or law to control that information's management and distribution by data collectors, including the right to access, retrieve, distribute, or delete that information. "></definition>
+     <code value="Usage"></code>
+     <display value="used"></display>
+     <definition value="the beginning of utilizing an entity by an activity. Before usage, the activity had not begun to utilize this entity and could not have been affected by the entity.  (Note: This definition is formulated for a given usage; it is permitted for an activity to have used a same entity multiple times.) Given that a usage is the beginning of utilizing an entity, it is instantaneous."></definition>
     </concept>
     <concept>
-     <code value="dataprocessor"></code>
-     <display value="data processor"></display>
-     <definition value="An entity that processes collected information over which the data subject may have certain rights under policy or law to control that information's management and distribution by data processors, including the right to access, retrieve, distribute, or delete that information."></definition>
+     <code value="Communication"></code>
+     <display value="wasInformedBy"></display>
+     <definition value="The exchange of some unspecified entity by two activities, one activity using some entity generated by the other. A communication implies that activity a2 is dependent on another activity, a1, by way of some unspecified entity that is generated by a1 and used by a2."></definition>
     </concept>
     <concept>
-     <code value="datasubject"></code>
-     <display value="data subject"></display>
-     <definition value="A person whose personal information is collected or processed, and who may have certain rights under policy or law to control that information's management and distribution by data collectors or processors, including the right to access, retrieve, distribute, or delete that information."></definition>
+     <code value="Start"></code>
+     <display value="wasStartedBy"></display>
+     <definition value="When an activity is deemed to have been started by an entity, known as trigger. The activity did not exist before its start. Any usage, generation, or invalidation involving an activity follows the activity's start. A start may refer to a trigger entity that set off the activity, or to an activity, known as starter, that generated the trigger. Given that a start is when an activity is deemed to have started, it is instantaneous."></definition>
     </concept>
     <concept>
-     <code value="humanuser"></code>
-     <display value="human user"></display>
-     <definition value="The human user that has participated."></definition>
+     <code value="End"></code>
+     <display value="wasEndedBy"></display>
+     <definition value="When an activity is deemed to have been ended by an entity, known as trigger. The activity no longer exists after its end. Any usage, generation, or invalidation involving an activity precedes the activity's end. An end may refer to a trigger entity that terminated the activity, or to an activity, known as ender that generated the trigger."></definition>
+    </concept>
+    <concept>
+     <code value="Invalidation"></code>
+     <display value="wasInvalidatedBy"></display>
+     <definition value="The start of the destruction, cessation, or expiry of an existing entity by an activity. The entity is no longer available for use (or further invalidation) after invalidation. Any generation or usage of an entity precedes its invalidation. Given that an invalidation is the start of destruction, cessation, or expiry, it is instantaneous."></definition>
+    </concept>
+    <concept>
+     <code value="Derivation"></code>
+     <display value="wasDerivedFrom"></display>
+     <definition value="A transformation of an entity into another, an update of an entity resulting in a new one, or the construction of a new entity based on a pre-existing entity. For an entity to be transformed from, created from, or resulting from an update to another, there must be some underpinning activity or activities performing the necessary action(s) resulting in such a derivation. A derivation can be described at various levels of precision. In its simplest form, derivation relates two entities. Optionally, attributes can be added to represent further information about the derivation. If the derivation is the result of a single known activity, then this activity can also be optionally expressed. To provide a completely accurate description of the derivation, the generation and usage of the generated and used entities, respectively, can be provided, so as to make the derivation path, through usage, activity, and generation, explicit. Optional information such as activity, generation, and usage can be linked to derivations to aid analysis of provenance and to facilitate provenance-based reproducibility."></definition>
+    </concept>
+    <concept>
+     <code value="Revision"></code>
+     <display value="wasRevisionOf"></display>
+     <definition value="A derivation for which the resulting entity is a revised version of some original. The implication here is that the resulting entity contains substantial content from the original. A revision relation is a kind of derivation relation from a revised entity to a preceding entity."></definition>
+    </concept>
+    <concept>
+     <code value="Quotation"></code>
+     <display value="wasQuotedFrom"></display>
+     <definition value="The repeat of (some or all of) an entity, such as text or image, by someone who might or might not be its original author. A quotation relation is a kind of derivation relation, for which an entity was derived from a preceding entity by copying, or 'quoting', some or all of it."></definition>
+    </concept>
+    <concept>
+     <code value="Primary-Source"></code>
+     <display value="wasPrimarySourceOf"></display>
+     <definition value="Refers to something produced by some agent with direct experience and knowledge about the topic, at the time of the topic's study, without benefit from hindsight. Because of the directness of primary sources, they 'speak for themselves' in ways that cannot be captured through the filter of secondary sources. As such, it is important for secondary sources to reference those primary sources from which they were derived, so that their reliability can be investigated. It is also important to note that a given entity might be a primary source for one entity but not another. It is the reason why Primary Source is defined as a relation as opposed to a subtype of Entity."></definition>
+    </concept>
+    <concept>
+     <code value="Attribution"></code>
+     <display value="wasAttributedTo"></display>
+     <definition value="Ascribing of an entity (object/document) to an agent."></definition>
+    </concept>
+    <concept>
+     <code value="Collection"></code>
+     <display value="isCollectionOf"></display>
+     <definition value=" An aggregating activity that results in composition of an entity, which provides a structure to some constituents that must themselves be entities. These constituents are said to be member of the collections."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medication-usage-status"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/extra-activity-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medication-usage-status"></id>
+    <id value="extra-activity-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/medication-usage-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1423"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MedicationUsage Status Codes"></name>
-    <title value="Medication usage  status  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationUsage Status Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medication-usage-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The medication is still being taken."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The medication is no longer being taken."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Some of the actions that are implied by the medication usage may have occurred.  For example, the patient may have taken some of the medication.  Clinical decision support systems should take this status into account."></definition>
-    </concept>
-    <concept>
-     <code value="intended"></code>
-     <display value="Intended"></display>
-     <definition value="The medication may be taken at some time in the future."></definition>
-    </concept>
-    <concept>
-     <code value="stopped"></code>
-     <display value="Stopped"></display>
-     <definition value="Actions implied by the usage have been permanently halted, before all of them occurred. This should not be used if the statement was entered in error."></definition>
-    </concept>
-    <concept>
-     <code value="on-hold"></code>
-     <display value="On Hold"></display>
-     <definition value="Actions implied by the usage have been temporarily halted, but are expected to continue later. May also be called 'suspended'."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The state of the medication use is not currently known."></definition>
-    </concept>
-    <concept>
-     <code value="not-taken"></code>
-     <display value="Not Taken"></display>
-     <definition value="The medication was not consumed by the patient"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.744"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceStatusCodes"></name>
-    <title value="Contract Resource Status Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for status."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="Contract is augmented with additional information to correct errors in a predecessor or to updated values in a predecessor. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: revised; replaced."></definition>
-    </concept>
-    <concept>
-     <code value="appended"></code>
-     <display value="Appended"></display>
-     <definition value="Contract is augmented with additional information that was missing from a predecessor Contract. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: updated, replaced."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="Contract is terminated due to failure of the Grantor and/or the Grantee to fulfil one or more contract provisions. Usage: Abnormal contract termination. Precedence Order = 10. Comparable FHIR and v.3 status codes: stopped; failed; aborted."></definition>
-    </concept>
-    <concept>
-     <code value="disputed"></code>
-     <display value="Disputed"></display>
-     <definition value="Contract is pended to rectify failure of the Grantor or the Grantee to fulfil contract provision(s). E.g., Grantee complaint about Grantor's failure to comply with contract provisions. Usage: Contract pended. Precedence Order = 7. Comparable FHIR and v.3 status codes: on hold; pended; suspended."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Contract was created in error. No Precedence Order.  Status may be applied to a Contract with any status."></definition>
-    </concept>
-    <concept>
-     <code value="executable"></code>
-     <display value="Executable"></display>
-     <definition value="Contract execution pending; may be executed when either the Grantor or the Grantee accepts the contract provisions by signing. I.e., where either the Grantor or the Grantee has signed, but not both. E.g., when an insurance applicant signs the insurers application, which references the policy. Usage: Optional first step of contract execution activity.  May be skipped and contracting activity moves directly to executed state. Precedence Order = 3. Comparable FHIR and v.3 status codes: draft; preliminary; planned; intended; active."></definition>
-    </concept>
-    <concept>
-     <code value="executed"></code>
-     <display value="Executed"></display>
-     <definition value="Contract is activated for period stipulated when both the Grantor and Grantee have signed it. Usage: Required state for normal completion of contracting activity.  Precedence Order = 6. Comparable FHIR and v.3 status codes: accepted; completed."></definition>
-    </concept>
-    <concept>
-     <code value="negotiable"></code>
-     <display value="Negotiable"></display>
-     <definition value="Contract execution is suspended while either or both the Grantor and Grantee propose and consider new or revised contract provisions. I.e., where the party which has not signed proposes changes to the terms.  E .g., a life insurer declines to agree to the signed application because the life insurer has evidence that the applicant, who asserted to being younger or a non-smoker to get a lower premium rate - but offers instead to agree to a higher premium based on the applicants actual age or smoking status. Usage: Optional contract activity between executable and executed state. Precedence Order = 4. Comparable FHIR and v.3 status codes: in progress; review; held."></definition>
-    </concept>
-    <concept>
-     <code value="offered"></code>
-     <display value="Offered"></display>
-     <definition value="Contract is a proposal by either the Grantor or the Grantee. Aka - A Contract hard copy or electronic 'template', 'form' or 'application'. E.g., health insurance application; consent directive form. Usage: Beginning of contract negotiation, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 2. Comparable FHIR and v.3 status codes: requested; new."></definition>
-    </concept>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="Contract template is available as the basis for an application or offer by the Grantor or Grantee. E.g., health insurance policy; consent directive policy.  Usage: Required initial contract activity, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 1. Comparable FHIR and v.3 status codes: proposed; intended."></definition>
-    </concept>
-    <concept>
-     <code value="rejected"></code>
-     <display value="Rejected"></display>
-     <definition value=" Execution of the Contract is not completed because either or both the Grantor and Grantee decline to accept some or all of the contract provisions. Usage: Optional contract activity between executable and abnormal termination. Precedence Order = 5. Comparable FHIR and v.3 status codes:  stopped; cancelled."></definition>
-    </concept>
-    <concept>
-     <code value="renewed"></code>
-     <display value="Renewed"></display>
-     <definition value="Beginning of a successor Contract at the termination of predecessor Contract lifecycle. Usage: Follows termination of a preceding Contract that has reached its expiry date. Precedence Order = 13. Comparable FHIR and v.3 status codes: superseded."></definition>
-    </concept>
-    <concept>
-     <code value="revoked"></code>
-     <display value="Revoked"></display>
-     <definition value="A Contract that is rescinded.  May be required prior to replacing with an updated Contract. Comparable FHIR and v.3 status codes: nullified."></definition>
-    </concept>
-    <concept>
-     <code value="resolved"></code>
-     <display value="Resolved"></display>
-     <definition value="Contract is reactivated after being pended because of faulty execution. *E.g., competency of the signer(s), or where the policy is substantially different from and did not accompany the application/form so that the applicant could not compare them. Aka - ''reactivated''. Usage: Optional stage where a pended contract is reactivated. Precedence Order = 8. Comparable FHIR and v.3 status codes: reactivated."></definition>
-    </concept>
-    <concept>
-     <code value="terminated"></code>
-     <display value="Terminated"></display>
-     <definition value="Contract reaches its expiry date. It might or might not be renewed or renegotiated. Usage: Normal end of contract period. Precedence Order = 12. Comparable FHIR and v.3 status codes: Obsoleted."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-paymenttype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-paymenttype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-paymenttype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1181"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExamplePaymentTypeCodes"></name>
-    <title value="Example Payment Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes example Payment Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-paymenttype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="complete"></code>
-     <display value="Complete"></display>
-     <definition value="Complete (final) payment of the benefit under the Claim less any adjustments."></definition>
-    </concept>
-    <concept>
-     <code value="partial"></code>
-     <display value="Partial"></display>
-     <definition value="Partial payment of the benefit under the Claim less any adjustments."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/secondary-finding"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="secondary-finding"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/secondary-finding"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1286"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ObservationCategoryCodes"></name>
-    <title value="Observation Category Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="acmg-version1"></code>
-     <display value="ACMG Version 1"></display>
-     <definition value="First release (2013): ACMG Recommendations for Reporting of Incidental Findings in Clinical Exome and Genome Sequencing.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727274/"></definition>
-    </concept>
-    <concept>
-     <code value="acmg-version2"></code>
-     <display value="ACMG Version 2"></display>
-     <definition value="Second release (2016): Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2016 update (ACMG SF v2.0): a policy statement of the American College of Medical Genetics and Genomics. https://www.ncbi.nlm.nih.gov/pubmed/27854360"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/certainty-subcomponent-rating"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="certainty-subcomponent-rating"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1362"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticCertaintySubcomponentRating"></name>
-    <title value="StatisticCertaintySubcomponentRating"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The quality rating of the subcomponent of a quality of evidence rating."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="no-change"></code>
-     <display value="no change to rating"></display>
-     <definition value="no change to quality rating."></definition>
-    </concept>
-    <concept>
-     <code value="downcode1"></code>
-     <display value="reduce rating: -1"></display>
-     <definition value="reduce quality rating by 1."></definition>
-    </concept>
-    <concept>
-     <code value="downcode2"></code>
-     <display value="reduce rating: -2"></display>
-     <definition value="reduce quality rating by 2."></definition>
-    </concept>
-    <concept>
-     <code value="downcode3"></code>
-     <display value="reduce rating: -3"></display>
-     <definition value="reduce quality rating by 3."></definition>
-    </concept>
-    <concept>
-     <code value="upcode1"></code>
-     <display value="increase rating: +1"></display>
-     <definition value="increase quality rating by 1."></definition>
-    </concept>
-    <concept>
-     <code value="upcode2"></code>
-     <display value="increase rating: +2"></display>
-     <definition value="increase quality rating by 2."></definition>
-    </concept>
-    <concept>
-     <code value="no-concern"></code>
-     <display value="no serious concern"></display>
-     <definition value="no serious concern."></definition>
-    </concept>
-    <concept>
-     <code value="serious-concern"></code>
-     <display value="serious concern"></display>
-     <definition value="serious concern."></definition>
-    </concept>
-    <concept>
-     <code value="critical-concern"></code>
-     <display value="critical concern"></display>
-     <definition value="critical concern."></definition>
-    </concept>
-    <concept>
-     <code value="present"></code>
-     <display value="present"></display>
-     <definition value="possible reason for increasing quality rating was checked and found to be present."></definition>
-    </concept>
-    <concept>
-     <code value="absent"></code>
-     <display value="absent"></display>
-     <definition value="possible reason for increasing quality rating was checked and found to be absent."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/organization-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="organization-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/organization-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1128"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="OrganizationType"></name>
-    <title value="Organization type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate a type of organization."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/organization-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="prov"></code>
-     <display value="Healthcare Provider"></display>
-     <definition value="An organization that provides healthcare services."></definition>
-    </concept>
-    <concept>
-     <code value="dept"></code>
-     <display value="Hospital Department"></display>
-     <definition value="A department or ward within a hospital (Generally is not applicable to top level organizations)"></definition>
-    </concept>
-    <concept>
-     <code value="team"></code>
-     <display value="Organizational team"></display>
-     <definition value="An organizational team is usually a grouping of practitioners that perform a specific function within an organization (which could be a top level organization, or a department)."></definition>
-    </concept>
-    <concept>
-     <code value="govt"></code>
-     <display value="Government"></display>
-     <definition value="A political body, often used when including organization records for government bodies such as a Federal Government, State or Local Government."></definition>
-    </concept>
-    <concept>
-     <code value="ins"></code>
-     <display value="Insurance Company"></display>
-     <definition value="A company that provides insurance to its subscribers that may include healthcare related policies."></definition>
-    </concept>
-    <concept>
-     <code value="pay"></code>
-     <display value="Payer"></display>
-     <definition value="A company, charity, or governmental organization, which processes claims and/or issues payments to providers on behalf of patients or groups of patients."></definition>
-    </concept>
-    <concept>
-     <code value="edu"></code>
-     <display value="Educational Institute"></display>
-     <definition value="An educational institution that provides education or research facilities."></definition>
-    </concept>
-    <concept>
-     <code value="reli"></code>
-     <display value="Religious Institution"></display>
-     <definition value="An organization that is identified as a part of a religious institution."></definition>
-    </concept>
-    <concept>
-     <code value="crs"></code>
-     <display value="Clinical Research Sponsor"></display>
-     <definition value="An organization that is identified as a Pharmaceutical/Clinical Research Sponsor."></definition>
-    </concept>
-    <concept>
-     <code value="cg"></code>
-     <display value="Community Group"></display>
-     <definition value="An un-incorporated community group."></definition>
-    </concept>
-    <concept>
-     <code value="bus"></code>
-     <display value="Non-Healthcare Business or Corporation"></display>
-     <definition value="An organization that is a registered business or corporation but not identified by other types."></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="Other type of organization not already specified."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-modifier-code"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="search-modifier-code"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/search-modifier-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.640"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SearchModifierCode"></name>
-    <title value="SearchModifierCode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A supported modifier for a search parameter."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="missing"></code>
-     <display value="Missing"></display>
-     <definition value="The search parameter returns resources that have a value or not."></definition>
-    </concept>
-    <concept>
-     <code value="exact"></code>
-     <display value="Exact"></display>
-     <definition value="The search parameter returns resources that have a value that exactly matches the supplied parameter (the whole string, including casing and accents)."></definition>
-    </concept>
-    <concept>
-     <code value="contains"></code>
-     <display value="Contains"></display>
-     <definition value="The search parameter returns resources that include the supplied parameter value anywhere within the field being searched."></definition>
-    </concept>
-    <concept>
-     <code value="not"></code>
-     <display value="Not"></display>
-     <definition value="The search parameter returns resources that do not contain a match."></definition>
-    </concept>
-    <concept>
-     <code value="text"></code>
-     <display value="Text"></display>
-     <definition value="The search parameter is processed as a string that searches text associated with the code/value - either CodeableConcept.text, Coding.display, or Identifier.type.text."></definition>
-    </concept>
-    <concept>
-     <code value="in"></code>
-     <display value="In"></display>
-     <definition value="The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is in the specified value set."></definition>
-    </concept>
-    <concept>
-     <code value="not-in"></code>
-     <display value="Not In"></display>
-     <definition value="The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is not in the specified value set."></definition>
-    </concept>
-    <concept>
-     <code value="below"></code>
-     <display value="Below"></display>
-     <definition value="The search parameter tests whether the value in a resource is subsumed by the specified value (is-a, or hierarchical relationships)."></definition>
-    </concept>
-    <concept>
-     <code value="above"></code>
-     <display value="Above"></display>
-     <definition value="The search parameter tests whether the value in a resource subsumes the specified value (is-a, or hierarchical relationships)."></definition>
-    </concept>
-    <concept>
-     <code value="type"></code>
-     <display value="Type"></display>
-     <definition value="The search parameter only applies to the Resource Type specified as a modifier (e.g. the modifier is not actually :type, but :Patient etc.)."></definition>
-    </concept>
-    <concept>
-     <code value="identifier"></code>
-     <display value="Identifier"></display>
-     <definition value="The search parameter applies to the identifier on the resource, not the reference."></definition>
-    </concept>
-    <concept>
-     <code value="ofType"></code>
-     <display value="Of Type"></display>
-     <definition value="The search parameter has the format system|code|value, where the system and code refer to an Identifier.type.coding.system and .code, and match if any of the type codes match. All 3 parts must be present."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-decision-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-decision-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-decision-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1292"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceDecisionModeCodes"></name>
-    <title value="Contract Resource Decision Mode codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for decision modes."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-decision-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/communication-topic"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="communication-topic"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/communication-topic"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1078"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CommunicationTopic"></name>
-    <title value="CommunicationTopic"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes describing the purpose or content of the communication."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/communication-topic"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="prescription-refill-request"></code>
-     <display value="Prescription Refill Request"></display>
-     <definition value="The purpose or content of the communication is a prescription refill request."></definition>
-    </concept>
-    <concept>
-     <code value="progress-update"></code>
-     <display value="Progress Update"></display>
-     <definition value="The purpose or content of the communication is a progress update."></definition>
-    </concept>
-    <concept>
-     <code value="report-labs"></code>
-     <display value="Report Labs"></display>
-     <definition value="The purpose or content of the communication is to report labs."></definition>
-    </concept>
-    <concept>
-     <code value="appointment-reminder"></code>
-     <display value="Appointment Reminder"></display>
-     <definition value="The purpose or content of the communication is an appointment reminder."></definition>
-    </concept>
-    <concept>
-     <code value="phone-consult"></code>
-     <display value="Phone Consult"></display>
-     <definition value="The purpose or content of the communication is a phone consult."></definition>
-    </concept>
-    <concept>
-     <code value="summary-report"></code>
-     <display value="Summary Report"></display>
-     <definition value="The purpose or content of the communication is a summary report."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/location-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="location-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/location-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.331"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="LocationMode"></name>
-    <title value="LocationMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates whether a resource instance represents a specific location or a class of locations."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/location-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="instance"></code>
-     <display value="Instance"></display>
-     <definition value="The Location resource represents a specific instance of a location (e.g. Operating Theatre 1A)."></definition>
-    </concept>
-    <concept>
-     <code value="kind"></code>
-     <display value="Kind"></display>
-     <definition value="The Location represents a class of locations (e.g. Any Operating Theatre) although this class of locations could be constrained within a specific boundary (such as organization, or parent location, address etc.)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/astm-signature-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="astm-signature-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="urn:iso-astm:E1762-95:2013"></url>
-    <name value="ASTMSignatureTypeCodes"></name>
-    <title value="ASTM Signature Type Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="ASTM"></publisher>
-    <description value="The Digital Signature Purposes, an indication of the reason an entity signs a document. This is included in the signed information and can be used when determining accountability for various actions concerning the document. Examples include: author, transcriptionist/recorder, and witness."></description>
-    <copyright value="These codes are excerpted from ASTM Standard, E1762-95(2013) - Standard Guide for Electronic Authentication of Health Care Information, Copyright by ASTM International, 100 Barr Harbor Drive, West Conshohocken, PA 19428. Copies of this standard are available through the ASTM Web Site at www.astm.org."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.1"></code>
-     <display value="Author's Signature"></display>
-     <definition value="the signature of the primary or sole author of a health information document. There can be only one primary author of a health information document."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.2"></code>
-     <display value="Coauthor's Signature"></display>
-     <definition value="the signature of a health information document coauthor. There can be multiple coauthors of a health information document."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.3"></code>
-     <display value="Co-participant's Signature"></display>
-     <definition value="the signature of an individual who is a participant in the health information document but is not an author or coauthor. (Example a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.4"></code>
-     <display value="Transcriptionist/Recorder Signature"></display>
-     <definition value="the signature of an individual who has transcribed a dictated document or recorded written text into a digital machine readable format."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.5"></code>
-     <display value="Verification Signature"></display>
-     <definition value="a signature verifying the information contained in a document. (Example a physician is required to countersign a verbal order that has previously been recorded in the medical record by a registered nurse who has carried out the verbal order.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.6"></code>
-     <display value="Validation Signature"></display>
-     <definition value="a signature validating a health information document for inclusion in the patient record. (Example a medical student or resident is credentialed to perform history or physical examinations and to write progress notes. The attending physician signs the history and physical examination to validate the entry for inclusion in the patient's medical record.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.7"></code>
-     <display value="Consent Signature"></display>
-     <definition value="the signature of an individual consenting to what is described in a health information document."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.8"></code>
-     <display value="Signature Witness Signature"></display>
-     <definition value="the signature of a witness to any other signature."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.9"></code>
-     <display value="Event Witness Signature"></display>
-     <definition value="the signature of a witness to an event. (Example the witness has observed a procedure and is attesting to this fact.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.10"></code>
-     <display value="Identity Witness Signature"></display>
-     <definition value="the signature of an individual who has witnessed another individual who is known to them signing a document. (Example the identity witness is a notary public.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.11"></code>
-     <display value="Consent Witness Signature"></display>
-     <definition value="the signature of an individual who has witnessed the health care provider counselling a patient."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.12"></code>
-     <display value="Interpreter Signature"></display>
-     <definition value="the signature of an individual who has translated health care information during an event or the obtaining of consent to a treatment."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.13"></code>
-     <display value="Review Signature"></display>
-     <definition value="the signature of a person, device, or algorithm that has reviewed or filtered data for inclusion into the patient record. ( Examples: (1) a medical records clerk who scans a document for inclusion in the medical record, enters header information, or catalogues and classifies the data, or a combination thereof; (2) a gateway that receives data from another computer system and interprets that data or changes its format, or both, before entering it into the patient record.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.14"></code>
-     <display value="Source Signature"></display>
-     <definition value="the signature of an automated data source. (Examples: (1) the signature for an image that is generated by a device for inclusion in the patient record; (2) the signature for an ECG derived by an ECG system for inclusion in the patient record; (3) the data from a biomedical monitoring device or system that is for inclusion in the patient record.)"></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.15"></code>
-     <display value="Addendum Signature"></display>
-     <definition value="the signature on a new amended document of an individual who has corrected, edited, or amended an original health information document. An addendum signature can either be a signature type or a signature sub-type (see 8.1). Any document with an addendum signature shall have a companion document that is the original document with its original, unaltered content, and original signatures. The original document shall be referenced via an attribute in the new document, which contains, for example, the digest of the old document. Whether the original, unaltered, document is always displayed with the addended document is a local matter, but the original, unaltered, document must remain as part of the patient record and be retrievable on demand."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.16"></code>
-     <display value="Modification Signature"></display>
-     <definition value="the signature on an original document of an individual who has generated a new amended document. This (original) document shall reference the new document via an additional signature purpose. This is the inverse of an addendum signature and provides a pointer from the original to the amended document."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.17"></code>
-     <display value="Administrative (Error/Edit) Signature"></display>
-     <definition value="the signature of an individual who is certifying that the document is invalidated by an error(s), or is placed in the wrong chart. An administrative (error/edit) signature must include an addendum to the document and therefore shall have an addendum signature sub-type (see 8.1). This signature is reserved for the highest health information system administrative classification, since it is a statement that the entire document is invalidated by the error and that the document should no longer be used for patient care, although for legal reasons the document must remain part of the permanent patient record."></definition>
-    </concept>
-    <concept>
-     <code value="1.2.840.10065.1.12.1.18"></code>
-     <display value="Timestamp Signature"></display>
-     <definition value="the signature by an entity or device trusted to provide accurate timestamps. This timestamp might be provided, for example, in the signature time attribute."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/list-empty-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="list-empty-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/list-empty-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1106"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ListEmptyReasons"></name>
-    <title value="List Empty Reasons"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="General reasons for a list to be empty. Reasons are either related to a summary list (i.e. problem or medication list) or to a workflow related list (i.e. consultation list)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/list-empty-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="nilknown"></code>
-     <display value="Nil Known"></display>
-     <definition value="Clinical judgment that there are no known items for this list after reasonable investigation. Note that this a positive statement by a clinical user, and not a default position asserted by a computer system in the lack of other information. Example uses:  * For allergies: the patient or patient's agent/guardian has asserted that he/she is not aware of any allergies (NKA - nil known allergies)  * For medications: the patient or patient's agent/guardian has asserted that the patient is known to be taking no medications  * For diagnoses, problems and procedures: the patient or patient's agent/guardian has asserted that there is no known event to record."></definition>
-    </concept>
-    <concept>
-     <code value="notasked"></code>
-     <display value="Not Asked"></display>
-     <definition value="The investigation to find out whether there are items for this list has not occurred."></definition>
-    </concept>
-    <concept>
-     <code value="withheld"></code>
-     <display value="Information Withheld"></display>
-     <definition value="The content of the list was not provided due to privacy or confidentiality concerns. Note that it should not be assumed that this means that the particular information in question was withheld due to its contents - it can also be a policy decision."></definition>
-    </concept>
-    <concept>
-     <code value="unavailable"></code>
-     <display value="Unavailable"></display>
-     <definition value="Information to populate this list cannot be obtained; e.g. unconscious patient."></definition>
-    </concept>
-    <concept>
-     <code value="notstarted"></code>
-     <display value="Not Started"></display>
-     <definition value="The work to populate this list has not yet begun."></definition>
-    </concept>
-    <concept>
-     <code value="closed"></code>
-     <display value="Closed"></display>
-     <definition value="This list has now closed or has ceased to be relevant or useful."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogentry-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="catalogentry-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/catalogentry-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1448"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CatalogEntryType"></name>
-    <title value="CatalogEntryType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Types of resources that can be attached to catalog entries."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/catalogentry-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ActivityDefinition"></code>
-     <display value="ActivityDefinition"></display>
-    </concept>
-    <concept>
-     <code value="PlanDefinition"></code>
-     <display value="PlanDefinition"></display>
-    </concept>
-    <concept>
-     <code value="SpecimenDefinition"></code>
-     <display value="SpecimenDefinition"></display>
-    </concept>
-    <concept>
-     <code value="ObservationDefinition"></code>
-     <display value="ObservationDefinition"></display>
-    </concept>
-    <concept>
-     <code value="DeviceDefinition"></code>
-     <display value="DeviceDefinition"></display>
-    </concept>
-    <concept>
-     <code value="Organization"></code>
-     <display value="Organization"></display>
-    </concept>
-    <concept>
-     <code value="Practitioner"></code>
-     <display value="Practitioner"></display>
-    </concept>
-    <concept>
-     <code value="PractitionerRole"></code>
-     <display value="PractitionerRole"></display>
-    </concept>
-    <concept>
-     <code value="HealthcareService"></code>
-     <display value="HealthcareService"></display>
-    </concept>
-    <concept>
-     <code value="MedicationKnowledge"></code>
-     <display value="MedicationKnowledge"></display>
-    </concept>
-    <concept>
-     <code value="Medication"></code>
-     <display value="Medication"></display>
-    </concept>
-    <concept>
-     <code value="Substance"></code>
-     <display value="Substance"></display>
-    </concept>
-    <concept>
-     <code value="Location"></code>
-     <display value="Location"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adverse-event-seriousness"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adverse-event-seriousness"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adverse-event-seriousness"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1253"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdverseEventSeriousness"></name>
-    <title value="AdverseEventSeriousness"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Overall seriousness of this event for the patient."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adverse-event-seriousness"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="non-serious"></code>
-     <display value="Non-serious"></display>
-     <definition value="This event is considered not to have the potential for persistent or costly injury or consequence."></definition>
-    </concept>
-    <concept>
-     <code value="serious"></code>
-     <display value="Serious"></display>
-     <definition value="This event is considered to have the potential for persistent or costly injury or consequence."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-signer-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-signer-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1201"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractSignerTypeCodes"></name>
-    <title value="Contract Signer Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <description value="This value set includes sample Contract Signer Type codes."></description>
-    <copyright value="This is an example set based on ASTM Standard, E1762-95 (2013) HL7 RoleClass OID 2.16.840.1.113883.5.110, HL7 Role Code 2.16.840.1.113883.5.111, HL7 ParticipationType OID: 2.16.840.1.113883.5.90, HL7 ParticipationFunction codes at OID: 2.16.840.1.113883.5.88, and HL7 Security and Privacy Domain Analysis Model roles classes."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-signer-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="AMENDER"></code>
-     <display value="Amender"></display>
-     <definition value="A person who has corrected, edited, or amended pre-existing information."></definition>
-    </concept>
-    <concept>
-     <code value="AUTHN"></code>
-     <display value="Authenticator"></display>
-     <definition value="A person in the role of verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate information content. An example would be a resident physician who sees a patient and dictates a note, then later signs it. The resident's signature constitutes an authentication."></definition>
-    </concept>
-    <concept>
-     <code value="AUT"></code>
-     <display value="Author"></display>
-     <definition value="An entity that authored specific content. There can be multiple authors of content, which may take such forms as a contract, a healthcare record entry or document, a policy, or a consent directive."></definition>
-    </concept>
-    <concept>
-     <code value="AFFL"></code>
-     <display value="Affiliate"></display>
-     <definition value="An entity that has a business or professional relationship with another entity in accordance with an agreement."></definition>
-    </concept>
-    <concept>
-     <code value="AGNT"></code>
-     <display value="Agent"></display>
-     <definition value="An entity that acts or is authorized to act on behalf of another entity in accordance with an agreement."></definition>
-    </concept>
-    <concept>
-     <code value="ASSIGNED"></code>
-     <display value="Assigned Entity"></display>
-     <definition value="An agent role in which the agent is an Entity acting in the employ of an organization. The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization."></definition>
-    </concept>
-    <concept>
-     <code value="CIT"></code>
-     <display value="Citizen"></display>
-     <definition value="The member of a jurisdiction afforded certain rights and encumbered with certain obligation in accordance with jurisdictional policy."></definition>
-    </concept>
-    <concept>
-     <code value="CLAIMANT"></code>
-     <display value="Claimant"></display>
-     <definition value="A party that makes a claim for coverage under a policy."></definition>
-    </concept>
-    <concept>
-     <code value="COAUTH"></code>
-     <display value="Co-Author"></display>
-     <definition value="The entity that co-authored content. There can be multiple co-authors of content, which may take such forms as a contract, a healthcare record entry or document, a policy, or a consent directive."></definition>
-    </concept>
-    <concept>
-     <code value="CONSENTER"></code>
-     <display value="Consenter"></display>
-     <definition value="A patient or patient representative who is the grantee in a healthcare related agreement such as a consent for healthcare services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy."></definition>
-    </concept>
-    <concept>
-     <code value="CONSWIT"></code>
-     <display value="Consent Witness"></display>
-     <definition value="A person who has witnessed and attests to observing a patient being counseled about a healthcare related agreement such as a consent for healthcare services, advanced directive, or a privacy consent directive."></definition>
-    </concept>
-    <concept>
-     <code value="CONT"></code>
-     <display value="Contact"></display>
-     <definition value="A person or an organization that provides or receives information regarding another entity. Examples; patient NOK and emergency contacts; guarantor contact; employer contact."></definition>
-    </concept>
-    <concept>
-     <code value="COPART"></code>
-     <display value="Co-Participant"></display>
-     <definition value="A person who participates in the generation of and attest to veracity of content but is not an author or co-author. For example, a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report."></definition>
-    </concept>
-    <concept>
-     <code value="COVPTY"></code>
-     <display value="Covered Party"></display>
-     <definition value="An entity, which is the insured, that receives benefits such as healthcare services, reimbursement for out-of-pocket expenses, or compensation for losses through coverage under the terms of an insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy. Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder."></definition>
-    </concept>
-    <concept>
-     <code value="DELEGATEE"></code>
-     <display value="Delegatee"></display>
-     <definition value="A party to whom some right or authority is delegated by a delegator."></definition>
-    </concept>
-    <concept>
-     <code value="delegator"></code>
-     <display value="Delegator"></display>
-     <definition value="A party that delegates a right or authority to another party."></definition>
-    </concept>
-    <concept>
-     <code value="DEPEND"></code>
-     <display value="Dependent"></display>
-     <definition value="A person covered under an insurance policy or program based on an association with a subscriber, which is recognized by the policy holder. The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child. The policy holder may be required by law to recognize certain associations or may have discretion about the associations. For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents. Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently-abled or deceased, a guardian ad lidem or estate executor may be appointed to assume the subscriber's legal standing in the relationship with the dependent."></definition>
-    </concept>
-    <concept>
-     <code value="DPOWATT"></code>
-     <display value="Durable Power of Attorney"></display>
-     <definition value="A person who has been granted the authority to represent or act on another's behalf generally in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency."></definition>
-    </concept>
-    <concept>
-     <code value="EMGCON"></code>
-     <display value="Emergency Contact"></display>
-     <definition value="An entity to be contacted in the event of an emergency"></definition>
-    </concept>
-    <concept>
-     <code value="EVTWIT"></code>
-     <display value="Event Witness"></display>
-     <definition value="A person who attests to observing an occurrence.  For example, the witness has observed a procedure and is attesting to this fact."></definition>
-    </concept>
-    <concept>
-     <code value="EXCEST"></code>
-     <display value="Executor of Estate"></display>
-     <definition value="A person who has been granted the authority to act as an estate executor for a deceased person who was the responsible party."></definition>
-    </concept>
-    <concept>
-     <code value="GRANTEE"></code>
-     <display value="Grantee"></display>
-     <definition value="A person who grants to another person the authority to represent or act on that person's behalf.  Examples include (1) exercising specific rights belonging to the grantee; (2) performing specific duties on behalf of a grantee; and (3) making specific decisions concerning a grantee."></definition>
-    </concept>
-    <concept>
-     <code value="GRANTOR"></code>
-     <display value="Grantor"></display>
-     <definition value="A person who has been granted the authority to represent or act on another's behalf. Examples include (1) exercising specific rights belonging to the grantee; (2) performing specific duties on behalf of a grantee; and (3) making specific decisions concerning a grantee."></definition>
-    </concept>
-    <concept>
-     <code value="GUAR"></code>
-     <display value="Guarantor"></display>
-     <definition value="A person or organization contractually recognized by the issuer as an entity that has assumed fiscal responsibility (e.g., by making or giving a promise, assurance, or pledge) for another entity's financial obligations by guaranteeing to pay for amounts owed to a particular account.  In a healthcare context, the account may be a patient's billing account for services rendered by a provider or a health plan premium account."></definition>
-    </concept>
-    <concept>
-     <code value="GUARD"></code>
-     <display value="Guardian"></display>
-     <definition value="A person or organization legally empowered with responsibility for the care of a ward."></definition>
-    </concept>
-    <concept>
-     <code value="GUADLTM"></code>
-     <display value="Guardian ad lidem"></display>
-     <definition value="A person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings."></definition>
-    </concept>
-    <concept>
-     <code value="INF"></code>
-     <display value="Informant"></display>
-     <definition value="An entity that is the source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject."></definition>
-    </concept>
-    <concept>
-     <code value="INTPRT"></code>
-     <display value="Interpreter"></display>
-     <definition value="A person who converts spoken or written language into the language of key participants in an event such as when a provider is obtaining a patient's consent to treatment or permission to disclose information."></definition>
-    </concept>
-    <concept>
-     <code value="INSBJ"></code>
-     <display value="Investigation Subject"></display>
-     <definition value="An entity that is the subject of an investigation. This role is scoped by the party responsible for the investigation."></definition>
-    </concept>
-    <concept>
-     <code value="HPOWATT"></code>
-     <display value="Healthcare Power of Attorney"></display>
-     <definition value="A person who has been granted the authority to represent or act on another's behalf for healthcare related matters in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Examples include (1) exercising specific healthcare legal rights belonging to the grantee such as signing a consent directive; (2) performing specific healthcare related legal duties on behalf of a grantee such as claims payment; and (3) making specific healthcare legal decisions concerning a grantee such as consenting to healthcare services."></definition>
-    </concept>
-    <concept>
-     <code value="HPROV"></code>
-     <display value="Healthcare Provider"></display>
-     <definition value="An entity that is authorized to provide health care services by an authorizing organization or jurisdiction."></definition>
-    </concept>
-    <concept>
-     <code value="LEGAUTHN"></code>
-     <display value="Legal Authenticator"></display>
-     <definition value="A person in the role of verifier who attests to the accuracy of information content, and who has privileges to certify the legal authenticity of that content with a signature that constitutes a legal authentication.  For example, a licensed physician who signs a consult authored by a resident physician who authenticated it."></definition>
-    </concept>
-    <concept>
-     <code value="NMDINS"></code>
-     <display value="Named Insured"></display>
-     <definition value="A party to an insurance policy under which the insurer agrees to indemnify for losses, provides benefits for, or renders services. A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subject that is the named insured under a comprehensive automobile, disability, or property and casualty policy.  The named insured and might or might not be the policy holder."></definition>
-    </concept>
-    <concept>
-     <code value="NOK"></code>
-     <display value="Next of Kin"></display>
-     <definition value="A person, who is a type of contact, designated to receive notifications on behalf of another person who is a relative."></definition>
-    </concept>
-    <concept>
-     <code value="NOTARY"></code>
-     <display value="Notary"></display>
-     <definition value="The party credentialed to legally attest to the contract binding by verifying the identity and capacity of the grantor and grantee, and witnessing their signing of the contract or agreement such as a real estate transaction, pre-nuptial agreement, or a will."></definition>
-    </concept>
-    <concept>
-     <code value="PAT"></code>
-     <display value="Patient"></display>
-     <definition value="A person, animal, or other living subject that is the actual or potential recipient of health care services."></definition>
-    </concept>
-    <concept>
-     <code value="POWATT"></code>
-     <display value="Power of Attorney"></display>
-     <definition value="A person who has been granted the authority to represent or act on another's behalf generally in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Examples include (1) exercising specific legal rights belonging to the grantee such as signing a contract; (2) performing specific legal duties on behalf of a grantee such as making loan payments; and (3) making specific legal decisions concerning a grantee such as financial investment decisions."></definition>
-    </concept>
-    <concept>
-     <code value="PRIMAUTH"></code>
-     <display value="Primary Author"></display>
-     <definition value="An entity that is the primary or sole author of information content.  In the healthcare context, there can be only one primary author of health information content in a record entry or document."></definition>
-    </concept>
-    <concept>
-     <code value="PRIRECIP"></code>
-     <display value="Primary Responsible Party "></display>
-     <definition value="An entity that may, should receive, or has received information or an object to which it was primarily addressed."></definition>
-    </concept>
-    <concept>
-     <code value="RECIP"></code>
-     <display value="Recipient"></display>
-     <definition value="An entity that may, should receive, or has received information or an object, which might not have been primarily addressed to it. For example, the staff of a provider, a clearinghouse, or other intermediary."></definition>
-    </concept>
-    <concept>
-     <code value="RESPRSN"></code>
-     <display value="Responsible Party"></display>
-     <definition value="An entity that has legal responsibility for another party."></definition>
-    </concept>
-    <concept>
-     <code value="REVIEWER"></code>
-     <display value="Reviewer"></display>
-     <definition value="A person, device, or algorithm that has used approved criteria for filtered data for inclusion into the patient record.  Examples: (1) a medical records clerk who scans a document for inclusion in the medical record, enters header information, or catalogues and classifies the data, or a combination thereof; (2) a gateway that receives data from another computer system and interprets that data or changes its format, or both, before entering it into the patient record."></definition>
-    </concept>
-    <concept>
-     <code value="TRANS"></code>
-     <display value="Transcriber"></display>
-     <definition value="An entity entering the data into the originating system. This includes the transcriptionist for dictated text transcribed into electronic form."></definition>
-    </concept>
-    <concept>
-     <code value="SOURCE"></code>
-     <display value="Source"></display>
-     <definition value="An automated data source that generates a signature along with content. Examples: (1) the signature for an image that is generated by a device for inclusion in the patient record; (2) the signature for an ECG derived by an ECG system for inclusion in the patient record; (3) the data from a biomedical monitoring device or system that is for inclusion in the patient record."></definition>
-    </concept>
-    <concept>
-     <code value="SPOWATT"></code>
-     <display value="Special Power of Attorney"></display>
-     <definition value="A person who has been granted the authority to represent or act on another's behalf for a limited set of specific matters in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts. Examples include (1) exercising specific legal rights belonging to the grantee such as drafting a will; (2) performing specific legal duties on behalf of a grantee such as making a reversible mortgage to pay for end of life expenses; and (3) making specific legal decisions concerning a grantee such as managing a trust."></definition>
-    </concept>
-    <concept>
-     <code value="VALID"></code>
-     <display value="Validator"></display>
-     <definition value="A person who validates a health information document for inclusion in the patient record. For example, a medical student or resident is credentialed to perform history or physical examinations and to write progress notes. The attending physician signs the history and physical examination to validate the entry for inclusion in the patient's medical record."></definition>
-    </concept>
-    <concept>
-     <code value="VERF"></code>
-     <display value="Verifier"></display>
-     <definition value="A person who asserts the correctness and appropriateness of an act or the recording of the act, and is accountable for the assertion that the act or the recording of the act complies with jurisdictional or organizational policy. For example, a physician is required to countersign a verbal order that has previously been recorded in the medical record by a registered nurse who has carried out the verbal order."></definition>
-    </concept>
-    <concept>
-     <code value="WIT"></code>
-     <display value="Witness"></display>
-     <definition value="A person witnessing the signature of another party. A witness is not knowledgeable about the content being signed, much less approves of anything stated in the content. For example, an advanced directive witness or a witness that a party to a contract signed that certain demographic or financial information is truthful."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/extension-context-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="extension-context-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/extension-context-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1013"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExtensionContextType"></name>
-    <title value="ExtensionContextType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How an extension context is interpreted."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/extension-context-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="fhirpath"></code>
-     <display value="FHIRPath"></display>
-     <definition value="The context is all elements that match the FHIRPath query found in the expression."></definition>
-    </concept>
-    <concept>
-     <code value="element"></code>
-     <display value="Element ID"></display>
-     <definition value="The context is any element that has an ElementDefinition.id that matches that found in the expression. This includes ElementDefinition Ids that have slicing identifiers. The full path for the element is [url]#[elementid]. If there is no #, the Element id is one defined in the base specification."></definition>
-    </concept>
-    <concept>
-     <code value="extension"></code>
-     <display value="Extension URL"></display>
-     <definition value="The context is a particular extension from a particular StructureDefinition, and the expression is just a uri that identifies the extension."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/episode-of-care-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="episode-of-care-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/episode-of-care-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.665"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EpisodeOfCareStatus"></name>
-    <title value="EpisodeOfCareStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of the episode of care."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/episode-of-care-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="planned"></code>
-     <display value="Planned"></display>
-     <definition value="This episode of care is planned to start at the date specified in the period.start. During this status, an organization may perform assessments to determine if the patient is eligible to receive services, or be organizing to make resources available to provide care services."></definition>
-    </concept>
-    <concept>
-     <code value="waitlist"></code>
-     <display value="Waitlist"></display>
-     <definition value="This episode has been placed on a waitlist, pending the episode being made active (or cancelled)."></definition>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="This episode of care is current."></definition>
-    </concept>
-    <concept>
-     <code value="onhold"></code>
-     <display value="On Hold"></display>
-     <definition value="This episode of care is on hold; the organization has limited responsibility for the patient (such as while on respite)."></definition>
-    </concept>
-    <concept>
-     <code value="finished"></code>
-     <display value="Finished"></display>
-     <definition value="This episode of care is finished and the organization is not expecting to be providing further care to the patient. Can also be known as &quot;closed&quot;, &quot;completed&quot; or other similar terms."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The episode of care was cancelled, or withdrawn from service, often selected during the planned stage as the patient may have gone elsewhere, or the circumstances have changed and the organization is unable to provide the care. It indicates that services terminated outside the planned/expected workflow."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This instance should not have been part of this patient's medical record."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationknowledge-characteristic"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationknowledge-characteristic"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/medicationknowledge-characteristic"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1338"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationKnowledge Characteristic Codes"></name>
-    <title value="Medication knowledge  characteristic  codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationKnowledge Characteristic Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="imprintcd"></code>
-     <display value="Imprint Code"></display>
-     <definition value="Identyifying marks on product"></definition>
-    </concept>
-    <concept>
-     <code value="size"></code>
-     <display value="Size"></display>
-     <definition value="Description of size of the product"></definition>
-    </concept>
-    <concept>
-     <code value="shape"></code>
-     <display value="Shape"></display>
-     <definition value="Description of the shape of the product"></definition>
-    </concept>
-    <concept>
-     <code value="color"></code>
-     <display value="Color"></display>
-     <definition value="Description of the color of the product"></definition>
-    </concept>
-    <concept>
-     <code value="coating"></code>
-     <display value="Coating"></display>
-     <definition value="Description of the coating of the product"></definition>
-    </concept>
-    <concept>
-     <code value="scoring"></code>
-     <display value="Scoring"></display>
-     <definition value="Description of the scoring of the product"></definition>
-    </concept>
-    <concept>
-     <code value="logo"></code>
-     <display value="Logo"></display>
-     <definition value="Description of the Logo of the product"></definition>
-    </concept>
-    <concept>
-     <code value="image"></code>
-     <display value="Image"></display>
-     <definition value="Description of the Image of the product"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adjudication-error"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adjudication-error"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adjudication-error"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1053"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Adjudication Error Codes"></name>
+    <url value="http://hl7.org/fhir/extra-activity-type"></url>
+    <version value="4.2.0"></version>
+    <name value="ExtraActivityType"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of adjudication codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adjudication-error"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="a001"></code>
-     <display value="Missing Identifier"></display>
-     <definition value="Missing Identifier"></definition>
-    </concept>
-    <concept>
-     <code value="a002"></code>
-     <display value="Missing Creation Date"></display>
-     <definition value="Missing Creation Date"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-operational-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="metric-operational-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="dev"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/metric-operational-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.647"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceMetricOperationalStatus"></name>
-    <title value="DeviceMetricOperationalStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Describes the operational status of the DeviceMetric."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/metric-operational-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="on"></code>
-     <display value="On"></display>
-     <definition value="The DeviceMetric is operating and will generate DeviceObservations."></definition>
-    </concept>
-    <concept>
-     <code value="off"></code>
-     <display value="Off"></display>
-     <definition value="The DeviceMetric is not operating."></definition>
-    </concept>
-    <concept>
-     <code value="standby"></code>
-     <display value="Standby"></display>
-     <definition value="The DeviceMetric is operating, but will not generate any DeviceObservations."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered In Error"></display>
-     <definition value="The DeviceMetric was entered in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/topic-match-operator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="topic-match-operator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/topic-match-operator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1462"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TopicFilterByMatchType"></name>
-    <title value="TopicFilterByMatchType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Operator to apply to filter label."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/topic-match-operator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="="></code>
-     <display value="="></display>
-     <definition value="Used to match a value according to FHIR Search rules (e.g., Patient/123, Encounter/2002)."></definition>
-    </concept>
-    <concept>
-     <code value="in"></code>
-     <display value="in"></display>
-     <definition value="The key value in the topic stream is an active members of the reference set identified by the concept provided as the filter value."></definition>
-    </concept>
-    <concept>
-     <code value="not-in"></code>
-     <display value="not-in"></display>
-     <definition value="The key value in the topic stream is NOT an active members of the reference set identified by the concept provided as the filter value."></definition>
-    </concept>
-    <concept>
-     <code value="above"></code>
-     <display value="above"></display>
-     <definition value="The key value is subsumes the value in the filter value."></definition>
-    </concept>
-    <concept>
-     <code value="below"></code>
-     <display value="below"></display>
-     <definition value="The key value is subsumed by the value in the filter value."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/conformance-expectation"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="conformance-expectation"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/conformance-expectation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1271"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConformanceExpectation"></name>
-    <title value="ConformanceExpectation"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="SHALL"></code>
-     <display value="SHALL"></display>
-     <definition value="Support for the specified capability is required to be considered conformant."></definition>
-    </concept>
-    <concept>
-     <code value="SHOULD"></code>
-     <display value="SHOULD"></display>
-     <definition value="Support for the specified capability is strongly encouraged, and failure to support it should only occur after careful consideration."></definition>
-    </concept>
-    <concept>
-     <code value="MAY"></code>
-     <display value="MAY"></display>
-     <definition value="Support for the specified capability is not necessary to be considered conformant, and the requirement should be considered strictly optional."></definition>
-    </concept>
-    <concept>
-     <code value="SHOULD-NOT"></code>
-     <display value="SHOULD-NOT"></display>
-     <definition value="Support for the specified capability is strongly discouraged and should occur only after careful consideration."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-security-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="resource-security-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/resource-security-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1404"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResourceSecurityCategory"></name>
-    <title value="ResourceSecurityCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/resource-security-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="anonymous"></code>
-     <display value="Anonymous READ Access Resource"></display>
-     <definition value="These resources tend to not contain any individual data, or business sensitive data. Most often these Resources will be available for anonymous access, meaning there is no access control based on the user or system requesting. However these Resources do tend to contain important information that must be authenticated back to the source publishing them, and protected from integrity failures in communication. For this reason server authenticated https (TLS) is recommended to provide authentication of the server and integrity protection in transit. This is normal web-server use of https."></definition>
-    </concept>
-    <concept>
-     <code value="business"></code>
-     <display value="Business Sensitive Resource"></display>
-     <definition value="These Resources tend to not contain any individual data, but do have data that describe business or service sensitive data. The use of the term Business is not intended to only mean an incorporated business, but rather the more broad concept of an organization, location, or other group that is not identifable as individuals. Often these resources will require some for of client authentication to assure that only authorized access is given. The client access control may be to individuals, or may be to system identity. For this purpose possible client authentication methods such as: mutual-authenticated-TLS, APIKey, App signed JWT, or App OAuth client-id JWT For example: a App that uses a Business protected Provider Directory to determine other business endpoint details."></definition>
-    </concept>
-    <concept>
-     <code value="individual"></code>
-     <display value="Individual Sensitive Resource"></display>
-     <definition value="These Resources do NOT contain Patient data, but do contain individual information about other participants. These other individuals are Practitioners, PractionerRole, CareTeam, or other users. These identities are needed to enable the practice of healthcare. These identities are identities under general privacy regulations, and thus must consider Privacy risk. Often access to these other identities are covered by business relationships. For this purpose access to these Resources will tend to be Role specific using methods such as RBAC or ABAC."></definition>
-    </concept>
-    <concept>
-     <code value="patient"></code>
-     <display value="Patient Sensitive"></display>
-     <definition value="These Resources make up the bulk of FHIR and therefore are the most commonly understood. These Resources contain highly sesitive health information, or are closely linked to highly sensitive health information. These Resources will often use the security labels to differentiate various confidentiality levels within this broad group of Patient Sensitive data. Access to these Resources often requires a declared Purpose Of Use. Access to these Resources is often controlled by a Privacy Consent."></definition>
-    </concept>
-    <concept>
-     <code value="not-classified"></code>
-     <display value="Not classified"></display>
-     <definition value="Some Resources can be used for a wide scope of use-cases that span very sensitive to very non-sensitive. These Resources do not fall into any of the above classifications, as their sensitivity is highly variable. These Resources will need special handling. These Resources often contain metadata that describes the content in a way that can be used for Access Control decisions."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/quantity-comparator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="quantity-comparator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/quantity-comparator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.60"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuantityComparator"></name>
-    <title value="QuantityComparator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How the Quantity should be understood and represented."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="&lt;"></code>
-     <display value="Less than"></display>
-     <definition value="The actual value is less than the given value."></definition>
-    </concept>
-    <concept>
-     <code value="&lt;="></code>
-     <display value="Less or Equal to"></display>
-     <definition value="The actual value is less than or equal to the given value."></definition>
-    </concept>
-    <concept>
-     <code value="&gt;="></code>
-     <display value="Greater or Equal to"></display>
-     <definition value="The actual value is greater than or equal to the given value."></definition>
-    </concept>
-    <concept>
-     <code value="&gt;"></code>
-     <display value="Greater than"></display>
-     <definition value="The actual value is greater than the given value."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-significance-category"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="message-significance-category"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="inm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/message-significance-category"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.189"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MessageSignificanceCategory"></name>
-    <title value="MessageSignificanceCategory"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The impact of the content of a message."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/message-significance-category"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="consequence"></code>
-     <display value="Consequence"></display>
-     <definition value="The message represents/requests a change that should not be processed more than once; e.g., making a booking for an appointment."></definition>
-    </concept>
-    <concept>
-     <code value="currency"></code>
-     <display value="Currency"></display>
-     <definition value="The message represents a response to query for current information. Retrospective processing is wrong and/or wasteful."></definition>
-    </concept>
-    <concept>
-     <code value="notification"></code>
-     <display value="Notification"></display>
-     <definition value="The content is not necessarily intended to be current, and it can be reprocessed, though there may be version issues created by processing old notifications."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/provenance-agent-role"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="provenance-agent-role"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/provenance-participant-role"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1306"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ProvenanceParticipantRole"></name>
-    <title value="Provenance participant role"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2023-05-12T10:00:00+10:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The role that a provenance participant played"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/provenance-agent-role"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <concept>
-     <code value="enterer"></code>
-     <display value="Enterer"></display>
-     <definition value="A person entering the data into the originating system"></definition>
-    </concept>
-    <concept>
-     <code value="performer"></code>
-     <display value="Performer"></display>
-     <definition value="A person, animal, organization or device that who actually and principally carries out the activity"></definition>
-    </concept>
-    <concept>
-     <code value="author"></code>
-     <display value="Author"></display>
-     <definition value="A party that originates the resource and therefore has responsibility for the information given in the resource and ownership of this resource"></definition>
-    </concept>
-    <concept>
-     <code value="verifier"></code>
-     <display value="Verifier"></display>
-     <definition value="A person who verifies the correctness and appropriateness of activity"></definition>
-     <concept>
-      <code value="legal"></code>
-      <display value="Legal Authenticator"></display>
-      <definition value="The person authenticated the content and accepted legal responsibility for its content"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="attester"></code>
-     <display value="Attester"></display>
-     <definition value="A verifier who attests to the accuracy of the resource"></definition>
-    </concept>
-    <concept>
-     <code value="informant"></code>
-     <display value="Informant"></display>
-     <definition value="A person who reported information that contributed to the resource"></definition>
-    </concept>
-    <concept>
-     <code value="custodian"></code>
-     <display value="Custodian"></display>
-     <definition value="The entity that is accountable for maintaining a true an accurate copy of the original record"></definition>
-    </concept>
-    <concept>
-     <code value="assembler"></code>
-     <display value="Assembler"></display>
-     <definition value="A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact."></definition>
-    </concept>
-    <concept>
-     <code value="composer"></code>
-     <display value="Composer"></display>
-     <definition value="A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/document-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="document-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/document-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.187"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DocumentMode"></name>
-    <title value="DocumentMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Whether the application produces or consumes documents."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/document-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="producer"></code>
-     <display value="Producer"></display>
-     <definition value="The application produces documents of the specified type."></definition>
-    </concept>
-    <concept>
-     <code value="consumer"></code>
-     <display value="Consumer"></display>
-     <definition value="The application consumes documents of the specified type."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-uscls"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-uscls"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-USCLS"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1153"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="USCLSCodes"></name>
-    <title value="USCLS Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of USCLS codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-uscls"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1101"></code>
-     <display value="Exam, comp, primary"></display>
-     <definition value="Exam, comp, primary"></definition>
-    </concept>
-    <concept>
-     <code value="1102"></code>
-     <display value="Exam, comp, mixed"></display>
-     <definition value="Exam, comp, mixed"></definition>
-    </concept>
-    <concept>
-     <code value="1103"></code>
-     <display value="Exam, comp, permanent"></display>
-     <definition value="Exam, comp, permanent"></definition>
-    </concept>
-    <concept>
-     <code value="1201"></code>
-     <display value="Exam, recall"></display>
-     <definition value="Exam, recall"></definition>
-    </concept>
-    <concept>
-     <code value="1205"></code>
-     <display value="Exam, emergency"></display>
-     <definition value="Exam, emergency"></definition>
-    </concept>
-    <concept>
-     <code value="2101"></code>
-     <display value="Radiograph, series (12)"></display>
-     <definition value="Radiograph, series (12)"></definition>
-    </concept>
-    <concept>
-     <code value="2102"></code>
-     <display value="Radiograph, series (16)"></display>
-     <definition value="Radiograph, series (16)"></definition>
-    </concept>
-    <concept>
-     <code value="2141"></code>
-     <display value="Radiograph, bitewing"></display>
-     <definition value="Radiograph, bitewing"></definition>
-    </concept>
-    <concept>
-     <code value="2601"></code>
-     <display value="Radiograph, panoramic"></display>
-     <definition value="Radiograph, panoramic"></definition>
-    </concept>
-    <concept>
-     <code value="11101"></code>
-     <display value="Polishing, 1 unit"></display>
-     <definition value="Polishing, 1 unit"></definition>
-    </concept>
-    <concept>
-     <code value="11102"></code>
-     <display value="Polishing, 2 unit"></display>
-     <definition value="Polishing, 2 unit"></definition>
-    </concept>
-    <concept>
-     <code value="11103"></code>
-     <display value="Polishing, 3 unit"></display>
-     <definition value="Polishing, 3 unit"></definition>
-    </concept>
-    <concept>
-     <code value="11104"></code>
-     <display value="Polishing, 4 unit"></display>
-     <definition value="Polishing, 4 unit"></definition>
-    </concept>
-    <concept>
-     <code value="21211"></code>
-     <display value="Amalgam, 1 surface"></display>
-     <definition value="Amalgam, 1 surface"></definition>
-    </concept>
-    <concept>
-     <code value="21212"></code>
-     <display value="Amalgam, 2 surface"></display>
-     <definition value="Amalgam, 2 surface"></definition>
-    </concept>
-    <concept>
-     <code value="27211"></code>
-     <display value="Crown, PFM"></display>
-     <definition value="Crown, PFM"></definition>
-    </concept>
-    <concept>
-     <code value="67211"></code>
-     <display value="Maryland Bridge"></display>
-     <definition value="Maryland Bridge"></definition>
-    </concept>
-    <concept>
-     <code value="99111"></code>
-     <display value="Lab, commercial"></display>
-     <definition value="Lab, commercial"></definition>
-    </concept>
-    <concept>
-     <code value="99333"></code>
-     <display value="Lab, in office"></display>
-     <definition value="Lab, in office"></definition>
-    </concept>
-    <concept>
-     <code value="99555"></code>
-     <display value="Expense"></display>
-     <definition value="Expense"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/abstract-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="abstract-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
-     <valueString value="This Code System is normative - it is generated based on the information defined in this specification. The definition will remain fixed  across versions, but the actual contents will change from version to version"></valueString>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/abstract-types"></url>
-    <version value="4.1.0"></version>
-    <name value="AbstractType"></name>
-    <title value="AbstractType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A list of the base types defined by this version of the FHIR specification - types that are defined, but for which only specializations actually are created."></description>
+    <description value="This value set includes coded concepts not well covered in any of the included valuesets."></description>
     <caseSensitive value="true"></caseSensitive>
     <content value="complete"></content>
     <concept>
-     <code value="Type"></code>
-     <display value="Type"></display>
-     <definition value="A place holder that means any kind of data type"></definition>
+     <code value="aggregate"></code>
+     <display value="aggregate"></display>
+     <definition value="Activity resulting in a structured collection of preexisting content that does not necessarily result in an integral object with semantic context making it more than the sum of component parts, from which components could be disaggregated without loss of semantic context, e.g., the assembly of multiple stand-alone documents."></definition>
     </concept>
     <concept>
-     <code value="Any"></code>
-     <display value="Any"></display>
-     <definition value="A place holder that means any kind of resource"></definition>
+     <code value="compose"></code>
+     <display value="compose"></display>
+     <definition value="Activity resulting in the structured compilation of new and preexisting content for the purposes of forming an integral object with  semantic context making it more than the sum of component parts, which would be lost if decomposed. For example, the composition of a document that includes in whole or part other documents along with new content that result in a new document that has unique semantic meaning."></definition>
     </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/diagnosis-role"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="diagnosis-role"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/diagnosis-role"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1054"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DiagnosisRole"></name>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to express the role of a diagnosis on the Encounter or EpisodeOfCare record."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/diagnosis-role"></valueSet>
-    <content value="complete"></content>
     <concept>
-     <code value="AD"></code>
-     <display value="Admission diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="DD"></code>
-     <display value="Discharge diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="CC"></code>
-     <display value="Chief complaint"></display>
-    </concept>
-    <concept>
-     <code value="CM"></code>
-     <display value="Comorbidity diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="pre-op"></code>
-     <display value="pre-op diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="post-op"></code>
-     <display value="post-op diagnosis"></display>
-    </concept>
-    <concept>
-     <code value="billing"></code>
-     <display value="Billing"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-item-control"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="questionnaire-item-control"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/questionnaire-item-control"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.932"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="QuestionnaireItemUIControlCodes"></name>
-    <title value="Questionnaire Item UI Control Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare"></value>
-     </telecom>
-    </contact>
-    <description value="Starter set of user interface control/display mechanisms that might be used when rendering an item in a questionnaire."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-item-control"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
-    <content value="complete"></content>
-    <property>
-     <code value="abstract"></code>
-     <description value="True if an element is considered 'abstract' - that is the code is not for use as a real concept"></description>
-     <type value="boolean"></type>
-    </property>
-    <concept>
-     <code value="group"></code>
-     <definition value="UI controls relevant to organizing groups of questions"></definition>
-     <property>
-      <code value="abstract"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="list"></code>
-      <display value="List"></display>
-      <definition value="Questions within the group should be listed sequentially"></definition>
-     </concept>
-     <concept>
-      <code value="table"></code>
-      <display value="Vertical Answer Table"></display>
-      <definition value="Questions within the group are rows in the table with possible answers as columns.  Used for 'choice' questions."></definition>
-     </concept>
-     <concept>
-      <code value="htable"></code>
-      <display value="Horizontal Answer Table"></display>
-      <definition value="Questions within the group are columns in the table with possible answers as rows.  Used for 'choice' questions."></definition>
-     </concept>
-     <concept>
-      <code value="gtable"></code>
-      <display value="Group Table"></display>
-      <definition value="Questions within the group are columns in the table with each group repetition as a row.  Used for single-answer questions."></definition>
-     </concept>
-     <concept>
-      <code value="atable"></code>
-      <display value="Answer Table"></display>
-      <definition value="This table has one row - for the question.  Permitted answers are columns.  Used for choice questions."></definition>
-     </concept>
-     <concept>
-      <code value="header"></code>
-      <display value="Header"></display>
-      <definition value="The group is to be continuously visible at the top of the questionnaire"></definition>
-     </concept>
-     <concept>
-      <code value="footer"></code>
-      <display value="Footer"></display>
-      <definition value="The group is to be continuously visible at the bottom of the questionnaire"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="text"></code>
-     <definition value="UI controls relevant to rendering questionnaire text items"></definition>
-     <property>
-      <code value="abstract"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="inline"></code>
-      <display value="In-line"></display>
-      <definition value="Text is displayed as a paragraph in a sequential position between sibling items (default behavior)"></definition>
-     </concept>
-     <concept>
-      <code value="prompt"></code>
-      <display value="Prompt"></display>
-      <definition value="Text is displayed immediately below or within the answer-entry area of the containing question item (typically as a guide for what to enter)"></definition>
-     </concept>
-     <concept>
-      <code value="unit"></code>
-      <display value="Unit"></display>
-      <definition value="Text is displayed adjacent (horizontally or vertically) to the answer space for the parent question, typically to indicate a unit of measure"></definition>
-     </concept>
-     <concept>
-      <code value="lower"></code>
-      <display value="Lower-bound"></display>
-      <definition value="Text is displayed to the left of the set of answer choices or a scaling control for the parent question item to indicate the meaning of the 'lower' bound.  E.g. 'Strongly disagree'"></definition>
-     </concept>
-     <concept>
-      <code value="upper"></code>
-      <display value="Upper-bound"></display>
-      <definition value="Text is displayed to the right of the set of answer choices or a scaling control for the parent question item to indicate the meaning of the 'upper' bound.  E.g. 'Strongly agree'"></definition>
-     </concept>
-     <concept>
-      <code value="flyover"></code>
-      <display value="Fly-over"></display>
-      <definition value="Text is temporarily visible over top of an item if the mouse is positioned over top of the text for the containing item"></definition>
-     </concept>
-     <concept>
-      <code value="help"></code>
-      <display value="Help-Button"></display>
-      <definition value="Text is displayed in a dialog box or similar control if invoked by pushing a button or some other UI-appropriate action to request 'help' for a question, group or the questionnaire as a whole (depending what the text is nested within)"></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="question"></code>
-     <definition value="UI controls relevant to capturing question data"></definition>
-     <property>
-      <code value="abstract"></code>
-      <valueBoolean value="true"></valueBoolean>
-     </property>
-     <concept>
-      <code value="autocomplete"></code>
-      <display value="Auto-complete"></display>
-      <definition value="A control which provides a list of potential matches based on text entered into a control.  Used for large choice sets where text-matching is an appropriate discovery mechanism."></definition>
-     </concept>
-     <concept>
-      <code value="drop-down"></code>
-      <display value="Drop down"></display>
-      <definition value="A control where an item (or multiple items) can be selected from a list that is only displayed when the user is editing the field."></definition>
-     </concept>
-     <concept>
-      <code value="check-box"></code>
-      <display value="Check-box"></display>
-      <definition value="A control where choices are listed with a box beside them.  The box can be toggled to select or de-select a given choice.  Multiple selections may be possible."></definition>
-     </concept>
-     <concept>
-      <code value="lookup"></code>
-      <display value="Lookup"></display>
-      <definition value="A control where editing an item spawns a separate dialog box or screen permitting a user to navigate, filter or otherwise discover an appropriate match.  Useful for large choice sets where text matching is not an appropriate discovery mechanism.  Such screens must generally be tuned for the specific choice list structure."></definition>
-     </concept>
-     <concept>
-      <code value="radio-button"></code>
-      <display value="Radio Button"></display>
-      <definition value="A control where choices are listed with a button beside them.  The button can be toggled to select or de-select a given choice.  Selecting one item deselects all others."></definition>
-     </concept>
-     <concept>
-      <code value="slider"></code>
-      <display value="Slider"></display>
-      <definition value="A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis."></definition>
-     </concept>
-     <concept>
-      <code value="spinner"></code>
-      <display value="Spinner"></display>
-      <definition value="A control where a list of numeric or other ordered values can be scrolled through via arrows."></definition>
-     </concept>
-     <concept>
-      <code value="text-box"></code>
-      <display value="Text Box"></display>
-      <definition value="A control where a user can type in their answer freely."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-network"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="benefit-network"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/benefit-network"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1177"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NetworkTypeCodes"></name>
-    <title value="Network Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Network type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-network"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="in"></code>
-     <display value="In Network"></display>
-     <definition value="Services rendered by a Network provider"></definition>
-    </concept>
-    <concept>
-     <code value="out"></code>
-     <display value="Out of Network"></display>
-     <definition value="Services rendered by a provider who is not in the Network"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/task-code"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="task-code"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/task-code"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1397"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TaskCode"></name>
-    <title value="Task Codes"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Codes indicating the type of action that is expected to be performed"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/task-code"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="approve"></code>
-     <display value="Activate/approve the focal resource"></display>
-     <definition value="Take what actions are needed to transition the focus resource from 'draft' to 'active' or 'in-progress', as appropriate for the resource type.  This may involve additing additional content, approval, validation, etc."></definition>
-    </concept>
-    <concept>
-     <code value="fulfill"></code>
-     <display value="Fulfill the focal request"></display>
-     <definition value="Act to perform the actions defined in the focus request.  This might result in a 'more assertive' request (order for a plan or proposal, filler order for a placer order), but is intend to eventually result in events.  The degree of fulfillment requested might be limited by Task.restriction."></definition>
-    </concept>
-    <concept>
-     <code value="abort"></code>
-     <display value="Mark the focal resource as no longer active"></display>
-     <definition value="Abort, cancel or withdraw the focal resource, as appropriate for the type of resource."></definition>
-    </concept>
-    <concept>
-     <code value="replace"></code>
-     <display value="Replace the focal resource with the input resource"></display>
-     <definition value="Replace the focal resource with the specified input resource"></definition>
-    </concept>
-    <concept>
-     <code value="change"></code>
-     <display value="Change the focal resource"></display>
-     <definition value="Update the focal resource of the owning system to reflect the content specified as the Task.focus"></definition>
-    </concept>
-    <concept>
-     <code value="suspend"></code>
-     <display value="Suspend the focal resource"></display>
-     <definition value="Transition the focal resource from 'active' or 'in-progress' to 'suspended'"></definition>
-    </concept>
-    <concept>
-     <code value="resume"></code>
-     <display value="Re-activate the focal resource"></display>
-     <definition value="Transition the focal resource from 'suspended' to 'active' or 'in-progress' as appropriate for the resource type."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/variable-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="variable-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/variable-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1344"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EvidenceVariableType"></name>
-    <title value="EvidenceVariableType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/variable-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="dichotomous"></code>
-     <display value="Dichotomous"></display>
-     <definition value="The variable is dichotomous, such as present or absent."></definition>
-    </concept>
-    <concept>
-     <code value="continuous"></code>
-     <display value="Continuous"></display>
-     <definition value="The variable is a continuous result such as a quantity."></definition>
-    </concept>
-    <concept>
-     <code value="descriptive"></code>
-     <display value="Descriptive"></display>
-     <definition value="The variable is described narratively rather than quantitatively."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/financial-taskinputtype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="financial-taskinputtype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1392"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FinancialTaskInputTypeCodes"></name>
-    <title value="Financial Task Input Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Financial Task Input Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/financial-taskinputtype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="include"></code>
-     <display value="Include"></display>
-     <definition value="The name of a resource to include in a selection."></definition>
-    </concept>
-    <concept>
-     <code value="exclude"></code>
-     <display value="Exclude"></display>
-     <definition value="The name of a resource to not include in a selection."></definition>
-    </concept>
-    <concept>
-     <code value="origresponse"></code>
-     <display value="Original Response"></display>
-     <definition value="A reference to the response resource to the original processing of a resource."></definition>
-    </concept>
-    <concept>
-     <code value="reference"></code>
-     <display value="Reference Number"></display>
-     <definition value="A reference value which must be quoted to authorize an action."></definition>
-    </concept>
-    <concept>
-     <code value="item"></code>
-     <display value="Item Number"></display>
-     <definition value="The sequence number associated with an item for reprocessing."></definition>
-    </concept>
-    <concept>
-     <code value="period"></code>
-     <display value="Period"></display>
-     <definition value="The reference period for the action being requested."></definition>
-    </concept>
-    <concept>
-     <code value="status"></code>
-     <display value="Status code"></display>
-     <definition value="The processing status from a check on the processing status of a resource such as the adjudication of a claim."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-outcome"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="audit-event-outcome"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/audit-event-outcome"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.455"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventOutcome"></name>
-    <title value="AuditEventOutcome"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Indicates whether the event succeeded or failed."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-outcome"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="0"></code>
-     <display value="Success"></display>
-     <definition value="The operation completed successfully (whether with warnings or not)."></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Minor failure"></display>
-     <definition value="The action was not successful due to some kind of minor failure (often equivalent to an HTTP 400 response)."></definition>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="Serious failure"></display>
-     <definition value="The action was not successful due to some kind of unexpected error (often equivalent to an HTTP 500 response)."></definition>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="Major failure"></display>
-     <definition value="An error of such magnitude occurred that the system is no longer available for use (i.e. the system died)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/vision-base-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="vision-base-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/vision-base-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.663"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="VisionBase"></name>
-    <title value="VisionBase"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A coded concept listing the base codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/vision-base-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="up"></code>
-     <display value="Up"></display>
-     <definition value="top."></definition>
-    </concept>
-    <concept>
-     <code value="down"></code>
-     <display value="Down"></display>
-     <definition value="bottom."></definition>
-    </concept>
-    <concept>
-     <code value="in"></code>
-     <display value="In"></display>
-     <definition value="inner edge."></definition>
-    </concept>
-    <concept>
-     <code value="out"></code>
-     <display value="Out"></display>
-     <definition value="outer edge."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/search-param-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="search-param-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/search-param-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.12"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SearchParamType"></name>
-    <title value="SearchParamType"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="Data types allowed to be used for search parameters."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/search-param-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="number"></code>
-     <display value="Number"></display>
-     <definition value="Search parameter SHALL be a number (a whole number, or a decimal)."></definition>
-    </concept>
-    <concept>
-     <code value="date"></code>
-     <display value="Date/DateTime"></display>
-     <definition value="Search parameter is on a date/time. The date format is the standard XML format, though other formats may be supported."></definition>
-    </concept>
-    <concept>
-     <code value="string"></code>
-     <display value="String"></display>
-     <definition value="Search parameter is a simple string, like a name part. Search is case-insensitive and accent-insensitive. May match just the start of a string. String parameters may contain spaces."></definition>
-    </concept>
-    <concept>
-     <code value="token"></code>
-     <display value="Token"></display>
-     <definition value="Search parameter on a coded element or identifier. May be used to search through the text, display, code and code/codesystem (for codes) and label, system and key (for identifier). Its value is either a string or a pair of namespace and value, separated by a &quot;|&quot;, depending on the modifier used."></definition>
-    </concept>
-    <concept>
-     <code value="reference"></code>
-     <display value="Reference"></display>
-     <definition value="A reference to another resource (Reference or canonical)."></definition>
-    </concept>
-    <concept>
-     <code value="composite"></code>
-     <display value="Composite"></display>
-     <definition value="A composite search parameter that combines a search on two values together."></definition>
-    </concept>
-    <concept>
-     <code value="quantity"></code>
-     <display value="Quantity"></display>
-     <definition value="A search parameter that searches on a quantity."></definition>
-    </concept>
-    <concept>
-     <code value="uri"></code>
-     <display value="URI"></display>
-     <definition value="A search parameter that searches on a URI (RFC 3986)."></definition>
-    </concept>
-    <concept>
-     <code value="special"></code>
-     <display value="Special"></display>
-     <definition value="Special logic applies to this parameter per the description of the search parameter."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplydelivery-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="supplydelivery-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/supply-item-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1194"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SupplyItemType"></name>
-    <title value="Supply Item Type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value sets refers to a specific supply item."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="medication"></code>
-     <display value="Medication"></display>
-     <definition value="Supply is a kind of medication."></definition>
-    </concept>
-    <concept>
-     <code value="device"></code>
-     <display value="Device"></display>
-     <definition value="What is supplied (or requested) is a device."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/action-cardinality-behavior"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="action-cardinality-behavior"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/action-cardinality-behavior"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.808"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ActionCardinalityBehavior"></name>
-    <title value="ActionCardinalityBehavior"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Defines behavior for an action or a group for how many times that item may be repeated."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/action-cardinality-behavior"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="single"></code>
-     <display value="Single"></display>
-     <definition value="The action may only be selected one time."></definition>
-    </concept>
-    <concept>
-     <code value="multiple"></code>
-     <display value="Multiple"></display>
-     <definition value="The action may be selected multiple times."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/coverageeligibilityresponse-ex-auth-support"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="coverageeligibilityresponse-ex-auth-support"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1394"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CoverageEligibilityResponseAuthSupportCodes"></name>
-    <title value="CoverageEligibilityResponse Auth Support Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes CoverageEligibilityResponse Auth Support codes."></description>
-    <copyright value="HL7 Inc."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/coverageeligibilityresponse-ex-auth-support"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="laborder"></code>
-     <display value="Lab Order"></display>
-     <definition value="A request or authorization for laboratory diagnostic tests."></definition>
-    </concept>
-    <concept>
-     <code value="labreport"></code>
-     <display value="Lab Report"></display>
-     <definition value="A report on laboratory diagnostic test(s)."></definition>
-    </concept>
-    <concept>
-     <code value="diagnosticimageorder"></code>
-     <display value="Diagnostic Image Order"></display>
-     <definition value="A request or authorization for diagnostic imaging."></definition>
-    </concept>
-    <concept>
-     <code value="diagnosticimagereport"></code>
-     <display value="Diagnostic Image Report"></display>
-     <definition value="A report on diagnostic image(s)."></definition>
-    </concept>
-    <concept>
-     <code value="professionalreport"></code>
-     <display value="Professional Report"></display>
-     <definition value="A report from a licensed professional regarding the siutation, condition or proposed treatment."></definition>
-    </concept>
-    <concept>
-     <code value="accidentreport"></code>
-     <display value="Accident Report"></display>
-     <definition value="A formal accident report as would be filed with police or a simlar official body."></definition>
-    </concept>
-    <concept>
-     <code value="model"></code>
-     <display value="Model"></display>
-     <definition value="A physical model of the affected area."></definition>
-    </concept>
-    <concept>
-     <code value="picture"></code>
-     <display value="Picture"></display>
-     <definition value="A photograph of the affected area."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-product"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-product"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/ex-serviceproduct"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.561"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleService/ProductCodes"></name>
-    <title value="Example Service/Product Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Service/Product codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-product"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="exam"></code>
-     <display value="Exam"></display>
-     <definition value="Exam"></definition>
-    </concept>
-    <concept>
-     <code value="flushot"></code>
-     <display value="Flu shot"></display>
-     <definition value="Flu shot"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/name-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="name-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/name-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.66"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NameUse"></name>
-    <title value="NameUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The use of a human name."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/name-use"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="usual"></code>
-     <display value="Usual"></display>
-     <definition value="Known as/conventional/the one you normally use."></definition>
-    </concept>
-    <concept>
-     <code value="official"></code>
-     <display value="Official"></display>
-     <definition value="The formal name as registered in an official (government) registry, but which name might not be commonly used. May be called &quot;legal name&quot;."></definition>
-    </concept>
-    <concept>
-     <code value="temp"></code>
-     <display value="Temp"></display>
-     <definition value="A temporary name. Name.period can provide more detailed information. This may also be used for temporary names assigned at birth or in emergency situations."></definition>
-    </concept>
-    <concept>
-     <code value="nickname"></code>
-     <display value="Nickname"></display>
-     <definition value="A name that is used to address the person in an informal manner, but is not part of their formal or usual name."></definition>
-    </concept>
-    <concept>
-     <code value="anonymous"></code>
-     <display value="Anonymous"></display>
-     <definition value="Anonymous assigned name, alias, or pseudonym (used to protect a person's identity for privacy reasons)."></definition>
-    </concept>
-    <concept>
-     <code value="old"></code>
-     <display value="Old"></display>
-     <definition value="This name is no longer in use (or was never correct, but retained for records)."></definition>
-     <concept>
-      <code value="maiden"></code>
-      <display value="Name changed for Marriage"></display>
-      <definition value="A name used prior to changing name because of marriage. This name use is for use by applications that collect and store names that were used prior to a marriage. Marriage naming customs vary greatly around the world, and are constantly changing. This term is not gender specific. The use of this term does not imply any particular history for a person's name."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/substance-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="substance-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/substance-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.475"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FHIRSubstanceStatus"></name>
-    <title value="FHIRSubstanceStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code to indicate if the substance is actively used."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/substance-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The substance is considered for use or reference."></definition>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The substance is considered for reference, but not for use."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="The substance was entered in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/codesystem-hierarchy-meaning"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="codesystem-hierarchy-meaning"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/codesystem-hierarchy-meaning"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.785"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="CodeSystemHierarchyMeaning"></name>
-    <title value="CodeSystemHierarchyMeaning"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The meaning of the hierarchy of concepts in a code system."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="grouped-by"></code>
-     <display value="Grouped By"></display>
-     <definition value="No particular relationship between the concepts can be assumed, except what can be determined by inspection of the definitions of the elements (possible reasons to use this: importing from a source where this is not defined, or where various parts of the hierarchy have different meanings)."></definition>
-    </concept>
-    <concept>
-     <code value="is-a"></code>
-     <display value="Is-A"></display>
-     <definition value="A hierarchy where the child concepts have an IS-A relationship with the parents - that is, all the properties of the parent are also true for its child concepts. Not that is-a is a property of the concepts, so additional subsumption relationships may be defined using properties or the [subsumes](extension-codesystem-subsumes.html) extension."></definition>
-    </concept>
-    <concept>
-     <code value="part-of"></code>
-     <display value="Part Of"></display>
-     <definition value="Child elements list the individual parts of a composite whole (e.g. body site)."></definition>
-    </concept>
-    <concept>
-     <code value="classified-with"></code>
-     <display value="Classified With"></display>
-     <definition value="Child concepts in the hierarchy may have only one parent, and there is a presumption that the code system is a &quot;closed world&quot; meaning all things must be in the hierarchy. This results in concepts such as &quot;not otherwise classified.&quot;."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/encounter-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.247"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EncounterStatus"></name>
-    <title value="EncounterStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Current state of the encounter."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="planned"></code>
-     <display value="Planned"></display>
-     <definition value="The Encounter has not yet started."></definition>
-    </concept>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="The Encounter has begun and the patient is present / the practitioner and the patient are meeting."></definition>
-    </concept>
-    <concept>
-     <code value="onhold"></code>
-     <display value="On Hold"></display>
-     <definition value="The Encounter has begun, but is currently on hold, e.g. because the patient is temporarily on leave."></definition>
-    </concept>
-    <concept>
-     <code value="completed"></code>
-     <display value="Completed"></display>
-     <definition value="The Encounter has ended."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The Encounter has ended before it has begun."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="This instance should not have been part of this patient's medical record."></definition>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The encounter status is unknown. Note that &quot;unknown&quot; is a value of last resort and every attempt should be made to provide a meaningful value other than &quot;unknown&quot;."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/statistic-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="statistic-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/statistic-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1411"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticStatisticType"></name>
-    <title value="StatisticStatisticType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of a specific statistic."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/statistic-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="absolute-MedianDiff"></code>
-     <display value="Absolute Median Difference"></display>
-     <definition value="Computed by forming the difference between two medians."></definition>
-    </concept>
-    <concept>
-     <code value="C25463"></code>
-     <display value="Count"></display>
-     <definition value="The number or amount of something."></definition>
-    </concept>
-    <concept>
-     <code value="0000301"></code>
-     <display value="Covariance"></display>
-     <definition value="The strength of correlation between a set (2 or more) of random variables. The covariance is obtained by forming: cov(x,y)=e([x-e(x)][y-e(y)] where e(x), e(y) is the expected value (mean) of variable x and y respectively. Covariance is symmetric so cov(x,y)=cov(y,x). The covariance is usefull when looking at the variance of the sum of the 2 random variables since: var(x+y) = var(x) +var(y) +2cov(x,y) the covariance cov(x,y) is used to obtain the coefficient of correlation cor(x,y) by normalizing (dividing) cov(x,y) but the product of the standard deviations of x and y."></definition>
-    </concept>
-    <concept>
-     <code value="predictedRisk"></code>
-     <display value="Predicted Risk"></display>
-     <definition value="A special use case where the proportion is derived from a formula rather than derived from summary evidence."></definition>
-    </concept>
-    <concept>
-     <code value="descriptive"></code>
-     <display value="Descriptive"></display>
-     <definition value="Descriptive measure reported as narrative."></definition>
-    </concept>
-    <concept>
-     <code value="C93150"></code>
-     <display value="Hazard Ratio"></display>
-     <definition value="A measure of how often a particular event happens in one group compared to how often it happens in another group, over time. In cancer research, hazard ratios are often used in clinical trials to measure survival at any point in time in a group of patients who have been given a specific treatment compared to a control group given another treatment or a placebo. A hazard ratio of one means that there is no difference in survival between the two groups. A hazard ratio of greater than one or less than one means that survival was better in one of the groups."></definition>
-    </concept>
-    <concept>
-     <code value="C16726"></code>
-     <display value="Incidence"></display>
-     <definition value="The relative frequency of occurrence of something."></definition>
-    </concept>
-    <concept>
-     <code value="rate-ratio"></code>
-     <display value="Incidence Rate Ratio"></display>
-     <definition value="A type of relative effect estimate that compares rates over time (eg events per person-years)."></definition>
-    </concept>
-    <concept>
-     <code value="C25564"></code>
-     <display value="Maximum"></display>
-     <definition value="The largest possible quantity or degree."></definition>
-    </concept>
-    <concept>
-     <code value="C53319"></code>
-     <display value="Mean"></display>
-     <definition value="The sum of a set of values divided by the number of values in the set."></definition>
-    </concept>
-    <concept>
-     <code value="0000457"></code>
-     <display value="Mean Difference"></display>
-     <definition value="The mean difference, or difference in means, measures the absolute difference between the mean value in two different groups."></definition>
-    </concept>
-    <concept>
-     <code value="C28007"></code>
-     <display value="Median"></display>
-     <definition value="The value which has an equal number of values greater and less than it."></definition>
-    </concept>
-    <concept>
-     <code value="C25570"></code>
-     <display value="Minimum"></display>
-     <definition value="The smallest possible quantity."></definition>
-    </concept>
-    <concept>
-     <code value="C16932"></code>
-     <display value="Odds Ratio"></display>
-     <definition value="The ratio of the odds of an event occurring in one group to the odds of it occurring in another group, or to a sample-based estimate of that ratio."></definition>
-    </concept>
-    <concept>
-     <code value="C65172"></code>
-     <display value="Pearson Correlation Coefficient"></display>
-     <definition value="A measure of the correlation of two variables X and Y measured on the same object or organism, that is, a measure of the tendency of the variables to increase or decrease together. It is defined as the sum of the products of the standard scores of the two measures divided by the degrees of freedom."></definition>
-    </concept>
-    <concept>
-     <code value="C17010"></code>
-     <display value="Prevalence"></display>
-     <definition value="The ratio (for a given time period) of the number of occurrences of a disease or event to the number of units at risk in the population."></definition>
-    </concept>
-    <concept>
-     <code value="C44256"></code>
-     <display value="Proportion"></display>
-     <definition value="Quotient of quantities of the same kind for different components within the same system. [Use for univariate outcomes within an individual.]."></definition>
-    </concept>
-    <concept>
-     <code value="0000565"></code>
-     <display value="Regression Coefficient"></display>
-     <definition value="Generated by a type of data transformation called a regression, which aims to model a response variable by expression the predictor variables as part of a function where variable terms are modified by a number. A regression coefficient is one such number."></definition>
-    </concept>
-    <concept>
-     <code value="C93152"></code>
-     <display value="Relative Risk"></display>
-     <definition value="A measure of the risk of a certain event happening in one group compared to the risk of the same event happening in another group. In cancer research, risk ratios are used in prospective (forward looking) studies, such as cohort studies and clinical trials. A risk ratio of one means there is no difference between two groups in terms of their risk of cancer, based on whether or not they were exposed to a certain substance or factor, or how they responded to two treatments being compared. A risk ratio of greater than one or of less than one usually means that being exposed to a certain substance or factor either increases (risk ratio greater than one) or decreases (risk ratio less than one) the risk of cancer, or that the treatments being compared do not have the same effects."></definition>
-    </concept>
-    <concept>
-     <code value="0000424"></code>
-     <display value="Risk Difference"></display>
-     <definition value="Difference between the observed risks (proportions of individuals with the outcome of interest) in the two groups. The risk difference is straightforward to interpret: it describes the actual difference in the observed risk of events between experimental and control interventions."></definition>
-    </concept>
-    <concept>
-     <code value="C65171"></code>
-     <display value="Spearman Rank-Order Correlation "></display>
-     <definition value="A distribution-free analog of correlation analysis. Like regression, it can be applied to compare two independent random variables, each at several levels (which may be discrete or continuous). Unlike regression, Spearman's rank correlation works on ranked (relative) data, rather than directly on the data itself."></definition>
-    </concept>
-    <concept>
-     <code value="0000100"></code>
-     <display value="Standardized Mean Difference"></display>
-     <definition value="Computed by forming the difference between two means, divided by an estimate of the within-group standard deviation. It is used to provide an estimatation of the effect size between two treatments when the predictor (independent variable) is categorical and the response(dependent) variable is continuous."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/dose-rate-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="dose-rate-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/dose-rate-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1069"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DoseAndRateType"></name>
-    <title value="DoseAndRateType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The kind of dose or rate specified."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/dose-rate-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="calculated"></code>
-     <display value="Calculated"></display>
-     <definition value="The dose specified is calculated by the prescriber or the system."></definition>
-    </concept>
-    <concept>
-     <code value="ordered"></code>
-     <display value="Ordered"></display>
-     <definition value="The dose specified is as ordered by the prescriber."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/filter-operator"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="filter-operator"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/filter-operator"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.479"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FilterOperator"></name>
-    <title value="FilterOperator"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The kind of operation to perform as a part of a property based filter."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/filter-operator"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="="></code>
-     <display value="Equals"></display>
-     <definition value="The specified property of the code equals the provided value."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The definition of is-a is that all the properties of the value are true for the specified property of the code, which means that a code has an is-a relationship with itself. To exclude the root code, use descendent-of"></valueString>
-     </extension>
-     <code value="is-a"></code>
-     <display value="Is A (by subsumption)"></display>
-     <definition value="Includes all concept ids that have a transitive is-a relationship with the concept Id provided as the value, including the provided concept itself (include descendant codes and self)."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The definition of is-a is that all the properties of the value are true for the specified property of the code. 
-
-Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelling &quot;descendent&quot; is maintained in the code for backwards compatibility reasons"></valueString>
-     </extension>
-     <code value="descendent-of"></code>
-     <display value="Descendent Of (by subsumption)"></display>
-     <definition value="Includes all concept ids that have a transitive is-a relationship with the concept Id provided as the value, excluding the provided concept itself i.e. include descendant codes only)."></definition>
-    </concept>
-    <concept>
-     <code value="is-not-a"></code>
-     <display value="Not (Is A) (by subsumption)"></display>
-     <definition value="The specified property of the code does not have an is-a relationship with the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="regex"></code>
-     <display value="Regular Expression"></display>
-     <definition value="The specified property of the code  matches the regex specified in the provided value."></definition>
-    </concept>
-    <concept>
-     <code value="in"></code>
-     <display value="In Set"></display>
-     <definition value="The specified property of the code is in the set of codes or concepts specified in the provided value (comma separated list)."></definition>
-    </concept>
-    <concept>
-     <code value="not-in"></code>
-     <display value="Not in Set"></display>
-     <definition value="The specified property of the code is not in the set of codes or concepts specified in the provided value (comma separated list)."></definition>
-    </concept>
-    <concept>
-     <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
-      <valueString value="The definition of is-a is that all the properties of the value are true for the specified property of the code, which means that a code has an is-a relationship with itself. To exclude the root code, add it explicitly to as an exclude"></valueString>
-     </extension>
-     <code value="generalizes"></code>
-     <display value="Generalizes (by Subsumption)"></display>
-     <definition value="Includes all concept ids that have a transitive is-a relationship from the concept Id provided as the value, including the provided concept itself (i.e. include ancestor codes and self)."></definition>
-    </concept>
-    <concept>
-     <code value="exists"></code>
-     <display value="Exists"></display>
-     <definition value="The specified property of the code has at least one value (if the specified value is true; if the specified value is false, then matches when the specified property of the code has no values)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/practitioner-specialty"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="practitioner-specialty"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/practitioner-specialty"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.442"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PractitionerSpecialty"></name>
-    <title value="Practitioner specialty"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the specialty of a Practitioner."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/practitioner-specialty"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="cardio"></code>
-     <display value="Cardiologist"></display>
-    </concept>
-    <concept>
-     <code value="dent"></code>
-     <display value="Dentist"></display>
-    </concept>
-    <concept>
-     <code value="dietary"></code>
-     <display value="Dietary consultant"></display>
-    </concept>
-    <concept>
-     <code value="midw"></code>
-     <display value="Midwife"></display>
-    </concept>
-    <concept>
-     <code value="sysarch"></code>
-     <display value="Systems architect"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/days-of-week"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="days-of-week"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/days-of-week"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.513"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DaysOfWeek"></name>
-    <title value="DaysOfWeek"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The days of the week."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/days-of-week"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="mon"></code>
-     <display value="Monday"></display>
-     <definition value="Monday."></definition>
-    </concept>
-    <concept>
-     <code value="tue"></code>
-     <display value="Tuesday"></display>
-     <definition value="Tuesday."></definition>
-    </concept>
-    <concept>
-     <code value="wed"></code>
-     <display value="Wednesday"></display>
-     <definition value="Wednesday."></definition>
-    </concept>
-    <concept>
-     <code value="thu"></code>
-     <display value="Thursday"></display>
-     <definition value="Thursday."></definition>
-    </concept>
-    <concept>
-     <code value="fri"></code>
-     <display value="Friday"></display>
-     <definition value="Friday."></definition>
-    </concept>
-    <concept>
-     <code value="sat"></code>
-     <display value="Saturday"></display>
-     <definition value="Saturday."></definition>
-    </concept>
-    <concept>
-     <code value="sun"></code>
-     <display value="Sunday"></display>
-     <definition value="Sunday."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/claim-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.545"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Use"></name>
-    <title value="Use"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The purpose of the Claim: predetermination, preauthorization, claim."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-use"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="claim"></code>
-     <display value="Claim"></display>
-     <definition value="The treatment is complete and this represents a Claim for the services."></definition>
-    </concept>
-    <concept>
-     <code value="preauthorization"></code>
-     <display value="Preauthorization"></display>
-     <definition value="The treatment is proposed and this represents a Pre-authorization for the services."></definition>
-    </concept>
-    <concept>
-     <code value="predetermination"></code>
-     <display value="Predetermination"></display>
-     <definition value="The treatment is proposed and this represents a Pre-determination for the services."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/explanationofbenefit-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="explanationofbenefit-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/explanationofbenefit-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.619"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExplanationOfBenefitStatus"></name>
-    <title value="ExplanationOfBenefitStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="A code specifying the state of the resource instance."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/explanationofbenefit-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The resource instance is currently in-force."></definition>
-    </concept>
-    <concept>
-     <code value="cancelled"></code>
-     <display value="Cancelled"></display>
-     <definition value="The resource instance is withdrawn, rescinded or reversed."></definition>
-    </concept>
-    <concept>
-     <code value="draft"></code>
-     <display value="Draft"></display>
-     <definition value="A new resource instance the contents of which is not complete."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered In Error"></display>
-     <definition value="The resource instance was entered in error."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/fm-conditions"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="fm-conditions"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/fm-conditions"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.557"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="FMConditionCodes"></name>
-    <title value="FM Condition Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Conditions codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/fm-conditions"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="123987"></code>
-     <display value="Headache"></display>
-     <definition value="Headache"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/claim-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="claim-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/claim-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1156"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ClaimTypeCodes"></name>
-    <title value="Claim Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes Claim Type codes."></description>
-    <copyright value="HL7 Inc."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/claim-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="institutional"></code>
-     <display value="Institutional"></display>
-     <definition value="Hospital, clinic and typically inpatient claims."></definition>
-    </concept>
-    <concept>
-     <code value="oral"></code>
-     <display value="Oral"></display>
-     <definition value="Dental, Denture and Hygiene claims."></definition>
-    </concept>
-    <concept>
-     <code value="pharmacy"></code>
-     <display value="Pharmacy"></display>
-     <definition value="Pharmacy claims for goods and services."></definition>
-    </concept>
-    <concept>
-     <code value="professional"></code>
-     <display value="Professional"></display>
-     <definition value="Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."></definition>
-    </concept>
-    <concept>
-     <code value="vision"></code>
-     <display value="Vision"></display>
-     <definition value="Vision claims for professional services and products such as glasses and contact lenses."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-special-arrangements"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-special-arrangements"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/encounter-special-arrangements"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1090"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SpecialArrangements"></name>
-    <title value="Special arrangements"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set defines a set of codes that can be used to indicate the kinds of special arrangements in place for a patients visit."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-special-arrangements"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="wheel"></code>
-     <display value="Wheelchair"></display>
-     <definition value="The patient requires a wheelchair to be made available for the encounter."></definition>
-    </concept>
-    <concept>
-     <code value="add-bed"></code>
-     <display value="Additional bedding"></display>
-     <definition value="An additional bed made available for a person accompanying the patient, for example a parent accompanying a child."></definition>
-    </concept>
-    <concept>
-     <code value="int"></code>
-     <display value="Interpreter"></display>
-     <definition value="The patient is not fluent in the local language and requires an interpreter to be available. Refer to the Patient.Language property for the type of interpreter required."></definition>
-    </concept>
-    <concept>
-     <code value="att"></code>
-     <display value="Attendant"></display>
-     <definition value="A person who accompanies a patient to provide assistive services necessary for the patient's care during the encounter."></definition>
-    </concept>
-    <concept>
-     <code value="dog"></code>
-     <display value="Guide dog"></display>
-     <definition value="The patient has a guide dog and the location used for the encounter should be able to support the presence of the service animal."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/narrative-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="narrative-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://hl7.org/fhir/narrative-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.56"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="NarrativeStatus"></name>
-    <title value="NarrativeStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The status of a resource narrative."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/narrative-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="generated"></code>
-     <display value="Generated"></display>
-     <definition value="The contents of the narrative are entirely generated from the core elements in the content."></definition>
-    </concept>
-    <concept>
-     <code value="extensions"></code>
-     <display value="Extensions"></display>
-     <definition value="The contents of the narrative are entirely generated from the core elements in the content and some of the content is generated from extensions. The narrative SHALL reflect the impact of all modifier extensions."></definition>
-    </concept>
-    <concept>
-     <code value="additional"></code>
-     <display value="Additional"></display>
-     <definition value="The contents of the narrative may contain additional information not found in the structured data. Note that there is no computable way to determine what the extra information is, other than by human inspection."></definition>
-    </concept>
-    <concept>
-     <code value="empty"></code>
-     <display value="Empty"></display>
-     <definition value="The contents of the narrative are some equivalent of &quot;No human-readable text provided in this case&quot;."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/encounter-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="encounter-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/encounter-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1088"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EncounterType"></name>
-    <title value="Encounter type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the type of encounter: a specific code indicating type of service provided."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/encounter-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ADMS"></code>
-     <display value="Annual diabetes mellitus screening"></display>
-    </concept>
-    <concept>
-     <code value="BD/BM-clin"></code>
-     <display value="Bone drilling/bone marrow punction in clinic"></display>
-    </concept>
-    <concept>
-     <code value="CCS60"></code>
-     <display value="Infant colon screening - 60 minutes"></display>
-    </concept>
-    <concept>
-     <code value="OKI"></code>
-     <display value="Outpatient Kenacort injection"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscriber-relationship"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscriber-relationship"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1386"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriberRelationshipCodes"></name>
-    <title value="SubscriberPolicyholder Relationship Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes codes for the relationship between the Subscriber and the Beneficiary (insured/covered party/patient)."></description>
-    <copyright value="This is an extensible set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscriber-relationship"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="child"></code>
-     <display value="Child"></display>
-     <definition value="The Beneficiary is a child of the Subscriber"></definition>
-    </concept>
-    <concept>
-     <code value="parent"></code>
-     <display value="Parent"></display>
-     <definition value="The Beneficiary is a parent of the Subscriber"></definition>
-    </concept>
-    <concept>
-     <code value="spouse"></code>
-     <display value="Spouse"></display>
-     <definition value="The Beneficiary is a spouse or equivalent of the Subscriber"></definition>
-    </concept>
-    <concept>
-     <code value="common"></code>
-     <display value="Common Law Spouse"></display>
-     <definition value="The Beneficiary is a common law spouse or equivalent of the Subscriber"></definition>
-    </concept>
-    <concept>
-     <code value="other"></code>
-     <display value="Other"></display>
-     <definition value="The Beneficiary has some other relationship the Subscriber"></definition>
-    </concept>
-    <concept>
-     <code value="self"></code>
-     <display value="Self"></display>
-     <definition value="The Beneficiary is the Subscriber"></definition>
-    </concept>
-    <concept>
-     <code value="injured"></code>
-     <display value="Injured Party"></display>
-     <definition value="The Beneficiary is covered under insurance of the subscriber due to an injury."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-validation-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-validation-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/validation-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.895"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="validation-status"></name>
-    <title value="Validation-status"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Status of the validation of the target against the primary source"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-validation-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="successful"></code>
-     <display value="Successful"></display>
-    </concept>
-    <concept>
-     <code value="failed"></code>
-     <display value="Failed"></display>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The validations status has not been determined yet"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/slotstatus"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="slotstatus"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/slotstatus"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.483"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SlotStatus"></name>
-    <title value="SlotStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The free/busy status of the slot."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/slotstatus"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="busy"></code>
-     <display value="Busy"></display>
-     <definition value="Indicates that the time interval is busy because one  or more events have been scheduled for that interval."></definition>
-    </concept>
-    <concept>
-     <code value="free"></code>
-     <display value="Free"></display>
-     <definition value="Indicates that the time interval is free for scheduling."></definition>
-    </concept>
-    <concept>
-     <code value="busy-unavailable"></code>
-     <display value="Busy (Unavailable)"></display>
-     <definition value="Indicates that the time interval is busy and that the interval cannot be scheduled."></definition>
-    </concept>
-    <concept>
-     <code value="busy-tentative"></code>
-     <display value="Busy (Tentative)"></display>
-     <definition value="Indicates that the time interval is busy because one or more events have been tentatively scheduled for that interval."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in error"></display>
-     <definition value="This instance should not have been part of this patient's medical record."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/examplescenario-actor-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="examplescenario-actor-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/examplescenario-actor-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.859"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleScenarioActorType"></name>
-    <title value="ExampleScenarioActorType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of actor - system or human."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/examplescenario-actor-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="person"></code>
-     <display value="Person"></display>
-     <definition value="A person."></definition>
-    </concept>
-    <concept>
-     <code value="entity"></code>
-     <display value="System"></display>
-     <definition value="A system."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contributor-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contributor-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contributor-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.94"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContributorType"></name>
-    <title value="ContributorType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of contributor."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contributor-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="author"></code>
-     <display value="Author"></display>
-     <definition value="An author of the content of the module."></definition>
-    </concept>
-    <concept>
-     <code value="editor"></code>
-     <display value="Editor"></display>
-     <definition value="An editor of the content of the module."></definition>
-    </concept>
-    <concept>
-     <code value="reviewer"></code>
-     <display value="Reviewer"></display>
-     <definition value="A reviewer of the content of the module."></definition>
-    </concept>
-    <concept>
-     <code value="endorser"></code>
-     <display value="Endorser"></display>
-     <definition value="An endorser of the content of the module."></definition>
+     <code value="label"></code>
+     <display value="label"></display>
+     <definition value="The means used to associate a set of security attributes with a specific information object as part of the data structure for that object. [ISO-10181-3 Access Control]"></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -45990,7 +48382,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="dicom-dcim"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://dicom.nema.org/resources/ontology/DCM"></url>
     <identifier>
@@ -63285,7 +65677,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="resource-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
      <valueCode value="trial-use"></valueCode>
@@ -63297,7 +65689,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="mnm"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/resource-status"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Canonical Status Codes for FHIR Resources"></name>
     <status value="draft"></status>
     <publisher value="FHIR Project"></publisher>
@@ -63464,1347 +65856,286 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/device-action"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/tldc"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="device-action"></id>
+    <id value="tldc"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/device-action"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.426"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ProcedureDeviceActionCodes"></name>
-    <title value="Procedure Device Action Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="HL7 International - Patient Care WG"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
-     </telecom>
-    </contact>
-    <description value="Example codes indicating the change that happened to the device during the procedure.  Note that these are in no way complete and might not even be appropriate for some uses."></description>
-    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="implanted"></code>
-     <display value="Implanted"></display>
-     <definition value="The device was implanted in the patient during the procedure."></definition>
-    </concept>
-    <concept>
-     <code value="explanted"></code>
-     <display value="Explanted"></display>
-     <definition value="The device was explanted from the patient during the procedure."></definition>
-    </concept>
-    <concept>
-     <code value="manipulated"></code>
-     <display value="Manipulated"></display>
-     <definition value="The device remains in the patient, but its location, settings, or functionality was changed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-reason-stopped"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-study-reason-stopped"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-study-reason-stopped"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1249"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchStudyReasonStopped"></name>
-    <title value="ResearchStudyReasonStopped"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for why the study ended prematurely."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-reason-stopped"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="accrual-goal-met"></code>
-     <display value="Accrual Goal Met"></display>
-     <definition value="The study prematurely ended because the accrual goal was met."></definition>
-    </concept>
-    <concept>
-     <code value="closed-due-to-toxicity"></code>
-     <display value="Closed due to toxicity"></display>
-     <definition value="The study prematurely ended due to toxicity."></definition>
-    </concept>
-    <concept>
-     <code value="closed-due-to-lack-of-study-progress"></code>
-     <display value="Closed due to lack of study progress"></display>
-     <definition value="The study prematurely ended due to lack of study progress."></definition>
-    </concept>
-    <concept>
-     <code value="temporarily-closed-per-study-design"></code>
-     <display value="Temporarily closed per study design"></display>
-     <definition value="The study prematurely ended temporarily per study design."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/http-operations"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="http-operations"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/http-operations"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.717"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestScriptRequestMethodCode"></name>
-    <title value="TestScriptRequestMethodCode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The allowable request method or HTTP operation codes."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/http-operations"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="delete"></code>
-     <display value="DELETE"></display>
-     <definition value="HTTP DELETE operation."></definition>
-    </concept>
-    <concept>
-     <code value="get"></code>
-     <display value="GET"></display>
-     <definition value="HTTP GET operation."></definition>
-    </concept>
-    <concept>
-     <code value="options"></code>
-     <display value="OPTIONS"></display>
-     <definition value="HTTP OPTIONS operation."></definition>
-    </concept>
-    <concept>
-     <code value="patch"></code>
-     <display value="PATCH"></display>
-     <definition value="HTTP PATCH operation."></definition>
-    </concept>
-    <concept>
-     <code value="post"></code>
-     <display value="POST"></display>
-     <definition value="HTTP POST operation."></definition>
-    </concept>
-    <concept>
-     <code value="put"></code>
-     <display value="PUT"></display>
-     <definition value="HTTP PUT operation."></definition>
-    </concept>
-    <concept>
-     <code value="head"></code>
-     <display value="HEAD"></display>
-     <definition value="HTTP HEAD operation."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/audit-event-severity"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="audit-event-severity"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/audit-event-severity"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventSeverity"></name>
-    <title value="AuditEventSeverity"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The severity of the audit entry."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/audit-event-severity"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="Emergency"></code>
-     <display value="Emergency"></display>
-     <definition value="System is unusable."></definition>
-    </concept>
-    <concept>
-     <code value="Alert"></code>
-     <display value="Alert"></display>
-     <definition value="Action must be taken immediately."></definition>
-    </concept>
-    <concept>
-     <code value="Critical"></code>
-     <display value="Critical"></display>
-     <definition value="Critical conditions."></definition>
-    </concept>
-    <concept>
-     <code value="Error"></code>
-     <display value="Error"></display>
-     <definition value="Error conditions."></definition>
-    </concept>
-    <concept>
-     <code value="Warning"></code>
-     <display value="Warning"></display>
-     <definition value="Warning conditions."></definition>
-    </concept>
-    <concept>
-     <code value="Notice"></code>
-     <display value="Notice"></display>
-     <definition value="Normal but significant condition."></definition>
-    </concept>
-    <concept>
-     <code value="Informational"></code>
-     <display value="Informational"></display>
-     <definition value="Informational messages."></definition>
-    </concept>
-    <concept>
-     <code value="Debug"></code>
-     <display value="Debug"></display>
-     <definition value="Debug-level messages."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/synthesis-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="synthesis-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/synthesis-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1348"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StatisticSynthesisType"></name>
-    <title value="StatisticSynthesisType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Types of combining results from a body of evidence (eg. summary data meta-analysis)."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/synthesis-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="std-MA"></code>
-     <display value="summary data meta-analysis"></display>
-     <definition value="A meta-analysis of the summary data of estimates from individual studies or data sets."></definition>
-    </concept>
-    <concept>
-     <code value="IPD-MA"></code>
-     <display value="individual patient data meta-analysis"></display>
-     <definition value="A meta-analysis of the individual participant data from individual studies or data sets."></definition>
-    </concept>
-    <concept>
-     <code value="indirect-NMA"></code>
-     <display value="indirect network meta-analysis"></display>
-     <definition value="An indirect meta-analysis derived from 2 or more direct comparisons in a network meta-analysis."></definition>
-    </concept>
-    <concept>
-     <code value="combined-NMA"></code>
-     <display value="combined direct plus indirect network meta-analysis"></display>
-     <definition value="An composite meta-analysis derived from direct comparisons and indirect comparisons in a network meta-analysis."></definition>
-    </concept>
-    <concept>
-     <code value="range"></code>
-     <display value="range of results"></display>
-     <definition value="A range of results across a body of evidence."></definition>
-    </concept>
-    <concept>
-     <code value="classification"></code>
-     <display value="classifcation of results"></display>
-     <definition value="An approach describing a body of evidence by categorically classifying individual studies (eg 3 studies showed beneft and 2 studied found no effect)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/relationship"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="relationship"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/relationship"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.36"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Beneficiary Relationship Codes"></name>
-    <status value="draft"></status>
-    <experimental value="true"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes the Patient to subscriber relationship codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/relationship"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Self"></display>
-     <definition value="The patient is the subscriber (policy holder)"></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Spouse"></display>
-     <definition value="The patient is the spouse or equivalent of the subscriber (policy holder)"></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Child"></display>
-     <definition value="The patient is the child of the subscriber (policy holder)"></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Common Law Spouse"></display>
-     <definition value="The patient is the common law spouse of the subscriber (policy holder)"></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="Other"></display>
-     <definition value="The patient has some other relationship, such as parent, to the subscriber (policy holder)"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-transport"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="message-transport"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/message-transport"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1080"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MessageTransport"></name>
-    <title value="MessageTransport"></title>
+    <url value="urn:oid:2.16.840.1.113883.3.1937.98.5.8"></url>
+    <name value="TemplateStatusCodeLifeCycle"></name>
+    <title value="TemplateStatusCode LifeCycle"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The protocol used for message transport."></description>
+    <date value="2013-12-05"></date>
+    <publisher value="Art-Decor"></publisher>
+    <description value="Life cycle of the Status Code of a Template Design (Version)"></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/message-transport"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="http"></code>
-     <display value="HTTP"></display>
-     <definition value="The application sends or receives messages using HTTP POST (may be over http: or https:)."></definition>
-    </concept>
-    <concept>
-     <code value="ftp"></code>
-     <display value="FTP"></display>
-     <definition value="The application sends or receives messages using File Transfer Protocol."></definition>
-    </concept>
-    <concept>
-     <code value="mllp"></code>
-     <display value="MLLP"></display>
-     <definition value="The application sends or receives messages using HL7's Minimal Lower Level Protocol."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/benefit-unit"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="benefit-unit"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/benefit-unit"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1178"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="UnitTypeCodes"></name>
-    <title value="Unit Type Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a smattering of Unit type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/benefit-unit"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="individual"></code>
-     <display value="Individual"></display>
-     <definition value="A single individual"></definition>
-    </concept>
-    <concept>
-     <code value="family"></code>
-     <display value="Family"></display>
-     <definition value="A family, typically includes self, spouse(s) and children to a defined age"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/map-group-type-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="map-group-type-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/map-group-type-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.688"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="StructureMapGroupTypeMode"></name>
-    <title value="StructureMapGroupTypeMode"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="If this is the default rule set to apply for the source type, or this combination of types."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/map-group-type-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="none"></code>
-     <display value="Not a Default"></display>
-     <definition value="This group is not a default group for the types."></definition>
-    </concept>
-    <concept>
-     <code value="types"></code>
-     <display value="Default for Type Combination"></display>
-     <definition value="This group is a default mapping group for the specified types and for the primary source type."></definition>
-    </concept>
-    <concept>
-     <code value="type-and-types"></code>
-     <display value="Default for type + combination"></display>
-     <definition value="This group is a default mapping group for the specified types."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/document-relationship-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="document-relationship-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sd"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/document-relationship-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.245"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DocumentRelationshipType"></name>
-    <title value="DocumentRelationshipType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of relationship between documents."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="replaces"></code>
-     <display value="Replaces"></display>
-     <definition value="This document logically replaces or supersedes the target document."></definition>
-    </concept>
-    <concept>
-     <code value="transforms"></code>
-     <display value="Transforms"></display>
-     <definition value="This document was generated by transforming the target document (e.g. format or language conversion)."></definition>
-    </concept>
-    <concept>
-     <code value="signs"></code>
-     <display value="Signs"></display>
-     <definition value="This document is a signature of the target document."></definition>
-    </concept>
-    <concept>
-     <code value="appends"></code>
-     <display value="Appends"></display>
-     <definition value="This document adds additional information to the target document."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/publication-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="publication-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/publication-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.4"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="PublicationStatus"></name>
-    <title value="PublicationStatus"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="The lifecycle status of an artifact."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/publication-status"></valueSet>
+    <valueSet value="urn:oid:2.16.840.1.113883.3.1937.98.11.8"></valueSet>
     <content value="complete"></content>
     <concept>
      <code value="draft"></code>
      <display value="Draft"></display>
-     <definition value="This resource is still under development and is not yet considered to be ready for normal use."></definition>
-     <designation>
-      <language value="ru"></language>
-      <value value="черновик"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <value value="ontwerp"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="This resource is ready for normal use."></definition>
-     <designation>
-      <language value="ru"></language>
-      <value value="активный"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <value value="actief"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="retired"></code>
-     <display value="Retired"></display>
-     <definition value="This resource has been withdrawn or superseded and should no longer be used."></definition>
-     <designation>
-      <language value="ru"></language>
-      <value value="удалён"></value>
-     </designation>
-     <designation>
-      <language value="nl"></language>
-      <value value="verouderd"></value>
-     </designation>
-    </concept>
-    <concept>
-     <code value="unknown"></code>
-     <display value="Unknown"></display>
-     <definition value="The authoring system does not know which of the status values currently applies for this resource.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, it's just not known which one."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/adjudication-reason"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="adjudication-reason"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/adjudication-reason"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1172"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AdjudicationReasonCodes"></name>
-    <title value="Adjudication Reason Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes smattering of Adjudication Reason codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/adjudication-reason"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ar001"></code>
-     <display value="Not covered"></display>
-     <definition value="Not covered"></definition>
-    </concept>
-    <concept>
-     <code value="ar002"></code>
-     <display value="Plan Limit Reached"></display>
-     <definition value="Plan Limit Reached"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/report-result-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="report-result-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/report-result-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.719"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TestReportResult"></name>
-    <title value="TestReportResult"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The reported execution result."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/report-result-codes"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="pass"></code>
-     <display value="Pass"></display>
-     <definition value="All test operations successfully passed all asserts."></definition>
-    </concept>
-    <concept>
-     <code value="fail"></code>
-     <display value="Fail"></display>
-     <definition value="One or more test operations failed one or more asserts."></definition>
+     <definition value="Design is under development (nascent)."></definition>
     </concept>
     <concept>
      <code value="pending"></code>
-     <display value="Pending"></display>
-     <definition value="One or more test operations is pending execution completion."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/chromosome-human"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="chromosome-human"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cg"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/chromosome-human"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1086"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="chromosome-human"></name>
-    <title value="chromosome-human"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Chromosome number for human."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/chromosome-human"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="chromosome 1"></display>
-     <definition value="chromosome 1."></definition>
+     <display value="Under pre-publication review"></display>
+     <definition value="Design is completed and is being reviewed."></definition>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="chromosome 2"></display>
-     <definition value="chromosome 2."></definition>
+     <code value="active"></code>
+     <display value="active"></display>
+     <definition value="Design has been deemed fit for the intended purpose and is published by the governance group."></definition>
     </concept>
     <concept>
-     <code value="3"></code>
-     <display value="chromosome 3"></display>
-     <definition value="chromosome 3."></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="chromosome 4"></display>
-     <definition value="chromosome 4."></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="chromosome 5"></display>
-     <definition value="chromosome 5."></definition>
-    </concept>
-    <concept>
-     <code value="6"></code>
-     <display value="chromosome 6"></display>
-     <definition value="chromosome 6."></definition>
-    </concept>
-    <concept>
-     <code value="7"></code>
-     <display value="chromosome 7"></display>
-     <definition value="chromosome 7."></definition>
-    </concept>
-    <concept>
-     <code value="8"></code>
-     <display value="chromosome 8"></display>
-     <definition value="chromosome 8."></definition>
-    </concept>
-    <concept>
-     <code value="9"></code>
-     <display value="chromosome 9"></display>
-     <definition value="chromosome 9."></definition>
-    </concept>
-    <concept>
-     <code value="10"></code>
-     <display value="chromosome 10"></display>
-     <definition value="chromosome 10."></definition>
-    </concept>
-    <concept>
-     <code value="11"></code>
-     <display value="chromosome 11"></display>
-     <definition value="chromosome 11."></definition>
-    </concept>
-    <concept>
-     <code value="12"></code>
-     <display value="chromosome 12"></display>
-     <definition value="chromosome 12."></definition>
-    </concept>
-    <concept>
-     <code value="13"></code>
-     <display value="chromosome 13"></display>
-     <definition value="chromosome 13."></definition>
-    </concept>
-    <concept>
-     <code value="14"></code>
-     <display value="chromosome 14"></display>
-     <definition value="chromosome 14."></definition>
-    </concept>
-    <concept>
-     <code value="15"></code>
-     <display value="chromosome 15"></display>
-     <definition value="chromosome 15."></definition>
-    </concept>
-    <concept>
-     <code value="16"></code>
-     <display value="chromosome 16"></display>
-     <definition value="chromosome 16."></definition>
-    </concept>
-    <concept>
-     <code value="17"></code>
-     <display value="chromosome 17"></display>
-     <definition value="chromosome 17."></definition>
-    </concept>
-    <concept>
-     <code value="18"></code>
-     <display value="chromosome 18"></display>
-     <definition value="chromosome 18."></definition>
-    </concept>
-    <concept>
-     <code value="19"></code>
-     <display value="chromosome 19"></display>
-     <definition value="chromosome 19."></definition>
-    </concept>
-    <concept>
-     <code value="20"></code>
-     <display value="chromosome 20"></display>
-     <definition value="chromosome 20."></definition>
-    </concept>
-    <concept>
-     <code value="21"></code>
-     <display value="chromosome 21"></display>
-     <definition value="chromosome 21."></definition>
-    </concept>
-    <concept>
-     <code value="22"></code>
-     <display value="chromosome 22"></display>
-     <definition value="chromosome 22."></definition>
-    </concept>
-    <concept>
-     <code value="X"></code>
-     <display value="chromosome X"></display>
-     <definition value="chromosome X."></definition>
-    </concept>
-    <concept>
-     <code value="Y"></code>
-     <display value="chromosome Y"></display>
-     <definition value="chromosome Y."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/message-reason-encounter"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="message-reason-encounter"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="inm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/message-reasons-encounter"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1122"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleMessageReasonCodes"></name>
-    <title value="Example Message Reason Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Example Message Reasons. These are the set of codes that might be used an updating an encounter using admin-update."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/message-reason-encounter"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="admit"></code>
-     <display value="Admit"></display>
-     <definition value="The patient has been admitted."></definition>
-    </concept>
-    <concept>
-     <code value="discharge"></code>
-     <display value="Discharge"></display>
-     <definition value="The patient has been discharged."></definition>
-    </concept>
-    <concept>
-     <code value="absent"></code>
-     <display value="Absent"></display>
-     <definition value="The patient has temporarily left the institution."></definition>
-    </concept>
-    <concept>
-     <code value="return"></code>
-     <display value="Returned"></display>
-     <definition value="The patient has returned from a temporary absence."></definition>
-    </concept>
-    <concept>
-     <code value="moved"></code>
-     <display value="Moved"></display>
-     <definition value="The patient has been moved to a new location."></definition>
-    </concept>
-    <concept>
-     <code value="edit"></code>
-     <display value="Edit"></display>
-     <definition value="Encounter details have been updated (e.g. to correct a coding error)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-study-objective-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-study-objective-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-study-objective-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1248"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchStudyObjectiveType"></name>
-    <title value="ResearchStudyObjectiveType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes for the kind of study objective."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-study-objective-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="primary"></code>
-     <display value="Primary"></display>
-     <definition value="The main question to be answered, and the one that drives any statistical planning for the study—e.g., calculation of the sample size to provide the appropriate power for statistical testing."></definition>
-    </concept>
-    <concept>
-     <code value="secondary"></code>
-     <display value="Secondary"></display>
-     <definition value="Question to be answered in the study that is of lesser importance than the primary objective."></definition>
-    </concept>
-    <concept>
-     <code value="exploratory"></code>
-     <display value="Exploratory"></display>
-     <definition value="Exploratory questions to be answered in the study."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-legalstate"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-legalstate"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-legalstate"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1207"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceLegalStateCodes"></name>
-    <title value="Contract Resource Legal State codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for status."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-legalstate"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="amended"></code>
-     <display value="Amended"></display>
-     <definition value="Contract is augmented with additional information to correct errors in a predecessor or to updated values in a predecessor. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: revised; replaced."></definition>
-    </concept>
-    <concept>
-     <code value="appended"></code>
-     <display value="Appended"></display>
-     <definition value="Contract is augmented with additional information that was missing from a predecessor Contract. Usage: Contract altered within effective time. Precedence Order = 9. Comparable FHIR and v.3 status codes: updated, replaced."></definition>
+     <code value="review"></code>
+     <display value="In Review"></display>
+     <definition value="Design is active, but is under review. The review may result in a change to the design. The change may necessitate a new version to be created. This in turn may result in the prior version of the template to be retired. Alternatively, the review may result in a change to the design that does not require a new version to be created, or it may result in no change to the design at all."></definition>
     </concept>
     <concept>
      <code value="cancelled"></code>
      <display value="Cancelled"></display>
-     <definition value="Contract is terminated due to failure of the Grantor and/or the Grantee to fulfil one or more contract provisions. Usage: Abnormal contract termination. Precedence Order = 10. Comparable FHIR and v.3 status codes: stopped; failed; aborted."></definition>
-    </concept>
-    <concept>
-     <code value="disputed"></code>
-     <display value="Disputed"></display>
-     <definition value="Contract is pended to rectify failure of the Grantor or the Grantee to fulfil contract provision(s). E.g., Grantee complaint about Grantor's failure to comply with contract provisions. Usage: Contract pended. Precedence Order = 7. Comparable FHIR and v.3 status codes: on hold; pended; suspended."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in Error"></display>
-     <definition value="Contract was created in error. No Precedence Order.  Status may be applied to a Contract with any status."></definition>
-    </concept>
-    <concept>
-     <code value="executable"></code>
-     <display value="Executable"></display>
-     <definition value="Contract execution pending; may be executed when either the Grantor or the Grantee accepts the contract provisions by signing. I.e., where either the Grantor or the Grantee has signed, but not both. E.g., when an insurance applicant signs the insurers application, which references the policy. Usage: Optional first step of contract execution activity.  May be skipped and contracting activity moves directly to executed state. Precedence Order = 3. Comparable FHIR and v.3 status codes: draft; preliminary; planned; intended; active."></definition>
-    </concept>
-    <concept>
-     <code value="executed"></code>
-     <display value="Executed"></display>
-     <definition value="Contract is activated for period stipulated when both the Grantor and Grantee have signed it. Usage: Required state for normal completion of contracting activity.  Precedence Order = 6. Comparable FHIR and v.3 status codes: accepted; completed."></definition>
-    </concept>
-    <concept>
-     <code value="negotiable"></code>
-     <display value="Negotiable"></display>
-     <definition value="Contract execution is suspended while either or both the Grantor and Grantee propose and consider new or revised contract provisions. I.e., where the party which has not signed proposes changes to the terms.  E .g., a life insurer declines to agree to the signed application because the life insurer has evidence that the applicant, who asserted to being younger or a non-smoker to get a lower premium rate - but offers instead to agree to a higher premium based on the applicants actual age or smoking status. Usage: Optional contract activity between executable and executed state. Precedence Order = 4. Comparable FHIR and v.3 status codes: in progress; review; held."></definition>
-    </concept>
-    <concept>
-     <code value="offered"></code>
-     <display value="Offered"></display>
-     <definition value="Contract is a proposal by either the Grantor or the Grantee. Aka - A Contract hard copy or electronic 'template', 'form' or 'application'. E.g., health insurance application; consent directive form. Usage: Beginning of contract negotiation, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 2. Comparable FHIR and v.3 status codes: requested; new."></definition>
-    </concept>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="Contract template is available as the basis for an application or offer by the Grantor or Grantee. E.g., health insurance policy; consent directive policy.  Usage: Required initial contract activity, which may have been completed as a precondition because used for 0..* contracts. Precedence Order = 1. Comparable FHIR and v.3 status codes: proposed; intended."></definition>
+     <definition value="A drafted design is determined to be erroneous or not fit for intended purpose and is discontinued before ever being published in an active state."></definition>
     </concept>
     <concept>
      <code value="rejected"></code>
      <display value="Rejected"></display>
-     <definition value=" Execution of the Contract is not completed because either or both the Grantor and Grantee decline to accept some or all of the contract provisions. Usage: Optional contract activity between executable and abnormal termination. Precedence Order = 5. Comparable FHIR and v.3 status codes:  stopped; cancelled."></definition>
+     <definition value="A previously drafted design is determined to be erroneous or not fit for intended purpose and is discontinued before ever being published for consideration in a pending state."></definition>
     </concept>
     <concept>
-     <code value="renewed"></code>
-     <display value="Renewed"></display>
-     <definition value="Beginning of a successor Contract at the termination of predecessor Contract lifecycle. Usage: Follows termination of a preceding Contract that has reached its expiry date. Precedence Order = 13. Comparable FHIR and v.3 status codes: superseded."></definition>
-    </concept>
-    <concept>
-     <code value="revoked"></code>
-     <display value="Revoked"></display>
-     <definition value="A Contract that is rescinded.  May be required prior to replacing with an updated Contract. Comparable FHIR and v.3 status codes: nullified."></definition>
-    </concept>
-    <concept>
-     <code value="resolved"></code>
-     <display value="Resolved"></display>
-     <definition value="Contract is reactivated after being pended because of faulty execution. *E.g., competency of the signer(s), or where the policy is substantially different from and did not accompany the application/form so that the applicant could not compare them. Aka - ''reactivated''. Usage: Optional stage where a pended contract is reactivated. Precedence Order = 8. Comparable FHIR and v.3 status codes: reactivated."></definition>
+     <code value="retired"></code>
+     <display value="retired"></display>
+     <definition value="A previously active design is discontinued from use. It should no longer be used for future designs, but for historical purposes may be used to process data previously recorded using this design. A newer design may or may not exist. The design is published in the retired state."></definition>
     </concept>
     <concept>
      <code value="terminated"></code>
      <display value="Terminated"></display>
-     <definition value="Contract reaches its expiry date. It might or might not be renewed or renegotiated. Usage: Normal end of contract period. Precedence Order = 12. Comparable FHIR and v.3 status codes: Obsoleted."></definition>
+     <definition value="A design is determined to be erroneous or not fit for the intended purpose and should no longer be used, even for historical purposes. No new designs can be developed for this template. The associated template no longer needs to be published, but if published, is shown in the terminated state."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-subpotent-reason"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/etsi-signature-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-subpotent-reason"></id>
+    <id value="etsi-signature-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-subpotent-reason"></url>
+    <url value="http://uri.etsi.org/01903/v1.2.2"></url>
+    <name value="ETSISignatureTypeCodes"></name>
+    <title value="ETSI Signature Type Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="ETSI"></publisher>
+    <description value="The ETSI TS 101 733 V2.2.1 (2013-04) - Electronic Signatures and Infrastructures (ESI) - defines a set of Commitment Types (Purpose of Signature). ETSI TS 101 903 V1.2.2 defines vocabulary identifiers for these Commitment Types. Digital Signature Purposes, an indication of the reason an entity signs a document. This is included in the signed information and can be used when determining accountability for various actions concerning the document. "></description>
+    <copyright value="These codes are excerpted from ETSI Standard for Digital Signatures and XAdES, Copyright by ETSI International. Copies of this standard are available through the ETSI Web Site at www.etsi.org."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="ProofOfOrigin"></code>
+     <display value="Proof of origin"></display>
+     <definition value="indicates that the signer recognizes to have created, approved and sent the signed data object."></definition>
+    </concept>
+    <concept>
+     <code value="ProofOfReceipt"></code>
+     <display value="Proof of receipt"></display>
+     <definition value="indicates that signer recognizes to have received the content of the signed data object."></definition>
+    </concept>
+    <concept>
+     <code value="ProofOfDelivery"></code>
+     <display value="Proof of delivery"></display>
+     <definition value="indicates that the TSP providing that indication has delivered a signed data object in a local store accessible to the recipient of the signed data object."></definition>
+    </concept>
+    <concept>
+     <code value="ProofOfSender"></code>
+     <display value="Proof of sender"></display>
+     <definition value="indicates that the entity providing that indication has sent the signed data object (but not necessarily created it)."></definition>
+    </concept>
+    <concept>
+     <code value="ProofOfapproval"></code>
+     <display value="Proof of approval"></display>
+     <definition value="indicates that the signer has approved the content of the signed data object."></definition>
+    </concept>
+    <concept>
+     <code value="ProofOfCreation"></code>
+     <display value="Proof of creation"></display>
+     <definition value="indicates that the signer has created the signed data object (but not necessarily approved, nor sent it)."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/astm-signature-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="astm-signature-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="urn:iso-astm:E1762-95:2013"></url>
+    <name value="ASTMSignatureTypeCodes"></name>
+    <title value="ASTM Signature Type Codes"></title>
+    <status value="active"></status>
+    <experimental value="false"></experimental>
+    <publisher value="ASTM"></publisher>
+    <description value="The Digital Signature Purposes, an indication of the reason an entity signs a document. This is included in the signed information and can be used when determining accountability for various actions concerning the document. Examples include: author, transcriptionist/recorder, and witness."></description>
+    <copyright value="These codes are excerpted from ASTM Standard, E1762-95(2013) - Standard Guide for Electronic Authentication of Health Care Information, Copyright by ASTM International, 100 Barr Harbor Drive, West Conshohocken, PA 19428. Copies of this standard are available through the ASTM Web Site at www.astm.org."></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.1"></code>
+     <display value="Author's Signature"></display>
+     <definition value="the signature of the primary or sole author of a health information document. There can be only one primary author of a health information document."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.2"></code>
+     <display value="Coauthor's Signature"></display>
+     <definition value="the signature of a health information document coauthor. There can be multiple coauthors of a health information document."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.3"></code>
+     <display value="Co-participant's Signature"></display>
+     <definition value="the signature of an individual who is a participant in the health information document but is not an author or coauthor. (Example a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.4"></code>
+     <display value="Transcriptionist/Recorder Signature"></display>
+     <definition value="the signature of an individual who has transcribed a dictated document or recorded written text into a digital machine readable format."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.5"></code>
+     <display value="Verification Signature"></display>
+     <definition value="a signature verifying the information contained in a document. (Example a physician is required to countersign a verbal order that has previously been recorded in the medical record by a registered nurse who has carried out the verbal order.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.6"></code>
+     <display value="Validation Signature"></display>
+     <definition value="a signature validating a health information document for inclusion in the patient record. (Example a medical student or resident is credentialed to perform history or physical examinations and to write progress notes. The attending physician signs the history and physical examination to validate the entry for inclusion in the patient's medical record.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.7"></code>
+     <display value="Consent Signature"></display>
+     <definition value="the signature of an individual consenting to what is described in a health information document."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.8"></code>
+     <display value="Signature Witness Signature"></display>
+     <definition value="the signature of a witness to any other signature."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.9"></code>
+     <display value="Event Witness Signature"></display>
+     <definition value="the signature of a witness to an event. (Example the witness has observed a procedure and is attesting to this fact.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.10"></code>
+     <display value="Identity Witness Signature"></display>
+     <definition value="the signature of an individual who has witnessed another individual who is known to them signing a document. (Example the identity witness is a notary public.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.11"></code>
+     <display value="Consent Witness Signature"></display>
+     <definition value="the signature of an individual who has witnessed the health care provider counselling a patient."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.12"></code>
+     <display value="Interpreter Signature"></display>
+     <definition value="the signature of an individual who has translated health care information during an event or the obtaining of consent to a treatment."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.13"></code>
+     <display value="Review Signature"></display>
+     <definition value="the signature of a person, device, or algorithm that has reviewed or filtered data for inclusion into the patient record. ( Examples: (1) a medical records clerk who scans a document for inclusion in the medical record, enters header information, or catalogues and classifies the data, or a combination thereof; (2) a gateway that receives data from another computer system and interprets that data or changes its format, or both, before entering it into the patient record.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.14"></code>
+     <display value="Source Signature"></display>
+     <definition value="the signature of an automated data source. (Examples: (1) the signature for an image that is generated by a device for inclusion in the patient record; (2) the signature for an ECG derived by an ECG system for inclusion in the patient record; (3) the data from a biomedical monitoring device or system that is for inclusion in the patient record.)"></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.15"></code>
+     <display value="Addendum Signature"></display>
+     <definition value="the signature on a new amended document of an individual who has corrected, edited, or amended an original health information document. An addendum signature can either be a signature type or a signature sub-type (see 8.1). Any document with an addendum signature shall have a companion document that is the original document with its original, unaltered content, and original signatures. The original document shall be referenced via an attribute in the new document, which contains, for example, the digest of the old document. Whether the original, unaltered, document is always displayed with the addended document is a local matter, but the original, unaltered, document must remain as part of the patient record and be retrievable on demand."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.16"></code>
+     <display value="Modification Signature"></display>
+     <definition value="the signature on an original document of an individual who has generated a new amended document. This (original) document shall reference the new document via an additional signature purpose. This is the inverse of an addendum signature and provides a pointer from the original to the amended document."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.17"></code>
+     <display value="Administrative (Error/Edit) Signature"></display>
+     <definition value="the signature of an individual who is certifying that the document is invalidated by an error(s), or is placed in the wrong chart. An administrative (error/edit) signature must include an addendum to the document and therefore shall have an addendum signature sub-type (see 8.1). This signature is reserved for the highest health information system administrative classification, since it is a statement that the entire document is invalidated by the error and that the document should no longer be used for patient care, although for legal reasons the document must remain part of the permanent patient record."></definition>
+    </concept>
+    <concept>
+     <code value="1.2.840.10065.1.12.1.18"></code>
+     <display value="Timestamp Signature"></display>
+     <definition value="the signature by an entity or device trusted to provide accurate timestamps. This timestamp might be provided, for example, in the signature time attribute."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/media-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="media-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/media-category"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1098"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.326"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationSubpotentReason"></name>
-    <title value="Immunization Subpotent Reason"></title>
+    <version value="3.0.1"></version>
+    <name value="DigitalMediaCategory"></name>
+    <title value="Digital Media Category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
+    <date value="2019-05-17"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the reason why a dose is considered to be subpotent. This value set is provided as a suggestive example."></description>
+    <description value="Codes for high level media types - whether the media is an image, video, or audio."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="partialdose"></code>
-     <display value="Partial Dose"></display>
-     <definition value="The full volume of the dose was not administered to the patient."></definition>
+     <code value="image"></code>
+     <display value="Image"></display>
+     <definition value="The media consists of one or more unmoving images, including photographs, computer-generated graphs and charts, and scanned documents"></definition>
     </concept>
     <concept>
-     <code value="coldchainbreak"></code>
-     <display value="Cold Chain Break"></display>
-     <definition value="The vaccine experienced a cold chain break."></definition>
+     <code value="video"></code>
+     <display value="Video"></display>
+     <definition value="The media consists of a series of frames that capture a moving image"></definition>
     </concept>
     <concept>
-     <code value="recall"></code>
-     <display value="Manufacturer Recall"></display>
-     <definition value="The vaccine was recalled by the manufacturer."></definition>
+     <code value="audio"></code>
+     <display value="Audio"></display>
+     <definition value="The media consists of a sound recording"></definition>
     </concept>
     <concept>
-     <code value="adversestorage"></code>
-     <display value="Adverse Storage"></display>
-     <definition value="The vaccine experienced adverse storage conditions."></definition>
+     <code value="STYLESHEET"></code>
+     <display value="Stylesheet"></display>
+     <definition value="The stylesheet for use"></definition>
     </concept>
     <concept>
-     <code value="expired"></code>
-     <display value="Expired Product"></display>
-     <definition value="The vaccine was expired at the time of administration."></definition>
+     <code value="WORKFLOW_DEFINITION"></code>
+     <display value="Workflow Definitions"></display>
+     <definition value="The workflow definition"></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -64815,19 +66146,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <CodeSystem xmlns="http://hl7.org/fhir">
     <id value="smart-capabilities"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://terminology.hl7.org/CodeSystem/smart-capabilities"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.1.1265"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SmartCapabilities"></name>
     <title value="SmartCapabilities"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -64917,91 +66248,24 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-assettype"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/name-assembly-order"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-assettype"></id>
+    <id value="name-assembly-order"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-asset-type"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/name-assembly-order"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1300"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1266"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceAssetTypeCodes"></name>
-    <title value="Contract Resource Asset Type codes"></title>
+    <version value="4.2.0"></version>
+    <name value="HumanNameAssemblyOrder"></name>
+    <title value="HumanNameAssemblyOrder"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for asset type."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-assettype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="participation"></code>
-     <display value="Participation"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contact-point-use"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contact-point-use"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contact-point-use"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.74"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContactPointUse"></name>
-    <title value="ContactPointUse"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -65013,148 +66277,47 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Use of contact point."></description>
+    <description value="A code that represents the preferred display order of the components of a human name."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="home"></code>
-     <display value="Home"></display>
-     <definition value="A communication contact point at a home; attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available."></definition>
+     <code value="NL1"></code>
+     <display value="Own Name"></display>
     </concept>
     <concept>
-     <code value="work"></code>
-     <display value="Work"></display>
-     <definition value="An office contact point. First choice for business related contacts during business hours."></definition>
+     <code value="NL2"></code>
+     <display value="Partner Name"></display>
     </concept>
     <concept>
-     <code value="temp"></code>
-     <display value="Temp"></display>
-     <definition value="A temporary contact point. The period can provide more detailed information."></definition>
+     <code value="NL3"></code>
+     <display value="Partner Name followed by Maiden Name"></display>
     </concept>
     <concept>
-     <code value="old"></code>
-     <display value="Old"></display>
-     <definition value="This contact point is no longer in use (or was never correct, but retained for records)."></definition>
-    </concept>
-    <concept>
-     <code value="mobile"></code>
-     <display value="Mobile"></display>
-     <definition value="A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business."></definition>
+     <code value="NL4"></code>
+     <display value="Own Name followed by Partner Name"></display>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/medicationrequest-intent"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/evidence-quality"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="medicationrequest-intent"></id>
+    <id value="evidence-quality"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/CodeSystem/medicationrequest-intent"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/evidence-quality"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1378"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1267"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="medicationRequest Intent"></name>
-    <title value="Medication request  intent"></title>
+    <version value="4.2.0"></version>
+    <name value="QualityOfEvidenceRating"></name>
+    <title value="QualityOfEvidenceRating"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="MedicationRequest Intent Codes"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="proposal"></code>
-     <display value="Proposal"></display>
-     <definition value="The request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act"></definition>
-    </concept>
-    <concept>
-     <code value="plan"></code>
-     <display value="Plan"></display>
-     <definition value="The request represents an intention to ensure something occurs without providing an authorization for others to act."></definition>
-    </concept>
-    <concept>
-     <code value="order"></code>
-     <display value="Order"></display>
-     <definition value="The request represents a request/demand and authorization for action"></definition>
-    </concept>
-    <concept>
-     <code value="original-order"></code>
-     <display value="Original Order"></display>
-     <definition value="The request represents the original authorization for the medication request."></definition>
-    </concept>
-    <concept>
-     <code value="reflex-order"></code>
-     <display value="Reflex Order"></display>
-     <definition value="The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization.."></definition>
-    </concept>
-    <concept>
-     <code value="filler-order"></code>
-     <display value="Filler Order"></display>
-     <definition value="The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order."></definition>
-    </concept>
-    <concept>
-     <code value="instance-order"></code>
-     <display value="Instance Order"></display>
-     <definition value="The request represents an instance for the particular order, for example a medication administration record."></definition>
-    </concept>
-    <concept>
-     <code value="option"></code>
-     <display value="Option"></display>
-     <definition value="The request represents a component or option for a RequestGroup that establishes timing, conditionality and/or  other constraints among a set of requests."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/supplydelivery-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="supplydelivery-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/supplydelivery-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.701"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SupplyDeliveryStatus"></name>
-    <title value="SupplyDeliveryStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -65166,64 +66329,52 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Status of the supply delivery."></description>
+    <description value="A rating system that describes the quality of evidence such as the GRADE, DynaMed, or Oxford CEBM systems."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/supplydelivery-status"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/evidence-quality"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="Supply has been requested, but not delivered."></definition>
+     <code value="high"></code>
+     <display value="High quality"></display>
+     <definition value="High quality evidence."></definition>
     </concept>
     <concept>
-     <code value="completed"></code>
-     <display value="Delivered"></display>
-     <definition value="Supply has been delivered (&quot;completed&quot;)."></definition>
+     <code value="moderate"></code>
+     <display value="Moderate quality"></display>
+     <definition value="Moderate quality evidence."></definition>
     </concept>
     <concept>
-     <code value="abandoned"></code>
-     <display value="Abandoned"></display>
-     <definition value="Delivery was not completed."></definition>
+     <code value="low"></code>
+     <display value="Low quality"></display>
+     <definition value="Low quality evidence."></definition>
     </concept>
     <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered In Error"></display>
-     <definition value="This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;abandoned&quot; rather than &quot;entered-in-error&quot;.)."></definition>
+     <code value="very-low"></code>
+     <display value="Very low quality"></display>
+     <definition value="Very low quality evidence."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-capability-mode"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/recommendation-strength"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="event-capability-mode"></id>
+    <id value="recommendation-strength"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/event-capability-mode"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/recommendation-strength"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.183"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1268"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="EventCapabilityMode"></name>
-    <title value="EventCapabilityMode"></title>
-    <status value="active"></status>
+    <version value="4.2.0"></version>
+    <name value="StrengthOfRecommendationRating"></name>
+    <title value="StrengthOfRecommendationRating"></title>
+    <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -65235,54 +66386,42 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The mode of a message capability statement."></description>
+    <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/event-capability-mode"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/recommendation-strength"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="sender"></code>
-     <display value="Sender"></display>
-     <definition value="The application sends requests and receives responses."></definition>
+     <code value="strong"></code>
+     <display value="Strong"></display>
+     <definition value="Strong recommendation."></definition>
     </concept>
     <concept>
-     <code value="receiver"></code>
-     <display value="Receiver"></display>
-     <definition value="The application receives requests and sends responses."></definition>
+     <code value="weak"></code>
+     <display value="Weak"></display>
+     <definition value="Weak recommendation."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/issue-type"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-relationship-type"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="issue-type"></id>
+    <id value="goal-relationship-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/issue-type"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/goal-relationship-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.411"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1269"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="IssueType"></name>
-    <title value="IssueType"></title>
-    <status value="active"></status>
+    <version value="4.2.0"></version>
+    <name value="GoalRelationshipType"></name>
+    <title value="GoalRelationshipType"></title>
+    <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -65294,997 +66433,381 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="A code that describes the type of issue."></description>
+    <description value="Types of relationships between two goals."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/issue-type"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-relationship-type"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="invalid"></code>
-     <display value="Invalid Content"></display>
-     <definition value="Content invalid against the specification or a profile."></definition>
-     <concept>
-      <code value="structure"></code>
-      <display value="Structural Issue"></display>
-      <definition value="A structural issue in the content such as wrong namespace, unable to parse the content completely, invalid syntax, etc."></definition>
-     </concept>
-     <concept>
-      <code value="required"></code>
-      <display value="Required element missing"></display>
-      <definition value="A required element is missing."></definition>
-     </concept>
-     <concept>
-      <code value="value"></code>
-      <display value="Element value invalid"></display>
-      <definition value="An element or header value is invalid."></definition>
-     </concept>
-     <concept>
-      <code value="invariant"></code>
-      <display value="Validation rule failed"></display>
-      <definition value="A content validation rule failed - e.g. a schematron rule."></definition>
-     </concept>
+     <code value="predecessor"></code>
+     <display value="Predecessor"></display>
+     <definition value="Indicates that the target goal is one which must be met before striving for the current goal."></definition>
     </concept>
     <concept>
-     <code value="security"></code>
-     <display value="Security Problem"></display>
-     <definition value="An authentication/authorization/permissions issue of some kind."></definition>
-     <concept>
-      <code value="login"></code>
-      <display value="Login Required"></display>
-      <definition value="The client needs to initiate an authentication process."></definition>
-     </concept>
-     <concept>
-      <code value="unknown"></code>
-      <display value="Unknown User"></display>
-      <definition value="The user or system was not able to be authenticated (either there is no process, or the proferred token is unacceptable)."></definition>
-     </concept>
-     <concept>
-      <code value="expired"></code>
-      <display value="Session Expired"></display>
-      <definition value="User session expired; a login may be required."></definition>
-     </concept>
-     <concept>
-      <code value="forbidden"></code>
-      <display value="Forbidden"></display>
-      <definition value="The user does not have the rights to perform this action."></definition>
-     </concept>
-     <concept>
-      <code value="suppressed"></code>
-      <display value="Information  Suppressed"></display>
-      <definition value="Some information was not or might not have been returned due to business rules, consent or privacy rules, or access permission constraints.  This information may be accessible through alternate processes."></definition>
-     </concept>
+     <code value="successor"></code>
+     <display value="Successor"></display>
+     <definition value="Indicates that the target goal is a desired objective once the current goal is met."></definition>
     </concept>
     <concept>
-     <code value="processing"></code>
-     <display value="Processing Failure"></display>
-     <definition value="Processing issues. These are expected to be final e.g. there is no point resubmitting the same content unchanged."></definition>
-     <concept>
-      <code value="not-supported"></code>
-      <display value="Content not supported"></display>
-      <definition value="The interaction, operation, resource or profile is not supported."></definition>
-     </concept>
-     <concept>
-      <code value="duplicate"></code>
-      <display value="Duplicate"></display>
-      <definition value="An attempt was made to create a duplicate record."></definition>
-     </concept>
-     <concept>
-      <code value="multiple-matches"></code>
-      <display value="Multiple Matches"></display>
-      <definition value="Multiple matching records were found when the operation required only one match."></definition>
-     </concept>
-     <concept>
-      <code value="not-found"></code>
-      <display value="Not Found"></display>
-      <definition value="The reference provided was not found. In a pure RESTful environment, this would be an HTTP 404 error, but this code may be used where the content is not found further into the application architecture."></definition>
-      <concept>
-       <code value="deleted"></code>
-       <display value="Deleted"></display>
-       <definition value="The reference pointed to content (usually a resource) that has been deleted."></definition>
-      </concept>
-     </concept>
-     <concept>
-      <code value="too-long"></code>
-      <display value="Content Too Long"></display>
-      <definition value="Provided content is too long (typically, this is a denial of service protection type of error)."></definition>
-     </concept>
-     <concept>
-      <code value="code-invalid"></code>
-      <display value="Invalid Code"></display>
-      <definition value="The code or system could not be understood, or it was not valid in the context of a particular ValueSet.code."></definition>
-     </concept>
-     <concept>
-      <code value="extension"></code>
-      <display value="Unacceptable Extension"></display>
-      <definition value="An extension was found that was not acceptable, could not be resolved, or a modifierExtension was not recognized."></definition>
-     </concept>
-     <concept>
-      <code value="too-costly"></code>
-      <display value="Operation Too Costly"></display>
-      <definition value="The operation was stopped to protect server resources; e.g. a request for a value set expansion on all of SNOMED CT."></definition>
-     </concept>
-     <concept>
-      <code value="business-rule"></code>
-      <display value="Business Rule Violation"></display>
-      <definition value="The content/operation failed to pass some business rule and so could not proceed."></definition>
-     </concept>
-     <concept>
-      <code value="conflict"></code>
-      <display value="Edit Version Conflict"></display>
-      <definition value="Content could not be accepted because of an edit conflict (i.e. version aware updates). (In a pure RESTful environment, this would be an HTTP 409 error, but this code may be used where the conflict is discovered further into the application architecture.)."></definition>
-     </concept>
+     <code value="replacement"></code>
+     <display value="Replacement"></display>
+     <definition value="Indicates that this goal has been replaced by the target goal."></definition>
     </concept>
     <concept>
-     <code value="transient"></code>
-     <display value="Transient Issue"></display>
-     <definition value="Transient processing issues. The system receiving the message may be able to resubmit the same content once an underlying issue is resolved."></definition>
-     <concept>
-      <code value="lock-error"></code>
-      <display value="Lock Error"></display>
-      <definition value="A resource/record locking failure (usually in an underlying database)."></definition>
-     </concept>
-     <concept>
-      <code value="no-store"></code>
-      <display value="No Store Available"></display>
-      <definition value="The persistent store is unavailable; e.g. the database is down for maintenance or similar action, and the interaction or operation cannot be processed."></definition>
-     </concept>
-     <concept>
-      <code value="exception"></code>
-      <display value="Exception"></display>
-      <definition value="An unexpected internal error has occurred."></definition>
-     </concept>
-     <concept>
-      <code value="timeout"></code>
-      <display value="Timeout"></display>
-      <definition value="An internal timeout has occurred."></definition>
-     </concept>
-     <concept>
-      <code value="incomplete"></code>
-      <display value="Incomplete Results"></display>
-      <definition value="Not all data sources typically accessed could be reached or responded in time, so the returned information might not be complete (applies to search interactions and some operations)."></definition>
-     </concept>
-     <concept>
-      <code value="throttled"></code>
-      <display value="Throttled"></display>
-      <definition value="The system is not prepared to handle this request due to load management."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="informational"></code>
-     <display value="Informational Note"></display>
-     <definition value="A message unrelated to the processing success of the completed operation (examples of the latter include things like reminders of password expiry, system maintenance times, etc.)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contactentity-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contactentity-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/contactentity-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1129"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContactEntityType"></name>
-    <title value="Contact entity type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This example value set defines a set of codes that can be used to indicate the purpose for which you would contact a contact party."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contactentity-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="BILL"></code>
-     <display value="Billing"></display>
-     <definition value="Contact details for information regarding to billing/general finance enquiries."></definition>
-    </concept>
-    <concept>
-     <code value="ADMIN"></code>
-     <display value="Administrative"></display>
-     <definition value="Contact details for administrative enquiries."></definition>
-    </concept>
-    <concept>
-     <code value="HR"></code>
-     <display value="Human Resource"></display>
-     <definition value="Contact details for issues related to Human Resources, such as staff matters, OH&amp;S etc."></definition>
-    </concept>
-    <concept>
-     <code value="PAYOR"></code>
-     <display value="Payor"></display>
-     <definition value="Contact details for dealing with issues related to insurance claims/adjudication/payment."></definition>
-    </concept>
-    <concept>
-     <code value="PATINF"></code>
-     <display value="Patient"></display>
-     <definition value="Generic information contact for patients."></definition>
-    </concept>
-    <concept>
-     <code value="PRESS"></code>
-     <display value="Press"></display>
-     <definition value="Dedicated contact point for matters relating to press enquiries."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/metric-calibration-state"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="metric-calibration-state"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="dev"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/metric-calibration-state"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.653"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DeviceMetricCalibrationState"></name>
-    <title value="DeviceMetricCalibrationState"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Describes the state of a metric calibration."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/metric-calibration-state"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="not-calibrated"></code>
-     <display value="Not Calibrated"></display>
-     <definition value="The metric has not been calibrated."></definition>
-    </concept>
-    <concept>
-     <code value="calibration-required"></code>
-     <display value="Calibration Required"></display>
-     <definition value="The metric needs to be calibrated."></definition>
-    </concept>
-    <concept>
-     <code value="calibrated"></code>
-     <display value="Calibrated"></display>
-     <definition value="The metric has been calibrated."></definition>
-    </concept>
-    <concept>
-     <code value="unspecified"></code>
-     <display value="Unspecified"></display>
-     <definition value="The state of calibration of this metric is unspecified."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-recommendation-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-recommendation-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-recommendation-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1104"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationRecommendationStatusCodes"></name>
-    <title value="Immunization Recommendation Status Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the status of the patient towards perceived immunity against a vaccine preventable disease. This value set is provided as a suggestive example."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/immunization-recommendation-status"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="due"></code>
-     <display value="Due"></display>
-     <definition value="The patient is due for their next vaccination."></definition>
-    </concept>
-    <concept>
-     <code value="overdue"></code>
-     <display value="Overdue"></display>
-     <definition value="The patient is considered overdue for their next vaccination."></definition>
-    </concept>
-    <concept>
-     <code value="immune"></code>
-     <display value="Immune"></display>
-     <definition value="The patient is immune to the target disease and further immunization against the disease is not likely to provide benefit."></definition>
-    </concept>
-    <concept>
-     <code value="contraindicated"></code>
-     <display value="Contraindicated"></display>
-     <definition value="The patient is contraindicated for futher doses."></definition>
-    </concept>
-    <concept>
-     <code value="complete"></code>
-     <display value="Complete"></display>
-     <definition value="The patient is fully protected and no further doses are recommended."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/network-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="network-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="sec"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/network-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.457"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AuditEventAgentNetworkType"></name>
-    <title value="AuditEventAgentNetworkType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The type of network access point of this agent in the audit event."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/network-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Machine Name"></display>
-     <definition value="The machine name, including DNS name."></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="IP Address"></display>
-     <definition value="The assigned Internet Protocol (IP) address."></definition>
-    </concept>
-    <concept>
-     <code value="3"></code>
-     <display value="Telephone Number"></display>
-     <definition value="The assigned telephone number."></definition>
-    </concept>
-    <concept>
-     <code value="4"></code>
-     <display value="Email address"></display>
-     <definition value="The assigned email address."></definition>
-    </concept>
-    <concept>
-     <code value="5"></code>
-     <display value="URI"></display>
-     <definition value="URI (User directory, HTTP-PUT, ftp, etc.)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/verificationresult-primary-source-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="verificationresult-primary-source-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/primary-source-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.893"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="primary-source-type"></name>
-    <title value="Primary-source-type"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2018-06-05T14:06:02+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Type of the validation primary source"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="lic-board"></code>
-     <display value="License Board"></display>
-    </concept>
-    <concept>
-     <code value="prim"></code>
-     <display value="Primary Education"></display>
-    </concept>
-    <concept>
-     <code value="cont-ed"></code>
-     <display value="Continuing Education"></display>
-    </concept>
-    <concept>
-     <code value="post-serv"></code>
-     <display value="Postal Service"></display>
-    </concept>
-    <concept>
-     <code value="rel-own"></code>
-     <display value="Relationship owner"></display>
-    </concept>
-    <concept>
-     <code value="reg-auth"></code>
-     <display value="Registration Authority"></display>
-    </concept>
-    <concept>
-     <code value="legal"></code>
-     <display value="Legal source"></display>
-    </concept>
-    <concept>
-     <code value="issuer"></code>
-     <display value="Issuing source"></display>
-    </concept>
-    <concept>
-     <code value="auth-source"></code>
-     <display value="Authoritative source"></display>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/service-provision-conditions"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="service-provision-conditions"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/service-provision-conditions"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1143"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ServiceProvisionConditions"></name>
-    <title value="ServiceProvisionConditions"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The code(s) that detail the conditions under which the healthcare service is available/offered."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/service-provision-conditions"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="free"></code>
-     <display value="Free"></display>
-     <definition value="This service is available for no patient cost."></definition>
-    </concept>
-    <concept>
-     <code value="disc"></code>
-     <display value="Discounts Available"></display>
-     <definition value="There are discounts available on this service for qualifying patients."></definition>
-    </concept>
-    <concept>
-     <code value="cost"></code>
-     <display value="Fees apply"></display>
-     <definition value="Fees apply for this service."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/payeetype"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="payeetype"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/payeetype"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1050"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Claim Payee Type Codes"></name>
-    <status value="draft"></status>
-    <experimental value="true"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Payee Type codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/payeetype"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="subscriber"></code>
-     <display value="Subscriber"></display>
-     <definition value="The subscriber (policy holder) will be reimbursed."></definition>
-    </concept>
-    <concept>
-     <code value="provider"></code>
-     <display value="Provider"></display>
-     <definition value="Any benefit payable will be paid to the provider (Assignment of Benefit)."></definition>
+     <code value="milestone"></code>
+     <display value="Milestone"></display>
+     <definition value="Indicates that the target goal is considered to be a &quot;piece&quot; of attaining this goal."></definition>
     </concept>
     <concept>
      <code value="other"></code>
-     <display value="Provider"></display>
-     <definition value="Any benefit payable will be paid to a third party such as a guarrantor."></definition>
+     <display value="Other"></display>
+     <definition value="Indicates that the relationship is not covered by one of the pre-defined codes.  (An extension may convey more information about the meaning of the relationship.)."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-priority"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/goal-acceptance-status"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="goal-priority"></id>
+    <id value="goal-acceptance-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/goal-priority"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/goal-acceptance-status"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1096"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1270"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="GoalPriority"></name>
-    <title value="Goal priority"></title>
+    <version value="4.2.0"></version>
+    <name value="GoalAcceptanceStatus"></name>
+    <title value="GoalAcceptanceStatus"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Codes indicating whether the goal has been accepted by a stakeholder."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/goal-acceptance-status"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="agree"></code>
+     <display value="Agree"></display>
+     <definition value="Stakeholder supports pursuit of the goal."></definition>
+    </concept>
+    <concept>
+     <code value="disagree"></code>
+     <display value="Disagree"></display>
+     <definition value="Stakeholder is not in support of the pursuit of the goal."></definition>
+    </concept>
+    <concept>
+     <code value="pending"></code>
+     <display value="Pending"></display>
+     <definition value="Stakeholder has not yet made a decision on whether they support the goal."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/conformance-expectation"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="conformance-expectation"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/conformance-expectation"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1271"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConformanceExpectation"></name>
+    <title value="ConformanceExpectation"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Indicates the degree of adherence to a specified behavior or capability expected for a system to be deemed conformant with a specification."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="SHALL"></code>
+     <display value="SHALL"></display>
+     <definition value="Support for the specified capability is required to be considered conformant."></definition>
+    </concept>
+    <concept>
+     <code value="SHOULD"></code>
+     <display value="SHOULD"></display>
+     <definition value="Support for the specified capability is strongly encouraged, and failure to support it should only occur after careful consideration."></definition>
+    </concept>
+    <concept>
+     <code value="MAY"></code>
+     <display value="MAY"></display>
+     <definition value="Support for the specified capability is not necessary to be considered conformant, and the requirement should be considered strictly optional."></definition>
+    </concept>
+    <concept>
+     <code value="SHOULD-NOT"></code>
+     <display value="SHOULD-NOT"></display>
+     <definition value="Support for the specified capability is strongly discouraged and should occur only after careful consideration."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/question-max-occurs"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="question-max-occurs"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/question-max-occurs"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1272"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="MaxOccurs"></name>
+    <title value="MaxOccurs"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Flags an element as having unlimited repetitions."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/question-max-occurs"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="*"></code>
+     <display value="Repeating"></display>
+     <definition value="Element can repeat an unlimited number of times."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-item-control"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="questionnaire-item-control"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/questionnaire-item-control"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.932"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="QuestionnaireItemUIControlCodes"></name>
+    <title value="Questionnaire Item UI Control Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/patientcare/"></value>
+      <value value="http://www.hl7.org/Special/committees/patientcare"></value>
      </telecom>
     </contact>
-    <description value="Indicates the level of importance associated with reaching or sustaining a goal."></description>
+    <description value="Starter set of user interface control/display mechanisms that might be used when rendering an item in a questionnaire."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-item-control"></valueSet>
+    <hierarchyMeaning value="is-a"></hierarchyMeaning>
     <content value="complete"></content>
+    <property>
+     <code value="abstract"></code>
+     <description value="True if an element is considered 'abstract' - that is the code is not for use as a real concept"></description>
+     <type value="boolean"></type>
+    </property>
     <concept>
-     <code value="high-priority"></code>
-     <display value="High Priority"></display>
-     <definition value="Indicates that the goal is of considerable importance and should be a primary focus of care delivery."></definition>
-    </concept>
-    <concept>
-     <code value="medium-priority"></code>
-     <display value="Medium Priority"></display>
-     <definition value="Indicates that the goal has a reasonable degree of importance and that concrete action should be taken towards the goal.  Attainment is not as critical as high-priority goals."></definition>
-    </concept>
-    <concept>
-     <code value="low-priority"></code>
-     <display value="Low Priority"></display>
-     <definition value="The goal is desirable but is not sufficiently important to devote significant resources to.  Achievement of the goal may be sought when incidental to achieving other goals."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/event-resource-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="event-resource-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/event-resource-types"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1061"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EventResourceType"></name>
-    <title value="EventResourceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="A list of all the event resource types defined in this version of the FHIR specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/event-resource-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ChargeItem"></code>
-     <display value="ChargeItem"></display>
-     <definition value="Item containing charge code(s) associated with the provision of healthcare provider products."></definition>
-    </concept>
-    <concept>
-     <code value="ClaimResponse"></code>
-     <display value="ClaimResponse"></display>
-     <definition value="Remittance resource."></definition>
-    </concept>
-    <concept>
-     <code value="ClinicalImpression"></code>
-     <display value="ClinicalImpression"></display>
-     <definition value="A clinical assessment performed when planning treatments and management strategies for a patient."></definition>
-    </concept>
-    <concept>
-     <code value="Communication"></code>
-     <display value="Communication"></display>
-     <definition value="A record of information transmitted from a sender to a receiver."></definition>
-    </concept>
-    <concept>
-     <code value="Composition"></code>
-     <display value="Composition"></display>
-     <definition value="A set of resources composed into a single coherent clinical statement with clinical attestation."></definition>
-    </concept>
-    <concept>
-     <code value="Condition"></code>
-     <display value="Condition"></display>
-     <definition value="Detailed information about conditions, problems or diagnoses."></definition>
-    </concept>
-    <concept>
-     <code value="Consent"></code>
-     <display value="Consent"></display>
-     <definition value="A healthcare consumer's policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time."></definition>
-    </concept>
-    <concept>
-     <code value="Coverage"></code>
-     <display value="Coverage"></display>
-     <definition value="Insurance or medical plan or a payment agreement."></definition>
-    </concept>
-    <concept>
-     <code value="DeviceUseStatement"></code>
-     <display value="DeviceUseStatement"></display>
-     <definition value="Record of use of a device."></definition>
-    </concept>
-    <concept>
-     <code value="DiagnosticReport"></code>
-     <display value="DiagnosticReport"></display>
-     <definition value="A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports."></definition>
-    </concept>
-    <concept>
-     <code value="DocumentManifest"></code>
-     <display value="DocumentManifest"></display>
-     <definition value="A list that defines a set of documents."></definition>
-    </concept>
-    <concept>
-     <code value="DocumentReference"></code>
-     <display value="DocumentReference"></display>
-     <definition value="A reference to a document."></definition>
-    </concept>
-    <concept>
-     <code value="Encounter"></code>
-     <display value="Encounter"></display>
-     <definition value="An interaction during which services are provided to the patient."></definition>
-    </concept>
-    <concept>
-     <code value="EnrollmentResponse"></code>
-     <display value="EnrollmentResponse"></display>
-     <definition value="EnrollmentResponse resource."></definition>
-    </concept>
-    <concept>
-     <code value="EpisodeOfCare"></code>
-     <display value="EpisodeOfCare"></display>
-     <definition value="An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility."></definition>
-    </concept>
-    <concept>
-     <code value="ExplanationOfBenefit"></code>
-     <display value="ExplanationOfBenefit"></display>
-     <definition value="Explanation of Benefit resource."></definition>
-    </concept>
-    <concept>
-     <code value="FamilyMemberHistory"></code>
-     <display value="FamilyMemberHistory"></display>
-     <definition value="Information about patient's relatives, relevant for patient."></definition>
-    </concept>
-    <concept>
-     <code value="GuidanceResponse"></code>
-     <display value="GuidanceResponse"></display>
-     <definition value="The formal response to a guidance request."></definition>
-    </concept>
-    <concept>
-     <code value="ImagingStudy"></code>
-     <display value="ImagingStudy"></display>
-     <definition value="A set of images produced in single study (one or more series of references images)."></definition>
-    </concept>
-    <concept>
-     <code value="Immunization"></code>
-     <display value="Immunization"></display>
-     <definition value="Immunization event information."></definition>
-    </concept>
-    <concept>
-     <code value="MeasureReport"></code>
-     <display value="MeasureReport"></display>
-     <definition value="Results of a measure evaluation."></definition>
-    </concept>
-    <concept>
-     <code value="Media"></code>
-     <display value="Media"></display>
-     <definition value="A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference."></definition>
-    </concept>
-    <concept>
-     <code value="MedicationAdministration"></code>
-     <display value="MedicationAdministration"></display>
-     <definition value="Administration of medication to a patient."></definition>
-    </concept>
-    <concept>
-     <code value="MedicationDispense"></code>
-     <display value="MedicationDispense"></display>
-     <definition value="Dispensing a medication to a named patient."></definition>
-    </concept>
-    <concept>
-     <code value="MedicationUsage"></code>
-     <display value="MedicationUsage"></display>
-     <definition value="Record of medication being taken by a patient."></definition>
-    </concept>
-    <concept>
-     <code value="Observation"></code>
-     <display value="Observation"></display>
-     <definition value="Measurements and simple assertions."></definition>
-    </concept>
-    <concept>
-     <code value="PaymentNotice"></code>
-     <display value="PaymentNotice"></display>
-     <definition value="PaymentNotice request."></definition>
-    </concept>
-    <concept>
-     <code value="PaymentReconciliation"></code>
-     <display value="PaymentReconciliation"></display>
-     <definition value="PaymentReconciliation resource."></definition>
-    </concept>
-    <concept>
-     <code value="Procedure"></code>
-     <display value="Procedure"></display>
-     <definition value="An action that is being or was performed on a patient."></definition>
-    </concept>
-    <concept>
-     <code value="ProcessResponse"></code>
-     <display value="ProcessResponse"></display>
-     <definition value="ProcessResponse resource."></definition>
-    </concept>
-    <concept>
-     <code value="QuestionnaireResponse"></code>
-     <display value="QuestionnaireResponse"></display>
-     <definition value="A structured set of questions and their answers."></definition>
-    </concept>
-    <concept>
-     <code value="RiskAssessment"></code>
-     <display value="RiskAssessment"></display>
-     <definition value="Potential outcomes for a subject with likelihood."></definition>
-    </concept>
-    <concept>
-     <code value="SupplyDelivery"></code>
-     <display value="SupplyDelivery"></display>
-     <definition value="Delivery of bulk Supplies."></definition>
-    </concept>
-    <concept>
-     <code value="Task"></code>
-     <display value="Task"></display>
-     <definition value="A task to be performed."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-aggregation-mode"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="resource-aggregation-mode"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/resource-aggregation-mode"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.86"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="AggregationMode"></name>
-    <title value="AggregationMode"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="How resource references can be aggregated."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="contained"></code>
-     <display value="Contained"></display>
-     <definition value="The reference is a local reference to a contained resource."></definition>
-    </concept>
-    <concept>
-     <code value="referenced"></code>
-     <display value="Referenced"></display>
-     <definition value="The reference to a resource that has to be resolved externally to the resource that includes the reference."></definition>
+     <code value="group"></code>
+     <definition value="UI controls relevant to organizing groups of questions"></definition>
+     <property>
+      <code value="abstract"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
      <concept>
-      <code value="bundled"></code>
-      <display value="Bundled"></display>
-      <definition value="The resource the reference points to will be found in the same bundle as the resource that includes the reference."></definition>
+      <code value="list"></code>
+      <display value="List"></display>
+      <definition value="Questions within the group should be listed sequentially"></definition>
+     </concept>
+     <concept>
+      <code value="table"></code>
+      <display value="Vertical Answer Table"></display>
+      <definition value="Questions within the group are rows in the table with possible answers as columns.  Used for 'choice' questions."></definition>
+     </concept>
+     <concept>
+      <code value="htable"></code>
+      <display value="Horizontal Answer Table"></display>
+      <definition value="Questions within the group are columns in the table with possible answers as rows.  Used for 'choice' questions."></definition>
+     </concept>
+     <concept>
+      <code value="gtable"></code>
+      <display value="Group Table"></display>
+      <definition value="Questions within the group are columns in the table with each group repetition as a row.  Used for single-answer questions."></definition>
+     </concept>
+     <concept>
+      <code value="atable"></code>
+      <display value="Answer Table"></display>
+      <definition value="This table has one row - for the question.  Permitted answers are columns.  Used for choice questions."></definition>
+     </concept>
+     <concept>
+      <code value="header"></code>
+      <display value="Header"></display>
+      <definition value="The group is to be continuously visible at the top of the questionnaire"></definition>
+     </concept>
+     <concept>
+      <code value="footer"></code>
+      <display value="Footer"></display>
+      <definition value="The group is to be continuously visible at the bottom of the questionnaire"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="text"></code>
+     <definition value="UI controls relevant to rendering questionnaire text items"></definition>
+     <property>
+      <code value="abstract"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="inline"></code>
+      <display value="In-line"></display>
+      <definition value="Text is displayed as a paragraph in a sequential position between sibling items (default behavior)"></definition>
+     </concept>
+     <concept>
+      <code value="prompt"></code>
+      <display value="Prompt"></display>
+      <definition value="Text is displayed immediately below or within the answer-entry area of the containing question item (typically as a guide for what to enter)"></definition>
+     </concept>
+     <concept>
+      <code value="unit"></code>
+      <display value="Unit"></display>
+      <definition value="Text is displayed adjacent (horizontally or vertically) to the answer space for the parent question, typically to indicate a unit of measure"></definition>
+     </concept>
+     <concept>
+      <code value="lower"></code>
+      <display value="Lower-bound"></display>
+      <definition value="Text is displayed to the left of the set of answer choices or a scaling control for the parent question item to indicate the meaning of the 'lower' bound.  E.g. 'Strongly disagree'"></definition>
+     </concept>
+     <concept>
+      <code value="upper"></code>
+      <display value="Upper-bound"></display>
+      <definition value="Text is displayed to the right of the set of answer choices or a scaling control for the parent question item to indicate the meaning of the 'upper' bound.  E.g. 'Strongly agree'"></definition>
+     </concept>
+     <concept>
+      <code value="flyover"></code>
+      <display value="Fly-over"></display>
+      <definition value="Text is temporarily visible over top of an item if the mouse is positioned over top of the text for the containing item"></definition>
+     </concept>
+     <concept>
+      <code value="help"></code>
+      <display value="Help-Button"></display>
+      <definition value="Text is displayed in a dialog box or similar control if invoked by pushing a button or some other UI-appropriate action to request 'help' for a question, group or the questionnaire as a whole (depending what the text is nested within)"></definition>
+     </concept>
+    </concept>
+    <concept>
+     <code value="question"></code>
+     <definition value="UI controls relevant to capturing question data"></definition>
+     <property>
+      <code value="abstract"></code>
+      <valueBoolean value="true"></valueBoolean>
+     </property>
+     <concept>
+      <code value="autocomplete"></code>
+      <display value="Auto-complete"></display>
+      <definition value="A control which provides a list of potential matches based on text entered into a control.  Used for large choice sets where text-matching is an appropriate discovery mechanism."></definition>
+     </concept>
+     <concept>
+      <code value="drop-down"></code>
+      <display value="Drop down"></display>
+      <definition value="A control where an item (or multiple items) can be selected from a list that is only displayed when the user is editing the field."></definition>
+     </concept>
+     <concept>
+      <code value="check-box"></code>
+      <display value="Check-box"></display>
+      <definition value="A control where choices are listed with a box beside them.  The box can be toggled to select or de-select a given choice.  Multiple selections may be possible."></definition>
+     </concept>
+     <concept>
+      <code value="lookup"></code>
+      <display value="Lookup"></display>
+      <definition value="A control where editing an item spawns a separate dialog box or screen permitting a user to navigate, filter or otherwise discover an appropriate match.  Useful for large choice sets where text matching is not an appropriate discovery mechanism.  Such screens must generally be tuned for the specific choice list structure."></definition>
+     </concept>
+     <concept>
+      <code value="radio-button"></code>
+      <display value="Radio Button"></display>
+      <definition value="A control where choices are listed with a button beside them.  The button can be toggled to select or de-select a given choice.  Selecting one item deselects all others."></definition>
+     </concept>
+     <concept>
+      <code value="slider"></code>
+      <display value="Slider"></display>
+      <definition value="A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis."></definition>
+     </concept>
+     <concept>
+      <code value="spinner"></code>
+      <display value="Spinner"></display>
+      <definition value="A control where a list of numeric or other ordered values can be scrolled through via arrows."></definition>
+     </concept>
+     <concept>
+      <code value="text-box"></code>
+      <display value="Text Box"></display>
+      <definition value="A control where a user can type in their answer freely."></definition>
      </concept>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/research-subject-state-type"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/choice-list-orientation"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="research-subject-state-type"></id>
+    <id value="choice-list-orientation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/research-subject-state-type"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/choice-list-orientation"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1273"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ResearchSubjectStateType"></name>
-    <title value="ResearchSubjectStateType"></title>
+    <version value="4.2.0"></version>
+    <name value="ChoiceListOrientation"></name>
+    <title value="ChoiceListOrientation"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -66296,283 +66819,90 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Identifies the kind of state being refered to."></description>
+    <description value="Direction in which lists of possible answers should be displayed."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/research-subject-state-type"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/choice-list-orientation"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="Milestone"></code>
-     <display value="Milestone status"></display>
-     <definition value="One of a set of milestone events that once they have occurred remain true thereafter.  For example once a subject has reached the &quot;Signed Informed Consent&quot; milestone they achieve a status of &quot;Consented&quot; that will be true thereafter, even when they have left the study.  For a subject a number of these states can be simulataneously true and should be recorded."></definition>
+     <code value="horizontal"></code>
+     <display value="Horizontal"></display>
+     <definition value="List choices along the horizontal axis."></definition>
     </concept>
     <concept>
-     <code value="Enrollment"></code>
-     <display value="Enrollment status"></display>
-     <definition value="This is a status that can only have a single value at a given point in time.  The subject is either on-study or off-study."></definition>
+     <code value="vertical"></code>
+     <display value="Vertical"></display>
+     <definition value="List choices down the vertical axis."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/measure-improvement-notation"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-display-category"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="measure-improvement-notation"></id>
+    <id value="questionnaire-display-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cqi"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1395"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="MeasureImprovementNotation"></name>
-    <title value="MeasureImprovementNotation"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="increase"></code>
-     <display value="Increased score indicates improvement"></display>
-     <definition value="Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)."></definition>
-    </concept>
-    <concept>
-     <code value="decrease"></code>
-     <display value="Decreased score indicates improvement"></display>
-     <definition value="Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/consent-policy"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="consent-policy"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cbcc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"></url>
+    <url value="http://hl7.org/fhir/questionnaire-display-category"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1229"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.936"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConsentPolicyRuleCodes"></name>
-    <title value="Consent PolicyRule Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="QuestionnaireTextCategories"></name>
+    <title value="Questionnaire Text Categories"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="FHIR Project (CBCC)"></publisher>
+    <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
+      <value value="http://www.hl7.org/Special/committees/patientcare"></value>
      </telecom>
     </contact>
-    <description value="This value set includes sample Regulatory consent policy types from the US and other regions."></description>
+    <description value="Codes defining the purpose of a Questionnaire item of type 'text'."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/consent-policy"></valueSet>
-    <hierarchyMeaning value="is-a"></hierarchyMeaning>
+    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-display-category"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="cric"></code>
-     <display value="Common Rule Informed Consent"></display>
-     <definition value="45 CFR part 46 §46.116 General requirements for informed consent; and §46.117 Documentation of informed consent. https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-01058.pdf"></definition>
+     <code value="instructions"></code>
+     <display value="Instructions"></display>
+     <definition value="The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole)."></definition>
     </concept>
     <concept>
-     <code value="illinois-minor-procedure"></code>
-     <display value="Illinois Consent by Minors to Medical Procedures"></display>
-     <definition value="The consent to the performance of a medical or surgical procedure by a physician licensed to practice medicine and surgery, a licensed advanced practice nurse, or a licensed physician assistant executed by a married person who is a minor, by a parent who is a minor, by a pregnant woman who is a minor, or by any person 18 years of age or older, is not voidable because of such minority, and, for such purpose, a married person who is a minor, a parent who is a minor, a pregnant woman who is a minor, or any person 18 years of age or older, is deemed to have the same legal capacity to act and has the same powers and obligations as has a person of legal age. Consent by Minors to Medical Procedures Act. (410 ILCS 210/0.01) (from Ch. 111, par. 4500) Sec. 0.01. Short title. This Act may be cited as the Consent by Minors to Medical Procedures Act. (Source: P.A. 86-1324.) http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1539&amp;ChapterID=35"></definition>
+     <code value="security"></code>
+     <display value="Security"></display>
+     <definition value="The text provides guidance on how the information should be or will be handled from a security/confidentiality/access control perspective when completed"></definition>
     </concept>
     <concept>
-     <code value="hipaa-auth"></code>
-     <display value="HIPAA Authorization"></display>
-     <definition value="HIPAA 45 CFR Section 164.508 Uses and disclosures for which an authorization is required. (a) Standard: Authorizations for uses and disclosures. (1) Authorization required: General rule. Except as otherwise permitted or required by this subchapter, a covered entity SHALL not use or disclose protected health information without an authorization that is valid under this section. When a covered entity obtains or receives a valid authorization for its use or disclosure of protected health information, such use or disclosure must be consistent with such authorization. Usage Note: Authorizations governed under this regulation meet the definition of an opt in class of consent directive."></definition>
-    </concept>
-    <concept>
-     <code value="hipaa-npp"></code>
-     <display value="HIPAA Notice of Privacy Practices"></display>
-     <definition value="164.520  Notice of privacy practices for protected health information. (1) Right to notice. Except as provided by paragraph (a)(2) or (3) of this section, an individual has a right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Usage Note: Restrictions governed under this regulation meet the definition of an implied with an opportunity to dissent class of consent directive."></definition>
-    </concept>
-    <concept>
-     <code value="hipaa-restrictions"></code>
-     <display value="HIPAA Restrictions"></display>
-     <definition value="HIPAA 45 CFR 164.510 - Uses and disclosures requiring an opportunity for the individual to agree or to object. A covered entity may use or disclose protected health information, provided that the individual is informed in advance of the use or disclosure and has the opportunity to agree to or prohibit or restrict the use or disclosure, in accordance with the applicable requirements of this section. The covered entity may orally inform the individual of and obtain the individual's oral agreement or objection to a use or disclosure permitted by this section. Usage Note: Restrictions governed under this regulation meet the definition of an opt out with exception class of consent directive."></definition>
-    </concept>
-    <concept>
-     <code value="hipaa-research"></code>
-     <display value="HIPAA Research Authorization"></display>
-     <definition value="HIPAA 45 CFR 164.508 - Uses and disclosures for which an authorization is required. (a) Standard: Authorizations for uses and disclosures. (3) Compound authorizations. An authorization for use or disclosure of protected health information SHALL NOT be combined with any other document to create a compound authorization, except as follows: (i) An authorization for the use or disclosure of protected health information for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of protected health information for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. Where a covered health care provider has conditioned the provision of research-related treatment on the provision of one of the authorizations, as permitted under paragraph (b)(4)(i) of this section, any compound authorization created under this paragraph must clearly differentiate between the conditioned and unconditioned components and provide the individual with an opportunity to opt in to the research activities described in the unconditioned authorization. Usage Notes: See HHS http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html and OCR http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html"></definition>
-    </concept>
-    <concept>
-     <code value="hipaa-self-pay"></code>
-     <display value="HIPAA Self-Pay Restriction"></display>
-     <definition value="HIPAA 45 CFR 164.522(a) Right To Request a Restriction of Uses and Disclosures. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full. Usage Note: Restrictions governed under this regulation meet the definition of an opt out with exception class of consent directive. Opt out is limited to disclosures to a payer for payment and operations purpose of use. See HL7 HIPAA Self-Pay code in ActPrivacyLaw (2.16.840.1.113883.1.11.20426)."></definition>
-    </concept>
-    <concept>
-     <code value="mdhhs-5515"></code>
-     <display value="Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes"></display>
-     <definition value="On January 1, 2015, the Michigan Department of Health and Human Services (MDHHS) released a standard consent form for the sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it. Note: Form is available at http://www.michigan.gov/documents/mdhhs/Consent_to_Share_Behavioral_Health_Information_for_Care_Coordination_Purposes_548835_7.docx For more information see http://www.michigan.gov/documents/mdhhs/Behavioral_Health_Consent_Form_Background_Information_548864_7.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="nyssipp"></code>
-     <display value="New York State Surgical and Invasive Procedure Protocol"></display>
-     <definition value="The New York State Surgical and Invasive Procedure Protocol (NYSSIPP) applies to all operative and invasive procedures including endoscopy, general surgery or interventional radiology. Other procedures that involve puncture or incision of the skin, or insertion of an instrument or foreign material into the body are within the scope of the protocol. This protocol also applies to those anesthesia procedures either prior to a surgical procedure or independent of a surgical procedure such as spinal facet blocks. Example: Certain 'minor' procedures such as venipuncture, peripheral IV placement, insertion of nasogastric tube and foley catheter insertion are not within the scope of the protocol. From http://www.health.ny.gov/professionals/protocols_and_guidelines/surgical_and_invasive_procedure/nyssipp_faq.htm Note: HHC 100B-1 Form is available at http://www.downstate.edu/emergency_medicine/documents/Consent_CT_with_contrast.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="va-10-0484"></code>
-     <display value="VA Form 10-0484"></display>
-     <definition value="VA Form 10-0484 Revocation for Release of Individually-Identifiable Health Information enables a veteran to revoke authorization for the VA to release specified copies of individually-identifiable health information with the non-VA health care provider organizations participating in the eHealth Exchange and partnering with VA. Comment: Opt-in Consent Directive with status = rescinded (aka 'revoked'). Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-0484-fill.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="va-10-0485"></code>
-     <display value="VA Form 10-0485"></display>
-     <definition value="VA Form 10-0485 Request for and Authorization to Release Protected Health Information to eHealth Exchange enables a veteran to request and authorize a VA health care facility to release protected health information (PHI) for treatment purposes only to the communities that are participating in the eHealth Exchange, VLER Directive, and other Health Information Exchanges with who VA has an agreement. This information may consist of the diagnosis of Sickle Cell Anemia, the treatment of or referral for Drug Abuse, treatment of or referral for Alcohol Abuse or the treatment of or testing for infection with Human Immunodeficiency Virus. This authorization covers the diagnoses that I may have upon signing of the authorization and the diagnoses that I may acquire in the future including those protected by 38 U.S.C. 7332. Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/10-0485-fill.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="va-10-5345"></code>
-     <display value="VA Form 10-5345"></display>
-     <definition value="VA Form 10-5345 Request for and Authorization to Release Medical Records or Health Information enables a veteran to request and authorize the VA to release specified copies of protected health information (PHI), such as hospital summary or outpatient treatment notes, which may include information about conditions governed under Title 38 Section 7332 (drug abuse, alcoholism or alcohol abuse, testing for or infection with HIV, and sickle cell anemia). Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="va-10-5345a"></code>
-     <display value="VA Form 10-5345a"></display>
-     <definition value="VA Form 10-5345a Individuals' Request for a Copy of Their Own Health Information enables a veteran to request and authorize the VA to release specified copies of protected health information (PHI), such as hospital summary or outpatient treatment notes. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-fill.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="va-10-5345a-mhv"></code>
-     <display value="VA Form 10-5345a-MHV"></display>
-     <definition value="VA Form 10-5345a-MHV Individual's Request for a Copy of their own health information from MyHealtheVet enables a veteran to receive a copy of all available personal health information to be delivered through the veteran's My HealtheVet account. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-MHV-fill.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="va-10-10116"></code>
-     <display value="VA Form 10-10-10116"></display>
-     <definition value="VA Form 10-10116 Revocation of Authorization for Use and Release of Individually Identifiable Health Information for Veterans Health Administration Research. Comment: Opt-in with Restriction Consent Directive with status = 'completed'. Note: Form is available at http://www.northerncalifornia.va.gov/northerncalifornia/services/rnd/docs/vha-10-10116.pdf "></definition>
-    </concept>
-    <concept>
-     <code value="va-21-4142"></code>
-     <display value="VA Form 21-4142"></display>
-     <definition value="VA Form 21-4142 (Authorization and Consent to Release Information to the Department of Veterans Affairs (VA) enables a veteran to authorize the US Veterans Administration [VA] to request veteran's health information from non-VA providers. Aka VA Compensation Application Note: Form is available at http://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf . For additional information regarding VA Form 21-4142, refer to the following website: www.benefits.va.gov/compensation/consent_privateproviders"></definition>
-    </concept>
-    <concept>
-     <code value="ssa-827"></code>
-     <display value="SSA Authorization to Disclose"></display>
-     <definition value="SA Form SSA-827 (Authorization to Disclose Information to the Social Security Administration (SSA)). Form is available at https://www.socialsecurity.gov/forms/ssa-827-inst-sp.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="dch-3927"></code>
-     <display value="Michigan behavior and mental health consent"></display>
-     <definition value="Michigan DCH-3927 Consent to Share Behavioral Health Information for Care Coordination Purposes, which combines 42 CFR Part 2 and Michigan Mental Health Code, Act 258 of 1974. Form is available at http://www.michigan.gov/documents/mdch/DCH-3927_Consent_to_Share_Health_Information_477005_7.docx"></definition>
-    </concept>
-    <concept>
-     <code value="squaxin"></code>
-     <display value="Squaxin Indian behavioral health and HIPAA consent"></display>
-     <definition value="Squaxin Indian HIPAA and 42 CFR Part 2 Consent for Release and Exchange of Confidential Information, which permits consenter to select healthcare record type and types of treatment purposes.  This consent requires disclosers and recipients to comply with 42 C.F.R. Part 2, and HIPAA 45 C.F.R. parts 160 and 164. It includes patient notice of the refrain policy not to disclose without consent, and revocation rights. https://www.ncsacw.samhsa.gov/files/SI_ConsentForReleaseAndExchange.PDF"></definition>
-    </concept>
-    <concept>
-     <code value="nl-lsp"></code>
-     <display value="NL LSP Permission"></display>
-     <definition value="LSP (National Exchange Point) requires that providers, hospitals and pharmacy obtain explicit permission [opt-in] from healthcare consumers to submit and retrieve all or only some of a subject of care’s health information collected by the LSP for purpose of treatment, which can be revoked.  Without permission, a provider cannot access LSP information even in an emergency. The LSP provides healthcare consumers with accountings of disclosures. https://www.vzvz.nl/uploaded/FILES/htmlcontent/Formulieren/TOESTEMMINGSFORMULIER.pdf, https://www.ikgeeftoestemming.nl/en, https://www.ikgeeftoestemming.nl/en/registration/find-healthcare-provider"></definition>
-    </concept>
-    <concept>
-     <code value="at-elga"></code>
-     <display value="AT ELGA Opt-in Consent"></display>
-     <definition value="Pursuant to Sec. 2 no. 9 Health Telematics Act 2012, ELGA Health Data ( “ELGA-Gesundheitsdaten”) = Medical documents. Austria opted for an opt-out approach. This means that a person is by default ‘ELGA participant’ unless he/she objects. ELGA participants have the following options: General opt out: No participation in ELGA, Partial opt-out: No participation in a particular ELGA application, e.g. eMedication and Case-specific opt-out: No participation in ELGA only regarding a particular case/treatment. There is the possibility to opt-in again. ELGA participants can also exclude the access of a particular ELGA healthcare provider to a particular piece of or all of their ELGA data. http://ec.europa.eu/health/ehealth/docs/laws_austria_en.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="nih-hipaa"></code>
-     <display value="HHS NIH HIPAA Research Authorization"></display>
-     <definition value="Guidance and template form https://privacyruleandresearch.nih.gov/pdf/authorization.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="nci"></code>
-     <display value="NCI Cancer Clinical Trial consent"></display>
-     <definition value="see http://ctep.cancer.gov/protocolDevelopment/docs/Informed_Consent_Template.docx"></definition>
-    </concept>
-    <concept>
-     <code value="nih-grdr"></code>
-     <display value="NIH Global Rare Disease Patient Registry and Data Repository consent"></display>
-     <definition value="Global Rare Disease Patient Registry and Data Repository (GRDR) consent is an agreement of a healthcare consumer to permit collection, access, use and disclosure of de-identified rare disease information and collection of bio-specimens, medical information, family history and other related information from patients to permit the registry collection of health and genetic information, and specimens for pseudonymized disclosure for research purpose of use. https://rarediseases.info.nih.gov/files/informed_consent_template.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="nih-527"></code>
-     <display value="NIH Authorization for the Release of Medical Information"></display>
-     <definition value="NIH Authorization for the Release of Medical Information is a patient’s consent for the National Institutes of Health Clinical Center to release medical information to care providers, which can be revoked. Note: Consent Form available @ http://cc.nih.gov/participate/_pdf/NIH-527.pdf"></definition>
-    </concept>
-    <concept>
-     <code value="ga4gh"></code>
-     <display value="Population origins and ancestry research consent"></display>
-     <definition value="Global Alliance for Genomic Health Data Sharing Consent Form is an example of the GA4GH Population origins and ancestry research consent form. Consenters agree to permitting a specified research project to collect ancestry and genetic information in controlled-access databases, and to allow other researchers to use deidentified information from those databases. http://www.commonaccord.org/index.php?action=doc&amp;file=Wx/org/genomicsandhealth/REWG/Demo/Roberta_Robinson_US"></definition>
+     <code value="help"></code>
+     <display value="Help"></display>
+     <definition value="The text provides additional guidance on populating the containing item.  Help text isn't necessarily expected to be rendered as part of the form, but may instead be made available through fly-over, pop-up button, link to a &quot;help&quot; page, etc."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-slicing-rules"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/questionnaire-usage-mode"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="resource-slicing-rules"></id>
+    <id value="questionnaire-usage-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/resource-slicing-rules"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/questionnaire-usage-mode"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.84"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1274"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="SlicingRules"></name>
-    <title value="SlicingRules"></title>
-    <status value="active"></status>
+    <version value="4.2.0"></version>
+    <name value="QuestionnaireItemUsageMode"></name>
+    <title value="QuestionnaireItemUsageMode"></title>
+    <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -66584,56 +66914,57 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="How slices are interpreted when evaluating an instance."></description>
+    <description value="Identifies the modes of usage of a questionnaire that should enable a particular questionnaire item."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/resource-slicing-rules"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-usage-mode"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="closed"></code>
-     <display value="Closed"></display>
-     <definition value="No additional content is allowed other than that described by the slices in this profile."></definition>
+     <code value="capture-display"></code>
+     <display value="Capture &amp; Display"></display>
+     <definition value="Render the item regardless of usage mode."></definition>
     </concept>
     <concept>
-     <code value="open"></code>
-     <display value="Open"></display>
-     <definition value="Additional content is allowed anywhere in the list."></definition>
+     <code value="capture"></code>
+     <display value="Capture Only"></display>
+     <definition value="Render the item only when capturing data."></definition>
     </concept>
     <concept>
-     <code value="openAtEnd"></code>
-     <display value="Open at End"></display>
-     <definition value="Additional content is allowed, but only at the end of the list. Note that using this requires that the slices be ordered, which makes it hard to share uses. This should only be done where absolutely required."></definition>
+     <code value="display"></code>
+     <display value="Display Only"></display>
+     <definition value="Render the item only when displaying a completed form."></definition>
+    </concept>
+    <concept>
+     <code value="display-non-empty"></code>
+     <display value="Display when Answered"></display>
+     <definition value="Render the item only when displaying a completed form and the item has been answered (or has child items that have been answered)."></definition>
+    </concept>
+    <concept>
+     <code value="capture-display-non-empty"></code>
+     <display value="Capture or, if answered, Display"></display>
+     <definition value="Render the item when capturing data or when displaying a completed form and the item has been answered (or has child items that have been answered)."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/guidance-response-status"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/allerg-intol-substance-exp-risk"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="guidance-response-status"></id>
+    <id value="allerg-intol-substance-exp-risk"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/guidance-response-status"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/allerg-intol-substance-exp-risk"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.818"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1275"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="GuidanceResponseStatus"></name>
-    <title value="GuidanceResponseStatus"></title>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceSubstanceExposureRisk"></name>
+    <title value="AllergyIntoleranceSubstanceExposureRisk"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -66645,71 +66976,42 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The status of a guidance response."></description>
+    <description value="The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/guidance-response-status"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="success"></code>
-     <display value="Success"></display>
-     <definition value="The request was processed successfully."></definition>
+     <code value="known-reaction-risk"></code>
+     <display value="Known Reaction Risk"></display>
+     <definition value="Known risk of allergy or intolerance reaction upon exposure to the specified substance."></definition>
     </concept>
     <concept>
-     <code value="data-requested"></code>
-     <display value="Data Requested"></display>
-     <definition value="The request was processed successfully, but more data may result in a more complete evaluation."></definition>
-    </concept>
-    <concept>
-     <code value="data-required"></code>
-     <display value="Data Required"></display>
-     <definition value="The request was processed, but more data is required to complete the evaluation."></definition>
-    </concept>
-    <concept>
-     <code value="in-progress"></code>
-     <display value="In Progress"></display>
-     <definition value="The request is currently being processed."></definition>
-    </concept>
-    <concept>
-     <code value="failure"></code>
-     <display value="Failure"></display>
-     <definition value="The request was not processed successfully."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered In Error"></display>
-     <definition value="The response was entered in error."></definition>
+     <code value="no-known-reaction-risk"></code>
+     <display value="No Known Reaction Risk"></display>
+     <definition value="No known risk of allergy or intolerance reaction upon exposure to the specified substance."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/state-change-reason"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/reaction-event-certainty"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="state-change-reason"></id>
+    <id value="reaction-event-certainty"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="brr"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/state-change-reason"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/reaction-event-certainty"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.0"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1276"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="StateChangeReason"></name>
-    <title value="StateChangeReason"></title>
+    <version value="4.2.0"></version>
+    <name value="AllergyIntoleranceCertainty"></name>
+    <title value="AllergyIntoleranceCertainty"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -66721,727 +67023,52 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Indicates why the state of the subject changed."></description>
+    <description value="Statement about the degree of clinical certainty that a specific substance was the cause of the manifestation in a reaction event."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/state-change-reason"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-certainty"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="adverseEvent"></code>
-     <display value="adverse event"></display>
-     <definition value="adverse event."></definition>
+     <code value="unlikely"></code>
+     <display value="Unlikely"></display>
+     <definition value="There is a low level of clinical certainty that the reaction was caused by the identified substance."></definition>
     </concept>
     <concept>
-     <code value="death"></code>
-     <display value="death (adverse event)"></display>
-     <definition value="death (adverse event)."></definition>
+     <code value="likely"></code>
+     <display value="Likely"></display>
+     <definition value="There is a high level of clinical certainty that the reaction was caused by the identified substance."></definition>
     </concept>
     <concept>
-     <code value="notEligible"></code>
-     <display value="did not meet eligibility criteria"></display>
-     <definition value="did not meet eligibility criteria."></definition>
+     <code value="confirmed"></code>
+     <display value="Confirmed"></display>
+     <definition value="There is a very high level of clinical certainty that the reaction was due to the identified substance, which may include clinical evidence by testing or rechallenge."></definition>
     </concept>
-    <concept>
-     <code value="eligibleButNo"></code>
-     <display value="eligible but unwilling or unable to participate"></display>
-     <definition value="eligible but unwilling or unable to participate."></definition>
-    </concept>
-    <concept>
-     <code value="enrolled"></code>
-     <display value="enrolled or registered"></display>
-     <definition value="enrolled or registered."></definition>
-    </concept>
-    <concept>
-     <code value="exclusion"></code>
-     <display value="exclusion"></display>
-     <definition value="exclusion."></definition>
-    </concept>
-    <concept>
-     <code value="followUpComplete"></code>
-     <display value="follow-up complete"></display>
-     <definition value="follow-up complete."></definition>
-    </concept>
-    <concept>
-     <code value="inclusion"></code>
-     <display value="inclusion"></display>
-     <definition value="inclusion."></definition>
-    </concept>
-    <concept>
-     <code value="informedConsentSigned"></code>
-     <display value="Informed consent signed"></display>
-     <definition value="Informed consent signed."></definition>
-    </concept>
-    <concept>
-     <code value="intOrObsComplete"></code>
-     <display value="intervention or observation complete"></display>
-     <definition value="intervention or observation complete."></definition>
-    </concept>
-    <concept>
-     <code value="nonCompliance"></code>
-     <display value="non-compliance"></display>
-     <definition value="non-compliance."></definition>
-    </concept>
-    <concept>
-     <code value="preReg"></code>
-     <display value="pre-registered or slot reserved"></display>
-     <definition value="pre-registered or slot reserved."></definition>
-    </concept>
-    <concept>
-     <code value="refuseConsent"></code>
-     <display value="refuse consent"></display>
-     <definition value="refuse consent."></definition>
-    </concept>
-    <concept>
-     <code value="screenFailure"></code>
-     <display value="screen failure"></display>
-     <definition value="screen failure."></definition>
-    </concept>
-    <concept>
-     <code value="studyClosed"></code>
-     <display value="study permanently closed to accrual"></display>
-     <definition value="study permanently closed to accrual."></definition>
-    </concept>
-    <concept>
-     <code value="studyTerminated"></code>
-     <display value="study terminated"></display>
-     <definition value="study terminated."></definition>
-    </concept>
-    <concept>
-     <code value="subjectRefusal"></code>
-     <display value="subject refusal"></display>
-     <definition value="subject refusal."></definition>
-    </concept>
-    <concept>
-     <code value="unwillingOrUnable"></code>
-     <display value="unwilling or unable to participate"></display>
-     <definition value="unwilling or unable to participate."></definition>
-    </concept>
-    <concept>
-     <code value="withdrawnConsent"></code>
-     <display value="withdrawn consent"></display>
-     <definition value="withdrawn consent."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/knowledge-resource-types"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="knowledge-resource-types"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="vocab"></valueCode>
-    </extension>
-    <url value="http://hl7.org/fhir/knowledge-resource-types"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1063"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="KnowledgeResourceType"></name>
-    <title value="KnowledgeResourceType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <description value="A list of all the knowledge resource types defined in this version of the FHIR specification."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/knowledge-resource-types"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="ActivityDefinition"></code>
-     <display value="ActivityDefinition"></display>
-     <definition value="The definition of a specific activity to be taken, independent of any particular patient or context."></definition>
-    </concept>
-    <concept>
-     <code value="CodeSystem"></code>
-     <display value="CodeSystem"></display>
-     <definition value="A set of codes drawn from one or more code systems."></definition>
-    </concept>
-    <concept>
-     <code value="ConceptMap"></code>
-     <display value="ConceptMap"></display>
-     <definition value="A map from one set of concepts to one or more other concepts."></definition>
-    </concept>
-    <concept>
-     <code value="Library"></code>
-     <display value="Library"></display>
-     <definition value="Represents a library of quality improvement components."></definition>
-    </concept>
-    <concept>
-     <code value="Measure"></code>
-     <display value="Measure"></display>
-     <definition value="A quality measure definition."></definition>
-    </concept>
-    <concept>
-     <code value="PlanDefinition"></code>
-     <display value="PlanDefinition"></display>
-     <definition value="The definition of a plan for a series of actions, independent of any specific patient or context."></definition>
-    </concept>
-    <concept>
-     <code value="StructureDefinition"></code>
-     <display value="StructureDefinition"></display>
-     <definition value="Structural Definition."></definition>
-    </concept>
-    <concept>
-     <code value="StructureMap"></code>
-     <display value="StructureMap"></display>
-     <definition value="A Map of relationships between 2 structures that can be used to transform data."></definition>
-    </concept>
-    <concept>
-     <code value="ValueSet"></code>
-     <display value="ValueSet"></display>
-     <definition value="A set of codes drawn from one or more code systems."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/w3c-provenance-activity-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="w3c-provenance-activity-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <url value="http://hl7.org/fhir/w3c-provenance-activity-type"></url>
-    <version value="4.1.0"></version>
-    <name value="W3cProvenanceActivityType"></name>
-    <status value="draft"></status>
-    <experimental value="true"></experimental>
-    <date value="2017-02-19"></date>
-    <publisher value="HL7 International"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes W3C PROV Data Model Activity concepts, which are treated as codes in this valueset.  Some adaptations were made to make these concepts suitable values for the Provenance.activity element. Coded concepts are from PROV-DM and the display names are their counterparts in PROV-N (human readable notation syntax specification).[code system OID: http://www.w3.org/TR/2013/REC-prov-dm-20130430/ and http://www.w3.org/TR/2013/REC-prov-n-20130430/]"></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="Generation"></code>
-     <display value="wasGeneratedBy"></display>
-     <definition value="The completion of production of a new entity by an activity. This entity did not exist before generation and becomes available for usage after this generation. Given that a generation is the completion of production of an entity, it is instantaneous."></definition>
-    </concept>
-    <concept>
-     <code value="Usage"></code>
-     <display value="used"></display>
-     <definition value="the beginning of utilizing an entity by an activity. Before usage, the activity had not begun to utilize this entity and could not have been affected by the entity.  (Note: This definition is formulated for a given usage; it is permitted for an activity to have used a same entity multiple times.) Given that a usage is the beginning of utilizing an entity, it is instantaneous."></definition>
-    </concept>
-    <concept>
-     <code value="Communication"></code>
-     <display value="wasInformedBy"></display>
-     <definition value="The exchange of some unspecified entity by two activities, one activity using some entity generated by the other. A communication implies that activity a2 is dependent on another activity, a1, by way of some unspecified entity that is generated by a1 and used by a2."></definition>
-    </concept>
-    <concept>
-     <code value="Start"></code>
-     <display value="wasStartedBy"></display>
-     <definition value="When an activity is deemed to have been started by an entity, known as trigger. The activity did not exist before its start. Any usage, generation, or invalidation involving an activity follows the activity's start. A start may refer to a trigger entity that set off the activity, or to an activity, known as starter, that generated the trigger. Given that a start is when an activity is deemed to have started, it is instantaneous."></definition>
-    </concept>
-    <concept>
-     <code value="End"></code>
-     <display value="wasEndedBy"></display>
-     <definition value="When an activity is deemed to have been ended by an entity, known as trigger. The activity no longer exists after its end. Any usage, generation, or invalidation involving an activity precedes the activity's end. An end may refer to a trigger entity that terminated the activity, or to an activity, known as ender that generated the trigger."></definition>
-    </concept>
-    <concept>
-     <code value="Invalidation"></code>
-     <display value="wasInvalidatedBy"></display>
-     <definition value="The start of the destruction, cessation, or expiry of an existing entity by an activity. The entity is no longer available for use (or further invalidation) after invalidation. Any generation or usage of an entity precedes its invalidation. Given that an invalidation is the start of destruction, cessation, or expiry, it is instantaneous."></definition>
-    </concept>
-    <concept>
-     <code value="Derivation"></code>
-     <display value="wasDerivedFrom"></display>
-     <definition value="A transformation of an entity into another, an update of an entity resulting in a new one, or the construction of a new entity based on a pre-existing entity. For an entity to be transformed from, created from, or resulting from an update to another, there must be some underpinning activity or activities performing the necessary action(s) resulting in such a derivation. A derivation can be described at various levels of precision. In its simplest form, derivation relates two entities. Optionally, attributes can be added to represent further information about the derivation. If the derivation is the result of a single known activity, then this activity can also be optionally expressed. To provide a completely accurate description of the derivation, the generation and usage of the generated and used entities, respectively, can be provided, so as to make the derivation path, through usage, activity, and generation, explicit. Optional information such as activity, generation, and usage can be linked to derivations to aid analysis of provenance and to facilitate provenance-based reproducibility."></definition>
-    </concept>
-    <concept>
-     <code value="Revision"></code>
-     <display value="wasRevisionOf"></display>
-     <definition value="A derivation for which the resulting entity is a revised version of some original. The implication here is that the resulting entity contains substantial content from the original. A revision relation is a kind of derivation relation from a revised entity to a preceding entity."></definition>
-    </concept>
-    <concept>
-     <code value="Quotation"></code>
-     <display value="wasQuotedFrom"></display>
-     <definition value="The repeat of (some or all of) an entity, such as text or image, by someone who might or might not be its original author. A quotation relation is a kind of derivation relation, for which an entity was derived from a preceding entity by copying, or 'quoting', some or all of it."></definition>
-    </concept>
-    <concept>
-     <code value="Primary-Source"></code>
-     <display value="wasPrimarySourceOf"></display>
-     <definition value="Refers to something produced by some agent with direct experience and knowledge about the topic, at the time of the topic's study, without benefit from hindsight. Because of the directness of primary sources, they 'speak for themselves' in ways that cannot be captured through the filter of secondary sources. As such, it is important for secondary sources to reference those primary sources from which they were derived, so that their reliability can be investigated. It is also important to note that a given entity might be a primary source for one entity but not another. It is the reason why Primary Source is defined as a relation as opposed to a subtype of Entity."></definition>
-    </concept>
-    <concept>
-     <code value="Attribution"></code>
-     <display value="wasAttributedTo"></display>
-     <definition value="Ascribing of an entity (object/document) to an agent."></definition>
-    </concept>
-    <concept>
-     <code value="Collection"></code>
-     <display value="isCollectionOf"></display>
-     <definition value=" An aggregating activity that results in composition of an entity, which provides a structure to some constituents that must themselves be entities. These constituents are said to be member of the collections."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/reason-medication-not-given-codes"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="reason-medication-not-given-codes"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="phx"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/reason-medication-not-given"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.343"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="SNOMEDCTReasonMedicationNotGivenCodes"></name>
-    <title value="SNOMED CT Reason Medication Not Given Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes all medication refused, medication not administered, and non-administration of necessary drug or medicine codes from SNOMED CT - provided as an exemplar value set."></description>
-    <copyright value="This value set includes content from SNOMED CT, which is copyright 2002 International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="a"></code>
-     <display value="None"></display>
-     <definition value="No reason known."></definition>
-    </concept>
-    <concept>
-     <code value="b"></code>
-     <display value="Away"></display>
-     <definition value="The patient was not available when the dose was scheduled."></definition>
-    </concept>
-    <concept>
-     <code value="c"></code>
-     <display value="Asleep"></display>
-     <definition value="The patient was asleep when the dose was scheduled."></definition>
-    </concept>
-    <concept>
-     <code value="d"></code>
-     <display value="Vomit"></display>
-     <definition value="The patient was given the medication and immediately vomited it back."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/group-type"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="group-type"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/group-type"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.285"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="GroupType"></name>
-    <title value="GroupType"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Types of resources that are part of group."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/group-type"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="person"></code>
-     <display value="Person"></display>
-     <definition value="Group contains &quot;person&quot; Patient resources."></definition>
-    </concept>
-    <concept>
-     <code value="animal"></code>
-     <display value="Animal"></display>
-     <definition value="Group contains &quot;animal&quot; Patient resources."></definition>
-    </concept>
-    <concept>
-     <code value="practitioner"></code>
-     <display value="Practitioner"></display>
-     <definition value="Group contains healthcare practitioner resources (Practitioner or PractitionerRole)."></definition>
-    </concept>
-    <concept>
-     <code value="device"></code>
-     <display value="Device"></display>
-     <definition value="Group contains Device resources."></definition>
-    </concept>
-    <concept>
-     <code value="medication"></code>
-     <display value="Medication"></display>
-     <definition value="Group contains Medication resources."></definition>
-    </concept>
-    <concept>
-     <code value="substance"></code>
-     <display value="Substance"></display>
-     <definition value="Group contains Substance resources."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/task-intent"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="task-intent"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/task-intent"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1241"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="TaskIntent"></name>
-    <title value="TaskIntent"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Distinguishes whether the task is a proposal, plan or full order."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
     <concept>
      <code value="unknown"></code>
      <display value="Unknown"></display>
-     <definition value="The intent is not known.  When dealing with Task, it's not always known (or relevant) how the task was initiated - i.e. whether it was proposed, planned, ordered or just done spontaneously."></definition>
+     <definition value="The clinical certainty that the reaction was caused by the identified substance is unknown.  It is an explicit assertion that certainty is not known."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-party-role"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/hl7-work-group"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-party-role"></id>
+    <id value="hl7-work-group"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-party-role"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/hl7-work-group"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1225"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1277"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourcePartyRoleCodes"></name>
-    <title value="Contract Resource Party Role codes"></title>
+    <version value="4.2.0"></version>
+    <name value="HL7Workgroup"></name>
+    <title value="HL7Workgroup"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for offer party participation."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-party-role"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="flunky"></code>
-     <display value="FLunky"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-clinical"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="condition-clinical"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pc"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="3"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/condition-clinical"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1074"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ConditionClinicalStatusCodes"></name>
-    <title value="Condition Clinical Status Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="Preferred value set for Condition Clinical Status."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The subject is currently experiencing the symptoms of the condition or there is evidence of the condition."></definition>
-     <concept>
-      <code value="recurrence"></code>
-      <display value="Recurrence"></display>
-      <definition value="The subject is experiencing a re-occurence or repeating of a previously resolved condition, e.g. urinary tract infection, pancreatitis, cholangitis, conjunctivitis."></definition>
-     </concept>
-     <concept>
-      <code value="relapse"></code>
-      <display value="Relapse"></display>
-      <definition value="The subject is experiencing a return of a condition, or signs and symptoms after a period of improvement or remission, e.g. relapse of cancer, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, bipolar disorder, [psychotic relapse of] schizophrenia, etc."></definition>
-     </concept>
-    </concept>
-    <concept>
-     <code value="inactive"></code>
-     <display value="Inactive"></display>
-     <definition value="The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition."></definition>
-     <concept>
-      <code value="remission"></code>
-      <display value="Remission"></display>
-      <definition value="The subject is no longer experiencing the symptoms of the condition, but there is a risk of the symptoms returning."></definition>
-     </concept>
-     <concept>
-      <code value="resolved"></code>
-      <display value="Resolved"></display>
-      <definition value="The subject is no longer experiencing the symptoms of the condition and there is a negligible perceived risk of the symptoms returning."></definition>
-     </concept>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/provider-qualification"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="provider-qualification"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-providerqualification"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1160"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleProviderQualificationCodes"></name>
-    <title value="Example Provider Qualification Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes sample Provider Qualification codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/provider-qualification"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="311405"></code>
-     <display value="Dentist"></display>
-     <definition value="Dentist General Practitioner (DDS, DDM)."></definition>
-    </concept>
-    <concept>
-     <code value="604215"></code>
-     <display value="Ophthalmologist"></display>
-     <definition value="Ophthalmologist."></definition>
-    </concept>
-    <concept>
-     <code value="604210"></code>
-     <display value="Optometrist"></display>
-     <definition value="Optometrist."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/forms"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="forms"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/forms-codes"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1052"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="Form Codes"></name>
-    <status value="draft"></status>
-    <experimental value="true"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set includes a sample set of Forms codes."></description>
-    <copyright value="This is an example set."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/forms"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="1"></code>
-     <display value="Form #1"></display>
-     <definition value="Example: The #1 form to be used when printing this information."></definition>
-    </concept>
-    <concept>
-     <code value="2"></code>
-     <display value="Form #1"></display>
-     <definition value="Example: The #2 form to be used when printing this information."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/operation-kind"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="operation-kind"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/operation-kind"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.507"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="OperationKind"></name>
-    <title value="OperationKind"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -67453,51 +67080,152 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Whether an operation is a normal operation or a query."></description>
+    <description value="An HL7 administrative unit that owns artifacts in the FHIR specification."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/operation-kind"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/hl7-work-group"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="operation"></code>
-     <display value="Operation"></display>
-     <definition value="This operation is invoked as an operation."></definition>
+     <code value="cbcc"></code>
+     <display value="Community Based Collaborative Care"></display>
+     <definition value="Community Based Collaborative Care (http://www.hl7.org/Special/committees/cbcc/index.cfm)."></definition>
     </concept>
     <concept>
-     <code value="query"></code>
-     <display value="Query"></display>
-     <definition value="This operation is a named query, invoked using the search mechanism."></definition>
+     <code value="cds"></code>
+     <display value="Clinical Decision Support"></display>
+     <definition value="Clinical Decision Support (http://www.hl7.org/Special/committees/dss/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="cqi"></code>
+     <display value="Clinical Quality Information"></display>
+     <definition value="Clinical Quality Information (http://www.hl7.org/Special/committees/cqi/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="cg"></code>
+     <display value="Clinical Genomics"></display>
+     <definition value="Clinical Genomics (http://www.hl7.org/Special/committees/clingenomics/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="dev"></code>
+     <display value="Health Care Devices"></display>
+     <definition value="Health Care Devices (http://www.hl7.org/Special/committees/healthcaredevices/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="ehr"></code>
+     <display value="Electronic Health Records"></display>
+     <definition value="Electronic Health Records (http://www.hl7.org/special/committees/ehr/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="fhir"></code>
+     <display value="FHIR Infrastructure"></display>
+     <definition value="FHIR Infrastructure (http://www.hl7.org/Special/committees/fiwg/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="fm"></code>
+     <display value="Financial Management"></display>
+     <definition value="Financial Management (http://www.hl7.org/Special/committees/fm/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="hsi"></code>
+     <display value="Health Standards Integration"></display>
+     <definition value="Health Standards Integration (http://www.hl7.org/Special/committees/hsi/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="ii"></code>
+     <display value="Imaging Integration"></display>
+     <definition value="Imaging Integration (http://www.hl7.org/Special/committees/imagemgt/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="inm"></code>
+     <display value="Infrastructure And Messaging"></display>
+     <definition value="Infrastructure And Messaging (http://www.hl7.org/special/committees/inm/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="its"></code>
+     <display value="Implementable Technology Specifications"></display>
+     <definition value="Implementable Technology Specifications (http://www.hl7.org/special/committees/xml/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="mnm"></code>
+     <display value="Modeling and Methodology"></display>
+     <definition value="Modeling and Methodology (http://www.hl7.org/Special/committees/mnm/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="oo"></code>
+     <display value="Orders and Observations"></display>
+     <definition value="Orders and Observations (http://www.hl7.org/Special/committees/orders/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="pa"></code>
+     <display value="Patient Administration"></display>
+     <definition value="Patient Administration (http://www.hl7.org/Special/committees/pafm/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="pc"></code>
+     <display value="Patient Care"></display>
+     <definition value="Patient Care (http://www.hl7.org/Special/committees/patientcare/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="pher"></code>
+     <display value="Public Health and Emergency Response"></display>
+     <definition value="Public Health and Emergency Response (http://www.hl7.org/Special/committees/pher/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="phx"></code>
+     <display value="Pharmacy"></display>
+     <definition value="Pharmacy (http://www.hl7.org/Special/committees/medication/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="brr"></code>
+     <display value="Biomedical Research and Regulation"></display>
+     <definition value="Biomedical Research and Regulation (http://www.hl7.org/Special/committees/rcrim/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="sd"></code>
+     <display value="Structured Documents"></display>
+     <definition value="Structured Documents (http://www.hl7.org/Special/committees/structure/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="sec"></code>
+     <display value="Security"></display>
+     <definition value="Security (http://www.hl7.org/Special/committees/secure/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="us"></code>
+     <display value="US Realm Taskforce"></display>
+     <definition value="US Realm Taskforce (http://www.hl7.org/Special/committees/usrealm/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="vocab"></code>
+     <display value="Vocabulary"></display>
+     <definition value="Vocabulary (http://www.hl7.org/Special/committees/Vocab/index.cfm)."></definition>
+    </concept>
+    <concept>
+     <code value="aid"></code>
+     <display value="Application Implementation and Design"></display>
+     <definition value="Application Implementation and Design (http://www.hl7.org/Special/committees/java/index.cfm)."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/specimen-contained-preference"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/standards-status"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="specimen-contained-preference"></id>
+    <id value="standards-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="oo"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/specimen-contained-preference"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/standards-status"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.853"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1366"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="SpecimenContainedPreference"></name>
-    <title value="SpecimenContainedPreference"></title>
+    <version value="4.2.0"></version>
+    <name value="StandardsStatus"></name>
+    <title value="StandardsStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -67509,423 +67237,403 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Degree of preference of a type of conditioned specimen."></description>
+    <description value="HL7 Ballot/Standards status of artifact."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/specimen-contained-preference"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="preferred"></code>
-     <display value="Preferred"></display>
-     <definition value="This type of contained specimen is preferred to collect this kind of specimen."></definition>
-    </concept>
-    <concept>
-     <code value="alternate"></code>
-     <display value="Alternate"></display>
-     <definition value="This type of conditioned specimen is an alternate."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/immunization-origin"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="immunization-origin"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pher"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/immunization-origin"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1101"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ImmunizationOriginCodes"></name>
-    <title value="Immunization Origin Codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="FHIR Project team"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://www.hl7.org/Special/committees/pher/index.cfm"></value>
-     </telecom>
-    </contact>
-    <description value="The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains concepts to support describing the source of the data when the report of the immunization event is not based on information from the person, entity or organization who administered the vaccine. This value set is provided as a suggestive example."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <content value="complete"></content>
-    <concept>
-     <code value="provider"></code>
-     <display value="Other Provider"></display>
-     <definition value="The data for the immunization event originated with another provider."></definition>
-    </concept>
-    <concept>
-     <code value="record"></code>
-     <display value="Written Record"></display>
-     <definition value="The data for the immunization event originated with a written record for the patient."></definition>
-    </concept>
-    <concept>
-     <code value="recall"></code>
-     <display value="Parent/Guardian/Patient Recall"></display>
-     <definition value="The data for the immunization event originated from the recollection of the patient or parent/guardian of the patient."></definition>
-    </concept>
-    <concept>
-     <code value="school"></code>
-     <display value="School Record"></display>
-     <definition value="The data for the immunization event originated with a school record for the patient."></definition>
-    </concept>
-    <concept>
-     <code value="jurisdiction"></code>
-     <display value="Jurisdictional IIS"></display>
-     <definition value="The data for the immunization event originated with an immunization information system (IIS) or registry operating within the jurisdiction."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/http-verb"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="http-verb"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="normative"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
-     <valueCode value="4.0.0"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="5"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/http-verb"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.625"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="HTTPVerb"></name>
-    <title value="HTTPVerb"></title>
-    <status value="active"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/http-verb"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="GET"></code>
-     <display value="GET"></display>
-     <definition value="HTTP GET Command."></definition>
-    </concept>
-    <concept>
-     <code value="HEAD"></code>
-     <display value="HEAD"></display>
-     <definition value="HTTP HEAD Command."></definition>
-    </concept>
-    <concept>
-     <code value="POST"></code>
-     <display value="POST"></display>
-     <definition value="HTTP POST Command."></definition>
-    </concept>
-    <concept>
-     <code value="PUT"></code>
-     <display value="PUT"></display>
-     <definition value="HTTP PUT Command."></definition>
-    </concept>
-    <concept>
-     <code value="DELETE"></code>
-     <display value="DELETE"></display>
-     <definition value="HTTP DELETE Command."></definition>
-    </concept>
-    <concept>
-     <code value="PATCH"></code>
-     <display value="PATCH"></display>
-     <definition value="HTTP PATCH Command."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/contract-security-control"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="contract-security-control"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/contract-security-control"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1223"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="ContractResourceSecurityControlCodes"></name>
-    <title value="Contract Resource Security Control codes"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
-    <contact>
-     <name value="FHIR project team"></name>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-    </contact>
-    <description value="This value set contract specific codes for security control."></description>
-    <copyright value="HL7 International."></copyright>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/contract-security-control"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="policy"></code>
-     <display value="Policy"></display>
-     <definition value="To be completed"></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/directness"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="directness"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="cds"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/directness"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1459"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="EvidenceDirectness"></name>
-    <title value="EvidenceDirectness"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="The quality of how direct the match is."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/directness"></valueSet>
-    <content value="complete"></content>
-    <concept>
-     <code value="low"></code>
-     <display value="Low quality match"></display>
-     <definition value="Low level of directness."></definition>
-    </concept>
-    <concept>
-     <code value="moderate"></code>
-     <display value="Moderate quality match"></display>
-     <definition value="Moderate level of directness."></definition>
-    </concept>
-    <concept>
-     <code value="high"></code>
-     <display value="High quality match"></display>
-     <definition value="High level of directness."></definition>
-    </concept>
-    <concept>
-     <code value="exact"></code>
-     <display value="Exact match"></display>
-     <definition value="Exact directness."></definition>
-    </concept>
-   </CodeSystem>
-  </resource>
- </entry>
- <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/definition-status"></fullUrl>
-  <resource>
-   <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="definition-status"></id>
-    <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-    </meta>
-    <url value="http://terminology.hl7.org/CodeSystem/definition-status"></url>
-    <identifier>
-     <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1070"></value>
-    </identifier>
-    <version value="4.1.0"></version>
-    <name value="DefinitionStatus"></name>
-    <title value="DefinitionStatus"></title>
-    <status value="draft"></status>
-    <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
-    <publisher value="HL7 (FHIR Project)"></publisher>
-    <contact>
-     <telecom>
-      <system value="url"></system>
-      <value value="http://hl7.org/fhir"></value>
-     </telecom>
-     <telecom>
-      <system value="email"></system>
-      <value value="fhir@lists.hl7.org"></value>
-     </telecom>
-    </contact>
-    <description value="Codes identifying the lifecycle stage of a definition."></description>
-    <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/definition-status"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/standards-status"></valueSet>
     <content value="complete"></content>
     <concept>
      <code value="draft"></code>
      <display value="Draft"></display>
-     <definition value="The definition is in the design stage and is not yet considered to be &quot;ready for use&quot;."></definition>
+     <definition value="This portion of the specification is not considered to be complete enough or sufficiently reviewed to be safe for implementation. It may have known issues or still be in the &quot;in development&quot; stage. It is included in the publication as a place-holder, to solicit feedback from the implementation community and/or to give implementers some insight as to functionality likely to be included in future versions of the specification. Content at this level should only be implemented by the brave or desperate and is very much &quot;use at your own risk&quot;. The content that is Draft that will usually be elevated to Trial Use once review and correction is complete after it has been subjected to ballot."></definition>
     </concept>
     <concept>
-     <code value="active"></code>
-     <display value="Active"></display>
-     <definition value="The definition is considered ready for use."></definition>
+     <code value="normative"></code>
+     <display value="Normative"></display>
+     <definition value="This content has been subject to review and production implementation in a wide variety of environments. The content is considered to be stable and has been 'locked', subjecting it to FHIR Inter-version Compatibility Rules. While changes are possible, they are expected to be infrequent and are tightly constrained. Compatibility Rules."></definition>
     </concept>
     <concept>
-     <code value="withdrawn"></code>
-     <display value="Withdrawn"></display>
-     <definition value="The definition should no longer be used."></definition>
+     <code value="trial-use"></code>
+     <display value="Trial-Use"></display>
+     <definition value="This content has been well reviewed and is considered by the authors to be ready for use in production systems. It has been subjected to ballot and approved as an official standard. However, it has not yet seen widespread use in production across the full spectrum of environments it is intended to be used in. In some cases, there may be documented known issues that require implementation experience to determine appropriate resolutions for.
+
+Future versions of FHIR may make significant changes to Trial Use content that are not compatible with previously published content."></definition>
+    </concept>
+    <concept>
+     <code value="informative"></code>
+     <display value="Informative"></display>
+     <definition value="This portion of the specification is provided for implementer assistance, and does not make rules that implementers are required to follow. Typical examples of this content in the FHIR specification are tables of contents, registries, examples, and implementer advice."></definition>
+    </concept>
+    <concept>
+     <code value="deprecated"></code>
+     <display value="Deprecated"></display>
+     <definition value="This portion of the specification is provided for implementer assistance, and does not make rules that implementers are required to follow. Typical examples of this content in the FHIR specification are tables of contents, registries, examples, and implementer advice."></definition>
+    </concept>
+    <concept>
+     <code value="external"></code>
+     <display value="External"></display>
+     <definition value="This is content that is managed outside the FHIR Specification, but included for implementer convenience."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/resource-security-category"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="resource-security-category"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/resource-security-category"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1404"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ResourceSecurityCategory"></name>
+    <title value="ResourceSecurityCategory"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Provides general guidance around the kind of access Control to Read, Search, Create, Update, or Delete a resource."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/resource-security-category"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="anonymous"></code>
+     <display value="Anonymous READ Access Resource"></display>
+     <definition value="These resources tend to not contain any individual data, or business sensitive data. Most often these Resources will be available for anonymous access, meaning there is no access control based on the user or system requesting. However these Resources do tend to contain important information that must be authenticated back to the source publishing them, and protected from integrity failures in communication. For this reason server authenticated https (TLS) is recommended to provide authentication of the server and integrity protection in transit. This is normal web-server use of https."></definition>
+    </concept>
+    <concept>
+     <code value="business"></code>
+     <display value="Business Sensitive Resource"></display>
+     <definition value="These Resources tend to not contain any individual data, but do have data that describe business or service sensitive data. The use of the term Business is not intended to only mean an incorporated business, but rather the more broad concept of an organization, location, or other group that is not identifable as individuals. Often these resources will require some for of client authentication to assure that only authorized access is given. The client access control may be to individuals, or may be to system identity. For this purpose possible client authentication methods such as: mutual-authenticated-TLS, APIKey, App signed JWT, or App OAuth client-id JWT For example: a App that uses a Business protected Provider Directory to determine other business endpoint details."></definition>
+    </concept>
+    <concept>
+     <code value="individual"></code>
+     <display value="Individual Sensitive Resource"></display>
+     <definition value="These Resources do NOT contain Patient data, but do contain individual information about other participants. These other individuals are Practitioners, PractionerRole, CareTeam, or other users. These identities are needed to enable the practice of healthcare. These identities are identities under general privacy regulations, and thus must consider Privacy risk. Often access to these other identities are covered by business relationships. For this purpose access to these Resources will tend to be Role specific using methods such as RBAC or ABAC."></definition>
+    </concept>
+    <concept>
+     <code value="patient"></code>
+     <display value="Patient Sensitive"></display>
+     <definition value="These Resources make up the bulk of FHIR and therefore are the most commonly understood. These Resources contain highly sesitive health information, or are closely linked to highly sensitive health information. These Resources will often use the security labels to differentiate various confidentiality levels within this broad group of Patient Sensitive data. Access to these Resources often requires a declared Purpose Of Use. Access to these Resources is often controlled by a Privacy Consent."></definition>
+    </concept>
+    <concept>
+     <code value="not-classified"></code>
+     <display value="Not classified"></display>
+     <definition value="Some Resources can be used for a wide scope of use-cases that span very sensitive to very non-sensitive. These Resources do not fall into any of the above classifications, as their sensitivity is highly variable. These Resources will need special handling. These Resources often contain metadata that describes the content in a way that can be used for Access Control decisions."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/procedure-progress-status-codes"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="procedure-progress-status-codes"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/procedure-progress-status-code"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.947"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ProcedureProgressStatusCodes"></name>
+    <title value="Procedure Progress Status Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set is provided as an example. The value set to instantiate this attribute should be drawn from a robust terminology code system that consists of or contains concepts to support the procedure performance process."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/procedure-progress-status-codes"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="in-operating-room"></code>
+     <display value="In Operating Room"></display>
+     <definition value="A patient is in the Operating Room."></definition>
+    </concept>
+    <concept>
+     <code value="prepared"></code>
+     <display value="Prepared"></display>
+     <definition value="The patient is prepared for a procedure."></definition>
+    </concept>
+    <concept>
+     <code value="anesthesia-induced"></code>
+     <display value="Anesthesia Induced"></display>
+     <definition value="The patient is under anesthesia."></definition>
+    </concept>
+    <concept>
+     <code value="open-incision"></code>
+     <display value="Open Incision"></display>
+     <definition value="The patient has open incision(s)."></definition>
+    </concept>
+    <concept>
+     <code value="closed-incision"></code>
+     <display value="Closed Incision"></display>
+     <definition value="The patient has incision(s) closed."></definition>
+    </concept>
+    <concept>
+     <code value="in-recovery-room"></code>
+     <display value="In Recovery Room"></display>
+     <definition value="The patient is in the recovery room."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/expansion-parameter-source"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="expansion-parameter-source"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/expansion-parameter-source"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1279"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExpansionParameterSource"></name>
+    <title value="ExpansionParameterSource"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Declares what the source of a parameter is."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/expansion-parameter-source"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="input"></code>
+     <display value="Client Input"></display>
+     <definition value="The parameter was supplied by the client in the $expand request."></definition>
+    </concept>
+    <concept>
+     <code value="server"></code>
+     <display value="Server Engine"></display>
+     <definition value="The parameter was added by the expansion engine on the server."></definition>
+    </concept>
+    <concept>
+     <code value="codesystem"></code>
+     <display value="Code System"></display>
+     <definition value="The parameter was added from one the code systems used in the $expand operation."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/expansion-processing-rule"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="expansion-processing-rule"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/expansion-processing-rule"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1281"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ExpansionProcessingRule"></name>
+    <title value="ExpansionProcessingRule"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Defines how concepts are processed into the expansion when it's for UI presentation."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/expansion-processing-rule"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="all-codes"></code>
+     <display value="All Codes"></display>
+     <definition value="The expansion (when in UI mode) includes all codes *and* any defined groups (in extensions)."></definition>
+    </concept>
+    <concept>
+     <code value="ungrouped"></code>
+     <display value="Groups + Ungrouped codes"></display>
+     <definition value="The expanion (when in UI mode) lists the groups, and then any codes that have not been included in a group."></definition>
+    </concept>
+    <concept>
+     <code value="groups-only"></code>
+     <display value="Groups Only"></display>
+     <definition value="The expansion (when in UI mode) only includes the defined groups."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/implantStatus"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="implantStatus"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/implantStatus"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1283"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="Implant Status"></name>
+    <title value="Implant Status"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A set codes that define the functional status of an implanted device."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/implantStatus"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="functional"></code>
+     <display value="Functional"></display>
+     <definition value="The implanted device is working normally."></definition>
+    </concept>
+    <concept>
+     <code value="non-functional"></code>
+     <display value="Non-Functional"></display>
+     <definition value="The implanted device is not working."></definition>
+    </concept>
+    <concept>
+     <code value="disabled"></code>
+     <display value="Disabled"></display>
+     <definition value="The implanted device has been turned off."></definition>
     </concept>
     <concept>
      <code value="unknown"></code>
      <display value="Unknown"></display>
-     <definition value="The authoring/source system does not know which of the status values currently applies for this resource.  Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply,  but the authoring/source system does not know which."></definition>
+     <definition value="the functional status of the implant has not been determined."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-onsettype"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/flag-priority"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-onsettype"></id>
+    <id value="flag-priority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
     </meta>
-    <url value="http://hl7.org/fhir/ex-onsettype"></url>
+    <url value="http://hl7.org/fhir/flag-priority-code"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.579"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.951"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="ExampleOnsetType(Reason)Codes"></name>
-    <title value="Example Onset Type (Reason) Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="FlagPriorityCodes"></name>
+    <title value="Flag Priority Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
+    <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This value set includes example Onset Type codes which are used to identify the event for which the onset, starting date, is required."></description>
-    <copyright value="This is an example set."></copyright>
+    <description value="This value set is provided as an exemplar. The value set is driven by IHE Table B.8-4: Abnormal Flags, Alert Priority."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-onsettype"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/flag-priority"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="lxm"></code>
-     <display value="Last Exam"></display>
-     <definition value="Date of last examination."></definition>
+     <code value="PN"></code>
+     <display value="No alarm"></display>
+     <definition value="No alarm."></definition>
     </concept>
     <concept>
-     <code value="sym"></code>
-     <display value="Start of Symptoms"></display>
-     <definition value="Date when symptoms were first noticed."></definition>
+     <code value="PL"></code>
+     <display value="Low priority"></display>
+     <definition value="Low priority."></definition>
     </concept>
     <concept>
-     <code value="lmn"></code>
-     <display value="Last Menstruation"></display>
-     <definition value="Start date of last menstruation."></definition>
+     <code value="PM"></code>
+     <display value="Medium priority"></display>
+     <definition value="Medium priority."></definition>
+    </concept>
+    <concept>
+     <code value="PH"></code>
+     <display value="High priority"></display>
+     <definition value="High priority."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/endpoint-status"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/codesystem-altcode-kind"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="endpoint-status"></id>
+    <id value="codesystem-altcode-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="pa"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
-    </extension>
-    <url value="http://hl7.org/fhir/endpoint-status"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/codesystem-altcode-kind"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.495"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1284"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="EndpointStatus"></name>
-    <title value="EndpointStatus"></title>
+    <version value="4.2.0"></version>
+    <name value="AlternativeCodeKind"></name>
+    <title value="AlternativeCodeKind"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -67937,71 +67645,295 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="The status of the endpoint."></description>
+    <description value="Indicates the type of use for which the code is defined."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/endpoint-status"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/codesystem-altcode-kind"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="alternate"></code>
+     <display value="Alternate Code"></display>
+     <definition value="The code is an alternative code that can be used in any of the circumstances that the primary code can be used."></definition>
+    </concept>
+    <concept>
+     <code value="deprecated"></code>
+     <display value="Deprecated"></display>
+     <definition value="The code should no longer be used, but was used in the past."></definition>
+    </concept>
+    <concept>
+     <code value="case-insensitive"></code>
+     <display value="Case Insensitive"></display>
+     <definition value="The code is an alternative to be used when a case insensitive code is required (when the primary codes are case sensitive)."></definition>
+    </concept>
+    <concept>
+     <code value="case-sensitive"></code>
+     <display value="Case Sensitive"></display>
+     <definition value="The code is an alternative to be used when a case sensitive code is required (when the primary codes are case insensitive)."></definition>
+    </concept>
+    <concept>
+     <code value="expression"></code>
+     <display value="Expression"></display>
+     <definition value="The code is an alternative for the primary code that is built using the expression grammar defined by the code system."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/secondary-finding"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="secondary-finding"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/secondary-finding"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1286"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ObservationCategoryCodes"></name>
+    <title value="Observation Category Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Codes to denote a guideline or policy statement.when a genetic test result is being shared as a secondary finding."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/secondary-finding"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="acmg-version1"></code>
+     <display value="ACMG Version 1"></display>
+     <definition value="First release (2013): ACMG Recommendations for Reporting of Incidental Findings in Clinical Exome and Genome Sequencing.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727274/"></definition>
+    </concept>
+    <concept>
+     <code value="acmg-version2"></code>
+     <display value="ACMG Version 2"></display>
+     <definition value="Second release (2016): Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2016 update (ACMG SF v2.0): a policy statement of the American College of Medical Genetics and Genomics. https://www.ncbi.nlm.nih.gov/pubmed/27854360"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/feeding-device"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="feeding-device"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/feeding-device"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.962"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="FeedingDeviceCodes"></name>
+    <title value="Feeding Device Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR NutritionOrder team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="Materials used or needed to feed the patient."></description>
+    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright   of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers   of these specifications must have the appropriate SNOMED CT Affiliate license - for more   information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="standard-nipple"></code>
+     <display value="Standard nipple"></display>
+     <definition value="Standard nipple definition:"></definition>
+    </concept>
+    <concept>
+     <code value="preemie-nipple"></code>
+     <display value="Preemie nipple"></display>
+     <definition value="Preemie nipple definition:"></definition>
+    </concept>
+    <concept>
+     <code value="ortho-nipple"></code>
+     <display value="Orthodontic nipple"></display>
+     <definition value="Orthodontic nipple definition:"></definition>
+    </concept>
+    <concept>
+     <code value="sloflo-nipple"></code>
+     <display value="Slow flow nipple"></display>
+     <definition value="Slow flow nipple definition:"></definition>
+    </concept>
+    <concept>
+     <code value="midflo-nipple"></code>
+     <display value="Middle flow nipple"></display>
+     <definition value="Middle flow nipple definition:"></definition>
+    </concept>
+    <concept>
+     <code value="bigcut-nipple"></code>
+     <display value="Enlarged, cross-cut nipple"></display>
+     <definition value="Enlarged, cross-cut nipple definition:"></definition>
+    </concept>
+    <concept>
+     <code value="haberman-bottle"></code>
+     <display value="Haberman bottle"></display>
+     <definition value="Haberman bottle definition:"></definition>
+    </concept>
+    <concept>
+     <code value="sippy-valve"></code>
+     <display value="Sippy cup with valve"></display>
+     <definition value="Sippy cup with valve definition:"></definition>
+    </concept>
+    <concept>
+     <code value="sippy-no-valve"></code>
+     <display value="Sippy cup without valve"></display>
+     <definition value="Sippy cup without valve definition:"></definition>
+    </concept>
+    <concept>
+     <code value="provale-cup"></code>
+     <display value="Provale Cup"></display>
+     <definition value="Provale Cup definition:"></definition>
+    </concept>
+    <concept>
+     <code value="glass-lid"></code>
+     <display value="Glass with lid/sippy cup"></display>
+     <definition value="Glass with lid/sippy cup definition:"></definition>
+    </concept>
+    <concept>
+     <code value="handhold-cup"></code>
+     <display value="Double handhold on glass/cup"></display>
+     <definition value="Double handhold on glass/cup definition:"></definition>
+    </concept>
+    <concept>
+     <code value="rubber-mat"></code>
+     <display value="Rubber matting under tray"></display>
+     <definition value="Rubber matting under tray definition:"></definition>
+    </concept>
+    <concept>
+     <code value="straw"></code>
+     <display value="Straw"></display>
+     <definition value="Straw definition:"></definition>
+    </concept>
+    <concept>
+     <code value="nose-cup"></code>
+     <display value="Nose cup"></display>
+     <definition value="Nose cup definition:"></definition>
+    </concept>
+    <concept>
+     <code value="scoop-plate"></code>
+     <display value="Scoop plate"></display>
+     <definition value="Scoop plate definition:"></definition>
+    </concept>
+    <concept>
+     <code value="utensil-holder"></code>
+     <display value="Hand wrap utensil holder"></display>
+     <definition value="Hand wrap utensil holder definition:"></definition>
+    </concept>
+    <concept>
+     <code value="foam-handle"></code>
+     <display value="Foam handle utensils"></display>
+     <definition value="Foam handle utensils definition:"></definition>
+    </concept>
+    <concept>
+     <code value="angled-utensil"></code>
+     <display value="Angled utensils"></display>
+     <definition value="Angled utensils definition:"></definition>
+    </concept>
+    <concept>
+     <code value="spout-cup"></code>
+     <display value="Spout cup"></display>
+     <definition value="Spout cup definition:"></definition>
+    </concept>
+    <concept>
+     <code value="autofeeding-device"></code>
+     <display value="Automated feeding devices"></display>
+     <definition value="Automated feeding devices definition:"></definition>
+    </concept>
+    <concept>
+     <code value="rocker-knife"></code>
+     <display value="Rocker knife"></display>
+     <definition value="Rocker knife definition:"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/condition-state"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="condition-state"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/condition-state"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1287"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConditionState"></name>
+    <title value="ConditionState"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="Enumeration indicating whether the condition is currently active, inactive, or has been resolved."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/condition-state"></valueSet>
     <content value="complete"></content>
     <concept>
      <code value="active"></code>
      <display value="Active"></display>
-     <definition value="This endpoint is expected to be active and can be used."></definition>
+     <definition value="The condition is active."></definition>
     </concept>
     <concept>
-     <code value="suspended"></code>
-     <display value="Suspended"></display>
-     <definition value="This endpoint is temporarily unavailable."></definition>
+     <code value="inactive"></code>
+     <display value="Inactive"></display>
+     <definition value="The condition is inactive, but not resolved."></definition>
     </concept>
     <concept>
-     <code value="error"></code>
-     <display value="Error"></display>
-     <definition value="This endpoint has exceeded connectivity thresholds and is considered in an error state and should no longer be attempted to connect to until corrective action is taken."></definition>
-    </concept>
-    <concept>
-     <code value="off"></code>
-     <display value="Off"></display>
-     <definition value="This endpoint is no longer to be used."></definition>
-    </concept>
-    <concept>
-     <code value="entered-in-error"></code>
-     <display value="Entered in error"></display>
-     <definition value="This instance should not have been part of this patient's medical record."></definition>
-    </concept>
-    <concept>
-     <code value="test"></code>
-     <display value="Test"></display>
-     <definition value="This endpoint is not intended for production usage."></definition>
+     <code value="resolved"></code>
+     <display value="Resolved"></display>
+     <definition value="The condition is resolved."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-error"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/catalogType"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="subscription-error"></id>
+    <id value="catalogType"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fhir"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/subscription-error"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/catalogType"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1438"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1288"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="SubscriptionErrorCodes"></name>
-    <title value="Subscription Error Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="CatalogType"></name>
+    <title value="CatalogType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -68013,6 +67945,48 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
+    <description value="The type of catalog."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/catalogType"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="medication"></code>
+     <display value="Medication Catalog"></display>
+     <definition value="Medication Catalog."></definition>
+    </concept>
+    <concept>
+     <code value="device"></code>
+     <display value="Device Catalog"></display>
+     <definition value="Device Catalog."></definition>
+    </concept>
+    <concept>
+     <code value="protocol"></code>
+     <display value="Protocol List"></display>
+     <definition value="Protocol List."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/composition-altcode-kind"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="composition-altcode-kind"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/composition-altcode-kind"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1406"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="AlternativeCodeKind"></name>
+    <title value="AlternativeCodeKind"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
@@ -68023,207 +67997,258 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
       <value value="fhir@lists.hl7.org"></value>
      </telecom>
     </contact>
-    <description value="Codes to represent subscription error details"></description>
+    <description value="Indicates the type of use for which the code is defined."></description>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-error"></valueSet>
+    <valueSet value="http://hl7.org/fhir/ValueSet/composition-altcode-kind"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="dns-resolution-error"></code>
-     <display value="DNS resolution error"></display>
-     <definition value="DNS resolution error for client rest-hook endpoint."></definition>
+     <code value="alternate"></code>
+     <display value="Alternate Code"></display>
+     <definition value="The code is an alternative code that can be used in any of the circumstances that the primary code can be used."></definition>
     </concept>
     <concept>
-     <code value="no-response"></code>
-     <display value="No response"></display>
-     <definition value="No response for client rest-hook endpoint."></definition>
+     <code value="deprecated"></code>
+     <display value="Deprecated"></display>
+     <definition value="The code should no longer be used, but was used in the past."></definition>
     </concept>
     <concept>
-     <code value="error-response"></code>
-     <display value="Error response"></display>
-     <definition value="Error response from client rest-hook endpoint. Recommended practice: convey the actual HTTP error in an adjacent Coding or in text"></definition>
+     <code value="case-insensitive"></code>
+     <display value="Case Insensitive"></display>
+     <definition value="The code is an alternative to be used when a case insensitive code is required (when the primary codes are case sensitive)."></definition>
+    </concept>
+    <concept>
+     <code value="case-sensitive"></code>
+     <display value="Case Sensitive"></display>
+     <definition value="The code is an alternative to be used when a case sensitive code is required (when the primary codes are case insensitive)."></definition>
+    </concept>
+    <concept>
+     <code value="expression"></code>
+     <display value="Expression"></display>
+     <definition value="The code is an alternative for the primary code that is built using the expression grammar defined by the code system."></definition>
     </concept>
    </CodeSystem>
   </resource>
  </entry>
  <entry>
-  <fullUrl value="http://hl7.org/fhir/CodeSystem/ex-benefitcategory"></fullUrl>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/match-grade"></fullUrl>
   <resource>
    <CodeSystem xmlns="http://hl7.org/fhir">
-    <id value="ex-benefitcategory"></id>
+    <id value="match-grade"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
-     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
-     <valueCode value="fm"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="draft"></valueCode>
-    </extension>
-    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="1"></valueInteger>
-    </extension>
-    <url value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"></url>
+    <url value="http://terminology.hl7.org/CodeSystem/match-grade"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
-     <value value="urn:oid:2.16.840.1.113883.4.642.1.1175"></value>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1289"></value>
     </identifier>
-    <version value="4.1.0"></version>
-    <name value="BenefitCategoryCodes"></name>
-    <title value="Benefit Category Codes"></title>
+    <version value="4.2.0"></version>
+    <name value="MatchGrade"></name>
+    <title value="MatchGrade"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <publisher value="Financial Management"></publisher>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A Master Patient Index (MPI) assessment of whether a candidate patient record is a match or not."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/match-grade"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="certain"></code>
+     <display value="Certain Match"></display>
+     <definition value="This record meets the matching criteria to be automatically considered as a full match."></definition>
+    </concept>
+    <concept>
+     <code value="probable"></code>
+     <display value="Probable Match"></display>
+     <definition value="This record is a close match, but not a certain match. Additional review (e.g. by a human) may be required before using this as a match."></definition>
+    </concept>
+    <concept>
+     <code value="possible"></code>
+     <display value="Possible Match"></display>
+     <definition value="This record may be a matching one. Additional review (e.g. by a human) SHOULD be performed before using this as a match."></definition>
+    </concept>
+    <concept>
+     <code value="certainly-not"></code>
+     <display value="Certainly Not a Match"></display>
+     <definition value="This record is known not to be a match. Note that usually non-matching records are not returned, but in some cases records previously or likely considered as a match may specifically be negated by the matching engine."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/subscription-status-at-event"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="subscription-status-at-event"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+    </meta>
+    <url value="http://terminology.hl7.org/CodeSystem/subscription-status-at-event"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1465"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="SubscriptionStatusAtEvent"></name>
+    <title value="SubscriptionStatusAtEvent"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="HL7 (FHIR Project)"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+     <telecom>
+      <system value="email"></system>
+      <value value="fhir@lists.hl7.org"></value>
+     </telecom>
+    </contact>
+    <description value="A status code for the state of the Subscription."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <valueSet value="http://hl7.org/fhir/ValueSet/subscription-status-at-event"></valueSet>
+    <content value="complete"></content>
+    <concept>
+     <code value="requested"></code>
+     <display value="Requested"></display>
+     <definition value="The client has requested the subscription, and the server has not yet set it up."></definition>
+    </concept>
+    <concept>
+     <code value="active"></code>
+     <display value="Active"></display>
+     <definition value="The subscription is active."></definition>
+    </concept>
+    <concept>
+     <code value="error"></code>
+     <display value="Error"></display>
+     <definition value="The server has an error executing the notification."></definition>
+    </concept>
+    <concept>
+     <code value="off"></code>
+     <display value="Off"></display>
+     <definition value="Too many errors have occurred or the subscription has expired."></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/gender-identity"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="gender-identity"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/gender-identity"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.973"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="GenderIdentity"></name>
+    <title value="Gender identity"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
       <system value="url"></system>
       <value value="http://hl7.org/fhir"></value>
      </telecom>
     </contact>
-    <description value="This value set includes examples of Benefit Category codes."></description>
-    <copyright value="This is an example set."></copyright>
+    <description value="This example value set defines a set of codes that can be used to indicate a patient's gender identity."></description>
+    <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"></copyright>
     <caseSensitive value="true"></caseSensitive>
-    <valueSet value="http://hl7.org/fhir/ValueSet/ex-benefitcategory"></valueSet>
     <content value="complete"></content>
     <concept>
-     <code value="1"></code>
-     <display value="Medical Care"></display>
-     <definition value="Medical Care."></definition>
+     <code value="transgender-female"></code>
+     <display value="transgender female"></display>
+     <definition value="the patient identifies as transgender male-to-female"></definition>
     </concept>
     <concept>
-     <code value="2"></code>
-     <display value="Surgical"></display>
-     <definition value="Surgical."></definition>
+     <code value="transgender-male"></code>
+     <display value="transgender male"></display>
+     <definition value="the patient identifies as transgender female-to-male"></definition>
     </concept>
     <concept>
-     <code value="3"></code>
-     <display value="Consultation"></display>
-     <definition value="Consultation."></definition>
+     <code value="non-binary"></code>
+     <display value="non-binary"></display>
+     <definition value="the patient identifies with neither/both female and male"></definition>
     </concept>
     <concept>
-     <code value="4"></code>
-     <display value="Diagnostic XRay"></display>
-     <definition value="Diagnostic XRay."></definition>
+     <code value="male"></code>
+     <display value="male"></display>
+     <definition value="the patient identifies as male"></definition>
     </concept>
     <concept>
-     <code value="5"></code>
-     <display value="Diagnostic Lab"></display>
-     <definition value="Diagnostic Lab."></definition>
+     <code value="female"></code>
+     <display value="female"></display>
+     <definition value="the patient identifies as female"></definition>
     </concept>
     <concept>
-     <code value="14"></code>
-     <display value="Renal Supplies"></display>
-     <definition value="Renal Supplies excluding Dialysis."></definition>
+     <code value="other"></code>
+     <display value="other"></display>
+     <definition value="other gender identity"></definition>
     </concept>
     <concept>
-     <code value="23"></code>
-     <display value="Diagnostic Dental"></display>
-     <definition value="Diagnostic Dental."></definition>
+     <code value="non-disclose"></code>
+     <display value="does not wish to disclose"></display>
+     <definition value="the patient does not wish to disclose his gender identity"></definition>
+    </concept>
+   </CodeSystem>
+  </resource>
+ </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/CodeSystem/language-preference-type"></fullUrl>
+  <resource>
+   <CodeSystem xmlns="http://hl7.org/fhir">
+    <id value="language-preference-type"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"></profile>
+    </meta>
+    <url value="http://hl7.org/fhir/language-preference-type"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.1.1023"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="LanguagePreferenceType"></name>
+    <title value="Language preference type"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <publisher value="FHIR Project team"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set defines the set of codes for describing the type or mode of the patient's preferred language."></description>
+    <caseSensitive value="true"></caseSensitive>
+    <content value="complete"></content>
+    <concept>
+     <code value="verbal"></code>
+     <display value="verbal"></display>
+     <definition value="The patient prefers to verbally communicate with the associated language."></definition>
     </concept>
     <concept>
-     <code value="24"></code>
-     <display value="Periodontics"></display>
-     <definition value="Periodontics."></definition>
-    </concept>
-    <concept>
-     <code value="25"></code>
-     <display value="Restorative"></display>
-     <definition value="Restorative."></definition>
-    </concept>
-    <concept>
-     <code value="26"></code>
-     <display value="Endodontics"></display>
-     <definition value="Endodontics."></definition>
-    </concept>
-    <concept>
-     <code value="27"></code>
-     <display value="Maxillofacial Prosthetics"></display>
-     <definition value="Maxillofacial Prosthetics."></definition>
-    </concept>
-    <concept>
-     <code value="28"></code>
-     <display value="Adjunctive Dental Services"></display>
-     <definition value="Adjunctive Dental Services."></definition>
-    </concept>
-    <concept>
-     <code value="30"></code>
-     <display value="Health Benefit Plan Coverage"></display>
-     <definition value="Health Benefit Plan Coverage."></definition>
-    </concept>
-    <concept>
-     <code value="35"></code>
-     <display value="Dental Care"></display>
-     <definition value="Dental Care."></definition>
-    </concept>
-    <concept>
-     <code value="36"></code>
-     <display value="Dental Crowns"></display>
-     <definition value="Dental Crowns."></definition>
-    </concept>
-    <concept>
-     <code value="37"></code>
-     <display value="Dental Accident"></display>
-     <definition value="Dental Accident."></definition>
-    </concept>
-    <concept>
-     <code value="49"></code>
-     <display value="Hospital Room and Board"></display>
-     <definition value="Hospital Room and Board."></definition>
-    </concept>
-    <concept>
-     <code value="55"></code>
-     <display value="Major Medical"></display>
-     <definition value="Major Medical."></definition>
-    </concept>
-    <concept>
-     <code value="56"></code>
-     <display value="Medically Related Transportation"></display>
-     <definition value="Medically Related Transportation."></definition>
-    </concept>
-    <concept>
-     <code value="61"></code>
-     <display value="In-vitro Fertilization"></display>
-     <definition value="In-vitro Fertilization."></definition>
-    </concept>
-    <concept>
-     <code value="62"></code>
-     <display value="MRI Scan"></display>
-     <definition value="MRI Scan."></definition>
-    </concept>
-    <concept>
-     <code value="63"></code>
-     <display value="Donor Procedures"></display>
-     <definition value="Donor Procedures such as organ harvest."></definition>
-    </concept>
-    <concept>
-     <code value="69"></code>
-     <display value="Maternity"></display>
-     <definition value="Maternity."></definition>
-    </concept>
-    <concept>
-     <code value="76"></code>
-     <display value="Renal Dialysis"></display>
-     <definition value="Renal dialysis."></definition>
-    </concept>
-    <concept>
-     <code value="F1"></code>
-     <display value="Medical Coverage"></display>
-     <definition value="Medical Coverage."></definition>
-    </concept>
-    <concept>
-     <code value="F3"></code>
-     <display value="Dental Coverage"></display>
-     <definition value="Dental Coverage."></definition>
-    </concept>
-    <concept>
-     <code value="F4"></code>
-     <display value="Hearing Coverage"></display>
-     <definition value="Hearing Coverage."></definition>
-    </concept>
-    <concept>
-     <code value="F6"></code>
-     <display value="Vision Coverage"></display>
-     <definition value="Vision Coverage."></definition>
+     <code value="written"></code>
+     <display value="written"></display>
+     <definition value="The patient prefers to communicate in writing with the associated language."></definition>
     </concept>
    </CodeSystem>
   </resource>
@@ -68234,7 +68259,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="example-extensional"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -68245,7 +68270,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="http://acme.com/identifiers/valuesets"></system>
      <value value="loinc-cholesterol-int"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LOINC Codes for Cholesterol in Serum/Plasma"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -68313,7 +68338,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="example-intensional"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -68324,7 +68349,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="http://acme.com/identifiers/valuesets"></system>
      <value value="loinc-cholesterol-ext"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LOINC Codes for Cholesterol in Serum/Plasma"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -68365,13 +68390,13 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="example-filter"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/example-filter"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ACMECholCodesPlasma"></name>
     <title value="ACME Codes for Cholesterol: Plasma only"></title>
     <status value="draft"></status>
@@ -68406,14 +68431,14 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="example-expansion"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/example-expansion"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LOINC Codes for Cholesterol in Serum/Plasma"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -68551,14 +68576,14 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="example-hierarchical"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/example-hierarchical"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example Hierarchical ValueSet"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -68783,7 +68808,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ucum-common"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
      <valueBoolean value="true"></valueBoolean>
@@ -68792,7 +68817,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/ucum-common"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Common UCUM units"></name>
     <status value="draft"></status>
     <publisher value="FHIR Project"></publisher>
@@ -74268,13 +74293,13 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="example-cpt-all"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/example-cpt-all"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="All CPT codes"></name>
     <status value="active"></status>
     <date value="2015-03-12"></date>
@@ -74314,13 +74339,13 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="yesnodontknow"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/yesnodontknow"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Yes/No/Don't Know"></name>
     <status value="draft"></status>
     <description value="For Capturing simple yes-no-don't know answers"></description>
@@ -74364,7 +74389,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="nhin-purposeofuse"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-map">
      <valueCanonical value="#map"></valueCanonical>
@@ -74373,7 +74398,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NHIN PurposeOfUse"></name>
     <status value="active"></status>
     <experimental value="false"></experimental>
@@ -74400,13 +74425,13 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="inactive"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="fhir"></valueCode>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/inactive"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Example-inactive"></name>
     <title value="Example with inactive codes"></title>
     <status value="draft"></status>
@@ -74461,7 +74486,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-program-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74478,12 +74503,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.576"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleProgramReasonCodes"></name>
     <title value="Example Program Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -74507,7 +74532,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74524,12 +74549,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.428"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureOutcomeCodes(SNOMEDCT)"></name>
     <title value="Procedure Outcome Codes (SNOMED CT)"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -74562,7 +74587,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-security-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74573,12 +74598,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1403"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResourceSecurityCategory"></name>
     <title value="ResourceSecurityCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -74606,7 +74631,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="event-or-request-resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74617,12 +74642,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1064"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Event Or Request Resource Types"></name>
     <title value="EventOrRequestResourceTypes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -74649,7 +74674,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="testscript-profile-destination-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74666,12 +74691,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.714"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestScriptProfileDestinationType"></name>
     <title value="Test script profile destination type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -74695,7 +74720,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-stage-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74712,12 +74737,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.171"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionStageType"></name>
     <title value="Condition Stage Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -74760,7 +74785,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contactentity-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74777,12 +74802,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.416"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContactEntityType"></name>
     <title value="Contact entity type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -74806,7 +74831,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="conditional-read-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74826,12 +74851,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.200"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionalReadStatus"></name>
     <title value="ConditionalReadStatus"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -74859,7 +74884,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reaction-event-certainty"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74870,12 +74895,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.942"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceCertainty"></name>
     <title value="AllergyIntoleranceCertainty"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -74903,7 +74928,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74920,12 +74945,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.295"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationStatusCodes"></name>
     <title value="Immunization Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -74957,7 +74982,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-admin-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -74968,12 +74993,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.347"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationAdministration Category Codes"></name>
     <title value="Medication administration  category  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -74997,7 +75022,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="detectedissue-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75014,12 +75039,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.206"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DetectedIssueSeverity"></name>
     <title value="DetectedIssueSeverity"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75047,7 +75072,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-special-arrangements"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75058,12 +75083,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.253"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecialArrangements"></name>
     <title value="Special arrangements"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -75087,7 +75112,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="fm-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75104,12 +75129,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.592"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FinancialResourceStatusCodes"></name>
     <title value="Financial Resource Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -75134,7 +75159,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-cardinality-behavior"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75151,12 +75176,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.807"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionCardinalityBehavior"></name>
     <title value="ActionCardinalityBehavior"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75184,7 +75209,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="organization-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75201,12 +75226,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.880"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OrganizationAffiliationRole"></name>
     <title value="Organization Affiliation Role"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -75230,7 +75255,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-procedure-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75247,12 +75272,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1387"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleProcedureTypeCodes"></name>
     <title value="Example Procedure Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -75277,7 +75302,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-discharge-disposition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75294,12 +75319,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.259"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DischargeDisposition"></name>
     <title value="Discharge disposition"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -75323,7 +75348,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="conceptmap-unmapped-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75340,12 +75365,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.480"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConceptMapGroupUnmappedMode"></name>
     <title value="ConceptMapGroupUnmappedMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75373,7 +75398,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="composition-attestation-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75390,12 +75415,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.238"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CompositionAttestationMode"></name>
     <title value="CompositionAttestationMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75423,7 +75448,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-diagnosis-on-admission"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75440,12 +75465,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1169"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleDiagnosisOnAdmissionCodes"></name>
     <title value="Example Diagnosis on Admission Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -75470,7 +75495,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="location-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75487,12 +75512,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.332"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LocationStatus"></name>
     <title value="LocationStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75520,7 +75545,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="payment-adjustment-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75537,12 +75562,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.600"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PaymentAdjustmentReasonCodes"></name>
     <title value="Payment Adjustment Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -75567,7 +75592,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75584,12 +75609,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.544"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Use"></name>
     <title value="Use"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75617,7 +75642,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-participant-function"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75634,12 +75659,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1443"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Participant Function"></name>
     <title value="AdverseEvent Participant Function"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -75674,7 +75699,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="identifier-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75694,12 +75719,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.57"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="IdentifierUse"></name>
     <title value="IdentifierUse"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75727,7 +75752,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-recommendation-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75744,12 +75769,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.307"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationRecommendationReasonCodes"></name>
     <title value="Immunization Recommendation Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -75779,7 +75804,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-relationship-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75790,12 +75815,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.915"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalRelationshipType"></name>
     <title value="GoalRelationshipType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75823,7 +75848,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="transaction-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75834,12 +75859,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.192"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TransactionMode"></name>
     <title value="TransactionMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75867,7 +75892,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="characteristic-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75884,12 +75909,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1452"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CharacteristicMethod"></name>
     <title value="CharacteristicMethod"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -75917,7 +75942,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-diet"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75934,12 +75959,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.255"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Diet"></name>
     <title value="Diet"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -75963,7 +75988,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -75974,12 +75999,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.261"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EncounterReasonCodes"></name>
     <title value="Encounter Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -76032,7 +76057,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="asset-availability"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76049,12 +76074,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1295"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceAssetAvailiabilityCodes"></name>
     <title value="Contract Resource Asset Availiability codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -76079,7 +76104,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="certainty-rating"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76096,12 +76121,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1414"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticCertaintyRating"></name>
     <title value="StatisticCertaintyRating"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76129,7 +76154,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="location-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76146,12 +76171,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.330"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LocationMode"></name>
     <title value="LocationMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76179,7 +76204,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-state"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76190,12 +76215,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.963"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionState"></name>
     <title value="ConditionState"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76223,7 +76248,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="property-representation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76236,19 +76261,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/property-representation"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.87"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PropertyRepresentation"></name>
     <title value="PropertyRepresentation"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76276,7 +76301,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-scoring"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76293,12 +76318,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.767"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureScoring"></name>
     <title value="MeasureScoring"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76326,7 +76351,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="communication-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76343,12 +76368,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.172"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommunicationCategory"></name>
     <title value="CommunicationCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76376,7 +76401,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="chromosome-human"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76393,12 +76418,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.224"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="chromosome-human"></name>
     <title value="chromosome-human"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76426,7 +76451,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76443,12 +76468,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.992"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationStatusReasonCodes"></name>
     <title value="Immunization Status Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -76496,7 +76521,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-event-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76513,12 +76538,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.452"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventAction"></name>
     <title value="AuditEventAction"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76547,7 +76572,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="topic-match-operator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76564,12 +76589,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1461"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TopicFilterByMatchType"></name>
     <title value="TopicFilterByMatchType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76597,7 +76622,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supplyrequest-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76614,12 +76639,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.695"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyRequestStatus"></name>
     <title value="SupplyRequestStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76647,7 +76672,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-exception"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76664,12 +76689,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.580"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExceptionCodes"></name>
     <title value="Exception Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -76694,7 +76719,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-security-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76711,12 +76736,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1220"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceScopeCodes"></name>
     <title value="Contract Resource Scope codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -76741,7 +76766,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-study-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76758,12 +76783,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.819"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchStudyStatus"></name>
     <title value="ResearchStudyStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76791,7 +76816,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="list-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76808,12 +76833,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.326"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ListStatus"></name>
     <title value="ListStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76841,7 +76866,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76858,12 +76883,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.516"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceCategory"></name>
     <title value="Service category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -76887,7 +76912,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="expansion-processing-rule"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76898,12 +76923,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1280"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExpansionProcessingRule"></name>
     <title value="ExpansionProcessingRule"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76931,7 +76956,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-input-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76948,12 +76973,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.677"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapInputMode"></name>
     <title value="StructureMapInputMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -76981,7 +77006,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-evaluation-dose-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -76998,12 +77023,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.301"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationEvaluationDoseStatusCodes"></name>
     <title value="Immunization Evaluation Dose Status codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -77027,7 +77052,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="event-resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77038,12 +77063,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1060"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EventResourceType"></name>
     <title value="EventResourceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77071,7 +77096,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77094,12 +77119,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.27"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResourceType"></name>
     <title value="ResourceType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77127,7 +77152,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77138,12 +77163,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.117"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CanonicalStatusCodesForFHIRResources"></name>
     <title value="Canonical Status Codes for FHIR Resources"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -77170,7 +77195,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="capability-statement-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77190,12 +77215,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.198"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CapabilityStatementKind"></name>
     <title value="CapabilityStatementKind"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77223,7 +77248,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-revenue-center"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77240,12 +77265,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.594"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleRevenueCenterCodes"></name>
     <title value="Example Revenue Center Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -77270,7 +77295,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-scope"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77287,12 +77312,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1216"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceScopeCodes"></name>
     <title value="Contract Resource Scope codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -77317,7 +77342,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="surface"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77334,12 +77359,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.546"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SurfaceCodes"></name>
     <title value="Surface Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -77364,7 +77389,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="composite-measure-scoring"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77381,12 +77406,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.773"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CompositeMeasureScoring"></name>
     <title value="CompositeMeasureScoring"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77414,7 +77439,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-answers-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77431,12 +77456,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:required"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireResponseStatus"></name>
     <title value="QuestionnaireResponseStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77464,7 +77489,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="hl7-work-group"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77475,12 +77500,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.944"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HL7Workgroup"></name>
     <title value="HL7Workgroup"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77508,7 +77533,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-team-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77525,12 +77550,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.153"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CareTeamStatus"></name>
     <title value="CareTeamStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77558,7 +77583,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-usage-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77575,12 +77600,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1422"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationUsage Status Codes"></name>
     <title value="Medication usage  status  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -77604,7 +77629,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="servicerequest-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77621,12 +77646,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.434"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceRequestCategoryCodes"></name>
     <title value="Service Request Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Orders and Observations Workgroup"></publisher>
     <contact>
      <telecom>
@@ -77670,7 +77695,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-performer"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77681,12 +77706,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1016"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PerformerRoleCodes"></name>
     <title value="Performer Role Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="CBCC"></publisher>
     <contact>
      <telecom>
@@ -77711,7 +77736,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="communication-not-done-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77728,12 +77753,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.174"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommunicationNotDoneReason"></name>
     <title value="CommunicationNotDoneReason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77761,7 +77786,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-event-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77778,12 +77803,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.454"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventOutcome"></name>
     <title value="AuditEventOutcome"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77812,7 +77837,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adjudication-error"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77829,12 +77854,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.39"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Adjudication Error Codes"></name>
     <title value="AdjudicationError"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -77859,7 +77884,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-context-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77876,12 +77901,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.679"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapContextType"></name>
     <title value="StructureMapContextType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77909,7 +77934,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="catalogentry-relation-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77926,12 +77951,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1445"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CatalogEntryRelationType"></name>
     <title value="CatalogEntryRelationType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -77959,7 +77984,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ref-sequences"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -77970,12 +77995,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.6.280"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="REFSEQ"></name>
     <title value="R e f s e q"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -77998,7 +78023,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-payee-resource-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -78009,12 +78034,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.584"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimPayeeResourceType"></name>
     <title value="ClaimPayeeResourceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -78042,7 +78067,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-data-usage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -78059,12 +78084,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.771"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureDataUsage"></name>
     <title value="MeasureDataUsage"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -78092,7 +78117,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="c80-doc-typecodes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -78103,12 +78128,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.88.12.80.47"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentTypeValueSet"></name>
     <title value="Document Type Value Set"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HITSP"></publisher>
     <contact>
      <telecom>
@@ -103740,7 +103765,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-onsettype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -103751,12 +103776,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.578"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleOnsetType(Reason)Codes"></name>
     <title value="Example Onset Type (Reason) Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -103780,7 +103805,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-group-type-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -103797,12 +103822,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.687"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapGroupTypeMode"></name>
     <title value="StructureMapGroupTypeMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -103830,7 +103855,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-product"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -103841,12 +103866,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.560"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleService/ProductCodes"></name>
     <title value="Example Service/Product Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -103871,7 +103896,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-diagnosistype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -103888,12 +103913,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.590"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleDiagnosisTypeCodes"></name>
     <title value="Example Diagnosis Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -103918,7 +103943,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allergy-intolerance-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -103935,12 +103960,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.131"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceType"></name>
     <title value="AllergyIntoleranceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -103968,7 +103993,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reason-medication-given-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -103985,12 +104010,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.344"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ReasonMedicationGivenCodes"></name>
     <title value="Reason Medication Given Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -104014,7 +104039,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-usage-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104025,12 +104050,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1424"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationUsage Category Codes"></name>
     <title value="Medication usage  category  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -104054,7 +104079,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="group-measure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104071,12 +104096,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1345"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GroupMeasure"></name>
     <title value="GroupMeasure"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104104,7 +104129,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="abstract-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104127,12 +104152,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.23"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AbstractType"></name>
     <title value="AbstractType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104160,7 +104185,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="definition-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104171,12 +104196,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.107"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DefinitionStatus"></name>
     <title value="DefinitionStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104204,7 +104229,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="operation-parameter-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104224,12 +104249,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.508"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OperationParameterUse"></name>
     <title value="OperationParameterUse"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104257,7 +104282,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="language-preference-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104268,12 +104293,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1022"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LanguagePreferenceType"></name>
     <title value="Language preference type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -104305,7 +104330,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="code-search-support"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104322,12 +104347,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.860"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CodeSearchSupport"></name>
     <title value="CodeSearchSupport"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104355,7 +104380,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="benefit-term"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104372,12 +104397,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.612"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BenefitTermCodes"></name>
     <title value="Benefit Term Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -104402,7 +104427,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-subject-state"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104419,12 +104444,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchSubjectState"></name>
     <title value="ResearchSubjectState"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104452,7 +104477,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-preventive-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104469,12 +104494,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Preventive Action"></name>
     <title value="AdverseEvent Preventive Action"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -104543,7 +104568,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="dataelement-sdcobjectclass"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104554,12 +104579,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.910"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataElementSDCObjectClass"></name>
     <title value="DataElement SDC Object Class"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Office of the National Coordinator for Health IT"></publisher>
     <contact>
      <telecom>
@@ -104589,7 +104614,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="object-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104606,12 +104631,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.460"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventEntityRole"></name>
     <title value="AuditEventEntityRole"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104640,7 +104665,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104657,12 +104682,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.769"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureType"></name>
     <title value="MeasureType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104690,7 +104715,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-security-control"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104707,12 +104732,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1222"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceSecurityControlCodes"></name>
     <title value="Contract Resource Security Control codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -104737,7 +104762,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="postal-address-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104748,12 +104773,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.908"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PostalAddressUse"></name>
     <title value="PostalAddressUse"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104836,7 +104861,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-display-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104847,12 +104872,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.935"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireTextCategories"></name>
     <title value="Questionnaire Text Categories"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -104876,7 +104901,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-nametype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104893,12 +104918,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1083"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceNameType"></name>
     <title value="DeviceNameType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -104926,7 +104951,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="clinicalimpression-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -104943,12 +104968,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1417"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClinicalImpressionStatusReason"></name>
     <title value="ClinicalImpression Status Reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -105005,7 +105030,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-location-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105022,12 +105047,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.262"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EncounterLocationStatus"></name>
     <title value="EncounterLocationStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -105055,7 +105080,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="examplescenario-actor-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105072,12 +105097,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.858"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleScenarioActorType"></name>
     <title value="ExampleScenarioActorType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -105105,7 +105130,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="name-part-qualifier"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105116,12 +105141,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.906"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EntityNamePartQualifier"></name>
     <title value="EntityNamePartQualifier"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -105235,7 +105260,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-plan-activity-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105252,12 +105277,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.145"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlanActivityKind"></name>
     <title value="Care Plan Activity Kind"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -105304,7 +105329,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-definition-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105315,12 +105340,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1307"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRDeviceStatus"></name>
     <title value="FHIRDeviceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -105348,7 +105373,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="message-events"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105368,12 +105393,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.26"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MessageEvent"></name>
     <title value="MessageEvent"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -105401,7 +105426,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="c80-practice-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105418,12 +105443,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.88.12.80.72"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PracticeSettingCodeValueSet"></name>
     <title value="Practice Setting Code Value Set"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HITSP"></publisher>
     <contact>
      <telecom>
@@ -105919,7 +105944,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="filter-operator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105939,12 +105964,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.478"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FilterOperator"></name>
     <title value="FilterOperator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -105972,7 +105997,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="communication-request-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -105989,12 +106014,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1418"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommunicationRequestStatusReason"></name>
     <title value="CommunicationRequest Status Reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -106072,7 +106097,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-event-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106089,7 +106114,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.462"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventID"></name>
     <title value="Audit Event ID"></title>
     <status value="active"></status>
@@ -106174,7 +106199,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-actuality"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106191,12 +106216,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.831"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventActuality"></name>
     <title value="AdverseEventActuality"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106224,7 +106249,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="insuranceplan-applicability"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106241,7 +106266,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BenefitCostApplicability"></name>
     <title value="Benefit cost applicability"></title>
     <status value="draft"></status>
@@ -106274,7 +106299,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-selection-behavior"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106291,12 +106316,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.801"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionSelectionBehavior"></name>
     <title value="ActionSelectionBehavior"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106324,7 +106349,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="variable-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106341,12 +106366,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1343"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EvidenceVariableType"></name>
     <title value="EvidenceVariableType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106374,7 +106399,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-questionnaire-purpose"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106391,12 +106416,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1441"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionQuestionnairePurpose"></name>
     <title value="ConditionQuestionnairePurpose"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106424,7 +106449,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="process-priority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106441,12 +106466,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.552"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcessPriorityCodes"></name>
     <title value="Process Priority Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -106471,7 +106496,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-followup"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106488,12 +106513,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.429"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureFollowUpCodes(SNOMEDCT)"></name>
     <title value="Procedure Follow up Codes (SNOMED CT)"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -106547,7 +106572,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106564,12 +106589,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.502"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionStatus"></name>
     <title value="SubscriptionStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106597,7 +106622,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-condition-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106614,12 +106639,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.815"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionConditionKind"></name>
     <title value="ActionConditionKind"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106647,7 +106672,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="compartment-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106664,12 +106689,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.786"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CompartmentType"></name>
     <title value="CompartmentType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106697,7 +106722,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-range-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106714,12 +106739,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1333"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationRangeCategory"></name>
     <title value="ObservationRangeCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106747,7 +106772,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106758,12 +106783,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.168"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Condition/DiagnosisSeverity"></name>
     <title value="Condition/Diagnosis Severity"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -106796,7 +106821,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="teeth"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106807,12 +106832,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.550"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TeethCodes"></name>
     <title value="Teeth Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -106837,7 +106862,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-communication-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106854,7 +106879,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1401"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="verificationresult-communication-method"></name>
     <title value="VerificationResult Communication Method"></title>
     <status value="active"></status>
@@ -106883,7 +106908,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="substance-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106900,12 +106925,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.473"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceCode"></name>
     <title value="Substance Code"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -106934,7 +106959,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="concept-map-equivalence"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106945,12 +106970,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.17"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConceptMapEquivalence"></name>
     <title value="ConceptMapEquivalence"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -106978,7 +107003,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="udi-entry-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -106995,12 +107020,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.211"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UDIEntryType"></name>
     <title value="UDIEntryType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107028,7 +107053,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107045,12 +107070,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.161"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Condition/Problem/DiagnosisCodes"></name>
     <title value="Condition/Problem/Diagnosis Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -107086,7 +107111,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-plan-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107103,12 +107128,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.148"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlanCategory"></name>
     <title value="Care Plan Category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -107137,7 +107162,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107154,12 +107179,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.967"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionOutcomeCodes"></name>
     <title value="Condition Outcome Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -107188,7 +107213,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-participant-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107205,12 +107230,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.811"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionParticipantType"></name>
     <title value="ActionParticipantType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107238,7 +107263,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-modifiers"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107249,12 +107274,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.572"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleServiceModifierCodes"></name>
     <title value="Example Service Modifier Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -107278,7 +107303,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="appointmentstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107295,12 +107320,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.484"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AppointmentStatus"></name>
     <title value="AppointmentStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107328,7 +107353,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="request-priority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107345,7 +107370,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.115"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RequestPriority"></name>
     <title value="Request priority"></title>
     <status value="draft"></status>
@@ -107377,7 +107402,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="servicerequest-orderdetail"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107394,12 +107419,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.435"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceRequestOrderDetailsCodes"></name>
     <title value="Service Request Order Details Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Orders and Observations Workgroup"></publisher>
     <contact>
      <telecom>
@@ -107458,7 +107483,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="template-status-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107469,12 +107494,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.1937.98.11.8"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TemplateStatusCode"></name>
     <title value="TemplateStatusCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107557,7 +107582,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="response-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107574,12 +107599,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.380"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResponseType"></name>
     <title value="ResponseType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107607,7 +107632,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="episodeofcare-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107624,12 +107649,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.666"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EpisodeOfCareType"></name>
     <title value="Episode of care type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -107647,13 +107672,59 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    </ValueSet>
   </resource>
  </entry>
+ <entry>
+  <fullUrl value="http://hl7.org/fhir/ValueSet/consent-verification"></fullUrl>
+  <resource>
+   <ValueSet xmlns="http://hl7.org/fhir">
+    <id value="consent-verification"></id>
+    <meta>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
+     <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
+    </meta>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
+     <valueCode value="cbcc"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
+     <valueCode value="trial-use"></valueCode>
+    </extension>
+    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
+     <valueInteger value="2"></valueInteger>
+    </extension>
+    <url value="http://hl7.org/fhir/ValueSet/consent-verification"></url>
+    <identifier>
+     <system value="urn:ietf:rfc:3986"></system>
+     <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
+    </identifier>
+    <version value="4.2.0"></version>
+    <name value="ConsentVerificationCodes"></name>
+    <title value="Consent Vefication Codes"></title>
+    <status value="draft"></status>
+    <experimental value="false"></experimental>
+    <date value="2020-01-04T07:45:11+00:00"></date>
+    <publisher value="CBCC"></publisher>
+    <contact>
+     <telecom>
+      <system value="url"></system>
+      <value value="http://hl7.org/fhir"></value>
+     </telecom>
+    </contact>
+    <description value="This value set includes base Consent Verification codes."></description>
+    <immutable value="true"></immutable>
+    <compose>
+     <include>
+      <system value="http://terminology.hl7.org/CodeSystem/consentverification"></system>
+     </include>
+    </compose>
+   </ValueSet>
+  </resource>
+ </entry>
  <entry>
   <fullUrl value="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical"></fullUrl>
   <resource>
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allergyintolerance-clinical"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107670,12 +107741,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1372"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceClinicalStatusCodes"></name>
     <title value="AllergyIntolerance Clinical Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -107699,7 +107770,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="composition-altcode-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107710,12 +107781,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1405"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AlternativeCodeKind"></name>
     <title value="AlternativeCodeKind"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107743,7 +107814,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-recommendation-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107760,12 +107831,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.305"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationRecommendationStatusCodes"></name>
     <title value="Immunization Recommendation Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -107789,7 +107860,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="investigation-sets"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107800,12 +107871,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.157"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InvestigationType"></name>
     <title value="Investigation Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -107837,7 +107908,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-questions"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107854,12 +107925,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.443"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireQuestionCodes"></name>
     <title value="Questionnaire Question Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -107883,7 +107954,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="http-verb"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107903,12 +107974,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.624"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HTTPVerb"></name>
     <title value="HTTPVerb"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107936,7 +108007,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="codesystem-hierarchy-meaning"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -107956,12 +108027,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.784"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CodeSystemHierarchyMeaning"></name>
     <title value="CodeSystemHierarchyMeaning"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -107989,7 +108060,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="document-classcodes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108006,12 +108077,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.88.12.80.46"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentClassValueSet"></name>
     <title value="Document Class Value Set"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="USHIK"></publisher>
     <contact>
      <telecom>
@@ -108226,7 +108297,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-usage-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108237,12 +108308,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.937"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireItemUsageMode"></name>
     <title value="QuestionnaireItemUsageMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -108270,7 +108341,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="doc-section-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108287,12 +108358,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.237"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentSectionCodes"></name>
     <title value="Document Section Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <contact>
      <telecom>
@@ -108487,7 +108558,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-assetscope"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108504,12 +108575,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1293"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceAssetScopeCodes"></name>
     <title value="Contract Resource Asset Scope codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -108534,7 +108605,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108551,12 +108622,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.743"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceStatusCodes"></name>
     <title value="Contract Resource Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -108581,7 +108652,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="additional-instruction-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108592,12 +108663,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.95"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTAdditionalDosageInstructions"></name>
     <title value="SNOMED CT Additional Dosage Instructions"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -108626,7 +108697,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-scope"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108643,12 +108714,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.761"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentScopeCodes"></name>
     <title value="Consent Scope Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="CBCC"></publisher>
     <contact>
      <telecom>
@@ -108672,7 +108743,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="units-of-time"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108692,12 +108763,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.77"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UnitsOfTime"></name>
     <title value="UnitsOfTime"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -108802,7 +108873,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="restful-security-service"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108822,12 +108893,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.178"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RestfulSecurityService"></name>
     <title value="RestfulSecurityService"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -108855,7 +108926,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ucum-vitals-common"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -108869,12 +108940,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.955"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VitalSignsUnits"></name>
     <title value="Vital Signs Units"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -108950,7 +109021,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="age-units"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -108967,12 +109038,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.19"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommonUCUMCodesForAge"></name>
     <title value="Common UCUM Codes for Age"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -109020,7 +109091,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="flag-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109037,12 +109108,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.120"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FlagStatus"></name>
     <title value="FlagStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109070,7 +109141,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationknowledge-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109087,12 +109158,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1335"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationKnowledge Status Codes"></name>
     <title value="Medication knowledge  status  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -109116,7 +109187,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="task-intent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109133,12 +109204,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1240"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TaskIntent"></name>
     <title value="TaskIntent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109193,7 +109264,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="product-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109210,12 +109281,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.902"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BiologicallyDerivedProductStatus"></name>
     <title value="BiologicallyDerivedProductStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109243,7 +109314,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="certainty-subcomponent-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109260,12 +109331,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1359"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticCertaintySubcomponentType"></name>
     <title value="StatisticCertaintySubcomponentType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109293,7 +109364,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="modified-foodtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109310,12 +109381,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.388"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TextureModifiedFoodTypeCodes"></name>
     <title value="Texture Modified Food Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -109395,7 +109466,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-payload-content"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109412,12 +109483,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1435"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionPayloadContent"></name>
     <title value="SubscriptionPayloadContent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109445,7 +109516,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="oral-prosthodontic-material"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109456,12 +109527,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.538"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OralProsthoMaterialTypeCodes"></name>
     <title value="Oral Prostho Material type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -109486,7 +109557,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="cosmic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109497,12 +109568,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.912"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="COSMIC"></name>
     <title value="C o s m i c"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -109525,7 +109596,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="detectedissue-mitigation-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109536,12 +109607,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.205"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DetectedIssueMitigationAction"></name>
     <title value="Detected Issue Mitigation Action"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -109569,7 +109640,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="statistic-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109586,12 +109657,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1410"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticStatisticType"></name>
     <title value="StatisticStatisticType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109619,7 +109690,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sequence-species"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109630,12 +109701,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.216"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTCodesForSpecies"></name>
     <title value="SNOMED CT Codes for species"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Clinical Genomics Team"></publisher>
     <contact>
      <telecom>
@@ -109659,7 +109730,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-report-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109676,12 +109747,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.778"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureReportType"></name>
     <title value="MeasureReportType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109709,7 +109780,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-careteamrole"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109726,12 +109797,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.586"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimCareTeamRoleCodes"></name>
     <title value="Claim Care Team Role Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -109756,7 +109827,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="messageheader-response-request"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109773,12 +109844,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.924"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="messageheader-response-request"></name>
     <title value="messageheader-response-request"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109806,7 +109877,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-as-needed-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109823,12 +109894,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.96"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTMedicationAsNeededReasonCodes"></name>
     <title value="SNOMED CT Medication As Needed Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -109857,7 +109928,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="udi"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109868,12 +109939,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.554"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UDICodes"></name>
     <title value="UDI Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -109898,7 +109969,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="library-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109915,12 +109986,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.763"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LibraryType"></name>
     <title value="LibraryType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -109948,7 +110019,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ucum-units"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -109959,12 +110030,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.912"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UCUMCodes"></name>
     <title value="UCUM Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -109988,7 +110059,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="document-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110008,12 +110079,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.186"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentMode"></name>
     <title value="DocumentMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110041,7 +110112,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="related-claim-relationship"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110058,12 +110129,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.568"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleRelatedClaimRelationshipCodes"></name>
     <title value="Example Related Claim Relationship Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -110087,7 +110158,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationknowledge-characteristic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110104,12 +110175,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1337"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationKnowledge Characteristic Codes"></name>
     <title value="Medication knowledge  characteristic  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -110133,7 +110204,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-program-eligibility"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110150,12 +110221,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.291"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationProgramEligibility"></name>
     <title value="Immunization Program Eligibility"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -110179,7 +110250,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ensembl"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110190,12 +110261,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1040"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ENSEMBL"></name>
     <title value="E n s e m b l"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -110218,7 +110289,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="data-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110241,12 +110312,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.22"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataType"></name>
     <title value="DataType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110274,7 +110345,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="guide-page-generation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110291,12 +110362,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.998"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GuidePageGeneration"></name>
     <title value="GuidePageGeneration"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110324,7 +110395,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-publicationstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110341,12 +110412,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1208"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourcePublicationStatusCodes"></name>
     <title value="Contract Resource Publication Status codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -110371,7 +110442,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="gender-identity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110382,12 +110453,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.972"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GenderIdentity"></name>
     <title value="Gender identity"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -110440,7 +110511,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="referencerange-meaning"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110457,12 +110528,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.397"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationReferenceRangeMeaningCodes"></name>
     <title value="Observation Reference Range Meaning Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -110485,7 +110556,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="expression-language"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110502,12 +110573,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.105"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExpressionLanguage"></name>
     <title value="ExpressionLanguage"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110535,7 +110606,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="spdx-license"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110552,12 +110623,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1026"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SPDXLicense"></name>
     <title value="SPDXLicense"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110585,7 +110656,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="narrative-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110596,12 +110667,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.55"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NarrativeStatus"></name>
     <title value="NarrativeStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110629,7 +110700,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="name-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110649,12 +110720,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.65"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NameUse"></name>
     <title value="NameUse"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -110682,7 +110753,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="parent-relationship-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110693,12 +110764,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.921"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParentRelationshipCodes"></name>
     <title value="Parent Relationship Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -110734,7 +110805,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="fm-itemtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110745,12 +110816,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.548"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimItemTypeCodes"></name>
     <title value="Claim Item Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -110775,7 +110846,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110792,12 +110863,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.558"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimTypeCodes"></name>
     <title value="Claim Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -110822,7 +110893,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="clinvar"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110833,12 +110904,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1041"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClinVar"></name>
     <title value="Clin var"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -110861,7 +110932,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="c80-facilitycodes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -110878,12 +110949,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.88.12.80.67"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FacilityTypeCodeValueSet"></name>
     <title value="Facility Type Code Value Set"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HITSP"></publisher>
     <contact>
      <telecom>
@@ -111227,7 +111298,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-acceptance-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111238,12 +111309,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.917"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalAcceptanceStatus"></name>
     <title value="GoalAcceptanceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111271,7 +111342,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111288,12 +111359,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.403"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationCategoryCodes"></name>
     <title value="Observation Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -111316,7 +111387,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="invoice-priceComponentType"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111333,12 +111404,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.868"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InvoicePriceComponentType"></name>
     <title value="InvoicePriceComponentType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111366,7 +111437,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="days-of-week"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111386,12 +111457,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.512"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DaysOfWeek"></name>
     <title value="DaysOfWeek"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111419,7 +111490,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="evidence-quality"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111430,12 +111501,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1020"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QualityOfEvidenceRating"></name>
     <title value="QualityOfEvidenceRating"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111463,7 +111534,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-team-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111480,12 +111551,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.155"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CareTeamCategory"></name>
     <title value="Care Team category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -111545,7 +111616,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="permitted-data-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111562,12 +111633,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1331"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationDataType"></name>
     <title value="ObservationDataType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111595,7 +111666,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="metric-color"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111612,12 +111683,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.654"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetricColor"></name>
     <title value="DeviceMetricColor"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111645,7 +111716,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provenance-activity-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -111665,7 +111736,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.438"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProvenanceActivityType"></name>
     <title value="Provenance activity type"></title>
     <status value="draft"></status>
@@ -111740,7 +111811,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ucum-bodytemp"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -111754,12 +111825,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.957"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BodyTemperatureUnits"></name>
     <title value="Body Temperature Units"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -111793,7 +111864,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-informationcategory"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111810,12 +111881,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.582"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimInformationCategoryCodes"></name>
     <title value="Claim Information Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -111840,7 +111911,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111857,12 +111928,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.246"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EncounterStatus"></name>
     <title value="EncounterStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -111890,7 +111961,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-safety"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -111907,7 +111978,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.213"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceSafety"></name>
     <title value="Device safety"></title>
     <status value="draft"></status>
@@ -111995,7 +112066,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="financial-taskinputtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112006,12 +112077,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1391"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FinancialTaskInputTypeCodes"></name>
     <title value="Financial Task Input Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -112036,7 +112107,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="report-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112047,12 +112118,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.233"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LOINCDiagnosticReportCodes"></name>
     <title value="LOINC Diagnostic Report Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -112076,7 +112147,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="name-assembly-order"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112087,12 +112158,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.913"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HumanNameAssemblyOrder"></name>
     <title value="HumanNameAssemblyOrder"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112138,7 +112209,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="dose-rate-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112155,12 +112226,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.981"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DoseAndRateType"></name>
     <title value="DoseAndRateType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112188,7 +112259,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allergy-intolerance-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112205,12 +112276,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.133"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceCategory"></name>
     <title value="AllergyIntoleranceCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112238,7 +112309,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-subtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112255,12 +112326,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.731"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractSubtypeCodes"></name>
     <title value="Contract Subtype Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -112285,7 +112356,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-definition-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112302,12 +112373,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1210"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceDefinitionTypeCodes"></name>
     <title value="Contract Resource Definition Type codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -112332,7 +112403,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="participantrequired"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112349,12 +112420,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.488"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParticipantRequired"></name>
     <title value="ParticipantRequired"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112382,7 +112453,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="synthesis-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112399,12 +112470,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1347"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticSynthesisType"></name>
     <title value="StatisticSynthesisType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112432,7 +112503,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="unknown-content-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112443,12 +112514,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.196"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UnknownContentCode"></name>
     <title value="UnknownContentCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112476,7 +112547,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-funding-source"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112493,12 +112564,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.293"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationFundingSource"></name>
     <title value="Immunization Funding Source"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -112522,7 +112593,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="definition-resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112533,12 +112604,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1056"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DefinitionResourceType"></name>
     <title value="DefinitionResourceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112566,7 +112637,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sequence-quality-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112583,12 +112654,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.223"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FDA-Method"></name>
     <title value="F d a- method"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -112615,7 +112686,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="rejection-criteria"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112632,12 +112703,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.856"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RejectionCriterion"></name>
     <title value="RejectionCriterion"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112665,7 +112736,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="container-cap"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112682,12 +112753,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.850"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContainerCap"></name>
     <title value="ContainerCap"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112715,7 +112786,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="interaction-trigger"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112732,12 +112803,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1460"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InteractionTrigger"></name>
     <title value="Interaction Trigger"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112769,7 +112840,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provenance-agent-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -112789,7 +112860,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1305"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProvenanceParticipantRole"></name>
     <title value="Provenance participant role"></title>
     <status value="draft"></status>
@@ -112824,7 +112895,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="identity-assuranceLevel"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112841,12 +112912,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.656"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="IdentityAssuranceLevel"></name>
     <title value="IdentityAssuranceLevel"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -112874,7 +112945,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sequenceontology"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112885,12 +112956,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1044"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SequenceOntology"></name>
     <title value="Sequence ontology"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -112913,7 +112984,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="payeetype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112930,12 +113001,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.31"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Claim Payee Type Codes"></name>
     <title value="PayeeType"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -112960,7 +113031,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supplyrequest-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -112977,12 +113048,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.697"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyRequestReason"></name>
     <title value="SupplyRequestReason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113010,7 +113081,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-entity-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113027,7 +113098,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.458"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventEntityType"></name>
     <title value="Audit event entity type"></title>
     <status value="draft"></status>
@@ -113064,7 +113135,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="network-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113081,12 +113152,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.456"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventAgentNetworkType"></name>
     <title value="AuditEventAgentNetworkType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113115,7 +113186,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="catalogentry-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113132,12 +113203,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1447"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CatalogEntryType"></name>
     <title value="CatalogEntryType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113165,7 +113236,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="vision-base-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113182,12 +113253,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.662"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VisionBase"></name>
     <title value="VisionBase"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113215,7 +113286,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="entformula-additive"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113232,12 +113303,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.392"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EnteralFormulaAdditiveTypeCode"></name>
     <title value="Enteral Formula Additive Type Code"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -113261,7 +113332,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supply-item"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113278,7 +113349,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.699"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTSupplyItem"></name>
     <title value="SNOMED CT Supply Item"></title>
     <status value="draft"></status>
@@ -113320,7 +113391,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-study-phase"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113337,12 +113408,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.821"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchStudyPhase"></name>
     <title value="ResearchStudyPhase"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113370,7 +113441,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="chargeitem-billingcodes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113387,12 +113458,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.848"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ChargeItemCode"></name>
     <title value="ChargeItemCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113420,7 +113491,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="diagnostic-based-on-snomed"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113431,12 +113502,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.960"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiagnosticAttachmentType"></name>
     <title value="Diagnostic attachment type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -113473,7 +113544,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113490,12 +113561,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.471"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenStatus"></name>
     <title value="SpecimenStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113523,7 +113594,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113540,7 +113611,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.884"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="status"></name>
     <title value="Status"></title>
     <status value="draft"></status>
@@ -113573,7 +113644,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="restful-capability-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113593,12 +113664,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.176"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RestfulCapabilityMode"></name>
     <title value="RestfulCapabilityMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113626,7 +113697,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="nutrition-intake-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113643,12 +113714,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1428"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NutritionIntake Status Codes"></name>
     <title value="Nutrition intake  status  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -113672,7 +113743,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consistency-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113689,12 +113760,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.389"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FluidConsistencyTypeCodes"></name>
     <title value="Fluid Consistency Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -113735,7 +113806,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="search-comparator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113752,12 +113823,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.637"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SearchComparator"></name>
     <title value="SearchComparator"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113785,7 +113856,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="message-reason-encounter"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113802,12 +113873,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.378"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleMessageReasonCodes"></name>
     <title value="Example Message Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -113831,7 +113902,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="plan-definition-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113848,12 +113919,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.797"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PlanDefinitionType"></name>
     <title value="PlanDefinitionType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -113881,7 +113952,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="devicemetric-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113896,12 +113967,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.645"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetricAndComponentTypes"></name>
     <title value="Device Metric and Component Types"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Health Care Devices Workgroup"></publisher>
     <contact>
      <telecom>
@@ -113925,7 +113996,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="vaccine-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113942,12 +114013,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.88.12.80.22"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VaccineAdministeredValueSet"></name>
     <title value="Vaccine Administered Value Set"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR"></publisher>
     <contact>
      <telecom>
@@ -113973,7 +114044,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allelename"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -113984,12 +114055,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1045"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HLA"></name>
     <title value="H l a"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -114012,7 +114083,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="metric-operational-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114029,12 +114100,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.646"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetricOperationalStatus"></name>
     <title value="DeviceMetricOperationalStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114062,7 +114133,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="tooth"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114079,12 +114150,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.540"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OralSiteCodes"></name>
     <title value="Oral Site Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -114109,7 +114180,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="FHIR-version"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114129,12 +114200,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1309"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRVersion"></name>
     <title value="FHIRVersion"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114162,7 +114233,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-validation-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114173,12 +114244,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.118"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResourceValidationMode"></name>
     <title value="ResourceValidationMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114206,7 +114277,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="instance-availability"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114217,12 +114288,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:1.2.840.10008.6.​1.​811"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InstanceAvailability"></name>
     <title value="InstanceAvailability"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114274,7 +114345,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="intervention"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114285,12 +114356,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.532"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InterventionCodes"></name>
     <title value="Intervention Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -114315,7 +114386,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-item-control"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114326,12 +114397,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.931"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireItemUIControlCodes"></name>
     <title value="Questionnaire Item UI Control Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -114355,7 +114426,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="bundle-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114375,12 +114446,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.620"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BundleType"></name>
     <title value="BundleType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114408,7 +114479,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-push-type-available"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114419,7 +114490,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.898"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="push-type-available"></name>
     <title value="Push-type-available"></title>
     <status value="draft"></status>
@@ -114452,7 +114523,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="report-status-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114469,12 +114540,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.724"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestReportStatus"></name>
     <title value="TestReportStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114502,7 +114573,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-subject-state-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114519,12 +114590,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchSubjectStateType"></name>
     <title value="ResearchSubjectStateType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114552,7 +114623,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="benefit-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114569,12 +114640,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.606"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BenefitTypeCodes"></name>
     <title value="Benefit Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -114599,7 +114670,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="distance-units"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114616,12 +114687,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.62"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommonUCUMCodesForDistance"></name>
     <title value="Common UCUM Codes for Distance"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -114665,7 +114736,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="recommendation-strength"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114676,12 +114747,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1021"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StrengthOfRecommendationRating"></name>
     <title value="StrengthOfRecommendationRating"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114709,7 +114780,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ldlcholesterol-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-10T04:02:45.608+10:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T17:45:11.521+10:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114720,7 +114791,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.959"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LDLCodes"></name>
     <title value="L d l codes"></title>
     <status value="draft"></status>
@@ -114777,7 +114848,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="certainty-subcomponent-rating"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114794,12 +114865,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1361"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticCertaintySubcomponentRating"></name>
     <title value="StatisticCertaintySubcomponentRating"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114827,7 +114898,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="timing-abbreviation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114838,12 +114909,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.78"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TimingAbbreviation"></name>
     <title value="TimingAbbreviation"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -114982,7 +115053,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-course"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -114993,12 +115064,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1463"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionCourseCodes"></name>
     <title value="Condition Course Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -115027,7 +115098,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="series-performer-function"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115044,12 +115115,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.989"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImagingStudySeriesPerformerFunction"></name>
     <title value="ImagingStudy series performer function"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115092,7 +115163,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="imagingstudy-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115109,12 +115180,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.990"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImagingStudyStatus"></name>
     <title value="ImagingStudyStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115142,7 +115213,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="assert-direction-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115159,12 +115230,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.706"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AssertionDirectionType"></name>
     <title value="AssertionDirectionType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115192,7 +115263,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="definition-topic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115209,12 +115280,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.794"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DefinitionTopic"></name>
     <title value="DefinitionTopic"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115242,7 +115313,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="coverage-class"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115259,12 +115330,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1009"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageClassCodes"></name>
     <title value="Coverage Class Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -115289,7 +115360,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-model-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115306,12 +115377,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.675"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapModelMode"></name>
     <title value="StructureMapModelMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115339,7 +115410,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="financial-taskcode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115350,12 +115421,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1389"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FinancialTaskCodes"></name>
     <title value="Financial Task Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -115380,7 +115451,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="designation-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-warning">
@@ -115403,12 +115474,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.264"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DesignationUse"></name>
     <title value="Designation Use"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -115442,7 +115513,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="endpoint-connection-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/valueset-endpoint-connection-type"></profile>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -115460,12 +115531,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.498"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EndpointConnectionType"></name>
     <title value="Endpoint Connection Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Patient Administration"></publisher>
     <contact>
      <telecom>
@@ -115490,7 +115561,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-validation-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115501,7 +115572,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.894"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="validation-status"></name>
     <title value="Validation-status"></title>
     <status value="draft"></status>
@@ -115534,7 +115605,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-can-push-updates"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115545,7 +115616,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.896"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="can-push-updates"></name>
     <title value="Can-push-updates"></title>
     <status value="draft"></status>
@@ -115578,7 +115649,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="substance-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115595,12 +115666,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.474"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRSubstanceStatus"></name>
     <title value="FHIRSubstanceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115628,7 +115699,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="diagnostic-report-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115645,12 +115716,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.235"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiagnosticReportStatus"></name>
     <title value="DiagnosticReportStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -115678,7 +115749,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="risk-probability"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115695,12 +115766,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.450"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RiskProbability"></name>
     <title value="Risk Probability"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -115724,7 +115795,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-security-classification"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115741,12 +115812,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1218"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceScopeCodes"></name>
     <title value="Contract Resource Scope codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -115771,7 +115842,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-participant-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115788,12 +115859,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.250"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParticipantType"></name>
     <title value="Participant type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -115843,7 +115914,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-collection-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115860,12 +115931,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.468"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRSpecimenCollectionMethod"></name>
     <title value="FHIR Specimen Collection Method"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -115929,7 +116000,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="route-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115946,12 +116017,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.98"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTRouteCodes"></name>
     <title value="SNOMED CT Route Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -115980,7 +116051,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscriber-relationship"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -115997,12 +116068,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1385"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriberRelationshipCodes"></name>
     <title value="SubscriberPolicyholder Relationship Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -116027,7 +116098,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-collection"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116044,12 +116115,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1398"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenCollection"></name>
     <title value="Specimen collection methods"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -116113,7 +116184,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-relationship-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116130,12 +116201,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.813"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionRelationshipType"></name>
     <title value="ActionRelationshipType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116163,7 +116234,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="quantity-comparator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116183,12 +116254,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.59"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuantityComparator"></name>
     <title value="QuantityComparator"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116216,7 +116287,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="clinical-use-issue-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116233,12 +116304,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1454"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClinicalUseIssueType"></name>
     <title value="ClinicalUseIssueType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116266,7 +116337,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="name-v3-representation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116277,12 +116348,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.909"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NameRepresentationUse"></name>
     <title value="NameRepresentationUse"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116318,7 +116389,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-content-derivative"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116335,12 +116406,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.745"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractContentDerivationCodes"></name>
     <title value="Contract Content Derivation Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -116365,7 +116436,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contact-point-system"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116385,12 +116456,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.71"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContactPointSystem"></name>
     <title value="ContactPointSystem"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116418,7 +116489,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provenance-entity-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116435,12 +116506,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.436"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProvenanceEntityRole"></name>
     <title value="ProvenanceEntityRole"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116468,7 +116539,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-diagnosisrelatedgroup"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116485,12 +116556,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.588"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleDiagnosisRelatedGroupCodes"></name>
     <title value="Example Diagnosis Related Group Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -116515,7 +116586,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="group-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116532,12 +116603,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.284"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GroupType"></name>
     <title value="GroupType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116565,7 +116636,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="search-entry-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116585,12 +116656,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.622"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SearchEntryMode"></name>
     <title value="SearchEntryMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116618,7 +116689,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116635,12 +116706,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.432"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureReasonCodes"></name>
     <title value="Procedure Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -116677,7 +116748,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="account-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116694,12 +116765,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.726"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AccountStatus"></name>
     <title value="AccountStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116727,7 +116798,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-provision-conditions"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116744,12 +116815,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.514"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceProvisionConditions"></name>
     <title value="ServiceProvisionConditions"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116777,7 +116848,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="currencies"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116797,12 +116868,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1025"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Currencies"></name>
     <title value="CurrencyCode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -116825,7 +116896,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="marital-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116845,12 +116916,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.29"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Marital Status Codes"></name>
     <title value="MaritalStatus"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -116879,7 +116950,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="document-reference-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116896,12 +116967,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.7"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentReferenceStatus"></name>
     <title value="DocumentReferenceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116929,7 +117000,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="usage-context-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116946,12 +117017,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.101"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UsageContextType"></name>
     <title value="UsageContextType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -116979,7 +117050,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -116996,12 +117067,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.809"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionType"></name>
     <title value="ActionType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117029,7 +117100,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="variable-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117046,12 +117117,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1456"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EvidenceVariableRole"></name>
     <title value="EvidenceVariableRole"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117079,7 +117150,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="dataelement-sdcobjectclassproperty"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117090,12 +117161,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.911"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataElementSDCObjectClass"></name>
     <title value="DataElement SDC Object Class"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Office of the National Coordinator for Health IT"></publisher>
     <contact>
      <telecom>
@@ -117125,7 +117196,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="payment-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117142,12 +117213,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.643"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PaymentStatusCodes"></name>
     <title value="Payment Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -117172,7 +117243,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="manifestation-or-symptom"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117189,12 +117260,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.169"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ManifestationAndSymptomCodes"></name>
     <title value="Manifestation and Symptom Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117223,7 +117294,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="nutrition-intake-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117234,12 +117305,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1430"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NutritionIntake Category Codes"></name>
     <title value="Nutrition intake  category  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117263,7 +117334,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117280,12 +117351,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.271"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalLifecycleStatus"></name>
     <title value="GoalLifecycleStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117313,7 +117384,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117330,12 +117401,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.248"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EncounterType"></name>
     <title value="Encounter type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117359,7 +117430,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sibling-relationship-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117370,12 +117441,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.922"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SiblingRelationshipCodes"></name>
     <title value="Sibling Relationship Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117403,7 +117474,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="report-participant-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117420,12 +117491,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.722"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestReportParticipantType"></name>
     <title value="TestReportParticipantType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117453,7 +117524,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="graph-compartment-rule"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117470,12 +117541,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.280"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GraphCompartmentRule"></name>
     <title value="GraphCompartmentRule"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117503,7 +117574,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-evaluation-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117520,12 +117591,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.299"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationEvaluationStatusCodes"></name>
     <title value="Immunization Evaluation Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117554,7 +117625,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="request-resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117571,12 +117642,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1058"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RequestResourceType"></name>
     <title value="RequestResourceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117604,7 +117675,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="list-empty-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117615,12 +117686,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.322"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ListEmptyReasons"></name>
     <title value="List Empty Reasons"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -117644,7 +117715,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-slicing-rules"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117657,19 +117728,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/resource-slicing-rules"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.83"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SlicingRules"></name>
     <title value="SlicingRules"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117697,7 +117768,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="clinicalimpression-prognosis"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117714,12 +117785,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.160"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClinicalImpressionPrognosis"></name>
     <title value="Clinical Impression Prognosis"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117748,7 +117819,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reference-version-rules"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117761,19 +117832,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/reference-version-rules"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.89"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ReferenceVersionRules"></name>
     <title value="ReferenceVersionRules"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -117801,7 +117872,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="program"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117818,12 +117889,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1383"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Program"></name>
     <title value="Program"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -117847,7 +117918,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-target-disease"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -117864,12 +117935,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1047"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationTargetDiseaseCodes"></name>
     <title value="Immunization Target Disease Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -118022,7 +118093,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-population"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118039,12 +118110,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.765"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasurePopulationType"></name>
     <title value="MeasurePopulationType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118072,7 +118143,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="search-xpath-usage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118089,12 +118160,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.635"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="XPathUsageType"></name>
     <title value="XPathUsageType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118122,7 +118193,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="episode-of-care-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118139,12 +118210,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.664"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EpisodeOfCareStatus"></name>
     <title value="EpisodeOfCareStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118172,7 +118243,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="invoice-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118189,12 +118260,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.866"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InvoiceStatus"></name>
     <title value="InvoiceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118222,7 +118293,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-failure-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118233,7 +118304,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.890"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="failure-action"></name>
     <title value="Failure-action"></title>
     <status value="draft"></status>
@@ -118266,7 +118337,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="request-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118283,12 +118354,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.111"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RequestStatus"></name>
     <title value="RequestStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118316,7 +118387,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="catalogentry-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118333,12 +118404,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1449"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CatalogEntryStatus"></name>
     <title value="CatalogEntryStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118366,7 +118437,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-decision-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118383,12 +118454,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1291"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceDecisionModeCodes"></name>
     <title value="Contract Resource Decision Mode codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -118413,7 +118484,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="coverage-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118424,12 +118495,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.520"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageTypeAndSelf-PayCodes"></name>
     <title value="Coverage Type and Self-Pay Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -118456,7 +118527,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-transform"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118473,12 +118544,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.681"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapTransform"></name>
     <title value="StructureMapTransform"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118506,7 +118577,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-subject-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118523,12 +118594,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1419"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EncounterSubjectStatus"></name>
     <title value="Encounter subject status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -118552,7 +118623,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supplement-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118569,12 +118640,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.390"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplementTypeCodes"></name>
     <title value="Supplement Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -118779,7 +118850,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="relatedperson-relationshiptype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118790,12 +118861,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.449"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PatientRelationshipType"></name>
     <title value="Patient relationship type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -118826,7 +118897,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reason-medication-not-given-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118843,12 +118914,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.342"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTReasonMedicationNotGivenCodes"></name>
     <title value="SNOMED CT Reason Medication Not Given Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -118886,7 +118957,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118903,12 +118974,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.427"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureCodes(SNOMEDCT)"></name>
     <title value="Procedure Codes (SNOMED CT)"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -118937,7 +119008,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="request-intent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -118954,12 +119025,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.113"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RequestIntent"></name>
     <title value="RequestIntent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -118987,7 +119058,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119004,12 +119075,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.751"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentCategoryCodes"></name>
     <title value="Consent Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project (CBCC)"></publisher>
     <contact>
      <telecom>
@@ -119056,7 +119127,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="referencerange-appliesto"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119073,12 +119144,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.407"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationReferenceRangeAppliesToCodes"></name>
     <title value="Observation Reference Range Applies To Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -119114,7 +119185,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-definition-subtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119131,12 +119202,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1212"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceDefinitionSubtypeCodes"></name>
     <title value="Contract Resource Definition Subtype codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -119161,7 +119232,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="versioning-policy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119181,12 +119252,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.190"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResourceVersionPolicy"></name>
     <title value="ResourceVersionPolicy"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -119214,7 +119285,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119231,12 +119302,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.729"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractTypeCodes"></name>
     <title value="Contract Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -119261,7 +119332,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-origin"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119278,12 +119349,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.296"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationOriginCodes"></name>
     <title value="Immunization Origin Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -119323,7 +119394,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="list-example-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119340,12 +119411,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.316"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleUseCodesForList"></name>
     <title value="Example Use Codes for List"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -119369,7 +119440,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationdispense-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119386,12 +119457,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1312"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationDispense Status Codes"></name>
     <title value="Medication dispense  status  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -119415,7 +119486,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="strand-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119432,12 +119503,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.985"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="strandType"></name>
     <title value="strandType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -119465,7 +119536,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="definition-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119485,12 +119556,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1190"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DefinitionUseCodes"></name>
     <title value="Structure Definition Use Codes / Keywords"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -119514,7 +119585,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119525,12 +119596,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.928"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireCategoryCodes"></name>
     <title value="Questionnaire Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -119574,7 +119645,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="namingsystem-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119591,12 +119662,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.490"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NamingSystemType"></name>
     <title value="NamingSystemType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -119624,7 +119695,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="assert-response-code-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119641,12 +119712,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.710"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AssertionResponseTypes"></name>
     <title value="AssertionResponseTypes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -119674,7 +119745,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-paymenttype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119691,12 +119762,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.616"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExamplePaymentTypeCodes"></name>
     <title value="Example Payment Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -119721,7 +119792,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-methods"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119738,12 +119809,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.395"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationMethods"></name>
     <title value="Observation Methods"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -119788,7 +119859,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="guidance-response-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119805,12 +119876,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.817"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GuidanceResponseStatus"></name>
     <title value="GuidanceResponseStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -119838,7 +119909,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="smart-capabilities"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119849,12 +119920,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1018"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SmartCapabilities"></name>
     <title value="SmartCapabilities"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -119882,7 +119953,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="all-languages"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119902,12 +119973,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.21"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllLanguages"></name>
     <title value="All Languages"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -119930,7 +120001,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="use-context"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -119947,12 +120018,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.28"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Context of Use ValueSet"></name>
     <title value="ConformanceUseContext"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120024,7 +120095,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120035,12 +120106,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.277"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalStatusReason"></name>
     <title value="Goal status reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -120064,7 +120135,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-content-class"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120081,12 +120152,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.747"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentContentClass"></name>
     <title value="Consent Content Class"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="CBCC"></publisher>
     <contact>
      <telecom>
@@ -120126,7 +120197,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="body-site"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120143,12 +120214,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.141"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTBodyStructures"></name>
     <title value="SNOMED CT Body Structures"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120177,7 +120248,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-clinical"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120194,12 +120265,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.164"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionClinicalStatusCodes"></name>
     <title value="Condition Clinical Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120223,7 +120294,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="bodystructure-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120240,12 +120311,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.142"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTMorphologicAbnormalities"></name>
     <title value="SNOMED CT Morphologic Abnormalities"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120274,7 +120345,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sequence-referenceSeq"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120291,12 +120362,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.221"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ENSEMBL"></name>
     <title value="E n s e m b l"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120323,7 +120394,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120334,12 +120405,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.836"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Outcome"></name>
     <title value="AdverseEvent Outcome"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120380,7 +120451,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ex-benefitcategory"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120397,12 +120468,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1174"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BenefitCategoryCodes"></name>
     <title value="Benefit Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -120427,7 +120498,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-stage"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120444,12 +120515,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.170"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionStage"></name>
     <title value="Condition Stage"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -120478,7 +120549,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="formatcodes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120489,12 +120560,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:1.3.6.1.4.1.19376.1.2.7.1"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentReferenceFormatCodeSet"></name>
     <title value="DocumentReference Format Code Set"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="IHE"></publisher>
     <contact>
      <telecom>
@@ -120522,7 +120593,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120539,12 +120610,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.835"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Type"></name>
     <title value="AdverseEvent Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120579,7 +120650,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="duration-units"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120599,12 +120670,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.61"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommonUCUMCodesForDuration"></name>
     <title value="Common UCUM Codes for Duration"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120660,7 +120731,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationrequest-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120677,12 +120748,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1320"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationrequest Status"></name>
     <title value="Medicationrequest  status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -120706,7 +120777,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-improvement-notation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120723,12 +120794,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1236"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureImprovementNotation"></name>
     <title value="MeasureImprovementNotation"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -120756,7 +120827,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-aggregation-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120769,19 +120840,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/resource-aggregation-mode"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.85"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AggregationMode"></name>
     <title value="AggregationMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -120809,7 +120880,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="animal-breeds"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -120820,12 +120891,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.422"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AnimalBreeds"></name>
     <title value="Animal breeds"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -130329,7 +130400,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="handling-condition"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130346,12 +130417,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.854"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HandlingConditionSet"></name>
     <title value="HandlingConditionSet"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130379,7 +130450,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-component-property"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130390,12 +130461,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.634"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceDefinitionPropertyCode"></name>
     <title value="DeviceDefinitionPropertyCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130492,7 +130563,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="standards-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130503,12 +130574,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1365"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StandardsStatus"></name>
     <title value="StandardsStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130536,7 +130607,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="signature-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130547,12 +130618,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.63"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SignatureTypeCodes"></name>
     <title value="Signature Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 FHIR"></publisher>
     <contact>
      <telecom>
@@ -130583,7 +130654,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="coverageeligibilityresponse-ex-auth-support"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130600,12 +130671,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1393"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageEligibilityResponseAuthSupportCodes"></name>
     <title value="CoverageEligibilityResponse Auth Support Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -130630,7 +130701,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ucum-bodyweight"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -130644,12 +130715,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.956"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BodyWeightUnits"></name>
     <title value="Body Weight Units"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -130686,7 +130757,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-admit-source"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130697,12 +130768,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.257"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdmitSource"></name>
     <title value="Admit source"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -130726,7 +130797,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="issue-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130746,12 +130817,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.410"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="IssueType"></name>
     <title value="IssueType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130779,7 +130850,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="address-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130799,12 +130870,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.69"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AddressType"></name>
     <title value="AddressType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130832,7 +130903,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="link-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130852,12 +130923,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.423"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LinkType"></name>
     <title value="LinkType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130885,7 +130956,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="probability-distribution-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -130896,12 +130967,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.907"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProbabilityDistributionType"></name>
     <title value="ProbabilityDistributionType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -130991,7 +131062,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-uscls"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131008,12 +131079,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.542"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="USCLSCodes"></name>
     <title value="USCLS Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -131038,7 +131109,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="concept-subsumption-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131049,12 +131120,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1238"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConceptSubsumptionOutcome"></name>
     <title value="ConceptSubsumptionOutcome"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131082,7 +131153,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="administrative-gender"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131102,12 +131173,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdministrativeGender"></name>
     <title value="AdministrativeGender"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131135,7 +131206,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="graph-compartment-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131152,12 +131223,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.282"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GraphCompartmentUse"></name>
     <title value="GraphCompartmentUse"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131185,7 +131256,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="expansion-parameter-source"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131196,12 +131267,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1278"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExpansionParameterSource"></name>
     <title value="ExpansionParameterSource"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131229,7 +131300,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="http-operations"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131246,12 +131317,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.716"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestScriptRequestMethodCode"></name>
     <title value="TestScriptRequestMethodCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131279,7 +131350,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provenance-history-record-activity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/provenance-history-record-activity"></profile>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -131291,12 +131362,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.926"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProvenanceHistoryRecordActivityCodes"></name>
     <title value="Provenance History Record Activity Codes"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131374,7 +131445,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="directness"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131391,12 +131462,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1458"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EvidenceDirectness"></name>
     <title value="EvidenceDirectness"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131424,7 +131495,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="eligibilityrequest-purpose"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131441,12 +131512,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1182"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EligibilityRequestPurpose"></name>
     <title value="EligibilityRequestPurpose"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131474,7 +131545,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-place"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131491,12 +131562,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.564"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleServicePlaceCodes"></name>
     <title value="Example Service Place Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -131521,7 +131592,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationrequest-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131538,12 +131609,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1324"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationRequest Status Reason Codes"></name>
     <title value="Medication request  status  reason  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -131567,7 +131638,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="message-transport"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131587,12 +131658,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.184"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MessageTransport"></name>
     <title value="MessageTransport"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131620,7 +131691,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="list-item-flag"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131637,12 +131708,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.320"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PatientMedicineChangeTypes"></name>
     <title value="Patient Medicine Change Types"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="National E-Health Transition Authority Ltd (NEHTA)"></publisher>
     <contact>
      <telecom>
@@ -131667,7 +131738,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-subtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131684,12 +131755,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.566"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleClaimSubTypeCodes"></name>
     <title value="Example Claim SubType Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -131714,7 +131785,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supplydelivery-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131731,12 +131802,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.702"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyItemType"></name>
     <title value="Supply Item Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -131760,7 +131831,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="concept-map-relationship"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131777,12 +131848,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1408"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConceptMapRelationship"></name>
     <title value="ConceptMapRelationship"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131810,7 +131881,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="slotstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131827,12 +131898,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.482"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SlotStatus"></name>
     <title value="SlotStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131860,7 +131931,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-ver-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131877,12 +131948,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.166"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionVerificationStatus"></name>
     <title value="ConditionVerificationStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -131910,7 +131981,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-recommendation-target-disease"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131927,12 +131998,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.309"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationRecommendationTargetDiseaseCodes"></name>
     <title value="Immunization Recommendation Target Disease Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -131983,7 +132054,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="cdshooks-indicator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -131994,12 +132065,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1065"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Indicator"></name>
     <title value="CDSHooksIndicator"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -132023,7 +132094,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="system-restful-interaction"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132043,12 +132114,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.181"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SystemRestfulInteraction"></name>
     <title value="SystemRestfulInteraction"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132087,7 +132158,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-seriousness"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132104,12 +132175,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.838"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventSeriousness"></name>
     <title value="AdverseEventSeriousness"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132137,7 +132208,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-container-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132154,12 +132225,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.470"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenContainerType"></name>
     <title value="Specimen Container Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -132188,7 +132259,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provenance-history-agent-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/provenance-history-agent-role"></profile>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -132200,12 +132271,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.927"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProvenanceEventHistoryAgentRoleCodes"></name>
     <title value="Provenance Event History Agent Role Codes"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132244,7 +132315,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="claim-modifiers"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132261,12 +132332,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.536"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ModifierTypeCodes"></name>
     <title value="Modifier type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -132291,7 +132362,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="diet-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132308,12 +132379,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.385"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DietCodes"></name>
     <title value="Diet Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -132342,7 +132413,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="substance-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132359,12 +132430,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.476"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubstanceCategoryCodes"></name>
     <title value="Substance Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Orders and Observations Workgroup"></publisher>
     <contact>
      <telecom>
@@ -132388,7 +132459,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contributor-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132405,12 +132476,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.93"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContributorType"></name>
     <title value="ContributorType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132438,7 +132509,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaireresponse-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132449,12 +132520,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1290"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireResponseMode"></name>
     <title value="Questionnaire Response Mode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -132486,7 +132557,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="discriminator-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132499,19 +132570,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/discriminator-type"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.91"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiscriminatorType"></name>
     <title value="DiscriminatorType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132539,7 +132610,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-admin-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132556,12 +132627,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.340"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationAdministration Status Codes"></name>
     <title value="Medication administration  status  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -132585,7 +132656,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="implantStatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132596,12 +132667,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1282"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Implant Status"></name>
     <title value="Implant Status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132629,7 +132700,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationdispense-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132640,12 +132711,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1314"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationDispense Category Codes"></name>
     <title value="Medication dispense  category  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -132669,7 +132740,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-error"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132686,12 +132757,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1437"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionErrorCodes"></name>
     <title value="Subscription Error Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132719,7 +132790,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="flag-priority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132730,12 +132801,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.950"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FlagPriorityCodes"></name>
     <title value="Flag Priority Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -132759,7 +132830,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-legalstate"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132776,12 +132847,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1206"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceLegalStateCodes"></name>
     <title value="Contract Resource Legal State codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -132806,7 +132877,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="parameter-group"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132817,12 +132888,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.632"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceDefinitionParameterGroup"></name>
     <title value="DeviceDefinitionParameterGroup"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132850,7 +132921,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="fm-conditions"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132861,12 +132932,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.556"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FMConditionCodes"></name>
     <title value="FM Condition Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -132891,7 +132962,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-evaluation-dose-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132908,12 +132979,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.303"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationEvaluationDoseStatusReasonCodes"></name>
     <title value="Immunization Evaluation Dose Status Reason codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -132937,7 +133008,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="note-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -132954,12 +133025,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.15"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NoteType"></name>
     <title value="NoteType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -132987,7 +133058,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="event-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133004,12 +133075,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.109"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EventStatus"></name>
     <title value="EventStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -133037,7 +133108,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="practitioner-specialty"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133048,12 +133119,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.441"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PractitionerSpecialty"></name>
     <title value="Practitioner specialty"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -133077,7 +133148,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-source-list-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133094,12 +133165,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.683"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapSourceListMode"></name>
     <title value="StructureMapSourceListMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -133127,7 +133198,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-content-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133144,12 +133215,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.748"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentContentCodes"></name>
     <title value="Consent Content Codes"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="CBCC"></publisher>
     <contact>
      <telecom>
@@ -133173,7 +133244,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="flag-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133190,12 +133261,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.124"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FlagCode"></name>
     <title value="Flag Code"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -133224,7 +133295,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationdispense-performer-function"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133241,12 +133312,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1318"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationDispense Performer Function Codes"></name>
     <title value="Medication dispense  performer  function  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -133270,7 +133341,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-expiration-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133287,12 +133358,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1214"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceExpirationTypeCodes"></name>
     <title value="Contract Resource Expiration Type codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -133317,7 +133388,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supplyrequest-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133334,12 +133405,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.693"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyType"></name>
     <title value="Supply Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -133363,7 +133434,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="security-role-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -133383,7 +133454,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.978"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SecurityRoleType"></name>
     <title value="SecurityRoleType"></title>
     <status value="draft"></status>
@@ -133631,7 +133702,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provider-taxonomy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133642,12 +133713,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.51"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Provider Taxonomy Codes"></name>
     <title value="ProviderTaxonomy"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -133671,7 +133742,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="benefit-network"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133688,12 +133759,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.608"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NetworkTypeCodes"></name>
     <title value="Network Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -133718,7 +133789,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="enteral-route"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133735,12 +133806,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.394"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EnteralRouteCodes"></name>
     <title value="Enteral Route Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -133790,7 +133861,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-statement-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133807,12 +133878,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.214"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceUseStatementStatus"></name>
     <title value="DeviceUseStatementStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -133840,7 +133911,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-signer-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -133854,12 +133925,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.737"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractSignerTypeCodes"></name>
     <title value="Contract Signer Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -133888,7 +133959,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-predecessor"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133899,12 +133970,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.966"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionPredecessorCodes"></name>
     <title value="Condition Predecessor Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -133928,7 +133999,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="repository-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133945,12 +134016,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.230"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="repositoryType"></name>
     <title value="repositoryType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -133978,7 +134049,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -133995,12 +134066,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.376"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Medication Status Codes"></name>
     <title value="Medication  status  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -134024,7 +134095,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-term-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134041,12 +134112,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.733"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractTermTypeCodes"></name>
     <title value="Contract Term Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -134071,7 +134142,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="common-tags"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134088,12 +134159,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.79"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommonTags"></name>
     <title value="Common Tags"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -134117,7 +134188,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="constraint-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134130,19 +134201,19 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueCode value="4.0.0"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="2"></valueInteger>
+     <valueInteger value="5"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/constraint-severity"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.81"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConstraintSeverity"></name>
     <title value="ConstraintSeverity"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134170,7 +134241,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="supplydelivery-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134187,12 +134258,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.700"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SupplyDeliveryStatus"></name>
     <title value="SupplyDeliveryStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134220,7 +134291,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-evaluation-target-disease"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134237,12 +134308,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.300"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationEvaluationTargetDiseaseCodes"></name>
     <title value="Immunization Evaluation Target Disease Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -134293,7 +134364,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="location-physical-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134310,12 +134381,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.328"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LocationType"></name>
     <title value="Location type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -134339,7 +134410,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="activity-definition-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134350,12 +134421,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.792"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActivityDefinitionCategory"></name>
     <title value="ActivityDefinitionCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134383,7 +134454,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="account-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134400,12 +134471,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.728"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AccountTypes"></name>
     <title value="Account Types"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -134433,7 +134504,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allergyintolerance-verification"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134450,12 +134521,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1370"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceVerificationStatus"></name>
     <title value="AllergyIntolerance Verification Status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -134479,7 +134550,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-grouping-behavior"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134496,12 +134567,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.799"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionGroupingBehavior"></name>
     <title value="ActionGroupingBehavior"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134529,7 +134600,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="composition-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134546,12 +134617,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.241"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CompositionStatus"></name>
     <title value="CompositionStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134579,7 +134650,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134590,12 +134661,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.425"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureDeviceActionCodes"></name>
     <title value="Procedure Device Action Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -134625,7 +134696,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-causality-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134642,12 +134713,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.842"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventCausalityMethod"></name>
     <title value="AdverseEventCausalityMethod"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134675,7 +134746,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-state-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134692,12 +134763,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.755"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentState"></name>
     <title value="ConsentState"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134725,7 +134796,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134736,12 +134807,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.844"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventSeverity"></name>
     <title value="AdverseEventSeverity"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -134769,7 +134840,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="bodystructure-relative-location"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134786,12 +134857,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.140"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BodystructureLocationQualifier"></name>
     <title value="Bodystructure Location Qualifier"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Order and Observation Workgroup"></publisher>
     <contact>
      <telecom>
@@ -134863,7 +134934,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-validation-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134874,7 +134945,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.886"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="validation-type"></name>
     <title value="Validation-type"></title>
     <status value="draft"></status>
@@ -134907,7 +134978,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-policy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134924,12 +134995,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1014"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentPolicyRuleCodes"></name>
     <title value="Consent PolicyRule Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project (CBCC)"></publisher>
     <contact>
      <telecom>
@@ -134953,7 +135024,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="item-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -134970,12 +135041,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.444"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireItemType"></name>
     <title value="QuestionnaireItemType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135003,7 +135074,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="extension-context-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135023,12 +135094,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1012"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExtensionContextType"></name>
     <title value="ExtensionContextType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135056,7 +135127,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135073,12 +135144,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.430"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureCategoryCodes(SNOMEDCT)"></name>
     <title value="Procedure Category Codes (SNOMED CT)"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -135123,7 +135194,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-required-behavior"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135140,12 +135211,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.803"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionRequiredBehavior"></name>
     <title value="ActionRequiredBehavior"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135173,7 +135244,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-answers"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135190,12 +135261,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.446"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireAnswerCodes"></name>
     <title value="Questionnaire Answer Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -135219,7 +135290,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-event-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135236,12 +135307,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventSeverity"></name>
     <title value="AuditEventSeverity"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135269,7 +135340,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="metric-calibration-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135286,12 +135357,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.650"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetricCalibrationType"></name>
     <title value="DeviceMetricCalibrationType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135319,7 +135390,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="structure-definition-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135339,12 +135410,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.668"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureDefinitionKind"></name>
     <title value="StructureDefinitionKind"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135372,7 +135443,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-actorrole"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135389,12 +135460,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.741"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractActorRoleCodes"></name>
     <title value="Contract Actor Role Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="CBCC"></publisher>
     <contact>
      <telecom>
@@ -135419,7 +135490,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135439,12 +135510,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.400"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationStatus"></name>
     <title value="ObservationStatus"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135472,7 +135543,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="testscript-profile-origin-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135489,12 +135560,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.712"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestScriptProfileOriginType"></name>
     <title value="Test script profile origin type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -135518,7 +135589,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="type-derivation-rule"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135538,12 +135609,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.673"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TypeDerivationRule"></name>
     <title value="TypeDerivationRule"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135571,7 +135642,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="dicm-405-mediatype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135588,7 +135659,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:1.2.840.10008.6.​1.​908"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MediaTypeCode"></name>
     <title value="Media Type Code"></title>
     <status value="active"></status>
@@ -135651,7 +135722,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-site"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135668,12 +135739,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.288"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CodesForImmunizationSiteOfAdministration"></name>
     <title value="Codes for Immunization Site of Administration"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -135704,7 +135775,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="dbsnp"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135715,12 +135786,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.6.284"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DBSNP"></name>
     <title value="D b s n p"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -135743,7 +135814,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-vitalsignresult"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135754,12 +135825,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.3.88.12.80.62"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VitalSigns"></name>
     <title value="Vital Signs"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR project team"></publisher>
     <contact>
      <telecom>
@@ -135822,7 +135893,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="animal-genderstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135833,12 +135904,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.418"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GenderStatus"></name>
     <title value="Gender status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -135862,7 +135933,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="catalogType"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135873,12 +135944,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.968"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CatalogType"></name>
     <title value="CatalogType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135906,7 +135977,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-achievement"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135917,12 +135988,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1374"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalAchievementStatus"></name>
     <title value="Goal achievement status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -135946,7 +136017,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-tag"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -135957,12 +136028,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.504"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionTag"></name>
     <title value="SubscriptionTag"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -135990,7 +136061,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="resource-type-link"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136001,12 +136072,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.614"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PayeeResourceType"></name>
     <title value="PayeeResourceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136034,7 +136105,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-actionstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136051,12 +136122,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1303"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceActionStatusCodes"></name>
     <title value="Contract Resource Action Status codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -136081,7 +136152,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="task-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136098,12 +136169,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1396"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TaskCode"></name>
     <title value="Task Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -136128,7 +136199,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="diagnosis-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136139,12 +136210,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.49"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiagnosisRole"></name>
     <title value="DiagnosisRole"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -136168,7 +136239,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationdispense-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136185,12 +136256,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1316"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationDispense Status Reason Codes"></name>
     <title value="Medication dispense  status  reason  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -136214,7 +136285,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="history-absent-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136231,12 +136302,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.269"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FamilyHistoryAbsentReason"></name>
     <title value="FamilyHistoryAbsentReason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136264,7 +136335,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="timezones"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136275,12 +136346,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1036"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="IANATimezones"></name>
     <title value="I a n a timezones"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -136303,7 +136374,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="feeding-device"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136314,12 +136385,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.961"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FeedingDeviceCodes"></name>
     <title value="Feeding Device Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -136352,7 +136423,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="forms"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136369,12 +136440,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.37"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Form Codes"></name>
     <title value="Forms"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -136399,7 +136470,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-function"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -136419,12 +136490,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.995"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationFunctionCodes"></name>
     <title value="Immunization Function Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -136453,7 +136524,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="attribute-estimate-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136470,12 +136541,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1412"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticAttributeEstimateType"></name>
     <title value="StatisticAttributeEstimateType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136503,7 +136574,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-interpretation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136523,12 +136594,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.399"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationInterpretationCodes"></name>
     <title value="Observation Interpretation Codes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -136555,7 +136626,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="coverage-financial-exception"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136572,12 +136643,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1328"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleCoverageFinancialExceptionCodes"></name>
     <title value="Example Coverage Financial Exception Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -136602,7 +136673,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="performer-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136619,12 +136690,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.433"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedurePerformerRoleCodes"></name>
     <title value="Procedure Performer Role Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -136653,7 +136724,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-enable-operator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136670,12 +136741,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1005"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="QuestionnaireItemOperator"></name>
     <title value="QuestionnaireItemOperator"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136703,7 +136774,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="task-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136720,12 +136791,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.790"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TaskStatus"></name>
     <title value="TaskStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136753,7 +136824,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="quality-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136770,12 +136841,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.228"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="qualityType"></name>
     <title value="qualityType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136803,7 +136874,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="identifier-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-warning">
@@ -136826,12 +136897,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.45"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Identifier Type Codes"></name>
     <title value="IdentifierType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -136908,7 +136979,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="texture-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -136925,12 +136996,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.387"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TextureModifierCodes"></name>
     <title value="Texture Modifier Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -137011,7 +137082,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-precheck-behavior"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137028,12 +137099,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.805"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionPrecheckBehavior"></name>
     <title value="ActionPrecheckBehavior"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137061,7 +137132,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137078,12 +137149,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.753"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentActionCodes"></name>
     <title value="Consent Action Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="CBCC"></publisher>
     <contact>
      <telecom>
@@ -137108,7 +137179,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="relationship"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137119,12 +137190,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.35"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Beneficiary Relationship Codes"></name>
     <title value="Relationship"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -137149,7 +137220,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sequence-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137166,12 +137237,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.219"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="sequenceType"></name>
     <title value="sequenceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137199,7 +137270,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-not-performed-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137216,12 +137287,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.431"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureNotPerformedReason(SNOMED-CT)"></name>
     <title value="Procedure Not Performed Reason (SNOMED-CT)"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Health Level Seven, Inc. - CQI WG"></publisher>
     <contact>
      <telecom>
@@ -137306,7 +137377,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-source-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137323,7 +137394,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.466"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventSourceType"></name>
     <title value="Audit Event Source Type"></title>
     <status value="active"></status>
@@ -137356,7 +137427,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="conditional-delete-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137376,12 +137447,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.194"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionalDeleteStatus"></name>
     <title value="ConditionalDeleteStatus"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137409,7 +137480,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-causality-assess"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137426,12 +137497,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.840"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventCausalityAssessment"></name>
     <title value="AdverseEventCausalityAssessment"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137459,7 +137530,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-primary-source-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137476,7 +137547,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.892"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="primary-source-type"></name>
     <title value="Primary-source-type"></title>
     <status value="draft"></status>
@@ -137509,7 +137580,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="document-relationship-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137526,12 +137597,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.244"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DocumentRelationshipType"></name>
     <title value="DocumentRelationshipType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137559,7 +137630,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-channel-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137576,12 +137647,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.500"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionChannelTypeCodes"></name>
     <title value="SubscriptionChannel Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137609,7 +137680,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137626,12 +137697,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.375"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTMedicationCodes"></name>
     <title value="SNOMED CT Medication Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -137676,7 +137747,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-collection-priority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137687,12 +137758,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.939"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenCollectionPriority"></name>
     <title value="Specimen collection priority"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -137744,7 +137815,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="concept-property-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137764,12 +137835,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.780"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PropertyType"></name>
     <title value="PropertyType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137797,7 +137868,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="operation-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137814,12 +137885,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.412"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OperationOutcomeCodes"></name>
     <title value="Operation Outcome Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137847,7 +137918,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allergy-intolerance-criticality"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137864,12 +137935,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.129"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceCriticality"></name>
     <title value="AllergyIntoleranceCriticality"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137897,7 +137968,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="type-restful-interaction"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137917,12 +137988,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.180"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TypeRestfulInteraction"></name>
     <title value="TypeRestfulInteraction"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -137976,7 +138047,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -137993,12 +138064,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.290"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationReasonCodes"></name>
     <title value="Immunization Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138028,7 +138099,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="clinical-findings"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138045,12 +138116,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.232"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTClinicalFindings"></name>
     <title value="SNOMED CT Clinical Findings"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138079,7 +138150,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-subpotent-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138096,12 +138167,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.993"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationSubpotentReason"></name>
     <title value="Immunization Subpotent Reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138125,7 +138196,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="organization-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138142,12 +138213,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.414"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OrganizationType"></name>
     <title value="Organization type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138171,7 +138242,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-precondition-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138188,12 +138259,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1439"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionPreconditionType"></name>
     <title value="ConditionPreconditionType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138221,7 +138292,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="defined-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138244,12 +138315,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.24"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRDefinedType"></name>
     <title value="FHIRDefinedType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138279,7 +138350,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reference-handling-policy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138299,12 +138370,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.202"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ReferenceHandlingPolicy"></name>
     <title value="ReferenceHandlingPolicy"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138332,7 +138403,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationrequest-course-of-therapy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138349,12 +138420,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1326"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationRequest Course of Therapy Codes"></name>
     <title value="Medication request  course of  therapy  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138378,7 +138449,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="report-action-result-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138395,12 +138466,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.720"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestReportActionResult"></name>
     <title value="TestReportActionResult"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138428,7 +138499,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-plan-activity-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138445,12 +138516,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1416"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlanActivityStatusReason"></name>
     <title value="Care Plan Activity Status Reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -138476,7 +138547,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-contained-preference"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138493,12 +138564,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.852"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenContainedPreference"></name>
     <title value="SpecimenContainedPreference"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138526,7 +138597,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="coverage-selfpay"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138537,12 +138608,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.525"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageSelfPayCodes"></name>
     <title value="Coverage SelfPay Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -138567,7 +138638,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="action-participant-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T11:02:45.608-07:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T00:45:11.521-07:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138584,7 +138655,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.796"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ActionParticipantRole"></name>
     <title value="Action participant role"></title>
     <status value="draft"></status>
@@ -138617,7 +138688,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="jurisdiction"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138637,12 +138708,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.48"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Jurisdiction ValueSet"></name>
     <title value="Jurisdiction"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138678,7 +138749,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-route"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138695,12 +138766,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.289"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationRouteCodes"></name>
     <title value="Immunization Route Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -138751,7 +138822,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="metric-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138768,12 +138839,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.648"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetricCategory"></name>
     <title value="DeviceMetricCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138801,7 +138872,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-study-objective-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138812,12 +138883,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.823"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchStudyObjectiveType"></name>
     <title value="ResearchStudyObjectiveType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138845,7 +138916,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="binding-strength"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138865,12 +138936,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.43"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BindingStrength"></name>
     <title value="BindingStrength"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138898,7 +138969,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="guide-parameter-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138909,12 +138980,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.996"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GuideParameterCode"></name>
     <title value="GuideParameterCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138942,7 +139013,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="search-modifier-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -138959,12 +139030,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.639"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SearchModifierCode"></name>
     <title value="SearchModifierCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -138992,7 +139063,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-status-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139009,12 +139080,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1081"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRDeviceStatusReason"></name>
     <title value="FHIRDeviceStatusReason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139042,7 +139113,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="question-max-occurs"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139053,12 +139124,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.929"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MaxOccurs"></name>
     <title value="MaxOccurs"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139086,7 +139157,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="operation-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139106,12 +139177,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.506"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="OperationKind"></name>
     <title value="OperationKind"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139139,7 +139210,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-assetsubtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139156,12 +139227,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1301"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceAssetSub-TypeCodes"></name>
     <title value="Contract Resource Asset Sub-Type codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -139186,7 +139257,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="secondary-finding"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139197,12 +139268,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1285"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObservationCategoryCodes"></name>
     <title value="Observation Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -139226,7 +139297,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="fundsreserve"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139243,12 +139314,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.33"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Funds Reservation Codes"></name>
     <title value="FundsReserve"></title>
     <status value="draft"></status>
     <experimental value="true"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -139273,7 +139344,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-party-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139290,12 +139361,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1224"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourcePartyRoleCodes"></name>
     <title value="Contract Resource Party Role codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -139320,7 +139391,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-subject-milestone"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139337,12 +139408,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchSubjectMilestone"></name>
     <title value="ResearchSubjectMilestone"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139370,7 +139441,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="special-values"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139381,12 +139452,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.9"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecialValues"></name>
     <title value="SpecialValues"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139414,7 +139485,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139431,12 +139502,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.396"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LOINCCodes"></name>
     <title value="LOINC Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -139460,7 +139531,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-subject-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139477,12 +139548,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.829"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchSubjectStatus"></name>
     <title value="ResearchSubjectStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139510,7 +139581,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="explanationofbenefit-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139527,12 +139598,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.618"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExplanationOfBenefitStatus"></name>
     <title value="ExplanationOfBenefitStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139560,7 +139631,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="audit-event-sub-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139577,7 +139648,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.464"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AuditEventSub-Type"></name>
     <title value="Audit Event Sub-Type"></title>
     <status value="active"></status>
@@ -139682,7 +139753,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-ingredientstrength"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139699,12 +139770,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1426"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Medication Ingredient Strength Codes"></name>
     <title value="Medication  ingredient  strength  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -139728,7 +139799,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="namingsystem-identifier-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139745,12 +139816,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.492"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NamingSystemIdentifierType"></name>
     <title value="NamingSystemIdentifierType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139778,7 +139849,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-data-meaning"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139789,12 +139860,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.749"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractDataMeaning"></name>
     <title value="ContractDataMeaning"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139822,7 +139893,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-need"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139833,7 +139904,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.882"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="need"></name>
     <title value="Need"></title>
     <status value="draft"></status>
@@ -139866,7 +139937,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allerg-intol-substance-exp-risk"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139877,12 +139948,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.940"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceSubstanceExposureRisk"></name>
     <title value="AllergyIntoleranceSubstanceExposureRisk"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139910,7 +139981,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="questionnaire-enable-behavior"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139927,12 +139998,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1007"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EnableWhenBehavior"></name>
     <title value="EnableWhenBehavior"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -139960,7 +140031,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="state-change-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -139977,12 +140048,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StateChangeReason"></name>
     <title value="StateChangeReason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -140010,7 +140081,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-assettype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140027,12 +140098,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1299"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceAssetTypeCodes"></name>
     <title value="Contract Resource Asset Type codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -140057,7 +140128,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="coverage-copay-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140074,12 +140145,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.527"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CoverageCopayTypeCodes"></name>
     <title value="Coverage Copay Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -140104,7 +140175,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="administration-method-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140121,12 +140192,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.97"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTAdministrationMethodCodes"></name>
     <title value="SNOMED CT Administration Method Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -140155,7 +140226,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="participationstatus"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140172,12 +140243,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.486"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParticipationStatus"></name>
     <title value="ParticipationStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -140205,7 +140276,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-study-reason-stopped"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140222,12 +140293,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.825"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchStudyReasonStopped"></name>
     <title value="ResearchStudyReasonStopped"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -140255,7 +140326,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="conformance-expectation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140266,12 +140337,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.919"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConformanceExpectation"></name>
     <title value="ConformanceExpectation"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -140299,7 +140370,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="languages"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -140316,7 +140387,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.20"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommonLanguages"></name>
     <title value="Common Languages"></title>
     <status value="draft"></status>
@@ -143144,7 +143215,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="missing-tooth-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143161,12 +143232,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.534"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MissingToothReasonCodes"></name>
     <title value="Missing Tooth Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -143191,7 +143262,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="additionalmaterials"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143202,12 +143273,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.529"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdditionalMaterialCodes"></name>
     <title value="Additional Material Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -143232,7 +143303,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationknowledge-package-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143249,12 +143320,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1339"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationKnowledge Package Type Codes"></name>
     <title value="Medication knowledge  package  type  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -143278,7 +143349,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-plan-activity-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143295,12 +143366,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.149"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlanActivityOutcome"></name>
     <title value="Care Plan Activity Outcome"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -143329,7 +143400,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="codesystem-content-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143349,12 +143420,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.782"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CodeSystemContentMode"></name>
     <title value="CodeSystemContentMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -143382,7 +143453,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="cpt-all"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143399,7 +143470,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1451"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="All CPT codes"></name>
     <title value="All CPT codes"></title>
     <status value="active"></status>
@@ -143438,7 +143509,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="benefit-unit"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143455,12 +143526,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.610"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="UnitTypeCodes"></name>
     <title value="Unit Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -143485,7 +143556,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143502,12 +143573,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1376"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceType"></name>
     <title value="Device Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Orders and Observations Workgroup"></publisher>
     <contact>
      <telecom>
@@ -143536,7 +143607,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143553,12 +143624,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.209"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRDeviceStatus"></name>
     <title value="FHIRDeviceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -143586,7 +143657,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="event-capability-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143606,12 +143677,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.182"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EventCapabilityMode"></name>
     <title value="EventCapabilityMode"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -143639,7 +143710,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subject-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T11:02:45.608-07:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T00:45:11.521-07:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143656,7 +143727,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.775"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubjectType"></name>
     <title value="Subject type"></title>
     <status value="draft"></status>
@@ -143703,7 +143774,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="remittance-outcome"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143720,12 +143791,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.13"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ClaimProcessingCodes"></name>
     <title value="Claim Processing Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -143750,7 +143821,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="issue-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143770,12 +143841,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.408"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="IssueSeverity"></name>
     <title value="IssueSeverity"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -143803,7 +143874,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143820,12 +143891,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1444"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventStatus"></name>
     <title value="Adverse Event Status"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -143860,7 +143931,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="doc-typecodes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143871,12 +143942,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.240"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRDocumentTypeCodes"></name>
     <title value="FHIR Document Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7"></publisher>
     <contact>
      <telecom>
@@ -143905,7 +143976,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="metric-calibration-state"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143922,12 +143993,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.652"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DeviceMetricCalibrationState"></name>
     <title value="DeviceMetricCalibrationState"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -143955,7 +144026,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-contributing-factor"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -143972,12 +144043,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Contributing Factor"></name>
     <title value="AdverseEvent Contributing Factor"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -144046,7 +144117,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="data-absent-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144066,12 +144137,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.5"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DataAbsentReason"></name>
     <title value="DataAbsentReason"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144099,7 +144170,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="product-storage-scale"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144116,12 +144187,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.904"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BiologicallyDerivedProductStorageScale"></name>
     <title value="BiologicallyDerivedProductStorageScale"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144149,7 +144220,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="related-artifact-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144166,12 +144237,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.99"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="RelatedArtifactType"></name>
     <title value="RelatedArtifactType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144199,7 +144270,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="research-study-prim-purp-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144216,12 +144287,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.827"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ResearchStudyPrimaryPurposeType"></name>
     <title value="ResearchStudyPrimaryPurposeType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144249,7 +144320,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-mitigating-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144266,12 +144337,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Mitigating Action"></name>
     <title value="AdverseEvent Mitigating Action"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -144324,7 +144395,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-provision-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144341,12 +144412,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.757"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentProvisionType"></name>
     <title value="ConsentProvisionType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144374,7 +144445,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-assetcontext"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144391,12 +144462,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1297"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractResourceAssetContextCodes"></name>
     <title value="Contract Resource Asset Context codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -144421,7 +144492,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="message-significance-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144438,12 +144509,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.188"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MessageSignificanceCategory"></name>
     <title value="MessageSignificanceCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144471,7 +144542,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sort-direction"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144488,12 +144559,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.979"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SortDirection"></name>
     <title value="SortDirection"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144521,7 +144592,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="list-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144538,12 +144609,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.318"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ListMode"></name>
     <title value="ListMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144571,7 +144642,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medication-form-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144588,12 +144659,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.374"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTFormCodes"></name>
     <title value="SNOMED CT Form Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -144622,7 +144693,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="all-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144645,12 +144716,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.25"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRAllTypes"></name>
     <title value="FHIRAllTypes"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -144683,7 +144754,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="practitioner-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144700,12 +144771,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.439"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PractitionerRole"></name>
     <title value="Practitioner role"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -144738,7 +144809,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="flag-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144755,12 +144826,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.122"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FlagCategory"></name>
     <title value="Flag Category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -144784,7 +144855,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="patient-contactrelationship"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144804,12 +144875,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1130"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PatientContactRelationship"></name>
     <title value="Patient Contact Relationship "></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -144837,7 +144908,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="list-order"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144848,12 +144919,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.324"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ListOrderCodes"></name>
     <title value="List Order Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -144877,7 +144948,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="appointment-cancellation-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144894,12 +144965,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1381"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AppointmentCancellationReason"></name>
     <title value="Appointment cancellation reason"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -144923,7 +144994,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="icd-10-procedures"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144940,12 +145011,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.574"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ICD-10ProcedureCodes"></name>
     <title value="ICD-10 Procedure Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -144969,7 +145040,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="study-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -144986,12 +145057,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1349"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticStudyType"></name>
     <title value="StatisticStudyType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145019,7 +145090,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="basic-resource-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145036,12 +145107,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.138"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BasicResourceTypes"></name>
     <title value="Basic Resource Types"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -145065,7 +145136,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="testscript-operation-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145082,12 +145153,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.704"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestScriptOperationCode"></name>
     <title value="Test script operation code"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -145111,7 +145182,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="sequence-quality-standardSequence"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145128,12 +145199,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.222"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FDA-StandardSequence"></name>
     <title value="F d a- standard sequence"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -145157,7 +145228,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="vision-product"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145174,12 +145245,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.658"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleVisionPrescriptionProductCodes"></name>
     <title value="Example Vision Prescription Product Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -145204,7 +145275,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="bodysite-laterality"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145221,12 +145292,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.287"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Laterality"></name>
     <title value="Bodysite Laterality"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Order and Observation Workgroup"></publisher>
     <contact>
      <telecom>
@@ -145262,7 +145333,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reaction-event-severity"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145279,12 +145350,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.135"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceSeverity"></name>
     <title value="AllergyIntoleranceSeverity"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145312,7 +145383,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provider-qualification"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145329,12 +145400,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.570"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExampleProviderQualificationCodes"></name>
     <title value="Example Provider Qualification Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -145358,7 +145429,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="eligibilityresponse-purpose"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145375,12 +145446,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1184"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EligibilityResponsePurpose"></name>
     <title value="EligibilityResponsePurpose"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145408,7 +145479,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="consent-data-meaning"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145425,12 +145496,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.759"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConsentDataMeaning"></name>
     <title value="ConsentDataMeaning"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145458,7 +145529,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="encounter-special-courtesy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145469,12 +145540,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.252"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecialCourtesy"></name>
     <title value="Special courtesy"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -145518,7 +145589,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="vision-eye-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145535,12 +145606,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.660"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="VisionEyes"></name>
     <title value="VisionEyes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145568,7 +145639,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="codesystem-altcode-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145579,12 +145650,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.952"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AlternativeCodeKind"></name>
     <title value="AlternativeCodeKind"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145612,7 +145683,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-plan-activity-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145629,12 +145700,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.146"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlanActivityStatus"></name>
     <title value="CarePlanActivityStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145662,7 +145733,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="linkage-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145679,12 +145750,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.314"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="LinkageType"></name>
     <title value="LinkageType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145712,7 +145783,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="search-param-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145732,12 +145803,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.11"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SearchParamType"></name>
     <title value="SearchParamType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145765,7 +145836,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="product-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145782,12 +145853,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.900"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BiologicallyDerivedProductCategory"></name>
     <title value="BiologicallyDerivedProductCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -145815,7 +145886,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-start-event"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145832,12 +145903,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.279"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalStartEvent"></name>
     <title value="Goal start event"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -145877,7 +145948,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-term-subtype"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145894,12 +145965,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.735"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractTermSubtypeCodes"></name>
     <title value="Contract Term Subtype Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -145924,7 +145995,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="approach-site-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145941,12 +146012,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.346"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTAnatomicalStructureForAdministrationSiteCodes"></name>
     <title value="SNOMED CT Anatomical Structure for Administration Site Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -145975,7 +146046,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-pharmacy"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -145986,12 +146057,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.562"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ExamplePharmacyServiceCodes"></name>
     <title value="Example Pharmacy Service Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -146016,29 +146087,29 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
      <valueCode value="pc"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
-     <valueCode value="trial-use"></valueCode>
+     <valueCode value="draft"></valueCode>
     </extension>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
-     <valueInteger value="0"></valueInteger>
+     <valueInteger value="1"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/adverse-event-category"></url>
     <identifier>
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.833"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEventCategory"></name>
     <title value="AdverseEventCategory"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146066,7 +146137,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contact-point-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146086,12 +146157,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.73"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContactPointUse"></name>
     <title value="ContactPointUse"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146119,7 +146190,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-cause"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146130,12 +146201,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.965"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionCauseCodes"></name>
     <title value="Condition Cause Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -146159,7 +146230,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="history-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146176,12 +146247,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.267"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FamilyHistoryStatus"></name>
     <title value="FamilyHistoryStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146209,7 +146280,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="med-admin-perform-function"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146226,12 +146297,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.349"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MedicationAdministration Performer Function Codes"></name>
     <title value="Medication administration  performer  function  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -146255,7 +146326,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="chargeitem-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146272,12 +146343,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.846"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ChargeItemStatus"></name>
     <title value="ChargeItemStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146305,7 +146376,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="assert-operator-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146322,12 +146393,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.708"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AssertionOperatorType"></name>
     <title value="AssertionOperatorType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146355,7 +146426,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="provenance-agent-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146372,7 +146443,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1003"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProvenanceParticipantType"></name>
     <title value="Provenance participant type"></title>
     <status value="draft"></status>
@@ -146407,7 +146478,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-referral-method"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146424,12 +146495,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.510"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ReferralMethod"></name>
     <title value="ReferralMethod"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146457,7 +146528,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="nutrient-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146474,12 +146545,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.386"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="NutrientModifierCodes"></name>
     <title value="Nutrient Modifier Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -146523,7 +146594,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="match-grade"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146534,12 +146605,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.970"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MatchGrade"></name>
     <title value="MatchGrade"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146567,7 +146638,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="knowledge-resource-types"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146578,12 +146649,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1062"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="KnowledgeResourceType"></name>
     <title value="KnowledgeResourceType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146611,7 +146682,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="icd-10"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146628,12 +146699,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.531"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ICD-10Codes"></name>
     <title value="ICD-10 Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -146657,7 +146728,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="condition-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146674,12 +146745,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.162"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ConditionCategoryCodes"></name>
     <title value="Condition Category Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -146703,7 +146774,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="animal-species"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146714,12 +146785,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.420"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AnimalSpecies"></name>
     <title value="Animal species"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -146784,7 +146855,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adjudication-reason"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146801,12 +146872,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.598"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdjudicationReasonCodes"></name>
     <title value="Adjudication Reason Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -146831,7 +146902,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationrequest-intent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146848,12 +146919,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1321"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationRequest Intent"></name>
     <title value="Medication request  intent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -146877,7 +146948,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-operator"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146894,12 +146965,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1433"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionFilterByMatchType"></name>
     <title value="SubscriptionFilterByMatchType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -146927,7 +146998,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146944,12 +147015,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.275"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalCategory"></name>
     <title value="Goal category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -146973,7 +147044,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="focal-subject"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -146984,12 +147055,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.954"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FocalSubjectCodes"></name>
     <title value="Focal Subject Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Orders and Observations WG"></publisher>
     <contact>
      <telecom>
@@ -147031,7 +147102,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="trigger-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -147048,12 +147119,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.103"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TriggerType"></name>
     <title value="TriggerType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -147081,7 +147152,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="event-timing"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -147101,12 +147172,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.75"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EventTiming"></name>
     <title value="EventTiming"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -147221,7 +147292,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="variant-state"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -147232,12 +147303,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.217"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="sequenceStatus"></name>
     <title value="sequenceStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -147265,7 +147336,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="orientation-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -147282,12 +147353,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.987"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="orientationType"></name>
     <title value="orientationType"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -147315,7 +147386,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="security-labels"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -147335,7 +147406,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.47"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="All Security Labels"></name>
     <title value="SecurityLabels"></title>
     <status value="active"></status>
@@ -147378,7 +147449,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="participation-role-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -147398,7 +147469,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.54"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParticipationRoleType"></name>
     <title value="ParticipationRoleType"></title>
     <status value="draft"></status>
@@ -147646,7 +147717,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="payment-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -147663,12 +147734,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.641"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PaymentTypeCodes"></name>
     <title value="Payment Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -147693,7 +147764,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="endpoint-payload-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/valueset-endpoint-payload-type"></profile>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
@@ -147711,12 +147782,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.496"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EndpointPayloadType"></name>
     <title value="Endpoint Payload Type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Patient Administration"></publisher>
     <contact>
      <telecom>
@@ -148032,7 +148103,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="device-kind"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148049,12 +148120,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.208"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FHIRDeviceTypes"></name>
     <title value="FHIR Device Types"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 Orders and Observations Workgroup"></publisher>
     <contact>
      <telecom>
@@ -148083,7 +148154,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="reason-medication-status-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148100,12 +148171,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.369"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SNOMEDCTDrugTherapyStatusCodes"></name>
     <title value="SNOMED CT Drug Therapy Status codes "></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -148142,7 +148213,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="publication-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148162,12 +148233,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.3"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PublicationStatus"></name>
     <title value="PublicationStatus"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -148195,7 +148266,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="food-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148212,12 +148283,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.384"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="FoodTypeCodes"></name>
     <title value="Food Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -148246,7 +148317,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="care-plan-intent"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148263,12 +148334,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.150"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CarePlanIntent"></name>
     <title value="Care Plan Intent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -148306,7 +148377,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="observation-statistics"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148317,12 +148388,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.405"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StatisticsCode"></name>
     <title value="StatisticsCode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -148350,7 +148421,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="subscription-status-at-event"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148361,12 +148432,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1464"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SubscriptionStatusAtEvent"></name>
     <title value="SubscriptionStatusAtEvent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -148394,7 +148465,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="container-material"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148411,12 +148482,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1400"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContainerMaterials"></name>
     <title value="Types of material for specimen containers"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -148452,7 +148523,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="participant-role"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148469,12 +148540,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.152"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ParticipantRoles"></name>
     <title value="Participant Roles"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -148515,7 +148586,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="immunization-recommendation-date-criterion"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148532,12 +148603,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.308"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ImmunizationRecommendationDateCriterionCodes"></name>
     <title value="Immunization Recommendation Date Criterion Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -148573,7 +148644,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="choice-list-orientation"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148584,12 +148655,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.933"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ChoiceListOrientation"></name>
     <title value="ChoiceListOrientation"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -148617,7 +148688,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="diagnostic-service-sections"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148634,12 +148705,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.234"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DiagnosticServiceSectionCodes"></name>
     <title value="Diagnostic Service Section Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -148662,7 +148733,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="allergyintolerance-code"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148679,12 +148750,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.137"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllergyIntoleranceSubstance/Product,ConditionAndNegationCodes"></name>
     <title value="AllergyIntolerance Substance/Product, Condition and Negation Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -148764,7 +148835,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="procedure-progress-status-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148775,12 +148846,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.946"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ProcedureProgressStatusCodes"></name>
     <title value="Procedure Progress Status Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -148804,7 +148875,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="measure-report-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148821,12 +148892,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.776"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="MeasureReportStatus"></name>
     <title value="MeasureReportStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -148854,7 +148925,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="entformula-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -148871,12 +148942,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.391"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EnteralFormulaTypeCodes"></name>
     <title value="Enteral Formula Type Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR NutritionOrder team"></publisher>
     <contact>
      <telecom>
@@ -149045,7 +149116,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="medicationrequest-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149062,12 +149133,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1322"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="medicationRequest Category Codes"></name>
     <title value="Medication request  category  codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149091,7 +149162,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adjudication"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149108,12 +149179,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.596"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdjudicationValueCodes"></name>
     <title value="Adjudication Value Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149138,7 +149209,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="contract-action"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149155,12 +149226,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.739"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ContractActionCodes"></name>
     <title value="Contract Action Codes"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="Financial Management"></publisher>
     <contact>
      <telecom>
@@ -149185,7 +149256,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="ucum-bodylength"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
@@ -149199,12 +149270,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.958"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="BodyLengthUnits"></name>
     <title value="Body Length Units"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project"></publisher>
     <contact>
      <telecom>
@@ -149238,7 +149309,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="specimen-processing-procedure"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149255,12 +149326,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.469"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="SpecimenProcessingProcedure"></name>
     <title value="Specimen processing procedure"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149283,7 +149354,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="copy-number-event"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149294,12 +149365,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.226"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CopyNumberEvent"></name>
     <title value="CopyNumberEvent"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -149327,7 +149398,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="goal-priority"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149338,12 +149409,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.273"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="GoalPriority"></name>
     <title value="Goal priority"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - Patient Care WG"></publisher>
     <contact>
      <telecom>
@@ -149367,7 +149438,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="endpoint-status"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149384,12 +149455,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.494"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="EndpointStatus"></name>
     <title value="EndpointStatus"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -149417,7 +149488,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="adverse-event-supporting-info"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149434,12 +149505,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.0"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AdverseEvent Supporting Inforation"></name>
     <title value="AdverseEvent Supporting Information"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149508,7 +149579,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="variants"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149519,12 +149590,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.6.282"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HGVS"></name>
     <title value="H g v s"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -149547,7 +149618,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="prepare-patient-prior-specimen-collection"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149564,12 +149635,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1399"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="PreparePatient"></name>
     <title value="Patient preparation prior specimen collection"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149598,7 +149669,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="address-use"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149618,12 +149689,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.67"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AddressUse"></name>
     <title value="AddressUse"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -149651,7 +149722,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="genenames"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149662,12 +149733,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.6.281"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="HGNC"></name>
     <title value="H g n c"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -149690,7 +149761,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="service-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149707,12 +149778,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.518"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ServiceType"></name>
     <title value="Service type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149736,7 +149807,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="map-target-list-mode"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149753,12 +149824,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.685"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="StructureMapTargetListMode"></name>
     <title value="StructureMapTargetListMode"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -149786,7 +149857,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="verificationresult-validation-process"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149803,7 +149874,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.888"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="validation-process"></name>
     <title value="Validation-process"></title>
     <status value="draft"></status>
@@ -149836,7 +149907,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="detectedissue-category"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149847,12 +149918,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.204"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="DetectedIssueCategory"></name>
     <title value="Detected Issue Category"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -149896,7 +149967,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="report-result-codes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149913,12 +149984,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.718"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="TestReportResult"></name>
     <title value="TestReportResult"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -149946,7 +150017,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="mimetypes"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -149966,12 +150037,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.1024"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Mime Types"></name>
     <title value="MimeType"></title>
     <status value="active"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 International - FHIR-Infrastructure"></publisher>
     <contact>
      <telecom>
@@ -149994,7 +150065,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="communication-topic"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -150011,12 +150082,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.983"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="CommunicationTopic"></name>
     <title value="CommunicationTopic"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="HL7 (FHIR Project)"></publisher>
     <contact>
      <telecom>
@@ -150044,7 +150115,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="insuranceplan-type"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
@@ -150061,12 +150132,12 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <system value="urn:ietf:rfc:3986"></system>
      <value value="urn:oid:2.16.840.1.113883.4.642.3.870"></value>
     </identifier>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="InsurancePlanType"></name>
     <title value="Insurance plan type"></title>
     <status value="draft"></status>
     <experimental value="false"></experimental>
-    <date value="2019-11-09T18:02:45+00:00"></date>
+    <date value="2020-01-04T07:45:11+00:00"></date>
     <publisher value="FHIR Project team"></publisher>
     <contact>
      <telecom>
@@ -150090,10 +150161,10 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="all-time-units"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/all-time-units"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllUCUMExpressionForTime"></name>
     <title value="All UCUM Expression for Time"></title>
     <status value="draft"></status>
@@ -150125,10 +150196,10 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="all-distance-units"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/all-distance-units"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="AllUCUMExpressionForDistance"></name>
     <title value="All UCUM Expression for Distance"></title>
     <status value="draft"></status>
@@ -150160,11 +150231,11 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="iso3166-1-N"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/iso3166-1-N"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Iso3166-1-N"></name>
     <title value="Iso 3166 Part 1: Numeric Codes"></title>
     <status value="active"></status>
@@ -150196,10 +150267,10 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="performer-function"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/performer-function"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Performer Function Codes"></name>
     <status value="draft"></status>
     <publisher value="HL7 International - Orders and Observations WG"></publisher>
@@ -150266,11 +150337,11 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="written-language"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/written-language"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Common Languages (Written)"></name>
     <status value="draft"></status>
     <experimental value="true"></experimental>
@@ -151529,11 +151600,11 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="iso3166-1-2"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/iso3166-1-2"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Iso3166-1-2"></name>
     <title value="Iso 3166 Part 1: 2 Letter Codes"></title>
     <status value="active"></status>
@@ -152556,11 +152627,11 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="iso3166-1-3"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
      <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"></profile>
     </meta>
     <url value="http://hl7.org/fhir/ValueSet/iso3166-1-3"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="Iso3166-1-3"></name>
     <title value="Iso 3166 Part 1: 3 Letter Codes"></title>
     <status value="active"></status>
@@ -152592,7 +152663,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
    <ValueSet xmlns="http://hl7.org/fhir">
     <id value="object-lifecycle-events"></id>
     <meta>
-     <lastUpdated value="2019-11-09T18:02:45.608+00:00"></lastUpdated>
+     <lastUpdated value="2020-01-04T07:45:11.521+00:00"></lastUpdated>
     </meta>
     <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
      <valueBoolean value="true"></valueBoolean>
@@ -152607,7 +152678,7 @@ Spelling note: &quot;descendant&quot; is a more correct spelling, but the spelli
      <valueInteger value="3"></valueInteger>
     </extension>
     <url value="http://hl7.org/fhir/ValueSet/object-lifecycle-events"></url>
-    <version value="4.1.0"></version>
+    <version value="4.2.0"></version>
     <name value="ObjectLifecycleEvents"></name>
     <status value="draft"></status>
     <experimental value="false"></experimental>
diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu2016may/hapi/validation/FhirInstanceValidator.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu2016may/hapi/validation/FhirInstanceValidator.java
index f7721f971c2..e583381a5ee 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu2016may/hapi/validation/FhirInstanceValidator.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu2016may/hapi/validation/FhirInstanceValidator.java
@@ -18,11 +18,12 @@ import org.apache.commons.lang3.time.DateUtils;
 import org.fhir.ucum.UcumService;
 import org.hl7.fhir.common.hapi.validation.ValidatorWrapper;
 import org.hl7.fhir.convertors.VersionConvertor_14_50;
-import org.hl7.fhir.dstu2016may.terminologies.ValueSetExpander;
+import org.hl7.fhir.exceptions.DefinitionException;
 import org.hl7.fhir.exceptions.TerminologyServiceException;
 import org.hl7.fhir.r5.context.IWorkerContext;
 import org.hl7.fhir.r5.formats.IParser;
 import org.hl7.fhir.r5.formats.ParserType;
+import org.hl7.fhir.r5.model.CanonicalResource;
 import org.hl7.fhir.r5.utils.INarrativeGenerator;
 import org.hl7.fhir.r5.utils.IResourceValidator;
 import org.hl7.fhir.r5.model.Resource;
@@ -31,6 +32,7 @@ import org.hl7.fhir.exceptions.FHIRException;
 import org.hl7.fhir.utilities.TerminologyServiceOptions;
 import org.hl7.fhir.utilities.TranslationServices;
 import org.hl7.fhir.utilities.validation.ValidationMessage;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
 import org.w3c.dom.*;
 import org.w3c.dom.Element;
 
@@ -326,17 +328,27 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 		}
 
 		@Override
-		public List<org.hl7.fhir.r5.model.MetadataResource> allConformanceResources() {
+		public List<CanonicalResource> allConformanceResources() {
 			throw new UnsupportedOperationException();
 		}
 
+		@Override
+		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition theStructureDefinition) throws DefinitionException, FHIRException {
+			// nothing yet
+		}
+
 		@Override
 		public String getLinkForUrl(String corePath, String url) {
 			throw new UnsupportedOperationException();
 		}
 
 		@Override
-		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition p) throws FHIRException {
+		public Map<String, byte[]> getBinaries() {
+			throw new UnsupportedOperationException();
+		}
+
+		@Override
+		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition p, boolean theb) throws FHIRException {
 			// nothing yet
 		}
 
@@ -469,7 +481,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions options, String system, String code, String display) {
+		public ValidationResult validateCode(ValidationOptions options, String system, String code, String display) {
 			return null;
 		}
 
@@ -646,14 +658,9 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 			return myWrap.supportsSystem(system);
 		}
 
-		@Override
-		public Set<String> typeTails() {
-			return myWrap.typeTails();
-		}
-
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 
 			try {
@@ -669,7 +676,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 			try {
 				if (vs != null) {
@@ -684,7 +691,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
 			Coding convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -704,7 +711,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
 			CodeableConcept convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -723,21 +730,6 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IValid
 			return convertValidationResult(result);
 		}
 
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent vsi) {
-			ValueSet.ConceptSetComponent conceptSetComponent = null;
-			if (vsi != null) {
-				try {
-					conceptSetComponent = VersionConvertor_14_50.convertConceptSetComponent(vsi);
-				} catch (FHIRException e) {
-					throw new InternalErrorException(e);
-				}
-			}
-
-			org.hl7.fhir.dstu2016may.utils.IWorkerContext.ValidationResult result = myWrap.validateCode(system, code, display, conceptSetComponent);
-			return convertValidationResult(result);
-		}
-
 	}
 
 	private static class ResourceKey {
diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu3/hapi/validation/FhirInstanceValidator.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu3/hapi/validation/FhirInstanceValidator.java
index 25c4cd84b3e..ba3c7a8755f 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu3/hapi/validation/FhirInstanceValidator.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/dstu3/hapi/validation/FhirInstanceValidator.java
@@ -5,7 +5,6 @@ import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.server.exceptions.InternalErrorException;
 import ca.uhn.fhir.validation.IInstanceValidatorModule;
 import ca.uhn.fhir.validation.IValidationContext;
-import ca.uhn.fhir.validation.IValidatorModule;
 import com.github.benmanes.caffeine.cache.Caffeine;
 import com.github.benmanes.caffeine.cache.LoadingCache;
 import org.apache.commons.lang3.Validate;
@@ -18,20 +17,28 @@ import org.hl7.fhir.convertors.VersionConvertor_30_50;
 import org.hl7.fhir.dstu3.hapi.ctx.DefaultProfileValidationSupport;
 import org.hl7.fhir.dstu3.hapi.ctx.HapiWorkerContext;
 import org.hl7.fhir.dstu3.hapi.ctx.IValidationSupport;
-import org.hl7.fhir.dstu3.model.*;
+import org.hl7.fhir.dstu3.model.CodeSystem;
+import org.hl7.fhir.dstu3.model.CodeableConcept;
+import org.hl7.fhir.dstu3.model.Coding;
+import org.hl7.fhir.dstu3.model.ImplementationGuide;
+import org.hl7.fhir.dstu3.model.Questionnaire;
+import org.hl7.fhir.dstu3.model.Resource;
+import org.hl7.fhir.dstu3.model.StructureDefinition;
+import org.hl7.fhir.dstu3.model.ValueSet;
 import org.hl7.fhir.exceptions.FHIRException;
 import org.hl7.fhir.exceptions.TerminologyServiceException;
 import org.hl7.fhir.r5.context.IWorkerContext;
 import org.hl7.fhir.r5.formats.IParser;
 import org.hl7.fhir.r5.formats.ParserType;
+import org.hl7.fhir.r5.model.CanonicalResource;
 import org.hl7.fhir.r5.terminologies.ValueSetExpander;
 import org.hl7.fhir.r5.utils.INarrativeGenerator;
 import org.hl7.fhir.r5.utils.IResourceValidator;
 import org.hl7.fhir.r5.utils.IResourceValidator.BestPracticeWarningLevel;
-import org.hl7.fhir.utilities.TerminologyServiceOptions;
 import org.hl7.fhir.utilities.TranslationServices;
 import org.hl7.fhir.utilities.validation.ValidationMessage;
 import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
 import org.w3c.dom.Document;
 import org.w3c.dom.Element;
 import org.w3c.dom.NodeList;
@@ -40,7 +47,13 @@ import javax.annotation.Nonnull;
 import javax.annotation.Nullable;
 import java.net.MalformedURLException;
 import java.net.URL;
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Arrays;
+import java.util.Collections;
+import java.util.HashSet;
+import java.util.List;
+import java.util.Map;
+import java.util.Set;
 import java.util.concurrent.TimeUnit;
 
 @SuppressWarnings({"PackageAccessibility", "Duplicates"})
@@ -331,7 +344,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public List<org.hl7.fhir.r5.model.MetadataResource> allConformanceResources() {
+		public List<CanonicalResource> allConformanceResources() {
 			throw new UnsupportedOperationException();
 		}
 
@@ -340,11 +353,21 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 			throw new UnsupportedOperationException();
 		}
 
+		@Override
+		public Map<String, byte[]> getBinaries() {
+			return null;
+		}
+
 		@Override
 		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition p) throws FHIRException {
 			// nothing yet
 		}
 
+		@Override
+		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition theStructureDefinition, boolean theB) {
+			// nothing yet
+		}
+
 		@Override
 		public org.hl7.fhir.r5.model.Parameters getExpansionParameters() {
 			return myExpansionProfile;
@@ -642,18 +665,13 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public Set<String> typeTails() {
-			return myWrap.typeTails();
-		}
-
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display) {
 			org.hl7.fhir.dstu3.context.IWorkerContext.ValidationResult result = myWrap.validateCode(system, code, display);
 			return convertValidationResult(result);
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 
 			try {
@@ -669,7 +687,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 			try {
 				if (vs != null) {
@@ -684,7 +702,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
 			Coding convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -704,7 +722,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
 			CodeableConcept convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -723,21 +741,6 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 			return convertValidationResult(result);
 		}
 
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent vsi) {
-			ValueSet.ConceptSetComponent conceptSetComponent = null;
-			if (vsi != null) {
-				try {
-					conceptSetComponent = VersionConvertor_30_50.convertConceptSetComponent(vsi);
-				} catch (FHIRException e) {
-					throw new InternalErrorException(e);
-				}
-			}
-
-			org.hl7.fhir.dstu3.context.IWorkerContext.ValidationResult result = myWrap.validateCode(system, code, display, conceptSetComponent);
-			return convertValidationResult(result);
-		}
-
 	}
 
 	private static class ResourceKey {
diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/instance/hapi/validation/FhirInstanceValidator.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/instance/hapi/validation/FhirInstanceValidator.java
index d90fcc64124..a92e2a957af 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/instance/hapi/validation/FhirInstanceValidator.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/instance/hapi/validation/FhirInstanceValidator.java
@@ -1,17 +1,24 @@
 package org.hl7.fhir.instance.hapi.validation;
 
-import ca.uhn.fhir.context.*;
+import ca.uhn.fhir.context.BaseRuntimeElementDefinition;
+import ca.uhn.fhir.context.ConfigurationException;
+import ca.uhn.fhir.context.FhirContext;
+import ca.uhn.fhir.context.FhirVersionEnum;
+import ca.uhn.fhir.context.RuntimePrimitiveDatatypeDefinition;
 import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.api.EncodingEnum;
 import ca.uhn.fhir.rest.server.exceptions.InternalErrorException;
 import ca.uhn.fhir.util.XmlUtil;
 import ca.uhn.fhir.validation.IInstanceValidatorModule;
 import ca.uhn.fhir.validation.IValidationContext;
-import ca.uhn.fhir.validation.IValidatorModule;
 import com.github.benmanes.caffeine.cache.CacheLoader;
 import com.github.benmanes.caffeine.cache.Caffeine;
 import com.github.benmanes.caffeine.cache.LoadingCache;
-import com.google.gson.*;
+import com.google.gson.Gson;
+import com.google.gson.GsonBuilder;
+import com.google.gson.JsonArray;
+import com.google.gson.JsonElement;
+import com.google.gson.JsonObject;
 import org.apache.commons.io.IOUtils;
 import org.apache.commons.lang3.Validate;
 import org.apache.commons.lang3.builder.EqualsBuilder;
@@ -20,13 +27,18 @@ import org.fhir.ucum.UcumService;
 import org.hl7.fhir.converter.NullVersionConverterAdvisor50;
 import org.hl7.fhir.convertors.VersionConvertorAdvisor50;
 import org.hl7.fhir.convertors.VersionConvertor_10_50;
-import org.hl7.fhir.dstu2.model.*;
+import org.hl7.fhir.dstu2.model.CodeableConcept;
+import org.hl7.fhir.dstu2.model.Coding;
+import org.hl7.fhir.dstu2.model.Questionnaire;
+import org.hl7.fhir.dstu2.model.StructureDefinition;
+import org.hl7.fhir.dstu2.model.ValueSet;
 import org.hl7.fhir.exceptions.DefinitionException;
 import org.hl7.fhir.exceptions.FHIRException;
 import org.hl7.fhir.exceptions.TerminologyServiceException;
 import org.hl7.fhir.r5.context.IWorkerContext;
 import org.hl7.fhir.r5.formats.IParser;
 import org.hl7.fhir.r5.formats.ParserType;
+import org.hl7.fhir.r5.model.CanonicalResource;
 import org.hl7.fhir.r5.model.CodeSystem;
 import org.hl7.fhir.r5.model.Parameters;
 import org.hl7.fhir.r5.terminologies.ValueSetExpander;
@@ -36,10 +48,10 @@ import org.hl7.fhir.r5.utils.IResourceValidator;
 import org.hl7.fhir.r5.utils.IResourceValidator.BestPracticeWarningLevel;
 import org.hl7.fhir.r5.utils.IResourceValidator.IdStatus;
 import org.hl7.fhir.r5.validation.InstanceValidator;
-import org.hl7.fhir.utilities.TerminologyServiceOptions;
 import org.hl7.fhir.utilities.TranslationServices;
 import org.hl7.fhir.utilities.validation.ValidationMessage;
 import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
 import org.w3c.dom.Document;
 import org.w3c.dom.Element;
 import org.w3c.dom.NodeList;
@@ -48,7 +60,12 @@ import java.io.IOException;
 import java.io.InputStream;
 import java.net.MalformedURLException;
 import java.net.URL;
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Collections;
+import java.util.HashSet;
+import java.util.List;
+import java.util.Map;
+import java.util.Set;
 import java.util.concurrent.TimeUnit;
 
 import static org.apache.commons.lang3.StringUtils.isBlank;
@@ -488,7 +505,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public List<org.hl7.fhir.r5.model.MetadataResource> allConformanceResources() {
+		public List<CanonicalResource> allConformanceResources() {
 			throw new UnsupportedOperationException();
 		}
 
@@ -497,11 +514,21 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 
 		}
 
+		@Override
+		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition theStructureDefinition, boolean theB) {
+
+		}
+
 		@Override
 		public String getLinkForUrl(String corePath, String url) {
 			throw new UnsupportedOperationException();
 		}
 
+		@Override
+		public Map<String, byte[]> getBinaries() {
+			return null;
+		}
+
 		@Override
 		public Parameters getExpansionParameters() {
 			return myExpansionProfile;
@@ -787,18 +814,13 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public Set<String> typeTails() {
-			throw new UnsupportedOperationException();
-		}
-
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display) {
 			org.hl7.fhir.dstu2.utils.IWorkerContext.ValidationResult result = myWrap.validateCode(system, code, display);
 			return convertValidationResult(result);
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 
 			try {
@@ -814,7 +836,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 			try {
 				if (vs != null) {
@@ -830,7 +852,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
 			Coding convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -850,7 +872,7 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
 			CodeableConcept convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -869,21 +891,6 @@ public class FhirInstanceValidator extends BaseValidatorBridge implements IInsta
 			return convertValidationResult(result);
 		}
 
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent vsi) {
-			ValueSet.ConceptSetComponent conceptSetComponent = null;
-			if (vsi != null) {
-				try {
-					conceptSetComponent = new VersionConvertor_10_50(myAdvisor).convertConceptSetComponent(vsi);
-				} catch (FHIRException e) {
-					throw new InternalErrorException(e);
-				}
-			}
-
-			org.hl7.fhir.dstu2.utils.IWorkerContext.ValidationResult result = myWrap.validateCode(system, code, display, conceptSetComponent);
-			return convertValidationResult(result);
-		}
-
 	}
 
 
diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/FhirInstanceValidator.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/FhirInstanceValidator.java
index 2bb54771eb2..d7c52d229a1 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/FhirInstanceValidator.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r4/hapi/validation/FhirInstanceValidator.java
@@ -18,10 +18,18 @@ import org.hl7.fhir.exceptions.TerminologyServiceException;
 import org.hl7.fhir.r4.hapi.ctx.DefaultProfileValidationSupport;
 import org.hl7.fhir.r4.hapi.ctx.HapiWorkerContext;
 import org.hl7.fhir.r4.hapi.ctx.IValidationSupport;
-import org.hl7.fhir.r4.model.*;
+import org.hl7.fhir.r4.model.CodeSystem;
+import org.hl7.fhir.r4.model.CodeableConcept;
+import org.hl7.fhir.r4.model.Coding;
+import org.hl7.fhir.r4.model.ImplementationGuide;
+import org.hl7.fhir.r4.model.Questionnaire;
+import org.hl7.fhir.r4.model.Resource;
+import org.hl7.fhir.r4.model.StructureDefinition;
+import org.hl7.fhir.r4.model.ValueSet;
 import org.hl7.fhir.r5.context.IWorkerContext;
 import org.hl7.fhir.r5.formats.IParser;
 import org.hl7.fhir.r5.formats.ParserType;
+import org.hl7.fhir.r5.model.CanonicalResource;
 import org.hl7.fhir.r5.terminologies.ValueSetExpander;
 import org.hl7.fhir.r5.utils.INarrativeGenerator;
 import org.hl7.fhir.r5.utils.IResourceValidator;
@@ -30,10 +38,17 @@ import org.hl7.fhir.utilities.TerminologyServiceOptions;
 import org.hl7.fhir.utilities.TranslationServices;
 import org.hl7.fhir.utilities.validation.ValidationMessage;
 import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
 
 import javax.annotation.Nonnull;
 import javax.annotation.Nullable;
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Arrays;
+import java.util.Collections;
+import java.util.HashSet;
+import java.util.List;
+import java.util.Map;
+import java.util.Set;
 import java.util.concurrent.TimeUnit;
 
 @SuppressWarnings({"PackageAccessibility", "Duplicates"})
@@ -270,7 +285,7 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 		}
 
 		@Override
-		public List<org.hl7.fhir.r5.model.MetadataResource> allConformanceResources() {
+		public List<CanonicalResource> allConformanceResources() {
 			throw new UnsupportedOperationException();
 		}
 
@@ -279,6 +294,11 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 			// nothing yet
 		}
 
+		@Override
+		public void generateSnapshot(org.hl7.fhir.r5.model.StructureDefinition theStructureDefinition, boolean theB) {
+
+		}
+
 		@Override
 		public org.hl7.fhir.r5.model.Parameters getExpansionParameters() {
 			return myExpansionProfile;
@@ -570,18 +590,17 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 		}
 
 		@Override
-		public Set<String> typeTails() {
-			return myWrap.typeTails();
-		}
-
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display) {
-			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, system, code, display);
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display) {
+			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(toValidationOptions(theOptions), system, code, display);
 			return convertValidationResult(result);
 		}
 
+		private TerminologyServiceOptions toValidationOptions(ValidationOptions theOptions) {
+			return new TerminologyServiceOptions();
+		}
+
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 
 			try {
@@ -592,12 +611,12 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 				throw new InternalErrorException(e);
 			}
 
-			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, system, code, display, convertedVs);
+			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(toValidationOptions(theOptions), system, code, display, convertedVs);
 			return convertValidationResult(result);
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 			try {
 				if (vs != null) {
@@ -607,12 +626,12 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 				throw new InternalErrorException(e);
 			}
 
-			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, Constants.CODESYSTEM_VALIDATE_NOT_NEEDED, code, null, convertedVs);
+			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(toValidationOptions(theOptions), Constants.CODESYSTEM_VALIDATE_NOT_NEEDED, code, null, convertedVs);
 			return convertValidationResult(result);
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
 			Coding convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -627,12 +646,12 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 				throw new InternalErrorException(e);
 			}
 
-			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, convertedCode, convertedVs);
+			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(toValidationOptions(theOptions), convertedCode, convertedVs);
 			return convertValidationResult(result);
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
 			CodeableConcept convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -647,30 +666,21 @@ public class FhirInstanceValidator extends org.hl7.fhir.r4.hapi.validation.BaseV
 				throw new InternalErrorException(e);
 			}
 
-			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, convertedCode, convertedVs);
+			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(toValidationOptions(theOptions), convertedCode, convertedVs);
 			return convertValidationResult(result);
 		}
 
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent vsi) {
-			ValueSet.ConceptSetComponent conceptSetComponent = null;
-			if (vsi != null) {
-				try {
-					conceptSetComponent = org.hl7.fhir.convertors.conv40_50.ValueSet.convertConceptSetComponent(vsi);
-				} catch (FHIRException e) {
-					throw new InternalErrorException(e);
-				}
-			}
-
-			org.hl7.fhir.r4.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, system, code, display, conceptSetComponent);
-			return convertValidationResult(result);
-		}
 
 		@Override
 		public String getLinkForUrl(String corePath, String url) {
 			throw new UnsupportedOperationException();
 		}
 
+		@Override
+		public Map<String, byte[]> getBinaries() {
+			return null;
+		}
+
 	}
 
 	private static class ResourceKey {
diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/FhirInstanceValidator.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/FhirInstanceValidator.java
index d8478c2d77f..02a3fd839d2 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/FhirInstanceValidator.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/FhirInstanceValidator.java
@@ -29,14 +29,20 @@ import org.hl7.fhir.r5.utils.FHIRPathEngine;
 import org.hl7.fhir.r5.utils.INarrativeGenerator;
 import org.hl7.fhir.r5.utils.IResourceValidator;
 import org.hl7.fhir.r5.utils.IResourceValidator.BestPracticeWarningLevel;
-import org.hl7.fhir.utilities.TerminologyServiceOptions;
 import org.hl7.fhir.utilities.TranslationServices;
 import org.hl7.fhir.utilities.validation.ValidationMessage;
 import org.hl7.fhir.utilities.validation.ValidationMessage.IssueSeverity;
+import org.hl7.fhir.utilities.validation.ValidationOptions;
 
 import javax.annotation.Nonnull;
 import javax.annotation.Nullable;
-import java.util.*;
+import java.util.ArrayList;
+import java.util.Arrays;
+import java.util.Collections;
+import java.util.HashSet;
+import java.util.List;
+import java.util.Map;
+import java.util.Set;
 import java.util.concurrent.TimeUnit;
 
 @SuppressWarnings({"PackageAccessibility", "Duplicates"})
@@ -273,7 +279,7 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 		}
 
 		@Override
-		public List<org.hl7.fhir.r5.model.MetadataResource> allConformanceResources() {
+		public List<CanonicalResource> allConformanceResources() {
 			throw new UnsupportedOperationException();
 		}
 
@@ -282,11 +288,21 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 			// nothing yet
 		}
 
+		@Override
+		public void generateSnapshot(StructureDefinition theStructureDefinition, boolean theB) {
+
+		}
+
 		@Override
 		public String getLinkForUrl(String corePath, String url) {
 			throw new UnsupportedOperationException();
 		}
 
+		@Override
+		public Map<String, byte[]> getBinaries() {
+			return null;
+		}
+
 		@Override
 		public org.hl7.fhir.r5.model.Parameters getExpansionParameters() {
 			return myExpansionProfile;
@@ -579,18 +595,13 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 		}
 
 		@Override
-		public Set<String> typeTails() {
-			return myWrap.typeTails();
-		}
-
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display) {
 			org.hl7.fhir.r5.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, system, code, display);
 			return convertValidationResult(result);
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 
 			try {
@@ -606,7 +617,7 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, String code, org.hl7.fhir.r5.model.ValueSet vs) {
 			ValueSet convertedVs = null;
 			try {
 				if (vs != null) {
@@ -621,7 +632,7 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.Coding code, org.hl7.fhir.r5.model.ValueSet vs) {
 			Coding convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -641,7 +652,7 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 		}
 
 		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
+		public ValidationResult validateCode(ValidationOptions theOptions, org.hl7.fhir.r5.model.CodeableConcept code, org.hl7.fhir.r5.model.ValueSet vs) {
 			CodeableConcept convertedCode = null;
 			ValueSet convertedVs = null;
 
@@ -660,20 +671,6 @@ public class FhirInstanceValidator extends org.hl7.fhir.r5.hapi.validation.BaseV
 			return convertValidationResult(result);
 		}
 
-		@Override
-		public ValidationResult validateCode(TerminologyServiceOptions theOptions, String system, String code, String display, org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent vsi) {
-			ValueSet.ConceptSetComponent conceptSetComponent = null;
-			if (vsi != null) {
-				try {
-					conceptSetComponent = vsi;
-				} catch (FHIRException e) {
-					throw new InternalErrorException(e);
-				}
-			}
-
-			org.hl7.fhir.r5.context.IWorkerContext.ValidationResult result = myWrap.validateCode(theOptions, system, code, display, conceptSetComponent);
-			return convertValidationResult(result);
-		}
 
 	}
 
diff --git a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/PrePopulatedValidationSupport.java b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/PrePopulatedValidationSupport.java
index a2d6ac628ba..7faec367141 100644
--- a/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/PrePopulatedValidationSupport.java
+++ b/hapi-fhir-validation/src/main/java/org/hl7/fhir/r5/hapi/validation/PrePopulatedValidationSupport.java
@@ -92,7 +92,7 @@ public class PrePopulatedValidationSupport implements IValidationSupport {
 		addToMap(theStructureDefinition, myStructureDefinitions, theStructureDefinition.getUrl());
 	}
 
-	private <T extends MetadataResource> void addToMap(T theStructureDefinition, Map<String, T> map, String theUrl) {
+	private <T extends IBaseResource> void addToMap(T theStructureDefinition, Map<String, T> map, String theUrl) {
 		if (isNotBlank(theUrl)) {
 			map.put(theUrl, theStructureDefinition);
 
diff --git a/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/ResourceValidatorDstu3Test.java b/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/ResourceValidatorDstu3Test.java
index fca5d67377a..98b8429cd34 100644
--- a/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/ResourceValidatorDstu3Test.java
+++ b/hapi-fhir-validation/src/test/java/org/hl7/fhir/dstu3/hapi/validation/ResourceValidatorDstu3Test.java
@@ -333,7 +333,7 @@ public class ResourceValidatorDstu3Test {
 		TestPatientFor327 patient = new TestPatientFor327();
 		patient.setBirthDate(new Date());
 		patient.setId("123");
-		patient.getText().setDivAsString("<div>FOO</div>");
+		patient.getText().setDivAsString("<div lang=\"en\">FOO</div>");
 		patient.getText().setStatus(NarrativeStatus.GENERATED);
 		patient.getLanguageElement().setValue("en");
 		patient.addExtension().setUrl("http://foo").setValue(new StringType("MOD"));
@@ -478,7 +478,7 @@ public class ResourceValidatorDstu3Test {
 		private static final long serialVersionUID = 1L;
 
 		@Child(name = "testCondition")
-		@ca.uhn.fhir.model.api.annotation.Extension(url = "testCondition", definedLocally = true, isModifier = false)
+		@ca.uhn.fhir.model.api.annotation.Extension(url = "http://testCondition", definedLocally = true, isModifier = false)
 		private List<Reference> testConditions = null;
 
 		public List<Reference> getConditions() {
diff --git a/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/FhirInstanceValidatorR5Test.java b/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/FhirInstanceValidatorR5Test.java
index 888127d1e6c..c9f23538e15 100644
--- a/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/FhirInstanceValidatorR5Test.java
+++ b/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/FhirInstanceValidatorR5Test.java
@@ -18,7 +18,6 @@ import org.hl7.fhir.r5.hapi.validation.FhirInstanceValidator;
 import org.hl7.fhir.r5.hapi.validation.ValidationSupportChain;
 import org.hl7.fhir.r5.model.*;
 import org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionComponent;
-import org.hl7.fhir.r5.model.Observation.ObservationStatus;
 import org.hl7.fhir.r5.model.ValueSet.ConceptSetComponent;
 import org.hl7.fhir.r5.model.ValueSet.ValueSetExpansionComponent;
 import org.hl7.fhir.r5.terminologies.ValueSetExpander;
@@ -160,7 +159,7 @@ public class FhirInstanceValidatorR5Test {
 				String valueSetUrl = theInvocation.getArgument(4, String.class);
 				IContextValidationSupport.CodeValidationResult retVal;
 				if (myValidConcepts.contains(system + "___" + code)) {
-					retVal = new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent(new CodeType(code)));
+					retVal = new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent((code)));
 				} else {
 					retVal = myDefaultValidationSupport.validateCode(ctx, system, code, display, valueSetUrl);
 				}
@@ -261,7 +260,7 @@ public class FhirInstanceValidatorR5Test {
 	public void testValidateDoesntEnforceBestPracticesByDefault() {
 		Observation input = new Observation();
 		input.getText().setDiv(new XhtmlNode().setValue("<div>AA</div>")).setStatus(Narrative.NarrativeStatus.GENERATED);
-		input.setStatus(ObservationStatus.AMENDED);
+		input.setStatus(Enumerations.ObservationStatus.AMENDED);
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("1234").setDisplay("FOO");
 
 		FhirInstanceValidator instanceModule;
@@ -369,7 +368,7 @@ public class FhirInstanceValidatorR5Test {
 	@Ignore
 	public void testCompareTimesWithDifferentTimezones() {
 		Procedure procedure = new Procedure();
-		procedure.setStatus(Procedure.ProcedureStatus.COMPLETED);
+		procedure.setStatus(Enumerations.EventStatus.COMPLETED);
 		procedure.getSubject().setReference("Patient/1");
 		procedure.getCode().setText("Some proc");
 
@@ -729,7 +728,7 @@ public class FhirInstanceValidatorR5Test {
 
 		input.addIdentifier().setSystem("http://acme").setValue("12345");
 		input.getEncounter().setReference("http://foo.com/Encounter/9");
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("12345");
 
 		myInstanceVal.setValidationSupport(myMockSupport);
@@ -750,7 +749,7 @@ public class FhirInstanceValidatorR5Test {
 
 		input.addIdentifier().setSystem("http://acme").setValue("12345");
 		input.getEncounter().setReference("http://foo.com/Encounter/9");
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("12345");
 
 		myInstanceVal.setValidationSupport(myMockSupport);
@@ -772,7 +771,7 @@ public class FhirInstanceValidatorR5Test {
 		input.getMeta().addProfile("http://foo/structuredefinition/myprofile");
 
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("12345");
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 
 		myInstanceVal.setValidationSupport(myMockSupport);
 		ValidationResult output = myVal.validateWithResult(input);
@@ -800,7 +799,7 @@ public class FhirInstanceValidatorR5Test {
 		Observation input = new Observation();
 
 		input.getText().setDiv(new XhtmlNode().setValue("<div>AA</div>")).setStatus(Narrative.NarrativeStatus.GENERATED);
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().setText("No code here!");
 
 		ourLog.info(ourCtx.newXmlParser().setPrettyPrint(true).encodeResourceToString(input));
@@ -825,7 +824,7 @@ public class FhirInstanceValidatorR5Test {
 		ValidationResult output = myVal.validateWithResult(input);
 		logResultsAndReturnAll(output);
 		assertEquals(
-			"The value provided ('notvalidcode') is not in the value set http://hl7.org/fhir/ValueSet/observation-status|4.1.0 (http://hl7.org/fhir/ValueSet/observation-status, and a code is required from this value set) (error message = Unknown code[notvalidcode] in system[(none)])",
+			"The value provided ('notvalidcode') is not in the value set http://hl7.org/fhir/ValueSet/observation-status|4.2.0 (http://hl7.org/fhir/ValueSet/observation-status, and a code is required from this value set) (error message = Unknown code[notvalidcode] in system[(none)])",
 			output.getMessages().get(0).getMessage());
 	}
 
@@ -836,7 +835,7 @@ public class FhirInstanceValidatorR5Test {
 
 		myInstanceVal.setValidationSupport(myMockSupport);
 
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("12345");
 
 		ValidationResult output = myVal.validateWithResult(input);
@@ -853,7 +852,7 @@ public class FhirInstanceValidatorR5Test {
 		myInstanceVal.setValidationSupport(myMockSupport);
 		addValidConcept("http://acme.org", "12345");
 
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://acme.org").setCode("9988877");
 
 		ValidationResult output = myVal.validateWithResult(input);
@@ -871,7 +870,7 @@ public class FhirInstanceValidatorR5Test {
 		myInstanceVal.setValidationSupport(myMockSupport);
 		addValidConcept("http://loinc.org", "12345");
 
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("12345");
 
 		ValidationResult output = myVal.validateWithResult(input);
@@ -891,7 +890,7 @@ public class FhirInstanceValidatorR5Test {
 		myInstanceVal.setValidationSupport(myMockSupport);
 		addValidConcept("http://loinc.org", "12345");
 
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://loinc.org").setCode("1234");
 
 		ValidationResult output = myVal.validateWithResult(input);
@@ -908,7 +907,7 @@ public class FhirInstanceValidatorR5Test {
 		myInstanceVal.setValidationSupport(myMockSupport);
 		addValidConcept("http://acme.org", "12345");
 
-		input.setStatus(ObservationStatus.FINAL);
+		input.setStatus(Enumerations.ObservationStatus.FINAL);
 		input.getCode().addCoding().setSystem("http://acme.org").setCode("12345");
 
 		ValidationResult output = myVal.validateWithResult(input);
diff --git a/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/QuestionnaireResponseValidatorR5Test.java b/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/QuestionnaireResponseValidatorR5Test.java
index 474a80836be..6e8911c1e41 100644
--- a/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/QuestionnaireResponseValidatorR5Test.java
+++ b/hapi-fhir-validation/src/test/java/org/hl7/fhir/r5/validation/QuestionnaireResponseValidatorR5Test.java
@@ -121,7 +121,7 @@ public class QuestionnaireResponseValidatorR5Test {
 		questionnaireItemTypes[14] = QuestionnaireItemType.REFERENCE;
 		questionnaireItemTypes[15] = QuestionnaireItemType.QUANTITY;
 
-		Type[] answerValues = new Type[itemCnt];
+		DataType[] answerValues = new DataType[itemCnt];
 		answerValues[0] = new BooleanType(true);
 		answerValues[1] = new DecimalType(42.0);
 		answerValues[2] = new IntegerType(42);
@@ -359,7 +359,7 @@ public class QuestionnaireResponseValidatorR5Test {
 		when(myValSupport.fetchResource(any(FhirContext.class), eq(ValueSet.class), eq(valueSetRef)))
 			.thenReturn(options);
 		when(myValSupport.validateCode(any(FhirContext.class), eq(codeSystemUrl), eq(codeValue), any(String.class), anyString()))
-			.thenReturn(new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent(new CodeType(codeValue))));
+			.thenReturn(new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent(codeValue)));
 
 		IParser xmlParser = ourCtx.newXmlParser().setPrettyPrint(true);
 		String qXml = xmlParser.encodeResourceToString(q);
@@ -416,7 +416,7 @@ public class QuestionnaireResponseValidatorR5Test {
 		when(myValSupport.fetchResource(any(FhirContext.class), eq(ValueSet.class), eq(valueSetRef)))
 			.thenReturn(options);
 		when(myValSupport.validateCode(any(FhirContext.class), eq(codeSystemUrl), eq(codeValue), any(String.class), anyString()))
-			.thenReturn(new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent(new CodeType(codeValue))));
+			.thenReturn(new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent((codeValue))));
 
 		IParser xmlParser = ourCtx.newXmlParser().setPrettyPrint(true);
 		String qXml = xmlParser.encodeResourceToString(q);
@@ -679,7 +679,7 @@ public class QuestionnaireResponseValidatorR5Test {
 
 		when(myValSupport.fetchResource(any(FhirContext.class), eq(Questionnaire.class), eq(qa.getQuestionnaire()))).thenReturn(questionnaire);
 		when(myValSupport.fetchResource(any(FhirContext.class), eq(ValueSet.class), eq(ID_VS_SCHOOLTYPE))).thenReturn(iccSchoolTypeVs);
-		when(myValSupport.validateCodeInValueSet(any(), any(), any(), any(), any(ValueSet.class) )).thenReturn(new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent(new CodeType(CODE_ICC_SCHOOLTYPE_PT))));
+		when(myValSupport.validateCodeInValueSet(any(), any(), any(), any(), any(ValueSet.class) )).thenReturn(new IContextValidationSupport.CodeValidationResult(new ConceptDefinitionComponent(CODE_ICC_SCHOOLTYPE_PT)));
 		ValidationResult errors = myVal.validateWithResult(qa);
 
 		ourLog.info(errors.toString());
diff --git a/hapi-tinder-plugin/src/main/java/ca/uhn/fhir/tinder/ResourceMinimizerMojo.java b/hapi-tinder-plugin/src/main/java/ca/uhn/fhir/tinder/ResourceMinimizerMojo.java
index b97672c8fd7..c5945196fc7 100644
--- a/hapi-tinder-plugin/src/main/java/ca/uhn/fhir/tinder/ResourceMinimizerMojo.java
+++ b/hapi-tinder-plugin/src/main/java/ca/uhn/fhir/tinder/ResourceMinimizerMojo.java
@@ -261,6 +261,14 @@ public class ResourceMinimizerMojo extends AbstractMojo {
 		byteCount += m.getByteCount();
 		fileCount += m.getFileCount();
 
+		m = new ResourceMinimizerMojo();
+		m.myCtx = ctxR5;
+		m.targetDirectory = new File("./hapi-fhir-validation-resources-r5/src/main/resources/org/hl7/fhir/r5/model/extension");
+		m.fhirVersion = "R5";
+		m.execute();
+		byteCount += m.getByteCount();
+		fileCount += m.getFileCount();
+
 		ourLog.info("Trimmed {} files", fileCount);
 		ourLog.info("Trimmed {} bytes", FileUtils.byteCountToDisplaySize(byteCount));
 	}
diff --git a/pom.xml b/pom.xml
index df81584812d..16d54eeadcd 100644
--- a/pom.xml
+++ b/pom.xml
@@ -598,7 +598,7 @@
 
 	<properties>
 
-		<fhir_core_version>4.1.7-SNAPSHOT</fhir_core_version>
+		<fhir_core_version>4.1.42-SNAPSHOT</fhir_core_version>
 		<ucum_version>1.0.2</ucum_version>
 
 		<surefire_jvm_args>-Dfile.encoding=UTF-8 -Xmx2048m</surefire_jvm_args>